Table 1 Additional reimbursement for infection prevention
Categories | Additional reimbursement for infection prevention 1 (ARIP 1) | Additional reimbursement for infection prevention 2 (ARIP 2) |
|---|---|---|
Outline | Calculate on the first hospitalized day for inpatients in an insured medical institution, which has an infection control team (ICT) in the hospital to prevent nosocomial infections by monitoring the infection situation in the hospital, appropriate use of antimicrobial agents, and preventing infection in the hospital staff. | |
Medical remuneration points | 390 points (1 point = JPY 10) | 90 points (1 point = JPY 10) |
Hospital bed size | No conditions | The standard number of general hospital beds is 300 or less |
Infection Control Team Members | • Full-time physician (with at least 3 years of experience in infection control) • Full-time nurse (with at least 5 years of experience in infection control and completion of the training program) • Full-time pharmacist (at least 3 years of working experience in a hospital) • Full-time clinical technologist (with at least 3 years of working experience in a hospital) | • Full-time physician (with at least 3 years of experience in infection control) • Full-time nurse (with at least 5 years of experience in infection control) • Full-time pharmacist (at least 3 years of working experience in a hospital) • Full-time clinical technologist (with at least 3 years of working experience in a hospital) |
One physician or nurse must be working in the ICT for at least 80% of the working hours, and other professionals must be working in the ICT for at least 50% of the working hours. | All professions must be working in the ICT at least 50% of the working hours. | |
Standard operating procedure | The ICT must prepare standard operating procedures, which include standard precautions, tailored to the actual conditions of the facility, and precautions by route of infection, based on the latest evidence and tailored to the actual situation at each facility. | |
Operations | • Permission or notification system of specific antimicrobial agents (e.g., broad-spectrum antimicrobial or anti-MRSA agents) • Regular in-hospital round • Participation in regional and national surveillance | • Permission or notification system of specific antimicrobial agents (e.g., broad-spectrum antimicrobial or anti-MRSA agents) • Regular in-hospital round |
Education and training | Regular training on nosocomial infection control must be conducted. | |
Cooperation with other medical institutions | • Holding of conferences, at least four times a year, with the hospitals of additional reimbursement for infection prevention category 2 • Reception of consultations, when necessary, from hospitals of additional reimbursement for infection prevention category 2 on nosocomial infection control | • Participant in conferences, at least four times a year, held by the hospitals of additional reimbursement for infection prevention category 1 |