Doctor: I picked up attributes in the hospital

Chapter 444 The pre-hospital meeting with different thoughts
The next day.

Nine forty in the morning.

The large meeting room of Dongfang Hospital.

In the conference room, the directors and deputy directors of each department of Dongfang Hospital were all present, and the dean Liu Shangming sat at the head, looking not at all relaxed.

The meeting officially started at ten o'clock, and there are still 10 minutes left, so the directors and deputy directors of each department are chatting.

"Senior, in today's atmosphere, it seems that something is about to happen?"

Zhao Heng felt that the atmosphere in the conference room today was obviously unusual, so he asked Liu Ziang who was sitting beside him.

"Salary cut, no less than 30.00%."

Liu Ziang shook his head slightly and said.

For a top surgeon like him, the impact of a 30.00% salary cut is not small, after all, he earns a lot and spends a lot.

Not to mention anything else, let’s just say that Liu Ziang is currently repaying the mortgage on the house, and the total price is tens of millions. Although even if the salary is cut, he can still afford the mortgage, but 30.00%, which is really a bit too much up.

"Really want to execute?"

Zhao Heng still felt that this news sounded a little untrue. After all, in the past few years, the medical staff knew what they had endured!
Could it be that the three-year period has passed? ! !
"What else can I do if I don't execute it..."

Liu Ziang also said helplessly, although he is already very good, but in fact, he is just a high-level beater, no matter how good his skills are, he will not be able to perform without a platform.

Zhao Heng's stem cell therapy does not require high surgical procedures, and he can go out and do it alone.

Liu Ziang is an expert in brain surgery. The equipment requirements for extra-brain surgery are beyond the reach of ordinary private hospitals, so there is basically no possibility of going out to do it alone.

"Let's boil it."

Hearing this, Zhao Heng could only comfort Liu Ziang in this way.

As far as the current situation is concerned, it's not just that we can only endure it for a while. As for whether we can keep the clouds open and see the moon, it's really hard to say. Maybe there will be such a day, but I don't know how many years to wait up.

To put it bluntly, rottenness is the essence of this world, nothing more.

Maybe somewhere at this time, very few times, there will be light occasionally, but like the starlight flashing in the dark night, most of the time, it just disappears in a flash.

Zhao Heng looked at the other department directors and deputy directors sitting in the meeting room. Everyone's expressions were not very good.

After a while, the time came and the meeting officially started.

"I think everyone knows about the salary cut."

Dean Liu Shangming looked at the department directors and deputy directors present, and said directly.

Everyone here is the backbone of the hospital, so he doesn't have to hide his words.

Only after he became the dean did he know that although the Eastern Hospital seemed to be flourishing in recent years, and the outpatient lines were all outside the hospital every day, but now it feels a little beyond the means. The reason is that the former The dean's [credit], on the other hand, is that there are too many logistics managers.

Basically, it has reached the ratio of three or four logistics managers and one medical staff.

That is to say, the economic benefits created by a medical staff in front-line clinics need to support three or four logistics managers.

You know, the current hospitals are basically responsible for their own profits and losses.

Most public hospitals are responsible for their own profits and losses. Hospitals need to do infrastructure construction, update large-scale medical equipment, and small-scale medical equipment, including later maintenance and repair; hospital information construction (computer room construction, information system), system maintenance, daily Water, electricity, oxygen; the salaries of medical staff, etc., you can see and you can't see, there are costs everywhere.

It is difficult for the hospital. The drug price increase was canceled before, and the markup of medical consumables was canceled at the end of 2019. The hospital relies on treatment fees and daily inspections.

Department omissions. . . .

Some people may ask why public hospitals need so much profit as non-profit institutions.

In fact, the so-called profit of the hospital is very small, and the money was later used in the construction of the hospital, purchasing more sophisticated medical equipment, providing patients with better services, and upgrading the information system to provide patients with more intimate care. services, improve efficiency and serve more patients.

In fact, when the hospital is in excellent operating condition, the annual profit margin is only around 10%.Public hospitals are differential funding units, how much is the difference?Financial appropriations are estimated to be unable to cover basic post wages.Personnel expenditure is indeed an important expenditure port for hospitals, but it is not the only one.Building buildings to improve medical conditions, purchasing large-scale equipment or equipment, and investing in teaching and scientific research are all pure investments, and they are huge expenses, all of which are taken out of 10%.Don’t think that it’s fine if you spend 500-600 for a CT scan. The price of a CT machine is very high, not counting the maintenance and medical technical team.Water, electricity, heating, medical waste disposal, all kinds of things you enjoy in the hospital, the state does not allocate funds.Medical waste disposal alone is enough for you to buy a house in the imperial capital.

"Maybe from the outside world, our Dongfang Hospital is making money every day, but in fact, the hospital has already started to borrow money, and now we encounter a salary cut. In the future, everyone must be mentally prepared."

After a pause, Liu Shangming said again, he is a more pragmatic person, and he does not speak empty words to bluff people, and all the people present here are top medical talents and experts in various fields, so there is no need to bring out those scene words said.

As for why the Dongfang Hospital, which seems to be so prosperous, has gotten to the point where it has to borrow money now.

Regarding this point, you can see that after the former dean was dismissed, there are dozens of properties in the third ring road of Beishi alone.

Moreover, Liu Shangming simply looked at last year's hospital purchase list. A non-branded energy consumption level 3 1 hp fixed-frequency air conditioner is worth up to 6000 on the market, but the hospital's purchase price is more than [-].

As for other aspects, there are more, and it is almost impossible to see.

Hospitals are profitable, but where does the hospital's profits go?

Hospital and profit, two words that shouldn't be related, are now entangled.

The hospital itself should not be a profit-making department.It is not a department that aims to make money.But the current hospital, using the annual income as an indicator, is also very unbearable.

Let's not talk about profit, let's talk about the expenses that the hospital needs to bear first.

Most of the staff salaries and bonuses.Advance payment for drug purchases.Storage of medicines and special consumables.Advance payment for equipment and consumables.Normal water and electricity bills in the hospital.Maintenance and repair fees for machines, software, buildings, etc. of the hospital.Social insurance, medical insurance, maternity insurance, and critical illness insurance for hospital employees.Medical malpractice insurance.The hospital needs to provide medical insurance write-off advance payment for the insured personnel.Large-scale medical equipment procurement and so on.The daily expenses are an astronomical figure.

Now, no matter whether it is medicine or equipment, "zero" price increase is required.That is to say, how much the hospital buys is how much it has to sell.And this selling process needs to be carried out through centralized procurement and bidding websites.That is, what is available online can be purchased, and what is not available online cannot be purchased by yourself.

I believe that there are many suppliers who provide medicines, equipment, and instruments to hospitals, but what they get is a lot of hospital debts.

The largest proportion of consumption by patients is: medicines and medical materials.The hospital can't earn this part of the money now.

"This time the salary cut is very large, at least 30.00%. Now we are going through difficult times. If you have any ideas or questions, you can ask them. If you can answer them, I will try my best to answer them."

Liu Shangming looked at the directors of each department and said slowly.

"Dean, since this is the case, is the plan to recruit new students this year still in progress?"

Liu Xuedong, director of the medical department, frowned and asked, if it is said that a salary cut is imperative, then there is no need to recruit new people to increase expenses, there is no doubt about it.

"Recruitment is still going on as planned, and the hospital needs to develop, so it's impossible not to add fresh blood."

Liu Shangming said with certainty.

"Originally, the salary and bonuses of new recruits are paid in full in the second year. In the first year, they can only get 50.00%, plus the basic salary and subsidies. If it is reduced by at least 30.00%, I am afraid they will not be able to keep it. man."

Liu Xuedong said worriedly.

Although Dongfang Hospital is the top general hospital in the country, and the treatment of medical staff is also very good, but the new recruits did not pay the full amount of performance bonus in the first year. 30.00%, it is equivalent to cutting off the performance and bonus directly.

Living in Beishi is not easy. If there is no performance and bonuses, I am afraid that the rent and daily expenses alone will not be able to maintain.

"I'll figure out a way to do this. Everyone knows that the talent reserve in the courtyard is already in short supply, and it's all supported by us old guys. If there is no new blood coming in, we will vigorously cultivate it from now on. When you retire, there will really be no one available."

Liu Shangming said categorically that he is still very courageous.

As the dean of a top large general hospital in the country, if he really wants to find a way, he can still think of a way to solve it.

Many problems in the hospital had not been resolved before, and that was because the former director only cared about making money for himself.

"Dean, are the benefits related to the previous Young Scholars Program still paid on time?"

Liu Xuedong asked again.

It's not that he wants to deliberately find fault with Dean Liu Shangming publicly, but that these things must be publicly stated by the dean, otherwise, if these benefits cannot be paid by then, they will think that Liu Xuedong will not give them. .

This young scholar training program was accepted by Zhao Heng before, and the most important benefit was that the courtyard rented a youth apartment for a long time as the residence of the participants in this program in Beishi.

Of course, there are other subsidies, such as transportation expenses, meal subsidies, etc.

"Let's go ahead, this one can't be stopped."

Liu Shangming said with some headaches, the treatment of all the medical staff in this hospital basically cannot be stopped.

This salary has to be lowered, it is determined by the general direction and there is no way. Under such circumstances, naturally, I can only find compensation from other sources, otherwise, this person's hearts will be lost.

This can't be stopped, and that can't be stopped. There is no extra income, which is really difficult.

Thinking of this, Liu Shangming regretted being the dean.

Whoever goes to work now is not for the sake of breaking the bank!
"Everyone please give your opinion."

Liu Shangming looked at the directors of each department and said, the hospital belongs to everyone, so he can't let him have a headache all by himself.

"How about finding a group to cooperate and open a branch hospital, which can be a private hospital model, and then used to subsidize the general hospital?"

Song Siming, director of the emergency department, said.

"Are you kidding me? If this private hospital really wants to make money, what will happen to the reputation we have accumulated over the years?"

Upon hearing what Song Siming said, Huang Jincheng, director of the Cardiac Surgery Department, immediately retorted dissatisfiedly, saying that reputation and word of mouth are the most precious wealth of a hospital.

Even if the current difficulties are present, you can't just go straight to make money.

"Director Huang, what I mean is that the branch hospital is mainly for profit, and the main hospital will still follow the original model."

Song Siming explained that, as the director of the Cardiac Surgery Department, Huang Jincheng was more popular than him in terms of qualifications and status in the industry, so he didn't dare to fight against Huang Jincheng.

Although it is obvious that Dongfang Hospital is struggling to make ends meet, the resources of Dongfang Hospital, especially the resources of top medical talents, are not known to many private hospitals.

For top expert chief doctors like Huang Jincheng, once they get out of Dongfang Hospital, it is absolutely not a problem that their salary will be raised several times on the current basis.

There are many reasons why Dongfang Hospital's profit is less than its expenditure, and the hole is big now. However, the level of medical staff in Dongfang Hospital is still the top level in the country.

It can be said that as long as the medical staff in the East, whether they are doctors or nurses, just walk out of the hospital, the major private hospitals will pick them up at several times their salary. This is not an exaggeration at all.

"Fart, a hospital is a hospital, and the hospital is mainly for profit, so what kind of hospital is that!"

Jin Cheng said very angrily.

If he wants to make money, he can go out at any time and get several times more salary than he is now. People of his generation have feelings and integrity.

Moreover, Song Siming has been in contact with several large private hospitals during this period of time, and Jin Cheng has heard of this.

That's why Jin Chengcai was so angry at Song Siming's obvious poaching behavior.

He can confirm that he will not be poached by a high salary, but not necessarily young people.

The hospital is so big, it's impossible to rely on these old guys to hold it all the time. When they are old, how long can they hold it?
This is to make the hospital have no successors, it is a desperate plan!

It is said to be a branch hospital, but it is actually exactly the same as a private hospital, and it also has the brand of Oriental Hospital.

Just relying on this brand, I don't know how many patients will go to see a doctor.

"Director Huang, I'm also thinking about the survival of the hospital, you know? Just within this month, as far as I know, three hospitals have declared bankruptcy. Once the hospital goes bankrupt, where do you think the medical staff can go? Not yet Diverted to major private hospitals."

Song Siming was not angry either, and explained calmly.

He knew that once he said this, there would definitely be objections.

But as long as he said this and let everyone hear it, his goal would be achieved.

(End of this chapter)