Since 1981 Health School

   On the fourth day of the Lunar New Year, the conference room on the third floor of the Yuezhong People's Hospital, the hospital affairs meeting.

 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.

  Anyway, everyone is bragging. Sitting on the rostrum, Chen Qi didn't listen to a word, and his mind kept thinking about his elder sister's blind date.

Several directors said one by one, spit, and then quietly observed the face of the dean's face, and whether they had passed.

  To be honest, the directors of the clinical department of Yuezhong Hospital like Chen Qi as the dean very much.

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

  Chen Qi's way of thinking is a bit of Taoist "governance by doing nothing", perhaps to put it bluntly, it is to let each department "autonomous".

  He will not dictate, nor will he force each department to complete as many tasks as possible, or to increase their business.

   It won’t say what medicine or equipment you want to get in which department you want to get in, you have to ask Dean Chen to agree.

  (Normally, 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 it is absolutely impossible to let the departments make free choices.)

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

  As long as you think that buying this equipment or getting this medicine can help your clinical business, then buy it.

   But things are not that simple.

  Since my dean has delegated the power to you, if your department is still unable to do a good job, or someone takes black money, then you will bear the consequences yourself.

There is another thing. 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 your entire department's doctors and nurses will be significantly reduced.

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

  The adjacent head model is to support several special 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 is the highest, reaching three times the average income.

 Originally, everyone received a salary of 200 yuan a month, and they worked more or less the same way. 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 can't do their jobs well 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 people and quack doctors, but to support a few typical ones first.

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 better, and the monthly income of doctors can reach an astonishing 6,700 yuan. Just say that you are not jealous.

   Envy and jealousy are right, then roll up your sleeves and work hard.

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

   There is no need for the dean to be 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.

 So 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 and had no losses 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 had smiles on their faces.

 The hospital distributed a sum of money each on New Year's Day and Spring Festival. In total, the average payment per person was 1,200 yuan. As a result, there was still such a large balance. This has set 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 will be good if they can pay the full salary for the year, and forget about bonuses.

Vietnam Hospital is definitely the only one where scorpions poop, causing a sensation in the national health system.

  Old Guo also smiled at Mimi 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. , Said 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. Can you still compare with us? "

 Hehehe, everyone in the conference room laughed.

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

  Others are relaxed, but Section Chief Shan is not, because his report also has to look forward to the financial situation of the next year.

"But comrades, everyone is too happy. In the next year, the new twin buildings of our hospital will be completed. Although the project funds have been settled, our decoration funds, ward furniture and office furniture, and various The departments all report that they need new equipment, which all costs money.

In particular, President Chen also instructed that the endoscopy center building, that is, the Wangzi Building, will build 20 operating rooms alone, all of which will adopt the latest international standards. This is another huge sum of money. Is a few million yuan 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."

  Old Guo tapped on the table:

“Old Dan, how 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 department of gastroenterology and plastic surgery last year was of course. Their net profit accounted for half of the entire hospital. However, it needs to be explained that the plastic surgery department was merged halfway, and the potential is still unclear.     In addition , Dean Chen advocated that the newly established burn surgery is very successful in terms of business income, and has 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, a total of 1.06 million businesses have been done, which is already very impressive for the new department, but the net profit has only reached a fraction of 60,000, which is obviously not enough for the financial revenue of the hospital. big effect. "

 Boom, this conclusion shocked everyone.

  Everyone thinks that patients in the Burn Surgery Department come in and out every day, and there are many patients who are seriously ill, so it costs money to see a doctor.

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

 Chen Qi knew the reason 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:

"As for the burn surgery, Director Luo and I are mainly in charge, and Dean Chen also has high hopes. As for why the business is so high and the profit is so low, there are actually special reasons. It's not that our burn surgery staff don't care. effort.

We all know that burn patients are rushed to the hospital. 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 in the tens of thousands, but the child’s family is poor, and the parents have only collected 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, his whole body is burned very badly, and he is dying. People say, as doctors, can we stop the medicine for the child because he has no money to pay the medical bill? Stop treatment? Watching a child die?

   It’s not just this child, do you remember Huang Tan’s poor mother and daughter, who suffered 90% burns all over their bodies. The combined medical expenses of these two people have exceeded 30,000 yuan, but the family definitely cannot afford this money.

Fortunately, these patients with extensive burns are of great academic research significance, and we also have produced several papers because of them, which can be published in the four top medical journals with a high probability, but a deficit is a deficit, and the money is really needed Our burn surgery fills.

 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, and a few patients who can't pay the medical bills can eat up all our profits.

  It is quite good to have a surplus of 60,000 yuan last year. If it were not for the help of the Yue Steel Factory, I am afraid that 60,000 yuan would not be reached. If the medical expenses are still in arrears throughout the year this year, it will be difficult to maintain the 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, and patients will definitely prepare money before going to the hospital to see a doctor.

  However, burn surgery is an emergency, and the patients are all emergencies. They are sent to the hospital for emergency treatment immediately, but they will die if they cannot pay the medical expenses.

  Chen Qi brought back the "fried child" at Chengbei Bridge on the first day of the Lunar New Year. Now it seems that what he brought back was a hot potato. It is against medical ethics to continue to treat huge losses.

   Facing this dilemma, Chen Qi also had a headache:

"Yeah, I didn't foresee this situation. No wonder burn surgery is 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 if they are workers, they will be paid for medical care at public expense. The hospital does not have to worry about losing money.

But in Yuezhong, most of the burn patients we receive are ordinary citizens and farmers. The minor burns are fine, but the big ones can be tolerated if you spend hundreds of thousands of dollars. If you really have tens of thousands of dollars, you will have to renege on your debts, which is troublesome. , A serious patient loses tens of thousands, and all the money earned by the mild patient is filled in.

  If what I said today is heard by the common people in the society, they will definitely scold me, the dean, for being corrupt and only have money in their eyes. But our People's Hospital now has 1,780 employees to support, and I want to buy more advanced medical equipment, which requires money.

  Without money, I can’t do anything about it. Therefore, if the burn surgery continues to lose money for a long time, no matter how academically successful it is and how popular it is among the people, it will have to close its doors and go out of business in the end. In the end, it will be the patients who suffer and have nowhere to seek medical treatment. "

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

  The marketization of medical care is easy to say, but it is too difficult for hospitals and patients.

  Old Guo turned his head to look at Chen Qi and said:

   "I said you have a good eye, don't you see which department has potential to be tapped? It can make a lot of money? This burn surgery has finally made some achievements. It's a pity to close the door."

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

   "Dean, which department you say can tap its potential, we have nothing to say!"

   Chen Qi was very pleased with the statements made by the directors of each department. With such vigor, why would the hospital not flourish?

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

 Suddenly, his eyes were fixed on “plastic surgery”.

   Then he was already thinking about his previous life, the appearance of medical beauty advertisements flying all over the sky, such as TV stations, buses, elevator corridors, and even computer pop-up advertisements are all medical plastic beauty advertisements.

  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 has reached 247.9 billion yuan in 2022, which is a huge cake.

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

 Siamese country that 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.

 Chen Qi became more and more happy as he watched it. 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 I looked at you, a little confused.

  Vietnam Hospital said it was plastic surgery, but to be exact, it is more suitable as a "cleft lip and palate treatment center", with a relatively single function, mainly for the treatment of free lips.

  Besides, the number of outpatients and surgeries is already full. Even if we try our best 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 earn by patching a harelip?

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