THE MINISTRY OF HEALTH | SOCIALIST REPUBLIC OF VIETNAM |
No. 6062/QD-BYT | Hanoi, December 29, 2017 |
DECISION
ON CRITERIA FOR SPECIALITY-BASED CLASSIFICATION AND EQUIVALENT RATINGS OF PRIVATE HEALTH FACILITIES
THE MINISTER OF HEALTH
Pursuant to Government's Decree No. 75/2017/ND-CP dated June 20, 2017 on functions, duties, rights and organizational structure of the Ministry of Health;
Pursuant to Circular No. 43/2013/TT-BYT dated December 11, 2013 of the Minister of Health on guidelines for speciality-based classification of system of health facilities;
Pursuant to Circular No. 21/2017/TT-BYT dated October 5, 2017 of the Minister of Health on amendments to the list issued together with Circular No. 43/2013/TT-BYT dated December 11, 2013 of the Minister of Health on speciality-based classification of system of health facilities;
At the request of Director of Department of Examination and Treatment Management.
HEREBY DECIDES:
Article 1. To promulgate criteria for speciality-based classification and equivalent ratings of private health facilities enclosed with this Decision.
Article 2. According to these criteria, health authorities competent to license medical examination and treatment (the Ministry of Health or the Department of Health) shall determine suitable level and equivalent rating of private health facilities in writing.
Article 3. Authorize the Director of Department of Examination and Treatment Management to provide guidelines for this Decision.
Article 4. This Decision comes into force on the date of its signature.
Article 5. The Chief of the Ministry Office, the Ministerial Chief Inspector, Director of Department of Examination and Treatment Management, Directors, Directors General affiliated to the Ministry of Health shall implement this Decision./.
| PP. MINISTER |
CRITERIA
FOR SPECIALITY-BASED CLASSIFICATION AND EQUIVALENT RATINGS OF PRIVATE HEALTH FACILITIES
(Issued together with Decision No. 6062/QD-BYT dated December 29, 2017 of the Minister of Health)
I. Purposes:
The speciality-based classification and equivalent ratings of health facilities are bases for registration of insurance-covered primary healthcare, contracts for providing insurance-covered healthcare and payment methods of insurance-covered healthcare.
II. Speciality-based classification and equivalent ratings of private health facilities:
1. Bases for speciality-based classification of private health facilities:
The speciality-based classification and equivalent ratings of private health facilities shall be done according to quantity of hospital beds, labor composition, health worker qualifications, scope of specialities, infrastructure, health equipment, positions, functions and duties of health facilities.
2. Criteria for speciality-based classification of private hospitals:
a) The private hospitals shall be classified according to 5 categories below:
- Quantity of hospital beds: | 15 points |
- Labor composition, health worker qualifications: | 17 points |
- Scope of specialities | 52 points |
- Health equipment: | 12 points |
- Positions, functions and duties: | 4 points |
b) Speciality-based classification scoring scale:
- Level I: 90 points ≤ total score ≤ 100 points.
- Level II: 70 points ≤ total score ≤ 90 points.
- Level III: 40 points ≤ total score ≤ 70 points.
- Level IV: total score < 40 points.
3. Detailed speciality-based classification scoring scale:
3.1. Quantity of hospital beds:15 points
a) Polyclinic hospitals:
| Hospital beds > 400 | 15 points |
| 100 ≤ hospital beds ≤ 400 | 10 points |
| 30 ≤ hospital beds ≤ 100 | 5 points |
b) Speciality hospitals:
| Hospital beds > 200 | 15 points |
| 50 ≤ hospital beds ≤ 200 | 10 points |
| 10 ≤ hospital beds ≤ 50 | 5 points |
3.2. Labor composition, health worker qualifications: 17 points
a) Labor composition:
- Adequate qualified staff: | - Adequate qualified staff: | 2 points | |
| Adequate qualified staff are recruited as prescribed in Circular No. 08/2007/TTLT-BYT-BNV dated June 5, 2007 | 2 points |
|
| Inadequate qualified staff are recruited as prescribed in Circular No. 08/2007/TTLT-BYT-BNV dated June 5, 2007 | 0 point |
|
- Nurse-doctor ratio in clinical departments: 2 points
| Nurse-doctor ratio in clinical departments |
|
| - ≥ At least 2 | 2 points |
| - < 2 | 1 point |
- Ratio of clinical or subclinical health workers to total health workers in health facilities: 1 point
| - At least 75% | 1 point |
| : - Fewer than 75% | 0.5 point |
b) Health worker qualifications:
- Qualifications of persons in charge of specialities of health facilities: 3 points
| Postgraduate qualifications; obtaining certificates of administrative management or hospital management; | 3 points |
| Unqualified | 2 points |
- Deans in charge of specialities of departments: 3 points
| > 60% deans obtaining master’s degrees or attaining speciality level 2, the rest obtaining at least bachelor’s degrees | 3 points |
| 20% ≤ deans ≤ 60% obtaining postgraduate qualifications, the rest obtaining at least bachelor’s degrees | 2 points |
| ≤ 20% deans obtaining postgraduate qualifications, the rest obtaining at least bachelor’s degrees | 1 point |
- Qualifications of doctors of clinical departments: 3 points
| > 50% doctors obtaining postgraduate qualifications, the rest obtaining at least bachelor’s degrees | 3 points |
| 20% ≤ doctors ≤ 50% obtaining postgraduate qualifications, the rest obtaining at least bachelor’s degrees | 2 points |
| > 20% doctors obtaining postgraduate qualifications, the rest obtaining at least bachelor’s degrees | 1 point |
- Qualifications of nurses, midwives, and technicians of clinical departments: 3 points
| > 20% of them obtaining junior college diplomas or bachelor's degrees, the rest obtaining at least intermediate education diplomas | 3 points |
| 10% ≤ nurses, midwives, technicians < 20% obtaining junior college diplomas or bachelor's degrees, the rest obtaining at least intermediate education diplomas | 2 points |
| < 10% of them obtaining junior college diplomas or bachelor's degrees, the rest obtaining at least intermediate education diplomas | 1 point |
3.3. Scope of specialities: 52%
| Description | Points |
a | Level I specialities (only specialities within capacity of level I hospitals) |
|
| - Ratio of approved specialities to current specialities: 100%; | 13 points |
| - Ratio of approved specialities to current specialities: ≥ 70% - <100%; | 10 points |
| - Ratio of approved specialities to current specialities: ≥ 40% - <70% | 6 points |
| - Ratio of approved specialities to current specialities: <40%; | 4 points |
b | Level II specialities (only specialities within capacity of level II hospitals) |
|
| - Ratio of approved specialities to current specialities: 100%; | 13 points |
| - Ratio of approved specialities to current specialities: ≥ 70% - <100%; | 10 points |
| - Ratio of approved specialities to current specialities: ≥ 40% - <70%; | 6 points |
| - Ratio of approved specialities to current specialities: <40%; | 4 points |
c | Level III specialities (only specialities within capacity of level III health facilities) |
|
| - Ratio of approved specialities to current specialities: 100%; | 13 points |
| - Ratio of approved specialities to current specialities: ≥ 70% - <100%; | 10 points |
| - Ratio of approved specialities to current specialities: ≥ 40% - <70%; | 6 points |
| - Ratio of approved specialities to current specialities: <40%; | 4 points |
d | Level IV specialities |
|
| - Ratio of approved specialities to current specialities: 100%; | 13 points |
| - Ratio of approved specialities to current specialities: ≥ 70% - <100%; | 10 points |
| - Ratio of approved specialities to current specialities: ≥ 40% - <70%; | 6 points |
| - Ratio of approved specialities to current specialities: <40%; | 4 points |
3.4. Infrastructure, health equipment: 12 points
No. | Description | Points |
a | At least 2nd-grade buildings; architecture thereof meeting construction standards, ensuring structure and operation line; | 1 point |
| Unqualified | 0 points |
b | Technical areas (operating rooms, recuperation rooms, delivery rooms, surgery rooms, X-ray rooms, etc.) meeting design and construction standards | 1 point |
| Unqualified | 0 point |
c | Facilities in departments and wards: |
|
| Qualified facilities in departments and wards | 1 point |
| Unqualified facilities | 0 point |
| Critical care department, delivery rooms, surgery rooms, laboratories, and medical imaging rooms equipped with air conditioners. | 1 point |
| No air conditioners | 0 point |
| Intensive care rooms, delivery rooms, and surgery rooms are equipped with emergency calling devices | 1 point |
| No emergency calling devices | 0 point |
d | Priority and safety electricity system is in place, electric generator is available | 1 point |
| No priority and safety electricity system or electric generator | 0 point |
dd | Clean, safe and convenient internal roads | 1 point |
| No clean, safe and convenient internal roads | 0 point |
e | Adequate clean water | 1 point |
| Inadequate clean water | 0 point |
g | The health solid waste and sewage treatment system is in place | 2 points |
| No health solid waste and sewage treatment system | 0 point |
h | Health equipment: Adequate health equipment as prescribed in the list applicable to the category of hospital | 2 points |
| In adequate health equipment | 0 point |
3.5. Positions, functions and duties: 4 points
a. Playing role of training and practice establishments for those who: 2 points
| are at undergraduate and postgraduate levels | 2 points |
| are at vocational or junior colleges | 1.5 point |
| are self-learning in hospitals | 1 point |
b. Doing scientific research: 2 points
| Obtaining a research approved by the state | 2 points |
| Obtaining a research approved by Ministry, province or central-affiliated city | 1 point |
| Obtaining a research approved by the grass-root level | 0.5 point |
4. Speciality-based classification of clinics and private maternity wards:
Polyclinics, specialized clinics, private maternity wards are classified as level III health facilities as prescribed in Circular No. 43/2013/TT-BYT and Circular No. 21/2017/TT-BYT dated October 5, 2017 of the Minister of Health on amendments to the list issued together with Circular No. 43/2013/TT-BYT dated December 11, 2013 of the Minister of Health on multi-level healthcare applied to system of health facilities;
III. Rules for equivalent ratings of private health facilities:
1. Private hospitals classified as level I hospitals shall have equivalent rating with class I hospitals.
2. Private hospitals classified as level II hospitals shall have equivalent rating with class II hospitals.
3. Private hospitals classified as level III hospitals shall have equivalent rating with class III hospitals.
4. Private hospitals classified as level IV hospitals shall have equivalent rating with class IV hospitals.
5. Polyclinics, specialized clinics, and private maternity wards are classified level III health facilities as prescribed in Circular No. 43/2013/TT-BYT and Circular No. 21/2017/TT-BYT dated October 5, 2017 of the Minister of Health on amendments to the list issued together with Circular No. 43/2013/TT-BYT dated December 11, 2013 of the Minister of Health on multi-level healthcare applied to system of health facilities shall have equivalent rating of class III.
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