The clinic wants to pay doctors a fixed monthly salary regardless of the number of appointments and services provided. However, in the standard Medlock configuration, only three salary options are available for doctors: hourly pay, a percentage of the cost of services, or a fixed amount for a specific service.
Why an alternative algorithm of actions may be required
The need to charge doctors a fixed salary arises in the following situations:
- The clinic has adopted a mixed remuneration system: salary + percentage of revenue.
- The doctor works on the basis of a guaranteed monthly income.
- The clinic's management wants to ensure financial stability for doctors, regardless of the flow of patients.
- For part-timers or doctors on probation, it is required to pay a guaranteed amount.
Decision
To calculate the salary, it is proposed to create a special zero-cost service for the patient, which will serve «техническим маркером»to calculate the doctor's salary. This service should not be paid for by patients — it is needed solely so that the system can charge the doctor a fixed amount.
Then, once a month (or according to the frequency of payments), a fictitious patient must be admitted to the doctor, and this service must be added to the appointment. After the appointment is completed, the system charges the doctor a salary in the amount of the fixed amount.
Step-by-step implementation
- Creating a service «Оклад». First, you need to create a service in the system that will be used only for payroll purposes.
Fill in the fields:
Name: specify, for example, «Оклад»(or «Оклад врача», «Фиксированная выплата»).
Cost for the patient: set 0 rubles. This is important so that the service does not affect the financial statements for settlements with patients.
Category: if desired, you can create a separate category «Технические услуги»or«Зарплата», so as not to confuse it with medical services.
- Setting up a doctor's salary. Now you need to add the created service to the payroll settings for the required doctor.
For more information about setting up flexible rules, see the article Setting up a doctor's salary for services rendered.
- Creating a fictitious patient. For the convenience of making monthly payments, it is recommended to create a special patient who is not a real person and is used exclusively for technical records.
- Monthly creation of salary records. Now, once a month (or at other intervals accepted by the clinic), it is necessary to create records for each doctor who is entitled to a salary.
After the record is created, be sure to set it to the status«Начат визит». This is an important point: the salary is calculated only for completed receptions (or for services in completed receptions), so there will be no accrual without changing the status.
- Checking accruals. After the records are created and transferred to the desired status, the charges will appear in the reports.
Please note: the data in the reports is updated the next day after the appointment is completed, as the calculation takes place at night. Therefore, you should not wait for the instant display of charges.
- Important notes
Impact on other reports. Keep in mind that fictitious patient records and services «Оклад»may be displayed in some reports (for example, in the report on services rendered). When analyzing the clinic's activities, these data should be excluded from consideration, as they are of a technical nature.