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MINISTRY OF
HEALTH
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SOCIALIST
REPUBLIC OF VIETNAM
Independence - Freedom - Happiness
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No. 4999/QD-BYT
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Hanoi, December
01, 2020
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DECISION
PROMULGATING
CRITERIA FOR CLINICS SAFE FROM COVID-19 AND EPIDEMICS OF ACUTE RESPIRATORY
INFECTIONS
MINISTER OF HEALTH
Pursuant to the Law on Medical Examination and
Treatment dated November 23, 2009;
Pursuant to the Government’s Decree No. 75/2017/ND-CP
dated June 20, 2017 on functions, duties, powers and organizational structure
of the Ministry of Health;
At the request of the Head of Medical Services
Administration, Ministry of Health,
HEREBY DECIDES:
Article 1. Promulgated together with this Decision are the criteria for
clinics safe from COVID-19 and epidemics of acute respiratory infections.
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Article 3. Head of Medical Services Administration shall take charge of
provide guidelines for implementation of these criteria, direct, inspect,
monitor and supervise such implementation; and submit a consolidated report on
self-assessment results of clinics to the Minister of Health.
Article 4. This Decision takes effect from the date on which it is
signed.
Article 5. Head of Medical Services Administration, Chief of the
Ministry Office, Chief Inspector of the Ministry of Health; heads of
departments affiliated to the Ministry of Health; directors of Departments of
Health, heads of relevant units; heads of health units of other ministries and
central authorities, and heads of clinics shall implement this Decision./.
P.P. THE
MINISTER
THE DEPUTY MINISTER
Nguyen Truong Son
CRITERIA
FOR CLINICS SAFE FROM COVID-19 AND EPIDEMICS OF ACUTE RESPIRATORY INFECTIONS
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From December 2019, the appearance and spread of COVID-19
around the world have deeply affected all aspects of our daily life. As of
November 2020, the world records 63 million cases and 1,4 million deaths.
To date, Vietnam has accomplished very important
feats in COVID-19 prevention, control and treatment. However, the pandemic is
progressing unpredictably around the world and Vietnam is still facing high
risk, especially in winter - spring, on year-end holidays, etc.
Therefore, hospitals and all healthcare stations
and clinics shall identify their risks and must not lower their guard or
underestimate the pandemic. The healthcare establishment system needs to adopt
and maintain precautionary measures in a more vigorous manner.
In the healthcare establishment system, clinics are
the first facilities to receive patients, thus, facing high risk of COVID-19
and epidemics of other acute respiratory infections. Clinics have a role in
detecting suspected cases early and bear the responsibility for safe medical
examination to prevent the disease from spreading between patients and
healthcare workers and to the community.
Thus, the Ministry of Health promulgates these
criteria for clinics safe from COVID-19 and epidemics of acute respiratory
infections for clinics to assess themselves and reduce the risks immediately.
These criteria shall provide the activities necessary to establish safe clinics
and serve as the bases for assessment and self-assessment of the safety of
clinics during the COVID-19 pandemic and in case of epidemics of other acute
respiratory infections. Clinics shall formulate a plan for resolution of issues
detected during assessment to ensure and maintain the safety of their
operations.
COVID-19 prevention and control calls for the
participation of the whole system, ministries, regulatory bodies as well as the
community. If provinces/cities and clinics across the country adopt the
criteria for clinics safe from COVID-19 and epidemics of acute respiratory
infections properly, they will contribute significantly to the fight against
COVID-19, maintain stable operation of the healthcare system in particular and
of the community in general, and help achieve the dual targets as directed by
the Prime Minister.
PROMULGATING
CRITERIA FOR CLINICS SAFE FROM COVID-19 AND EPIDEMICS OF ACUTE RESPIRATORY
INFECTIONS
Criterion
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Maximum score
Self-assessment
score
Criterion 1
Formulation of operational plans in cases of
epidemics of acute respiratory infections (3 points)
1.1
The clinic has an operational plan for when there
is no epidemic of acute respiratory infection in the community but the risk
of infection remains.
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1.2
The clinic has an operational plan for when an
epidemic of an acute respiratory infection is spreading in the community.
1
1.3
The operational plans contain details on
reporting, referring suspected cases to other safe healthcare establishments
and safe transport assurance.
1
Criterion 2
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2.1
Clinic staff have received training in epidemic
prevention and control.
1
2.2
Clinic staff have joined training in screening of
COVID-19 or epidemics of other acute respiratory infections organized by the
local government and health authority.
1
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2.3
There is a procedure for first aid for patients with
respiratory failure signs and healthcare workers have received training in
this procedure.
1
2.4
Healthcare workers present and follow the
procedure for first aid for patients with respiratory failure signs properly.
1
Criterion 3
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3.1
A patient receipt and classification desk is
located at the entrance to the clinic.
1
3.2
Screen patients suspected of a respiratory disease
and epidemiological factors, and ensure that 100% of patients are screened.
1
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3.3
Give instructions on electronic health
declaration to patients and their companies and inspect the declaration made.
1
3.4
Give out (or sell) face masks to patients
visiting the clinic without a facemask.
1
3.5
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1
3.6
Give appointments by phone or/and online, avoid
mass gatherings in the clinic.
1
Criterion 4
Compliance with regulations on use of face
masks (3 points)
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4.1
There are instructions on use of facemasks in the
clinic through different forms of communications such as posters, bandrolls
and television.
1
4.2
100% of workers in areas having contact with
patients wear face masks according to regulations.
1
4.3
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1
Criterion 5
Cleaning of frequently touched surfaces and
restroom management (4 points)
5.1
Hand sanitizer is adequately provided at the entrance
to the clinic and locations frequently touched by patients, patients’
families and healthcare workers (doorknobs, elevators, etc.).
1
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5.2
There are regulations stipulating cleaning of
frequently touched surfaces using a suitable measure according to existing
regulations (at least 1 time/part of the day during epidemic and at least 1
time/day when there is no epidemic), which are complied with.
1
5.3
The clinic has a separate restroom and does not share
any restroom with surrounding residential areas.
1
5.4
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1
Criterion 6
Clinic facilities (5 points)
6.1
The structure of the clinic ensures natural
ventilation and has at least 2 unobstructed sides (e.g., window opening to
door, etc.).
1
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6.2
Measures for ventilation enhancement are taken such
as installing more ventilation fans to blow air out of the clinic.
1
6.3
Ensure that a healthcare worker and a patient are
at least 1 meter apart when they sit down to talk.
1
6.4
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1
6.5
There are hand washing basins with soap.
1
Criterion 7
Stockpile of equipment for epidemic prevention
and control (3 points)
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7.1
Ensure adequate stockpile of medical masks,
medical gloves and face shields for use in the clinic for at least 3 weeks
depending on the clinic’s size.
1
7.2
Ensure adequate stockpile of alcoholic hand
sanitizer, disinfectants and antipyretic drugs for use for at least 3 weeks
depending on the clinic’s size.
1
7.3
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1
Criterion 8
Health monitoring for healthcare workers (2
points)
8.1
Clinic staff shall monitor their health conditions
and immediately report to the clinic manager upon development of any sign of
an acute respiratory infection.
1
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8.2
Clinic staff developing a sign of an acute
respiratory infection are screened for COVID-19 or other acute respiratory infections
and precautions are taken.
1
TOTAL
30
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MAIN VIEWPOINTS
Clinics need to ensure the safety and efficiency of
their operations during the COVID-19 pandemic and in the event of potential
epidemics of acute respiratory infections in the community.
1. OBJECTIVES
1.1. General objectives
Provide clinics with guidelines on activities for
prevention and control of COVID-19 and epidemics of acute respiratory
infections and proper response to epidemic risk factors.
1.2. Specific objectives
1. Provide the tools for assessment of each
clinic’s capacity for prevention and control of COVID-19 and epidemics of acute
respiratory infections and make such assessment.
2. Identify issues of priority to ensure the safety
of clinic operations and protect patients and healthcare workers from
infection.
3. Protect patients, patients’ families and
healthcare workers from community transmission of COVID-19 and acute
respiratory infections and cross infection in clinics.
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2. IMPLEMENTATION
2.1. Assessment time
Each clinic shall consider and compare the
criteria’s content with its current situation and make self-assessments on a
monthly basis. If there is risk of community infection or after the clinic has
taken steps to improve its safety, it shall make a reassessment.
Clinics shall upload all assessment results onto
the online software.
2.2. Composition of assessment team
Internal assessment:
- Clinic head;
- Clinic staff.
Assessment by supervisory authority (district-level
healthcare authority, Department of Health, etc.)
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- Assessment specialists.
2.3. Self-assessment procedure
Step 1: Before the assessment:
members of the assessment team study the criteria’s content to understand its meaning
and the assessment method.
Step 2: Meeting for finalization of
the assessment procedures: the team leader presides over a meeting where team
members discuss and finalize the assessment content and method.
Step 3: Make the assessment.
Step 4: Post-assessment meeting:
after the assessment is completed, the team leader convenes the whole team to
finalize the assessment results and recommendations.
Step 5: Activities to be carried out
by the clinic after the assessment:
- Formulate a plan for enhancement of the clinic’s
epidemic prevention capacity.
- Upload assessment results to https://cosoyte.vn
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- Formulate a plan to address the issues.
- Adopt intervention solutions to increase the
clinic’s epidemic prevention capacity and ensure that the clinic’s operations
are safe from potential epidemics in the community.
2.4. Assessment method and result classification
- There are 8 criteria.
- The maximum score is 30 points.
- Each subsection shall be given a pass or a fail.
- Each passed subsection shall be given 1 point.
- The score of each criterion shall be the total
score of all subsections. If none of the subsections of a criterion earns a
point, the criterion scores 0.
- Result classification:
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+ Clinic with low safety level: total score from 20
to 24 points.
+ Unsafe clinic: total score under 20 points.
During the self-assessment process, clinics should
send feedback and propositions concerning the assessment content and procedure
and relevant matters to Medical Services Administration. Medical Services
Administration will consolidate and study such feedback and propositions to
improve the assessment content, method and practicality.