For tertiary hospitals, a very important indicator in the assessment project is the bed turnover rate. Generally speaking, a better result is when the patient's hospitalization time is controlled to about one week. On the one hand, social security funds are relatively important for hospitalization time.
The review of long-term patients is more stringent. If the patient has been hospitalized for a long time, the social security department may further review the patient, so reimbursement to the hospital may be delayed. On the other hand, if a large number of patients have been hospitalized for a long time,
, which led to the failure of the hospital's top-level assessment, which was simply a disaster for the Fourth Central Hospital. President Song asked for support and preferential treatment from various departments, the current academic research cooperation of the Fourth Central Hospital, and a large number of
The congenital condition for approving social subsidy funds is the golden sign of "Top 3A Hospital". If this sign is smashed, let alone continued development, the Fourth Central Hospital will be closed down within a month unless Dean Song bites the bullet.
He stomped his feet and used his husband's property to fill this bottomless pit.
Hospital grade assessment is the third biggest nightmare for domestic hospitals. The first two are "outbreaks of infectious diseases in the hospital" and "violent medical troubles". As long as a doctor working in a hospital, it will be heard.
Trembling. However, the first two can also be intervened through corresponding legal mechanisms and even social forces. But the assessment is different. No one can be relied on except yourself. No one can help except yourself. Colleagues in this
Not only are the times unreliable, but you also have to be careful about adding insult to injury. In general, hospitals attach so much importance to grade assessment that it is even unbelievable in the eyes of laymen.
This is why President Song is so angry today. It is absolutely impossible to rely solely on sudden management of the bed turnover rate one or two months before the grade assessment. If we really encounter patients who need long-term hospitalization at that time, the hospital will
You can't ignore the patient's life safety and drive patients out of the hospital just for the sake of turnover rate, right? In order to increase the average bed turnover rate, all other mild cases must be discharged or transferred to lower-level hospitals without complete recovery. This
Not only will it affect the patient's treatment, it will also completely disrupt the treatment plans of other doctors. Therefore, as the management, President Song has always asked the doctors below to "raise their awareness at all times and pay attention to maintaining a high turnover rate of hospital beds."
For patients who cannot be accommodated, and those who can be discharged safely to continue follow-up treatment in outpatient clinics, they should be discharged as soon as possible.
Although Cao Yanhua's reason for doing this is to be responsible for patients, from the perspective of management, this is irresponsible to more doctors and patients.
Fortunately, the problem was found during the ward rounds. Dean Song made a quick decision and let Ji Youfu leave the hospital this afternoon. At the same time, he scolded Dr. Cao and happily deducted his performance bonus of 200 yuan.
For Dr. Cao Yanhua, being criticized is not a big deal. After all, everyone has been here like this. Which young doctor has not been scolded by his superiors? However, the performance bonus of 200 yuan made Dr. Cao feel distressed for a while.
Anyway, according to Sun Lien's observation, Dr. Cao Yanhua, who was deducted a performance bonus of 200 yuan, looked like a patient with severe paronychia who had his toes stepped on. His frown was enough to kill two flies without eyes.
, like an old chrysanthemum that has been beaten by frost. The distortion of the face, coupled with Dr. Cao's originally not outstanding appearance, the look is really... miserable.
The ward round lasted for two hours, and Sun Lien was a little confused when he saw the situation. Dean Song was definitely planning to conduct a thorough investigation today. Every patient had to be examined in detail, and more than ten doctors in the emergency department had already been examined.
200 yuan was deducted. There were about a dozen old chrysanthemums in the queue behind Dean Song. Their gloomy look really made Sun Lien feel a lot of pressure.
If these senior people have been tortured like this, how can they still reap the rewards when it is their turn? Sun Lien is well aware of how much trouble he has caused during this period. Liu Tangchun is such a good deputy director that he was forced to
He self-exiled himself to Africa, and in exchange, Dean Song personally led a team to conduct ward rounds. Not to mention that Dean Song would get angry because of this, and even the dozen old chrysanthemums might get angry at him because of this.
Sun Lien was uneasy as he followed the team to the new ward. He glanced at the ward number, then sighed and walked forward as if appointed.
This is Qin Ya's ward.
"Patient Qin Ya, female, 24 years old." Sun Lien began to report the information before Song Wen asked. "He was admitted to the hospital for treatment due to sudden coma. After regaining consciousness, he developed involuntary movements of his limbs. On the same day, he was diagnosed with MRI through MRI
Moyamoya disease.”
"Why haven't you been discharged yet?" Song Wen's question is still the same, "After the diagnosis, can't you just transfer to another hospital to continue treatment?"
"The patient is about six weeks pregnant." Sun Lien explained the reason smoothly. After all, she is the girlfriend of his brother Feng Ming, and he is more concerned about Qin Ya's illness. "The consultation opinion from the obstetrics department is that we should wait until
After the eighth week, the status of the fetus will be clarified before deciding whether to perform surgery."
For Qin Ya, if the operation is performed, the child will most likely not be saved. After all, the operation to treat moyamoya disease is essentially a craniotomy, and it also requires a bypass in the brain to relieve temporary ischemia. For Qin Ya,
For pregnant women whose tooth extraction may lead to miscarriage, the risks of this surgery are self-evident.
On the other hand, if the child's condition is stable, whether Qin Ya should wait for delivery at the risk of syncope due to cerebral ischemia again is also an issue that requires careful consideration. Although Feng Ming and both parents had already decided to protect the pregnant woman first, in the end
The decision still has to be left to the newly formed family. Before the eighth week, whether it is to perform bypass surgery or abortion first seems a bit too hasty. At the same time, due to transient ischemic attack and cerebral artery mass,
Qin Ya must stay in the hospital to prevent sudden syncope or more troublesome cerebral hemorrhage.
"Can I be transferred to a specialized cerebrovascular hospital?" Song Wen did not show favor to Qin Ya because she was a family member of an employee of his own hospital. He still had to ask, "Why not transfer?"
"We have contacted the cerebrovascular specialist, but they are unwilling to accept patients because they do not have the ability to treat pregnant women." Sun Lien spread his hands and told the truth.
This is the problem with specialist hospitals. The patients they can handle must not only meet the scope of specialist treatment, but also be as "simple" as possible and without "complexity". It is entirely possible for a cardiovascular and cerebrovascular specialist hospital to have a higher level of expertise than a top-level hospital.
Hospitals are better, but they are unable to deal with conditions beyond the scope of their specialized treatment. Their medical staff do not have the ability to do this, and they are not equipped to purchase equipment. More importantly, the law stipulates that they cannot engage in these "
Treatment content beyond the scope of registration”.
"Then we can't live like this forever. We can transfer him to a lower-level hospital." How could Dean Song accept such a simple explanation? "Immediately contact the lower-level hospital and transfer the person there for two weeks, and then do the surgery after the results are out."
."
Don't talk anymore at this time, just nod your head and acknowledge it. After Sun Lien nodded and said it was okay, as expected, the punishment of bonus deduction came, "Your bonus this month will be deducted by 800."
Sun Lien's current salary is hundreds of thousands a month, and the fine of 400 yuan is not worth mentioning. However, for an ordinary graduate student, deducting the 400 yuan subsidy is basically half the same as living.
It's almost a piece of meat. Logically speaking, Dean Song would never be so harsh on a Guipei student. This is because Sun Lien has a lot of extra income, so Dean Song accidentally raised the fine amount.
An increase of 400%. But what is unexpected is that this fine caused a commotion.
"Dean Song..." Several doctors in the emergency room who didn't usually get along with Zhou Jun came forward to persuade him, "Xiao Sun has just started to treat patients, so it is inevitable that there will be some ill-considered things..." Sun Lien
At first, I didn't realize what these colleagues were doing. After listening to three sentences, I realized that these people were here to intercede on his behalf.
"Xiao Sun is a regular trainee. If you deduct his 800 bonus in one breath, he will have to come to the emergency room hungry next month?" Dr. Cao Yanhua, who had been deducted two 200 bonuses, also came over to persuade him.
, "We will criticize him when we get back and ask him to write a two-thousand-word self-examination. Do you want to stop considering the fine?"
Dean Song listened to everyone's pleas with a straight face, and gave Sun Lien a look, "They don't even know you are a rich man now?"
Sun Lien responded silently to this look. I thought you would tell them about this.
Only the doctors in the emergency department know how hard it is for emergency doctors. And the ones who suffer the most in the emergency department must be the trained doctors who are about to have their 800 yuan bonus deducted.
Sun Lien may still have many shortcomings as a doctor, but it can be seen from the way everyone begged for mercy that this guy is really popular. Maybe it's because everyone is a poor person who is about to be deducted two hundred yuan, maybe
Because in the eyes of the doctors who had gone through the training period, deducting 800 yuan from their salary was forcing people to starve. In short, everyone became excited for a while. Even Dean Song couldn't resist the pressure and stared again.
After glancing at Sun Lien, she waved her hands to everyone, "What are you arguing about? I just said a wrong number. I see you are all excited." She paused and re-announced a number, "Two hundred will be deducted."
Before everyone was about to make another noise, Dean Song added presciently, "If you are still not happy, then these two hundred yuan will be deducted from your salary!"