Annual income is 4 million!How does this "rehabilitation department" do this?

Half of the hospital's income comes from the rehabilitation department, and it is difficult to find a bed. How can I do it?

Nearly half (45%) of the township health centers came from the rehabilitation department (merged with internal medicine, the same below), and nearly half of the personnel (45%) came from the rehabilitation department -this phenomenon occurred in Songu Township Health Center of Jiexiu City, Shanxi Province.

In September 2019, two years after the establishment of the Jiexiu Medical Group, Jiexiu People's Hospital canceled the rehabilitation hall and sank more than 30 rehabilitation medical skills at that time to the Songgu Township Health Center.

Three years later, there were 121 employees in the township health center, including 54 clinical rehabilitation department, and more than 1,500 hospitalized hospitals a year. In Songu Township, which has a population of only more than 30,000, the annual income of about 9 million yuan last year, of which the rehabilitation science income was about 4 million yuan.

Lei Haichao, deputy director of the National Health and Health Commission, said, "Putting rehabilitation in the township health center to do ... The optimized allocation of resource three -dimensionalization can definitely improve the economic efficiency of scale, and it is also easy to produce better agglomeration and diffusion. Effect".

Recently, through the Internet connection, Fan Qizhong, the person in charge of Song Guxiang Health Center, showed the dynamics of reform and shared management experience to the "grassroots medical voice".

Municipal technology and township charges make it difficult to find a bed

Today, there are more than 80 rehabilitation beds in Songgu Township Health Center, but it is still difficult to find a bed.

Why are there so many rehabilitation patients in the township toilet? The original words of Fan Qizhong were "the patient enjoys the medical service of the Municipal People's Hospital here, but it is a charging of the township health centers."

In July 2019, Jiexiu Medical Group sank to the Songgu Township Health Center of the Rehabilitation Department of the People's Hospital of Jiexiu, and all 30 medical staff came to work at the Songgu Township Health Center.

For 3 years here, they have established a 2,000 -square -meter rehabilitation training hall with advanced medical equipment such as high -pressure oxygen compartment, DR and remote ECG consultation system, color Doppler ultrasound, full set of rehabilitation equipment and physiotherapy.

"Patients' rehabilitation training after surgery is a long process. There are many patients who need to do rehabilitation, and the venues needed for rehabilitation halls are also large." Fan Qizhong said that in the city in the city In the township, there is a vast world.

Advanced suspension, core training for various hemiplegia and cervical lumbar spondylosis; shock wave treatment instrument is the nemesis of pain; high -pressure oxygen compartment, which promotes the blood supply of ischemia and hypoxia tissues to improve ... After the hospitalization treatment of the People's Hospital, the recovery period was transferred to the rehabilitation medical department for rehabilitation treatment, which greatly reduced the burden on the clinical department.

According to the development model of rehabilitation therapy today, the Department of Rehabilitation Medical Division Establishs a sports therapy area, operating therapy area, swallowing and speech therapy area, physical factor therapy area, traditional Chinese medicine treatment area, and functional assessment room. Responsibilities; and there are neurviring treatment groups, bone injury treatment groups, and muscle pain treatment groups to conduct targeted recovery for patients with various types of dysfunction.

Here has developed into the largest rehabilitation base in Jinzhong, attracting patients from far away to seek medical treatment here.

The patient saved 70 % of the medical expenses

How much can patients save rehabilitation treatment in Songu Township? Fan Qizhong calculated a account through a case:

Patient Xu, who had previously performed brain gum tumors in a hospital, caused the left limb paramissions after surgery. In May 2019, he had rehabilitation treatment at the Jiexiu People's Hospital. After evaluation, the treatment items include PT (physical therapy), OT (job therapy), physiotherapy, and hospitalization costs. The cost of a day is about 408 yuan, and the cost of 22 days of hospitalization is about 8980 yuan. According to the starting line of 400 yuan, a 75%reimbursement ratio, the reimbursement is 6435 yuan, and the personal payment is 2635 yuan.

After the rehabilitation department of the Jiexiu People's Hospital sank to the Songgu Township Health Center, the patient Xu had once again handled the admission for rehabilitation treatment. The one -day hospitalization fee and rehabilitation treatment cost was about 206 yuan, and the 23 -day cost of hospitalization was about 4740 yuan. In the Songgu Township Health Center for treatment, the starting payment line is 100 yuan, 85%of the reimbursement ratio, the reimbursement is about 3944 yuan, the personal payment is about 796 yuan, which is about 1,800 yuan less than before.

The total cost of patients in the ancient health hospitalization of patients had fallen by nearly 50%, medical insurance funds also saved 40%, and the amount of personal payment also decreased by 70%. The three parties of hospitals, medical insurance, and patients were truly achieved.

"I often told patients in the circle of friends that we have high level of treatment, low charging standards, good medical teams, good attitude, many patients want to come over, but there is no bed!" Li Jianping, a patient who did rehabilitation therapy for rehabilitation therapy. Previously, he had been treated in a Beijing hospital for 4 months, and the cost of treatment was 670,000 yuan per month. Back to the Songgu Township Health Center for treatment on September 3, 2021, it cost only about 20,000 yuan in more than 3 months.

For patients, the most intuitive benefit is that the medical technology and services that have been enjoyed have improved, but the burden is reduced.

Doctors are unwilling to return to the city hospital

In Songgu Township Health Center, several details can explain that Jiexiu really promotes medical resources.

Every week, the Medical Group has selected technical backbones of the People's Hospital, Municipal Maternal Maternal and Child Health Center, and Municipal Hospital of Traditional Chinese Medicine. Work rules and regulations.

Wu Junying's team director Wu Junying's team of the First Hospital of Shanxi Medical University regularly sinks directly to Songgu Township for teaching and inspection, and completed the "point -to -point" docking from the provincial hospital to the township hospital. This is the work mechanism of "two times and two uses" of Jiexiu City, that is, the focus of the center of gravity of medical and health work, sinking medical and health resources, and "municipal medical and townships, township medicine villages".

Leaving the urban area for two years of work place and place, employees will feel that it is not convenient to get off work. Later, under the coordination of the medical group, the transportation allowance of employees was added, and the straight -line buses from the Municipal People's Hospital to the townships were applied to reduce the cost of commuting.

Nowadays, in the ancient hospital of Songu Township, the number of patients is large and the workload is large, but some backbone doctors have bluntly said that work is more passionate now. While these medical staff provided high -quality services to the people at the grassroots level, the city has also increased the titles of the professional titles of doctors working in the township health centers.

"The business level has improved, the title is promoted, and the income has increased. Some of the former people's hospitals from the Municipal People's Hospital arrived in the township, and now many are unwilling to go back." Fan Qizhong said.

Source: Primary Medicine of the Medical Community

Responsible editor: Zheng Huaju

School pair: Zang Hengjia

- END -