## Detailed Information 1

# Outline of Special Functioning Hospitals

## Purpose

As part of efforts to systematize medical facility functions, the Minister of Health, Labour and Welfare approves individual hospitals having capabilities of providing advanced medical care, development of advanced medical technologies, and conducting advanced medical care training.

## Roles

Provide advanced medical care

○ Develop/evaluate advanced medical technologies

O Conduct advanced medical care training

## Requirements for Approval

○ Having capabilities of providing, developing, evaluating, and conducting training of advanced medical care

○ Providing medical care to patients who are referred to by other hospitals or clinics (maintaining the incoming referral rate of at least 50% and the outgoing referral rate of at least 40%)

○ Number of beds .... Must have 400 or more beds.

☐ Staff deployment

• Doctors ..... Twice as many as ordinary hospitals, etc. In addition, half the number of doctors specified by the staff deployment standards must be specialized doctors of one of the 15 types.

• Pharmacists ..... The minimum standard is 1/30 of the number of patients. (That for ordinary hospitals is 1/70 of the number of patients)

• Nurses, etc. ..... The minimum standard is 1/2 of the number of patients. (That for ordinary hospitals is 1/3 of the number of patients)

[The minimum standard of outpatients is 1/30 of the number of patients, the same as that for ordinary hospitals]

• Deployment of at least one registered dietitian.

Facilities ..... Must have intensive care units, sterile rooms, and drug information management rooms.

☐ Professing 16 specified clinical areas in principle.

☐ Having at least 70 papers written in English published annually in refereed journals, etc.

For special functioning hospitals in the specified areas, requirements for approval regarding the profession of clinical areas and the incoming/outgoing referral rate, etc. are separately established.

* The number of approved hospitals (as of April 1, 2014) ..... 86

## Detailed Information 2

## Regional Medical Care Support Hospital System

## Purpose

Medical institutions that are individually approved by prefectural governors as being hospitals with the ability to support family doctors and dentists, etc. who are taking roles in providing regional medical care at the medical front and facilities competent enough to secure regional medical care, etc. by providing medical care to referred patients and joint use of medical devices, etc. from the point of view of provision of medical care to patients in their neighborhoods as part of systematized medical institution functions being desirable.

## Roles

☐ Provide medical care to patients on referral (including the reverse case in which patients are referred to family doctors)

☐ Implement shared use of medical devices

☐ Provide emergency medical care

☐ Conduct training for regional medical professionals

## Requirements for Approval

Providing medical care mainly to referred patients (meeting one of the following)

[1] Incoming referred rate of at least 80%

[2] Incoming referred rate of at least 65% and outgoing referred rate of at least 40%

[3] Incoming referred rate of at least 50% and outgoing referred rate of at least 70%

○ Having the ability to provide emergency medical care (meeting one of the following in principle)

1. Annual number of emergency patients received / population of the emergency medical district * 1,000 ≥ 2

2. Annual number of emergency patients received >= 1,000

☐ Securing a system to enable doctors, etc. in regions to use buildings, facilities, and devices, etc.

☐ Holding trainings for those engaged in regional medical care at least 12 times annually

○ Having at least 200 hospital beds in principle and facilities appropriate for being regional medical care support hospitals, etc.