Since 1981 Health School

On the fourth day of the Lunar New Year, there was a hospital affairs meeting in the large conference room on the third floor of the Vietnam-China People's Hospital.

Just after the New Year, every unit has to hold an outlook meeting. This kind of meeting is usually "retreaty", that is, each department talks about the work goals and prospects for the new year.

Everyone is bragging anyway. Chen Qi was sitting on the podium and listened to every word, his mind kept thinking about his eldest sister's blind date.

Each of the directors talked very wildly, and then they secretly observed the expression on the dean's face to see if their words were satisfactory.

To be honest, the clinical directors of Yuezhong Hospital really like Chen Qi as the director.

Why? Because Chen Qi gave their directors the greatest freedom and completely delegated power.

Chen Qi's thinking is a bit like the Taoist "governing by doing nothing". Perhaps to put it bluntly, it means making each department "autonomous".

He will not dictate how many tasks each department must complete or how much business it must increase.

It won't tell you which department you want to buy which medicine or equipment you want to buy. You have to get Dean Chen's approval and nod.

(Under normal circumstances, whether the dean nods or not depends on whether your medical representative can provide support. This is a matter of concern. Many deans cling to the purchasing power and absolutely cannot allow departments to make free choices.)

As the head of the dean, Chen Qi will not interfere, nor will he ask for this black money, and will fully delegate power to the directors and section chiefs of each department.

As long as you think that buying this equipment or purchasing this medicine will help your clinical business, then purchase it.

But things are not that simple.

Since I, the dean, have delegated power to you, if your department still fails to make a career, or if someone reaches out and takes black money, you will have to bear the consequences yourself.

Another thing is, after the drugs and equipment come in, if your department's business still cannot improve, then I'm sorry, based on performance-based salary assessment, the income of the entire department's doctors and nurses will be significantly reduced.

Therefore, Chen Qi's method of managing the hospital is also very simple, which is to adopt the "leadership model".

This neighborhood model supports several specialty departments, such as gastroenterology, burn surgery, plastic surgery, hand surgery, and an emergency department.

These five departments currently have the most patients and the highest business. The average income of employees is more than twice that of other departments. The emergency department has the highest, reaching three times the average income.

Originally, everyone received a salary of 200 yuan a month, and they worked the same amount or little. People are lazy, so there were not a few employees who wanted to eat from the big pot.

This group of people can be said to be the key employees of the hospital. If you take drastic measures to break the old distribution system, there will always be some employees who are unable to do their jobs and will be the first to cause trouble.

If reports and complaints are flying all over the place and employees are always imitating it, then the reform of Yuezhong Hospital will definitely not be carried out. In order to maintain stability, the superiors will eventually let Chen Qi compromise.

Chen Qi's approach is not to touch the interests of these lazy quacks, but to first support a few models.

For example, when all hospital employees generally receive a monthly salary of 200 yuan, a gastroenterologist can earn about 500 yuan a month. Just tell me whether you are envious or not.

Good guy, the emergency department is even more awesome. The monthly income of doctors can reach an astonishing 6 or 700 yuan. Just say you are not jealous.

It's okay to be envious and jealous, then just roll up your sleeves and work hard.

The advantage of this is that two department directors have been dismissed by the doctors within the department due to insufficient leadership skills, and smart and capable doctors have been re-elected as department directors.

There is no need for the dean to act as a villain. This kind of self-healing and purification is exactly what Chen Qi wants to achieve.

Others release their military power over a glass of wine, but Chen Qi releases his military power through business.

Therefore, it is relatively easy for Chen Qi to be the dean. In addition, Comrade Lao Guo is in charge of business and administration, so Chen Qi can basically practice with peace of mind.

Just when Chen Qi was in a state of bliss, it was Shan Xintong's turn to speak, and then Chen Qi's dream was shattered.

"President Chen and Guo Shuji, our hospital currently has a balance of 2.87 million yuan in its accounts. There was no loss in 1989. This is a gratifying good thing and shows that our hospital's business income is in a virtuous cycle."

As soon as the big housekeeper reported the accounts, the middle-level cadres in the conference room all smiled.

The hospital paid out a sum each on New Year's Day and Spring Festival, adding up to an average of 1,200 yuan per person. As a result, there is still such a surplus, which is a historical record for the People's Hospital.

You must know that at this time, most hospitals across the country are on the verge of financial collapse. Let alone paying year-end benefits, it would be good if they can pay the full salary for the year, and forget about bonuses.

The Vietnam Traditional Chinese Medicine Hospital is definitely the only one responsible for the scorpion shit, causing a sensation in the national health system.

Lao Guo also smiled and said:

"How about it, I must be discerning. When Chen Qi was still in Huang Tan, I planned to bring him to work in the People's Hospital. I remember that when I transferred Chen Qi to work in the People's Hospital, there were still people gossiping behind his back. , saying that I opened the back door for my godson.

Now you see, when I was the president, although our people's hospital lived a good life, it was only a little better than the brother hospitals. Good guy, when Chen Qi became the president, the income gap suddenly widened. Courtyard, can you still compete with us? "

Hahaha, everyone in the conference room laughed.

Only Lao Guo can say this in the whole hospital. Anyone else who says it is stupid and waiting to be slapped to death by Lao Guo's Eighteen Dragon Subduing Palms.

Others are relaxed, but Section Chief Shan cannot be relaxed because his report also looks into the financial situation for the next year.

"But comrades, we are all too happy. In the next year, the new twin buildings of our hospital will be completed. Although the project funds have been secured, we still need to pay for the decoration, ward furniture and office furniture. The departments all report that they need new equipment, which all costs money.

In particular, Director Chen also instructed that the endoscopy center building, also known as the Prince Building, should build 20 new operating rooms alone, using the latest international standards. This is another huge sum of money. Everyone thinks, just rely on our accounts. Are a few million dollars enough? "

Section Chief Shan looked at Chen Qi.

Chen Qi was shocked and blurted out: "Don't look at me, I have already spent 2 million of the 10 million US dollars, and there is still much use left."

Lao Guo tapped the table:

"Old Dan, what was the net profit of each department last year? Which department was the most profitable? Are there any potentials that can be tapped in other departments?"

"Guo Shuji, the most profitable departments last year were of course the Department of Gastroenterology and Plastic Surgery. The net profits generated by them accounted for half of the entire hospital. However, it should be noted that the Department of Plastic Surgery was merged halfway, and the potential is still unclear.

In addition, Dr. Chen advocated that the newly established Burn Surgery Department was very successful in terms of revenue generation and achieved both social and economic benefits. However, the net profit is not as high as everyone imagined.

From the establishment of the Burn Surgery Department to the end of the year, it had done a total of 1.06 million in business, which is very impressive for a new department. However, the net profit only reached a fraction of 60,000. This number obviously does not contribute much to the financial revenue of the whole hospital. big effect. "

Boom, this conclusion shocked everyone.

Everyone thinks that the burn surgery department has patients coming in and out every day, and many of them are seriously ill, so it costs a lot of money to see a doctor. It only takes a long time to make a lot of fun, and you don’t make much money.

In this way, Dean Chen's magical method of making money failed for the first time.

Chen Qi knew why the profit of burn surgery was less than 6 points, and this reason also made him deeply helpless.

At this time, Zhu Huoyan, as the director of the Department of Surgery, explained:

"Director Luo and I are mainly in charge of the burn surgery department. Director Chen also has high hopes. As for why the business is so high and the profits are so low, there is actually a special reason. It's not that our employees in the burn surgery department don't care. effort.

Everyone knows that burn patients are brought in in a hurry. For example, you have heard of the fried baby in Chengbeiqiao a few days ago, right? After the child was sent to our hospital, he underwent all our efforts to rescue him, including endoscopic surgery, anti-inflammatory and anti-infective treatment, and then a skin graft.

The total cost must be tens of thousands, but the child's family is poor, and the parents have only scraped together 2,000 yuan so far, which means that the gap in treatment costs is at least 10,000 yuan, which is a huge amount.

Now the little patient is lying on the hospital bed with severe burns all over his body and is dying. People are asking, as doctors, can we stop taking the medicine because the child has no money to pay for the medicine? Stop treatment? Watching a child die?

Not just this child, do you remember the poor mother and daughter in Huang Tan, who suffered 90% burns on their bodies. The combined medical expenses for these two people have exceeded 30,000, but the family will definitely not be able to afford this money.

Fortunately, these patients with extensive burns are of great academic research significance, and we have produced several papers because of them, which will most likely be published in the four top medical journals. However, a loss is a loss, and this money is really needed. Our burn surgery fills it.

The current situation is so embarrassing. Burn surgery can make money, and it can make a lot of money. But burn surgery can also lose money. A few patients who cannot afford medical bills can eat up all our profits.

Last year, it was quite good to have a balance of 60,000 yuan. If it weren't for the help of Yue Steel Factory, I might not even be able to reach 60,000 yuan. If the arrears on medical bills continue throughout this year, it will be difficult to maintain a balance of payments, and losing money is a high probability event. "

hiss~~~~

Everyone in the conference room gasped.

Yes, other departments, such as gastroenterology, are chronic diseases, so patients will definitely prepare money before going to the hospital for treatment.

But burn surgery is an emergency, and patients are in emergencies. They are sent to the hospital for rescue immediately, but they will die if they cannot pay the medical bills.

The "fried child" that Chen Qi brought back from Chengbeiqiao on the first day of the Lunar New Year now seems to be a hot potato. Continuing to treat it will cause huge losses. Failure to treat it is against medical ethics.

Faced with this dilemma, Chen Qi also had a headache:

"Yeah, this situation was something I didn't foresee. No wonder burn surgeries are only opened in the capital, Shanghai, provincial capitals and other big cities, because most of the burn patients in these big cities are workers, and workers are paid for public medical care. The hospital does not worry about running short.

But in our Yuezhong hospital, most of the burn patients we receive are ordinary citizens and farmers. Small burns are fine, but at worst they can be tolerated if they cost hundreds or thousands. If you really spend tens of thousands, you will definitely have to default on the bill, which is troublesome. , a patient with a serious illness lost tens of thousands, and all the money earned from a patient with a mild illness was filled in.

If what I said today were heard by ordinary people in the society, they would definitely accuse me of being a dean with bad moral character and only caring about money. But our People's Hospital now has 1,780 employees to support, and I also want to buy more advanced medical equipment, which all requires money.

Without money, I have no choice. Therefore, if the burn surgery department continues to suffer losses for a long time, no matter how successful it is academically or how well-known it is among the public, it will eventually have to close its doors and go out of business. In the end, it will still be the patients who will suffer, with no way to seek medical treatment. "

After everyone in the conference room heard this, they all sighed, and the conference room fell into silence for a while.

Medical marketization is easy to say, but it is too difficult for hospitals and patients.

Lao Guo turned his head and looked at Chen Qi and said:

"I told you, don't you have a lot of vision? Look at which department still has potential to tap? Can it make a lot of money? This burn surgery department has finally made some achievements. It would be a pity to close its doors."

"Yes, yes, Dean Chen, please think of another way."

"Dean, tell us which department can still tap its potential, and we won't have any objections!"

Chen Qi was very pleased with the statements made by the department directors. With such vitality, why worry about the hospital not being prosperous?

Chen Qi opened the statistics table in front of him and looked at each department, his mind running rapidly.

Suddenly, his eyes were fixed on "plastic surgery."

Then his mind was already thinking about his past life, where medical beauty advertisements were everywhere. TV stations, buses, elevator corridors, and even computer pop-up ads were all medical plastic surgery ads.

Why are there so many ads? This illustrates a problem for Chiguoguo: medical beauty is profitable, and it can make a lot of money.

In the year when Chen Qi was reborn, the domestic output value of the entire medical beauty industry in 2022 has reached 247.9 billion yuan, which is a huge cake.

Like the country that can turn men into sissies and ugly girls into Kim Hee-sun;

The Kingdom of Siam, which can make men more beautiful than women;

There is also the world's most powerful country, the United States, which is as dominant as the world's hegemon in the plastic surgery industry.

These are all leaders in the medical beauty industry, and have even become one of the country's economic pillar industries.

The more Chen Qi watched, the happier he became. This could make money, and he could make a lot of money.

"Comrades, I have an idea. Plastic surgery can make a big difference."

"Plastic surgery?" Everyone in the conference room looked at me and me, a little confused.

The Vietnam Hospital of Traditional Chinese Medicine says it is a plastic surgery department, but in fact it is more appropriate to call it a "Cleft Lip and Palate Treatment Center". Its function is relatively simple, mainly treating cleft lip.

Moreover, the current outpatient volume and surgery volume are already full. Even if we try to tap the potential, if the business grows by 20% or 30%, it will be a drop in the bucket.

How much money can you make by filling in a cleft lip?

But the real plastic surgery that Chen Qi talks about is definitely a cash cow, but it is not known to the Chinese people now. (end of this chapter)