To expectant mothers and their families,

For the current and new system.
(Effective July 2014)

Guide to The Japan Obstetric Compensation
System for Cerebral Palsy
What is The Japan Obstetric Compensation System for Cerebral Palsy?
In addition to quickly compensating for the economic burden affecting families with children born withsevere cerebral palsy, this system seeks to avoid conflict and find an early solution, and works to
improve the quality of obstetric care by analyzing the cause and providing contributory information toprevent the recurrence of similar cases.

Persons Eligible for Compensation
For births occurring after January 2015, the qualifications for compensation in cases of cerebral palsy
will be revised. As a result, for children born on January 1, 2015 or later, standards regarding length ofpregnancy and birth weight have been set, as well as “other specified requirements” for pregnancies
longer than 28 weeks, differ from those for children born on or before December 31, 2014.
Children who satisfy the following three items are targeted for compensation.
For children born between January 1,
2009 and December 31, 2014.

For children born after January 1, 2015.

1. A birth weight of 2,000 grams or more anda pregnancy of 33 weeks or longer. For
pregnancies 28 weeks or longer, otherspecified requirements are included.

1. A birth weight of 1,400 grams or more anda pregnancy of 32 weeks or longer. For
pregnancies 28 weeks or longer, otherspecified requirements are included.

2. Cerebral palsy corresponding physical disability certificate Class I/II.
3. Cerebral palsy not caused by congenital reasons or factors during the neonatal period.
* This system does not cover children who die before the age of 6 months.

◎ (Regarding 2) Authorization for compensation is carried out based on the doctor’s certificate anddiagnosis standard of this system.
This does not qualify a person for a national physical disability certificate.
◎ (Regarding 3) Cases where the main cause of severe motor impairment cannot be clearly identified
as “congenital reasons or factors during the neonatal period” will be targeted for compensation.

Compensation Details
Once certified for compensation, a lump-sum payment for preparation and installment payment will becombined for a total of 30 million yen.
To provide the foundation expenses for nursing care

To provide nursing care expenses

Lump-sum payment for preparation:

Installment compensation payment:

6 million yen

total

24 million yen(1.2 million yen, 20 time-installments in a year)

Application Period of Compensation
Applications for compensation are accepted from the child’s first birthday until his/her fifth birthday.
However, in cases of severe condition and early diagnosis is possible, application for compensation
may be submitted 6 months after the birth.

Reminders for Expectant Mothers◎ The childbirth facility will issue a “Registration Certificate” identifying all
expectant mothers under the management of this hospital as eligible
for application to this compensation system. Please fill in this certificate(the compensation agreement is printed on the back).
◎ Please retain the “registration certificate” (1st and 2nd) for five years
after birth in the maternal and child health handbook.

Copy for expectant mothers(duplicate), sheet 1.

Copy for expectant mothers(duplicate), sheet 2.

System Structure
Compensation
Contract ofCompensation 1

Healthcare
Insurers

Lump-sum Allowancefor Delivery

Registration
Certificate

Expectantmothers(each child)Contractor[JapanCouncil forQuality
Health Care(JQ)]
Operating
Organization

Childbirthfacilities

DeliveryexpensesInsurance
premium

Insurance
premium

Casualty
insurancecompany

Compensation payment
Insurance money ※2※1 The compensation is promised under the standard compensation agreements regulated by the operating organization.
※2 If you are approved as a recipient of compensation by the operating organization, the operating organization will apply to the insurance for payment
as a duputy of the affiliated childbirth facility. Also, the insurance company will provide the compensation payment.

◎ The childbirth facility participates in this system, so insurance premiums for compensation are paid by the childbirth facility.
◎ For children born at an affiliated childbirth facility (deliveries after the 22nd week), the amount corresponding to an installment
payment is added to the insurer’s lump-sum payment for childbirth and nursing.

Cause Analysis and Future Prevention
Cause Analysis

After authorized as a recipient ofcompensation, the causes areanalyzed from the clinical viewpointin the analytical reports which are tobe provided to both expectant
mothers (the child) and childbirthfacilities.

Future Prevention

Collection of caseinformation

The preventive measures aredrawn up though the analysis ofcases filed.

Notification to thegeneral publicImprovementin Maternity Care

Other Points to Remember◎ Only births at childbirth facilities which participate in “The Japan Obstetric Compensation System for Cerebral
Palsy” are eligible for compensation by this system.
◎ If you accept payment for damages due to malpractice from the childbirth facility, double payment of compensation(i.e. compensation payment and liability payment) is not allowed.
Please contact the childbirth facility where delivery occurred or the contact address below for details regarding compensation
standards and specific procedures.
For inquiries regarding the “The Japan Obstetric Compensation System for Cerebral Palsy”

Japan Obstetric Compensation System for Cerebral Palsy Special Call Center®

0120-330-637 Hours : 9:00a.m. - 5:00p.m. (closed Saturday and Sunday)

Website of The Japan Obstetric Compensation System for Cerebral Palsy
http://www.sanka-hp.jcqhc.or.jp/

sanka

jcqhc

SearchThis logo represents“The Japan ObstetricCompensation
System for CerebralPalsy”.
(Jurisdiction of the MHLW : Ministry of Health, Labour and Welfare)A111（10）17.04（Revised）0