24改定でホームページへの記載が義務化された項目とは?-2024年度診療報酬改定に関わる施設基準の変更

Wevery!チャンネル 河村伸哉
26 Mar 202409:21

Summary

TLDRThis video script discusses the mandatory requirement for medical institutions to publish certain information on their websites under the revised medical remuneration for the 2024 fiscal year. The speaker, Kawamura, who is involved in web marketing, explains the details of this new regulation, which includes posting specific items such as dietary therapy costs, living support, and patient-requested therapy details. The script also covers additional points like the medical DX promotion system and the use of medical information, suggesting that institutions should highlight their roles in local medical care and their utilization of online qualifications and electronic prescriptions on their websites. Kawamura provides examples and suggests that institutions without a website are exempt from this requirement, but encourages them to consider creating one for future efficiency and communication.

Takeaways

  • 😀 The video discusses the 2024 medical fee revision and its implications for medical institutions, particularly regarding the mandatory display of certain information on their websites.
  • 📚 The presenter, Kawamura, who is from the web marketing side, will explain about the obligation to display certain documents on medical institution websites as stipulated by the Facility Standards.
  • 🌐 There is a transition from mandatory display of information within the medical institution to also requiring it on the website, which is a new requirement.
  • 🏥 The specific items that need to be displayed on the website include details about the content and cost of dietary therapy, living support therapy, and patient-initiated or selected therapy.
  • 📝 The script mentions that the information required to be displayed on websites is outlined in the Medical Institution and Medical Care Provider Rules, which have been amended.
  • 💡 Kawamura suggests that viewers who are familiar with the topic can refer to his blog for a detailed explanation and examples, which are accessible from the summary section.
  • 🔍 The video touches on various additions related to medical functions, such as the 'Function Enhancement Addition', which requires institutions to describe their role in comprehensive regional medical care.
  • 💻 The 'Medical Information Acquisition Addition' and 'Medical DX Promotion System Organization Addition' are highlighted, emphasizing the importance of utilizing high-quality information for medical practice, which should be reflected on the homepage.
  • 🏠 The 'Home Medical DX Information Utilization Addition' is mentioned, suggesting that information related to home medical services should also be included on the website.
  • 📈 There are several other additions discussed, such as 'High-Risk Childbirth Management Addition' and 'General Prescription Addition', which relate to specific medical services and practices.
  • ⏳ The deadline for implementing these changes on websites is set for May 31, 2025, allowing medical institutions time to make the necessary updates.
  • 🚫 Institutions without their own websites are exempt from these requirements, so there is no need for them to rush into creating one solely for this purpose.

Q & A

  • What is the main topic discussed in the video script?

    -The main topic discussed in the video script is the changes to the medical institution's compensation system for the fiscal year 2024, with a focus on the obligation to display certain information on their websites as per the revised standards.

  • Who is the speaker in the video script?

    -The speaker in the video script is Kawamura, who is a person from the web marketing side, and he is explaining the new requirements for displaying information on medical institution websites.

  • What is the purpose of displaying information on medical institution websites as mentioned in the script?

    -The purpose of displaying information on medical institution websites is to comply with the revised standards that mandate the online publication of certain details related to insurance medical institutions and insurance medical care management rules.

  • What are the specific items that need to be displayed on medical institution websites according to the script?

    -The specific items that need to be displayed on medical institution websites include details about the content and costs of dietary therapy, living therapy, patient-reported therapy, and selected therapy.

  • What is the deadline for medical institutions to comply with the new website display requirements?

    -The deadline for medical institutions to comply with the new website display requirements is May 31, 2025, as per the transitional measures set by the revised standards.

  • What is the 'functional enhancement addition' mentioned in the script?

    -The 'functional enhancement addition' refers to the requirement for medical institutions to write on their websites that they are comprehensive medical institutions in their region, playing a role in promoting regional medical care or receiving a functional enhancement addition.

  • What is the 'medical information acquisition addition' and how does it relate to online qualification confirmation?

    -The 'medical information acquisition addition' is a point that can be added if the medical institution is engaged in the exchange of information online, such as through online qualification confirmation. It requires the institution to demonstrate that they are obtaining and utilizing high-quality information for their medical practice on their website.

  • What is the 'medical DX promotion system arrangement addition' and how is it similar to the 'medical information acquisition addition'?

    -The 'medical DX promotion system arrangement addition' is similar to the 'medical information acquisition addition' in that it involves the use of digital tools like electronic prescriptions and electronic medical record sharing services. It requires institutions to show they are utilizing these tools to obtain and apply sufficient information for high-quality medical care.

  • What is the 'in-home medical DX information utilization addition' mentioned in the script?

    -The 'in-home medical DX information utilization addition' refers to the requirement for medical institutions to display on their websites how they utilize digital information in the context of home medical care, which could include services like home visits and continuous care.

  • How should medical institutions without their own websites handle the new requirements?

    -Medical institutions without their own websites are not subject to these new requirements, as they are specifically targeted at institutions that manage their own websites. There is no need for these institutions to rush to create a website just for this purpose.

  • What is the speaker's suggestion for medical institutions regarding the display of information on their websites?

    -The speaker suggests that medical institutions should consider displaying the required information on their websites, particularly on the homepage, to ensure compliance with the new standards and to provide transparency to patients.

Outlines

00:00

📚 Mandatory Website Disclosure for Medical Institutions

The video script discusses the new requirements for medical institutions in Japan regarding the mandatory disclosure of certain information on their websites. The speaker, Kawamura, who is a web marketing specialist, explains that the obligation stems from changes to the Medical Institution Standards and the Insurance Medical Service Act. The information that must be disclosed includes details about the medical institution's role in local comprehensive medical care, the use of medical information technology for online qualification verification, and the implementation of high-quality medical care. The speaker also mentions the addition of points for medical institutions that enhance their services, such as the use of electronic prescriptions and electronic medical record sharing services. The video is intended to guide medical institutions on how to comply with these new regulations and where to find more detailed information on their blogs.

05:02

🗓 Compliance Deadline and Exemptions for Website Disclosure

This paragraph delves into the specifics of the compliance deadline for the new website disclosure requirements, which is set for May 31, 2025. Medical institutions are given a grace period to make the necessary changes to their websites. The speaker clarifies that institutions without their own websites are exempt from these requirements, and there is no need to rush into creating one just for compliance. However, the speaker suggests that having a website can be beneficial for disseminating information and improving operational efficiency. The video also touches on various other topics such as the management of high-risk childbirth, the use of generic drugs, and the importance of collaborating with long-term care insurance facilities. The speaker encourages viewers to subscribe to the channel for updates on changes and interpretations related to the medical fee revision.

Mindmap

Keywords

💡Medical Institution Information

This term refers to the useful information provided for medical institutions. In the video's context, it is about the changes in the medical remuneration system for the fiscal year 2024. The script discusses how this information is being shared through a web channel, highlighting the importance of disseminating relevant updates to medical institutions.

💡Web Marketing

Web marketing is the process of promoting products or services via the internet. In the script, the speaker, who is from the web marketing side, discusses the obligation to display certain information on the homepage of medical institutions' websites, which is a new requirement tied to the medical remuneration system.

💡Home Page Display Obligation

This concept refers to the new rule that medical institutions are required to display specific information on their homepages. The script explains that this is a change from previous regulations, which only required the information to be displayed within the institution's premises.

💡Medical Care Facilities Standards

These are the standards set for medical care facilities, which are mentioned in the script as being revised. The video discusses how these standards relate to the content that must now be displayed on medical institutions' websites, such as details about meal therapy, living support, and patient-requested therapy.

💡Insurance Medical Institutions

Insurance medical institutions are those that provide medical services covered by health insurance. The script mentions that these institutions, along with insurance medical care providers, are subject to new rules regarding the information they must display on their websites.

💡Medical Information Acquisition Bonus

This term refers to an additional benefit or 'bonus' that medical institutions can receive for acquiring and utilizing medical information effectively. The script explains that this could involve online qualification confirmation and that institutions should indicate on their websites that they are utilizing such systems for high-quality medical care.

💡Medical DX Promotion System

Medical DX Promotion System refers to the efforts to promote digital transformation (DX) in the medical field. The script mentions that institutions can receive a bonus for setting up and utilizing systems like electronic prescription services, which should be reflected on their websites to show their commitment to high-quality care.

💡Home Medical Care DX Information Utilization Bonus

This bonus is for home medical care services that effectively utilize digital information and technology. The script suggests that institutions should mention on their websites how they are applying digital solutions to home care services, which is part of the new requirements for displaying information online.

💡High-Risk Childbirth Management Bonus

This term refers to an additional benefit for medical institutions that manage high-risk childbirths effectively. The script indicates that this is one of the many specific bonuses that institutions can claim by demonstrating their adherence to certain standards, which should be communicated on their websites.

💡General Prescription Law

The General Prescription Law pertains to the regulations governing the prescription of generic drugs. In the script, it is mentioned as part of the information that should be included on medical institutions' websites, particularly in relation to the use of generic drugs and the development of pharmaceuticals.

💡Elderly Care Insurance Facility Collaboration Bonus

This bonus is for medical institutions that collaborate effectively with elderly care insurance facilities. The script suggests that showcasing such collaboration on websites can help institutions demonstrate their commitment to integrated care for the elderly, which is a new requirement under the revised standards.

Highlights

Introduction to the channel and the topic of medical institution information for 2024.

Explanation of the obligation to publish certain information on the homepage as per the new regulations.

Details on the specific examples of the obligations set by the facility standards.

The shift from mandatory in-hospital posting to also requiring homepage publication.

Clarification on the items that must be published on the website as per the new amendments.

Explanation of the items related to the content and costs of dietary and living support therapies.

Discussion on the changes to facility standards and their implications for both clinics and hospitals.

Guidance on how to write about the role of medical institutions in comprehensive regional medical care.

Information on the medical information acquisition bonus and its requirements.

Details on the medical DX promotion system organization bonus and its significance.

Suggestion on how to write about the utilization of medical information for high-quality care.

The introduction of the home medical DX information utilization bonus and its requirements.

Explanation of the bonus system for issuing detailed statements and its importance.

Discussion on the high-risk childbirth management bonus and its relevance.

Details on the general prescription bonus and the development pharmaceutical use system bonus.

Information on the bio-derivative use system bonus and the cooperation target facility admission bonus.

Discussion on the community-based care bonus and its significance in the medical field.

Details on the outpatient main chemotherapy treatment volume and dental outpatient treatment.

Explanation of the medical safety countermeasures bonus and its importance.

Information on the care insurance facility collaboration bonus and its role.

Discussion on the home medical information collaboration bonus and its impact.

Clarification on the grace period for implementing the new requirements until May 31, 2025.

Information for medical institutions without their own homepages and the exemption from the new rules.

Encouragement for creating a homepage for future efficiency and information dissemination.

Conclusion and invitation to subscribe for more updates on medical compensation revisions.

Transcripts

play00:01

医療機関のお役立ち情報をお伝えする

play00:03

ウェブリーチャンネルようこそこんにちは

play00:05

川村深夜ですこのチャンネルでですね

play00:07

2024年度の診療報酬改定について色々

play00:10

ま情報をお届けしているんですけれどもま

play00:13

私がですねウェブマーケティング側の人な

play00:16

ので今日はですねホームページの掲載が

play00:18

義務付けられたところについて解説をして

play00:22

いきます施設基準とで定められている書面

play00:25

刑事についての具体例とかをですねブログ

play00:28

に書いてますこれ概要欄から行けるように

play00:30

しておきますのでもうブログ見ればいいや

play00:33

という方はですね是非それを見ていただい

play00:35

て動画見なくてもいいんですけれどもま

play00:37

せっかく見ていただいてるのでまこのまま

play00:39

ですねま一緒に内容をさっていければなと

play00:42

いう風に思いますこの書面刑事実行の

play00:44

ウェブサイトへの掲載ということでですね

play00:48

保険医療機関及び保険医療養担当規則等に

play00:52

ついて書面掲示することとされている事項

play00:55

について原則としてウェブサイトに掲載し

play00:58

なければならないこととするとなったわけ

play01:00

なんですねま今までは院内の掲示は必須

play01:03

だったんですけれどもウェブサイトにも

play01:06

掲示してねというところが出てきたという

play01:09

ところになります改正案というところで

play01:11

このウェブサイトに掲載しなければなら

play01:13

ないというところがこういくつかこう出て

play01:16

きてま今日はですねその項目は何に当たる

play01:18

のかというところをちょっと見ていきます

play01:20

項目については先ほどの部分保険医療機関

play01:24

及び保険員療養担当規則の変更となってい

play01:29

ますがまず最初に書いてあるのがですね第

play01:31

5条の3第4項第5条の3の2の第4項第

play01:36

5条の4第2項ということでこれ何かと言

play01:40

と食事療養の内容及び費用生活療養の内容

play01:44

及び費用え患者申し出療養または選定療養

play01:48

の内容及び費用ということでまこの

play01:50

チャンネルクリニックの方が多く見られて

play01:53

ますがまどちらかというと病院さん向けの

play01:56

内容にはなっております告示で出た施設

play02:00

基準の変更というのがあるんですけれども

play02:02

基本診療用の施設基準等の一部を改正する

play02:07

告示ということでこの中にえまとめて書い

play02:10

てあるんですがま診療所に関すること病院

play02:14

に関すること両方に関すること色々あり

play02:16

ますのでま項目について1つずつさらって

play02:19

いきたいと思いますその次にですね書いて

play02:22

あるのが機能強化加算ということでどう

play02:24

いうものを書けばいいかというと地域に

play02:26

おいて包括的な診療になう医療機関である

play02:30

ことを書くま私もですね要約はしてるもの

play02:33

の具体的に何って言われるとここに書いて

play02:35

ないんですけれども国が推進する地域医療

play02:39

の中でこういう役割を担ってますもしくは

play02:41

ま機能強化加算を取ってますみたいな感じ

play02:44

で書いてもいいのかなという風には思い

play02:46

ます次これは割と関係のあるところが

play02:49

ほとんどだと思うんですけど医療情報取得

play02:51

加算ということでオンライン資格確認など

play02:55

で情報のやり取りをしている場合はですね

play02:58

加算取れるんですけれどももその場合です

play03:00

ね電子資格確認行う体制を有して質の高い

play03:03

診療を実施するための十分な情報を取得し

play03:06

及び活用して診療を行っていることを

play03:09

ホームページに書くという形になりますで

play03:11

その次ですね医療DX推進体制整備加算ま

play03:15

先ほどのですね医療情報取得加算に似ては

play03:18

いる項目なんですけれどもまこれはですね

play03:21

例えば電子書法線ですとかまLから始まる

play03:24

予定の電子カルテ情報共有サービスとか

play03:27

それを利用するにあたってま取れるところ

play03:31

になるんですけれどもこれもですね結構

play03:33

先ほどの項目と同じような感じで医療DX

play03:36

推進の体制に関する事故及び質の高い診療

play03:39

を実施するための十分な情報取得し及び

play03:41

活用して診療を行ってる旨と書いてあるの

play03:44

でこの医療DX推進体制整備加算の項目と

play03:49

医療情報取得加算の項目は同じように書い

play03:52

ていただいてもいいんじゃないかと思い

play03:53

ますこのブログに具体的にどのように書け

play03:56

ばいいのかの例も表示してあるですね

play04:00

先ほどのDX関連のところだとこんな感じ

play04:03

でまとめられると思うんですね医療情報の

play04:05

活用について党員は質の高い診療を実施

play04:08

するためオンライン資格確認や電子法線の

play04:10

データ等から取得する情報を活用して診療

play04:13

行ってます来年になったら電子カルテ情報

play04:15

共有サービスが始まりますので電子書法線

play04:18

の隣あたりにですね加えていただけると

play04:21

いいのかなという風に思いますでその他

play04:23

明細書と一般名での書法について書いて

play04:26

ありますけれどもクリニックさんですと

play04:28

この明細書一般名書法DXに関することを

play04:33

書けばある程度モーラできるんじゃないか

play04:35

なという風に思います各1なんですけれど

play04:38

もまある程度患者さんにも見ていただく

play04:41

前提であるということから私であれば

play04:44

ホームページのトップページの1番下でも

play04:46

いいと思うんですけれどもこのような事項

play04:48

を書いていただくのがいいんじゃないかな

play04:50

という風に思います個別の事項に戻ります

play04:53

次がですね在宅医療DX情報活用加算これ

play04:57

は奉還も訪問しも緒という形でこれもです

play05:01

ね先ほどの項目と一緒なような感じで書い

play05:04

ていただけるといいかなという風に思い

play05:05

ますそれから明細所発行体制等加算これ

play05:09

先ほどの例文にもありましたねそれから

play05:11

ハイリスク分娩等管理加算それから一般名

play05:15

処法加算で開発医薬品使用体制加算外来

play05:20

開発医薬品使用体制加算もま同様にえなり

play05:24

ますまこの辺りは薬に関することなので

play05:27

一般名書法と後発医品仕様を同じ段落の中

play05:32

に一緒に書くということでもえいいと思い

play05:34

ますむしろそちらの方が患者さんにとって

play05:37

理解しやすいということであればまその

play05:39

ような感じでえ書くということもあり得る

play05:41

のかなと思いますそれからバイオ後続品

play05:45

使用体制加算協力対象施設入所者入院加算

play05:50

それから通院在宅精神療法これについては

play05:54

結構書くことがいっぱいありますのでま

play05:57

こちら参考にしていただけるといいかなと

play05:59

思いますそれから地域包括診療加算それ

play06:02

から外来主要化学療法診療量歯科外来診療

play06:06

医療安全対策加算まこちらについては

play06:11

歯医者通いのをま書くという形になります

play06:15

それから介護保険施設と連携応神加算それ

play06:18

から在宅医療情報連携加算から在宅癌医療

play06:23

も在宅資も一緒になりますでま以上が項目

play06:26

なんですけれどもこれらはですね先ほど

play06:29

ご覧いただいた施設基準の改正の中で

play06:33

ウェブサイトにもと書いてあったところな

play06:36

んですけれどもそれ以外にもですね

play06:38

ウェブサイトへ掲載って今回書かれては

play06:41

ないものの書面掲示をしてねというところ

play06:45

がありますのでこれについては今回の具体

play06:48

的な項目に順じてま記載してもいいかなと

play06:51

いうところになりますのでそれもですね

play06:54

ブログにえ書いておきますので是非えご

play06:57

参考いただいて必要に応じてえ追加をえし

play07:00

ていただければという風に思いますでこれ

play07:02

いつまで書けばいいの6月からということ

play07:06

の質問をあろうかなと思うんですけれども

play07:09

これ実は猶予期限がえ設けられてまして本

play07:13

改正に際し令和7年要するに来年ですね

play07:17

2025年の5月31日までの経過措置を

play07:21

設けるということで2025年の5月31

play07:24

日までにホームページにこれらを書けば

play07:28

良いということになっなっております今

play07:30

ホームページ持ってない人どうするの医療

play07:33

機関とか例えば法官とか薬局とかもそうな

play07:36

んだと思うんですけれどもこれ厚労省のえ

play07:40

資料を今表示をしているんですが自ら管理

play07:44

するウェブサイトを有しない保険医療機関

play07:48

等は対象外ということでホームページ持っ

play07:53

てないところは対象外ですよとなってます

play07:57

のであえてこのためにですねホムページを

play08:00

無理やり持つということはないです保険

play08:02

医療機関等になってるのでおそらく訪問

play08:06

看護ステーションとか薬局とかもこれに

play08:09

準じるんじゃないかなとは思うんです

play08:11

けれどもま例えばホームページの業者さ等

play08:14

がですねまこういう改定になったのでこれ

play08:16

持たなきゃいけなくなりましたよと言って

play08:18

焦る必要は今のとこないということです

play08:21

ただこれからの事体ですねホームページで

play08:24

いろんな情報をこう発信したりすることが

play08:26

まいろんな業務効率化の方にこうなって

play08:29

行くということもありますのでまない

play08:31

ところはませっかくだから作ってみようか

play08:34

なというところでお作りするというのは

play08:36

非常にいいんじゃないかなという風に思い

play08:38

ますいかがだったでしょうか診療報酬改定

play08:40

の情報はですね都度色々な情報をお伝えは

play08:43

しているんですけれども今後もですね通知

play08:46

であったり議解釈であったりまいろんな

play08:49

変更皆さんが知っておくべきことは

play08:51

たくさんあるかなという風に思いますので

play08:53

えそういうのが出ましたらま私のXが1番

play08:56

早いんですけれどもこういった動画でも

play08:58

情報配信をしてようと思いますので是非

play09:01

チャンネル登録としていただいて応援して

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いただけると幸いですそれではまた

play09:12

[音楽]

play09:20

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