Reform 3.4: Medical Services
Complete Performance Audit of San Diego Medical Services Enterprise. Other Information:
Emergency Medical Services in the City of San Diego are provided through a partnership of the City's Fire-Rescue Department
and San Diego Medical Services Enterprise (SDMSE). SDMSE provides ambulance services for the City of San Diego and in return
has the authority to charge individual users for their service. As SDMSE is able to recover full costs through user chargers,
ambulance services are provided without subsidization from the City. We also strongly support a comprehensive performance
audit of the SDMSE function of the city to ensure that proper management and financial gain-sharing is occurring under our
partnership with Rural-Metro. This performance audit may provide recommendations on ways taxpayers can achieve greater cost
savings and financial benefits from this partnership. The Mayor and City Council should be ready to aggressively implement
recommendations from the performance audit upon its completion.
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