Circular No. 10/1999/TT-BYT guiding the functions, tasks, and organizational structure of rehabilitation hospitals under the management of Ministries and sectors.

CIRCULAR

Guidelines on functions, tasks, and organizational structure of rehabilitation hospitals

nursing-rehabilitation under ministries and sectors management

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Implementing the Law on People's Health Protection and Decree No. 23/HĐBT dated January 24, 1991 of the Council of Ministers (now the Government) promulgating the Regulations on Medical Examination and Treatment, Rehabilitation; after consulting opinions from ministries and sectors regarding the conversion of activities related to nursing and rehabilitation, and with the agreement of the Government Organizational Cadre Board at Circular No. 128/TCCP-TCBC dated May 28, 1999 on unifying the names of nursing and rehabilitation facilities, the Ministry of Health issues guidelines on the functions, tasks, and organizational structure of rehabilitation hospitals under ministries and sectors as follows:

I. FUNCTIONS AND TASKS:

1. Medical examination, diagnosis, treatment, nursing, and rehabilitation:

1.1. Organize nursing and rehabilitation for individuals suffering from chronic diseases, occupational diseases, those who are weak after acute illness treatment, and others requiring rehabilitation.

1.2. Select appropriate treatment methods, physiotherapy, and rehabilitation techniques, combine nutrition, use medication reasonably, and ensure sufficient functional assessment indicators for patients upon admission and discharge.

1.3. Guide exercise and rehabilitation methods so that patients can continue self-treatment after discharge for long-term illnesses.

1.4. Guide the production and use of assistive devices for people with disabilities to help them engage in vocational activities and live independently, integrating into society.

2. Disease prevention:

2.1. Coordinate with preventive healthcare facilities to implement disease control, occupational disease prevention, and disability prevention programs.

2.2. Collaborate with health education communication agencies to organize community-based rehabilitation awareness campaigns and guide rehabilitation exercise methods.

3. Line guidance:

3.1. Plan and implement guidance on rehabilitation work at lower levels to develop techniques and improve the quality of nursing and rehabilitation.

3.2. Closely cooperate with local health services, factory health services, seek support from government levels, relevant departments, and social organizations, train grassroots health workers, to effectively rehabilitate factory cadres, workers, and employees.

4. Training staff:

4.1. Serve as a practical training site for universities and secondary health schools to train nursing and rehabilitation personnel.

4.2. Participate in training and retraining specialized medical staff within the hospital and health workers in nursing and rehabilitation when needed.

5. Scientific research:

5.1. Organize and participate in scientific research projects in nursing and rehabilitation, occupational diseases, and related fields. Research and apply rehabilitation methods combining modern medicine with traditional medicine and other non-drug therapies.

5.2. Collaborate with treatment facilities to apply and develop specialized techniques within the hospital and in the community.

6. International cooperation:

Cooperate with foreign organizations and individuals in the field of nursing and rehabilitation according to legal provisions.

7. Economic health management:

7.1. Manage and use state budget funds efficiently, strictly comply with financial regulations, gradually account for medical examination and treatment, and rehabilitation expenses.

7.2. Generate additional funding sources from patient fees, health insurance, foreign investment, domestic and international organizations, and individuals.

II. STAFF ORGANIZATION:

1. Organizational model:

Healthcare facilities under ministries and sectors currently performing nursing and rehabilitation duties, if meeting the conditions, will be converted into Rehabilitation Hospitals. Rehabilitation Hospitals under ministries and sectors are specialized hospitals with the function of treating, nursing, and rehabilitating patients; they have legal personality, seals, and bank accounts at the State Treasury.

2. Organizational structure:

2.1. Hospital leadership: Director and 1-2 Deputy Directors assisting (if the Director is not a doctor, there must be one Deputy Director specializing in rehabilitation).

2.2. Functional departments:

- Planning and Coordination Department,

- Organization, Administrative, Financial Accounting Department.

2.3. Specialized departments:

- Outpatient Department,

- Functional Diagnostic and Ancillary Services Department,

- Physiotherapy and Rehabilitation Department,

- Occupational Diseases Department,

- Orthopedic and Assistive Device Production Department (if applicable),

- Nutrition Department.

Facilities with over 100 beds may further separate some functional departments and specialized departments as decided by the main managing ministry after consultation with the Minister of Health.

The functions and tasks of departments and sections shall be implemented according to the "Hospital Regulations" issued with Decision No. 1895/1997/BYT-QĐ dated September 19, 1997 by the Minister of Health.

2.4. Equipment:

Rehabilitation Hospitals will gradually be equipped with essential medical equipment according to the attached list.

2.5. Scale:

- Based on the needs and realities of ministries and sectors, arrange the number of inpatient beds appropriately. Rehabilitation Hospitals must have at least 50 beds. Additional beds for rehabilitation can also be added based on demand.

3. Staff: Implemented according to current regulations.

III. OPERATING FUNDS:

Funds include:

1. Health Service Expenses (provided by the state),

2. Contributions from the main managing ministries and sectors,

3. Patient fees, health insurance, social insurance, and other sources.

The operating fund standards for rehabilitation hospitals will be determined by the Ministry of Finance and the Ministry of Health.

IV. WORK RELATIONSHIPS:

Rehabilitation Hospitals:

- Directly managed and led by the main managing ministries and sectors.

- Directed professionally and technically by the Ministry of Health.

- Establish coordination with competent authorities and healthcare facilities on the territory for cooperation and training of medical staff.

VI. IMPLEMENTATION ORGANIZATION:

1. This Circular applies to all Rehabilitation Hospitals of Ministries and Sectors.

2. Ministries and Sectors operating Rehabilitation Hospitals must develop organizational and operational plans for such hospitals and submit them to the Ministry of Health (Department of Treatment), along with a letter of request from their leadership.

3. The Minister of Health shall instruct the Director of the Department of Treatment to coordinate with relevant departments to assess the standards and conditions for establishing Rehabilitation Hospitals, and report back to the Minister for review and decision.

4. This Circular takes effect fifteen days from the date of issuance, and all previous regulations that conflict with this Circular are hereby abolished.

Any difficulties encountered during implementation should be reported to the Ministry of Health (Department of Treatment) for study and resolution./.