Next. Nine forty a.m. The large conference room of the Oriental Hospital. In the conference room, the directors and deputy directors of various departments of the East Hospital were all present, and the dean, Liu Shangming, sat at the top, looking not relaxed at all.

The meeting officially began at ten o'clock, and there were still twenty minutes left, so the directors and deputy directors of various departments were chatting.

"Senior, in this atmosphere today, it looks like something is going to happen?" Zhao Heng felt that the atmosphere in the conference room today was obviously unusual, so he asked Liu Ziang, who was sitting next to him.

"A salary cut, no less than 30 percent." Liu Ziang shook his head slightly and said. For a top surgeon like him, the impact of a 30 percent pay cut is not small, after all, you earn more and spend more.

Not to mention anything else, let's just say that Liu Ziang is now repaying the mortgage, which is also the total price of tens of millions, although even if the salary is reduced, he will have to pay the mortgage, but 30%, which is really a bit too much.

"Do you really want to do it?" Zhao Heng still felt that this news sounded a little untrue, after all, in the past few years, the medical staff had endured and understood everything!

Is this the end of the three-year period?!

"What if you don't do it. Liu Ziang also said helplessly, although he is already very good, but in fact, he is just a senior worker, no matter how good the technology is, he can't play it without a platform. Zhao Heng's stem cell treatment does not have high requirements for surgery, and he can go out on his own. Liu Ziang is an expert in brain surgery, and the equipment requirements for extracerebral surgery are not something that ordinary private hospitals can meet, so there is basically no possibility of going out to do it alone.

"Let's get through it." Hearing this, Zhao Heng could only comfort Liu Ziang like this. As for whether you 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 later.

To put it bluntly, rotten is the essence of this world, nothing more. Maybe somewhere at this time, very rarely, there will be occasional light, but it is also like a starlight flashing in the night, most of the time, it is just a flash.

Zhao Heng looked at the other department directors and deputy directors sitting in the conference room, and everyone's faces were not very good.

After a while, the time was up, and the meeting officially began.

"I think everyone knows about the salary cut." Dean Liu Shangming looked at the directors and deputy directors of the various departments present and said directly.

Everyone here is the pillar of the hospital, so he doesn't have to hide his words. Since becoming the dean, he has learned that although the East Hospital has been thriving in recent years, and the outpatient queue is lined up outside the hospital every day, but now it feels a little beyond the means, the reason is that on the one hand, it is the [credit] of the former president, and on the other hand, there are too many logistics management personnel.

Basically, the ratio has reached three or four logistics management personnel and one medical staff.

In other words, the economic benefits created by a medical staff in the front-line clinic must support three or four logistics managers.

You must know that today's hospitals are basically self-financing. In most public hospitals, they are self-financed, and hospitals need to do infrastructure construction, update large-scale medical equipment, and small-scale medical equipment, including later maintenance and repair; Hospital informatization construction, system maintenance, daily water, electricity, oxygen; The salaries of medical staff and so on, what you can see and what you can't see, are costs everywhere.

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

Department missed fees. One might ask why public hospitals are so profitable as non-profit organizations.

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

In fact, when the hospital is in excellent operating condition, the annual profit margin is only about 10%. Public hospitals are the difference funding units, how much is the difference?

It is estimated that the financial allocation will not cover the basic salary. Personnel spending is indeed an important expenditure port for hospitals, but it is not the only one.

Building buildings to improve medical conditions, purchasing large-scale instruments or equipment, and investing in teaching and scientific research are all pure investments, and they are huge expenses, all of which are cut out of 10%.

Don't think that you can do a CT for 500-600 yuan, the price of a CT machine is expensive, not counting the maintenance and medical 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.

"It may seem to the outside world that our East Hospital is making money every day, but in fact, now the hospital has begun to borrow, and now when we encounter a salary cut, we must be psychologically prepared in the future." After a pause, Liu Shangming said again, he is a more pragmatic person, he will not bluff people with empty words, and all the people here are top medical talents and experts in various fields, so there is no need to take out those scenes.

As for why Dongfang Hospital, which looks so prosperous, it will get to the point where it has to borrow now. Regarding this point, after the former dean fell from power, there are dozens of properties in the third ring road of Beishi alone, and you can see it.

And Liu Shangming just took a brief look at last year's hospital procurement list, a miscellaneous brand of energy consumption 3-level 1 horse fixed-frequency air conditioner, the market is worth up to 2,000, but the hospital purchase price is more than 6,000.

As for the rest, it's even more so much more that you can't even see it. Hospitals are profitable, but where do the hospital's profits go?

Hospital and profit, two words that should not be related, are now entangled. Hospitals, in and of themselves, should not be a for-profit sector.

Nor is it a sector for the purpose of making money. But in today's hospitals, it is also very impatient to use the annual income as an indicator.

Let's not talk about profits, let's talk about the expenses that hospitals need to bear themselves. Most of the staff salaries and bonuses.

Advance payment for drug purchases. Storage of medicines and special consumables. Advance payment for equipment and consumables. The normal water and electricity bills of the hospital.

Maintenance and repair costs for hospital equipment, software, buildings, etc. Social security, medical insurance, maternity insurance, and serious illness insurance for hospital employees.

Medical malpractice insurance. The hospital is required to provide the insured person with a medical insurance write-off advance. large-scale medical equipment procurement, etc.

The daily cost is astronomical. And now, whether it is drugs or equipment, they are required

"Zero" markup. That is, how much money the hospital buys, how much money has to be sold. And this selling process needs to be carried out through a centralized procurement and bidding website.

That is, if you have it online, you can purchase it, and if you don't have it online, you can't purchase it yourself. I believe that there are many suppliers who provide drugs or equipment and instruments for hospitals, and all they get are a lot of hospital debts.

And the largest proportion of patients' consumption is: medicines, medical materials. This part of the money, the hospital can't earn at all now.

"This time the salary cut is very large, at least 30 percent, now it is difficult to get through the times together, if you have any ideas, or any questions, you can put them forward, and if you can answer them, I will try to answer them for you." Liu Shangming looked at the directors of each department and said slowly.

"Dean, if that's the case, is there still a plan to recruit new people this year?" Liu Xuedong, director of the medical department, frowned and asked, if it is imperative to reduce salaries, then there is no need to recruit new people to increase expenses, there is no doubt about it.

"The recruitment of new students is still carried out as planned, and the hospital must develop, and it will definitely not work without replenishing fresh blood." Liu Shangming said with certainty.

"Originally, the salaries and bonuses of new recruits were paid in full in the second year, and they could only get 50 percent in the first year, plus the basic salary and subsidies, if they were to be reduced by at least 30 percent, I am afraid they would not be able to retain people." 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, the new recruits do not pay full performance bonuses in the first year, relying on the basic salary plus some subsidies, and on this basis, a 30% reduction is equivalent to cutting the performance and bonuses directly.

If there is no performance and bonus, 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, now everyone knows the talent reserve in the hospital, it's already a shortage of talents, it's all up to us old guys to support, if there is no new blood coming in, start to cultivate vigorously from now on, and when we retire, there will really be no one available." Liu Shangming said categorically that he was still very courageous.

As the president of one of the country's top large general hospitals, if you really want to find a way, you can still think of a way to solve it.

Many problems in the hospital have not been solved before, and that is because the former director only cares about making money for himself.

"Dean, are the benefits related to the Young Scholars Program still paid on time?" Liu Xuedong asked again.

It's not that he wants to deliberately find fault with the dean Liu Shangming publicly, but these things must be publicly stated by the dean, otherwise, if he can't send these benefits at that time, he thinks that he Liu Xuedong won't give them.

This young scholar training program was accepted by Zhao Heng before, and the most important welfare treatment is that the institute has rented a youth apartment for a long time as the residence of the people participating in this program in Beishi.

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

"Let's start first, this can't be stopped." Liu Shangming said with a headache, up and down this hospital, all the medical staff's various treatments basically can't be stopped.

There is no way to reduce this salary in the general direction, and in this case, it is natural to find some to make up for it from other aspects, otherwise, this person's heart will be scattered.

This can't be stopped, that can't be stopped, there is no extra input, this is really difficult. Thinking of this, Liu Shangming regretted being the dean a little.

Who goes to work now, not for the broken silver!

"Let's all give their opinions." Liu Shangming looked at the directors of each department and said, the hospital belongs to everyone, and he can't be a headache alone.

"Why don't you find a group to cooperate and open a branch, which can be a private hospital model, and then use it to subsidize the main hospital?" Song Siming, director of the emergency department, said.

"What are you kidding, if this private hospital is really rushing to make money, what will we do with the reputation we have accumulated over the years?" When Huang Jincheng, director of cardiac surgery, heard Song Siming say this, he immediately retorted with dissatisfaction that reputation and reputation are the most precious wealth of a hospital.

Even if the current difficulties are now, you can't just run to make money.

"Director Huang, what I mean is that the branch is mainly for profit, and the main hospital still follows the original model." Song Siming explained and said that Huang Jincheng, as the director of cardiac surgery, has more qualifications and status in the industry than him, so he doesn't dare to have a hard time with Huang Jincheng.

Although Dongfang Hospital is a little unable to make ends meet on the surface, the resources of Dongfang Hospital, especially the resources of top medical talents, are coveted by many private hospitals.

For example, if Huang Jincheng is a top expert-level chief doctor, once he leaves the East Hospital, the treatment will be several times higher than the current one, which is absolutely not a problem.

There are many reasons why the profit of the East Hospital is less than the expenditure, and the hole is now wide, but the level of the medical staff of the East Hospital is still the top level in China.

It can be said that as long as the medical staff in the East, whether it is a doctor or a nurse, just walked out of the hospital on the front foot, the major private hospitals on the back foot will pick up people with several times the salary, which is not an exaggeration at all.

"Fart, a hospital is a hospital, and a hospital is profit-oriented, so what kind of hospital is it!" Huang Jincheng said very angrily.

If he wants to make money, he can go out at any time and get several times more than now, his generation is sentimental and disciplined.

Moreover, Song Siming has been in contact with people from several large private hospitals for a period of time, which Huang Jincheng has also heard.

So Song Siming's obvious digging behavior, Huang Jinchengcai was so angry. He can be sure that he will not be poached by high salaries, but young people are not necessarily so.

The hospital is so big, it is impossible to rely on a few of them old guys to keep topping, when are they old, how long can they top?

This is to have no successor to the hospital, and 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 hangs the sign of Oriental Hospital.

Relying on this brand alone, I don't know how many patients will go to the doctor.

"Director Huang, I'm also thinking about the survival of the hospital, do you know? Within a month alone, three hospitals were declared bankrupt to my knowledge. Once a hospital goes bankrupt, where do you say the paramedics can go? It's not a triage to major private hospitals. Song Siming was not angry, and explained calmly.

He knew that as soon as he said this, there would definitely be objections. But as long as he said it so that everyone could hear it, his purpose would be achieved.