Minister of Health published Regulation Number 56 in 2014 about licensing and classification of hospital. This regulation is also known as Permenkes No. 56/2014. The purpose of this regulation is to create a perfect system of hospital classification and licensing. The licensing and classification of hospital is also mandated in Law Number 44 in 2009 about hospital. Before the publication of Regulation Number 56 in 2014, there were other regulations that are issued by Minister of Health that regulate the categorization and licensing of hospital. However, these old regulations are considered couldn’t cover all hospital’s types.
Categorization of Hospitals
Hospital can be founded and managed by private entity or local government. Based on the services that are provided, hospital can be categorized into specialized hospital and general hospital. General hospital is the type of hospital that provides healthcare services for all types of diseases and in all areas. Specialized hospital is the type of hospital that provides healthcare primary for certain types of diseases or in one area only based on ages, organs, scientific disciplines, or other aspects. The examples of specialized hospital are such as specialized hospital of cancer and specialized hospital of mother and children.
General hospital can be categorized into:
- Class A General Hospital
- Class B General Hospital
- Class C General Hospital
- Class D General Hospital
Specialized hospital can be categorized into:
- Class A Specialized Hospital
- Class B Specialized Hospital
- Class C Specialized Hospital
Hospital categorization is based on several aspects such as types of services, equipment, human resources, and infrastructures or buildings. The hospital’s infrastructure and buildings should meet the environmental and building structure requirements. Infrastructure and buildings of hospital also should meet the requirements of hospital’s infrastructure and building reliability as well.
Both specialized and general hospitals have minimum standards for services that are provided by each classification. For example, the minimum standard for services that are available in Class A General Hospital are including pharmaceutical services, medical services, support service clinic, midwifery and nursing service, non-clinic support services, and inpatient services. Each type of these services also has its own minimal sub-standard as well.
Each hospital needs to have operational permit or construction permit. Construction permit is the type of permit that is issued by authorized officer to private entity, local government, or government institution which will determine a building or change the function of a building into hospitalized after meets the requirements that is applied by Permenkes No. 56/2014. The operational permit is the type of permit that is issued by authorized officer to the manager or the organizer of hospital according to the hospital class in order to provide healthcare services after met the standards and requirements that is applied by Permenkes No. 56/2014. The use of construction permit is proposed by the vendor of the hospital while the permit for operational is proposed by the hospital’s manager.
Period of Operational Permit and Construction Permit
Construction permit is issued for one year period. This type of permit can be extended for one year only. Operational permit is issued for five years period. This type of permit can be extended based on the fulfilled requirements.
The Hospital’s Name
Hospital was forbid to use the word “world class”, “global”, “international” or any words that have similar meaning. Hospital that is owned by government was forbid to use the living person’s name as its name.
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