Since 1981 Health School
Chapter 229
However, it is quite troublesome and tricky to deal with the subordinate employees' request for Huang Tan to repay the wages.
If you don't agree to their request, wait for the report letters to fly all over the sky, and then the subsidies for the internal staff plan of Huangtan Hospital will not be paid.
Distributing subsidies is just an unspoken rule. People don’t report and officials don’t correct, but if someone reports it, they can’t distribute it. Whoever distributes it is socialism. Strictly speaking, it is a mistake.
If the money can't be paid out, Chen Qi, the newly appointed vice president, will lose his prestige immediately, and employees like Wang Adi will be unable to hold back and will jump up again.
Similarly, the hard-working surgical team will immediately lose their enthusiasm for work, their attitude will deteriorate, and they will return to the old way.
This is something Dean Yan and Chen Qi don't even want to see!
But if you agree to the requirement of 10 communal health centers to treat people equally and get equal pay for equal work, can a small surgical department support "11 health centers"?
Moreover, Chen Qi came from later generations, and what he hates the most is raising lazy people and workers who eat idle food. The view that more work pays more has been deeply rooted in his heart.
Dean Yan didn't say a word.
One is to take the initiative to give up the talents and prepare to give up the stage to Chen Qi, and the other is to test Chen Qi's leadership ability.
Chen Qi listened to the arguing among the deans below, and thought for a long time before speaking:
"Everyone be quiet!"
"I've thought about Comrade Fu's request just now!"
When Dean Yan heard this, his eyebrows twitched again.
The words "Old Comrade Fu" were Chen Qi's small counterattack, but he didn't regard Fu Qianwei as a dean, but just an ordinary old comrade, with a condescending feeling, and the aura of the superior came out all at once.
Remember the word "old", the key point is to be tested.
"Old Comrade Fu's proposal has some truths. We, Huang Tan, are rich, and we really can't just watch your primary health centers suffer from poverty. Then, I have a proposal and a request, and everyone will see it as possible.
If all the income of the employees of your 10 communal health centers is to be borne by Huang Tan and treated equally, then starting next year, our management methods will be changed, and we will completely merge into one health center. We are the general hospital, and you It is the branch.
In the same way, the financial and personnel rights in the hands of your deans must be handed over to Huang Tan, and to me and Dean Yan, so that we can manage them in a unified manner. At that time, any purchases, expenditures, and job transfers in your commune health center will need to be agreed by President Yan and I.
In addition, I will also give a certain subsidy, but this subsidy is not available to everyone. I only give subsidies to the top 3 health centers in business. If your business is good, you can get money. If the business is not good, I’m sorry. Nothing but basic salary.
Discuss it with all of you, will this work? "
Dean Yan glanced at Chen Qi next to him in surprise. He was really surprised. He thought he was just a young man with a smile on his face.
Unexpectedly, this little guy actually has such a thunderous method, he is very courageous.
Chen Qi's meaning is actually very clear, if you want to treat everyone equally, you can!
But the prerequisite is that all the powers in the hands of the directors of the 10 commune health centers present will be transferred to Huang Tan, and Chen Qi and Director Yan will have the final say.
Then the so-called dean of the commune health center is completely empty.
Beginning in the 1980s, including the 1990s, the internal management of the health system was actually very loose.
For example, there is no unified bidding for medicines and infrastructure.
The hospital needs medicine, what should I do?
The method of later generations is unified management, unified bidding, and unified price. In addition to the national procurement and provincial procurement standards, each region and each medical community has a "basic drug procurement catalog".
It means that if your hospital wants to take medicine, you can only choose it in this catalog, and the rules and regulations are very restrictive!
Another thing is that all medicines in public hospitals are required to have zero price difference. No matter how much the purchase price is, no extra penny will be charged for selling to patients.
In doing so, the fairness and justice of drug procurement is guaranteed to the greatest extent, and the occurrence of related corruption is prevented. (Just listen to it, don't tell me about some behind-the-scenes things)
But that was not the case in the 1980s and 1990s when Chen Qi lived.
Any hospital, whether it is the District People's Hospital or the Zhangjiang Commune Health Center, has the final say on what medicines and how much they want.
For example, Fu Qianwei, the director of the Zhangjiang Health Center, wants to buy 1,000 penicillins. He only needs to take the money and go to a pharmaceutical company in the urban area to buy it, without approval from the Huangtan Health Center.
Yes, the people in the hospital are required to go to the pharmaceutical company to buy it and transport it back by themselves. At this time, there are no cold chain drug transport vehicles for uniform distribution.
One result of this is that the County Health Bureau and Huangtan Health Center do not control the financial rights and accounts of the Zhangjiang Commune Health Center.
How much medicine was bought, how much medicine was sold, and how much profit? How much did you lose? This has to be checked at the end of the year to count, and this audit is also a formality.
Then here comes the operability of the deans of the commune health centers,
Don't say how pure the minds of people in the 1980s were
If you want to build infrastructure, you can apply for grants or raise funds yourself. Your dean alone has the final say on how to use the money and how to build the infrastructure.
Another thing is that there is a system for recruiting regular workers, and the dean has the final say, but if you want to recruit temporary workers, the dean alone has the final say.
So if you count it in sevens and eights, don't look at it as just a small commune health center director, in fact, the power in your hands is not small, equivalent to a small independent kingdom.
What kind of bad-minded dean really is, don't be too convenient to use up and down, who wants to lose this power and become an empty shell commander?
So when Chen Qi's proposal was mentioned, the complexions of several deans including Fu Qianwei changed, and they all cursed inwardly.
Fang Mozhi, director of the Jidong Commune Health Center, was the first to stand up and object:
"Deputy President Chen, this is not good. Let's not talk about whether there are such regulations in the bureau. Besides, our Huangtan District has such a large area. It took me 4 hours to walk from Jidong to Huangtan. , it really became a health center, how to manage it in a unified way?"
Jin Atu, director of the Danjia Commune Health Center, also hurriedly smoothed things over:
"Yeah, you two directors are usually very busy working in Huangtan, and you have to manage 10 communal health centers, and we are still far away, so it will be too hard, forget it. "
"That's right, the leaders are working too hard. They can only go to one commune a day, and the mountain road is too tiring."
"Not only is it tiring, but the command is not smooth. Our hospital has not yet installed a telephone, and it takes several days to write a letter."
There was a lot of discussion below. Anyway, everyone's opinions were amazingly unified, that is, all the previous proposals made by the two parties are invalid.
Fu Qianwei looked at Chen Qi in astonishment, not knowing what to do.
But Chen Qi obviously didn't intend to let him go, thinking that this guy wants to be the dean wholeheartedly, if Huang Tan can't be promoted, he will go to Zhang Jiang. Since he wants to be an official, it's not as good as you want!
Let you pick things up!
"Old Comrade Fu, you just said that everyone should be treated equally. It was you who proposed Huang Tan to bear the wages of all employees. I think this method is very good, and it is also a beneficial reform for the management of grassroots hospitals in our health system.
Now that the whole country is reforming and opening up, I believe that the leaders of the bureau will be very interested in hearing this proposal. Maybe it can open up a new way for the financial difficulties of primary health centers. Why don't you go back and write a written report to me, and I will pass it on to you. Bureau. "
As soon as Chen Qi said this, several deans became anxious and shouted in unison:
"no!!!"
Jin Atu stood up briefly: "Fu Qianwei, this is just your personal proposal. Our Chetou Health Center is against it. If you want to reform, change your Zhangjiang Commune and don't involve others."
Dean Fang also squinted at Fu Qianwei:
"I said, old Fu, if you feel that the Zhangjiang Hospital's financial difficulties have reached this level, then let the virtuous and capable people come in. What's the point of asking for money from the superior?"
Well, Fu Qianwei was so angry that his hands were shaking.
They forced the palace together to ask for money. This was something they had secretly colluded with before. As a result, when these people heard that the power in their hands was about to be taken away, they rebelled immediately.
He became a bird of prey.
Hurrying to beg for mercy is the truth. If he is really "unified", then he will still be a fart dean, and how will he "make money" in the future?
"Ahem, Vice President Chen, since everyone is against it, it means that my proposal is still ill-considered. In this way, I will go back and study it again, and forget it this time. Hehehe."
Dean Yan didn't want everyone to make the atmosphere tense, so he quickly stood up:
"The purpose of our meeting is to talk freely. Since everyone disagrees, then this proposal will be invalidated. Let's continue to discuss other things. It's the end of the year. Have you delivered all the New Year's goods?"
Chen Qi also laughed, and continued to bow his head and pretend to take notes, but he was actually drawing circles.
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