Chapter 226: Follow-up (1)
The doctor's work, which is half done so far.
For a doctor living in a fantasy world, as long as he cures or stabilizes the patient, he is considered to have completed all his work. But the Fourth Central Hospital of Ningyuan City is indeed an institution that exists in reality. In addition to completing this part of the job, the hospital has other work that must be done.
With the protection of the green channel, such serious injuries can of course be treated first without being affected. But after treatment, this cost ...... It still has to be knotted.
Hospitals have a public welfare nature, which determines that hospitals can enjoy a part of the government's appropriation expenses. But in general, the hospital is a self-financing unit. If the loss is really unable to hold on, there are precedents for direct bankruptcy.
According to the financial allocation ratio of Ningyuan City, the four hospitals can get a financial subsidy of 22% of the total operating expenditure of the hospital every year. However, it must be pointed out that this level of financial allocation ratio is unique in the entire Song'an province. Looking at the whole country, the only financial subsidies that the government can give to the total expenditure of tertiary hospitals are the Fourth Central Hospital of Ningyuan City and the public hospitals of Shenzhen.
As an emerging megacity, Shenzhen's financial position is much stronger than that of other cities, and the severe shortage of medical resources has also made Shenzhen very interested in investing in the medical industry.
However, financial allocations are subject to relevant national regulations and standards. In the past, the amount of financial allocation was generally determined by the number of staff in the unit. This establishment can be either a career editor or an administrative editor. But in any case, either the allocation will be based on the establishment, or the Shenzhen model will have to follow the model of Shenzhen and implement a dual-track parallel system - part of the allocation will be allocated according to the establishment, and the other part will be distributed as a special financial subsidy from the government.
Since its establishment, the Fourth Academy has never thought about the establishment, and the reason is very simple. After all, from the very beginning, the Fourth Hospital has been positioned as a large-scale general hospital for public welfare, and it is an institution for public medical services after the reform of hospital ownership. At a time when the ownership of the hospital has already been reformed, how can it be possible to build a new hospital that needs to have a fixed establishment? Therefore, from the very beginning of its establishment, all the medical staff of the four hospitals have been hired, even the administrative staff. Only at the level of the president and vice president of the hospital will there be a corresponding establishment and administrative rank.
In order to make up for the huge "defect" of "no establishment", Song'an Province and Ningyuan City at that time, and even the college and even President Wu Youqian took a lot of effort to finally reach the exchange condition of "giving 22% of the total expenditure of the hospital every year".
Together with donations from other social groups and charities, the additional income that the four hospitals can get each year is about 29% of the total annual hospital expenditure, which is enough for other hospitals in Ningyuan to see the red eye.
But the money of the Fourth House is not blown by the wind. Feeding so many medical staff up and down the hospital and feeding the gold-eating beast of the big emergency center is a huge challenge to balance the hospital's annual income and expenditure, even with an additional income of 29% of the total expenditure.
In particular, the price of medical services and drugs cannot be raised on the emergency side, which is even more troublesome.
Therefore, the Fourth Hospital has the most powerful medical fee collection department in the entire Ningyuan City and even in Song'an Province. This large and powerful department burns 70% of the administrative expenses of the four hospitals every year, but can bring more than 25% of the total income of the entire hospital.
And on the morning of December 26, Sun Lien had to deal with this department for the first time.
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"Dr. Sun, right?" The furnishings of the collection department are clearly different from those of other hospital departments, at least other departments and departments do not occupy an entire floor in the inpatient department building of the fourth hospital, and there is also a reception desk at the door. At the same time, you can know the situation of everyone who comes to the department. As soon as he entered the range of the reception desk, a refreshing man dressed as if he was a white-collar worker took the initiative to talk to Sun Lien. "Hello, I'm Chen Xuebin from the Promotion Department, just call me Xiao Chen. β
"Uh...... Hello. Sun Lien shook hands with the other party, looking at the age of the other party's head that started with 3, Sun Lien began to wonder if his appearance was a little old, "I received your notice this morning......
"Yes, yes, this is the rule of our department. So I have to trouble Dr. Sun for a special trip today. Chen Xuebin pointed to the room inside, "Doctor Sun, come here with meβit's easier to talk in the conference room." β
Entering the conference room, Sun Lien suddenly had a feeling of "being slaughtered by others". It's obviously a very tidy conference room, but how can it make people feel a little uneasy everywhere in their hearts?
"Doctor Sun, don't be nervous, please come over this time, mainly because your department has not had such a business before...... I mean the patient. Chen Xuebin corrected his words, "According to Dean Liu's meaning, this patient should be handled by your comprehensive diagnosis center." β
"Huh?" Sun Lien was taken aback when he heard this, "Isn't this patient admitted to the emergency department?
"Because the injuries on both sides are very serious, what Dean Liu means is that after the patient is discharged from the ICU, he will go directly to the comprehensive diagnosis center. The nursing ability here is stronger, and they are relatively experienced in dealing with multi-disciplinary problems. Chen Xuebin probably also knew that Liu Tangchun was not angry with Sun Lien about this, so he explained it more comprehensively. "If you have any comments on this arrangement, you can go directly to discuss it with Dean Liu later. I'll first compare the workflow of our Facilitation Department with you. β
The dunning department is the internal term of the doctors, and the full name of the department is the medical arrears promotion department.
"First of all, we will send a reminder to the patient's family and myself...... Since the patient's family has not yet been contacted, this notice will be placed at the patient's bedside first. When the patient regains consciousness, the staff of the comprehensive diagnostic center should guide the patient to sign the demand form. β
Sun Lien nodded, this is a normal process, he has seen it in the emergency department before, "That's okay?"
"After that, if the patient still refuses to pay the fee after three weeks of regaining consciousness, then all treatment is stopped. Unless his life is in danger, all treatment and care is to be suspended. Chen Xuebin continued, "However, the total cost of treatment this time is relatively high, if he is only willing to pay but cannot afford to pay in full for the time being, then he has to ask Dr. Sun to contact us." We will work out a relatively suitable installment plan. β
"Can this still be installed?" Sun Lien was surprised, "Is there a handling fee?"
"No, and no interest is charged. When he said this, Chen Xuebin actually showed a somewhat regretful expression, "It's a pity that Dean Song resolutely doesn't allow us to do this, otherwise the annual profit will be 10% more." β