The hospital recovered from the grip of the coronavirus epidemic. Many might say that there is peace now. However, the opposite is true. The hospital is trying to catch up with the months when surgery and non-acute care were limited, and major investment projects are taking place here. We talked about all this with the director of the hospital, MUDr. Stanislav Holobrada.
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Personnel stabilization is important, because the two years of the epidemic put a huge strain on staff who did not have a chance to rest and choose a holiday. It is also visible and somewhere I feel an unpleasant tension inside the teams. Perhaps the time without covide and vacation will allow everyone to gain new strength. We will try to thank them not only by getting more paid, but also by allowing them to improve interpersonal relationships if we can. At a recent head nurse meeting, I offered that the hospital support team building activities for individual teams. It is necessary to calm the tension and work. But most of all, we do not know what will come in the autumn, and we must be prepared for everything.
The hospital is still undergoing reconstruction, the construction of Pavilion N is currently underway, but the subsequent reconstruction of Pavilion D2 will require a large involvement of all employees, as a significant part of the bed capacity will be relocated. This will also be a challenge for employees. Another unpleasant factor is inflation and rising prices. On the one hand, there is the hospital, which has to deal with all this, whether it is the fact that the price of building materials, energy and fuel is rising, then there is also a problem on the part of the staff. We have added them, but it must be said that the percentages of additions are already outweighed by inflation. We will see how we do, but if the economic results are good, we want to try to adjust inflation at least a little in the form of some 13th salary by the end of the year. But we have to have it. We still have to act like a good housekeeper.
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How is the hospital currently doing in terms of production and economics?
The reference period for us is 2019, and thanks to the merits of our employees, we are able to meet and exceed the orders of health insurance companies in many respects. In addition, we try to behave effectively in acute care that cannot be planned. In cooperation with the head of the emergency department and at the same time the new deputy MUDr. Dvořák is trying to optimize the urgent income as much as possible, which awaits extensive reconstruction in a roughly two-year horizon. We will model this for now, but it may actually happen when the reconstruction of N and D2 is completed.
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In addition to this reconstruction, the hospital also received a subsidy from REACT-EU in the amount of 150 million crowns. What will come of it and how will it affect patients?
It is the subsidy that has been accompanied by great nervousness. This is a renewal of instrumentation, which is related to covid. We weren’t selected for a long time because there was a non-transparent click-through principle in the selection, which depended on how fast you clicked, but within seconds. As one of the few unsuccessful hospitals, we challenged it with a pre-litigation call, and in the end the pressure paid off and we also got the money. We should buy modern technology, especially for imaging methods. For example, our magnetic resonance imaging has been around for about 14 years, and even though it has undergone some upgrades, it is an obsolete device. If you look at what mobile phones looked like 14 years ago and today, you will see for yourself where technology has advanced in that time. The new facilities will be among the most advanced on the market and will speed up and refine the work of employees and will also be more patient-friendly.
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The hospital has a new deputy for health care, MUDr. Dvořák, who has been working here for a year as the head of the emergency department. What do you think will bring a new one?
I want to thank Primary Bilin, who was able to manage all health care in cooperation with others at the time of the covid. He already said at the time that he did not want to deal with it after the epidemic, which really happened. He found a replacement in the form of his colleague Dvořák, who is an intensivist, and our common goal is to cultivate an urgent income, which is a place that is a key point in the new concept of health care. Urgents across the country should undergo some change, and we would like to be at the forefront of this industry. Above all, we want to improve communication and data sharing with other medical facilities and the emergency services. Hospitals often get people who are here, for example, on a trip, a cottage, and at the same time live elsewhere. We then lack data from their “home” hospital and waste time finding out information that is already recorded somewhere. Due to this, for example, there may be duplications of different examinations and the like.
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Do you think that the epidemic that had somehow affected the health of the population?
Unfortunately yes. That lockdown and fear, in whatever form, contributed to the delay of many preventive interventions and examinations. Thus, a small problem often grew into a larger one, which is harder to solve. We often meet people who go late, they are often oncological diseases, or even chronic orthopedic diseases. We’ll make it. I am optimistic and believe that increased efforts will not take more than a year, but there are already cases where people will not be able to do so, or their damage due to delays is already permanent. I know, for example, of the case of a man who had three times delayed hip surgery, and because of that, the joint became ossified in layman’s terms. Unfortunately, he will never walk again. Therefore, I would recommend everyone to come up with their problems as soon as possible. Ambulances may be overloaded, but let them be overloaded rather than catch a patient whose health can be saved by early intervention.
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