Chapter 5 Subsidy Standards for Accredited Medical Institu-tions
Article 28
Accredited medical institutions that provide integrated services for the diagnosis and treatment of occupational accidents and occupational injuries and diseases and notification of occupational injuries and diseases, and achieve the annual basic service volume in the following items, may apply to the central competent authority for basic service volume subsidy; the subsidy standards are shown in Appendix 1:
1. Not less than 180 occupational injury reports.
2. There are more than 90 reports of occupational diseases and suspected occupational diseases in total, of which more than 60 are occupational diseases.
3. Occupational disease assessment reports, occupational medical evidence investigation reports, and assessment results in Article 25, totaling more than 40 reports.
4. Open occupational injury and disease clinics more than five times a week, with more than 130 persons seeking medical treatment each year, and more than 500 patients seeking medical treatment.
The occupational injury specified in Item 1 of the preceding paragraph is an occupational injury or deemed occupational injury as stipulated in the occupational injury and disease review criteria for labor occupational accident insurance, and a specialist in the occupational medicine department of an accredited medical institution provides services related to occupational injury and disease, and has a service record.
Occupational diseases specified in Item 2 of Paragraph 1 are those who meet one of the following conditions, and who have been certified to provide occupational injury and disease-related services by specialists in the Occupational Medicine Department of an accredited medical institution, and have service records:
1. Occupational diseases listed in the appendix to Article 18 of the Regulations of the Examination of Injuries and Diseases Resulting from the Performance of Duties by the Insured Persons of Labor Occupational Accident Insurance (hereinafter referred to as the “List of Occupational Disease Types”).
2. According to the provisions of Article 19 or 20 of the Regulations of the Examination of Injuries and Diseases Resulting from the Performance of Duties by the Insured Persons of the Labor Occupational Accident Insurance, it shall be regarded as an occupational disease.
3. The diseases that are not listed in the table of occupational diseases have been diagnosed by specialist physicians in the Department of Occupational Medicine, and the occupational causal relationship or contribution to the disease is greater than 50%, and there is evidence in medical literature.
4. The diseases listed in the table of occupational disease categories do not fully comply with the reference guidelines for the identification of occupational diseases announced by the central competent authority. After the diagnosis by a specialist in occupational medicine, the occupational causal relationship or contribution to the disease is greater than 50%, and supported by medical literature.
Article 29
An accredited medical institution that fails to meet the annual basic service volume specified in the first paragraph of the preceding article may still apply for the subsidy specified in the first paragraph of the preceding article. However, the central competent authority may reduce the subsidy amount in proportion to the actual service volume.
At the end of the year, the Accredited Medical Institutions have not achieved the annual basic service volume specified in the preceding paragraphs, except for those whose accreditation period is less than one year, the central competent authority shall order them to improve within a time limit. However, medical institutions in Hualien County, Taitung County, Penghu County, Kinmen County, and Lienjiang County are exempted from the restriction.
Article 30
Accredited medical institutions that handle the following items may apply to the central competent authority for additional subsidy; the subsidy standards are shown in Appendix II:
1. Handling occupational disease notification exceeding the number specified in Item 2 of Paragraph 1 of Article 28.
2. In-hospital referral of occupational injury and disease cases.
3. Handle on-site visits for suspected occupational diseases and complete the visit report. However, no subsidy will be given to visitors of on-site health services.
4. Occupational disease is diagnosed after the visit mentioned in the preceding paragraph, and an occupational disease assessment report is completed.
5. Guiding network hospitals to handle the matters stipulated in Article 18.
Article 31
Accredited medical institutions may submit the service results of the previous six months in January and July of each year, and apply to the central competent authority for the subsidies in the preceding three articles, which will be allocated after approval by the central competent authority.
For an accredited medical institution accredited for the first time, the central competent authority may, within one month from the beginning of the valid period of accreditation, first subsidize half of the subsidy amount for the basic service volume.
Accredited Medical Institutions that fail to comply with the provisions of the preceding 3 articles or the preceding 2 paragraphs shall return the subsidy paid in excess or by mistake.
Article 32
Network hospitals may apply for subsidies from the central competent authority for setting up occupational injury and disease clinics and handling occupational disease notification.
The central competent authority may, at its discretion, relax the eligibility requirements for the establishment of network hospitals in Penghu County, Kinmen County, Lienjiang County and other outlying islands, and may add subsidy fees.