PROCEDURE FOR TRANSFER OF MEDICAL EXAMINATION AND TREATMENT TO SUPERIOR FACILITY

PROCEDURE FOR TRANSFER OF MEDICAL EXAMINATION AND TREATMENT TO SUPERIOR FACILITY

Health insurance participants, when undergoing medical examination and treatment, have the right to transfer their health insurance to a superior facility according to regulations, suitable with the medical condition and the diagnostic, treatment, and technical service capacity of the medical examination and treatment facility. The article below will briefly describe the procedure for the transfer of medical examination and treatment to a superior facility.

1. Conditions for the transfer of medical examination and treatment to superior facility

The medical facility shall implement the transfer of medical examination and treatment to superior facility if the following conditions are satisfied:

– Inadequate capacity or conditions of the medical examination and treatment facility:

+ The disease is not suitable to the capacity in diagnosis and treatment and the list of techniques of the medical facility approved by a regulatory authority in healthcare; or

+ The disease is suitable to the capacity in diagnosis and treatment and the list of techniques of the medical facility approved by a regulatory authority in healthcare but, due to an objective reason, such medical facility is not qualified to provide diagnosis and treatment;

– Inadequation in technical services of medical examination and treatment facilities:

Depending on the list of techniques approved by a regulatory authority in healthcare, if the directly superior facility does not have suitable medical techniques, patients shall be transferred to a higher-rank facility;

– Before the patient is transferred, a medical consultation shall be held to appoint the receiving facility (excluding rank 4 clinics and medical facilities).

2. Procedure for the transfer of medical examination and treatment to superior facility

The transfer of medical examination and treatment to superior facility is performed by the medical facility under the following order:

a. Step 1: Notice on the transfer of medical examination and treatment

Notifying and explaining the patient or his/her legal representative the reasons for transfer of facility.

b. Step 2: Issuance of the slip of transfer

Competent representative of the medical facility shall sign the slip of transfer under specified form.

c. Step 3: Contacting the medical examination and treatment facility where the patient is expected to be transferred

– If the patient needs emergency treatment, the medical facility shall contact with the receiving facility; re-check the conditions of the patient before transferring; prepare vehicles and equipment for providing emergency treatment on the way to the receiving facility;

– If the patient needs technical assistance from the receiving facility, the transferring facility shall provide the receiving facility with information about conditions of the patient and necessary assistance for preparation;

d. Step 4: Handing over documents and patient

– The slip of transfer shall be given to the medical officials going with the patient or the legal representative of the patient to provide for the receiving facility;

– The transferring facility shall transfer the patient and the slip of transfer to the receiving facility.

The transfer of medical examination and treatment must be suitable with the medical condition and the diagnostic, treatment, and technical service capacity of the medical facility.

3. Power to sign the slip of transfer

According to current regulations, the power to sign the slip of transfer:

– Regarding public medical facilities: the Head of the medical facility or the person authorized by the Head of the medical facility is in charge of signing the slip of transfer.

– Regarding public medical facilities: the person in charge of professional skills of the medical facility or the person authorized by him/her is in charge of signing the slip of transfer.

– In a shift, the leader of the team is in charge of signing the slip of transfer.

Legal basis:

  • Law on Health Insurance 2008 (amendment and supplement on 2014);
  • Decree 146/2018/ND-CP guiding the Health Insurance Law promulgated on October 17, 2018;
  • Circular 14/2014/TT-BYT regulating the transfer of medical examination and treatment facilities promulgated by the Minister of Health on April 14, 2014;
  • Circular 40/2015/TT-BYT regulating registration for initial medical examination and treatment under health insurance and transfer of medical examination and treatment under health insurance was promulgated by the Minister of Health on November 16, 2015;
  • Circular 30/2020/TT-BYT guiding Decree 146/2018/ND-CP guiding the Health Insurance Law promulgated by the Ministry of Health on December 31, 2020.

𝐋𝐈𝐍𝐂𝐎𝐍 𝐋𝐀𝐖 𝐅𝐈𝐑𝐌 – 𝐒𝐮𝐬𝐭𝐚𝐢𝐧𝐚𝐛𝐥𝐞 𝐜𝐨𝐨𝐩𝐞𝐫𝐚𝐭𝐢𝐨𝐧

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