Under fire

 

It was a bad days… On the passing over the day before, Lem had told me that tomorrow meeting would revealed our effort of work… I stared at him and told him that nothing much to shout as we definitely would be the target of cross fire….our effort would not be seen !

I explained to Lem that, the figure presented to the meeting is unfair to ED.

In most of the hospital, ED would have been a money losing department. Why ? The National health insurance had divided the medical fee into 2 portions. The OPD(ED included) and the In-patient. A fee generated by an ED patient admitted to ward would be counted fully into In-patient claim instead of ED. So whenever a patient is admitted, that particular revenue would be off-hooked from the ED income. Unlike the other hospital, 70% of the admission came from ED (other hospital range from 20-40 instead.

I told Lem, don’t expect any increment as most of our effort would not be notable in the presentation. In actual fact ; more admission from ED = less ED income….

The presentation by the director of hospital affair was as I predicted. The figure generated from OPD and ED was slight increased compare to last year… why, we had admitted a load of patient in the past 2 weeks – keeping the in patient rate to 90% for the past 2 weeks…but still, that part of the effort was compromised by a mass discharge of patient ( almost 50 beds in one day)….

Some of the staff had come out and bombarded the ED for admitting not enough patient….and that pissed Lem off, the ED patients is 1/5 of the total patient /days but still we are taken for granted to be the major admitting window….

We had a short discussion in the morning and agreed to fight back on the next meeting… we would be demanding a new way of presenting the figure, a presentation which could show we are working very hard….