Miyazaki Medical Association Hospital

Miyazaki Medical Association Hospital

Admissions Information
Patients and Family Handbook
1173 Arita,Miyazaki
880-2102,Japan
http://www.cure.or.jp

Miyazaki Medical Association Hospital

Our Mission
Miyazaki Medical Association Hospital (MMAH)
has excellent and safe medical care for all patients.
We are committed to the principle of high-level
care for each patient.
Our mission supports your right to participate inhealth care decisions.

Miyazaki Medical Association Hospital

Our Vision & Values
1. Inpatient care is primarily provided at MMAH.
And we are a cooperative hospital where member clinics and physicians work
together and communicate with each other and the patient effectively.
2. Each patient is promised to be treated with dignity as we work together to findthe best treatment plan available. We accept all transferred patients into our
medical facility.
3. Our medical care is comprised of a variety of medical equipment and experience and provides excellent clinical and compassionate care that is optimal forthe patients.
4. All MMAH staff practices care and treatments specific to each patient.
5. For patients needing emergency care during holidays and night time, we haveestablished an Emergency Medical Center.

Patient rights and responsibilities
As a patient of MMAH, you have the right to:• Considerate and respectful care, and to be made comfortable.
• Have your cultural, spiritual, and personal values, beliefs and preferences respected.
• Receive information about your health status, diagnosis, prognosis,
course of treatment, prospects for recovery and outcomes of care (includingunanticipated outcomes) in terms you can understand.
• Make decisions regarding medical care, and receive as much information about
any proposed treatment or procedure as you may need in order to give informed consent or to refuse a course of treatment.
• Have personal privacy respected.
* To provide information on the progress of a medical condition and past treatment to ensure that the patient receives the best and most appropriate
medical care.
* We would like you to work together with our health care providers.
* To ensure smooth health care services, please follow the rules and etiquette ofMMAH.

Privacy Policy
In respect of Patients, MMAH will collect your personal information for providing
you the best medical care and for directly related purposes. For example, MMAH
may collect, use or disclose personal information:
For use by a multidisciplinary treatment team;
Assessment for provision of health care services;
In an emergency where your life is at risk and you cannot consent;
To manage our hospitals, including for processes relating to risk management,
safety and security activities and quality assurance and accreditation activities

Miyazaki Medical Association Hospital

FollowingPrecautions
To ensure that you as well as other patients receive safe and comfortable treatment at MMAH, please take the following precautions.

During Your Stay
Please be aware that you may be asked tochange hospital rooms according to yourchange of symptoms.
If you would like to go out or stay out overnight, please be sure to obtain permission
from your attending physician and submit
the permission form to the staff station inadvance.
<Lights Out>
Lights are turned off at 9:00 pm. Please refrainfrom using the lights after lights out or using theTV, radio, and other device that may disturb otherpatients.

Wearing a Wristband
You will be asked to wear a wristband fromthe time you are admitted to the hospital
until you’re discharged. The purpose ofyour wristband is to enable both you andMMAH Staff to identify you correctly. It will
be checked at the time of examination orsurgery.

Miyazaki Medical Association HospitalUse of Technology
Please purchase a TV card to use the TV.
You will be required to use earphones only.
Usage of mobile phones should only beused with permission, as the electromagnetic waves generated by mobile phones
may cause malfunction of medical equipment. And talking on the phone may
disturb other patients,
Patients can make and receive calls using
their personal phones. However, Family
members should not call the Hospital as
such calls will not be redirected.

Separation of Trash
Following the guidelines detailed in theContainers and Packaging Recycling Law,
five types of trash cans are placed on thefirst floor and in the waiting rooms of eachward and in the family waiting room. There
are for combustible waste, cans/ glass
bottles, PET bottles, plastics and othertrash.
We ask for your cooperation in this regard
respectively.

Miyazaki Medical Association HospitalMiyazaki Medical Association Hospital

Emergencies
In case of fire, earthquake or other emergencies, please follow the instructions ofdoctors, nurses and other staff.

ForThe PatientMeals
The hospital provides therapeutic meals
at the right temperature and in a timely
manner under the supervision of a dietician.
Meals will be brought to you according toMMAH general timetable; no food or drink
other than hospital food can be brought in.
Meals are provided at the following times:
Breakfast - 8:00 AM, Lunch - 12:00 PM,Dinner - 18:00 PM.
Be aware that diets may be modified or restricted depending on treatment, tests, andsymptoms.

Clinical Education
Program for Medicaland Nursing Students

MMAH is a medical institution thatconducts clinical education programsfor medical students, nursing students,
emergency paramedics and more.
Patients may be asked to participate inthis training program under the guidance and monitoring of doctors. If you
do not agree or have any questions,please feel free to contact your doctor
or ward nurse.

Miyazaki Medical Association Hospital

Miyazaki Medical Association Hospital

1. Employee’s Health Insurance or National Health Insurance Card(including proof ofvarious medical / social welfare documents)*Our receptionist will return it to you after making a copy.
Please notify our reception desk of your type / contents of your health insurance
during your hospitalization.

2. Referral Letter from your medical institution to our hospital
3. Miyazaki Medical Association Hospital Application Form and Declaration Form.
*Your family member is required to sign as guarantor, accepting responsibility for yourbehavior and payment of medical fees during your stay.

On your date ofadmission,please bring thefollowing items with you and submit
them at the first-floor main reception
counter.

**secondary guarantor must be another family member or a third person in a different
house hold from patient.

What to bring:Please prepare the following items for admission to MMAH.
Toiletries:

Washbasin, tooth paste& tooth brush, soap, shampoo,
razor for shaving

Meal utensils:

Cup (Unbreakable), Chopsticks, spoons & folks,
dentures and its case

Daily necessities:

Underwear, sleepwear, towels, tissues, garbage can, etc.
Shoes or slippers; Shoe-type footwear is recommended foryour safety.

Medical record handbook

Medications Information Form and Medications in Use

Please keep your belongings to a minimum and make sure to write down yourname on all your personal items.
Please do not bring cash or valuables with you. MMAH is not responsible forany loss or theft of belongings.

Miyazaki Medical Association Hospital

Discharge Information
MMAH’s discharge time is set in the morning during
weekdays. If you or your family cannot arrange theschedule, please feel free to consult a ward nurse.
When your doctor schedules the date of your discharge, we will inform you of the estimated medical
expenses the day prior. Please prepare payment
resources in advance.
The actual medical expenses invoice will be issued
on the morning you are discharged. Please visit
our accounting clerks at the first-floor reception
to complete your payment. After finishing yourpayment process, you will receive a refence letterfor your home doctor and a prescription.
For your safety and to confirm your ID, your wristband will be removed only when you finish MMAH’sdischarge flow.

Payment Process During HospitalizationDuring hospitalization at MMAH, we will send you the medical
expenses invoices in the mail around the 13th of the next month.
After receiving the invoice letter, please make sure to complete
your payment within 5 days.
Please visit our accounting clerks at the first-floor reception or use
the automatic payment machine for your payment process.
MMAH’s accounting desk is open at the following times:
8:30 ~ 16:30 on weekdays

Miyazaki Medical Association Hospital

High-Cost Medical Expense Benefit (Eligibility Certificate for
Ceiling-Amount Application) or KOGAKU RYOYOHI SEIDO(GENDOGAKU TEKIYO NINTEISHO)
If you have public health insurance coverage in Japan, you can apply for a “High-cost
Medical Expense Benefit” in advance. You are only required to pay a pre-fixed ceilingamount at the cahiers desk. If you have paid the full amount already without showing an“Eligibility Certificate for Ceiling-Amount Application (GENDOGAKU TEKIYO NINTEISHO)”“Eligibility Certificate for Ceiling-Amount Application and Reduction of the Standard
Amount of Patient Liability (GENDOGAKU TEKIYO ･HYOJUN FUTANGAKU GENGAKU NINTEISHO)”, you can claim a refund from your insurance provider.
However, the following items will not be covered by the refund:Private room charge, pajama rental fee, hospital food service fee and some medical expenses which are not covered by medical insurance (including advanced medical treatment not covered by medical insurance)
In addition, this system is not applicable if your medical expenses do not exceed the limitof your copayment amount.

Procedures
Apply through your health insurance provider beforehand to get
an “Eligibility Certificate for Ceiling-Amount Application” or an“Eligibility Certificate for Ceiling-Amount Application and Reduction of the Standard Amount of Patient Liability”. Please present
this certificate at the reception desk. Your monthly payment will
be no more than a specified amount.
However, if you delay in presenting the certificate, you may notable to benefit from this system.
If you have any questions or if there is something unclear about
the necessary procedures for these applications, or about what
happens if you transfer to another hospital, please ask yourhealth insurance provider.

8:30 ~ 11:30 on Saturday
We are closed on Sunday and national holidays.
* We accept credit card payment or debit card payment (onepayment option only).
* For payment inquiries, please contact MMAH accounting clerks.

Source of this pagehttps://www.mhlw.go.jp/stf/seisakunitsuite/bunya/kenkou_iryou/iryou/kokusai/setsumei-ml.html

Miyazaki Medical Association Hospital

Miyazaki Medical Association Hospital

Miyazaki Medical Association Hospital Application Form and Declaration Form

SampleTo the director of Miyazaki Medical Association Hospital
Before being admitted to the hospital, I agree to comply fully with its rules and regulations.
I, the patient, understand that I will be promptly discharged in accordance with the hospital’s instructions
if I violate any of the rules and regulations, including those described below, or if it is decided that I am
disturbing other patients. I declare that I will not cause any trouble in the hospital under any circumstancesby signing jointly with the applicant, the guarantor, and the joint guarantor.

Date of Admission: ______/______/_______
1. Admission charges and all other expenses will be paid in full by the applicant, the joint guarantor, ormyself by the specified due date.
2. My guarantor is completely responsible for my behavior.
3. If I am instructed to leave the hospital, my guarantor will be responsible for making sure that I leave on
the specified date.
4. I will provide the hospital with all requested documents and certificates by the specified date.

Patient ( Be Signed By Patient )Address : 〒_____-________(zip code)____________________________________________________Your name:________________ ____________________ Seal
Gender: Male / Female(family name)(first name)Your date of birth: ____________/__________/__________
age :________
Phone number:[Home] (_________)______-____________ [Mobile] _____-_________-__________First co-signing guarantor ( Be Signed By Person Responsible)
Address : 〒_____-________(zip code)____________________________________________________Your name:________________ ____________________ SealStatus / Relationship to :_____________(family name)(first name)the patient
Maxiam medical fee you gurantee: ￥300,000
Your date of birth: ____________/__________/__________
age :________
Phone number:[Home] (_________)______-____________ [Mobile] _____-_________-__________

Second co-signing guarantor ( Be Signed By Person Responsible)
Address : 〒_____-________(zip code)____________________________________________________Your name:________________ ____________________ Seal
Status / Relationship to:_____________(family name)(first name)the patient
Maxiam medical fee you gurantee: ￥300,000
Your date of birth: ____________/__________/__________
age :________
Phone number:[Home] (_________)______-____________ [Mobile] _____-_________-__________*The guarantors shall jointly guarantee the hospitalization costs and expenses incurred by the patient
within the maximal fee that each singed. The guarantors shall be responsible for all matters relating to
the patient’s identity and inpatient treatment within one year due to the same health condition anddiagnosis as at the date of the above admission.
*Your personal information will be handled in accordance with the regulations of the institution.

Miyazaki Medical Association Hospital

Miyazaki Medical Association Hospital

Floor map

6F Ward

Ward 6 East

5F Ward

Ward 5 East

4F

Ward 6 West

Ward 5 West
Ward 4 East Ward 4 West

WardOB/GYNs Outpatient

NICU(Neonatal Intensive Care Unit)
1173 Arita,Miyazaki

3F2F

MMAH Administration Oﬃce: Management Division

Rehabilitation Department
Ward 2 (ICU・CCU) Surgical Operating Room
Pharmacy Department

880-2102,Japna

Phone number +81-(0)985-77-9101

Clinical Pathology Laboratory

1FA
B
C
DE
FG

www.cure.or.jp

Central Reception

Patient Support Center

Ward 1 (Palliative Care)
Outpatient･Central Treatment Room ･Blood drawing･Urine Sampling ･Endoscopic Examination

Clinical Radiology Department (X-rays,CTs and MRIs)
MMAH Cardiovascular CenterPhysiology Laboratory Department

Information Room
ATMEmergency Outpatient

Outpatient Chemotherapy Room
Inpatient Dialysis RoomMenʻs Restroom
Womenʻs Restroom
Accessible Restroom

toiawase@cure.or.jp