From " remove the administrative rank cap " Start

From " remove the administrative rank cap " Start
Staff reporter Yan � Cancelling president's administrative rank, the general accountant of the hospital is on duty, presume the red line of income proportion of medicines, check and rate and does not talk about heroes more or less with the business income again at the end of the year Since 2005, the city of Shandong Wei workshop was from strengthening the public hospital public beneficial and helping the government to supervise and start with effectively, explore the effective form of the public hospital reform actively, set up with " distinct ownership tentatively, improve administrative power, strengthen authority to supervise " It is the management system of public hospital of the main content, the public hospital because it assumes a hostile attitude quietly. On February 23, 16 public hospital reform countries contact the urban list of the pilot project to be announced, the city of Wei workshop is listed. This city has already classified the public hospital reform pilot project as the important content of the social cause reform, have confirmed that boosted work " The street map " . This Xu Li, mayor of city, says that will guarantee reform's success wholeheartedly. The tube under the great hygiene frame runs and separates the horse of Wei workshop, Deputy Secretary of Party Committee of medical college of Shandong, to just leave peacefully from position of chief of Municipal Health Bureau. He introduces, goes over, cadre, personnel, assigned and supervision mechanism of public hospital of city of Wei workshop have been extending " multicipital management " under planned economic system all the time : The organization department is in charge of being in charge of being in charge of being in charge of curing the policy in the money and goods, Ministry of Health in personnel, financial department in the cadre, personnel department. "The government should manage, such as assets supervising, development plan, great decision,etc., there is no complete tube to stand up; And cadre, choosing the right person, right of distribution,etc., are in charge of dying too much, very much. There are the hospitals, for example use human rights, the president has said and does not include; But power that shouldn't have very large, construction project, buy loud apparatus, commercial loan,etc., the president has the final say. The government is scarce to check on and supervise strictly. " Managed too much and in charge of so that no phenomenon enough to coexist to the public hospital, the intersection of Wei and the intersection of workshop and until function seperately belonging to the public hospitals of management of different government departments unified and coordinated by health authority originally city. Meanwhile, set up the management organization of the hospital in health authorities, is responsible for running the hospital; Have the health inspection authority, is responsible for being in charge of the hospital. One health authority implements the management through specialized department to the subordinate public hospital, " run whom government should run well, manage whom government should in charge of well, finish whom market should make " . " run what the government should run well " ,Mean the government plays a leading role in respects such as the institutional improvement, resource distribution, increasing input and strengthening and supervising,etc., put forth effort to run the health undertaking well and bear basic medical treatment, represent the public medical organization of the regional level, ensure everybody to enjoy the basic health care service. " manage what the government wants the tube well " ,It mean hard ones that health authority realize is basic duty from " Do medicine " To " in charge of medicine " Shift, strengthen the trade to supervise with main energy. " do what the market wants to do well " ,Mean that insists that unifies with efficiency fairly, government's leading factor and giving play to the role of market mechanism to combine together, introduce the market mechanism in the public beneficial hygiene industry actively, raise operational efficiency, service level and service quality. Before the able one has the mediocre ones and plays the chief of Municipal Health Bureau of Wei workshop yellow and enters last April to take up an official post, the post of directors of people of city of Wei workshop that been serving as all the time, experience the public hospital that this city pursues personally to reform. "The reform has caught the president's encouragement tied mechanism, employing mechanism and the key of the income distribution mechanism of the hospital. " In the reform, the city of Wei workshop has cancelled the administrative rank and strength quota of public hospital, system of appointment of implementation of all choosing the right person. The president is engaged by health authorities, elected for a term of 4 years, work as 2 in a hospital at most; The annual pay is ensured forming by basic income, achievement income and welfare, release after checking and rating, total value is 3 time to 5 time of annual mean salary workers of our institute. The intersection of president and system of appointment, tenure make, yearly salary system and check and rate combination that make year, force president want, spend all attention on how manage well. Huang Jin says, the power that the reform let the president have yes. "For example used human rights, worked out the quota in the past, it is not good for personnel to overstaff, the person that wanted can not come in, but unwanted person must enter, can stock, can produce. Cancel working out stipulating, implement the appointment system for the entire personnel, the hospital can be according to the needs of development now, work out planning and plan of choosing the right person, after the health bureau sanction, press relevant procedures and recruit. To the cadre, can have and can't leave in the past, section cadre's general lifelong system, incompetent, neither qualified nor easy to remove from office. Cancel behind the administrative rank, engage over two o'clock, avoid automatically at the specified date. The able one has, the mediocre one is left, has broken the lifelong system. " (leave and rotate the 2nd) (have and connect the 1st) But during the public hospital reform of the market of Wei workshop, it is not an isolated measure to cancel the hospital administrative rank, and a series of reform measure and its complete network. Ownership that should be distinct first. Huang Jin says, after the reform, health authorities are entrusted by government and state-run assets department, function in an acting capacity of assets owner and contributor function, appoint and remove and check and rate the right of rewards and punishments, right of being in know of revenue and expenditure, manage authority to supervise and develop the policy-making power. The health care unit is an operator, president's useful human rights, right of distribution and power of management. This forms state-run assets management - responsible institution - three layers of supervisory systems of unit. Secondly it is the distribution system that is reformed. 50%~60% of business revenue and expenditure balance of hospital are the total value of the salary, including salary, bonus, welfare, insurance,etc., the concrete proportion is confirmed together with the finance, personnel department by affiliated health authorities. The hospital makes the concrete post salary according to the payrolls. President of city of Wei workshop institute of traditional Chinese medicine Lu HongKai says: "Implemented the salary of post and rank in the past, arranged in order of seniority, did and did little more, it is easy to do to do badly, should carry out the salary of post and rank, distinguish that can only reflect on the bonus. After the reform, implement the payrolls system, there is 40% revenue and expenditure balance as the expansion funds, have guaranteed the worker's interests, has guaranteed the sustainable development of the hospital too. The president can also make the allocative decision rationally according to the unit detailed conditions, implement the salary of post, break the frame that arranged in order of seniority in the past, slope to technological post, a gleam of post, post and department having a big risk, reflect the more pay for more work, has aroused the enthusiasm of worker effectively. " The third characteristic of the public hospital reform of city of Wei workshop is to strengthen authority to supervise, implement general accountant's appointing making to the public hospital. The general accountant has double duties: First, entrusted by Municipal Health Bureau and supervised state-run assets; Second, participate in the financial administration of the hospital under the leadership of president, supervise the hospital to lower consumption, increase the benefit. At present, 7 city owned hospitals have already set up vice general accountant, each hospital only opens an income family and a expenditure family in principle. President Ge MaoHong in the mental hygiene centre of city of Wei workshop says: "Capital construction, apparatus were purchased, investments abroad, bonus and released in the past, all hospitals determine, acquire medical apparatus and great volume maintaining, house repairing, discipline construction over 200,000 yuan,etc. now independently The expenditure should be reported for approval too, the expenditure with little number should be put on record. Are these made? Army garden pharmaceutical one one torr of fish hawks of standing grain steal, shake the intersection of �� and scene all �� You ���� acenaphthene puts one in order all Yin Zhyuan Ying one hertz of � alkyne in Hangzhou melts and writes Lang Jie! ? How to appraise the achievement of the hospital not to judge heroes by business income? The examination which Wei workshop Municipal Health Bureau makes compares and assesses the method and requires the hospital to increase work load more, lower costs, control the expenses. On the basis that to every directly subordinated hospital financial affairs and the budget carries on rough estimate, this city is on the premise of controlling strictly, have made the clear regulation to the percentage of the medicines incomes in business income. For example, calculated in detail, the percentage of the medicines incomes of workshop market third the People's Hospital of Wei in business income is confirmed as 47%. And the intersection of Wei and the intersection of workshop and the intersection of city and the intersection of the People's Hospital and medicine account for most high to up to 57% than before, drop to 53% last year, demand to drop to 48% this year. Ones that exceed this proportion, deduct the president's examination to divide. This proportion has become the red line that every hospital does not dare to go beyond. A person in charge of maternity child care center of city of Wei workshop says: "The proportion that the examination method requires our medicines income of the hospital to account for the business income does not exceed 30%. In this way, base on the premise that the patient cures the disease, we must use regular medicine instead of more high price medicines. Can 100 more than, one penicillin have only 0.36, we want, use more the latter certainly. " Huang Jin says, examined more extensively to the president's supervision in the past. After checking and rating the system at the end of the year, health authorities check and rate the system according to the science made, also especially include the public and the staff satisfaction in checking and rating the content, every job has a examination index. The president examines and does not pass and wants to warn and strive in one year, does not pass and discharge for two years. The reporter knows in the interview, up till now, the city of Wei workshop has had 3 public directors to " get down from horse " because of this new policies . Statistics reveal, in 2008, the average every clinic person's expenses of 8 hospitals will drop by 1.5% compared with the same period of last year directly under Wei workshop Municipal Health Bureau, in hospital bed day each time the expenses only increase by 3%. In 2009, the average every clinic person's expenses of 8 hospitals will drop 2.1% compared with the same period of last year directly under the office, in hospital bed day expense increasing degree will be controlled below 3% equally, the average proportion that the medicines income accounts for the business income drops to 48%.

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