成都下肢动脉硬化主治医院(成都在哪可以治疗鲜红斑痣) (今日更新中)

SAN DIEGO (CNS) - County supervisors voted 4-1 today to have the chief administrative officer direct the Health and Human Services Agency to develop a plan for in-house medical care of jail inmates and possible outsourcing of those duties as well.Sheriff Bill Gore will review the plan, and officials will also put out requests for proposals from private contractors to handle those duties.Supervisor Dianne Jacob made the motion to examine both an in-house model and outsourcing.``I don't think we should go with just one approach,'' Jacob said, adding she is a proponent of outsourcing county services, if it results in good service for less money.Gore has cited his department's million annual health care bill for inmates as a reason to explore cost-saving strategies. He asked supervisors to consider possible vendors for the county's health care needs in its jails and other facilities.Gore told supervisors that his goal was simply to get the best care at the best value, with an aging population of inmates and other serious issues.``I am proud of our response to these challenges, but I'm not one to assume that I have all the answer to these challenges,'' Gore said.Gore also objected to waiting 180 days for a staff appraisal of outsourcing. ``If it's a good idea in sixth months, it's a good idea today,'' he added.He also praised the 300 men and women who provide medical care to inmates as outstanding employees.Supervisor Nathan Fletcher, who is opposed to any privatization of services and proposed having HHSA handle inmate care, cast the lone no vote.Before the board voted, Fletcher said outsourcing to a for-profit entity would not lead to a better outcome.``As a board, we are the ones who are on the hook,'' in terms of lawsuits if an inmate doesn't get the appropriate care, Fletcher said. ``We should have input.''Fletcher asked the board to vote on his proposal to have the HHSA administer medical and behavioral health services in jails, but the motion died for lack of a second.Board Chairman Greg Cox said he was encouraged that HHSA would develop its own proposal.Cox praised both county medical employees and contractors for working in such a demanding field, but said the system right now is too bifurcated, adding that several legal items on Tuesday's closed-session agenda involved inmate care.Supervisors voted after a lengthy public hearing, in which nearly every person who called was opposed to private outsourcing. Health care workers mentioned low morale at some detention facilities, and the risks workers are taking during the COVID-19 pandemic.Most speakers identified themselves as members of Service Employees International Union, Local 221. 2697

SAN DIEGO (CNS) - County supervisors Wednesday unanimously approved the .1 million purchase of a nearly seven-acre parcel for a park in the community of Fallbrook.The 6.8-acre property, owned by Barr Ranch LLC, is located south of Fallbrook Road between Morro and Golden roads.Supervisor Jim Desmond, whose district includes Fallbrook, said the town doesn't have enough parks. He added the county will hold meetings with residents to see what kind of amenities residents would like included. He said some early requests include playgrounds and a skate park.Fallbrook currently has three local parks, providing 1 acre per 1,000 residents. That number doesn't meet the General Plan goal of 10 acres of local parkland for that same number of people.Money for the park purchase will come from a community development block grant, according to county documents. Annual maintenance and staffing expenses are estimated at between ,000 to 5,000. 953

SAN DIEGO (CNS) - A man was fatally shot just outside his family's home in the Paradise Hills community of San Diego, a police lieutenant said Saturday.The shooting occurred around 10:35 p.m. Friday outside a home in the 2400 block of Calle Gaviota, said Lt. Anthony Dupree of the San Diego Police Department. Dupree said the shooting victim's family reported to police that the man went outside the home, and a short time later, relatives heard gunshots.Family members went outside and saw the victim down. A witness reported seeing a man wearing dark clothing running from the area after the shots were heard, Dupree said.Paramedics took the man to a hospital, where he was pronounced dead, he said.The San Diego Police Department asked anyone with any information regarding the shooting to call them at 619-531-2293. 827

SAN DIEGO (CNS) - Narcotics officers raided a Hillcrest smoke shop and arrested a clerk suspected of possessing a third of a pound of the synthetic drug spice and nearly ,000 in cash, authorities said Thursday.The raid Tuesday at Godfather Smoke Shop in the 3500 block of Fifth Avenue resulted in the arrest of 55-year-old Loay Lawrence, who's also suspected of possessing 375 pills of the synthetic drug Kratom.Both spice and Kratom are banned under the city of San Diego's synthetic drug ordinance, which was enacted in June of last year "in response to a high number of synthetic drug related overdoses," San Diego police Narcotics Unit Lt. Matt Novak said.Narcotics detectives began investigating the Godfather Smoke Shop after receiving a tip that spice was being sold there, Novak said. Lawrence's case will be turned over to the San Diego City Attorney's Office for prosecution. He faces criminal and civil penalties up to six months in jail, 959

SAN DIEGO (CNS) - It took emergency crews about 20 minutes Monday to free a tree trimmer who wound up trapped in a palm tree, upside down, about 30 feet above the ground in a San Carlos-area neighborhood.The work accident in the 8000 block of Dicenza Lane, south of Mission Gorge Road and west of Golfcrest Drive, was reported about 8:15 a.m., according to the San Diego Fire-Rescue Department.After firefighters got the victim, a man in his 40s, out of the tree, medics took him to Sharp Memorial Hospital for evaluation of complaints of dizziness and nausea, SDFRD spokeswoman Monica Munoz said. 605

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