Since 1981 Health School

  Chapter 530 How does the hospital make money

  Finance Section Chief Shan Xintong typed on the keyboard for a long time, corrected some data, his face changed slightly, and he said a word softly:

"Huh?"

   Then I cracked the abacus with my assistant again.

  For the old financial, 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 accounted for according to the daily income of a department, the revenue of the emergency department would be enormous.

  Old Comrade Guo was the first to bear it:

   "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.

  Profits belong to the hospital collective, and are at the discretion of the director or his clerk, and can also be used for employee subsidies or equipment introduction.

   This is the key.

  Chen Qi also put down the thermos at this time, and pricked up his ears to hear how much profit there could be in this era.

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

   That is to say, medicines cannot make money, and the purchase price can be sold 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.

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

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

   It’s the business of seeing your doctor 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 large amount of income is obtained.

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

  Because of the need to monitor the condition after the operation, 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 treated purely 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 profit does the hospital have? 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. 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.

  And 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 leaders is great.

   As far as hospital fees are concerned, there are differences between the early and mid-1980s and the late 1980s.

  For example, when Chen Qi was the director of the Huangtan Health Center and the director of 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 have a child was enough.

  Even for a major operation, like the cleft lip and palate repair performed by Chen Qi, the operation fee + hospitalization fee is only over 50 yuan.

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

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

  Like the palm replantation surgery that Chen Qi did in the middle of the night yesterday, the fee has reached 800 yuan, which is a full 4 times 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 15% price increase later, nor the 30% price increase that you will say, 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 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 classmate's father is a "barefoot doctor" in the village clinic in the city. When his son started working, he bought an Elantra car and a 120-square-meter city center house for his son with all the money.

  As for Chen Qi and his group of students, let alone 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.

  Actually, 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 on idle meals, 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 pay tens of thousands of yuan after a major operation and leave the hospital. That is, it 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 conference room of the People's Hospital, Shan Xintong, the chief of the finance department, communicated with his assistant and began to report.

   "Guo Shuji, Dean Chen, 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 based on preliminary estimates, and the profit can reach half, which is about 400,000 yuan. "

   As soon as the words fell, Lao Guo slapped his palm on the table and let out a loud bang, which shocked everyone.

   "Xiao Hu, the data is correct?"

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

   "Get rich..."

  Old Guo grabbed the draft paper, looked at the details line by line, and muttered to himself:

"Get rich, earn 400,000 a day, **** 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 what Lao Guo said, the eyes of everyone in the office turned red instantly.

  Even Wu Weiguo was taken aback, and at the same time felt disgusted as if he had eaten shit, because he had to give Chen Qi, a political opponent, a thumbs up.

Impressed!

  Chen Wanwan's name is not for nothing.

  The two vice presidents Cao Dongsheng and Hu Yaguang glanced at each other, and they were also very happy.

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

  Different from other people's excitement, although Chen Qi is also happy, he has 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?"

  Old 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 grows 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 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. Firstly, there is a big push for inspection fees, plus rescue fees and nursing fees. The money is like water.

   "Cash Cow?"

   Section Chief Hu and several 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?"

   "Bah, 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 about it 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 received 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 more than 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 a puff:

"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. .”

  Old 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 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.

   It's 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 named Vice President Cao to handle it alone, which showed that he, the president, would not intervene, which was equivalent to tacitly acquiescing that Chen Qi would not intervene in the interests of logistics.

  Of course, it is also his business that the committee members come to the door in the future. Sooner or later they will be caught if they reach out, and at least a small part of them will not escape.

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

   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 new dean's care for the staff."

   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.

  (end of this chapter)