Lin Gao Qiming

Chapter 2591 Investigation ([-])
Although the weather in Guangzhou is quite pleasant at this time, the air in each office in the unit building of the inspection team is very hot and dry.A group of people huddled together, sighing and scratching their heads from time to time.

The mountains of account books and documents, the sound of raindrops on the abacus and the swishing sound of the hand-cranked calculator added to the anxiety.

Dozens of accountants and auditors are crammed into these offices, working three shifts day and night to check all the documents and books.

Regardless of the few years since the opening of the Provincial Hong Kong General Hospital, there are quite a lot of accumulated files. Before the establishment of Lingao Pharmaceutical Company, it also represented the wholesale and retail of Lingao pharmaceuticals. I started to do it. At that time, it was still the world of Ming Dynasty.The drug sales of the Provincial and Hong Kong General Hospital were once the largest revenue item for Sanitation Port.It was not until the Government Administration Council required the separation of medicines and established Lingao Pharmaceuticals as the general agent that the Provincial and Hong Kong General Hospital stopped its pharmaceutical sales business—this was almost after the recovery of Guangzhou.

It is conceivable how many accounts have been accumulated over the years, and the registration and filing of the early accounts were not standardized. Some accounts even had abbreviated dates, and even the specific year had to be checked to find out.

"Ah, my blood pressure is high." A little girl scratched her hair fiercely, and the cadres of the Guihua people often used some mantras brought by the veterans, but they were somewhat wrong.

"It's okay, it's okay, you have a lot of hair volume, so you're not afraid of baldness."

……

Zheng Mingjiang held a summary meeting every day, and each group reported the current progress and findings.Judging from some of the accounts that have been audited so far, only the Provincial and Hong Kong General Hospital can barely pass, just like some test papers in the old space-time university were sentenced to 60 points, not even 0.5 points.

The first problem the inspection team had to face was to identify the so-called "doctor type" text.Although the medical education in Lingao is poor, it has emphasized the legibility of archival writing from the very beginning. It doesn't matter if the words are ugly, but it must be clear.

Lin Qiaozhi's medical records in the old time and space are very clear.However, under heavy work pressure, doctors are more accustomed to using continuous strokes, shorthand symbols, etc. to reduce the pressure of work, which become difficult to recognize over time.

The hospitals under the Senate also absorbed some doctors who first received traditional medical education and then received modern medical education. Some of them retained part of the traditional medical style and would forcefully give medicines nicknames to increase the confidentiality of prescriptions. , and because of traditional education, some will deliberately use cursive script and other fonts to show off their skills.Of course, not all doctors are synonymous with Tianshu. For example, Fu Shan is also a calligrapher, but it is a pity that he has not yet entered the bowl of the Senate.

In order to solve the problem of text recognition, Zheng Mingjiang borrowed a licensed pharmacist from the Department of Pharmacy of the Provincial Hong Kong General Hospital to assist in the verification, and even guessed.

Secondly, most naturalized people do not have the concept of "quality system" in their minds.This requires subtle education in an industrialized society, and it does not happen overnight. Even though the school and the elders who teach have emphasized it many times, the instinctive reaction of the naturalized people is that they find it "troublesome."The factory of the Senate taught the naturalized people what it means to operate according to the operation instructions through many bloody accidents.So most ledgers don't get to the point of checking details because they don't have details at all.A large part of the medical records, prescriptions, and accounts were made in a hurry after Zheng Mingjiang notified that the accounts should be audited, and they have little value for auditing.

"These are all dealt with as untraceable, without original records, or falsified documents." Zheng Mingjiang wants to give the naturalized people a little deep understanding.

The main problem that the team members complain about is that the current various files generally have conflicting contents, confusing logic, and incomprehensible phenomena. It is necessary to find valuable clues to guide the detection of the case.

However, the reality is that a large amount of data is like a ball of hair tangled up in silk threads, and it is difficult to find thread ends that can be disassembled.There are also various statistical tools that can be used in the old time and space, and doubtful points can be analyzed quickly by using the tools.However, even the simplest EXCE cannot be provided to the naturalized people by the Senate, and manual calculations will undoubtedly increase the difficulty of auditing.

Analyze, record suspicious points, analyze, record clues... After this operation, more files have been added to the already piled up files.The human brain is not like a computer that can analyze online, nor can it remember all the details. It relies on daily meetings to communicate and analyze.The inefficiency is justifiable.

Although the situation of the audit is not clear, Zheng Mingjiang is not too worried, because the health department has not conducted such a thorough systematic audit, the method of the other party's fraud must be very clumsy, and they don't even know how to fake it, so they can easily find out question.

When they have more experience under review, they will carefully prepare the accounts in accordance with auditing standards and accounting regulations, and then they will find that the submitted materials are in compliance with the regulations, but they also reveal weirdness everywhere.In order to find out the truth, we can only continue to extend the audit and expand the scope of the review, even clearly aware that there is something wrong with the other party, but can't find evidence, and can only watch them slip away.
In the final analysis, it seems like a mess now, and I can't figure it out, but in fact, the other party has flaws everywhere. As long as the mess is sorted out, the revealing feet can be caught immediately.

After several days of continuous work, Zheng Mingjiang arranged the focus of the next step: "First, focus on checking the prescription issuance time, pharmacy dispensing time, and Lingao delivery time to see if there is any connection between them; the second is to check Compare the total amount of drugs applied for, received, and distributed with the total amount of Lingao shipments to see the gap between them; the third is to check whether there are any prescriptions from the Provincial and Hong Kong General Hospital mixed in the prescription. Especially the first Three items, everyone must check carefully!"

The first two, in fact, have found many problems and clues, but they are too messy, some of which may not be of a corrupt nature, but purely due to the lack of implementation of the management system, and it is impossible to investigate in detail after the passage of time, but the third is clear. Cheating.As long as it is found that there are prescriptions from other courts mixed with the prescriptions of the Provincial and Hong Kong General Hospital, it can be proved that this is intentional fraud.The relevant chain can be dug out through the person who issued the prescription and the flow of the prescription.

With the unremitting efforts of the auditors, after several weeks of sorting out, Cheka finally produced a summary report on audit issues, and of course, there was also a thick "list of issues" bound into [-] volumes.

"Medical records, prescriptions, and account management are chaotic, unable to correspond to each other, untimely accounting, and inconsistent accounts are common problems. The relevant responsible personnel themselves do not know where things are. Such loopholes are easy to be discovered and exploited.

"Combining the distribution of the allocated drugs, we checked the relevant accounts of the departments and pharmacies, and also found many problems. For example, the relevant item numbers, batch numbers, and quantities in the warehouse registration and the bottom of the receipt did not correspond to the actual items in the warehouse. , and there are even unfilled vacancies. These medicines do not exist on the hospital's books. In addition, there is a phenomenon that the hospital does not register after receiving medicines, resulting in the fact that some medicines on the books do not exist. In addition In addition, there is also the problem of returning the drugs to the Pharmacy Department after receiving registration, but not re-registering them in the warehouse.

"Some patients are frequently admitted to the hospital and prescribed a large amount of medicines, which are much higher than the recommended dosage and treatment cycle in the diagnosis and treatment guidelines, but no consultation records have been seen. Some of the patients' names are vague and difficult to read, and their registered addresses are unrealistic. It does not exist in the household registration file. The number of hospitalized patients exceeds the number of beds, the number of outpatients far exceeds the number of registered patients, and the date of prescription does not match the date of doctor's duty, and some are even during the period of leave and overseas training."

Although it is said that there will inevitably be confusion in manual bookkeeping, the current audit problems have exceeded the normal tolerance range.

Zheng Mingjiang was expecting these things, which seemed appalling, but they were of little value in cracking the current drug case, and could only be used as a direction for future rectification.

The really valuable content is in the back, that is, in the prescription list kept by the pharmacy, there are indeed a large number of prescriptions from other hospitals.

The amount of prescriptions from these outer courts is huge, and the auditors alone have cleared more than 1000 prescriptions.If everything is cleaned up thoroughly, the number will be even more.However, just this number is enough to make Zheng Mingjiang stunned.

Except for the serial number, these prescriptions are exactly the same as the prescriptions of the Provincial and Hong Kong General Hospital. If you don’t compare them with the special serial number stubs, you will never find any problems with these prescriptions. They are all genuine. , just shouldn't appear here.

The medicines issued by the pharmacy according to the list issued by these prescriptions are undoubtedly part of those lost medicines.According to rough statistics, about 20.00% of the antibiotics, [-]% of opioid-containing drugs and [-]% of other drugs were obtained from the pharmacy of the Provincial and Hong Kong General Hospital with "false prescriptions".

It is no wonder that the Provincial and Hong Kong General Hospital is the top three users of medicines, but there has always been a problem of insufficient medicines, and even Lin Motian hesitates to prescribe medicines.One-third of antibiotics are not used clinically at all!Zheng Mingjiang thought to himself, the loopholes in our internal management system are really not small!
There are obvious loopholes in this prescription list. Although the serial number is used to distinguish each medical institution, in actual operation, manual dispensing and accounting are difficult to identify.This depends on computers and the Internet.It seems that we still need to learn from some old methods in the future, and directly print the name of the relevant medical institution on the prescription list, so that people can see it at a glance.

This is even the case with the General Hospital of the Province and Hong Kong, which is governed by veterans and has the strictest management system, and the situation of other institutions can be imagined.

(End of this chapter)