Circular 14/2014/tt-Byt: Regulating The Transit Between The Base Doctor, Cure

Original Language Title: Thông tư 14/2014/TT-BYT: Quy định việc chuyển tuyến giữa các cơ sở khám bệnh, chữa bệnh

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The CIRCULAR stipulated the transfer route between the base doctor, cure _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ pursuant to the law examinations, cure of 40/2009/QH12 on November 23, 2009;
Pursuant to Decree No. 63/2012/ND-CP on August 31, 2012 of the Government functions, tasks, powers and organizational structure of the Ministry of health;
At the suggestion of Director of Department of management examination and treatment;
The Minister of Health issued a circular regulating the transit between the base doctor, healing.
Chapter I GENERAL PROVISIONS article 1. Scope this circular form, regulations, conditions, procedures and authority to manage the transfer of patients between the base doctor, healing in the technical expertise (hereinafter abbreviated to transit between the base doctor, healing).
Article 2. Application object 1. The base doctor, cure of private and State according to the provisions of the law on the examination and treatment;
2. The base doctor, healing in the Defense Department have participated in consultations, healing for the people.
Article 3. Online technical expertise 1. Online technical expertise applied in transit between the base doctor, cure made under the provisions of circular No. 43/2013/TT-BYT on December 11, 2013 of Health Minister detailing divide technical expertise with respect to the base system the doctor, healing.
2. Online technical expertise applied in transit medical establishments, the healing Ministry of Defense has involved consultations, healing for the people by the Defense Department after the unified opinion written by the Ministry of health.
Article 4. The transit forms 1. Transfer of patients from bottom up on line: a) the patient Transfer from the bottom up on adjacent lines in sequence: move up 4 line 3 line, line 3, line 2 line 2 move up move up line 1;
b) Transfer sick people not according to the order specified in point a of this paragraph if the base doctor, healing response to qualify under the provisions of article 5 paragraph 1 point b to this circular.
2. Transfer of the patient from the gland on the back.
3. transfer sick people between the base doctor, healing in the same online.
Chapter II conditions, the authority, the TRANSIT PROCEDURE BETWEEN the BASE DOCTOR, cure article 5. The transit conditions 1. The base doctor, cure the sick person transfer from bottom up on online when the following conditions are met: a) the illness does not fit diagnostic and treatment capacities, technical category of the base doctor, cure has been the competent State agencies on approved medical or disease consistent with the diagnostic and treatment capabilities the list of techniques, the base doctor, cure has been the competent State agencies of Health approved but due to objective conditions, the base doctor, cure that is not eligible for diagnosis and treatment;
b) based on the technical categories were the competent State agencies of Health approved, if patient base, healing of adjacent upline do not have suitable technical services, the base doctor, cure online under over higher online;
c) before moving online, the patient must be consultations and have indicated transit (except clinic and consultation facility, healing trip 4).
2. The base doctor, healing the patient transfer from the line on the bottom of the suit when the disease has been diagnosed, treated through the emergency stage, determined the condition was relieved, can continue treatment at the bottom.
3. eligibility to transfer sick people between the base doctor, healing along the route: a) the illness does not fit the category of facility engineering examinations, cure has been the competent State agencies on approved medical or disease consistent with the category of engineering consultation facility healing was the competent State agencies of Health approved but due to objective conditions consultation facility, healing is not qualified to diagnose and treat;
b) disease fit the category of engineering consultation facility, healing along the intended route was moved to the competent State agencies of health for approval.
4. Transit between the base doctor, cure on the neighboring localities to ensure favorable conditions for the sick: a) Director of the Department of health the specific instructions for the transit consultation facility, healing on the border of the province, the central cities in the management authority;
b) Director of the Department of health, to coordinate the transfer of specific instructions for the online consultation facility, healing on the border between the provinces and cities under central management authority.
5. in The case of transfer of the patient in accordance with the provisions of paragraphs 1, 2, 3 and 4 of this Article are deemed to be correct. The transfer case the patient does not follow the provisions in paragraphs 1, 2, 3 and 4 of this Article are considered moving beyond online.
Case the patient does not meet the conditions of transit as defined in paragraph 1, 2, 3 and 4 of this Article but the sick or the legal representative of the patient still required the transit consultation facility, healing for the sick person to guarantee the right to choose medical facility , the healing of the sick. The base doctor, cure the sick person must go place to provide information to patients about the range of benefits and payment rates the cost of examinations, cure health insurance when the doctor, cure is not in the proper technical expertise online.
Article 6. Authority to sign the transit 1. Medical establishments, the healing of State: the head of the base doctor, cure or who was the head of the base doctor, healing power of Attorney sign the transit.
2. medical establishments, private healing: professional responsibility examination facility, healing or the person who is responsible for the expertise of medical facility, healing power of Attorney sign the transit.
3. During the session, the leaders sign the transit for emergencies.
Article 7. The transit procedure 1. The base doctor, cure the sick person made up on or along the line according to the following procedure: a) to announce and explain the reason for the transit or the legal representative of the patient;
b) sign the transit according to the form prescribed in annex 1 attached herewith;
c) cases of emergency patients, medical treatment facility should contact the medical facility, the expected healing sick people move to; check the patient's condition the last time before the transfer; get ready means to aid patients in transit;
d) where sick people need technical support of medical facility, the expected healing sick people move to, the base doctor, cure the sick person goes to a specific message about the patient's condition and the required support to the base doctor, healing place moved to take measures to handle the suit;
DD) transit certificate Delivered to the escort or the sick person or the legal representative of the patient to move to the base doctor, healing the patient transfer expected to;
e) handing the patient, the transit base for paper examinations, cure where moved to.
2. Transfer the downline diseases is done in accordance with the points a, b, e and e Clause 1 of this article.
Article 8. Transport of sick people in transit 1. Transport of sick people in emergency status: patient establishments, healing prepare the conditions for transporting the sick: a) an ambulance or other suitable means of transport;
b) medical equipment, emergency medicine used for patients (if needed) in the course of transportation;
c) escort Who is a doctor, medical, nursing, midwifery task tracking, timely handled patient's pathological developments in transit and transport the sick according to the appropriate technique with pathological condition of the patient.
2. Transport of sick people in emergency situation: the base of the pathological condition diseases and conditions consultation facility practices, healing the patient instructions or the legal representative of the patient selection form, appropriate means of transport.
Chapter III EXAMINATION in TRANSIT MANAGEMENT, healing article 9. Content management transit information in examinations, cure 1. Collect, statistics, General transit information: a) information about the transfer of patients to go online (move up, move on along the line and moved to the bottom line) of the base doctor, healing is done according to the form prescribed in Appendix 2 attached to this circular;
b) information about the patient from receiving the moving to (online under the same lines, move up, move to the route on switch on) is done according to the form prescribed in Appendix 2 attached to this circular.
2. the transit information feedback between the a) routine monthly feedback to the base doctor, cure the sick person to move about the diagnosis, treatment outcomes according to the form prescribed in Appendix 3 attached to this circular;
b) irregular response in case of professional errors or other necessary circumstances according to the form prescribed in annex No 4 attached to this circular.
3. The base doctor, cure disease management organization, store, deliver transit information according to the provisions of the law.
Article 10. The reporting regime and transit Committee 1. The transit report content: a) monthly report: patient establishments, General healing according to the monthly report form prescribed in Appendix 2 attached to this circular;
b) periodic report on 6 months, annually according to the form prescribed in annex No. 5 attached to this circular.
2. report: mode a) patient base, healing Ministry of health sent reports of the Ministry of health (Department of management treatment);
b) consultation facility, healing Ministry of public security, the Ministry of Defense, the Department of transportation sent a report about the health authority (Health Bureau-Ministry of public security, Ministry of defence-military Bureau, Health Bureau-Ministry of transport);

c) medical facility, healing directly under the Department of health, the Ministry of industry, (except the base doctor, cure disease in the Ministry of public security, the Ministry of defence, the Ministry of transportation), the base hospital, private healing close the send report about the Department of health;
d) the Department of health, the health agency of the Ministry of public security, the Ministry of defence, the Ministry of transportation and transit work reports to the Ministry of health (Department of management treatment) to the aggregate annual report.
3. mode transit Committee periodically or irregularly to withdraw the transit work experience: a) the basis of consultations, the transit Committee healing between the departments concerned parts monthly recurring;
b) consultation facility, healing Committee organization line 1 with line 2, healing consultations under the range reassigned directing online; The base doctor, cure online 2 Organization Committee with the base doctor, cure line 3; The base doctor, cure online 3 the Organization Committee with the base doctor, cure online 4/03-recurring times;
c) Ministry of health, Department of health, health sector Committee moved to the base doctor, cure recurring/06-affiliated;
d) Ministry of health national transit Committee annually.
Chapter IV PROVISIONS article 11 ENFORCEMENT. Effect 1. This circular has effect from 1 June 2014.
2. the repealed regulations on transfer institution in section 4 part IV Statute of the hospital attached to decision No 1895/1997/QD-BYT on 19th September 1997 of the Minister of health since the day this circular effect.
Article 12. Terms of reference the case referenced in the text of this circular are replaced or modified, the supplement shall apply according to the replacement text or additional modification.
Article 13. Implementation 1. Examination and treatment Department Manager is responsible for: a coordinating focal) do with the related unit of organization development, guide, inspect, examine and evaluate the implementation of this circular;
b) synthesis, the transit Committee, delivered reports as prescribed in this circular.
2. The Department of health, health ministries are responsible for: a coordinating focal) do with the related unit of organization development, guide, inspect, examine and evaluate the implementation of this circular within the management of the Ministry, local branches;
b) synthesis, the transit Committee, delivered reports as prescribed in this circular.
3. patient base, responsible for healing: a) the implementation of this circular in medical establishments;
b) consolidate, perfecting the training center and direct online, steer, steering parts online or layout from the clue made transit management of medical facility;
c) synthesis report, the transit Committee under the provisions of this circular.
4. The implementation of the rules on transit between the base doctor, healing is the criteria to consider the level of completed tasks, consider the emulative commended for individuals, organizations, establishments in the cure and quality assessment, ranking medical establishments , healing.
5. General results base transit reports and test results each year, the Agency, the competent organization to review, evaluate the level of completion of the tasks for the head of the base doctor, healing and decided not to consider the emulative, rewarding medical establishments healing has no transit rate regulation in comparison with the total number of transit cases over 10%.
Article 14. Responsibility Director manage treatment, Chief of the Ministry, the Chief Inspector, Chief, Director, General Director of the Service Bureau, Directorate of the Ministry of health, the Director of the Department of health, the health sector heads and heads of agencies, organizations, relevant units responsible for the implementation of this circular.
In the process, if there are difficulties and obstacles the Agency proposal, reflecting the timely organization of the Ministry of health (Department of management treatment) to research, resolve./.