The dynamic management of the diagnosis and treatment team, from the patient's choice rate, satisfaction rate and quality, workload, efficiency and other indicators to be quantitative assessment, the assessment of those who failed to be a yellow card warning, rectification, until eliminated. The eliminated attending physician within one year canceled the qualification of the competition.
In order to ensure the maximization of social benefits, Shaoxing Hospital stipulates that the drug revenue has nothing to do with the income of the diagnosis and treatment group. Hospitals based on historical data, each group of drug revenue can not exceed a certain percentage of medical revenue, once more than the standard, the excess part of a certain percentage of the diagnostic and treatment group should be deducted from the benefit of the month's salary; diagnostic and treatment group of the average hospitalization day shortened by one day on the reward of 2,000 yuan, and vice versa, the extension of one day on the deduction of 2,000 yuan; diagnostic and treatment group of the average cost of more than the standard part of the average cost of a day per bed (after the proportion of drug revenue), 40% of the proportion of the proportion of drug revenue After), a 40% deduction of the month's payable benefit salary.
Shaoxing People's Hospital in the wage system reform, in addition to the state wage as a file salary, and the introduction of the concept of "performance pay", diagnostic and treatment groups in accordance with the attending physician, deputy attending physician, resident positions, the establishment of the corresponding post salary: the attending physician 1,000 yuan per month, deputy attending physician 900 yuan per month, the resident 800 yuan per month. Nursing group in accordance with the head nurse, nursing team leader, nurses, the establishment of the corresponding post salary: the head nurse to implement the annual salary system, nursing team leader 900 yuan per month, nurses 800 yuan per month.
Principles of distribution of the diagnosis and treatment group
In the diagnosis and treatment group, inpatient treatment, oxygen, materials and other income, medical and nursing 50% each; inpatient diagnosis and treatment, outpatient registration, diagnosis, treatment and other income is attributed to the diagnosis and treatment group; bed income, nursing income, accompanied by the income is attributed to the nursing group. Drugs are not included in the income of the diagnosis and treatment group.
Salary, pension, provident fund, welfare, medical insurance fund, unemployment insurance, travel, training, transportation, and part of the quality costs are credited to the corresponding diagnosis and treatment group and nursing group in accordance with the actual amount; depreciation of equipments is firstly shared by the doctors and nurses in accordance with the ratio of 5:5, and then by each diagnosis and treatment group equally; depreciation of the house is borne by the nursing group; other non-divisible costs are shared by the diagnosis and treatment group and nursing unit equally; the diagnosis and treatment group and the nursing group equally; the diagnosis and treatment group and the nursing group equally. Other undivided costs are shared equally by the treatment group and the nursing unit, and then among the treatment groups according to the actual number of bed days of the discharged patients. The outstanding fees are borne by the patient's diagnostic group and nursing group according to a certain percentage.
The profit share between clinical and medical technology is 6:4, of which 7:3 is for medical and nursing, and the profit share between treatment group and surgical anesthesiology department is 5:5, of which 7:3 is for medical and nursing. outpatient expenses belong to the treatment group, except for some departments.
Patients in the hospital during the choice of diagnostic and treatment group, its income, hospital bed days all transferred to the new choice of diagnostic and treatment group, but the cost is not transferred; the original cost owed by the transfer group is responsible for the transfer of the group, the transfer of the group after the transfer of the new arrears of the group is responsible for the transfer of the group.