Quyết định 4999/QĐ-BYT năm 2020 về Bộ Tiêu chí Phòng khám an toàn phòng chống dịch COVID-19 và dịch bệnh viêm đường hô hấp cấp do Bộ trưởng Bộ Y tế ban hành

DECISION

PROMULGATING CRITERIA FOR CLINICS SAFE FROM COVID-19 AND EPIDEMICS OF ACUTE RESPIRATORY INFECTIONS

MINISTER OF HEALTH

Pursuant to the Law on Medical Examination and Treatment dated November 23, 2009;

Pursuant to the Government’s Decree No. 75/2017/ND-CP dated June 20, 2017 on functions, duties, powers and organizational structure of the Ministry of Health;  

At the request of the Head of Medical Services Administration, Ministry of Health,

HEREBY DECIDES:

Article 1. Promulgated together with this Decision are the criteria for clinics safe from COVID-19 and epidemics of acute respiratory infections.

Article 2. The criteria for clinics safe from COVID-19 and epidemics of acute respiratory infections are applicable to public and non-public clinics and healthcare stations throughout the country.

Article 3. Head of Medical Services Administration shall take charge of provide guidelines for implementation of these criteria, direct, inspect, monitor and supervise such implementation; and submit a consolidated report on self-assessment results of clinics to the Minister of Health.

Article 4. This Decision takes effect from the date on which it is signed.

Article 5. Head of Medical Services Administration, Chief of the Ministry Office, Chief Inspector of the Ministry of Health; heads of departments affiliated to the Ministry of Health; directors of Departments of Health, heads of relevant units; heads of health units of other ministries and central authorities, and heads of clinics shall implement this Decision./.

CRITERIA FOR CLINICS SAFE FROM COVID-19 AND EPIDEMICS OF ACUTE RESPIRATORY INFECTIONS

INTRODUCTION

From December 2019, the appearance and spread of COVID-19 around the world have deeply affected all aspects of our daily life. As of November 2020, the world records 63 million cases and 1,4 million deaths.

To date, Vietnam has accomplished very important feats in COVID-19 prevention, control and treatment. However, the pandemic is progressing unpredictably around the world and Vietnam is still facing high risk, especially in winter - spring, on year-end holidays, etc.

Therefore, hospitals and all healthcare stations and clinics shall identify their risks and must not lower their guard or underestimate the pandemic. The healthcare establishment system needs to adopt and maintain precautionary measures in a more vigorous manner.

In the healthcare establishment system, clinics are the first facilities to receive patients, thus, facing high risk of COVID-19 and epidemics of other acute respiratory infections. Clinics have a role in detecting suspected cases early and bear the responsibility for safe medical examination to prevent the disease from spreading between patients and healthcare workers and to the community.

Thus, the Ministry of Health promulgates these criteria for clinics safe from COVID-19 and epidemics of acute respiratory infections for clinics to assess themselves and reduce the risks immediately. These criteria shall provide the activities necessary to establish safe clinics and serve as the bases for assessment and self-assessment of the safety of clinics during the COVID-19 pandemic and in case of epidemics of other acute respiratory infections. Clinics shall formulate a plan for resolution of issues detected during assessment to ensure and maintain the safety of their operations.

COVID-19 prevention and control calls for the participation of the whole system, ministries, regulatory bodies as well as the community. If provinces/cities and clinics across the country adopt the criteria for clinics safe from COVID-19 and epidemics of acute respiratory infections properly, they will contribute significantly to the fight against COVID-19, maintain stable operation of the healthcare system in particular and of the community in general, and help achieve the dual targets as directed by the Prime Minister.

PROMULGATING CRITERIA FOR CLINICS SAFE FROM COVID-19 AND EPIDEMICS OF ACUTE RESPIRATORY INFECTIONS

GUIDELINES ON IMPLEMENTATION AND ASSESSMENT METHOD

MAIN VIEWPOINTS

Clinics need to ensure the safety and efficiency of their operations during the COVID-19 pandemic and in the event of potential epidemics of acute respiratory infections in the community.

1. OBJECTIVES

1.1. General objectives

Provide clinics with guidelines on activities for prevention and control of COVID-19 and epidemics of acute respiratory infections and proper response to epidemic risk factors.

1.2. Specific objectives

1. Provide the tools for assessment of each clinic’s capacity for prevention and control of COVID-19 and epidemics of acute respiratory infections and make such assessment.

2. Identify issues of priority to ensure the safety of clinic operations and protect patients and healthcare workers from infection.

3. Protect patients, patients’ families and healthcare workers from community transmission of COVID-19 and acute respiratory infections and cross infection in clinics.

4. Ensure continuous provision of medical examination services during and after receipt of suspected cases of acute respiratory infections or confirmed COVID-19 cases.

2. IMPLEMENTATION

2.1. Assessment time

Each clinic shall consider and compare the criteria’s content with its current situation and make self-assessments on a monthly basis. If there is risk of community infection or after the clinic has taken steps to improve its safety, it shall make a reassessment.

Clinics shall upload all assessment results onto the online software.

2.2. Composition of assessment team

Internal assessment:

- Clinic head;

- Clinic staff.

Assessment by supervisory authority (district-level healthcare authority, Department of Health, etc.)

- Representative of supervisory authority;

- Assessment specialists.

2.3. Self-assessment procedure

Step 1: Before the assessment: members of the assessment team study the criteria’s content to understand its meaning and the assessment method.

Step 2: Meeting for finalization of the assessment procedures: the team leader presides over a meeting where team members discuss and finalize the assessment content and method.

Step 3: Make the assessment.

Step 4: Post-assessment meeting: after the assessment is completed, the team leader convenes the whole team to finalize the assessment results and recommendations.

Step 5: Activities to be carried out by the clinic after the assessment:

- Formulate a plan for enhancement of the clinic’s epidemic prevention capacity.

- Upload assessment results to https://cosoyte.vn

- Review unsafe points and latent risks identified in the assessment.

- Formulate a plan to address the issues.

- Adopt intervention solutions to increase the clinic’s epidemic prevention capacity and ensure that the clinic’s operations are safe from potential epidemics in the community.

2.4. Assessment method and result classification

- There are 8 criteria.

- The maximum score is 30 points.

- Each subsection shall be given a pass or a fail.

- Each passed subsection shall be given 1 point.

- The score of each criterion shall be the total score of all subsections. If none of the subsections of a criterion earns a point, the criterion scores 0.

- Result classification:

+ Safe clinic: total score from 25 to 30 points.

+ Clinic with low safety level: total score from 20 to 24 points.

+ Unsafe clinic: total score under 20 points.

During the self-assessment process, clinics should send feedback and propositions concerning the assessment content and procedure and relevant matters to Medical Services Administration. Medical Services Administration will consolidate and study such feedback and propositions to improve the assessment content, method and practicality.

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This document is handled by Dữ Liệu Pháp Luật . Document reference purposes only. Any comments, please send to email: [email protected]