Patient Guide: Informationon Hospitalization
Hirosaki University Hospital Information on Hospitalization

Hirosaki University Hospital

“On Being Admitted to the Hospital”
The hospital would like to express ourheartfelt hope and wish that the patient
dedicate him/herself to his/her treatment
and make the fastest recovery possible.
Please do not hesitate to discuss anyquestions or concerns you may have about
your illness, tests, or treatments with yourdoctors or nurses at any time.
The hospital carries out teaching andtraining of medical students and new
physicians and University Medical Schoolacademic research, in addition to general
medical consultations.
We would like to ask for yourunderstanding of, and cooperation with,this mission.

“Please...”Refrain from inconsiderate actions toward
the other patients and hospital staff, orviolent words and behavior that could
impede the provision of medical care in
the hospital.
If you do not refrain from such behavior,
we may ask you to leave the hospital andcall the police.

Hospitalization Procedures:
Being Admitted to the
Hospital.01

Contents

Preparing for Your
Stay.03
During Your Stay.05

Medical Certificates/Other Certification
Documents.11
Discharge Procedures: Being Discharged
from the Hospital.12
Billing.13 / Hospitalization Expenses.14
Expenses for Meals.15 / Special Rooms.16
Reducing Medical Expenses.17
Rights of Patients 19 / Responsibilities ofPatients 20
Personal Information of Patients.21
Hospital Facilities.23

Parking.27 / Access.28

Hospitalization Procedures: Being Admitted to the Hospital

Hospitalization Procedures:
Being Admitted to the Hospital
Items needed for hospitalization procedures

Hospitalization
Application Form

01

Health Insurance
Card etc.

Please fill out and affix withyour personal seal inadvance of the day you areadmitted to the hospital.

e.g. Social Insurance, National Health
Insurance, Latter-Stage Elderly Person
Health Insurance, Public Assistance,
Workers’ Compensation Insurance,
publicly subsidized/funded medical
benefit eligibility certificates, High Cost
Medical Expense Benefit: Eligibility
Certificate for Ceiling-AmountApplication etc.

MedicalConsultation
Card(ID Card)

Personal seal(“Shachihata”
rubber stamps
not permitted.)①

On the day of admittance to the hospital, you do not need to go to the
Outpatient Counter.

②

Please go directly to the “⑤ Admittance/Discharge Counter” to the right of
the Main Entrance Hall.

Please note...
①

If you do not have your Health Insurance Card etc., you may be asked to
pay the full amount of your medical expenses.

②

If your Health Insurance Card is due to expire, or to be amended, please
inform the “⑤ Admittance/Discharge Counter”.

③

If you are eligible for Public Assistance Medical Assistance, or medical
benefits related to Services and Supports for Persons with Disabilities Act(For those of 18 years of age or over, For those under 18 years of age),
Medical Care for Premature Infants (Maternal and Child Health Act),
Medical Care for Specific Intractable Diseases, or Medical Care forSpecific Pediatric Chronic Diseases, please inform the “⑦Publicly
Subsidized/Funded Medical Care Counter”.

④

If you are being admitted to the hospital on Workers’ Compensation
Insurance or Public Employees’ Compensation Insurance, please informthe “⑦Publicly Subsidized/Funded Medical Care Counter”.

⑤

As parking space is limited, patients being admitted to the hospital may
not park their own cars in the car park. Please use public transportation.

02

Hospitalization Procedures: Being Admitted to the Hospital

Items needed for hospitalization
proceduresPreparing for Your Stay
Preparing for Your Stay

What to bring★Pajamas●Items with which to wash

★Towels (face towel, bath towel)(e.g. ★Toothbrush, ★cup for rinsing, bowl
for washing your face, soap, shampoo,
electric razor, comb etc.)★Tissue paper●Underwear●Cutlery(e.g. ★Chopsticks, ★spoon, ★fork etc.)●Dressing gown, robe or something similar●Footwear (something comfortable in which
you are unlikely to slip and fall)●Earphones (for the TV)●Other items the patient needs (e.g. eyeglasses, dentures etc.)* Please ask the nurse for a hairdryer; the hospital will lend you one.
* ★Starred items are included in the “Hospital Admittance Kit”. Please see page 4 fordetails. Please see page 4 for details.
* You will find a locker and trash can in your hospital room.
* Please keep personal belongings to a minimum, and avoid bringing them in large
clothing storage bins etc.

Bedclothes etc.
You are asked to use hospital duvets, blankets, sheets, and pillows.

If tests or surgery are planned
The outpatient nurse will explain what you need to bring.

* If you undergo surgery or are admitted to the intensive care unit, to prevent infections,
you will be asked to wear the hospital gown in the hospital admittance kit.

On valuables① Large numbers of people pass through the hospital. In order to prevent theft orother unfortunate incidents, please do not bring large amounts of cash or othervaluables.

03② You will find a simple lockable storage box in the hospital bedside cabinet inyour hospital room.

Preparing for Your Stay

Your medicines① Your ordinary medications② Medicine notebook etc.
* You will take your ordinary medications after checks forpotential side effects in combination with the medicines
you need to take during your hospital stay.

On the “Admittance to Hospital Kit”
In April 2018, the hospital introduced a hospital gown and daily necessities rental
service operated by a private firm.
The hospital made this decision for reasons such as easing patient concerns, offering
added convenience, and providing increased hygiene, as many patients recently had
concerns about the burden and hardship of themselves or their families preparing thenecessary items for admittance to the hospital, due to various circumstances such asaging families, nuclear families, living on their own, and busy jobs/lives. We would liketo ask for the understanding of patients being admitted to the hospital.
① On the private operator rental service

This is a system allowing you to rent on a daily basis, necessary hospitalization items such as“hospital gown, towels, items with which to wash, paper diapers etc.” as a set, from a
specialized private service provider (hereafter “Admittance to Hospital Kit Rental Service”).

② On using the Admittance to Hospital Kit Rental Service

Use of the Admittance to Hospital Kit Rental Service is not compulsory. It is up to the patient todecide whether or not he/she wishes to use the service. If you wish to use the Admittance toHospital Kit Rental Service, you will need to fill out an application.

③ On questions regarding applications etc. for the Admittance to Hospital Kit Rental
Service

The patient needs to contract directly with the private service provider for the Admittance toHospital Rental Service. Please ask at the “Admittance to Hospital Kit Rental Service Counter”(dedicated service provider counter) in the Waiting Area on the 1st Floor of the Outpatient
Consultations Building for details on applications etc.

④ On billing

You will not be billed directly by the hospital for the Admittance to Hospital Kit Rental Service.
Billing for the Service is separate from the hospital’s billing for hospitalization expenses. The
service provider will send you its bill for use of the Admittance to Hospital Kit Rental Service.

⑤ On any questions you may have

Please ask at the Admittance to Hospital Kit Rental Service Counter or your hospital ward
nurse if you have any questions on the Admittance to Hospital Kit Rental Service.

04

During your Hospital Stay
Confirmation of your nameDuring your Hospital Stay

You will be asked to confirm your name on many occasions such as before
admittance, medical consultations, tests, application of intravenous drips, distributionof medicines, and distribution of meals etc., to prevent the misidentification ofpatients. We ask for your cooperation.
① When asked for your name, please give your full name.
② We may ask a family member if a patient is unable to give his/her name (e.g. an
infant, someone with impaired consciousness, someone with dementia etc.)③ Inpatients are asked to wear a wristband at all times. Please do not remove it.

Meals① Meal times
Breakfast 7:45~/Lunch 11:45~/Dinner 17:45~② Depending on your illness, you will eat in the hospital ward dining room.
③ Please refrain from bringing in food or drink into your hospital room.

Clothing① Please wear a dressing gown, robe, or something similar over yourhospital gown.
② Please do not leave the hospital building in your hospital gown,
pajamas, or indoor shoes.

Laundry
If you have difficulties with laundering your own private clothing, it ispossible to contract with an external service provider for a fee. Pleasespeak with a nurse.

Smoking
Smoking is strictly forbidden anywhere on the hospital grounds including
the car park.
* If you do not cooperate, you may be asked to leave the hospital.

05

Lights out
21:00
During your Hospital Stay

Television① Viewing hours 6:00 - 21:00.
② The TV in your hospital room operates on a prepaid TV card system.

Electronic devices① Please do not disturb the recovery environment of the other patients.
② Please do not use after 21:00.
③ Please refrain from using electronic devices other than electric razors,
mobile phones, smartphones, and audiovisual devices (portable DVD
players, music players (e.g. iPods, Walkman personal stereos), andradios etc.).
④ Please refrain from making or receiving calls on your phone in yourhospital room (with the exception of private rooms).
⑤ Please use earphones etc. and use care to prevent sound leakage.

* Please bring your own earphones. Earphones are also available to purchase at thehospital store.

⑥ Please use care to prevent light from your devices disturbing others.
⑦ The taking of photographs and filming of videos are strictly forbidden.

Going out/staying the night outside thehospital

If you wish to go out or stay the night outside the hospital, please obtain
permission from your primary attending physician.

Education
A hospital school program is available.
* This comprises the hospital school programs of the Hirosaki City Choyo Elementary
School and Daiyon Junior High School.
* If you wish to enroll your child in the hospital school program, please speak with yourchild’s primary attending physician or head nurse.

06

During your Hospital Stay
Preventing slips and falls

During your Hospital Stay

You become more vulnerable to slips and falls as your muscles weaken withextended periods in bed during hospital stays. Some patients stumble due to side
effects from sleeping aids and other medications, fall from their beds, and suffer
fractures and other injuries. We ask that you follow the advice below to prevent such
accidents.
Please bring comfortable footwear.
If you feel wobbly or unstable, please do not hesitate to call a nurse.
Please use care with your bed and do not lean on the bed rails.
Please carry out simple preventative exercises on your bed.
The hospital broadcasts, free of charge, videos introducing precautions regarding
slips and falls and simple exercises that you can do on your bed. Please take a look.
[ Instructions]❶Turn on the television.
❷Select “Watch various information” with the arrow button on the remote and press
the “select "button.
❸With the arrow button on the remote, select “Watch” next to “For your safety in thehospital: prevention of slips and falls” and press the “select "button.
➍Watch.

[Content of the video]❶Flexing and straightening
your ankle.
❷Lifting your legs.
❸Lifting your bottom.
❹Treading water while on
your back.
❺Simple preventative
exercises you can do on
your bed etc.
* Produced by the Hirosaki
University Hospital Preventionof Accidents Expert Committee.

07

VisitingDuring your Hospital Stay

① Visiting hours
Weekdays 13:00～19:00
Saturdays, Sundays, and holidays 10:00～19:00② Please ask for permission at the hospital ward nurse station before
visiting.
③ Visiting may not be possible depending on the illness or the status of
the patient.
④ Please refrain from eating or drinking when visiting.
⑤ Accompaniment by children is not desirable for sanitary reasons.
It also inconveniences the other patients. Please avoid bringing
children if possible.

Families staying at the hospital① In principle, families do not need to stay at the hospital.
② If the family wishes to stay at the hospital after a surgery or in thecase of a serious illness, please speak with your primary attending
physician or the head nurse.

Emergencies
Although any fire should not spread outside the point of origin, as the
hospital building is a fire-resistant structure, injuries from inhaling smoke
are likely. It is also impossible to predict how and when natural disasters
such as earthquakes may happen. For these reasons, please follow theadvice below.
① Please check emergency exits and evacuation routes.
② Please let everyone know in a loud voice if you discover a fire.
③ Please assist one another and evacuate the hospital room swiftly.
④ Please do the following when evacuating.
❶Please put on the closest footwear to hand.
❷Please hold a towel.
❸Please follow the instructions of the doctors and nurses.
❹Please remain calm.
❺Please do not use the elevator.

08

During your Hospital Stay
Medical consultations at other departments
Please ask for permission from your primary attending physician if you
would like a medical consultation at another department.
During your Hospital Stay

Medical consultationsat other medical institutions① In principle, the hospital does not allow medical consultations at othermedical institutions while you are staying at the hospital (this includes whengoing out or staying the night outside the hospital).
② If the patient has a medical consultation at another medical institution on
his/her own judgment, the patient will be liable for the full amount of his/her
medical expenses.
③ If you need to have a medical consultation at another medical institution for
an unavoidable reason, please discuss this with your physician or nurse.
④ If a family member obtains a prescription from the patient’s primary care
physician on his/her behalf, or the patient has a medical consultation at
another medical institution when going out or staying the night outside thehospital, this will also be regarded as a medical consultation at anothermedical institution.

On complications① The hospital aims to work together with the patient to treat his/her illness.
While most patients are discharged without any issues, a patient may
sometimes develop a new illness (a complication) during his/her treatment.
② Complications are illnesses other than the treatment effect we and thepatient expected. They are not due to medical mistakes.
③ If a complication arises, we will work to treat it together with the original
illness.
④ You will need to pay for treatment expenses using health insurance etc.

09

We would like to hear your voices① An opinion box “Yamabiko (mountain echo)” has been set up to allow
us to hear your opinions. We will use your feedback for future
improvement.
During your Hospital Stay

② The opinion box “Yamabiko” can be found in the following locations:
the General Reception Counter in the Central Waiting Area, in frontof the hospital store, and on each floor of Hospital Building No. 1.

Consultations on recuperation andtreatment● I would like to be at home as much as possible
despite my illness.
● I am worried about whether I can carry out
medical procedures at home.
● I am worried about receiving nursing care athome.
● I need nursing care, medical care, or social
welfare services.
● I would like to discuss moving to anothermedical institution or moving into a facility.
● I am worried about medical expenses and living
expenses.
A social worker at the “General Patient Support Center (Outpatients Building 1F)” will be happy to help
with consultations so that patients need not worry about recovering/recuperating at home or moving toanother medical facility. Please do not worry on your own but instead do not hesitate to consult us
about any concerns you have. Please note that depending on the content of the consultation, any
action required may not be taken immediately but taken at a later date.

● I am worried about my medical care.

We will explain your medical care policy and treatment/tests, using explanatory pamphlets to the extent
possible. You will be asked to sign a Consent Form to indicate your understanding and consent, butplease do not hesitate to speak with your doctors, nurses, or other medical staff if you still have any
concerns or questions after this.

Hospital volunteers● Many volunteers give their time at the hospital.
They assist with patient hospital admittance, in the hospital wards, and with lending books at the“Genki Library”.
Please do not hesitate to speak with any of the volunteers if you need anything.

10Medical Certificates/Other Certification Documents

When making a certification document
application during your hospital stay
① Please speak with the ward counter on weekdays between 8:30 and 17:00.

We will explain how to fill out the certification document application/consent form, and how to receive your document. If the
document is one that requires time to issue, or if you make your application just before being discharged from the hospital,
we may not be able to issue your document at the time of your discharge.

② When receiving your certification application document after being discharged
Medical Certificates/Other Certification Documents

Please telephone the “Telephone Number for Inquiries” on your certification document application form (patient copy) andconfirm how to receive your document etc. If someone other than the patient is collecting the document, a “Power ofAttorney” is required in principle. If you would like to receive your document by post, please enclose a self-addressed
stamped envelope.

③ Fees for issuing medical certificates/other certification documents

When the certification document is issued during your hospital stay, the fee is added to your hospitalization
expenses.
When the certification document is issued after your discharge from the hospital, the fee is billed on the day of
issue as an outpatient fee.

When making a certification document application
after your discharge from the hospital① Please bring identification documentation etc. and make a certification document
application at the outpatient counter of the relevant medical consultation
department.

When someone other than the patient is making the certification document application, a “Power of Attorney”
is required in principle.

② On receiving your certification application document

Please telephone the “Telephone Number for Inquiries” on your certification document application form
(patient copy) and confirm how to receive your document etc. If someone other than the patient is collecting
the document, a “Power of Attorney” is required in principle. If you would like to receive your document bypost, please enclose a self-addressed stamped envelope.

③ Certification document applications and inquiries can be made on weekdays
between 8:30 and 17:00.

We cannot respond to certification document applications and inquiries at other times on weekdays, or on
Saturdays, Sundays, and holidays.

④ When making a certification document application by post

Please fill out the certification document application/consent form and send it together with a copy of your
Medical Consultation Card and identification documentation to the outpatient counter of the relevant medical
consultation department.

⑤ For details on applications for certification documents please ask at the counter ofthe relevant medical consultation department; in regard to applications forcertification documents required for publicly subsidized/funded medical benefits,
please ask at the “⑦Publicly Subsidized/Funded Medical Care Counter.”⑥ Please see our website.

11

Information on medical certificates and other certification documents may be found on the Hirosaki University
Hospital website. The certification document application/consent form may also be downloaded from thewebsite. If you would like the certification document application/consent form sent to you by post, please ask
the outpatient counter of the relevant medical consultation department. For inquiries by telephone, please ask
the Hospital’s Main Switchboard (0172-33-5111) to connect you to the outpatients counter of the relevant
medical consultation department, or the person responsible for medical administration in the Administration
Office.
Please search for “弘前大学医学部附属病院” →”トップページ”→”外来診療のご案内”→”診断書•証明書等.”

Discharge Procedures: Being
Discharged from the Hospital
On discharge procedures① Your primary attending physician will approve your discharge from the hospital.
② The nurses or hospital staff will explain the discharge procedures to you.
③ Please make preparations so that you are able to leave the hospital by around 10:00.
④ Please receive your discharge bill at the “⑤Admittance/Discharge Counter.”⑤ Please make your payment at the “③Payment Counter.”If for some reason you will be making your payment at a later date, please inform the “⑤Admittance/Discharge Counter.” Please note that it may not be possible to issue your bill on the dayof discharge due to the processing of paperwork. In such a case, you will be asked to submit aPromise to Pay Declaration, so please have your personal seal with you.

① Please fill out the Promise to Pay Declaration and submit it at the "After Hours
Consultations (Advanced Emergency and Critical Care Center1F).”② We will notify you at a later date of your hospitalization expenses at the contact
details you give on the Declaration.

On consultations on recovery/recuperation
etc. after leaving the hospital
Please speak with the “General Patient Support Center (Outpatients Building1F)”; they will be happy to help.

12

On discharge procedures

On a discharge after 17:00 or on a holiday

Billing
On hospitalization expenses
Your bill will be calculated from the first to the last day of the month anddelivered to your room around the 10th of the following month.

Billing (accounting/payment) counter
opening times
Weekdays 8:30 -16:30

Mornings may be crowded with outpatients. We
recommend that you make your payment in theafternoon, when it may be less busy.

Payment methods●Cash●Credit card

Billing

Additional billing
You may receive an additional follow-up bill after your discharge due to theprocessing of paperwork. Your understanding is appreciated.

On High Cost Medical Expense Benefits
Please speak with the “General Patient Support Center.”If you are unclear about anything
Please ask a nurse or the “⑤Admittance/Discharge Counter” before making yourpayment.

13

Hospitalization Expenses
How your hospitalization expenses
are calculated
Inpatients to whom the
Diagnostic Procedure
Combination (DPC) system
is applicable● Departments of Neurology andPsychiatry● Department of Dental and Oral
Surgery● Inpatients to whom the Diagnostic
Procedure Combination (DPC)system is not applicable

Flat rate per day

Fee forService(FFS)
calculation

Surgery fees,
endoscope
examination fees etc.

Medication/injection
administration fees

Testing/examination fees

Diagnostic imaging
testing fees

Surgery fees,
endoscope examination
fees etc.

Hospitalization Expenses

Number of days

Fee for Service (FFS) calculation

Diagnostic Procedure
Combination (DPC) calculation

Basic hospitalization fees

* The flat rate per day is decided based on the patient’s applicable Diagnostic Related Group (DRG)
categorized in line with the patient’s illness, surgery, and procedures etc.
* Your Diagnostic Related Group (DRG) will be assessed by your primary attending physician.

Additional fees
If you stay in any of the wards or units below, additional fees will apply.
【 Wards/units】• Hospital Building No.1, 3F, Department of Pediatrics (Only applicable to those under 15 years of age)
• Critically Ill Patient Ward Intensive Care Unit ・Intensive Chemotherapy Unit (ICTU)• Advanced Emergency and Critical Care Center Neonatal Intensive Care Unit (NICU) Stroke Special
Care Unit (SCU)

14

Expenses for Meals
Section(Per meal)
Fees

Notes

General❶●Patients with severe mental and physicaldisabilities●Latter-Stage Elderly Medical Care persons●Services and Supports for Persons with
Disabilities Act patients

Expenses for Meals❷●Specific Intractable Disease patients●Specific Pediatric Chronic Disease patients❸

Patients in households exempt Up to 90days
from municipal resident taxes in the hospitaletc.
(Number of days in the hospital 91days or
longer in theover the past year)
hospital

460yen260yen210yen160yen❹Patients in households exempt from municipal
resident taxes, whose income is below acertain level, and who are of 70 years of age orolder

100yen❺Patients paying privately (full amount) for
childbirth etc.

640yen* Dependent on yourbenefit certificate type.
* Please check yourbenefit certificate.
Please show your
“Eligibility Certificate for
the Reduction of theStandard Amount ofPatient Liability” issued
by your insurer,
together with your
Health Insurance Card
during hospital
admittanceprocedures.

●Public Assistance recipient patients●Publicly subsidized/funded medical benefit
patients (Medical Care for Premature Infants,
Involuntary Commitment)❻

0yen●Workers’ Compensation Insurance patients●Workers’ Compensation for Accidents in
Official Duties patients

15

However, special
meals provided forreasons related to thetreatment of existing
conditions may incur
additional expenses.

* Copayment for Specific Pediatric Chronic Disease patients shall be one half of ② or ③.

Special Rooms
Additional Special Room Charge (Not Covered by
Public Health Insurance) *Including Consumption Tax

12,100yen

6,600yen

Special Rooms

5,500yen

5,500yen

4,400yen* Special rooms are not covered by insurance; the full amount is payable by the patient.
* Consumption tax is exempted where the stay is for childbirth.
* Use of the TV and the telephone will incur separate charges. (Use of the TV in Room A is
included in the price of the room.)* DVD player is read-only.
* Fees are per day. For an overnight (1 night, 2 days) stay, fees will be payable for 2 days.

16

Reducing Medical Expenses
On various eligibility certificates① We recommend that patients under 70 years of age apply. Your medical
expenses may be reduced upon showing your “High Cost Medical Expense
Benefit: Eligibility Certificate for Ceiling Amount Application” during hospital
admittance procedures.
② Application for an “Eligibility Certificate for Ceiling Amount Application andReduction of the Standard Amount of Patient Liability” may reduce medical
expenses further for patients of 70 years of age or older, who are inhouseholds that are exempt from municipal resident taxes.

Where to apply

Reducing Medical Expenses●National Health Insurance: National Health Insurance Counter at your local
municipal office●Japan Health Insurance Association: Japan Health Insurance Association
Chapter●Mutual Aid Association Insurance: Mutual Aid Association Insurance officer atyour workplace●Employment Based, Health Insurance Society Insurance: Health InsuranceSociety officer at your workplace

Items needed to make an application
Health Insurance Card etc.

Personal seal (“Shachihata”
rubber stamp not permitted)* Social Insurance, National Health Insurance, Latter-Stage Elderly Person Medical Care, Public
Assistance, Workers’ Compensation, and eligibility documentation related to publicly subsidized/funded
medical benefits.

Please note...
① Depending on your insurer, it may take a numberof days for your eligibility certificate to be issued.
② Some insurers do not issue eligibility certificates.
③ Please ask your insurer for details.

17

On the amount payable at the payment
counter for one month’s stay
①If you are less than 70 years of age
Income Bracket

Maximum copayment

Several High
Cost Medical
Expenses*A

Income of approx. 11.6
million yen or higher

252,600 yen +(Total Medical Expenses – 842,000 yen) x 1%

140,100yen

B

Income of approx.
7.7 - 11.6 million yen

167,400 yen +(Total Medical Expenses – 558,000 yen) x 1%

93,000yen

C

Income of approx.

80,100 yen +3.7 - 7.7 million yen(Total Medical Expenses – 267,000 yen) x 1%

44,400yen

D

Income of approx.
3.7 million yen or lower

57,600 yen

44,400yen

E

Exempt from Local
Resident Tax

35,400 yen

24,600yen②If you are 70 years of age or older
Maximum copayment
Income Bracket①
IncomeLevel of

Income of approx.
11.6 million yen or higher

Outpatient(per individual)

Outpatient/Inpatient(per household)252,600 yen +(Total Medical Expenses – 842,000 yen) x 1%

Income of approx.

167,400 yen +7.7 - 11.6 million yen(Total Medical Expenses – 558,000 yen) x 1%

Income of approx.
Working 3.7 - 7.7 million yen(Total Medical Expenses – 267,000 yen) x 1%

PersonStill
Actively②
General③
Low
IncomeGeneral(other than ① and ③)

80,100 yen +18,000 yen(144,000 yen per year)

II (Exempt from Local Resident Tax)I (Exempt from Local Resident Tax and

Persons Income of Less than a Certain Level)

57,600 yen

Several High
Cost Medical
Expenses

140,100yen

93,000yen

44,400yen

44,400yen

24,600 yen
8,000 yen
15,000 yen

18

Reducing Medical Expenses* If you have received high cost medical care for three or more months (including if you made themaximum copayment with use of the Eligibility Certificate for Ceiling Amount Application) during the
one-year period before the month you receive medical care, you will be classified as “Several High Cost
Medical Expenses” from the fourth month and your maximum copayment will be further reduced.

Rights of Patients
To provide medical care in the best interest of the patient, the Hirosaki
University Hospital believes in working together with the patient based on afoundation of trust between the hospital and the patient.
❶Right to receive medical care on an equal and fair basis
You have the right to receive quality medical care on an equal and fair basis,
regardless of your illness or social standing.
❷Right to make choices and decisions based on your own free will
You have the right to make decisions based on your own free will regarding
your medical care, following an explanation from a medical professional.
You also have the right to refuse medical care you do not want and you havethe right to choose another medical institution.
❸Right to receive sufficient explanation and information
You have the right to receive sufficient explanation and information regarding
your illness, tests, treatment policy, risks surrounding treatment, othertreatment options, and your prognosis, in easy to understand language anddelivery; you also have the right to know the information in your treatment
records.
Reducing Medical Expenses❹Right for your information not to be disclosed to a third party without yourpermission
You have the right for any and all personal information and privacy in regard
to your body and illness to be protected.
❺Right to be respected as an individual
You have the right to have your values as an individual respected, and to betreated with respect as an individual human being.
You also have the right to express your opinion.

19

Responsibilities of Patients
Medical care is founded on patients and medical professionals working
together and requires your proactive participation and cooperation. As such,patients have the following responsibilities.
❶Responsibility to provide accurate information and to work to understandyour illness and treatment
Please provide your physicians and other medical professionals, to the extent
possible, accurate information regarding your mental and physical status, andyour daily life. You also have a responsibility to work to sufficiently understandyour illness and medical care, for example by asking questions until you aresatisfied with the answers.
❷Responsibility to cooperate with the creation of a pleasant recovery
environment
You have a responsibility to comply with hospital rules and regulations andfollow the instructions of hospital staff, so that all patients may receive medicalcare in a pleasant environment. You also have a responsibility to respectsocial rules and be considerate of the privacy and other rights of the other
patients.
[If you act inconsiderately in the hospital toward the other patients, with violent
words or actions, you will be asked to leave the hospital (if you are staying at
the hospital, you will be discharged).]You have a responsibility to work wholeheartedly on the testing/examinationand treatment plan which you endorsed and to which you agreed.
❹Responsibility to pay for your treatment expenses
You have a responsibility to provide accurate information regarding yourinsurance coverage and pay the expenses for the medical care you receive.

20

Responsibilities of Patients❸Responsibility to work enthusiastically on your treatment

Personal Information of Patients
The hospital would like to ask for the understanding and cooperation ofpatients in regard to the use of your records, including your precious personal
information that we have obtained from you, for predefined objectives not only
as a medical institution but also as a teaching institution.

❶We will use the personal information of patients for the following objectives,in accordance with hospital rules based on laws and regulations.
① Use at the hospital・Medical services the patient receives
・Medical insurance administration work
・Administration work related to patients(Use in regard to ward management related to admittances/discharges,
accounting/bookkeeping, reporting of medical accidents/errors, improvement of medical
services, and other administration/operations work.)・Maintenance and improvement of medical services and administration
・Other uses related to the provision of medical care to patients②Use at the Hirosaki University Hospital and at Hirosaki University
・Medical teaching・Research based on clinical cases
・Provision of information to external auditors
We will do our best to anonymize any information we use.

③Provision of information to other third parties
Personal Information of Patients・Coordinating with other hospitals, clinics, midwife clinics, pharmacies, visiting nursing
stations, and nursing care services operators etc., on medical services etc.
・Responding to inquiries from other medical institutions etc. on medical services etc.
・Requesting opinions/advice from external physicians etc. in regard to patient medical
consultations etc.
・Outsourcing of medical specimen tests and other work
・Explanation of illness to patients’ families
・Outsourcing of medical insurance administration, submission of medical receipts toclaims review/reimbursement agencies etc.
・Responding to inquiries from claims review/ reimbursement agencies and insurers
・Submitting information etc. to public administration agencies and judicial agencies etc.
based on relevant laws and regulations etc.
・On delegation by service providers etc. based on relevant laws and regulations etc.
・Sending results of medical examinations to service providers etc.
・Communicating with, and submitting information etc. to, professional medicalgroups/associations in relation to medical malpractice insurance etc. and to insurers etc.
Please let us know if you have any concerns related to any of the above use objectives.

21❷When using patients’ personal information for any use objective other thanthose above (previous page), we will ask for your written permission.
❸Patients may make the following requests in regard to their personal
information.
① Patients may request the disclosure of their own personal information in accordance withprescribed procedures.
② Patients may request amendment of the content of their disclosed personal information inaccordance with prescribed procedures.
③ Patients may request cease of usage, deletion of, or cease of provision of, their personal
information in accordance with prescribed procedures, if they believe their personal
information is being handled in an inappropriate manner.
④ Patients may lodge an official complaint with Hirosaki University if they are not satisfied
with the responses etc. to their requests above.

❹In addition to the uses above, in case of a disaster, since 2014 the hospital
stores externally at domestic data centers part of the medical consultation
information of patients in the electronic medical records system; this is basedon the medical records remote backup project, the Gemini Project, led by the
Ministry of Education, Sports, Science and Technology (45 participating
national university hospitals).
❺Please contact the responsible persons below if you have any questions
about the handling of patients’ personal information at the hospital.

[Personal Information Disclosure Request Desk]
General Affairs Division, Planning Office, Assessment Group (Tel. 0172-39-3011)

22

Personal Information of Patients[Medical Records etc. Disclosure Request Desk]
Hirosaki Hospital Administration Office, Medical Administration Group (Tel. 0172-39-5230)

Hospital Facilities● Neuro-psychiatry● Cardiology● Cardiovascular Surgery● Ophthalmology● Orthopedic Surgery● Rehabilitation Medicine● Endocrinology● Respiratory Medicine● Diabetes and Metabolism● Neurology● Infectious Diseases● Neurosurgery● Plastic and Reconstructive Surgery● Stroke Care Unit

● Nephrology● Respiratory Medicine● Infectious Diseases● Thoracic Surgery● Cardiovascular Surgery● Urology● Dentistry and Oral Surgery● Operation Department● Gastroenterological Surgery● Breast Surgery● Thyroid Surgery● Pediatrics Surgery● Otorhinolaryngology● Anesthesiology● Emergency Department● Dentistry and Oral Surgery● Intensive Care Unit
● Intensive Chemotherapy Unit
● Blood Purification Unit
● Hyperbaric Oxygen Therapy Unit

● Pediatrics● Gynecology-Obstetrics● Gastroenterological Surgery● Breast Surgery● Thyroid Surgery● Perinatal Medical Center● Central Supply Department● Radiation Oncology● Dermatology● Orthopedic Surgery● Clinical Laboratory Department● Blood Taking Unit
● Anatomic Pathology Laboratory● Anatomic Pathology● Department of Patient safety● Department of Nutrition● Rehabilitation Medicine Outpatient● Nutritional Guidance● Patients Library● Services Corner● Restaurant● Store● Beauty Salon● Barber● Department of Radiology(X-ray / CT scan / Fluoroscopy /Angiography)● Radiological Imaging Unit
(CT/General)● Pathology Services● Nursing Department Training Room

● Department of Radiology(MRI / RI / PET-CT)● Radio Isotope Ward

Hospital Facilities● Gastroenterology● Hematology● Rheumatology● Medical Oncology● Department of Radiology(Radiotherapy)

First Ward

23

Second Ward

Central Clinical Service Building

● Heliport● Nursing Department● Conference Room
● General Clinical● Administration Division● Hospital School

Training Center● Emergency Care Building● Emergency and Critical
Care; After Hours
Consultations● Neuro-psychiatry● Otorhinolaryngology● Dentistry and Oral Surgery● Ophthalmology● Anesthesiology● Neurosurgery● Cancer Community & Support Center● Pediatrics● Urology● Outpatient Chemotherapy Unit

● Pediatric Surgery● Surgery● Gynecology -Obstetrics● Department of Clinical Engineering● Internal Medicine● Blood Transfusion Division● Infection Control Center● Dermatology● Plastic and Reconstructive Surgery● Division of Endoscopy● Orthopedic Surgery● Medical Oncology● Drug Delivery Counter● Medical Affairs Department● Department of General Medicine● General Patient Support Center● Patient Support Center● Coffee Shop

Hospital Facilities● Radiation Oncology● Diagnostic Radiology● Department of Medical Information ● Clinical Research Support Center● Division of Pharmacy● Main Storage Unit

Advanced Emergency andCritical Care Center

Outpatient Clinic

24

Hospital Facilities
Hospital Building No. 1

TVC

Genki
Library

Restaurant
Services
CornerHospital Building No. 2

TVC

Nutritional
Therapy
Unit

ReturnVisitsAutomatic Return Visit
Registration Machine

Billing

Automatic Payment
MachineTelephone

Public Pay Phone

TVC

Prepaid TV Card
Vending Machine

Masks

Mask Vending Machine

Payment
Accounting (Return Visit
Registration
First Time Visit Registration Counter
Hospitalization Admittance/Discharge Counter
Publicly Subsdized/Funded Medical Care Counter
External Prescriptions Fax Corner
Parking Discount Validation Stamp Counter

Cafe
CornerOrthopedic
Surgery

Reception

Masks

Waiting
Area

Counter (Medicines
Pick Up Counter)
Baby
Nursing
Area

Vending
MachineStore
Prepaid TV
Card Vending
MachineBarberMedicalOncology

GeneralPatient
SupportCenterTel

Hospital Kit
AdmittanceCorner
Coin
Lockers

GeneralReception
Counter
Masks

Main entrance

Departmentof Radiology
Services

25

Advanced Emergency
and Critical Care Center

Drinking
Water

Billing

ReturnVisitsInformation

Hospital Facilities

Central Clinical Facilities Building

Departmentof Radiology
Services

Department ofGeneral
Medicine

Escalator

BeautySalon

Division of
Pharmacy

Administration
OfficeOutpatient Consultations
Building

Restaurant (Kojinkai)

Genki Library●Opening hours
・Weekdays 9:30 -19:00
・Saturdays and Sundays
11:00 - 14:00
・Holidays closed●Opening hours
・Weekdays 8:30 -16:30●Opening hours
・Weekdays 10:00 - 14:00

Cafe Corner (Doutor)

Services Corner●Opening hours
・Weekdays 7:30 - 20:00
・Saturdays 7:30 - 18:00
・Sundays and holidays
7:30 - 18:00●Copy machine ●FAX
●Packages●Cleaning●Rental bedclothes●Opening hours
・Weekdays 8:30 -16:30

Store (Lawson)

ATM●Opening hours
・7:00 - 21:00●The Aomori Bank●The Michinoku Bank●The Too Shinkin Bank
●JA Bank●Aomoriken Shinyokumiai●Aomori Shinkin Bank

Hospital Facilities

26

Parking
Opening hours
24 hours

Instructions①Please take a “parking ticket” at the entrance gate to the car park.
②Please feed the “parking ticket” into the automatic machine at the exit gate
to the car park and pay.

Inpatients①You may not park during your stay.
②You are entitled to one “free 24-hour parking voucher” during hospital
admittance procedures.

Parking
Category
Inpatients
Visitors (including families)
OutpatientsRates
Up to 30 Minutes AfterEntering the Car Park

30 Minutes or More AfterEntering the Car Park

Parking is not permitted during your stayFree of charge

100 yen per hour

* If you receive a “parking discount validation stamp” at ③ the parking fee is 100 yen per hour after
receiving the stamp.
* You may receive a parking discount validation stamp at the “Parking Discount Validation Stamp
Corner” on the 1st Floor of the Outpatient Consultations Building.”* The maximum parking fee is 2,000 yen per day.
* After 24 hours, fees will be charged again upon hours in excess of 24 hours.

Inquiries
Parking27[Hirosaki University Hospital Honcho Area Facilities Desk]
Direct: +0172-39-5400
Main: +0172-33-5111 (ext. 6488-6490)

Access
Dotemachi
100-yenLoop Bus

Hirosaki Park

Hirosaki
University
Hospital

NearbyParking

Hirosaki Bus Terminal

Ao-gin Dote-machi Shiten

Mutsu shinpou sha-mae

Hirosaki Eki-mae

Naka Dote-machi

Bunka Center-mae

Oomachi 1-chome

Horai-Bashi

Hotel New Castle-mae

Oomachi 2-chome

Shimo Dote-machi

Okachi-machi

Kami Dote-machi

HonchoChuo-dori 2-chome

Shiritsu Byoin-mae

Daigaku Byoin

Namiki-dori Bus Terminal-mae

Dote-machi Jumonji

Shiyakusho-mae

Hiroro-mae

Tsuchibuchi River
Board bus at JR Station Chuo (Central)
Exit ⑥Bus Stop->Dismount at Daigaku Byoin-mae(around 20 minutes)

Chuo
Hirosaki
Station

100 parking spaces

Hirosaki Park

16 parking spaces
80 parking spaces
160 parking spaces
67 parking spaces
80 parking spaces
41 parking spaces

Hirosaki
University
Hospital

28

Access* Parking spaces at the hospital
car parks are limited, so pleasealso use other car parks (feepayable) nearby.

Approved Advanced Treatment Hospital
National University Corporation

Hirosaki University Hospital
53, Honcho, Hirosaki-shi, Aomori-ken 036-8563

Tel: 0172-33-5111 (Main)

Issuer: Medical Administration Office
June 2019, 5th Edition

ISO 9001 certified
April 8, 2005