I believe that the Medical Advisory Committee for the Regional Council has finally taken steps to mandate that any EMS agency must be "in the ambulance" responding within three (3) minutes of a 911 call being received. I think the implementation date has been set, and that if an agency cannot meet this mandate the take themselves out of service for that day. More info is available from the regional council. With the Fitch & Associates study on EMS findings, positive changes should be forthcoming.