I. Basic overview
Huidong County is located at the edge of the Pearl River Delta, adjacent to Shenzhen, Hong Kong, Shanwei and Dongguan, and close to Huizhou, Huiyang and Daya Bay Development Zone. The surrounding area is relatively developed: Huidong County is composed of mountains, coasts and rivers, with an area of 3,998 square kilometers and a population of 760,000. There are 2,500 private enterprises and foreign-funded enterprises with a population of more than 400,000. The sea can go directly to Hong Kong. There is a large floating population. Medical and health institutions are composed of county-owned units, county people's hospitals, county maternal and child health hospitals, county traditional Chinese medicine hospitals, county epidemic prevention stations, county chronic disease prevention stations, 22 township hospitals and individual clinics. The total number of beds is 1 100, and the annual income is 1 100 million yuan, including 35 million yuan for county people's hospitals, 9 million yuan for Chinese medicine hospitals and 60 million yuan for health centers. The three major hospitals account for more than 50% of the total income. There are 38,687 inpatients, 850,000 outpatients, 2,028 health workers and 732 medical staff 1.6, including deputy chief physician 1.38.
Second, medical prospects and prospects
At present, the total population of our county is about 6.5438+0.2 million. According to the normal incidence rate of 4, the daily average number of patients is 4,800, the number of outpatients is about 6.5438+0.75 million, and the number of inpatients is about 60,000. At present, there is a shortage of medical technicians and backward equipment in Huidong county, which leads to the loss of a large number of medical resources. Most coastal patients go to provinces and cities for medical treatment, and most county cadres are lost, which leads to a great contradiction between supply and demand. Due to the existing system problems in various medical units, the staff is overloaded, the quality of medical staff is low, the treatment is low, and the management system is rigid, which fails to give full play to the enthusiasm of the majority of medical staff. The original medical service is far from meeting the medical needs of Huidong County. If a general hospital with about 200 beds is set up in Huidong County, the location of the hospital is still good, such as Chiling Development Zone, at the exit of Guangshan Highway and Shenshan Highway, at the junction of Huangpai and Huancheng Road of Sports Bureau, next to the road opposite to Yin Ji Logistics Center, and the mountainous 10 township goes directly to the location of the hospital through Jiaotian Highway, which is the only way for 9 townships in coastal areas, and it is very close to the county seat, with obvious geographical advantages. The silver-based logistics center with an investment of 800 million RMB will be put into use in August this year, when the population will increase by more than 30,000 people, nearly 30 kilometers away from the CNOOC Shell project. Large-scale projects such as Uni-President Group, Brahma Industrial Park and Guohua Electric Power Shaogang will be located in Huidong within 3-5 years, and it is promising to build the hospital into a second-class first-class hospital with first-class equipment, first-class talents, first-class service and first-class management.
Third, the hospital management
To establish a joint-venture hospital or a joint-stock hospital, we must abide by the relevant laws and regulations of the state, provide medical services, establish a target responsibility system for the president under the leadership of the board of directors, optimize the combination and manage at different levels. The personnel system adopts the full appointment system, with posts and people competing for posts; The distribution system should implement the participation of production factors in distribution, establish a distribution incentive mechanism that pays attention to performance and contribution, inclines to outstanding talents and important positions, implement the basic annual salary system in combination with the reality of the health industry, adhere to the combination of distribution according to work and participation of production factors, adhere to the floating reward mechanism linked with performance and benefit, embody first-class performance and first-class reward, and achieve the unity of responsibility and right, the consistency of contribution and reward, and the coordination of personal income and hospital benefits; Do a good job in establishing the hospital image project, publicize the hospital through various channels, make the hospital image deeply rooted in people's hearts, establish the image status of technical talents and academic leaders in society, establish brand effect, guarantee basic medical services, actively and steadily carry out new technologies and projects, strive to fill the gap in Huidong's medical and health care, establish a set of management mechanism, establish a people-oriented and patient-centered service concept, improve medical technology and service level, and humanize management, all for the benefit of patients.
Iv. establishment and personnel
First-class hospitals, efficient management, mainly the rational layout of hospital departments and the distribution of human resources are very important links, and talents are the most important. Through online recruitment, newspaper recruitment and local recruitment, an excellent team with high quality is formed, which plays a very important role in the development of medical services and economic benefits of the whole hospital.
According to the hospital's 500 beds, there are 383 people in the hospital.
Dean: 1 person
Vice-Chairmen: 2 persons
Office, Human Resources Department and Security Unit: 5 persons.
Medical department, nursing department, preventive medicine department and health care department: 5 people.
Finance Department: 5 people
Information, medical record management, library and remote consultation system: 3 people.
Equipment, pharmacy and logistics warehouse: 7 people.
Driver: 6 people
Surgery (180 beds): 65 people.
Microscope, Brain Department, Orthopedic Department, Burn Department, General Surgery and Urology Department 1 Deputy Chief Physician ***6 people.
Attending physician: 20 people
Nurse in charge: 3 people.
Nurses and teachers: 36
Internal medicine (120 beds): 44 people.
Deputy chief physicians of cardiovascular, neurological, digestive, respiratory and hematological endocrinology 1 name, 5 people.
Attending physician: 13.
Nurse in charge: 2 people.
Nurses and teachers: 24
Pediatrics (60 beds): 22 people
Deputy chief physician: 1.
Attending physician: 8 people
Nurse in charge: 1 person.
Nurses and teachers: 12.
Obstetrics and Gynecology (60 beds): 22 people
Deputy chief physician: 1.
Attending physician: 6 people
Nurse in charge: 1 person.
Nurse+midwife: 14.
Five senses, traditional Chinese medicine and rehabilitation department: (60 beds): 25 people
Attending physician: 2 people
Physician: 8 people
Nurse in charge: 1
Nurses and teachers: 14.
Hyperbaric oxygen chamber: 2 persons
Nuclear magnetic resonance, CT and X-ray: 10 person
Deputy chief physician: 1.
Attending physician: 3 people
Doctors and technicians: 6 people
Clinical laboratory: 14 people
Inspector in charge: 4 persons.
Inspector: 6 people.
Medical technology department: 7 people
Color Doppler ultrasound, B-ultrasound, ECG, EEG, Doppler
3 attending physicians
Doctors and technicians: 4 people
Anesthesiology department: 9 people
Attending physician (anesthesiologist): 3 people
Nurses and teachers: 6 people
Emergency and outpatient: 25 people
Attending physician: 15.
Nurses and teachers: 10.
Supply room: 5 people
Nurses and teachers: 5 people
Pharmacy (Chinese and Western): 15 people
Pharmacist in charge: 2 people
Pharmacists and doctors: 13.
Registration fee office: 12 people
35 external workers
Cleaners, earthwork workers: 12, plumbers: 1, elevators: 1, flower workers: 2, security team: 15, laundry room: 5, canteen 5, investment.
To build a 500-bed general hospital, the estimated total investment is 65,438 yuan+365,438 yuan+460,000 yuan.
1. Infrastructure: 82.2 million yuan.
Land requisition is 50,000 square meters, with a price of 100 yuan per square meter, that is, * * * 5 million yuan;
Ward, clinic and office space: 34,200 square meters, covering an area of 1 10,000 square meters;
Other workshops: 2,000m2, with an area of 1 1,000m2;
Family living area: 20000 square meters, covering an area of 7000 square meters;
Green area: 2000 square meters
Parking lot: 5000 square meters
Construction (including construction fee): 56,200 square meters × 1 0,000 yuan = 56.2 million yuan.
Decoration: 20 million yuan
Greening and parking lot: 6,543,800 yuan+0,000 yuan
2. Main medical equipment (unit: 10,000 yuan): 49.26 million yuan.
5 ambulances: 250 administrative vehicles; 3 ambulance: 120.
Computer Network: 80 Central Oxygen Supply: 50
Central sputum aspiration: 10 paging system: 10
Logistics distribution: 100 Central air conditioning: 50
Elevator No.6: 360 Sewage Treatment System: 100
1000KW generator set: 100 beds and cabinets (500 units): 250
50 medical ambulances: 3.5 medical record cabinets: 30: 3.
6 patient cart: 1.5 defibrillator 3: 12.
28 computerized infusion pumps: 28 vital signs monitors 15: 75
2 sputum aspirators 1 electronic gastroscope: 50
Electronic colonoscopy: 15 fiberoptic nasopharyngoscope: 20
Operation microscope: 30 laparoscopy: 15
Hyperbaric oxygen chamber: 30 vacuum autoclave 3 sets: 25
6 shadowless lamp: 25 surgical instruments: 8
Dental instruments: 4 sets of otorhinolaryngology surgical instruments: 4 sets
2 sets of dental chairs: 8 sets of rehabilitation equipment: 30 sets
There are 6 operating tables and 50 pathological equipments.
Colposcopy: 15 mammography: 5
Uretercystoscope: 12 painless delivery instrument: 5
Electric abortion machine: 0.5 Fetal ECG monitor: 25
Neonatal rescue desk: 16 neonatal incubator: 3
Fracture microscope: 3 maternity beds: 3.
2 sickbeds: 1 high frequency power: 8
Extracorporeal lithotriptor: 50 ventilators and 2 ventilators: 120.
Anesthesia machine: 80 ECG monitors: 20.
Color Doppler ultrasound: 150 B ultrasound 2: 60
Electrocardiogram stereo: 25 Doppler: 15
1.5T standard magnetic vibration: 1000 spiral CT: 400
500MA separate gastrointestinal machine: 100 Digital X-ray machine 3: 75
C-arm bedside X-ray machine: 5 automatic punching machines 2: 40
Hemodialysis machine 4: 50 automatic biochemical analyzer: 150
Blood gas analyzer: 25 Blood analyzer: 20
Urine analyzer: 5 standard analyzer: 8
Electrolyte analyzer: 15 Urine sediment analyzer: 20
Bacterial analyzer: 80 protein chip diagnostic instrument: 60
Magnetic separation analyzer: 5 microscope 3 components: 3
3 centrifuges: 2.5 refrigerators 16: 8
2 water bath boxes: 1 incubator, 2 drying boxes: 2.
3. Working capital: 3 million yuan.
Advantage and prediction of intransitive verbs
According to the hospital's 500 beds, the number of outpatients can flow to 800 people every day, and there are five departments including surgery (5), internal medicine, pediatrics, obstetrics and gynecology, rehabilitation, anesthesia, radiology, laboratory, medical technology, emergency, outpatient (Chinese medicine, infectious diseases, surgery, stomatology, gynecology, pediatrics and rehabilitation) and administrative functions. Cleaners, ground crew, security guards, plumbers, gardeners, laundry rooms, canteens, etc. in the foreign affairs office. It is estimated that the number of outpatient visits in the whole year is 6.5438+0.8 million, the number of inpatients is 654.38+0.6000, the average hospitalization expense is 3,000 yuan, and the outpatient 60 yuan expenses. The total business income is 58.8 million yuan, the gross profit rate is 60%, and the gross profit is about 35.28 million yuan. According to the expenditure calculation, the annual salary of the staff is 6.5438+0.2 million yuan for the president, 200,000 yuan for the vice president, 80,000 yuan for the deputy chief physician (20 people * * 6.5438+0.6 million yuan), 50,000 yuan for the attending physician (87 people * * 4.35 million yuan) and 25,000 yuan for the doctors and nurses (6.5438+0.5 yuan). Foreign affairs staff 1 ten thousand yuan (35 people * * * 350 thousand yuan). Total * * * 1 1.675 million yuan, water and electricity 2 million yuan, insurance and office expenses 3 million yuan, and the annual profit is about186.05 million yuan.
Seven, profit sharing:
In the investment stage, the time for infrastructure construction and transformation is about two and a half years, and the capital investment will be gradually given according to the progress of each stage. The investment in the first year is 50 million yuan, the second year is 50 million yuan, and the third year is 3 1 03 1 10,000 yuan, with a total investment of 1 10,000,000 yuan. In the first year of operation, the investment in profit forecasting business was 58.8 million yuan, the gross profit was 60%, 3528 yuan, the salary was116.75 million yuan, the expenses of water, electricity, insurance, maintenance and office were 5 million yuan, and the net profit was18.6 million yuan. In the second year, if the profit forecast business grows by 654.38+00%, the total income will be 64.68 million yuan, the gross profit margin will be 60%, 388.08 million yuan, the salary will increase by 654.38+00%, 654.38+0284.25 yuan, the water and electricity insurance maintenance office expenses will be * * 5.5 million yuan, and the total expenditure will be 654.38 yuan. The profit forecast for the third year, if the business growth is 10%, the total investment will be 71148,000 yuan, the gross profit margin will be 60%, and the salary will be 10%,14/kloc-0. By analogy, the annual net profit increases by about 9%, the fourth year's profit is about 24.763 million yuan, the fifth year's profit is about 27.24 million yuan, the sixth year's profit is 29.964 million yuan, and the total net profit for six years is 654.38+0.43544 million yuan, and 654.38+00% of the annual profit is withdrawn and recovered as the development fund.