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115 <br /> EMERGENCY MEDICAL SERVICES (EMS) <br /> ISSUES OF CONCERN <br /> Response Time <br /> Average vs. Fractile Response Time <br /> Performance Criteria <br /> Given what has been learned about the need for an eight- <br /> minute response to maximize survivability from cardiac arrest, <br /> an average eight-minute response, by definition, means that <br /> one-half, or more, of the service's patients are not reached <br /> within that critical time. <br /> Many high-performance emergency ambulance services use a <br /> different methodology to measure response times to ensure <br /> service equality to all patients: fractile distribution; in most <br /> instances as suggested by NFPA and others, reported at the <br /> 90"'percentile. <br /> .0201(a)County governments shall establish EMS Systems. Each EMS System shall have: <br /> "The highest level of care offered within any EMS Provider <br /> service area must be available to the citizens within that <br /> service area 24 hours per day" <br /> 2 <br />