Doctor: I picked up attributes in the hospital

Chapter 445 It's a mess!
"Okay, Director Song, the matter of opening a branch is not considered for the time being."

Seeing that the two directors were arguing, Liu Shangming smoothed things over.

The current situation in the hospital is that nothing can be stopped, but the status quo is that it cannot make ends meet. Not only will there be no more funding, but it will also be reduced.

To solve the problems we are facing now, it is nothing more than increasing revenue and reducing expenditure. There are many problems in increasing revenue and it is not that simple. So the only thing we can do now is to reduce expenditure.

But saving money is not so easy. The general environment is not good now, and at this time, I don't want to be cut in salary.

"Director Huang, the situation in the courtyard is really difficult now, and everyone is trying to find a way."

After a pause, Liu Shangming said to Huang Jincheng again.

This is not the way to hit [-] boards each. As the dean, the bowl of water should be leveled.

It is really difficult to be the dean now, and now there is a policy of multi-point practice. medical activity.

At present, this policy is very loose. Regarding this point, you can see the regulations on applying for multi-site practice. In most regions, practicing physicians who meet the following conditions can apply for multi-site practice:

5: Obtain a doctor's practice certificate and have worked in the corresponding professional and technical positions for more than [-] years;
Two: able to complete the work of a medical institution with a registered practice location;
Three: be in good health and be able to do multi-point practicing work;
Four: The practice category and practice scope of the application for multi-point practice are within the scope of diagnosis and treatment subjects of the medical institution that intends to employ the practicing physician;

Five: Physicians pass the regular examination within two years;

Six: Law-abiding, good conduct, no verified complaints about medical ethics.

There are many advantages to practicing in more places. First, practicing in more places may "force" public hospitals to strengthen internal management. How much does the quality of medical care have to do with practicing in more places?It should be said that there is no research basis.Second, with regard to talent training, famous doctors go out to practice more, so that young doctors in the hospital have more opportunities and grow faster.Third, the policy of multi-site practice cannot be denied just because the management difficulty of public hospitals has increased.If the internal management of a hospital is not good, and all doctors stay in the hospital to work every day, the efficiency of the hospital will not be improved.On the contrary, internal performance and management can be in place, and multi-site practice may promote hospital efficiency.

"Although it is said that the salary is going to be cut, it is not that multi-point practice is already open. As long as the hospital can relax the policy, for middle-level doctors, it can subsidize a large part of the income lost due to the salary cut."

Director of Cardiac Surgery, Jin Cheng, said slowly.

He does not support such things as opening a branch hospital at all. A branch hospital opened entirely for profit will only ruin the reputation and reputation accumulated by so many people in the general hospital.

How can a living person be suffocated by urine? The top hospitals in the country, such as Dongfang Hospital, are all top-notch medical professionals, and they can always find other income. Why use the reputation and reputation of the general hospital for so many years as a guarantee? What about opening a branch?
Once word of mouth and reputation are lost, it will take a lot of time and effort to get them back.

"Director Huang, if you practice more, I don't know if you have considered the issue of medical safety. Medical safety involves a lot, the system of the hospital, the management of functional departments, and the integration of multidisciplinary teams. It is one thing to perform an operation with the cooperation of an anesthesiologist in the operating room, but it is another thing to go to the operating room of a county hospital and perform an operation with the cooperation of a local anesthetist. Are there no medical accidents in public hospitals? Are there no compensations? Yes! But if the conditions are not ripe, if the multi-point practice is implemented at an untimely time, it is possible to lose more and die more.”

Song Siming, director of the emergency department, retorted mercilessly.

Obviously, if you practice more, how can you earn money by opening a branch of the Oriental Hospital, a century-old brand?

You must know that the establishment of Dongfang Hospital was a hundred years ago. It is conceivable how big this brand is and how highly recognized it is by the medical market and patients.

Although Dongfang Hospital is struggling to make ends meet now, this brand is still a gold-lettered signboard, and it can be said to be a gold mine waiting to be developed.

"Moreover, there is also the question of fairness. What is fairness? A public hospital has many senior talents. If doctors are allowed to practice more, will nurses, engineers and economists be allowed? If doctors are allowed to practice more , the whole hospital immediately felt flustered, why he can but I can't? The fairness in the hospital is not done well, it is difficult to serve the patients at this stage."

After a pause, Song Siming said again.

Hearing Song Siming's refutation, Huang Jincheng felt his brain explode instantly.

"Director Song, I don't agree with what you said. Let me talk about the issue of medical safety first. As long as it is a hospital, there are more or less medical malpractice problems. Is it because of more practitioners? This is not a problem. Problems. Medical malpractice or medical errors occur in all hospitals around the world. This is not a mistake of multi-site practice, but a problem with medical management and the technical level of doctors.”

"Secondly, let's talk about the issue of fairness. Medical care itself is everyone's right. Has our right been guaranteed so far? Under the current situation, who will protect and maintain the rights of doctors and patients in public hospitals? A philosopher once said that business is the most utilitarian. Everyone, including doctors, nurses, patients, and hospital leaders, seeks advantages and avoids disadvantages. This is human nature. It is impossible for all systems to be legally complete. It was only started under the circumstances, and many reforms must be advanced. Can we say that lawyers should not practice more because people in remote mountainous areas do not know what the law is? It is precisely because experts in various hospitals want to "throwing knives" on weekends "There may be surgical risks, so the law of multi-point practice is needed to ensure the medical safety of patients."

Seeing Song Siming's complacent look, Zhao Heng thought for a while and retorted in a deep voice.

As soon as he finished speaking, Huang Jincheng immediately looked at him with admiration, while Song Siming's face was also very ugly.

Originally, what he said was just sophistry. It is a good thing to practice more. It is impossible to say that there will be operating expenses because of some problems. The reason why he objected is just to promote the opening of a branch and realize his own goal.

Now being refuted by Huang Jincheng and Zhao Heng, everyone can see that Song Siming has bad intentions.

"Well, the discussion on the opening of multi-site practice and the opening of branch schools will come to an end today."

Seeing that the two sides were arguing fiercely and the atmosphere was already full of gunpowder, the dean smoothed things over and temporarily interrupted the debate.

As for the directors and deputy directors of other departments, they all looked at Huang Jincheng, Zhao Heng, and Song Siming with the eyes of watching a big drama.

"Director Gao, what do you think?"

The dean looked at Gao Jun again, and said expectantly.

As the director of the anesthesia and perioperative center, coupled with Gao Jun's profound background, it can be said that Gao Jun's position in the hospital is actually second only to the director Liu Shangming, and Liu Shangming also relies heavily on Gao Jun .

"Salary cuts are imminent. No matter whether it is to practice more or open branches, practical problems cannot be solved in a hurry."

Gao Jun shook his head slightly and said.

Song Siming and Huang Jincheng's disagreement, Gao Jun has already seen this, but he did not expect that the two would quarrel like this in the pre-hospital meeting.

As for Zhao Heng helping Huang Jincheng, this is also normal. After all, the relationship between Zhao Heng and Huang Jincheng can be said to be very good. Huang Jincheng can be said to be the first director-level doctor who appreciates Zhao Heng. With this relationship, Zhao Heng Heng nature is going to stand up for gold to the end.

Gao Jun is a more pragmatic person. He knows that the most important thing in front of him is to solve the problem, and quarreling and so on are just to express his emotions, which is of no use at all.

"In fact, the problems caused by the current salary cut can be started from the hospital's salary system. The current salary distribution system in the hospital is not reasonable. Some administrative staff's salary is higher than that of nurses, and the performance of departments and departments will be different. These problems These are the main reasons for the unfair wage system. Therefore, at present, to solve the problem, it is to carry out wage reforms and directly improve the treatment of front-line medical staff. Whether it is performance or bonuses, there must be a certain bias.”

After a pause, Gao Jun expressed his thoughts again.

Hearing what Gao Jun said, the eyes of all the directors of the departments present were brightened. After all, each department is the front line of clinical practice. If the treatment of front-line medical staff is to be improved, all departments can directly benefit.

The heads of the logistics management department, the environmental sanitation department, the catering service department, the material management department, and the security department did not look so good.

The hospital logistics service department is one of the important functional departments of the hospital. It is mainly responsible for the hospital's logistics services, including environmental sanitation, catering services, material management, and security.Generally speaking, the hospital logistics service departments include the following departments:

1. Environmental Hygiene Department: Mainly responsible for the cleaning and sanitation work inside the hospital, including the cleaning and disinfection of wards, operating rooms, examination rooms, office areas, etc. 2.Catering Service Section: mainly responsible for the catering services within the hospital, including the operation and management of the hospital canteen, the delivery of meals for patients, and the formulation of nutritious meals, etc. 3.Materials Management Section: Mainly responsible for the management of hospital materials, including the procurement, warehousing, distribution and management of medical devices, medicines, consumables, etc. 4.Safety and Security Section: Mainly responsible for the safety and security work inside the hospital, including hospital access control, patrolling, safety training, etc.

In addition, some hospitals will set up other logistics service departments according to actual needs, such as landscaping department, vehicle management department, etc.

These functional departments can be said to be typical [more money and less work]. In terms of pressure, it can be said that there is almost no, and the daily workload is only a fraction of the front-line medical staff, but the performance and bonuses they get, even sometimes higher than front-line medical staff.

Moreover, the staff in these functional departments have intricate relationships with seven aunts and eight aunts behind them, which can be said to be very difficult.

"Director Gao, the general environment is not good. The hospital should tide over the difficulties together. How can we attack our logistics department? Although you are on the front line, our logistics department has also made a lot of contributions to the hospital."

The director of the material management department said to Gao Jun very angrily that although Gao Jun has a strong background, he is not weak. If someone else said this, he would stand up and be stubborn.

The former dean has been resigned, but he, the most important director of the material management department, is still in his position, which shows how deep his background is.

"That is, without our security department patrolling day and night, the hospital still doesn't know what kind of chaos it would be."

The chief of the security department also said not to be outdone.

He came back from a typical change of job, and his temper was relatively hot. He couldn't bear it when he heard that Gao Jun was going to take surgery on the logistics department.

Seeing that the war had just subsided, because of Gao Jun's words, the front-line departments and logistics were on the same page again, Liu Shangming felt a splitting headache. At this moment, he really wanted to resign as the dean immediately.

He is a well-behaved top expert in the oncology department, and he holds hundreds of millions of patents in his hands. He doesn't have to worry about everything if he is popular and spicy.
"Okay, that's all for today's meeting. After the meeting is over, everyone should go down and think about it. Within three days, each department will submit a feasibility report."

"Dismiss!"

The meeting could no longer be held, so Liu Shangming simply and neatly announced the adjournment of the meeting.

After announcing the adjournment of the meeting, Liu Shangming quickly stood up and walked out of the conference room in a few steps.

He now wants to go back to his office to be quiet. Today's meeting is really exciting, it's just filled with gunpowder.

Seeing Dean Liu Shangming leave so quickly, several directors couldn't help but look at each other in blank dismay. They also wanted to talk to the dean about the salary reform.

It's rare to have such a good opportunity. If you don't mention it now, you may not have the opportunity in the future.

The front-line medical staff have long been displeased with the fact that the logistics management staff sit in the office and blow on the air conditioner every day, and the performance bonus can be much higher.

This time, Gao Jun's suggestion really touched the hearts of the directors of each department.

Those who can become the department director of Dongfang Hospital are all masters in terms of professionalism. If they can get mixed up to this level, they have a pattern and a mind. Moreover, as the department director, they must benefit the frontline staff.

"Director Gao, your suggestion is good!"

"Yes, we strongly support it!"

"behind you!"

The directors of several departments said to Gao Jun one after another with rare enthusiasm.

And the directors of several logistics departments looked at Gao Jun with less friendly expressions. In their view, Gao Jun belonged to the type of person with a deep relationship background like them, so how could he make such an offending suggestion? Woolen cloth?
(End of this chapter)