A system and method of implementing an alarm hierarchy in a remote tracking device tracked by a monitoring center is described. The remote tracking device is worn by a wearer and includes a location determining mechanism, a wireless communication mechanism and a processor operable to monitor the status of the remote tracking device and to compare the location of the remote tracking device to a set of programmed rules. Detected alarm conditions and corresponding automated responses are escalated, respectively, in response to detecting the alarm conditions remain unresolved.