I can see the status bar

Chapter 307 Deduct Two Hundred

For tertiary hospitals, there is a very important indicator in the assessment project, which is the bed turnover rate.Generally speaking, the patient's hospitalization time should be controlled to about one week to be considered a better result.On the one hand, social security funds are stricter in the review of patients who have been hospitalized for a long time. If the patient has been hospitalized for a long time, social security may conduct further review on the patient, so reimbursement to the hospital may be delayed.On the other hand, if a large number of patients are hospitalized for a long time, which leads to the failure of the hospital's top three assessment, it will be a disaster for the Fourth Central Hospital——Dean Song asked for support and preferential treatment from various departments. The academic research cooperation carried out by the Fourth Central Hospital, as well as a large number of social funding funds, are the innate conditions that can be achieved.If this signboard is smashed, let alone continue to develop, the Fourth Central Hospital will have to close down within a month—unless Dean Song gritted his teeth and stomped his feet and used his husband's property to fill this bottomless pit.

Hospital grade assessment is the third worst nightmare for domestic hospitals.The first two are "explosive disease infection in the hospital" and "violent medical trouble".As long as it is a doctor working in a hospital, they will all change their faces and tremble when they hear it.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 trusted except himself.No one will come to help except myself.Colleagues are not only unreliable at this time, but also have to be careful to add insult to injury. Generally speaking, the hospital attaches so much importance to grade assessment that it is unbelievable even in the eyes of laymen.

And this is why Dean Song is so popular today.It is absolutely impossible to rely solely on the surprise management of the bed turnover rate one or two months before the grade assessment.If you really meet a patient who needs long-term hospitalization at that time, the hospital can't drive the patient out of the hospital for the sake of the turnover rate, regardless of the patient's life safety?In order to increase the average bed turnover rate, all other mild cases have to be discharged without full recovery or transferred to lower-level hospitals.This will not only affect the treatment of patients, but also completely disrupt the treatment plans of other doctors.Therefore, as the management team, Dean Song has been asking the doctors below to "improve their ideological awareness at any time, and pay attention to maintaining a high turnover rate of hospital beds".For patients who can live or not, and for patients who can be safely discharged to continue follow-up treatment through outpatient clinics, they should be discharged as soon as possible.

Although Cao Yanhua's reason for doing this is out of responsibility to patients, but from the management's point of view, this is irresponsible to more doctors and patients.

Fortunately, the problem was found during the big rounds.Dean Song made a prompt decision and ordered Ji Youfu to be discharged from the hospital this afternoon.By the way, he scolded Dr. Cao again and happily deducted his performance bonus of 200 yuan.For Dr. Cao Yanhua, being criticized is not a big deal.Anyway, that's how everyone came here—what young doctor hasn't been scolded by his superiors?However, the performance bonus of 200 yuan made Dr. Cao feel distressed for a long time.Anyway, according to Sun Lien's observation, Dr. Cao Yanhua, who was deducted 200 yuan performance bonus, looks like a patient with severe paronychia whose toes were stepped on.The frown was enough to kill two flies without eyes, like an old chrysanthemum beaten by frost.The distorted face, coupled with Dr. Cao's not-so-remarkable appearance, made his appearance really... miserable.

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The big rounds went on for two hours, and Sun Li'en felt a little dizzy looking at the situation.Dean Song's trip today is definitely going to do a thorough investigation. Every patient has to be questioned in detail. A dozen or so doctors in the emergency department have already been deducted 200 yuan.In the team behind Dean Song, followed by a dozen or so old chrysanthemums, that gloomy look really made Sun Li'en feel a lot of pressure.

This group of old seniority has been tossed like this, so when it's my turn, can I still have good fruit to eat?Sun Li'en is well aware of how much trouble he has caused during this time.Liu Tangchun was a good deputy director, but he was forced to exile himself to Africa, and only then did Dean Song personally lead the team to make ward rounds.Not to mention that Dean Song would get mad because of this, even the dozen or so old chrysanthemums might be angry at him because of it.

While feeling uneasy, Sun Lien followed the team to the new ward.He glanced at the house number of the ward, then sighed, and walked forward as if appointed.

This is Qin Ya's ward.

"Patient Qin Ya, female, 24 years old." Sun Li'en reported the information before Song Wen asked the question. "Because of a sudden coma, he was admitted to the hospital for treatment. After regaining consciousness, he experienced involuntary movements of his limbs. On the same day, he passed an MRI examination and was diagnosed with moyamoya disease."

"Why haven't you been discharged from the hospital yet?" Song Wen's question was still the same, "Shouldn't it be enough to transfer to another hospital for continued treatment after the diagnosis?"

"The patient is about six weeks pregnant." Sun Lien explained the reason very well, after all, he is the girlfriend of his brother Feng Ming, and he is more concerned about Qin Ya's illness. "The consultation opinion of the obstetrics department is to wait until the eighth week to clarify the status of the fetus before deciding whether to operate."

For Qin Ya, if there is an operation, the child will probably not survive.After all, the operation to treat Moyamoya disease is essentially a craniotomy, and a bridge needs to be built in the brain to relieve temporary ischemia.For pregnant women who may cause miscarriage after tooth extraction, the risks of this operation are self-evident.

On the other hand, if the child's condition is stable, whether Qin Ya should wait for the delivery at the risk of fainting again due to cerebral ischemia is also a question that needs to be carefully considered.Although Feng Ming and both parents had decided to protect the pregnant woman first, the final decision still had to be given to the newly formed family for approval.But before the eighth week, it seemed a little too impatient whether to perform bypass surgery or abortion treatment first.At the same time, because of the transient ischemic attack and the presence of cerebral artery clusters, Qin Ya had to stay in the hospital to prevent sudden syncope or more troublesome cerebral hemorrhage.

"Can you be transferred to a cerebrovascular hospital?" Song Wen didn't hold his hands high because Qin Ya was a family member of his hospital's employees. What should be asked was, "Why not transfer?"

"We have contacted the cerebrovascular department. Because they do not have the ability to treat pregnant women, they are unwilling to accept patients." Sun Lien spread his hands and told the truth.

This is the problem with specialized hospitals. The patients they can handle must not only meet the special treatment scope of the specialty, but also try to be as "simple" and free of "complex conditions".A cardiovascular and cerebrovascular specialized hospital may have a better professional level than a tertiary hospital, but they cannot handle diseases beyond the scope of this special treatment.Their medical staff do not have the ability to do this, and there is no such configuration in the purchase of equipment. More importantly, the law stipulates that they cannot engage in these "treatments outside the scope of registration".

"Then you can't live like this all the time, you can transfer to a lower-level hospital." Dean Song would not accept such a simple explanation, "Contact the lower-level hospital immediately, transfer the person to another two weeks, and wait for the results to come back for surgery .”

Don't talk anymore at this time, just nod your head and admit it honestly.After Sun Li'en nodded to indicate that there was no problem, as expected, the penalty of deducting the bonus came, "Your bonus for this month will be deducted by [-]."

Sun Lien now has hundreds of thousands of dollars a month, so the 800 yuan fine is not worth mentioning.However, for an ordinary trainee, deducting the 800 yuan subsidy is basically the same as cutting up half a piece of meat alive.Logically speaking, Dean Song would never have done so much to a Gui Peisheng—it was because Sun Li'en had a huge extra income that Dean Song accidentally overturned the amount of the fine 400%.But what is unexpected is that this fine caused a commotion.

"Dean Song..." Several doctors in the emergency room who usually don't know Zhou Jun very well came forward to persuade him, "Xiao Sun has just started to treat patients, and it is inevitable that there are some ill-considered places..." Sun Lien At first, he didn't realize what these colleagues were doing, but after listening to three sentences, he realized that they were here to intercede for him.

"Xiao Sun is a Gui Peisheng. If you deduct [-] bonus from him in one go, he will have to come to the emergency room hungry next month?" Dr. Cao Yanhua, who was deducted two [-], also came over to persuade him. , "When we go back, we will criticize him and ask him to write a [-]-word self-criticism. The matter of fines...do you want to stop thinking about it?"

Dean Song listened to everyone's plea with a straight face, and gave Sun Li'en a look. They don't even know that you are a rich man now?
Sun Li'en responded silently to this look, I thought you would tell them about this.

How hard it is for emergency doctors, only the doctors in the emergency department know.The hardest person in the emergency department must be the regular training doctor who is about to be deducted 800 yuan bonus.

As a doctor, Sun Li'en may still have a lot of shortcomings, but from the way everyone begged for mercy, it can be seen that this kid's popularity is really good.Maybe it's because everyone is a poor person who is about to be deducted 200 yuan, or maybe it's because in the eyes of the doctors who have survived the regular training period, a wage deduction of [-] yuan is forcing people to go hungry.In short, everyone became excited for a while.Even Dean Song couldn't resist the pressure. After glaring at Sun Li'en again, she waved her hand at everyone, "What's the fuss? I just said a wrong number. I see you all are excited." She paused, A number was reported again, "Two hundred deducted."

Before everyone was about to clamor again, Dean Song presciently added, "If you are not willing, then the 200 yuan will be deducted from your salary!"

The scene suddenly fell into silence.

Then Cao Yanhua grinned and nodded, "OK!"

The other doctors also laughed, "OK!"

(End of this chapter)