Ambulance Response Compliance Review
AMR Compliance Summary
1/1/2022 – 12/31/2022
Prepared by Riverside County EMS Agency: July, 2023
AMR Compliance Summary 1/1/2022 through 12/31/2022 - Page 2 of 52
CONTENTS
Riverside County Ambulance Response Time Compliance .......................................................................................................... 4 Overview ................................................................................................................................................................................... 4 County Raw vs Adjusted Compliance ....................................................................................................................................... 5 West, Mid, and East County Areas Comparisons ..................................................................................................................... 5 Central Zone ................................................................................................................................................................................. 8 Central Zone: Raw vs Adjusted Compliance Data..................................................................................................................... 9 Central Zone: Response and Compliance Data ........................................................................................................................ 9 Central Zone: Subzone Response and Compliance Data ........................................................................................................ 10 Central Zone: Exemptions ...................................................................................................................................................... 11 Central Zone: Responses > 10 Minutes Late .......................................................................................................................... 12 Northwest Zone .......................................................................................................................................................................... 13 Northwest Zone: Raw vs Adjusted Compliance Data ............................................................................................................. 14 Northwest Zone: Response and Compliance Data ................................................................................................................. 14 Northwest Zone: Subzone Response and Compliance Data .................................................................................................. 15 Northwest Zone: Exemptions ................................................................................................................................................. 17 Northwest Zone: Responses >10 Minutes Late ...................................................................................................................... 18 Southwest Zone .......................................................................................................................................................................... 19 Southwest Zone: Raw vs Adjusted Compliance Data ............................................................................................................. 20 Southwest Zone: zone Response and Compliance Data ........................................................................................................ 20 Southwest Zone: Subzone Response and Compliance Data .................................................................................................. 21 Southwest Zone: Exemptions ................................................................................................................................................. 22 Southwest Zone: Responses > 10 Minutes Late ..................................................................................................................... 23 Desert Zone ................................................................................................................................................................................ 24 Desert Zone: Raw vs Adjusted Compliance Data .................................................................................................................... 24 Desert Zone: Subzone Response and Compliance Data ......................................................................................................... 25 Desert Zone: Exemptions ........................................................................................................................................................ 27 Palo Verde Zone .......................................................................................................................................................................... 29 Palo Verde Zone: Raw vs Adjusted Compliance Data ............................................................................................................. 29 Palo Verde Zone: Exemptions and >10 Minutes Late ............................................................................................................. 30 Pass Zone .................................................................................................................................................................................... 32 Pass Zone: Raw vs Adjusted Compliance Data ....................................................................................................................... 32 Pass Zone: Exemptions and Responses >10 Minutes Late ..................................................................................................... 33 San Jacinto Zone ......................................................................................................................................................................... 35 San Jacinto Zone: Raw vs Adjusted Compliance Data ............................................................................................................ 36 AMR Compliance Summary 1/1/2022 through 12/31/2022 - Page 3 of 52 San Jacinto Zone: Subzone Response and Compliance Data .................................................................................................. 36 San Jacinto Zone: Subzone Response and Compliance Data (cont.) ...................................................................................... 37 San Jacinto Zone: Exemptions ................................................................................................................................................ 38 San Jacinto Zone: Responses > 10 Minutes Late .................................................................................................................... 39 Mountain Plateau Zone .............................................................................................................................................................. 40 Mountain Plateau Zone: Raw vs Adjusted Compliance Data ................................................................................................. 41 Mountain Plateau Zone: Response and Compliance Data ..................................................................................................... 41 Mountain Plateau Zone: Exemptions and >10 Minutes Late ................................................................................................. 42 ALS , BLS utilization of AMR 9-1-1 calls....................................................................................................................................... 43 BLS responses to 9-1-1 calls ....................................................................................................................................................... 44 January 2022 compliance report ................................................................................................................................................ 45 February 2022 compliance report .............................................................................................................................................. 45 March 2022 compliance report .................................................................................................................................................. 46 April 2022 compliance report ..................................................................................................................................................... 46 May 2022 compliance report ..................................................................................................................................................... 47 June 2022 compliance report ..................................................................................................................................................... 47 July 2022 compliance report ...................................................................................................................................................... 48 August 2022 compliance report ................................................................................................................................................. 48 September 2022 compliance report ........................................................................................................................................... 49 October 2022 compliance report ............................................................................................................................................... 49 November 2022 compliance report ........................................................................................................................................... 50 December 2022 compliance report ............................................................................................................................................ 50 Ambulance Patient Offload Time ............................................................................................................................................... 51 AMR Compliance Summary 1/1/2022 through 12/31/2022 - Page 4 of 52
RIVERSIDE COUNTY AMBULANCE RESPONSE TIME COMPLIANCE
Overview
The Riverside County EMS System encompasses all 9-1-1 medical responses in Riverside County. American Medical Response (AMR) is the contracted ambulance provider for the majority of Riverside County, and this report outlines the AMR response time compliance in Riverside County. Data provided refers to the AMR-serviced Ambulance Operating Areas delineated in the master service agreement dated July 1, 2015.
Raw Compliance, for the purpose of this report, refers to the contracted providers ability to meet agreed upon response times, which vary throughout the Operational Area. Adjusted Compliance, for the purpose of this report, refers to the final compliance percentage after various exemptions have been granted. These exemptions would include Code 2 – Diverted x3, COVID – 19, Extended wait time at railroad crossings in the City of Riverside only, Following Fire Department, Major Road Closure/Construction, Offload Delays/Bed Delays, Second Unit, Unusual System Overload and Unusually Heavy Traffic.
The majority of exemptions granted to the ambulance provider are due to offload/bed delays. Approximately 95% of all exemptions granted relate to APOD.
Below is a map of the Ambulance Operating Areas, which are discussed in the corresponding Administrative Group meetings based on region. A complete map of the County with Response Time Zones labeled is available at http://www.remsa.us/zones
The West County Response Time Zones are responsible for approximately 66% of 9-1-1 calls made to AMR from the EMS System. East County and Mid County response zones make up about 14% and 20% of 9-1-1 call volume, respectively.
West County includes the Northwest, Southwest, and Central response zones. The City of Riverside is a subzone of the Northwest Zone, which accounts for more responses than all other subzones across the County.
Mid County region includes the Pass, San Jacinto, and Mountain Plateau Response Time Zones.
East County includes the Desert and Palo Verde Response Time Zones.
AMR Compliance Summary 1/1/2022 through 12/31/2022 - Page 5 of 52 County Raw vs Adjusted Compliance
West, Mid, and East County Areas Comparisons
14970
20089
0 5000
10000
15000
20000
25000
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
2021 2022
Responses
AMR - West, Mid, and East County Zones
Total 911 Ambulance Responses
2-year Review
West County Mid County East County
AMR Compliance Summary 1/1/2022 through 12/31/2022 - Page 6 of 52 9703
13310
0 2000
4000
6000
8000
10000
12000
14000
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
2021 2022
Responses
AMR - West County Zones
Total 911 Ambulance Responses
2-year Review
Southwest Northwest Central
3027
3970
0 500
1000
1500
2000
2500
3000
3500
4000
4500
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
2021 2022
Responses
AMR - Mid County Zones
Total 911 Ambulance Responses
2-year Review
Mountain Pass San Jacinto
AMR Compliance Summary 1/1/2022 through 12/31/2022 - Page 7 of 52
2240
2974
0 500
1000
1500
2000
2500
3000
3500
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
2021 2022
Responses
AMR - East County Zones
Total 911 Ambulance Responses
2-year Review
Palo Verde Desert
AMR Compliance Summary 1/1/2022 through 12/31/2022 - Page 8 of 52
CENTRAL ZONE
The Central Response Time Zone (RTZ) encompasses Moreno Valley, Perris, and unincorporated areas surrounding these cities. It borders the Northwest and Southwest Response Time Zones to the West, the Southwest RTZ to the South, and the Pass and San Jacinto RTZs to the East. It is divided into two subzones: the Moreno Valley Response Time Subzone (RTSZ) and the Perris and Unincorporated Areas RTSZ. During the period in review for this report, the Moreno Valley Subzone received higher 911 ambulance response volume than did the Perris and unincorporated area, as illustrated in the following charts. These charts cover overall 911 ambulance responses, response time compliance, compliance/responses by subzone, responses more than ten minutes late, and exemptions.
The maps referenced in this report are available at remsa.us/zones
AMR Compliance Summary 1/1/2022 through 12/31/2022 - Page 9 of 52
Central Zone: Raw vs Adjusted Compliance Data
Central Zone: Response and Compliance Data
2008
2885
88.2%
99.2%
84%
86%
88%
90%
92%
94%
96%
98%
100%
0 500
1000
1500
2000
2500
3000
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
2021 2022
Compliance
Responses
AMR - Central Zone
911 Ambulance Responses and Compliance
2-year Review
Responses Lates Compliance 90% Compliance Requirement
AMR Compliance Summary 1/1/2022 through 12/31/2022 - Page 10 of 52
2008
2885
0 500
1000
1500
2000
2500
3000
3500
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
2021 2022
Total Responses
AMR - Central Zone
911 Ambulance Responses
2-year Review
Central - Moreno Valley Central - Perris & Uninc.
Central Zone: Subzone Response and Compliance Data
788
1147
86.1%
98.9%
78%
83%
88%
93%
98%
0 200
400
600
800
1000
1200
1400
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
2021 2022
Compliance
Responses
AMR - Perris & Unincorp Subzone
Total 911 Ambulance Responses
2-year Review
911 Responses Compliance 90% Compliance Requirement
AMR Compliance Summary 1/1/2022 through 12/31/2022 - Page 11 of 52
1220
1738
89.0%
99.4%
85%
86%
87%
88%
89%
90%
91%
92%
93%
94%
95%
96%
97%
98%
99%
100%
0 200
400
600
800
1000
1200
1400
1600
1800
2000
2200
2400
2600
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
2021 2022
Compliance
Responses
AMR - Moreno Valley Subzone
Total 911 Ambulance Responses
2-year Review
Responses Compliance 90% Compliance Requirement
Central Zone: Exemptions
221
1128
0 200
400
600
800
1000
1200
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
2021 2022
Exemptions
AMR - Central Zone
Response Time Exemptions - Total vs. from APOD
2-year Review
APOD Exemptions Non-APOD Exemptions
AMR Compliance Summary 1/1/2022 through 12/31/2022 - Page 12 of 52
221
1128
10.2%
41.6%
0.0%
5.0%
10.0%
15.0%
20.0%
25.0%
30.0%
35.0%
40.0%
45.0%
0 200
400
600
800
1000
1200
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
2021 2022
Exemptions % of Zone Volume
Exemptions
AMR - Central Zone
Response Time Exemptions % of Volume
2-year Review
APOD Exemptions % of Volume
Central Zone: Responses > 10 Minutes Late
32 0
5 10
15 20
25 30
35 Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
2021 2022
# of Responses >10min Late
AMR - Central Zone
Responses >10min Late
2-year Review
Responses >10 Min Late
AMR Compliance Summary 1/1/2022 through 12/31/2022 - Page 13 of 52
NORTHWEST ZONE
The Northwest Response Time Zone includes: Riverside, Corona, Norco, Eastvale, Jurupa Valley, and unincorporated areas of the County adjacent to these, as depicted in the Northwest Response Time Zone (RTZ) map. It borders the Southwest Zone to the South and the Central Zone to the East. The Northwest Zone is divided into three subzones: the Riverside City Subzone, the Corona & Unincorporated South Area Subzone, and the Norco & Unincorporated North Area Subzone. During the period in review for this report, the Riverside City Subzone received the highest volume of 911 ambulance responses, as is depicted in the following charts.
Included for review are: Northwest Zone compliance, 911 ambulance responses, exemptions, and responses more than ten minutes late.
AMR Compliance Summary 1/1/2022 through 12/31/2022 - Page 14 of 52
Northwest Zone: Raw vs Adjusted Compliance Data
‘?
Northwest Zone: Response and Compliance Data
4480
6215
88.5%
98.7%
86%
87%
88%
89%
90%
91%
92%
93%
94%
95%
96%
97%
98%
99%
100%
0 500
1000
1500
2000
2500
3000
3500
4000
4500
5000
5500
6000
6500
7000
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
2021 2022
Compliance
Responses
AMR - Northwest Zone
911 Ambulance Responses and Compliance
2-year Review
Responses Lates Compliance 90% Compliance Requirement
AMR Compliance Summary 1/1/2022 through 12/31/2022 - Page 15 of 52
4480
6215
0 1000
2000
3000
4000
5000
6000
7000
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
2021 2022
Total Responses
AMR - Northwest Zone
911 Ambulance Responses
2-year Review
Northwest - Corona & Uninc. South Northwest - Norco & Uninc. North Northwest - Riverside City
Northwest Zone: Subzone Response and Compliance Data
2355
3307
90.2%
98.6%
89.0%
90.0%
91.0%
92.0%
93.0%
94.0%
95.0%
96.0%
97.0%
98.0%
99.0%
100.0%
0 250
500
750
1000
1250
1500
1750
2000
2250
2500
2750
3000
3250
3500
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
2021 2022
Compliance
Responses
AMR - Riverside City Subzone
Total 911 Ambulance Responses
2-year Review
Responses Compliance 90% Compliance Requirement
AMR Compliance Summary 1/1/2022 through 12/31/2022 - Page 16 of 52
1040
1584
84.5%
98.2%
80%
82%
84%
86%
88%
90%
92%
94%
96%
98%
100%
0 500
1000
1500
2000
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
2021 2022
Compliance
Responses
AMR - Norco & North Uninc. Subzone
Total 911 Ambulance Responses
2-year Review
Responses Compliance 90% Compliance Requirement
1085
1490
88.7%
99.2%
85%
87%
89%
91%
93%
95%
97%
99%
0 200
400
600
800
1000
1200
1400
1600
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
2021 2022
Compliance
Responses
AMR - Corona and South Uninc. Subzone
Total 911 Ambulance Responses
2-year Review
Responses Compliance 90% Compliance Requirement
AMR Compliance Summary 1/1/2022 through 12/31/2022 - Page 17 of 52
Northwest Zone: Exemptions
561
2548
0 500
1000
1500
2000
2500
3000
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
2021 2022
Exemptions
AMR - Northwest Zone
Response Time Exemptions - Total vs. from APOD
2-year Review
APOD Exemptions Non-APOD Exemptions
561
2548
11.3%
41.0%
0.0%
5.0%
10.0%
15.0%
20.0%
25.0%
30.0%
35.0%
40.0%
45.0%
0 500
1000
1500
2000
2500
3000
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
2021 2022
Exemptions % of Zone Volume
Exemptions
AMR - Northwest Zone
Response Time Exemptions % of Volume
2-year Review
APOD Exemptions % of Volume
AMR Compliance Summary 1/1/2022 through 12/31/2022 - Page 18 of 52
Northwest Zone: Responses >10 Minutes Late
85 7
0 10
20 30
40 50
60 70
80 90
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
2021 2022
# of Responses >10min Late
AMR - Northwest Zone
Responses >10min Late
2-year Review
Responses >10 Min Late
AMR Compliance Summary 1/1/2022 through 12/31/2022 - Page 19 of 52
SOUTHWEST ZONE
The Southwest Response Time Zone includes multiple cities, including: Temecula, Murrieta, Lake Elsinore, Menifee, Canyon Lake, and Wildomar. There are two subzones, which are the Temecula & Murrieta Subzone, and the Unincorporated Area plus Lake Elsinore, Wildomar, Canyon Lake and Menifee. The Southwest Zone borders the Northwest and Central Zones to the North, the San Jacinto Zone to the Northeast, and the Mountain Plateau Zone to the East.
AMR Compliance Summary 1/1/2022 through 12/31/2022 - Page 20 of 52
Southwest Zone: Raw vs Adjusted Compliance Data
Southwest Zone: zone Response and Compliance Data
3215
4405
86.1%
98.6%
85%
87%
89%
91%
93%
95%
97%
99%
0 500
1000
1500
2000
2500
3000
3500
4000
4500
5000
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
2021 2022
Compliance
Responses
AMR - Southwest Zone
911 Ambulance Responses and Compliance
2-year Review
Responses Lates Compliance 90% Compliance Requirement
AMR Compliance Summary 1/1/2022 through 12/31/2022 - Page 21 of 52
3215
4405
0 500
1000
1500
2000
2500
3000
3500
4000
4500
5000
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
2021 2022
Total Responses
AMR - Southwest Zone
911 Ambulance Responses
2-year Review
Southwest - LE, Menif, Wild, CL & Uninc. Southwest - Temecula & Murrieta
Southwest Zone: Subzone Response and Compliance Data
1260
1810
86.2%
98.6%
85.0%
87.0%
89.0%
91.0%
93.0%
95.0%
97.0%
99.0%
0 200
400
600
800
1000
1200
1400
1600
1800
2000
2200
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
2021 2022
Compliance
Responses
AMR - Temecula & Murrieta Subzone
Total 911 Ambulance Responses
2-year Review
911 Responses Compliance 90% Compliance Requirement
AMR Compliance Summary 1/1/2022 through 12/31/2022 - Page 22 of 52
1955
2683
86.0%
98.6%
82.0%
84.0%
86.0%
88.0%
90.0%
92.0%
94.0%
96.0%
98.0%
100.0%
0 200
400
600
800
1000
1200
1400
1600
1800
2000
2200
2400
2600
2800
3000
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
2021 2022
Compliance
Responses
AMR - Lake Elsinore & Uninc. Subzone
Total 911 Ambulance Responses
2-year Review
911 Responses Compliance 90% Compliance Requirement
Southwest Zone: Exemptions
496
2079
0 500
1000
1500
2000
2500
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
2021 2022
Exemptions
AMR - Southwest Zone
Response Time Exemptions - Total vs. from APOD
2-year Review
APOD Exemptions Non-APOD Exemptions
AMR Compliance Summary 1/1/2022 through 12/31/2022 - Page 23 of 52
496
2079
0.0%
5.0%
10.0%
15.0%
20.0%
25.0%
30.0%
35.0%
40.0%
45.0%
50.0%
55.0%
0 500
1000
1500
2000
2500
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
2021 2022
Exemptions % of Zone Volume
Exemptions
AMR Southwest Zone
Response Time Exemptions % of Volume
2-year Review
APOD Exemptions % of Volume
Southwest Zone: Responses > 10 Minutes Late
8 66
0 10
20 30
40 50
60 70
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
2021 2022
# of Responses >10min Late
AMR - Southwest Zone
Responses >10min Late
2-year Review
Responses >10 Min Late
AMR Compliance Summary 1/1/2022 through 12/31/2022 - Page 24 of 52
DESERT ZONE
Desert Zone: Raw vs Adjusted Compliance Data
The Desert Ambulance
Operating Area includes
the Desert Zone
response criteria, which
include ten-minute
requirements in the
cities under contract
and up to sixty minutes
for the most rural areas
of the response zone.
Palo Verde zone
responses are now
being coordinated
through the Desert
Z ’
Cities operations. A
comparison of the East
County zones is
available on page six of
this report.
AMR Compliance Summary 1/1/2022 through 12/31/2022 - Page 25 of 52
2109
2768
92.9%
83.1%
82%
84%
86%
88%
90%
92%
94%
96%
98%
100%
0 250
500
750
1000
1250
1500
1750
2000
2250
2500
2750
3000
3250
3500
3750
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
2021 2022
Compliance
Responses
AMR - Desert Zone
911 Ambulance Responses and Compliance
2-year Review
Responses Lates Compliance 90% Compliance Requirement
Desert Zone: Subzone Response and Compliance Data
2109
0 200
400
600
800
1000
1200
1400
1600
1800
2000
2200
2400
2600
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
2021 2022
Total Responses
AMR - Desert Zone
911 Ambulance Responses
2-year Review
Desert - La Quinta, Coachella & Uninc. Desert - Palm Springs & DHS
AMR Compliance Summary 1/1/2022 through 12/31/2022 - Page 26 of 52
971
1336
92.9%
81.0%
80.0%
82.0%
84.0%
86.0%
88.0%
90.0%
92.0%
94.0%
96.0%
98.0%
100.0%
0 200
400
600
800
1000
1200
1400
1600
1800
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
2021 2022
Compliance
Responses
AMR - Palm Springs & Desert Hot Springs Subzone
Total 911 Ambulance Responses
2-year Review
911 Responses Compliance 90% Compliance Requirement
1138
1464
92.9%
84.2%
82.0%
84.0%
86.0%
88.0%
90.0%
92.0%
94.0%
96.0%
98.0%
100.0%
0 200
400
600
800
1000
1200
1400
1600
1800
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
2021 2022
Compliance
Responses
AMR - La Quinta, Coachella, & Uninc. Subzone
Total 911 Ambulance Responses
2-year Review
911 Responses Compliance 90% Compliance Requirement
AMR Compliance Summary 1/1/2022 through 12/31/2022 - Page 27 of 52
10 10
48 0
10 20
30 40
50 60
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
2021 2022
# of Responses >10min Late
AMR - Desert Zone
Responses >10min Late
2-year Review
Responses >10 Min Late
Desert Zone: Exemptions
227
28 0
50 100
150
200
250
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
2021 2022
Exemptions
AMR - Desert Zone
Response Time Exemptions - Total vs. from APOD
2-year Review
APOD Exemptions Non-APOD Exemptions
AMR Compliance Summary 1/1/2022 through 12/31/2022 - Page 28 of 52
227
28 0.0%
2.0%
4.0%
6.0%
8.0%
10.0%
12.0%
14.0%
16.0%
18.0%
20.0%
0 50
100
150
200
250
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
2021 2022
Exemptions % of Zone Volume
Exemptions
AMR Desert Zone
Response Time Exemptions % of Volume
2-year Review
APOD Exemptions % of Volume
AMR Compliance Summary 1/1/2022 through 12/31/2022 - Page 29 of 52
PALO VERDE ZONE
Palo Verde Zone: Raw vs Adjusted Compliance Data
The Palo Verde Response
Time Zone includes the
County areas East of the
Desert Zone. It also
encompasses the city of
Blythe and Chuckawalla State
Prison, and is dispatched
from the AMR Desert Cities
Operations in the Desert
Zone.
AMR Compliance Summary 1/1/2022 through 12/31/2022 - Page 30 of 52
131
248
97.3%
91.5%
89%
90%
91%
92%
93%
94%
95%
96%
97%
98%
99%
100%
0 20
40 60
80 100
120
140
160
180
200
220
240
260
280
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
2021 2022
Compliance
Responses
AMR - Palo Verde Zone
911 Ambulance Responses and Compliance
2-year Review
Responses Lates Compliance 90% Compliance Requirement
Palo Verde Zone: Exemptions and >10 Minutes Late
3 3
0 2
4 6
8 10
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
2021 2022
Exemptions
AMR - Palo Verde Zone
Response Time Exemptions - Total vs. from APOD
2-year Review
APOD Exemptions Non-APOD Exemptions
AMR Compliance Summary 1/1/2022 through 12/31/2022 - Page 31 of 52
1 1
10 10
1 0
2 4
6 8
10 Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
2021 2022
# of Responses >10min Late
AMR - Palo Verde Zone
Responses >10min Late
2-year Review
Responses >10 Min Late
AMR Compliance Summary 1/1/2022 through 12/31/2022 - Page 32 of 52
PASS ZONE
Pass Zone: Raw vs Adjusted Compliance Data
The Pass Response
Time Zone includes
the cities of Banning,
Beaumont, and
Calimesa, and also
surrounds a large
section of Interstate
10. The zone contains
one hospital, and
averages 905 9-1-1
responses per month,
with an average of 69
late calls per month
during the period
covered in this
report.
AMR Compliance Summary 1/1/2022 through 12/31/2022 - Page 33 of 52
923
1206
91.1%
99.7%
89%
90%
91%
92%
93%
94%
95%
96%
97%
98%
99%
100%
0 100
200
300
400
500
600
700
800
900
1000
1100
1200
1300
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
2021 2022
Compliance
Responses
AMR - Pass Zone
911 Ambulance Responses and Compliance
2-year Review
Responses Lates Compliance 90% Compliance Requirement
Pass Zone: Exemptions and Responses >10 Minutes Late
23 391
0 25
50 75
100
125
150
175
200
225
250
275
300
325
350
375
400
425
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
2021 2022
Exemptions
AMR - Pass Zone
Response Time Exemptions - Total vs. from APOD
2-year Review
APOD Exemptions Non-APOD Exemptions
AMR Compliance Summary 1/1/2022 through 12/31/2022 - Page 34 of 52
23 1
0 2
4 6
8 10
12 14
16 18
20 22
24 26
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
2021 2022
# of Responses >10min Late
AMR - Pass Zone
Responses >10min Late
2-year Review
Responses >10 Min Late
AMR Compliance Summary 1/1/2022 through 12/31/2022 - Page 35 of 52
SAN JACINTO ZONE
The San Jacinto Response Time Zone includes two subzones: Hemet city and the San Jacinto and Unincorporated Area subzone. The Hemet Subzone contains the majority of the 911 ambulance response volume for the zone.
AMR Compliance Summary 1/1/2022 through 12/31/2022 - Page 36 of 52
San Jacinto Zone: Raw vs Adjusted Compliance Data
San Jacinto Zone: Subzone Response and Compliance Data
2013
2685
91.1%
99.4%
89%
90%
91%
92%
93%
94%
95%
96%
97%
98%
99%
100%
0 200
400
600
800
1000
1200
1400
1600
1800
2000
2200
2400
2600
2800
3000
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
2021 2022
Compliance
Responses
AMR - San Jacinto Zone
911 Ambulance Responses and Compliance
2-year Review
Responses Lates Compliance 90% Compliance Requirement
AMR Compliance Summary 1/1/2022 through 12/31/2022 - Page 37 of 52
2013
2685
0 500
1000
1500
2000
2500
3000
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
2021 2022
Total Responses
AMR - San Jacinto Zone
911 Ambulance Responses
2-year Review
San Jacinto - Hemet San Jacinto - San Jacinto & Uninc.
San Jacinto Zone: Subzone Response and Compliance Data (cont.)
922
1199
90.7%
99.6%
89.0%
90.0%
91.0%
92.0%
93.0%
94.0%
95.0%
96.0%
97.0%
98.0%
99.0%
100.0%
0 200
400
600
800
1000
1200
1400
1600
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
2021 2022
Compliance
Responses
AMR - San Jacinto & Uninc. Subzone
Total 911 Ambulance Responses
2-year Review
911 Responses Compliance 90% Compliance Requirement
AMR Compliance Summary 1/1/2022 through 12/31/2022 - Page 38 of 52
1091
1525
90.3%
99.3%
89.0%
90.0%
91.0%
92.0%
93.0%
94.0%
95.0%
96.0%
97.0%
98.0%
99.0%
100.0%
0 200
400
600
800
1000
1200
1400
1600
1800
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
2021 2022
Compliance
Responses
AMR - Hemet Subzone
Total 911 Ambulance Responses
2-year Review
911 Responses Compliance 90% Compliance Requirement
San Jacinto Zone: Exemptions
71 851
0 100
200
300
400
500
600
700
800
900
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
2021 2022
Exemptions
AMR - San Jacinto Zone
Response Time Exemptions - Total vs. from APOD
2-year Review
APOD Exemptions Non-APOD Exemptions
AMR Compliance Summary 1/1/2022 through 12/31/2022 - Page 39 of 52
71 851
0.0%
1.0%
2.0%
3.0%
4.0%
5.0%
6.0%
7.0%
8.0%
9.0%
10.0%
11.0%
12.0%
0 100
200
300
400
500
600
700
800
900
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
2021 2022
Exemptions % of Zone Volume
Exemptions
AMR - San Jacinto t Zone
Response Time Exemptions % of Volume
2-year Review
APOD Exemptions % of Volume
San Jacinto Zone: Responses > 10 Minutes Late
37 0
5 10
15 20
25 30
35 40
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
2021 2022
# of Responses >10min Late
AMR - San Jacinto Zone
Responses >10min Late
2-year Review
Responses >10 Min Late
AMR Compliance Summary 1/1/2022 through 12/31/2022 - Page 40 of 52
MOUNTAIN PLATEAU ZONE
The Mountain Plateau Response Time Zone consists of several rural communities and has no hospitals within the zone.
AMR Compliance Summary 1/1/2022 through 12/31/2022 - Page 41 of 52
Mountain Plateau Zone: Raw vs Adjusted Compliance Data
Mountain Plateau Zone: Response and Compliance Data
87 156
91.1%
100.0%100.0%100.0%100.0%
89%
90%
91%
92%
93%
94%
95%
96%
97%
98%
99%
100%
0 20
40 60
80 100
120
140
160
180
200
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
2021 2022
Compliance
Responses
AMR - Mountain Zone
911 Ambulance Responses and Compliance
2-year Review
Responses Lates Compliance 90% Compliance Requirement
AMR Compliance Summary 1/1/2022 through 12/31/2022 - Page 42 of 52
Mountain Plateau Zone: Exemptions and >10 Minutes Late
17 0
2 4
6 8
10 12
14 16
18 Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
2021 2022
Exemptions
AMR - Mountain Zone
Response Time Exemptions - Total vs. from APOD
2-year Review
Non-APOD Exemptions APOD Exemptions
6 0
2 4
6 8
10 Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
2021 2022
# of Responses >10min Late
AMR - Mountain Zone
Responses >10min Late
2-year Review
Responses >10 Min Late
AMR Compliance Summary 1/1/2022 through 12/31/2022 - Page 43 of 52
ALS , BLS UTILIZATION OF AMR 9-1-1 CALLS
Jul Aug Sep Oct Nov Dec
Total Responses 19499 19815 19065 18950 19217 19958 116504 Total ALS Responses 18741 18505 17803 17528 17571 17996 108144 Total BLS Responses 758 1310 1262 1422 1646 1962 8360
% ALS Responses 96% 93% 93% 92% 91% 90% 93%
%BLS Responses 4% 7% 7% 8% 9% 10% 7%
Total Responses 2644 2678 2605 2515 2620 2589 15651
Total ALS Responses 2514 2413 2365 2191 2287 2187 13957 Total BLS Responses 130 265 240 324 333 402 1694
% ALS Responses 95% 90% 91% 87% 87% 84% 89%
%BLS Responses 5% 10% 9% 13% 13% 16% 11%
Total Responses 2636 2719 2512 2605 2570 2771 15813
Total ALS Responses 2614 2688 2483 2586 2549 2736 15656 Total BLS Responses 22 31 29 19 21 35 157
% ALS Responses 99% 99% 99% 99% 99% 99% 99%
%BLS Responses 1% 1% 1% 1% 1% 1% 1%
Total Responses 133 128 131 156 117 122 787
Total ALS Responses 133 127 130 156 117 122 785
Total BLS Responses 1 1 2
% ALS Responses 100% 99% 99% 100% 100% 100% 100%
%BLS Responses 0% 1% 1% 0% 0% 0% 0%
Total Responses 6111 6128 6010 5867 5999 6143 36258
Total ALS Responses 5826 5657 5363 5217 5219 5231 32513 Total BLS Responses 285 471 647 650 780 912 3745
% ALS Responses 95% 92% 89% 89% 87% 85% 90%
%BLS Responses 5% 8% 11% 11% 13% 15% 10%
Total Responses 234 245 189 177 201 206 1252
Total ALS Responses 234 245 189 177 201 206 1252
Total BLS Responses 0
% ALS Responses 100% 100% 100% 100% 100% 100% 100%
%BLS Responses 0% 0% 0% 0% 0% 0% 0%
Total Responses 1114 1188 1102 1048 1154 1112 6718
Total ALS Responses 1098 1157 1093 1028 1117 1062 6555
Total BLS Responses 16 31 9 20 37 50 163
% ALS Responses 99% 97% 99% 98% 97% 96% 98%
%BLS Responses 1% 3% 1% 2% 3% 4% 2%
Total Responses 2496 2496 2495 2421 2496 2608 15012
Total ALS Responses 2432 2384 2424 2338 2378 2464 14420 Total BLS Responses 64 112 71 83 118 144 592
% ALS Responses 97% 96% 97% 97% 95% 94% 96%
%BLS Responses 3% 4% 3% 3% 5% 6% 4%
Total Responses 4131 4233 4021 4161 4060 4407 25013
Total ALS Responses 3890 3834 3756 3835 3703 3988 23006 Total BLS Responses 241 399 265 326 357 419 2007
% ALS Responses 94% 91% 93% 92% 91% 90% 92%
%BLS Responses 6% 9% 7% 8% 9% 10% 8%
Total2022
AMR Compliance Summary 1/1/2022 through 12/31/2022 - Page 44 of 52
BLS RESPONSES TO 9-1-1 CALLS
Jul Aug Sep Oct Nov Dec Total
Total Responses 19499 19815 19065 18950 19217 19958 116504 Total BLS Responses 758 1310 1262 1422 1646 1962 8360
EMD approved(Omega,Alpha) 423 804 661 861 872 1026 4647 EMD-Beta,Charlie,Delta,Echo 203 294 318 312 434 566 2127 EMD-NA 132 212 283 249 340 370 1586
Total Non-Compliant BLS Responses to Mandate 335 506 601 561 774 936 3713 % of Non-Complaint BLS responses to Mandate 44.2% 38.6% 47.6% 39.5% 47.0% 47.7% 44.4% Total Responses 2644 2678 2605 2515 2620 2589 15651
Total BLS Responses 130 265 240 324 333 402 1694
EMD approved(Omega,Alpha) 104 217 193 255 251 295 1315
EMD-Beta,Charlie,Delta,Echo 22 44 37 62 76 99 340
EMD-NA 4 4 10 7 6 8 39
Total Non-Compliant BLS Responses to Mandate 26 48 47 69 82 107 379 % of Non-Complaint BLS responses to Mandate 20.0% 18.1% 19.6% 21.3% 24.6% 26.6% 22.4% Total Responses 2636 2719 2512 2605 2570 2771 15813
Total BLS Responses 22 31 29 19 21 35 157
EMD approved(Omega,Alpha) 14 13 17 13 12 25 94
EMD-Beta,Charlie,Delta,Echo 5 10 5 2 6 4 32
EMD-NA 3 8 7 4 3 6 31
Total Non-Compliant BLS Responses to Mandate 8 18 12 6 9 10 63 % of Non-Complaint BLS responses to Mandate 36.4% 58.1% 41.4% 31.6% 42.9% 28.6% 40.1% Total Responses 133 128 131 156 117 122 787
Total BLS Responses 1 1 2
EMD approved(Omega,Alpha) 1 1 2
EMD-Beta,Charlie,Delta,Echo 0
EMD-NA 0
Total Non-Compliant BLS Responses to Mandate 0 0 0
% of Non-Complaint BLS responses to Mandate 0.0% 0.0% 0.0% Total Responses 6111 6128 6010 5867 5999 6143 36258
Total BLS Responses 285 471 647 650 780 912 3745
EMD approved(Omega,Alpha) 96 179 198 253 248 293 1267
EMD-Beta,Charlie,Delta,Echo 94 120 212 181 242 314 1163 EMD-NA 95 172 237 216 290 305 1315
Total Non-Compliant BLS Responses to Mandate 189 292 449 397 532 619 2478 % of Non-Complaint BLS responses to Mandate 66.3% 62.0% 69.4% 61.1% 68.2% 67.9% 66.2% Total Responses 234 245 189 177 201 206 1252
Total BLS Responses
EMD approved(Omega,Alpha)
EMD-Beta,Charlie,Delta,Echo
EMD-NA
Total Non-Compliant BLS Responses to Mandate
% of Non-Complaint BLS responses to Mandate
Total Responses 1114 1188 1102 1048 1154 1112 6718
Total BLS Responses 16 31 9 20 37 50 163
EMD approved(Omega,Alpha) 9 26 8 17 34 41 135
EMD-Beta,Charlie,Delta,Echo 6 5 1 3 3 6 24
EMD-NA 1 3 4
Total Non-Compliant BLS Responses to Mandate 7 5 1 3 3 9 28 % of Non-Complaint BLS responses to Mandate 43.8% 16.1% 11.1% 15.0% 8.1% 18.0% 17.2% Total Responses 2496 2496 2495 2421 2496 2608 15012
Total BLS Responses 64 112 71 83 118 144 592
EMD approved(Omega,Alpha) 38 74 40 60 68 80 360
EMD-Beta,Charlie,Delta,Echo 7 15 7 9 18 30 86
EMD-NA 19 23 24 14 32 34 146
Total Non-Compliant BLS Responses to Mandate 26 38 31 23 50 64 232 % of Non-Complaint BLS responses to Mandate 40.6% 33.9% 43.7% 27.7% 42.4% 44.4% 39.2% Total Responses 4131 4233 4021 4161 4060 4407 25013
Total BLS Responses 241 399 265 326 357 419 2007
EMD approved(Omega,Alpha) 162 294 204 263 259 292 1474
EMD-Beta,Charlie,Delta,Echo 69 100 56 55 89 113 482
EMD-NA 10 5 5 8 9 14 51
Total Non-Compliant BLS Responses to Mandate 79 105 61 63 98 127 533 % of Non-Complaint BLS responses to Mandate 32.8% 26.3% 23.0% 19.3% 27.5% 30.3% 26.6% Pass
San Jacinto
Southwest
County
Central
Desert
Mountain
Plateau
Northwest
Palo Verde
AMR Compliance Summary 1/1/2022 through 12/31/2022 - Page 45 of 52
JANUARY 2022 COMPLIANCE REPORT
FEBRUARY 2022 COMPLIANCE REPORT
AMR Compliance Summary 1/1/2022 through 12/31/2022 - Page 46 of 52
MARCH 2022 COMPLIANCE REPORT
APRIL 2022 COMPLIANCE REPORT
AMR Compliance Summary 1/1/2022 through 12/31/2022 - Page 47 of 52
MAY 2022 COMPLIANCE REPORT
JUNE 2022 COMPLIANCE REPORT
AMR Compliance Summary 1/1/2022 through 12/31/2022 - Page 48 of 52
JULY 2022 COMPLIANCE REPORT
AUGUST 2022 COMPLIANCE REPORT
AMR Compliance Summary 1/1/2022 through 12/31/2022 - Page 49 of 52
SEPTEMBER 2022 COMPLIANCE REPORT
OCTOBER 2022 COMPLIANCE REPORT
AMR Compliance Summary 1/1/2022 through 12/31/2022 - Page 50 of 52
NOVEMBER 2022 COMPLIANCE REPORT
DECEMBER 2022 COMPLIANCE REPORT
AMR Compliance Summary 1/1/2022 through 12/31/2022 - Page 51 of 52
AMBULANCE PATIENT OFFLOAD TIME
AMR Compliance Summary 1/1/2022 through 12/31/2022 - Page 52 of 52