{"id":8694,"date":"2026-04-30T10:17:44","date_gmt":"2026-04-30T01:17:44","guid":{"rendered":"https:\/\/www.heartfull.or.jp\/kano\/?page_id=8694"},"modified":"2026-05-19T10:17:49","modified_gmt":"2026-05-19T01:17:49","slug":"facility-standards","status":"publish","type":"page","link":"https:\/\/www.heartfull.or.jp\/kano\/facility-standards","title":{"rendered":"Facility Standards\uff08\u65bd\u8a2d\u57fa\u6e96\uff09"},"content":{"rendered":"<div class=\"KoteiPage_Wrap\">\n<p><!-- \u30da\u30fc\u30b8\u30bf\u30a4\u30c8\u30eb --><\/p>\n<h2 class=\"KoteiPage_Title\">Facility Standards<\/h2>\n<p><!-- \u5927\u898b\u51fa\u3057 --><\/p>\n<h3 class=\"KoteiPage_SubTitle\">Posted Matters under Health Insurance (as stipulated by the Minister of Health, Labour and Welfare)<\/h3>\n<p><!-- \u533b\u7642\u4fdd\u967a\u30bb\u30af\u30b7\u30e7\u30f3\u898b\u51fa\u3057 --><\/p>\n<h3 class=\"KoteiPage_SubTitle KoteiPage_SubTitle--sub\">Facility Standards (Medical Insurance)<\/h3>\n<div class=\"Pg_TextBlock\">\n<p class=\"Pg_Para\"><strong>As of March 1, 2026<\/strong><\/p>\n<p class=\"Pg_Para\">Kano General Hospital operates under the following facility standards as designated by the Minister of Health, Labour and Welfare.<\/p>\n<\/div>\n<p><!-- Basic Inpatient Fees --><\/p>\n<h4 class=\"KoteiPage_SubTitle KoteiPage_SubTitle--sub\"><a id=\"s1\"><\/a>Basic Inpatient Fees<\/h4>\n<div class=\"Pg_TextBlock\">\n<p class=\"Pg_Para\">Our hospital is registered for the following inpatient basic care categories:<\/p>\n<ul class=\"Pg_InfoList\">\n<li class=\"Pg_InfoList_Item\"><strong>General Ward Basic Inpatient Fee<\/strong> (Acute Care General Inpatient Fee 1)<\/li>\n<li class=\"Pg_InfoList_Item\"><strong>Long-term Care Ward Basic Inpatient Fee<\/strong> (Long-term Care Inpatient Fee 1)<\/li>\n<li class=\"Pg_InfoList_Item\"><strong>Convalescent Rehabilitation Ward Inpatient Fee 1<\/strong><\/li>\n<\/ul>\n<\/div>\n<p><!-- Inpatient Care Plan --><\/p>\n<h4 class=\"KoteiPage_SubTitle\">Inpatient Care Plan, Hospital Infection Prevention Measures, Patient Safety Management System, Pressure Ulcer Prevention, Nutritional Management System, Decision-Making Support, and Minimization of Physical Restraints<\/h4>\n<div class=\"Pg_TextBlock\">\n<p class=\"Pg_Para\">At our hospital, upon admission, the attending physician and other relevant staff collaboratively develop an individualized care plan for each patient. This plan is provided to the patient in writing <strong>within 7 days<\/strong> of admission.<\/p>\n<p class=\"Pg_Para\">Additionally, our hospital meets the standards for hospital infection prevention measures, patient safety management system, pressure ulcer prevention, nutritional management system, decision-making support, and minimization of physical restraints, as stipulated by the Minister of Health, Labor and Welfare.<\/p>\n<\/div>\n<p><!-- Nursing Staff Configuration --><\/p>\n<h4 class=\"KoteiPage_SubTitle\"><a id=\"s2\"><\/a>Nursing Staff Configuration<\/h4>\n<div class=\"Pg_TextBlock\">\n<p class=\"Pg_Para\">We maintain the following nursing and assistant staff ratios:<\/p>\n<div class=\"KoteiPage_TableScroll\">\n<p><!-- [\u65b0\u898f\u8ffd\u52a0] \u770b\u8b77\u914d\u7f6e\u3092\u8868\u5f62\u5f0f\u306b\u5909\u63db --><\/p>\n<table class=\"KoteiPage_Table\">\n<thead>\n<tr>\n<th class=\"KoteiPage_Table_Head\">Unit \/ Ward<\/th>\n<th class=\"KoteiPage_Table_Head\">Min. Staff \/ Day<\/th>\n<th class=\"KoteiPage_Table_Head\">Daytime (9:30 a.m. \u2013 5:30 p.m.)<\/th>\n<th class=\"KoteiPage_Table_Head\">Nighttime (5:30 p.m. \u2013 9:30 a.m.)<\/th>\n<th class=\"KoteiPage_Table_Head\">Nursing Assistant<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td class=\"KoteiPage_Table_Data\">High Care Unit (HCU)<\/td>\n<td class=\"KoteiPage_Table_Data\">4+ nurses<\/td>\n<td class=\"KoteiPage_Table_Data\">Max 2 patients per nurse<\/td>\n<td class=\"KoteiPage_Table_Data\">Max 3 patients per nurse<\/td>\n<td class=\"KoteiPage_Table_Data\">\u2014<\/td>\n<\/tr>\n<tr>\n<td class=\"KoteiPage_Table_Data\">Ward 1<\/td>\n<td class=\"KoteiPage_Table_Data\">9+ nurses<\/td>\n<td class=\"KoteiPage_Table_Data\">Max 3 patients per nurse<\/td>\n<td class=\"KoteiPage_Table_Data\">Max 10 patients per nurse<\/td>\n<td class=\"KoteiPage_Table_Data\">1 per 25 patients (night: 1 per 100)<\/td>\n<\/tr>\n<tr>\n<td class=\"KoteiPage_Table_Data\">Ward 2 (Long-term)<\/td>\n<td class=\"KoteiPage_Table_Data\">7+ nurses<\/td>\n<td class=\"KoteiPage_Table_Data\">Max 15 patients per nurse<\/td>\n<td class=\"KoteiPage_Table_Data\">Max 25 patients per nurse<\/td>\n<td class=\"KoteiPage_Table_Data\">1 per 20 patients<\/td>\n<\/tr>\n<tr>\n<td class=\"KoteiPage_Table_Data\">Ward 3 (Rehab)<\/td>\n<td class=\"KoteiPage_Table_Data\">10+ nurses<\/td>\n<td class=\"KoteiPage_Table_Data\">Max 5 patients per nurse<\/td>\n<td class=\"KoteiPage_Table_Data\">Max 21 patients per nurse<\/td>\n<td class=\"KoteiPage_Table_Data\">1 per 30 patients<\/td>\n<\/tr>\n<tr>\n<td class=\"KoteiPage_Table_Data\">Ward 5 (Rehab)<\/td>\n<td class=\"KoteiPage_Table_Data\">10+ nurses<\/td>\n<td class=\"KoteiPage_Table_Data\">Max 5 patients per nurse<\/td>\n<td class=\"KoteiPage_Table_Data\">Max 21 patients per nurse<\/td>\n<td class=\"KoteiPage_Table_Data\">1 per 30 patients<\/td>\n<\/tr>\n<tr>\n<td class=\"KoteiPage_Table_Data\">Ward 6<\/td>\n<td class=\"KoteiPage_Table_Data\">14+ nurses<\/td>\n<td class=\"KoteiPage_Table_Data\">Max 5 patients per nurse<\/td>\n<td class=\"KoteiPage_Table_Data\">Max 16 patients per nurse<\/td>\n<td class=\"KoteiPage_Table_Data\">1 per 25 patients (night: 1 per 100)<\/td>\n<\/tr>\n<tr>\n<td class=\"KoteiPage_Table_Data\">Ward 7<\/td>\n<td class=\"KoteiPage_Table_Data\">13+ nurses<\/td>\n<td class=\"KoteiPage_Table_Data\">Max 4 patients per nurse<\/td>\n<td class=\"KoteiPage_Table_Data\">Max 15 patients per nurse<\/td>\n<td class=\"KoteiPage_Table_Data\">1 per 25 patients (night: 1 per 100)<\/td>\n<\/tr>\n<tr>\n<td class=\"KoteiPage_Table_Data\">Stroke Care Unit (SCU)<\/td>\n<td class=\"KoteiPage_Table_Data\">3+ nurses<\/td>\n<td class=\"KoteiPage_Table_Data\">3 patients per nurse (fixed)<\/td>\n<td class=\"KoteiPage_Table_Data\">3 patients per nurse (fixed)<\/td>\n<td class=\"KoteiPage_Table_Data\">\u2014<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<\/div>\n<p><!-- DPC --><\/p>\n<h4 class=\"KoteiPage_SubTitle\"><a id=\"s3\"><\/a>DPC (Diagnosis Procedure Combination)<\/h4>\n<div class=\"Pg_TextBlock\">\n<p class=\"Pg_Para\">As a DPC-certified hospital, inpatient fees are calculated using a combination of the &#8220;Bundle Payment&#8221; (per-diem) system and the &#8220;Fee-for-service&#8221; system for specific procedures.<\/p>\n<p class=\"Pg_Para\"><a href=\"http:\/\/www.heartfull.or.jp\/kano\/disclose2023\/\">\u25b6 2023 Hospital Indicators Based on DPC Data \u2013 Kanou General Hospital<\/a><br \/>\n<small>*If the number of cases is less than 10, the data is shown as &#8220;\u2013&#8221;. This does not indicate that there were zero applicable patients.<\/small><\/p>\n<\/div>\n<p><!-- Inpatient Meal Therapy --><\/p>\n<h4 class=\"KoteiPage_SubTitle\"><a id=\"s4\"><\/a>Inpatient Meal Therapy and Inpatient Living Therapy<\/h4>\n<div class=\"Pg_TextBlock\">\n<ol class=\"Pg_InfoList\">\n<li class=\"Pg_InfoList_Item\">Our hospital has filed the required notification to claim <strong>Inpatient Meal Therapy (I)<\/strong> and <strong>Inpatient Living Therapy (I)<\/strong> in accordance with the criteria for meal therapy. Therapeutic meals are prepared under the management of registered dietitians and served at appropriate times and temperatures (dinner is provided after 6:00 p.m.).<\/li>\n<li class=\"Pg_InfoList_Item\">Based on physicians&#8217; dietary orders, we offer special meals such as diabetic diets and other therapeutic diets.<\/li>\n<li class=\"Pg_InfoList_Item\">Dining areas are available within the wards for patients to have their meals.<\/li>\n<\/ol>\n<\/div>\n<p><!-- Medical DX --><\/p>\n<h4 class=\"KoteiPage_SubTitle\"><a id=\"s14\"><\/a>Medical DX (Digital Transformation)<\/h4>\n<div class=\"Pg_TextBlock\">\n<p class=\"Pg_Para\">We actively promote high-quality medical care through digital integration:<\/p>\n<ul class=\"Pg_InfoList\">\n<li class=\"Pg_InfoList_Item\">We process insurance claims online.<\/li>\n<li class=\"Pg_InfoList_Item\">We have implemented a system enabling medical staff to view and utilize patient medical information acquired via the <strong>Online Eligibility Confirmation System<\/strong> in the examination room to support diagnosis and treatment.<\/li>\n<li class=\"Pg_InfoList_Item\">We are committed to providing high-quality medical care through <strong>Medical DX<\/strong> by actively promoting the use of My Number Health Insurance Cards and other digital initiatives.<\/li>\n<li class=\"Pg_InfoList_Item\">We will continue to advance initiatives including the issuance of <strong>electronic prescriptions<\/strong> and the introduction of the <strong>electronic medical record sharing service<\/strong>. (\u203b Planned for future implementation)<\/li>\n<\/ul>\n<\/div>\n<p><!-- Pharmaceutical Policy --><\/p>\n<h4 class=\"KoteiPage_SubTitle\"><a id=\"s15\"><\/a>Pharmaceutical Policy<\/h4>\n<div class=\"Pg_TextBlock\">\n<ul class=\"Pg_InfoList\">\n<li class=\"Pg_InfoList_Item\"><strong>Generic Drugs:<\/strong> We proactively adopt high-quality generic medications to reduce patient costs, following Ministry of Health guidelines.<\/li>\n<li class=\"Pg_InfoList_Item\"><strong>Generic Name Prescriptions:<\/strong> Prescriptions may be issued by the &#8220;active ingredient name&#8221; rather than a brand name. This ensures that patients can receive necessary medication even during drug supply shortages.<\/li>\n<\/ul>\n<\/div>\n<p><!-- Private Room Rates --><\/p>\n<h4 class=\"KoteiPage_SubTitle\"><a id=\"s16\"><\/a>Private Room Rates (Extra Bed Fees)<\/h4>\n<div class=\"Pg_TextBlock\">\n<p class=\"Pg_Para\">Our hospital may use <strong>generic-name prescribing<\/strong> for medications that have generic equivalents. Instead of specifying a particular brand name, prescriptions are issued based on the active ingredient (generic name).<br \/>\nBy using generic-name prescriptions, we can ensure that patients receive the required medication more easily, even when the supply of a specific branded drug is insufficient.<br \/>\nIf you have any questions or concerns about generic-name prescribing, please do not hesitate to inquire with our staff.<\/p>\n<\/div>\n<p><!-- Itemized Medical Statements --><\/p>\n<h4 class=\"KoteiPage_SubTitle\"><a id=\"s5\"><\/a>Issuance of Itemized Medical Statements<\/h4>\n<div class=\"Pg_TextBlock\">\n<p class=\"Pg_Para\">At our hospital, from the perspective of promoting transparency in medical care and actively providing patients with detailed information regarding their treatment, we issue, free of charge, an itemized statement that outlines individual items of medical service fees at the time a receipt is issued.<br \/>\nAdditionally, for patients who are beneficiaries of publicly funded medical care and do not incur out-of-pocket expenses, such itemized statements are also provided free of charge.<br \/>\nPlease note that these statements include the names of prescribed medications and the details of examinations performed. We kindly ask for your understanding in this regard. If you do not wish to receive an itemized statement, including cases where a family member or representative conducts the payment on your behalf, please inform the cashier at the time of payment.<\/p>\n<\/div>\n<p><!-- In-Hospital Triage --><\/p>\n<h4 class=\"KoteiPage_SubTitle\"><a id=\"s6\"><\/a>Implementation of In-Hospital Triage<\/h4>\n<div class=\"Pg_TextBlock\">\n<p class=\"Pg_Para\"><strong>To patients visiting the emergency outpatient department during nights and holidays:<\/strong><\/p>\n<p class=\"Pg_Para\">At our hospital, triage is conducted by physicians or nurses who assess each patient&#8217;s condition based on the urgency of their symptoms. Accordingly, the order of consultation may be adjusted, and patients may be seen out of sequence.<br \/>\nWe appreciate your understanding and cooperation.<\/p>\n<\/div>\n<p><!-- Additional Fee for Affiliated Facilities --><\/p>\n<h4 class=\"KoteiPage_SubTitle\"><a id=\"s7\"><\/a>Additional Fee for Hospitalization of Residents from Affiliated Facilities<\/h4>\n<div class=\"Pg_TextBlock\">\n<p class=\"Pg_Para\">Our hospital maintains a 24-hour contact system as an affiliated medical institution for the following long-term care insurance facilities.<br \/>\nIn the event of an emergency, we have established a system to accept patients for hospitalization.<br \/>\nIn order to share medical information of residents and policies for responding to sudden changes in their condition, we conduct conferences at least once a month.<\/p>\n<p class=\"Pg_Para\"><strong>Long-Term Care Insurance Facilities Designated as Affiliated Institutions:<\/strong><\/p>\n<ul class=\"Pg_InfoList\">\n<li class=\"Pg_InfoList_Item\">Heartful Geriatric Health Services Facility<\/li>\n<li class=\"Pg_InfoList_Item\">Sonezaki Geriatric Health Services Facility<\/li>\n<li class=\"Pg_InfoList_Item\">Heisei Sonezaki-en<\/li>\n<li class=\"Pg_InfoList_Item\">Toyuen Miyakojima Geriatric Health Services Facility<\/li>\n<\/ul>\n<\/div>\n<p><!-- Notifications of Facility Standards --><\/p>\n<h4 class=\"KoteiPage_SubTitle\"><a id=\"s8\"><\/a>Notifications of Facility Standards Submitted to the Director of the Kinki Regional Bureau of Health and Welfare<\/h4>\n<h5 class=\"KoteiPage_SubTitle KoteiPage_SubTitle--sub\">1) Notifications Related to Basic Medical Service Fee Standards<\/h5>\n<div class=\"Pg_TextBlock\">\n<ul class=\"Pg_InfoList\">\n<li class=\"Pg_InfoList_Item\">Medical DX Promotion System Enhancement Add-on<\/li>\n<li class=\"Pg_InfoList_Item\">Basic Inpatient Fee for General Wards (Acute Care General Inpatient Fee 1)<\/li>\n<li class=\"Pg_InfoList_Item\">Basic Inpatient Fee for Long-Term Care Wards (Long-Term Care Ward Inpatient Fee 1)<\/li>\n<li class=\"Pg_InfoList_Item\">Emergency Medical Care Management Add-on<\/li>\n<li class=\"Pg_InfoList_Item\">Hyperacute Stroke Add-on<\/li>\n<li class=\"Pg_InfoList_Item\">Medical Records Management System Add-on 1<\/li>\n<li class=\"Pg_InfoList_Item\">Physician Administrative Support System Add-on 1 (General: 40:1, Long-Term Care: 75:1)<\/li>\n<li class=\"Pg_InfoList_Item\">Acute Care Nursing Assistant System Add-on (25:1 with \u226550% assistant staffing, Night: 100:1, Night Nursing System, Enhanced Assistant System 2)<\/li>\n<li class=\"Pg_InfoList_Item\">Inpatient Environment Improvement Add-on<\/li>\n<li class=\"Pg_InfoList_Item\">Special Inpatient Environment Add-on for Severely Ill Patients, etc. (Rooms 621, 718, 720, 721, 821)<\/li>\n<li class=\"Pg_InfoList_Item\">Long-Term Care Ward Environment Add-on 2<\/li>\n<li class=\"Pg_InfoList_Item\">Medical Safety Measures Add-on 1 and Regional Collaboration Add-on for Medical Safety Measures 1<\/li>\n<li class=\"Pg_InfoList_Item\">Infection Control Enhancement Add-on 1 and Instructional Reinforcement Add-on<\/li>\n<li class=\"Pg_InfoList_Item\">Patient Support System Enhancement Add-on<\/li>\n<li class=\"Pg_InfoList_Item\">Initial Support Enhancement Add-on for Critically Ill Patients<\/li>\n<li class=\"Pg_InfoList_Item\">Respiratory Care Team Add-on<\/li>\n<li class=\"Pg_InfoList_Item\">Generic Drug Utilization System Add-on 1<\/li>\n<li class=\"Pg_InfoList_Item\">Data Submission Add-ons 2 and 4 (Category I)<\/li>\n<li class=\"Pg_InfoList_Item\">Admission and Discharge Support Add-on 2 and Admission Support Add-on<\/li>\n<li class=\"Pg_InfoList_Item\">Dementia Care Add-on 2<\/li>\n<li class=\"Pg_InfoList_Item\">Delirium High-Risk Patient Care Add-on<\/li>\n<li class=\"Pg_InfoList_Item\">Regional Healthcare System Securing Add-on<\/li>\n<li class=\"Pg_InfoList_Item\">Additional Fee for Hospitalization of Residents from Affiliated Facilities<\/li>\n<li class=\"Pg_InfoList_Item\">High Care Unit Inpatient Medical Management Fee 1 (Room 100) and Early Mobilization and Rehabilitation Add-on<\/li>\n<li class=\"Pg_InfoList_Item\">Stroke Care Unit Inpatient Medical Management Fee (Room 722)<\/li>\n<li class=\"Pg_InfoList_Item\">Convalescent Rehabilitation Ward Inpatient Fee 1<\/li>\n<\/ul>\n<\/div>\n<h5 class=\"KoteiPage_SubTitle KoteiPage_SubTitle--sub\">2) Notifications Related to Facility Standards for Special Medical Service Fees<\/h5>\n<div class=\"Pg_TextBlock\">\n<ul class=\"Pg_InfoList\">\n<li class=\"Pg_InfoList_Item\">Asthma Treatment Management Fee<\/li>\n<li class=\"Pg_InfoList_Item\">Diabetes Complications Management Fee<\/li>\n<li class=\"Pg_InfoList_Item\">Pediatric Musculoskeletal Disorder Guidance and Management Fee<\/li>\n<li class=\"Pg_InfoList_Item\">Secondary Fracture Prevention Continuous Management Fee 1<\/li>\n<li class=\"Pg_InfoList_Item\">Secondary Fracture Prevention Continuous Management Fee 2<\/li>\n<li class=\"Pg_InfoList_Item\">Secondary Fracture Prevention Continuous Management Fee 3<\/li>\n<li class=\"Pg_InfoList_Item\">Lower Limb Wound Care Management Fee<\/li>\n<li class=\"Pg_InfoList_Item\">In-Hospital Triage Fee<\/li>\n<li class=\"Pg_InfoList_Item\">Night\/Holiday Emergency Transport Medical Management Fee (Emergency Transport Nursing System Add-on 1)<\/li>\n<li class=\"Pg_InfoList_Item\">Outpatient Cancer Chemotherapy Fee 2<\/li>\n<li class=\"Pg_InfoList_Item\">Guidance Fee for Balancing Medical Treatment and Employment (Consultation Support Add-on)<\/li>\n<li class=\"Pg_InfoList_Item\">Open Hospital Cooperative Guidance Fee (One bed each in Rooms 802, 803, 805, 806, 816)<\/li>\n<li class=\"Pg_InfoList_Item\">Cancer Treatment Collaboration Guidance Fee<\/li>\n<li class=\"Pg_InfoList_Item\">Medication Management and Guidance Fee<\/li>\n<li class=\"Pg_InfoList_Item\">Regional Collaboration Clinical Pathway Add-on<\/li>\n<li class=\"Pg_InfoList_Item\">Medical Equipment Safety Management Fee 1<\/li>\n<li class=\"Pg_InfoList_Item\">Emergency Patient Transport Coordination Fee<\/li>\n<li class=\"Pg_InfoList_Item\">Back-Up Hospital for Home Medical Care<\/li>\n<li class=\"Pg_InfoList_Item\">HPV Nucleic Acid Detection and HPV Nucleic Acid Detection (Simple Genotyping)<\/li>\n<li class=\"Pg_InfoList_Item\">Specimen Testing Management Add-on (II)<\/li>\n<li class=\"Pg_InfoList_Item\">Neurological Examination<\/li>\n<li class=\"Pg_InfoList_Item\">CT and MRI Imaging<\/li>\n<li class=\"Pg_InfoList_Item\">Antineoplastic Drug Prescription Management Add-on<\/li>\n<li class=\"Pg_InfoList_Item\">Outpatient Chemotherapy Add-on 1<\/li>\n<li class=\"Pg_InfoList_Item\">Sterile Preparation Processing Fee<\/li>\n<li class=\"Pg_InfoList_Item\">Rehabilitation Fee for Cerebrovascular Diseases, etc. (I)<\/li>\n<li class=\"Pg_InfoList_Item\">Rehabilitation Fee for Musculoskeletal Disorders (I)<\/li>\n<li class=\"Pg_InfoList_Item\">Rehabilitation Fee for Respiratory Diseases (I)<\/li>\n<li class=\"Pg_InfoList_Item\">Rehabilitation Fee for Cardiovascular Diseases (I)<\/li>\n<li class=\"Pg_InfoList_Item\">Platelet-Rich Plasma Therapy<\/li>\n<li class=\"Pg_InfoList_Item\">Artificial Kidney (for Chronic Maintenance Dialysis 1)<\/li>\n<li class=\"Pg_InfoList_Item\">Induction Phase Add-on 1<\/li>\n<li class=\"Pg_InfoList_Item\">Dialysate Water Quality Assurance Add-on and Chronic Maintenance Hemodiafiltration Add-on<\/li>\n<li class=\"Pg_InfoList_Item\">Emergency Reduction and Fixation Add-on and Emergency Insertion Add-on<\/li>\n<li class=\"Pg_InfoList_Item\">Intradiscal Enzyme Injection Therapy<\/li>\n<li class=\"Pg_InfoList_Item\">Spinal Cord Stimulator Implantation and Replacement<\/li>\n<li class=\"Pg_InfoList_Item\">Glaucoma Surgery (Trabecular Outflow Reconstruction [Internal Approach] and Combined Drainage Implantation with Lens Reconstruction)<\/li>\n<li class=\"Pg_InfoList_Item\">Pacemaker Implantation and Replacement<\/li>\n<li class=\"Pg_InfoList_Item\">Surgeries Listed under General Rule 16, Chapter 2, Section 10 of the Medical Fee Schedule (Gastrostomy Creation)<\/li>\n<li class=\"Pg_InfoList_Item\">Blood Transfusion Management Fee I<\/li>\n<li class=\"Pg_InfoList_Item\">Appropriate Use of Blood Transfusion Add-on<\/li>\n<li class=\"Pg_InfoList_Item\">Preoperative Management Add-on for Colostomy\/Ileostomy and Urostomy Creation<\/li>\n<li class=\"Pg_InfoList_Item\">Swallowing Function Evaluation Add-on at the Time of Gastrostomy Creation<\/li>\n<li class=\"Pg_InfoList_Item\">Anesthesia Management Fee (I)<\/li>\n<li class=\"Pg_InfoList_Item\">Nursing Staff Treatment Improvement Evaluation Fee (42)<\/li>\n<li class=\"Pg_InfoList_Item\">Outpatient and Home Care Base-Up Evaluation Fee (1)<\/li>\n<li class=\"Pg_InfoList_Item\">Inpatient Base-Up Evaluation Fee 45<\/li>\n<\/ul>\n<\/div>\n<p><!-- Surgeries Image --><\/p>\n<h4 class=\"KoteiPage_SubTitle\"><a id=\"s9\"><\/a>Surgeries Listed under General Rules 5 and 6, Chapter 2, Section 10 of the Medical Fee Schedule<\/h4>\n<p class=\"Pg_Para\">For those who wish to view the image in a larger size or download it, please click the image.<\/p>\n<div class=\"Pg_HeroBox\"><a href=\"http:\/\/www.heartfull.or.jp\/kano\/wp-content\/uploads\/2026\/04\/e62d7a7a058320ea8e7a79421ae7c65e.png\" target=\"_blank\" rel=\"noopener\"> <img loading=\"lazy\" decoding=\"async\" class=\"Pg_HeroImg alignnone\" src=\"http:\/\/www.heartfull.or.jp\/kano\/wp-content\/uploads\/2026\/04\/e62d7a7a058320ea8e7a79421ae7c65e.png\" alt=\"Surgeries Listed under General Rules 5 and 6\" width=\"770\" height=\"1283\" \/> <\/a><\/div>\n<p><!-- Special Therapeutic Environment --><\/p>\n<h4 class=\"KoteiPage_SubTitle\"><a id=\"s10\"><\/a>Regarding the Provision of Special Therapeutic Environment<\/h4>\n<div class=\"Pg_TextBlock\">\n<p class=\"Pg_Para\">For patients admitted to special rooms, the following charges (including consumption tax) will be added per day.<\/p>\n<table class=\"KoteiPage_Table\">\n<thead>\n<tr>\n<th class=\"KoteiPage_Table_Head\">Category<\/th>\n<th class=\"KoteiPage_Table_Head\">Fee<\/th>\n<th class=\"KoteiPage_Table_Head\">Room Number<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td class=\"KoteiPage_Table_Data\"><strong>Special Room Charge A<\/strong><\/td>\n<td class=\"KoteiPage_Table_Data\">55,000 yen<\/td>\n<td class=\"KoteiPage_Table_Data\">Room 801<\/td>\n<\/tr>\n<tr>\n<td class=\"KoteiPage_Table_Data\"><strong>Special Room Charge B<\/strong><\/td>\n<td class=\"KoteiPage_Table_Data\">38,500 yen<\/td>\n<td class=\"KoteiPage_Table_Data\">Room 601\u3000Room 701<\/td>\n<\/tr>\n<tr>\n<td class=\"KoteiPage_Table_Data\"><strong>Private Room Charge A<\/strong><\/td>\n<td class=\"KoteiPage_Table_Data\">17,600 yen<\/td>\n<td class=\"KoteiPage_Table_Data\">Room 308\u3000Room 310\u3000Room 311\u3000Room 312\u3000Room 508\u3000Room 510\u3000Room 511\u3000Room 512\u3000Room 608\u3000Room 610\u3000Room 611\u3000Room 612\u3000Room 615\u3000Room 616\u3000Room 617\u3000Room 618\u3000Room 620\u3000Room 708\u3000Room 710\u3000Room 711\u3000Room 712\u3000Room 715\u3000Room 716\u3000Room 717\u3000Room 808\u3000Room 810\u3000Room 811\u3000Room 812\u3000Room 815\u3000Room 816\u3000Room 817\u3000Room 818\u3000Room 820<\/td>\n<\/tr>\n<tr>\n<td class=\"KoteiPage_Table_Data\"><strong>Private Room Charge B<\/strong><\/td>\n<td class=\"KoteiPage_Table_Data\">7,700 yen<\/td>\n<td class=\"KoteiPage_Table_Data\">Room 212\u3000Room 215<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p class=\"Pg_Para\"><small>(As of March 1, 2020)<\/small><\/p>\n<\/div>\n<p><!-- Specific Medical Care Charges --><\/p>\n<h4 class=\"KoteiPage_SubTitle\"><a id=\"s11\"><\/a>Regarding Specific Medical Care Charges, etc.<\/h4>\n<h5 class=\"KoteiPage_SubTitle KoteiPage_SubTitle--sub\">1. Special Charges Related to Initial and Follow-up Consultations<\/h5>\n<div class=\"Pg_TextBlock\">\n<ol class=\"Pg_InfoList\">\n<li style=\"list-style-type: none;\">\n<ol class=\"Pg_InfoList\">\n<li class=\"Pg_InfoList_Item\"><strong>Initial consultation:<\/strong> 1,650 yen (including consumption tax)<br \/>\nAt our hospital, patients who visit without a referral letter from another hospital or clinic will be charged the above amount as the fee for the initial consultation.<br \/>\nHowever, this shall not apply in cases where the visit is due to an emergency or other unavoidable circumstances.<\/li>\n<li class=\"Pg_InfoList_Item\"><strong>Follow-up consultation:<\/strong> 880 yen (including consumption tax)<br \/>\nAt our hospital, patients who have been referred to another hospital or clinic by written document but choose to visit our hospital will be charged the above amount as a fee based on their own choice.<br \/>\nHowever, this shall not apply in cases where the visit is due to an emergency or other unavoidable circumstances.<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<\/div>\n<p><!-- Out-of-Pocket Expenses --><\/p>\n<h4 class=\"KoteiPage_SubTitle\"><a id=\"s12\"><\/a>Regarding Out-of-Pocket Expenses Not Covered by Insurance<\/h4>\n<div class=\"Pg_TextBlock\">\n<p class=\"Pg_Para\">At our hospital, for charges not covered under medical care as defined by the Health Insurance Act, we ask patients to bear the actual costs according to the amount used and the number of times utilized.<\/p>\n<p class=\"Pg_Para\"><small>(Amounts include consumption tax. Click the image to view it in full size or download it.)<\/small><\/p>\n<\/div>\n<div class=\"Pg_HeroBox\"><a href=\"http:\/\/www.heartfull.or.jp\/kano\/wp-content\/uploads\/2026\/04\/02a999693672936ffaab0f0525f06641.png\" target=\"_blank\" rel=\"noopener\"> <img decoding=\"async\" class=\"Pg_HeroImg\" src=\"http:\/\/www.heartfull.or.jp\/kano\/wp-content\/uploads\/2026\/04\/02a999693672936ffaab0f0525f06641.png\" alt=\"Out-of-Pocket Expenses Table\" \/> <\/a><\/div>\n<div class=\"Pg_TextBlock\">\n<p class=\"Pg_Para\"><small>*For diapers used in the emergency outpatient department, charges will be billed based on the above table regardless of the NIC contract (inpatient set service).<\/small><\/p>\n<p class=\"Pg_Para\"><small>*For the use of televisions, refrigerators, and washing machines, please purchase a dedicated card of 1,000 yen.<br \/>\n*For other matters, such as rental of hospital gowns, please inquire at the Medical Affairs Division or the reception desk for details.<\/small><\/p>\n<\/div>\n<p><!-- Others --><\/p>\n<h4 class=\"KoteiPage_SubTitle\">Others<\/h4>\n<div class=\"Pg_TextBlock\">\n<p class=\"Pg_Para\">If you have any questions, inquiries, or opinions regarding medical safety, the Medical Safety Manager will respond. Please contact the General Reception or the Regional Liaison Office.<\/p>\n<\/div>\n<hr \/>\n<p><!-- \u4ecb\u8b77\u4fdd\u967a\u30bb\u30af\u30b7\u30e7\u30f3 --><\/p>\n<h3 class=\"KoteiPage_SubTitle KoteiPage_SubTitle--sub\"><a id=\"s13\"><\/a>Facility Standards (Long-term Care Insurance)<\/h3>\n<p><!-- Home-Visit Rehabilitation --><\/p>\n<h4 class=\"KoteiPage_SubTitle--sub\">Home-Visit Rehabilitation<\/h4>\n<div class=\"Pg_TextBlock\">\n<table class=\"KoteiPage_Table\">\n<tbody>\n<tr>\n<th class=\"KoteiPage_Table_Head\">Status of Implementation of Measures to Prevent Elder Abuse<\/th>\n<td class=\"KoteiPage_Table_Data\">Standard Type<\/td>\n<\/tr>\n<tr>\n<th class=\"KoteiPage_Table_Head\">Rehabilitation Management Addition<\/th>\n<td class=\"KoteiPage_Table_Data\">Addition I \/ Addition II<\/td>\n<\/tr>\n<tr>\n<th class=\"KoteiPage_Table_Head\">Explanation by a Physician Regarding Rehabilitation Management<\/th>\n<td class=\"KoteiPage_Table_Data\">Addition Available<\/td>\n<\/tr>\n<tr>\n<th class=\"KoteiPage_Table_Head\">Oral Cooperation Enhancement<\/th>\n<td class=\"KoteiPage_Table_Data\">Addition Available<\/td>\n<\/tr>\n<tr>\n<th class=\"KoteiPage_Table_Head\">Transition Support<\/th>\n<td class=\"KoteiPage_Table_Data\">Addition Not Available<\/td>\n<\/tr>\n<tr>\n<th class=\"KoteiPage_Table_Head\">Service Provision System Enhancement Addition<\/th>\n<td class=\"KoteiPage_Table_Data\">Addition I<\/td>\n<\/tr>\n<tr>\n<th class=\"KoteiPage_Table_Head\">Registration with LIFE<\/th>\n<td class=\"KoteiPage_Table_Data\">Available<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<p><!-- Preventive Care Home-Visit Rehabilitation --><\/p>\n<h4 class=\"KoteiPage_SubTitle KoteiPage_SubTitle--sub\">Preventive Care Home-Visit Rehabilitation<\/h4>\n<div class=\"Pg_TextBlock\">\n<table class=\"KoteiPage_Table\">\n<tbody>\n<tr>\n<th class=\"KoteiPage_Table_Head\">Status of Implementation of Measures to Prevent Elder Abuse<\/th>\n<td class=\"KoteiPage_Table_Data\">Standard Type<\/td>\n<\/tr>\n<tr>\n<th class=\"KoteiPage_Table_Head\">Oral Cooperation Enhancement<\/th>\n<td class=\"KoteiPage_Table_Data\">Addition Available<\/td>\n<\/tr>\n<tr>\n<th class=\"KoteiPage_Table_Head\">Service Provision System Enhancement Addition<\/th>\n<td class=\"KoteiPage_Table_Data\">Addition I<\/td>\n<\/tr>\n<tr>\n<th class=\"KoteiPage_Table_Head\">Registration with LIFE<\/th>\n<td class=\"KoteiPage_Table_Data\">Available<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Facility Standards Posted Matters under Health Insurance (as stipulated by the Minister of Health, Labour and  [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-about-kano-en.php","meta":{"_acf_changed":false,"footnotes":""},"acf":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.heartfull.or.jp\/kano\/wp-json\/wp\/v2\/pages\/8694"}],"collection":[{"href":"https:\/\/www.heartfull.or.jp\/kano\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.heartfull.or.jp\/kano\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.heartfull.or.jp\/kano\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.heartfull.or.jp\/kano\/wp-json\/wp\/v2\/comments?post=8694"}],"version-history":[{"count":25,"href":"https:\/\/www.heartfull.or.jp\/kano\/wp-json\/wp\/v2\/pages\/8694\/revisions"}],"predecessor-version":[{"id":9978,"href":"https:\/\/www.heartfull.or.jp\/kano\/wp-json\/wp\/v2\/pages\/8694\/revisions\/9978"}],"wp:attachment":[{"href":"https:\/\/www.heartfull.or.jp\/kano\/wp-json\/wp\/v2\/media?parent=8694"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}