Chapter 444: It's a pot of porridge!
"Okay, Director Song, I won't consider the matter of opening a branch for the time being."
Liu Shangming saw that the two directors were arguing, so he made a round and said.
The current situation in the hospital is that nothing can be stopped, but the current situation is that it is not enough to make ends meet, not only is there no more funding, but it also has to be reduced.
To solve the problems we are facing now, it is nothing more than to open up sources and reduce expenditures, and there are many problems in open source, which are not so simple, so the only thing that can be done at present is to reduce expenditures.
But it is not so easy to reduce expenditure, and the general environment is not good now, and at this time, I don't want to be cut in wages.
"Director Huang, the situation in the hospital is really difficult now, and everyone is trying to figure out a way."
After a pause, Liu Shangming said to Huang Jincheng again.
This is not the practice of playing fifty boards each, as the dean, this bowl of water still has to be flat.
It is really too difficult to be the president now, and now there is a policy of multi-point practice, that is to say, all the registered doctors of the East Hospital, in addition to the East Hospital, can also be attached to other hospitals to see outpatient clinics, perform surgeries, and carry out medical activities.
At present, this policy is very relaxed, and in this regard, take a look at the regulations for applying for multi-site practice, and in most areas, medical practitioners who meet the following conditions can apply for multi-site practice:
1. Obtain a physician's practice certificate and work in the corresponding professional and technical position for more than 5 years;
2. Be able to complete the work of the medical institution with the registered place of practice;
3. Be in good health and be able to practice at multiple points;
4. The type of practice and scope of practice of applying for multi-site practice are within the scope of the diagnosis and treatment subjects of the medical institution that intends to employ the licensed physician;
5. Physicians who have passed the regular examination within two years;
Six: law-abiding, good conduct, no verified complaints about medical ethics and medical style.
There are many advantages to multi-site practice, first, multi-site practice may "force" public hospitals to strengthen internal management, and how much does the quality of medical care have to do with multi-site practice? It should be said that there is no basis for research. Second, with regard to talent training, famous doctors go out to practice in more places, so that young doctors in the hospital can have more opportunities and grow faster. Third, the policy of multi-site practice should not be denied because the management of public hospitals has become more difficult. If the internal management of a hospital is not good, and all doctors stay in the hospital every day, the efficiency of the hospital will not be improved. On the contrary, internal performance and management can be put in place, and multi-site practice may promote the efficiency of the hospital.
"Although it is said that the salary will be reduced, but now that more practice has not been opened, as long as the hospital can liberalize the policy, for middle-level doctors, a large part of the income lost due to salary reduction can be subsidized."
Huang Jincheng, director of cardiac surgery, said slowly.
He does not support the opening of a branch at all, and a branch that is completely opened for profit will only ruin the reputation and credibility that so many people in the general hospital have worked so hard to accumulate.
How can a living person suffocate urine to death, such as the East Hospital, the country's top hospitals, are all top medical talents, and they can always find other inputs, why do you need to use the reputation and reputation of the general hospital for so many years as a guarantee to open a branch?
Word of mouth and credibility, once lost, I don't know how much time and effort it will take to get it back.
"Director Huang, if you practice in multiple places, I don't know if you have considered the issue of medical safety, medical safety involves a lot, the hospital's system, the management of functional departments, and the integration of multidisciplinary teams, it is one thing for a smart surgeon to operate in the operating room of Union Hospital with the cooperation of anesthesiologists, and it is another thing to go to the operating room of a county hospital and operate with the cooperation of local anesthesiologists. Isn't there a medical malpractice in public hospitals? Is there no compensation? Yes! However, if the conditions are not ripe and the practice of multi-site practice is carried out at an inopportune time, it is possible to lose more money and die more."
Song Siming, director of the emergency department, retorted mercilessly.
Obviously, if you practice more or something, how can you rely on the century-old brand of Oriental Hospital to open a branch hospital and pick up money?
You must know that the establishment of the Oriental Hospital was a hundred years ago, which is conceivable
I know what a big brand this is, and how high the recognition of the medical market and patients is.
Don't look at the current Dongfang Hospital's struggling to make ends meet, but this brand is still a golden signboard, which can be said to be a gold mine waiting to be developed.
"And there's the question of fairness, what is fairness? A public hospital has a lot of senior talents, if doctors are allowed to practice in more places, nurses are not open, engineers are not open, and economists are not open? If doctors are allowed to practice more, the whole hospital will immediately be discouraged, why can he and I can't? If the fairness of the hospital is not good, it will be difficult to serve the patients at this stage."
After a pause, Song Siming said again.
Hearing Song Siming's refutation, Huang Jincheng instantly felt his brain explode.
"Director Song, I don't agree with what you say, let's talk about medical safety first, as long as it is a hospital, there is a problem of medical malpractice, and if there is a medical malpractice, is it because of more practice? This is a question that is not a problem. Medical malpractice or medical error happens in all hospitals around the world, and it's not a mistake of multi-site practice, it's a problem with medical management, a problem with the skill level of doctors."
"Secondly, on the issue of fairness, health care itself is everyone's right, so have our rights been protected so far? In the current situation, who will protect and defend the rights of doctors and patients in public hospitals? A philosopher once said that business is the greatest utilitarianism. It is human nature for everyone, including doctors, nurses, patients, and hospital leaders to seek advantages and avoid disadvantages. It is impossible for all systems to be implemented when the laws are complete, and many reforms must be carried out at the forefront. Can we say that because people in remote mountainous areas don't know what the law is, lawyers can't practice more? It is precisely because the experts in various hospitals have to "go under the knife" on weekends and there may be surgical risks, that it is necessary to practice more laws to protect the medical safety of patients."
Seeing Song Siming's smug appearance, Zhao Heng thought for a moment and retorted in a deep voice.
As soon as he finished saying this, Huang Jincheng immediately looked at him with great appreciation, and Song Siming's face was also very ugly.
Originally, his statement was sophistry, and it was a good thing to practice more, and it was impossible to say that it would be troublesome to operate because of some problems, and the reason why he opposed it was just that he wanted to push the opening of a branch to achieve his own goals.
Now that he is refuted by Huang Jincheng and Zhao Heng, everyone can see that he Song Siming has bad intentions.
"Alright, that's the end of the discussion on the opening of multi-site practice and the opening of branches."
Seeing that the arguments between the two sides were very fierce, and the atmosphere was already full of gunpowder, the dean made a round and said, temporarily interrupting 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 show.
"Director Gao, what do you think?"
The dean looked at Gao Jun again and said very 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 status in the hospital is actually second only to the president Liu Shangming, and Liu Shangming also relies on Gao Jun very much.
"A salary cut is imminent, and whether it is a multi-site practice or a branch hospital, the real problem cannot be solved urgently."
Gao Jun shook his head slightly and said.
Song Siming and Huang Jincheng did not agree, which Gao Jun had long seen in his eyes, but he didn't expect that the two would quarrel like this at the pre-hospital meeting.
As for Zhao Heng's help, 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 to appreciate Zhao Heng, with this relationship, Zhao Heng naturally wants to support Huang Jincheng 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, quarrel or something, and just express his emotions, which is useless.
"In fact, the problems caused by the current salary cut can be started from the hospital wage system, and the current salary distribution system of the hospital is unreasonable. Some administrative staff are paid more than nurses, and the performance of departments is different, which is the main reason for the unfair wage system. So, for now, to solve
The problem is to carry out wage reform and directly improve the treatment of frontline medical staff, whether it is performance or bonuses, there must be a certain bias."
After a pause, Gao Jun said his thoughts again.
Hearing Gao Jun say this, all the department directors present were brightly lit up, after all, each department is the front line of clinical practice, and 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 safety and security department are not so good-looking.
The logistics service department of the hospital is one of the important functional departments of the hospital, which is mainly responsible for the logistics service of the hospital, including environmental sanitation, catering services, material management and safety and security. Generally speaking, the hospital logistics service department includes the following departments:
1. Environmental Sanitation Department: Mainly responsible for the cleaning and sanitation of the hospital, including the cleaning and disinfection of wards, operating rooms, examination rooms, office areas, etc. 2. Catering Service Department: Mainly responsible for the catering service within the hospital, including the operation and management of the hospital canteen, the distribution of patients' meals, and the formulation of nutritious meals. 3. Material Management Department: Mainly responsible for the management of hospital materials, including the procurement, warehousing, distribution and management of medical equipment, medicines, consumables, etc. 4. Safety and Security Department: Mainly responsible for the internal security work of the hospital, including hospital access control, patrol, 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 things], in terms of pressure, it can be said that there is almost none, and the daily workload is only a fraction of that of front-line medical staff, but the performance and bonuses they get are sometimes even higher than that of front-line medical staff.
Moreover, the staff of these functional departments have intricate relationships between the seven aunts and eight aunts behind them, which can be said to be very difficult.
"Director Gao, the general environment is not good now, and the hospital is in this situation, we should tide over the difficulties together, how can we use our logistics department to operate? 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, although Gao Jun has a deep background, but he is not weak, if someone else says this, he will stand up directly and be stubborn.
The former dean was dismissed, but he, the most important director of the material management department, is still in his position, which can show how deep his background is.
"It's just that without our security department patrolling day and night, the hospital wouldn't know what the chaos would be."
Not to be outdone, the head of the Security Section said.
He is a typical transfer of jobs, and his temper is relatively hot, and when he heard that Gao Jun was going to take the logistics department under his knife, he couldn't bear it.
Seeing that the war had just subsided, because of Gao Jun's words, the front-line departments and logistics were on the same again, Liu Shangming had a feeling of a splitting headache, and at this moment, he really wanted to resign from the dean immediately.
He is a top expert in oncology, and he has hundreds of millions of patents in his hands, so he doesn't have to worry about anything about eating and drinking spicy food.
"Okay, that's all for today's meeting, after the meeting, everyone will go down and think about it, within three days, each department will submit a feasibility proposal report."
"The meeting is adjourned!"
The meeting could no longer be held, so Liu Shangming simply announced the dismissal of the meeting.
After announcing the adjournment of the meeting, Liu Shangming stood up sharply and strode out of the conference room in a few steps.
He wants to go back to his office now and be quiet, today's meeting is really exciting, it is simply full of gunsmoke.
Seeing that Dean Liu Shangming walked so neatly, several directors couldn't help but look at each other, and they still wanted to talk to the dean about this salary reform.
It's rare to have such a good opportunity, and if you don't mention it now, you may not have a chance in the future.
The front-line medical staff have long been tired of those logistics management personnel sitting in the office blowing air conditioners every day, and the performance bonus can be a lot higher
Sort of.
This time, Gao Jun's suggestion was simply mentioned in the hearts of the directors of various departments.
Those who can be the director of the department of Dongfang Hospital are all masters in terms of professionalism, and they can mix to this extent, and they have a pattern and mind, and as the director of the department, they must seek benefits for the front-line personnel.
"Director Gao, your suggestion is good!"
"Yes, we strongly support it!"
"Stand up for you!"
Several department directors said to Gao Jun one after another with rare enthusiasm.
And the directors of several logistics departments looked at Gao Jun's faces and were not so friendly, in their opinion, Gao Jun belonged to the same kind of people with a deep relationship background as them, how could they make such a suggestion to offend people?