Since 1981 Health School

Shan Xintong, the head of the finance department, typed on the keyboard for a long time, corrected a few data, his face changed slightly, and he said a word softly:

"Huh?"

Then he and his assistant went through the calculation again.

For the old accountant, the turnover of a tertiary hospital is amazing, so the data of an emergency department does not surprise her too much.

But what surprised her a little was that if the accounts were calculated according to the daily income of a department, the revenue of the emergency department would be huge.

Old Comrade Guo was the first to bear it no longer:

"Xiao Hu, quickly tell me, how is the data of the first day of the emergency department? Can you calculate an approximate profit?"

For leaders, it is useless to have a large turnover, because this is a public account, and the turnover cannot be used for other purposes, it can only be deposited in the bank, so it is "dead money".

But profits are different.

The profit belongs to the hospital collective, and is at the discretion of the director or his clerk, and can also be used for employee subsidies or equipment introduction.

That's the key.

Chen Qi also put down the thermos at this time, and pricked up his ears to hear how much profit this era can have.

In the hospital where Chen Qi worked in 2022 in his previous life, after several medical reforms, the price of medicines was zero.

That is to say, medicines cannot make money, and the price they buy is the same as the price they sell to patients.

This "zero price difference for medicines" reform is definitely beneficial to patients, but it is very unfavorable for hospitals, because after canceling the 15% profit of drug price increases, this area has suffered heavy losses.

Therefore, what the hospital requires doctors to charge more for examination, treatment, surgery, or Chinese medicine, because Chinese medicine is quite profitable.

However, doctors are strictly restricted from prescribing western medicines, and even a "drug ratio" assessment has been created to put a curse on doctors.

It is to see your doctor's business for a month. If the cost of medicine is more than the cost of examination and treatment, I'm sorry, no matter how many outpatients your doctor sees, it will not be credited, and the money will be deducted instead.

But if a doctor is more ruthless, and when the patient comes, he will prescribe a lot of useful and useless examinations, or do some inexplicable physiotherapy like those in the Chinese medicine department, and charge you thousands of dollars for a few Chinese medicine fees, then the doctor’s bonus will drop greatly high.

This is because the inspection equipment is placed there, and the big deal is to spend some electricity and material costs.

It is possible that out of your 1 million inspection fee, the profit can be as high as 800,000, so for the hospital, the money will come.

And even if you prescribe 1 million medicines, your profit is 0, and the hospital has to pay labor and transportation costs, and the loss goes to grandma's house.

This is why the leaders of later generations of hospitals like surgery.

Because surgery makes money, there are many types of preoperative examinations, and a lot of income is earned.

The operation fee depends on the doctor's skill, whether it is thousands or tens of thousands, it is equivalent to pure profit, and the cost is only part of the anesthesia fee, and even the surgical instruments can be used repeatedly.

After the operation, because of the need to monitor the condition and the need to evaluate the effect of the operation after discharge, this is a lot of checks.

Compared with internal medicine, internal medicine is purely treated by drugs. Once admitted to the hospital, there are a lot of infusions and a lot of oral drugs. The problem is that the drugs are "zero price difference", and there is no money to make.

Why did Chen Qi want to try "endoscopic surgery" in the Department of Gastroenterology? Isn't it because the operation can make money, and it also gives the Department of Internal Medicine a profit growth point.

How much is the profit of the hospital? Specifically, in the 1980s, the policy was actually much wider than that of later generations.

In future generations, there will be one bureau or another bureau in charge, and any price bureau, health bureau, food and drug administration bureau, development and reform commission, etc. can interfere with your hospital's charges and management.

In the 1980s, there was only one leader at the top, the Health Bureau.

Moreover, the health bureau is a "weak bureau", because the bureau has no money to allocate to each hospital, and each hospital is responsible for its own profits and losses, so the authority of the bureau has declined.

On the contrary, the power of hospital leadership is great.

As for hospital charges, the early and mid-1980s were different from those in the late 1980s.

For example, when Chen Qi was the director of the Huangtan Health Center and the fourth hospital, the pricing of medicines and surgery fees was very rigid, and the state controlled it.

At that time, it might cost a few cents to catch a cold, and ten or even a few yuan to give birth to a child was enough.

Even for a major operation, such as Chen Qi's cleft lip and palate repair, the operation fee + hospitalization fee is only over 50 yuan.

For replantation of amputated limbs, if it is not public medical treatment, the fee will not exceed 200 yuan, which is obviously very low.

But at the end of the 1980s, the income of the common people began to increase rapidly. Well, the marketization of medical care also gradually started. At this time, the increase in hospital fees also doubled.

For example, the replantation of severed palm performed by Chen Qi in the middle of the night yesterday cost 800 yuan, which is a four-fold increase compared to a few years ago.

In addition to the overall increase in the price of examination fees and surgery fees, the profits of pharmaceuticals in the 1980s were even more exaggerated.

It is not the later 15% price increase, nor the 30% price increase that will be said, but at least a 50% price increase, and the profit of imported drugs is several times the cost.

So from the late 1980s, throughout the 1990s, until the early 2000s, this was the golden age of "private clinics".

You go to the clinic for an infusion and charge 50 yuan, and the cost may not exceed 5 yuan.

During this period, opening a clinic by yourself is far more than earning dead wages in a hospital, and it has also created a large number of invisible rich people in villages or urban villages.

Chen Qi was particularly impressed. In his previous life, he continued to study for a master's degree after graduating from a bachelor's degree, and a classmate in his dormitory immediately started working after graduating from a bachelor's degree.

The father of the classmate is a "barefoot doctor" in the village clinic in the city. As soon as his son started working, he bought his son an Elantra car and a 120-square-meter house in the city center with all the money.

As for Chen Qi and his group of students, not to mention houses and cars, having an electric bicycle at this time is considered arrogance.

It can be seen that after the marketization of medical care, countless "rich people" have been created, and "a certain field family" has made a lot of money.

In fact, during this period, public hospitals earned a lot of money, but the burden on public hospitals was too heavy, because there were too many staff working at leisure, and some hospitals even had more logistics administrative staff than medical staff.

In addition, all hospitals wanted to build buildings during this period, and CT, MRI, and fully automatic inspection machines were introduced in large quantities during this period, which also required a large amount of money.

So public hospitals belong to boiled frogs in warm water.

Ordinary people go to the hospital, see an outpatient clinic for a few hundred yuan, and settle tens of thousands of yuan after a major operation and leave the hospital. This has not started since the 1980s.

It was the time when Chen Qi came to be the director of the People's Hospital.

The camera returns to the meeting room of the People's Hospital. Shan Xintong, chief of the finance department, communicated with his assistant and began to report.

"Guo Shuji, Dean Chen, and leaders, according to our calculations, from 8:00 am yesterday to 8:00 am today, the emergency department received a total of 1,500 outpatient visits, including 30 critically ill patients and 50 outpatient surgeries.

The total business income is 820,000 yuan. Because the proportion of medicines and inspection fees is not yet known, it can only be estimated according to preliminary estimates. The profit can reach half, which is about 400,000 yuan. "

As soon as the words fell, Lao Guo slapped the table with his palm and gave a bang, which shocked everyone.

"Little Hu, is the data correct?"

"Guo Shuji, several of our old accountants have done the calculations twice, and the data will not be wrong, that is, the profit is a gross estimate, which is not bad."

"Get rich..."

Lao Guo grabbed the draft paper, looked at the line-by-line details on it, and muttered to himself:

"Get rich, earn 400,000 a day, damn it, can't you make 12 million profits in that month? There are more than 100 million a year, and the emergency department alone can make so much profit. We are going to make a fortune , our hospital is going to take off?"

Hearing Lao Guo's words, the eyes of everyone in the office turned red instantly.

Even Wu Weiguo was taken aback, and at the same time felt sick like eating shit, because he had to give Chen Qi, a political opponent, a thumbs up.

Impressed!

Chen Wanwan's reputation is not for nothing.

The two vice presidents, Cao Dongsheng and Hu Yaguang, looked at each other happily.

Anyway, the hospital has more money, and the two of them can get an extra sum of money whether they are individuals or in charge. This is a standard lie win.

Unlike other people's excitement, although Chen Qi was also happy, he had a clear understanding.

"Hey, everyone, don't be too happy too early. This is the first day of opening, there are more patients, and there are so many old directors to help, so this single-day business record has been created. Unless it is If there is a major epidemic, otherwise it will definitely not be so high."

"Well?"

Lao Guo also reacted, and quickly asked: "Then how much do you estimate the average daily business will be in the future? How can it not be so high?"

Chen Qi thought for a while:

"It's about two-thirds of what it is today, but as the reputation of our emergency department spreads in the future, we will definitely receive more and more critically ill patients. The cost of this part of rescue is high, and the profit will be even higher.

We can say hello to the following county hospitals in advance and let them send all emergency patients to our emergency department. As long as there are more critically ill patients and the time goes on, the revenue of our emergency department will become higher and higher. What I call a cash cow. "

How much does an outpatient make? Almost all of them prescribe medicines, and the average profit of medicines is only about 30% to 40%.

Rescuing patients is different. When you come in, you will pay a lot of examination fees, plus rescue fees and nursing fees. The money is like water.

"Cash cow?"

Section Chief Hu and the female accountants laughed when they heard this, "Dean Chen, your analogy is really vivid. Then we can all drink milk?"

"Hey, why are you drinking my milk? I have to have it too. Shouldn't it be me, the dean, drinking your milk?"

"Hey, go drink Director Lan's milk!"

The faces of the female accountants were a little red,

Hahaha~~~ Several male leaders laughed, joking in private, they are all married anyway.

Lao Guo thought for a while and was still a little excited:

"Even if it's two-thirds, and the daily business revenue is 50,000 to 600,000 yuan, as long as half of the profit can be guaranteed, if you give me 250,000 yuan a day, there will be about 7 million yuan in that month. Be darling, this year's extra income 80 million, how many devices can we generate."

"More than that, that's not how accounts are calculated."

Chen Qi stood up, refilled a glass of water for everyone in the office, and said:

"Think about it, everyone. The patients in the emergency department are just first visits. Just like last night, we transfer the more serious patients to various departments. This has charged our hospital with an extra batch of patients. These patients are for business. grow up.

Also, even if you are an outpatient, you have to come back for a follow-up visit the next day if you have had an injection today? This suspension lasts for three or four days, and many other patients have almost recovered, and they have to do a few more checkups. This is all business and money.

It is the end of November now, and 1988 will end in just over a month, so the business growth will not be too obvious. I estimate that once our emergency department is opened, next year we can increase at least 30% in terms of outpatient visits, inpatient visits, and business income. "

Vice President Hu, who had been silent all this time, burst out laughing after hearing this:

"Old Gai from the Second Hospital, Lao Zhao from the District Central Hospital, and Lao Qian from the Women's and Children's Hospital are probably all going to die of anger. Our business growth and patients are, to put it bluntly, cut from their hospitals. .”

Lao Guo has been in the People's Hospital all his life, and he has the deepest affection for the People's Hospital. At this time, he snorted:

"The Second Hospital even dares to fight with us. Why should we fight? Obediently be our subordinate hospital and recognize your own status is the most correct way."

Vice President Cao, who is in charge of logistics, couldn't help asking:

"President Chen, this year's New Year's Day benefits and year-end benefits can be more generous, right? I heard that when you were in the Fourth Hospital, the benefits were double every year. This year is your first big one at the People's Hospital." Festival, don't be shabby."

Chen Qi laughed aloud:

"Of course, since we have money anyway, we have to let the employees have a good year, but I don't care about it. You are the deputy dean in charge, so you can arrange it in advance. I will give you 100 yuan How about a budget for one person?"

The logistics department is a fat job, such as procurement, such as infrastructure, there are many ways to do it.

There are more than 1,200 employees in the People's Hospital, and the welfare budget of 100 yuan per person is 120,000 yuan. In 1988, it was 120,000 yuan, which is absolutely huge.

Just like a piece of fat, you hold it in your hands, even if you are not greedy, there will be no less oil and water on your hands.

Chen Qi directly asked vice president Cao to handle it by name, which showed that he, the president, would not intervene. It was equivalent to tacitly acquiescing that Chen Qi would not intervene in the interests of logistics.

Of course, it will be his job for the record committee to come to the door in the future, and sooner or later he will be caught if he reaches out, and at least a small part of them will not be able to escape.

Anyway, Chen Qi is not short of money, and he will definitely be clean financially. Why bother to spend so much money on such a small amount of money, and may be caught by others?

Sure enough, Vice President Cao was very happy with Chen Qi's statement.

"Okay, Dean Chen, don't worry, I will handle this matter beautifully, and everyone will feel the care of the new dean for the employees."

Only Wu Weiguo sighed, and after a few words, another vice president became Chen Qi's supporter, and Chen Qi's position was consolidated again.