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San Diego fire chief urges switch to new ambulance provider in long-awaited vote next Tuesday


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The upgrades would include 65 new ambulances plus new gurneys, cardiac monitors and compression devices. The city also would regain control of some facilities now occupied by American Medical Response.
But perhaps more importantly, the contract would allow enforceable penalties for slow response times, which has previously been a problem in some San Diego communities south of state Route 94.
“The current contract does not have protections against extremely long response times, which represent significant delay in patient care and transport, with possible adverse outcomes,” Stowell said.
AMR said in response that it would also make all the upgrades cited by Chief Stowell because they are requirements demanded by the city last year when it solicited proposals to handle its ambulance service. ....

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San Diego Ambulance Dispute Near Resolution Vote


San Diego Union-Tribune
San Diego s fire chief is urging the City Council to switch ambulance providers in a much-anticipated vote next Tuesday, but two new evaluations clashed on whether the ambulance company s plan to boost service by 20 percent is financially viable.
Fire-Rescue Chief Colin Stowell says switching from current provider American Medical Response to Falck would bring long-needed technology and equipment upgrades, while allowing the city to impose stiff penalties for slow emergency response times.
Meanwhile, the city s independent budget analyst issued a report this week saying Falck s financial plan is feasible and that making the switch would not be financially risky for the city. ....

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County ups the enforcement ante as state considers federal 65+ vaccination mandate


Print
As the number of staffed and available intensive care beds continued to run low Tuesday, county supervisors moved forward with the biggest changes to date in enforcement of local health orders, bringing in 17 more workers and allowing more proactive pursuit of blatant violations.
Those changes came on the same day that federal officials urged states to begin administering COVID-19 vaccines to people age 65 and older and anyone with pre-existing medical conditions.
Though some places have already implemented such changes, San Diego County, home to more than 473,000 people in that age bracket, isn’t among them.
“We will open eligibility as directed or allowed by the state,” said county communications director Mike Workman in an email. ....

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Health care rationing on the horizon if hospital surge continues, leaders say


Nobody really wanted to talk about it Monday, but with hospitalizations projected to hit 100,000 statewide by the end of the month, leaders reluctantly acknowledged Monday that they are ready to begin rationing care if necessary.
Asked during a news conference whether plans were in place for the day when all capacity is used up and no more surge maneuvers are possible, Dr. Mark Ghaly, secretary of health and human services for California, noted that the state published “crisis care guidelines” in June.
They lay out in significant detail how every hospital in the state should go about deciding who lives and who dies in situations where resources can no longer meet demand. ....

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