Shan Xintong, the chief of the financial section, typed the keyboard for a long time, and corrected a few more data, his face changed slightly, and he whispered a word:

"Huh?"

Then I crackled with my assistant and re-typed the abacus.

For Lao Finance, the turnover of a tertiary hospital is very amazing, so the data of an emergency department will not make her too amazing.

But what surprised her a little was that if you counted the income of one department and one day, the revenue of the emergency department would be terrible.

Comrade Lao Guo was the first to hold back:

"Xiaohu, hurry up and talk about it, how is the data on the first day of the emergency department? Can you calculate an approximate profit? ”

For the leader, it is useless to have a large turnover, because this is a public account, and the turnover cannot be diverted for other purposes, but can only be deposited in the bank, so it is "dead money".

But the profit is different.

The profits belong to the hospital collective, which can be disposed of at will by the president or his secretary, and can also be used to issue employee subsidies or use them for equipment introduction.

That's the key.

Chen Qi also put down the thermos cup at this time, and pricked up his ears to hear how many points the profits of this era can be.

】

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

That is, drugs cannot make money, and the purchase price is also as much as it is sold to patients.

This "zero drug price difference" reform is absolutely beneficial to patients, but it is very unfavorable for hospitals, because after canceling the 15% profit of drug price increase, this part of the loss is huge.

Therefore, the hospital requires doctors to prescribe more examination fees, treatment fees, surgery fees, or traditional Chinese medicine fees, because traditional Chinese medicine is quite profitable.

However, doctors are strictly restricted from prescribing Western medicines, and even come up with an assessment of the "proportion of medicines" to put a tight spell on doctors.

It is to look at your doctor's business for a month, if the cost of medicine is more than the cost of examination and treatment, sorry, no matter how many outpatients your doctor sees, there is no credit, but the money will be deducted.

But if a doctor is ruthless, and the patient comes to prescribe a lot of useful and useless examinations, or do some inexplicable physiotherapy like the Chinese medicine department, and charge you thousands of yuan for a few Chinese medicine fees, then the doctor's bonus will be 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 examination fee, the profit will be as high as 800,000, so that for the hospital, the money will come.

And even if you prescribe 1 million drugs, your profit is 0, and the hospital has to paste labor and transportation costs, and you will lose money to your grandmother's house.

This is why the leaders of later generations of hospitals liked surgery.

Because surgery makes money, there are many kinds of preoperative examinations, and a large amount of income is in hand.

The cost of surgery depends on the doctor's skill, whether it is a few thousand or tens of thousands, which is equivalent to pure profit, the cost is only part of the anesthesia fee, and even the surgical instruments can be used repeatedly.

After surgery, because of the need to monitor the condition and the need to evaluate the effect of surgery after discharge, this is a lot of tests.

Compared with internal medicine, internal medicine is purely based on drug treatment, as soon as you are admitted to the hospital, there are a lot of infusions, a lot of oral drugs, the problem is that the drug is "zero price difference", there is no money to make.

Why Chen Qi wants to pilot "endoscopic surgery" in the Department of Gastroenterology is not because the operation can make money, and it also allows the Department of Internal Medicine to have a profit growth point.

How much is the profit of the hospital, specific to the 80s, in fact, the policy is much broader than that of later generations.

In the future, there will be this bureau and that bureau in charge, and any price bureau, health bureau, food and drug administration, development and Reform Commission, etc., can interfere with the charging and management of your hospital.

And in the eighties, there was only one leader above, the Health Bureau.

In addition, the health bureau is a "weak bureau", because the bureau has no money to allocate to various hospitals, and each hospital is self-financed, so the authority of the bureau is declining.

On the contrary, the power of the hospital leadership is great.

In terms of hospital fees, the early and mid-80s were different from the late 80s.

For example, when Chen Qi was the director of the Huangtan Health Center and the director of the Fourth Hospital, the pricing of drugs and surgical fees was very dead, and the state controlled it.

At that time, a cold could be a few dimes, and a child would be more than a dozen yuan, or even a few yuan.

Even if it is a major operation, such as the cleft lip and palate repair done by Chen Qi, the operation fee + hospitalization fee is a set, but it is more than 50 yuan.

For example, if it is not a publicly-funded medical treatment, the fee will not exceed 200 yuan, which is obviously very low.

However, in the 80s, the income of the people began to grow rapidly, well, the medical marketization also slowly began, and the growth of hospital fees also doubled at this time.

For example, Chen Qi did the broken palm replantation surgery in the second half of the night yesterday, and the fee reached 800 yuan, which was 4 times higher than a few years ago.

In addition to the overall increase in the price of examination fees and surgical fees, the profits of drugs in the 80s were even more exaggerated.

It is not a 15% price increase later, nor a 30% price increase in the middle of the story, but a price increase of at least 50% or more, and the profit of imported drugs is several times the cost.

So from the late eighties, throughout the nineties, all the way to the beginning of 2000, it was the golden age of "private practice".

If you go to the clinic for an infusion, you will be charged 50 yuan, and the cost may not exceed 5 yuan.

During this period, opening one's own clinic was far more than earning a dead salary in a hospital, and it 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 his bachelor's degree, and a classmate in his dormitory directly joined the work after graduating from his bachelor's degree.

The classmate's father was a "barefoot doctor" at the urban village clinic, and as soon as his son joined the work, he bought his son a Yin Lante car and a 120-square-meter house in the center of the city.

And Chen Qi and their students, not to mention houses and cars, at this time it is arrogant to have an electric bicycle.

It can be seen that after the marketization of medical care, countless "rich people" have been created, and "a certain field system" has also made a lot of money.

In fact, 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 members who ate idle meals, and even some hospitals had more logistics and administrative staff than medical staff.

In addition, during this period, various hospitals wanted to build buildings, and CT, MRI, and automatic inspection instruments began to be introduced in large quantities during this period, which also required a lot 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 settle tens of thousands of yuan after a major operation, that is, since the 80s.

That is the time node when Chen Qilai became the president of the People's Hospital.

The camera returned to the conference room of the People's Hospital, and Shan Xintong, the chief of the financial department, communicated with his assistant and began to report.

"Guo Shuji, Dean Chen, leaders, after our calculations, from 8 a.m. yesterday to 8 a.m. today, the emergency department received a total of 1,500 outpatient visits, including 30 critical patients and 50 outpatient surgeries.

The total business income is 820,000 yuan, because it is not yet known the proportion of drugs and inspection fees, so according to preliminary estimates, the profit can reach half, that is, about 400,000 yuan. ”

As soon as these words fell, Lao Guo slapped his palm on the table and snorted, which startled everyone.

"Xiaohu, the data is not wrong?"

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

"Rich......

Lao Guo grabbed the scratch paper, looked at the details on the lines, and muttered to himself:

"If you get rich, you make 400,000 a day, damn it, you can't have 12 million profits in that month? There are more than 100 million a year, and just an emergency department can make so much profit, we are going to make a fortune, and our hospital is going to take off? ”

Hearing Lao Guo's words, everyone's eyes in the office turned red for a moment.

Even Wu Weiguo was taken aback, and at the same time felt sick like eating, because he had to give a thumbs up to Chen Qi, a political enemy.

Served!

Chen Million's name is really not called in vain.

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

Anyway, the hospital has a lot of money, and the two of them can have more funds for both individuals and in charge, which is a standard lying win.

Different from other people's excitement, although Chen Qi is also happy, he has a clear understanding.

"Belch, don't be too happy, this is the first day of opening, there are more patients, and there are so many old directors to help, which has created this single-day business record, and unless it is a major epidemic, it will definitely not be so high."

"Huh?"

Lao Guo also reacted, and hurriedly asked: "Then how much do you estimate the average daily business in the future?" How can it be done if it's not so high? ”

Chen Qi thought for a moment:

"It's about two-thirds of today, but in the future, as the fame of our emergency department goes out, there will definitely be more and more critically ill patients, and the cost of this part of the rescue is high, and the profit will be higher.

As long as there are more serious patients and a long time, the revenue of our emergency department will be higher and higher, and the cash cow I am talking about will be realized. ”

How much do outpatients make? Almost all of them are prescribed, and the average drug profit is about 30%~40%.

Rescuing patients is different, when they come in, they first push a lot of examination fees, plus rescue fees and nursing fees, and the money is like water.

"Cash cows?"

Section Chief Hu and several female accountants all laughed when they heard this, "Dean Chen, your analogy is really vivid, then we can all drink milk in the future?" ”

"Hey, why do you drink my milk, I have to have it too, shouldn't it be me, the dean, who drinks your milk?"

"Phew, you drink Director Lan's milk!"

Several female accountants' faces were a little red,

Hahaha~~~ Several male leaders laughed and joked in private, anyway, they were all married.

Lao Guo thought about it for a while and was still a little excited:

"Even if it is two-thirds, the business revenue of a day is 5 or 600,000 yuan, as long as half of the profit can be guaranteed, give me 250,000 a day, that month will be about 7 million, obediently, this year's additional income of 80 million, how much equipment can we cause."

"That's not how the accounts are counted."

Chen Qi stood up, personally refilled a glass of water for everyone in the office, and said:

"Everyone thinks, the patients who see the emergency department are just the first diagnosis, just like last night, the more serious patients we have transferred to various departments, which gives our hospital an extra batch of patients, and this batch of patients is the growth point of the business.

Also, even if you are an outpatient patient who has come to hang up the needle today, you have to come back for a follow-up appointment the next day, right? This hang-up is three or four days, and many other patients have almost recovered, and they have to do a few new tests, which is all business, and it is all money.

It's the end of November, and there's still a little over a month before 1988 ends, so the growth of the business won't be too obvious. I estimate that as soon as our emergency department opens, we will be able to increase the number of outpatients, inpatients, and business income by at least 30% next year. ”

Vice President Hu, who had not spoken, laughed out loud when he heard it:

"Lao Gai of the Second Hospital, Lao Zhao of the District Central Hospital, and Lao Qian of the Women's and Children's Hospital are estimated to be half angry, and our growing business and patients, to put it bluntly, are all meat cut from their hospitals."

Lao Guo has been in the People's Hospital all his life, and he has the deepest feelings for the People's Hospital, so he snorted in his nose at this time:

"The Second Court also dares to fight with us, why fight? Obediently being our subordinate hospital and recognizing your own status is the most correct way. ”

Vice President Cao, who was in charge of logistics, couldn't help but ask:

"Dean Chen, this year's New Year's Day benefits and year-end benefits can be more abundant, right? I heard that when you were in the Fourth Hospital, the benefits were doubled every year, and this year is your first big festival in the People's Hospital, so you can't be cold. ”

Chen Qi Hehele:

"Of course, we have money anyway, even if we send it, we have to let the employees have a good year, but I don't care about this, you are the vice president in charge, you can arrange it in advance, I will give you a budget of 100 yuan per person, how about it?"

The logistics department is a fat gap, such as procurement, such as infrastructure, there are many doorways in this.

There are more than 1,200 employees in the People's Hospital, and the annual welfare budget of 100 yuan per person is 120,000 yuan, and 120,000 yuan in 1988, which is an absolute huge amount of money.

It's like a piece of fat meat, if you hold it in your hand, even if you are not greedy, there will be no less oil and water on your hand.

Chen Qi directly named Vice President Cao to handle it alone, indicating that he, the dean, did not interfere, which was equivalent to acquiescing in the interests of logistics, and Chen Qi would not interfere.

Of course, it is also his business for the Chronicle Committee to find the door in the future, and sooner or later he will be caught when he stretches out his hand, and at least a small part of them will not be able to escape.

Anyway, Chen Qi is not bad for money, and he will definitely be innocent economically, so why bother to bother for so much money, and he may be caught?

Sure enough, Chen Qi's statement made Vice President Cao very happy,

"Okay, Dean Chen, don't worry, I will do this beautifully, and I will definitely let everyone feel the new dean's care for the staff."

Only Wu Weiguo sighed, and after a few words, another vice president became a fan of Chen Qi, and Chen Qi's status was consolidated again.