Ownership is separated with the power of management completely

Ownership is separated with the power of management completely
Ownership is separated with the power of management completely
International cardiovascular disease director Liu XiaoCheng of Taida in Tianjin Staff reporter Liu Ping'an and Yan Li is new Under the socialist market economy condition, for whom on earth do the public hospital? How to do? How to insist on public beneficially the public hospital reform, how to arouse medical worker's enthusiasm? Tianjin Taida international and cardiovascular the intersection of disease and hospital ' Hereafter referred to as the Thai heart hospital) After establishing for 7 years, there is a convincing answer in the experiment field of this medical reform in these questions. In March of this year, Han Qide, vice chairman of Standing Committee of the National People's Congress, provides and appraises as follows after investigating the Thai heart hospital again: "Chinese public hospital reforms the thing that should be done now, has already completed in some of this hospitals, some are doing. " Not long ago, reporters attended the safe heart to interview two times, attempted to seek reference and enlightenment that can be offered in the process of reform of public hospital in this hospital. In where 2003 it will be new public new hospital, furnish funds of yuan of Thai heart hospitals after the technological development zone of Tianjin rise sheer from level ground, developing the district government determines to engage and continue running with full authority with designer Liu XiaoCheng of hospital of this world level. Before this, this surgeon with the legendary experience in the field of business resigned the leadership position of Chinese Academy of Medical Sciences and China Concord Medical Science University, determine to make the experimental field of a medical reform according to one's own ideal in one's remaining years - -Build a family " The new public hospital " . "Where is the new public hospital new on earth? " After seeing and just playing Liu XiaoCheng in the operating table in the 3rd floor meeting room of the Thai heart hospital, the reporter has asked the question at this root at first. Liu XiaoCheng says: "The characteristic of the new management system of public hospital lies in, ownership is separated with the power of management more completely. Develop the district government and engage the legal representative of the hospital as ' the master ', ownership belongs to ' the master ', let the legal representative fully authorized management and administration. Ownership is separated with the power of management, the owner sees your achievement finally, OK. " The new hospital of one can't totally rely on oneself to run yet because of starting, in addition, the maintenance of equipment of building is upgraded etc. and born, the development zone has made and decreased progressively and supported the plan year by year, has invested and already exceeded a hundred million yuan totally so far. According to dawn statement of Cheng Liu, development zone assign the hospital of such a size to him, but there are no concrete economy and technical indicator, but given feeling " Three orientations, one are driven " ,Namely it is international, market-oriented and facing the modernization to require the Thai heart hospital to face, drive regional socio-economic development. Liu XiaoCheng says, this requirement of the government operates from a strategically advantageous position, has proposed the ultimate goal, and business objectives such as medical products, service result,etc., assign to president to design and finish. Because the government authorizes more sufficiently and implementing president's professionalism, specialized, cadre and first line worker from president to the middle level of Thai heart hospital, the chain reaction has taken place from management style to service theory. Liu XiaoCheng says: "On the personnel system, the traditional hospital enters human rights in institute's leadership and personnel department, control with strength, organizational affiliation, salary relation, not easy to enter, also it is difficult to appear. Can president, secretary discharge people? No,I can't. And we are the real whole employ, according to the demand personnel allocation of post, enter people, it is and not getting better conducts bad last people ability to work,it engage and decline not having according to,let them go and come of their own will. Managerial the manpower, financial resources and material resources of the hospital, can well innovate. " In the Thai heart hospital, professional title, education are not the highest standard of choosing talents, what the hospital valued even more is genuine talent. Institute this implement, comment, engage separate, choose employing system, high professional title, well educated may the low position is employed, and low professional title, low education can the high position is employed too, all sees worker's actual ability made. Head nurse Liu Hong of the catheter room is while holding the courtyard that one is only a general duty nurse 29 years old of the elementary academic, but because her business is competent, communication and ability to organize are strong, the hospital engages it as the head nurse who controls 5 catheter rooms. A subject doctor Lin WenHua has master's education in the heart, not well educated in the department, but the hospital settles on its actual professional skill and managerial ability, give the acting chief accountant's important position to him. Lin WenHua says quiting thoughts and feelings: "This is a kind of encouragement, forcing you to study intensively the business, improve the standard, otherwise probably eliminated. " Thai administration and logistic administrative department of heart hospital highly simplify. There are a pair of two presidents in the hospital, the president still holds the secretary concurrently, the of hospital office 2, 2 of Human Resource Department, rear-service ensurance portion are 5 people Most middle level managerial cadres take upon oneself several posts. Such flat organization framework has offered the guarantee for the fact that the high efficiency of the hospital ran. In 509 staff of the hospital, the administrative cadre only accounts for 4.5%. Only president Liu XiaoCheng is engaged by the management committee of development zone, other staff are all employed independently by the hospital. Unless it sounds, have the final say heart hospitals Thai XiaoCheng from Liu alone, actually is getting bigger otherwise. Liu XiaoCheng says: "The hospital has made healthy operating mechanism, healthy competition rules and regulations. Why set up prestige, inspiration cohesiveness? I letting others do do first, am not done first by I doing. The hospital passes the board of trustee of quality, academic committee, safe board of trustee, the apparatus and board of trustee of goods and materials, infect the board of trustee, board of trustee of case, the board of trustee of blood transfusion, board of trustee of medicine thing carry on science decision and democratic decision-making with the congress of workers and staff with this nine major committees of ethics committee. President lead group draw, run by two hospital that wheel set up these forward. " (leave and rotate the 3rd) (have and connect the 1st) In the Thai heart hospital, anyone moves 1 fen clearly. "We spend money having very strict settling the system in advance here, not merely have the whole year events are settled in advance, it is settled in advance also there is time slot. Financial head of the department, general accountant will check on strictly, the cost of each department follows the budget. For example the intersection of B and of superior grade large-scale equipment purchase, file an application by the intersection of function and department, assess by the intersection of hospital and academic committee and the apparatus and board of trustee of goods and materials and vote, the hospital forms the resolution, is called for bid by the management committee of development zone finally. The administration is too, the department proposes entering the medicine catalogue, the medicine thing committee votes after discussing, the final result may be that this medicine is very good but very expensive, do not enter either without using. If the clinical specific patient really needs, just agree to buy one batch for this patient, but not buy in a large amount. " Because separate, fully authorize in the government the government affairs, the management committee of development zone does not intervene the operation management of the hospital, medical service content and quality are totally designed and realized independently by the hospital. The management committee exercises the function only in such aspects as president's appointing and removing, president's salary confirming, laws and regulations, supervision, accredit a Financial Controller, the economical operation account of the periodical audit hospital in the hospital at the same time. Liu XiaoCheng says: "Taida leader say ' I leave you alone, you have often Pressure and power '. Really so, am I in charge of this hospital than the tube? Well invite the drought to raise an obedient Pian badger one! 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Harmonious health how environment make if Thai the intersection of heart and hospital run change of way like nuclear fission that can produce sharply operation, its put forth effort, exert an uplifting influence on and influence to the intersection of medical worker and mental outlook and the intersection of job and personal integrity as if produce chemical reaction to unite the key deeply then. After the whole system of appointment is implemented, see " sneak the rule " not taking commission, accepting covert payment to the patient from the company here ,And scientific performance examination method and strict mechanism of management have cut off the interests roller chain among medical worker, medicines, medical equipment producer, drawback that have effected a radical cure through making the great prescription, thorough examination induces medical consumption. The medical worker can see the doctor, clear and obtain the operation environment of honourable remuneration for the patient conscientiously. Internal and externally simple and healthy interpersonal relationships, harmonious and harmonious colleague's emotion, have become major culture in the Thai heart hospital. Liu XiaoCheng says to reporters: "What the Thai heart hospital sets up confirms at the beginning that runs institute's idea, runs institute's thought and must be based on insisting on public beneficially. Doctor and nurse's bonus is not got in touch with the income, but just weigh with quality, quantity, turnover rate of the sick bed, patient's satisfaction of the work. The performance of the department is not tied to income, but get in touch with the expenditure tightly. Only make great efforts to reduce cost of manpower and material consumption, could obtain better performance salary. So, whether from the encouragement way of the income or seen from checking and calculating the way of expenditure, staff - -Department - -Hospital - -The people's interests are all combined together tightly, make the hospital make every effort to pass and devote society, the repayment society, obtain larger development space and faster development speed with country and people benefit running parallel with. It is earned more that the doctor does not charge money the more; It is the more well but it is the less to spend money, the more difficultly manage, serve, it is the more manily to earn. Having changed the incentive mechanism in doctor's heart fundamentally in this way, it is not to encourage his much evolution, check more, overcharge, but encourage him to work, do good work, do heavy work, improve the ability to cure the disease for the patient more. " See the Thai modernized building of heart hospital, in addition " world " in institute's name Two big characters, originally a lot of ordinary people hang back. And really the talents in hospital find, in fact the charge here is lower than that of some small hospitals of the hinterland, and it is open and clear to charge, does not accept covert payment. Even brother all say: "Here is a standard of a star, common people's price. " Yang XiuJun transferring from one hospital to another and coming from Shangqiu, Henan says: "As soon as I plan to see the doctor at 100,000 yuan, I just come the 6th day to perform the operation, can leave hospital when having 3 days. Never expect so fast, think of so cheap either, have altogether, cost more than 50,000 yuan, and the nurse takes place the statement of expense every day. " Surgeon Zhang JianLiang, when the graduate student of BJ Univ Hospital graduated from in 2005, weighed and chose the Thai heart hospital several times. "Work here, the management that the quality accuses of centre and medical insurance department is quite strict inside the hospital, surmount the range administration, treat, not only there is no advantage, should but also face inquiring, checking even punishing in writing. The healthy culture atmosphere of the hospital makes us very conscientious, the patient does not give the covert payment when knowing, it is not looked for either that medical representatives knew, the doctor puts all attention in seeing the doctor, operation, do a good job of one's own one. Though is very busy, find pleasure in it " . Lin WenHua is to build bright old alumnus more than one, period for preparatory work before the hospital was open in 2003 came. "There is no covert payment here. Charge by president, department chief of the office charge and following doctor accept either. From the viewpoint of profound level, this is not in charge of out, expedite child delivery in the positive atmosphere of clear air of wind. Work, need, calculate how many patients should charge how much all day in here, how to treat money charged is more. Because how much medicine patient use, make, check more or less and what fee does it pay, the doctor takes less than one fen. The doctor's income is examined according to operation difficulty and quantity. See the disease with the higher technological difficulty, the performance is the taller in grade, bonus is the more, if inborn heart atrial septal defect, performance grade of the ventricular septal defect are 1, it is 2 to put up a bridge, the law happy disease of block of four is 3, it is 6 that the heart transplant is of supreme garad, and bonus disparity can reach one hundred yuan of Forth Five-Year Plan Period between each grade. Trust and satisfied and important of patient, because that public praise of doctor. My patients were all sent for according to legend by a mouth. On such a platform, doctor and hospital all go to a large step in one year, our involvement surgery quantity of the hospital has already been arranged in the second of Tianjin now, do to a doctor the very dignified and fulfillment here. " A subject nurse Han YaNan says outside: "In our institute, the operation patient prevents the administration from being less than 12 hours; There can be at least little postoperative administration, do not abuse medicines; Postoperative up to standard medicines stop automatically. The department does not harvest any flower, gift and silk banner of the patient's. " The Thai heart hospital can be confirmed from their financial statements too to deduct, does not abuse medicines while retracting: On this courtyard of financial tables over the past 7 years, it is at most 14.77% that the medicines income accounts for the proportion of gross income of the hospital, it is 12.08% to be the lowest. Talk with president Liu XiaoCheng - -Things of vitality be able to be duplicated Reporter: One sentence of armies of Henan patient Yang Xiu " There is too few, too few such a hospital " ,Reveal masses' urgent mood and hope to the public hospital reform truly. Is the Thai heart mode used in the other hospitals and be acclimatized? Can duplicate? Liu XiaoCheng: Can't overly emphasize the particularity of the Thai heart hospital. The essence is that we walk on the right way, walk in the law. What we are engaged in is not innovation, but restore ancient ways, come back, get back to Hippocrates and Li Shizhen one of undertaking of healing the wounded, rescue the dying since ancient times is had originally. This is a law. The law is inherent, it is the objective reality independent of man's will. Every things which accord with the law have vitality. Every thing with vitality can be duplicated. It is the same to run the hospital. Reporter: Someone says, the public hospital reform is the deep water of the medical reform. At the present stage, the public hospital is during the reform It is very difficult to accomplish something. As to this how do you see? Liu XiaoCheng: The public hospital not only carry the heavy load of planned economic system but also faces the pressure of market economy, it is really difficult to change completely. But is the production-related contracting of the small hillock village of Anhui of those years easy? Is the state-owned enterprise reform easy? Will not make a change? The last why the public hospital becomes " The fortified village " ? In fact the public hospital reform includes two aspects: The government changed the government, the hospital changed the hospital. The ones that can make a change completely make a change completely immediately, the ones that can't make a change completely come step by step. Everybody should reach common understanding: Change early work early, change late work late, does not change not to live. Thing of government let government go, run, hospital can what does it make a change? For example " subside swelling and reduce weight " ,For example the logistics is socialized, for example the performance is examined, these are reformed. Why does not change we ourselves can change? Reporter: What is planned to explore next in the Thai heart hospital? Liu XiaoCheng: The improvement that the hospital manages and serves is endless. But in any case, the properties of the hospital can't change. Must hold the loud flag of humanitarianism high, which day reach all want universal fraternity to cross a river generation. I really dream of, will develop in the future, can treat orphan and the poor free.


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