Ambulance Patient Offload Time (APOT)

The EMS Authority was mandated (Health and Safety Code 1797.120) to develop a statewide methodology for calculating and reporting ambulance patient offload times by a LEMSA. This statewide, standard methodology was based on input received from stakeholders, including but not limited to: hospitals, LEMSAs, public and private EMS providers.

AB 40 Implementation and Guidance
  • Memo to LEMSAs – “Clarification of APOT-1 Technical Specifications and Electronic Patient Care Record (ePCR) Documentation Requirements in Approved APOT Regulations.” (pdf) – June 26, 2025
  • Hospital APOT Audit Webinar Presentation (pdf) – June 30, 2025
  • Hospital APOT Webinar – Questions and Responses (pdf) – June 30, 2025
  • LEMSA APOT Audit and AB 40 Implementation Webinar Presentation (pdf) – July 8, 2025
  • EMS Provider APOT Audit and AB 40 Implementation Webinar (7/10/2025) Registration Flyer (pdf)

For questions or inquiries related to ambulance patient offload time, please email APOT@emsa.ca.gov.