Shan Xintong, the chief of the Finance Section, typed on the keyboard for a long time and checked a few more data. His face changed slightly and he whispered one word:

"Huh?"

Then I went over the calculation again with my assistant.

For an old finance manager, the turnover of a tertiary hospital is astonishing, so the data from an emergency department will not surprise her.

But what surprised her slightly was that if the accounts were calculated based on the daily income of a department, the revenue of the emergency department would be huge.

Comrade Lao Guo was the first to be unable to bear it:

"Xiao Hu, tell me quickly, what are the emergency department's first day's data like? Can you calculate a rough profit?"

For leaders, having a large turnover is of no use, because this is a public account, and the turnover cannot be used for other purposes. It can only be deposited in the bank, so it is "dead money".

But profits are different.

Profits belong to the hospital collective and can be used by the president or his supervisor at will. They can also be used for employee subsidies or the introduction of equipment.

This is the key.

Chen Qi also put down the thermos cup at this time, and pricked up his ears to hear how much profit there could be in this era.

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

That is to say, you can’t make money from medicines, so no matter how much you buy them for, they will be sold to patients for the same amount.

This "zero drug price difference" reform is absolutely beneficial to patients, but it is very unfavorable for hospitals, because after canceling the 15% profit on drug price increases, this area has suffered heavy losses.

Therefore, the hospital requires doctors to pay more for 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 an assessment of "drug-to-drug ratio" is even introduced to put a tightrope on doctors.

Just look at your doctor’s monthly business. If the medicine fee is more than the examination fee and treatment fee, I’m sorry, no matter how many outpatients your doctor sees, he will get no credit and will still have to deduct money.

But if a doctor is ruthless and prescribes a lot of useful and useless tests when the patient comes, or does some inexplicable physical therapy like those in the traditional Chinese medicine department and charges you thousands of yuan for a few sticks of traditional Chinese medicine, then the doctor's bonus will be huge.

High.

This is because the inspection equipment is just there, and the biggest problem is spending 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, which will be money for the hospital.

And even if you prescribe 1 million medicines, your profit is 0, and the hospital still has to pay for labor and transportation costs, and the loss goes to grandma's family.

This is why later hospital leaders like surgery.

Because surgery is profitable, there are many types of preoperative examinations, and you can earn a lot of money.

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

Because the patient's condition needs to be monitored after the operation, and the effect of the operation needs to be evaluated after discharge, there are a lot of examinations.

Compared with internal medicine, internal medicine relies purely on drug treatment. Once you are admitted to the hospital, you will have a lot of infusions and a lot of oral drugs. The problem is that the drugs are "zero price difference" and there is no money to be made.

Why does Chen Qi want to pilot "endoscopic surgery" in the Department of Gastroenterology? Isn't it because surgery can make money and give the Department of Internal Medicine a profit growth point?

How much profit does a hospital make? In the 1980s, the policy was actually much broader than in later generations.

In later generations, this bureau or that bureau will control it. The Price Bureau, Health Bureau, Food and Drug Administration, National Development and Reform Commission, etc. can all interfere with your hospital's charging and management.

In the 1980s, there was only one leader above, the Health Bureau.

Moreover, the Health Bureau is a "weak bureau" because it has no money to allocate to each hospital, and each hospital is responsible for its own profits and losses, so the authority of the bureau has declined.

On the contrary, hospital leaders have great power.

Regarding hospital charges specifically, there were differences between the early and mid-1980s and the late 1980s.

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

At that time, it might only cost a few cents to treat a cold, and more than ten yuan or even a few yuan to give birth to a child.

Even if it is a major surgery, like the cleft lip and palate repair done by Chen Qi, the surgery fee and hospitalization fee are all included, but it is only over 50 yuan.

For example, if limb replantation is not a publicly funded medical treatment, the charge will not exceed 200 yuan. Such charges are obviously very low.

But by the end of the 1980s, people's incomes began to grow rapidly. Well, medical marketization also slowly began, and hospital charges doubled at this time.

For example, the replantation surgery on a severed palm performed by Chen Qi in the middle of the night yesterday, the fee reached 800 yuan, which was a four-fold increase from a few years ago.

In addition to the overall increase in examination fees and surgical fees, the profits of pharmaceuticals in the 1980s were even more exaggerated.

It's not the later 15% price increase, nor the 30% price increase as promised, but at least a 50% price increase, and the profit of imported drugs is several times the cost.

So starting from the late 1980s, throughout the 1990s, and until the early 2000s, this was the golden age of "private clinics".

If you go to a clinic for an infusion, it charges 50 yuan, but the cost may not exceed 5 yuan.

During this period, you can earn far more by opening your own clinic than earning a living wage in a hospital, and it has 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 undergraduate degree, while a classmate in his dormitory started working directly after graduating from his undergraduate degree.

The father of a classmate is a "barefoot doctor" at a village clinic in the city. As soon as his son started working, he bought his son a Yinlan car with full payment and a 120-square-meter house in the center of the city.

As for Chen Qi and his group of students, let alone a house and a car, having an electric bicycle is considered a luxury at this time.

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

In fact, public hospitals earned a lot of money during this period, but the burden on public hospitals was too heavy because there were too many staff working for free, and some hospitals even had more logistics and administrative staff than medical staff.

In addition, during this period, various hospitals wanted to build buildings, and CT, MRI, and fully automatic testing equipment began to be introduced in large quantities during this period, which also required a large amount of money.

Therefore, public hospitals are boiled frogs in warm water.

Ordinary people go to the hospital and pay a few hundred yuan for an outpatient visit. After a major operation, the bill is tens of thousands of yuan after discharge. This has not started since the 1980s.

This is the time when Chen Qilai became the director of the People's Hospital.

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

"Guo Shuji, President Chen, and leaders, according to 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 rescue patients and 50 outpatient surgeries.

The total business income is 820,000 yuan. Since the proportion of drugs and examination fees is not yet known, we can only make preliminary estimates that the profit can reach half, which is about 400,000 yuan."

As soon as he finished speaking, Lao Guo slapped his palm on the table with a bang, which startled everyone.

"Xiao Hu, is the data correct?"

"Guo Shuji, several of our senior accountants have repeated the calculations twice. The data will not be wrong, but the profit is a gross estimate, which is quite different."

"Get rich..."

Lao Guo grabbed the draft paper, looked at the line-by-line details on it, and murmured to himself:

"We are rich. We make 400,000 yuan a day. Damn it, why can't we make 12 million yuan in profit a month? More than 100 million yuan a year. Just one emergency department can make so much profit. We are going to make a fortune."

, our hospital is about to take off?"

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

Even Wu Weiguo was shocked, and at the same time felt sick as if he had eaten shit, because he had to give a thumbs up to Chen Qi, his political opponent.

Accepted!

Chen Wanwan’s name is really not for nothing.

The two vice presidents, Cao Dongsheng and Hu Yaguang, looked at each other and felt happy.

Anyway, the hospital has more money, and the two of them, individually and jointly, can get more allocations. This is a standard win.

Different from the excitement of others, although Chen Qi was also happy, he had a clear understanding.

"Hey, hey, don't be too happy, everyone. This is the first day of business. There are more patients, and there are so many old directors coming to help, so we have created this single-day business record. Unless it is later

In the event of a major epidemic, otherwise it would definitely not be as high as it is."

"Huh?"

Lao Guo also reacted and quickly asked: "Then how much do you estimate the average daily business will be in the future? How can it be done if it is not so high?"

Chen Qi thought for a moment:

"It's probably two-thirds of what it is today, but in the future as our emergency department becomes famous, we will definitely receive more and more critically ill patients. The cost of this part of the rescue is high, and the profit will be higher.

We can say hello to the hospitals in the following counties in advance and ask them to send all their emergency patients to our emergency department. As long as there are more severe patients and the time goes by, the revenue of our emergency department will be higher and higher, and we can truly realize

What I call cash cows."

How much do outpatients earn? Almost all of them prescribe medicine, and the average profit from medicines is only about 3,040.

It's different when rescuing patients. When you come in, you'll first be charged a large amount of examination fees, plus the resuscitation fees and nursing fees, the money will be like water.

"Cash Cow?"

Section Chief Hu and several female accountants laughed after hearing this, "Dean Chen, your metaphor is really vivid. Then we can all drink milk from now on?"

"Hey, why are you drinking my milk? I have to have it too. Shouldn't it be me, the dean, drinking your milk?"

"Bah, you go drink Director Lan's milk!"

The faces of several female accountants were slightly red.

Hahaha, the male leaders all laughed, joking in private, since they are all married anyway.
To be continued...