Facility criterion
List of facility standards notifications (as of May 1, 2024)
Our hospital complies with the facility standards set by the Minister of Health, Labour and Welfare, and has submitted the following notification to the Director of the Kanto-Shinetsu Regional Health and Welfare Bureau.
Facility standards for basic medical fees
Facility standards for special medical fees
Dental Facility Standards
Advanced medical care facility standards
Facility standards for dietary therapy during hospitalization
Facility standards for special medical fees
Dental Facility Standards
Advanced medical care facility standards
Facility standards for dietary therapy during hospitalization
Facility standards for basic medical fees
| Facility Standard Name |
|---|
| General ward basic admission fee |
| Basic hospitalization fee for facilities for the disabled |
| Basic hospitalization fee for facilities for the disabled, etc. - Nursing assistance surcharge |
| Basic hospitalization fee for facilities for the disabled, etc. - Nursing support system enhancement surcharge |
| Basic hospitalization fee for facilities for the disabled, etc. - Nighttime nursing care system surcharge |
| Acute care system premium |
| Emergency medical management premium |
| Hyperacute stroke premium |
| Medical record management system premium 1 |
| Physician administrative work support system surcharge 1_15 to 1 support system surcharge |
| Acute phase nursing support system supplement_25 to 1 acute phase nursing support system supplement (50% or more nursing assistants) |
| Acute phase nursing support system premium_Nighttime 100:1 acute phase nursing support system premium |
| Acute care support system premium_Nighttime nursing system premium |
| Acute care nursing support system supplement_Nursing support system enhancement supplement |
| Nighttime nursing staff allocation bonus_Nighttime nursing staff 12:1 allocation bonus 1 |
| Special disease hospitalization facility management premium |
| Treatment environment premium |
| Special treatment environment surcharge for seriously ill patients |
| Palliative care treatment premium |
| Psychiatry emergency hospitalization facility management premium |
| Medical management premium for psychiatric ward admission |
| Psychiatry physical comorbidity management premium |
| Psychiatry liaison team surcharge |
| Eating Disorders Inpatient Medical Management Premium |
| Nutrition support team surcharge |
| Medical Safety Measures Surcharge 1 |
| Medical Safety Measures Surcharge_Medical Safety Measures Regional Cooperation Surcharge 1 |
| Infection control improvement premium 1 |
| Infection control improvement supplement _ Strengthening guidance supplement |
| Patient support system enhancement premium |
| Initial support for severely ill patients |
| Report management system addition |
| Pressure ulcer high-risk patient care premium |
| High-risk pregnancy management premium |
| High-risk delivery management premium High-risk delivery management premium |
| Regional Collaboration Referral Addition for Psychiatry Emergency Transport Patients |
| Respiratory care team surcharge |
| Postoperative pain management team surcharge |
| Generic drug use system premium 1 |
| Ward drug administration fee 1 |
| Ward drug administration fee 2 |
| Data submission bonus 2 (hospitals with 200 or more licensed beds) |
| Admission and discharge support premium 1 |
| Hospital admission and discharge support premium 3 |
| Admission and discharge support surcharge_Community cooperation medical plan surcharge |
| Admission and discharge support premium_Hospitalization support premium |
| Admission/Discharge Support Surcharge_Comprehensive Functional Evaluation Surcharge |
| Dementia care premium 1 |
| Delirium High Risk Patient Care Premium |
| Psychiatric Disorder Treatment System Premium 1 and 2 |
| Regional medical system assurance premium |
| Emergency hospitalization fee 3 |
| Emergency hospitalization fee 4 |
| Criteria for maximum number of days for emergency hospitalization fee 3 and 4 |
| Emergency hospitalization fee 3 and 4_Initial psychiatric diagnosis and treatment surcharge |
| Emergency hospitalization fee 3 and 4_Emergency system improvement surcharge 1 |
| Emergency Hospitalization Fee 3 and 4_Pediatric Surcharge |
| Emergency hospitalization fee 3 and 4_Early mobilization and rehabilitation surcharge |
| Emergency hospitalization fee 3 and 4_Early nutritional intervention management surcharge |
| Emergency hospitalization fee 4_Additional fee for strengthening the system for dealing with seriously ill patients |
| Intensive care unit management fee 1 |
| Intensive care unit management fee - Standards regarding maximum number of days charged |
| Intensive care unit management fee - Pediatric surcharge |
| Intensive care unit management fee - Early mobilization and rehabilitation surcharge |
| Intensive care unit management fee_Early nutritional intervention surcharge |
| Stroke care unit inpatient medical management fee |
| Stroke care unit inpatient medical management fee - Early mobilization and rehabilitation surcharge |
| Stroke care unit inpatient medical management fee_Early nutritional intervention surcharge |
| Neonatal Intensive Care Unit Management Fee 1 |
| Neonatal care and recovery room hospitalization medical management fee |
| Pediatric inpatient medical management fee 2 |
| Pediatric inpatient medical management fee_Playroom surcharge |
| Pediatric inpatient medical management fee - childcare support system surcharge |
| Pediatric inpatient medical management fee_out-of-hours admission system strengthening surcharge 2 |
| Psychiatry emergency and complication hospitalization fees |
| Psychiatry emergency and complication hospitalization fee - Nighttime nursing staff placement surcharge |
| Short-term stay surgery basic fee 1 |
Facility standards for special medical fees
| Facility Standard Name |
|---|
| Standards stipulated in Note 2 of the Outpatient Nutrition and Dietary Guidance Fee |
| Remote monitoring surcharge stipulated in Note 5 of the cardiac pacemaker guidance and management fee |
| Renal replacement therapy performance premium |
| Diabetes complications management fee |
| Cancer pain relief guidance and management fee |
| Cancer Patient Guidance and Management Fee |
| Cancer patient guidance and management fee |
| Cancer Patient Guidance and Management Fee |
| Cancer patient guidance and management fee |
| Outpatient palliative care management fee |
| Diabetes dialysis prevention guidance and management fee |
| Diabetes dialysis prevention guidance and management fee - Advanced renal dysfunction patient guidance surcharge |
| Pediatric musculoskeletal disease guidance and management fee |
| Mastitis prevention care and guidance fee |
| Gynecological specific disease treatment management fee |
| Renal replacement therapy guidance and management fee |
| General infertility treatment management fee |
| Assisted reproductive technology management fee 1 |
| Secondary fracture prevention ongoing management fee 1 |
| Secondary fracture prevention ongoing management fee 3 |
| Lower limb wound treatment management fee |
| Community-linked pediatric nighttime and holiday medical care fee 2 |
| In-hospital triage implementation fee |
| Outpatient radiation treatment fee |
| Outpatient oncology chemotherapy treatment fee 1 |
| Outpatient Oncology Chemotherapy Treatment Fee - Collaboration Enhancement Surcharge |
| Nicotine Dependence Management Fee |
| Guidance fee for balancing medical treatment and work |
| Treatment/Work Balance Support Guidance Fee_Consultation Support Surcharge |
| Open hospital joint instruction fee |
| Cancer treatment coordination plan formulation fee 1 |
| Cancer treatment coordination plan formulation fee 2 |
| Hepatitis Interferon Treatment Plan Fee |
| High-risk pregnancy and birth cooperation guidance fee 1 |
| High-risk pregnancy and birth cooperation guidance fee 2 |
| Mental Collaboration Guidance Fee (II) |
| Drug management guidance fee 1 or 2 |
| Medical information provision fee (I)_Examination and image information provision surcharge |
| Electronic medical record evaluation fee |
| Medical equipment safety management fee 1 (life support management device use) |
| Medical equipment safety management fee 2 (Radiation therapy plan formulation) |
| Psychiatry discharge joint guidance fee 1 |
| Psychiatry discharge joint guidance fee 2 |
| Home tumor treatment electric field therapy guidance and management fee |
| Continuous glucose monitor surcharge (when using a continuous glucose monitor linked to an intermittent injection syringe pump) and continuous subcutaneous glucose monitoring |
| Continuous glucose monitor surcharge (when using a continuous glucose monitor that is not linked to an intermittent injection syringe pump) |
| Genetic testing |
| BRCA1/2 gene testing |
| Inborn errors of metabolism testing |
| Simultaneous detection of multiple viral and bacterial nucleic acids |
| HPV nucleic acid detection and HPV nucleic acid detection (simple genotype determination) |
| Specimen Testing Management Surcharge (I) |
| Specimen Testing Management Addition (IV) |
| International Standard Inspection Management Addition |
| Genetic counseling premium |
| Premium for vascular endoscopy examinations using cardiac catheterization |
| Timed walking test and shuttle walking test |
| Fetal echocardiography |
| Head-up tilt test |
| Long-term intracranial electroencephalography |
| EEG test judgment fee 1 |
| Neurological examination |
| Pediatric food allergy challenge test |
| Oral and intravenous provocation tests |
| Sentinel lymph node biopsy (sliced) (combined method) |
| Sentinel lymph node biopsy (single method) |
| Imaging diagnosis management surcharge 1 |
| Imaging diagnosis management surcharge 2 |
| CT and MRI scans |
| Coronary CT scan fee |
| Trauma whole body CT add-on |
| Cardiac MRI imaging fee |
| Breast MRI imaging fee |
| Paediatric sedation MRI fee |
| Prescription fee - Anticancer drug prescription management surcharge |
| Prescription fee - Anticancer drug prescription management surcharge |
| Outpatient chemotherapy premium 1 |
| Sterile preparation processing fee |
| Cardiovascular disease rehabilitation fee (I) |
| Rehabilitation fee for cerebrovascular disease, etc. (I) |
| Musculoskeletal rehabilitation fee (I) |
| Respiratory rehabilitation fee (I) |
| Feeding and swallowing function recovery system premium 2 stipulated in Note 3 of Feeding Function Therapy |
| Cancer patient rehabilitation fee |
| Dementia rehabilitation fee |
| Group communication therapy fee |
| Outpatient/Home Psychotherapy_Recuperative Living Environment Improvement Guidance Premium |
| Outpatient/Home Psychotherapy_Continued Support for Medical Care |
| Antipsychotic specific drug treatment guidance and management fee (limited to treatment-resistant schizophrenia treatment guidance and management fee) |
| Medical care fee for hospitalization for medical protection |
| Holiday surcharge for procedures listed in Section 5 of the General Provisions for Procedures in Chapter 2, Part 9 of the Medical Fee Schedule 1 |
| Overtime treatment for procedures listed in Section 5 of the General Provisions for Treatments in Chapter 2, Part 9 of the Medical Fee Schedule 1 |
| Late-night surcharge for procedures listed in Section 5 of the General Rules for Procedures in Chapter 2, Part 9 of the Medical Fee Schedule 1 |
| Local injection of ethanol (thyroid) |
| Local injection of ethanol (parathyroid gland) |
| Chronic maintenance dialysis 1 (artificial kidney) |
| Introductory period premium 2 and renal replacement therapy performance premium |
| Dialysis fluid quality assurance premium and chronic maintenance dialysis filtration premium |
| Lower limb peripheral arterial disease guidance and management premium |
| Plasma exchange therapy - LDL apheresis therapy for diabetic nephropathy with severe proteinuria associated with refractory hypercholesterolemia |
| Purchase price of oxygen |
| Holiday surcharge for surgery listed in Section 12 of Chapter 2, Part 10, General Rules for Surgery, Medical Fee Table 1 |
| Overtime surcharge for surgery listed in Section 12 of Chapter 2, Part 10, General Rules for Surgery, Medical Fee Schedule 1 |
| Late-night surcharge for surgery listed in Section 12 of the General Rules for Surgery, Chapter 2, Part 10 of the Medical Fee Schedule 1 |
| Surgery listed in Section 16 of the General Rules for Surgery, Chapter 2, Part 10 of the Medical Fee System: Gastrostomy (including endoscopic gastrostomy and laparoscopic gastrostomy) |
| Perioperative nutritional management implementation premium |
| Skin malignant tumor resection - Sentinel lymph node addition |
| Bone grafting (including cartilage grafting) - Autologous cultured cartilage grafting |
| Ossification of the posterior longitudinal ligament surgery (anterior approach) |
| Intradiscal enzyme injection therapy |
| Total tumor spondylectomy |
| Adhesive spinal arachnoiditis surgery (spinal arachnoid dissection) |
| Spinal cord stimulator implantation and spinal cord stimulator replacement |
| Thoracoscopic surgery for malignant mediastinal tumors (when using endoscopic surgical support equipment) |
| Thoracoscopic surgery for benign mediastinal tumors (when using endoscopic surgical support equipment) |
| Thoracoscopic surgery for malignant lung tumors - segmentectomy (when using endoscopic surgical support equipment) |
| Thoracoscopic surgery for malignant lung tumors - lobectomy or surgery for more than one lobe (when using endoscopic surgery support equipment) |
| Thoracoscopic surgery for malignant lung tumors: Lung resection with bronchoplasty |
| Esophageal suture (perforation, damage) (endoscopic), endoscopic gastrostomy, duodenal perforation fistula closure, gastrostomy closure (endoscopic), etc. |
| Percutaneous coronary intervention (using a special catheter) |
| Thoracoscopic Valvuloplasty |
| Transcatheter valve replacement (transapical aortic valve replacement and percutaneous aortic valve replacement) |
| Thoracoscopic valve replacement |
| Percutaneous mitral valve clipping |
| Arrhythmia surgery Left atrial appendage closure (through thoracoscopic surgery) |
| Arrhythmia surgery (left atrial appendage closure) (transcatheter surgery) |
| Percutaneous septal myocardial ablation |
| Pacemaker implantation and replacement |
| Pacemaker implantation and replacement (leadless pacemaker) |
| Biventricular pacemaker implantation (transvenous electrodes) |
| Biventricular pacemaker replacement (transvenous electrodes) |
| Implantation of implantable cardioverter defibrillators (using transvenous or subcutaneously implanted leads), replacement of implantable cardioverter defibrillators (other), and transvenous electrode removal |
| Implantation of an implantable cardioverter defibrillator with biventricular pacing function (in the case of transvenous electrodes) and replacement of an implantable cardioverter defibrillator with biventricular pacing function (in the case of transvenous electrodes) |
| Intraaortic Balloon Pumping (IABP) |
| Percutaneous circulatory support (using a pump catheter) |
| Percutaneous transluminal angioplasty of the lower limbs |
| Laparoscopic lymph node dissection (retroperitoneal) |
| Laparoscopic lymph node dissection (para-aortic) |
| Laparoscopic Lymph Node Dissection (Lateral) |
| Endoscopic antireflux mucosal resection |
| Laparoscopic local duodenectomy (combined with endoscopic procedure) |
| Laparoscopic gastrectomy (simple resection (when endoscopic surgical support equipment is used)) and laparoscopic gastrectomy (malignant tumor surgery (when endoscopic surgical support equipment is used)) |
| Laparoscopic fundus gastrectomy (simple resection (when endoscopic surgery support equipment is used)) and laparoscopic fundus gastrectomy (malignant tumor surgery (when endoscopic surgery support equipment is used)) |
| Laparoscopic total gastrectomy (simple total gastrectomy (when endoscopic surgery support equipment is used)) and laparoscopic total gastrectomy (malignant tumor surgery (when endoscopic surgery support equipment is used)) |
| Balloon-occluded retrograde transvenous obliteration |
| Laparoscopic gallbladder cancer surgery (with gallbladder bed resection) |
| Surgery for malignant bile duct tumors (limited to those involving pancreaticoduodenectomy and hepatectomy (lobar or higher)) |
| Laparoscopic liver resection |
| Laparoscopic liver resection (when using endoscopic surgical support equipment) |
| Extracorporeal shock wave lithotripsy |
| Laparoscopic pancreatic tumor removal |
| Laparoscopic resection of distal pancreatic tumor |
| Laparoscopic pancreatic tumor resection (when using endoscopic surgical support equipment) |
| Laparoscopic pancreatic head tumor resection |
| Laparoscopic pancreatic head tumor resection (when using endoscopic surgical support equipment) |
| Laparoscopic resection of malignant colon tumors (when using endoscopic surgical support equipment) |
| Early stage malignant tumor colon submucosal dissection |
| Endoscopic small intestinal polypectomy |
| Laparoscopic rectal resection/amputation (limited to resection, low anterior resection, and amputation) (when using endoscopic surgical support equipment) |
| Laparoscopic adrenalectomy (using endoscopic surgical support equipment) |
| Laparoscopic adrenal medullary tumor removal (pheochromocytoma) (using endoscopic surgical support equipment) |
| Extracorporeal shock wave lithotripsy for kidney and ureteral stones |
| Laparoscopic renal tumor surgery (using endoscopic surgical support equipment) |
| Laparoscopic surgery for malignant ureteral tumors (using endoscopic surgical support equipment) |
| Laparoscopic pelvic surgery (when using endoscopic surgical support equipment) |
| Laparoscopic surgery for malignant bladder tumors |
| Laparoscopic surgery for malignant bladder tumors (when using endoscopic surgical support equipment) |
| Laparoscopic Minimally Incised Bladder Tumor Surgery |
| Artificial urinary sphincter implantation/replacement |
| Bladder neck reconstruction (other than bladder neck suspension) |
| Buried Penis Surgery |
| Hydrocele surgery (through inguinal incision) |
| Testicular sperm extraction |
| Laparoscopic surgery for malignant prostate tumors |
| Laparoscopic surgery for malignant prostate tumors (using endoscopic surgical support equipment) |
| Laparoscopic sacrocolpopexy |
| Laparoscopic sacral colpopexy (when using endoscopic surgical support equipment) |
| Laparoscopic vaginal hysterectomy (when using endoscopic surgical support equipment) |
| Laparoscopic surgery for uterine malignant tumors (only for uterine cancer) |
| Laparoscopic surgery for uterine malignant tumors (when endoscopic surgery support equipment is used for uterine cancer) |
| Laparoscopic surgery for uterine malignant tumors (cervical cancer only) |
| Laparoscopic uterine scar repair |
| Extracorporeal membrane oxygenation management fee |
| Transfusion Management Fee Ⅰ |
| Add-on for pre-operative preparation for artificial anus and artificial bladder |
| Swallowing function evaluation premium when gastrostomy is performed |
| Anesthesia management fee (I) (epidural anesthesia, spinal anesthesia, closed-circuit general anesthesia) |
| Perioperative drug management premium |
| Anesthetic management fee (II) (epidural anesthesia, spinal anesthesia, closed-circuit general anesthesia) |
| Radiation therapy special fee |
| Outpatient radiation therapy premium |
| Intensity Modulated Radiation Therapy (IMRT) |
| High-energy radiation therapy |
| Image-guided radiation therapy (IGRT) |
| Extracorporeal radiation respiratory movement countermeasures addition |
| High-energy radiation therapy - Increased dose per session |
| Intensity Modulated Radiation Therapy (IMRT) - Single-fraction dose increase |
| Stereotactic radiotherapy |
| Respiratory movement countermeasures for stereotactic radiotherapy (motion tracking method, etc.) |
| Malignant tumor pathological specimens added |
| Pathological diagnosis management surcharge 2 (cytological diagnosis, tissue diagnosis) |
| Nursing staff treatment improvement evaluation fee 68 |
Dental Facility Standards
| Facility Standard Name |
|---|
| Regional Dental Treatment Support Hospital Dental Initial Consultation Fee |
| Dental outpatient treatment environment system premium 2 |
| Dental treatment medical management fee |
| Holiday surcharge for treatments listed in General Provisions for Treatments, Part 8, Chapter 2 of the Dental Fee Table 1 |
| Overtime addition for treatments listed in General Provisions for Treatments, Part 8, Chapter 2 of the Dental Fee Schedule 1 |
| Late-night surcharge for procedures listed in General Provisions for Procedures, Part 8, Chapter 2 of the Dental Fee Schedule 1 |
| Holiday surcharge for surgery listed in General Provisions for Surgery, Part 9, Chapter 2 of the Dental Fee Table 1 |
| Overtime allowance for surgery listed in General Provisions for Surgery, Part 9, Chapter 2 of the Dental Fee Schedule 1 |
| Late-night surcharge for surgery listed in General Provisions for Surgery, Part 9, Chapter 2 of the Dental Fee Table 1 |
| Precision tactile function testing |
| Dental and oral rehabilitation fee 2 |
| Maxillary osteotomy (only when bone movement is involved) (dentistry) |
| Mandibular reconstruction (only when bone movement is involved) (dentistry) |
| Malignant tumor pathological specimens added |
| Oral pathology diagnosis and management premium 2 |
Advanced medical facility standards
| Facility Standard Name |
|---|
| Fertilized egg and embryo culture using time-lapse imaging |
Facility standards for dietary therapy during hospitalization
| Facility Standard Name |
|---|
| Dietary treatment fee during hospitalization (I) |
| Special meal allowance |
| Cafeteria fee |