Internal Medicine, Pulmonary Medicine, and Outpatient Hepatology and Neurology	In the mornings, we provide general and specialized outpatient services, and in the afternoons, as a general outpatient clinic, we focus on general internal medicine and provide urgent care and home care. We also provide geriatrics and dementia care, as well as pediatric care. Each of these services is provided by a specialist physician.
gastroenterology	For gastrointestinal and colorectal examinations, endoscopists provide medical care and guidance for endoscopic examinations and surgeries. We have introduced the latest equipment and are striving to make examinations as comfortable as possible for everyone.
Surgery and Orthopedics	Surgery is available on Thursday mornings and Fridays. Orthopedic Surgery is available on Tuesdays (only the third afternoon), Thursday mornings, the second and fourth Friday afternoons, and Saturday mornings. The orthopedic surgery is available on Tuesdays (afternoon only on the third day), Thursday mornings, the second and fourth Friday afternoons, and Saturday mornings. Secondary checkups for bone density tests are also available. Secondary bone density checkups are also available (DEXA method), and depending on the results, treatment (injections) can also be provided. In addition, a rehabilitation specialist is available on Fridays. Botox treatment is also available on Fridays at our physiatrist's office.
dermatology	In addition to general dermatology, we also offer chemical peeling treatment, in which chemicals react with the skin to remove the skin to a certain depth and replace it with new skin. We also provide chemical peeling treatment and hyperhidrosis treatment. We also offer sublingual immunotherapy for the treatment of cedar pollinosis We also offer sublingual immunotherapy (Cidacure) for the treatment of cedar pollinosis.
Cardiology	Serious cardiovascular diseases are increasing along with the rise in lifestyle-related diseases. Heart examinations such as echocardiography, 24-hour electrocardiography, and pulse wavegram, which are not often available, are available at our hospital.
Department of Rehabilitation	A combination of medications (pharmacotherapy) and non-drug therapies (non-drug therapy) can reduce the "troublesome symptoms," or peripheral symptoms, of dementia. Rehabilitation is one of the important non-drug therapies. We back up our patients so that they can live on their own terms and under their own power.
Outpatient Memory Loss	Emphasis is placed on early diagnosis and treatment as well as one-stop provision of services from seamless diagnosis to treatment and subsequent care services. Under the guidance of the Dementia Society of Japan, the hospital is also certified as a designated hospital for training by the Dementia Society of Japan. Despite the fact that dementia is a serious disease, people with dementia who need to see a doctor do not receive treatment because they do not see a doctor or their family members often do not think of dementia as a disease. Medications and a combination of non-medication therapies may lessen symptoms that are difficult to deal with (e.g., going out, anger, etc.), which are known as peripheral symptoms of dementia. We also prescribe new drugs for Alzheimer's disease. We will discuss and consult with our patients on a wide range of treatment options. We would like to provide medical support for people with dementia, including consultations with their families, so that they can live comfortably, safely, and in the same way they have always lived, while demonstrating their own abilities.
Outpatient Foot Care	If you are concerned about your feet, go to an outpatient foot care clinic. When it comes to skin diseases, I am sure we have all experienced itching and rashes. It is difficult to determine whether it is mild, possibly serious, or related to a systemic disease. Our dermatology department deals with a wide range of skin diseases based on our extensive medical experience. Among them, we have paid particular attention to "foot and ankle dermatitis" and have started a new outpatient foot care clinic. In the age of 100 years of life, we believe that a healthy life span can only be achieved if one can walk well on one's own feet. There are many types of foot diseases. Foot diseases such as bunions, calluses, warts, athlete's foot, minor wounds and burns, etc., which are often thought of lightly, can become a source of worry, last for a surprisingly long time, and even lead to serious skin diseases such as gangrene. Only with correct diagnosis can symptoms be expected to improve with proper treatment and skin care. In many cases, foot problems can worsen if left untreated. Early action is the key to prevention. Please consult with us even if you are not sure whether you should see a doctor for such a problem. We will carefully assess your "foot and ankle" and propose a treatment that is easy for you to adapt to your daily life. We would like to support your comfortable daily life starting from your feet.

Publicly funded medical care systems that have been designated

- emergency hospital
- Designated medical institution for workers' compensation
- Designated medical institution under the Tuberculosis Prevention Law
- Designated medical institution for insurance medical care
- Designated medical institution under the Public Assistance Act
- Designated medical institution for welfare of the physically disabled
- Medical institution for services and supports for persons with disabilities (outpatient psychiatric services)

Status of Notification of Facility Standards

- Initial and follow-up examinations using information and communication devices
- additional functionality enhancement addition
- Basic hospitalization charges for facilities for the handicapped
- Additional fee for medical record management system 3
- Additional fee for physician's office work support system 2
- Additional fee for management of inpatient facilities for special diseases
- additional fee for medical care environment
- Additional medical safety measures
- Additional fee for improvement of infection control measures 2
- additional fee for enhanced surveillance
- Additional fee for strengthening cooperation
- Additional fee for enhanced patient support system
- Regional Support and Pharmaceutical Supply Response System Surcharge
- Additional fee for data submission 1
- Additional fee for hospitalization/discharge support 1
- addition to the total function evaluation
- Additional fee for community collaborative medical care plan
- additional fee for dementia care
- additional support for urinary independence
- Inpatient fee for recovery phase rehabilitation ward 1
- Inpatient Care Management Fee for Community Comprehensive Care 1
- Inpatient Meal Care (I), Inpatient Living Care (I)
- nicotine dependence management fee
- Cancer treatment coordination guidance fee
- Outpatient urinary independence instruction fee
- Surcharge for Establishing an Electronic Medical Information Sharing System
- (1) of Attachment 1, "14-2" (1) Home Care Support Hospitals
- Comprehensive home medical management fee or comprehensive medical management fee for facility occupancy, etc.
- genetic testing
- Additional fee for specimen test management I
- Additional fee for specimen test management II
- CT imaging and MRI imaging
- Rehabilitation fee for cerebrovascular disease (I)
- Rehabilitation fee for musculoskeletal system (I)
- Pulmonary rehabilitation (I)
- Rehabilitation fee for dementia patients
- Additional fee for evaluation of swallowing function at the time of gastrostomy
- Surgery listed in Chapter 2, Part 10, General Rules for Surgery, Section 16 of the Medical Score Tables
- Additional fee for providing examination and imaging information and electronic medical information evaluation fee
- Comprehensive home cancer treatment fee
- Unit price of oxygen purchased

The display items in the facility standards, etc.

○ Items to Be Posted Regarding the Surcharge for Establishing an Electronic Medical Information Sharing System
We will begin billing for the Electronic Medical Information Sharing System Development Surcharge 2 effective June 1, Reiwa 8.
1. We accept online claims for medical fees.
2. We are conducting online eligibility verification for health insurance.
3. The usage rate of the My Number health insurance card is 60% or higher.
4. We have a system in place to respond to patients’ inquiries regarding health management based on medical information and other data from the Myna Portal.
5. We have a system in place that allows us to utilize medical information obtained through online eligibility verification in the examination room.
6. We are working to provide high-quality medical care through initiatives such as promoting the use of the My Number health insurance card and advancing digital transformation (DX) in healthcare.
7. We issue medical expense statements detailing individual medical service billing items free of charge.
8 We can also issue electronic prescriptions.
9 We are currently preparing a system that will allow us to utilize the electronic medical record information-sharing service.

○ Items to Be Posted Regarding the Regional Support and Pharmaceutical Supply Response System Surcharge
・In accordance with the policies of the Ministry of Health, Labor and Welfare, our clinic actively prescribes generic drugs to help reduce the financial burden on patients and improve the financial stability of the health insurance system.
・In the event of a shortage of pharmaceuticals, we will take appropriate measures, such as adjusting prescriptions.
・Prescriptions may be changed depending on the availability of medications, but we will explain this to patients if it happens.

○ Posting items regarding medical treatment using information and communication devices
We conduct online medical services in compliance with the "Guidelines for the Appropriate Implementation of Online Medical Services".
However, the following prescriptions cannot be performed when receiving online medical care from the first visit
- Prescription of narcotics and psychotropic drugs
- Drugs that require special safety management for patients whose underlying medical conditions are not yet known
(Drugs covered by the Drug Administration and Guidance Fee 1 in the medical fee) Prescription
- Prescriptions for more than 8 days for patients for whom information on underlying diseases, etc., is not known

We ask for your cooperation in using online eligibility verification, etc. with your miner's insurance card.

Posting of the additional charge for hospitalization of inpatients in facilities subject to cooperation.
The following are the names of long-term care insurance facilities, etc., which are designated as cooperating medical institutions and which are to respond to sudden changes in the medical conditions of patients receiving medical treatment at such long-term care insurance facilities, etc., and the names of the long-term care insurance facilities, etc., which are designated as cooperating medical institutions.

Social Welfare Corporation Oze Longevity Association Special Nursing Home for the Elderly, Sakurabana-en

Notice of Cooperation with Dental Institutions
In order to provide high quality oral care to hospitalized patients and maintain and improve their overall health, the hospital has established a cooperative system with the following dental institutions.

1、 Name of cooperating dental institution
Tone Health Co-op Tone Dental Clinic

2、Collaboration on oral management
When the need for dental care arises for hospitalized patients, the hospital has a system in place to promptly provide dental consultation and professional oral care in cooperation with the above-mentioned cooperating dental institutions.

3、Coordination of medical examinations
When a dental visit is necessary, the attending physician or nurse will coordinate the visit after consultation with the patient and family. If you have any questions, please feel free to ask our staff.

○ Information to Be Posted Regarding Primary Care Physician Functions
As a medical institution that bills for the Functional Enhancement Surcharge, our clinic is implementing the following initiatives to serve as a primary care provider in the community.
1. Reviewing the Medication Record and Managing Medication Intake
We will review your medical history at other healthcare facilities and the medications you are currently taking to ensure proper medication management. Please bring your medication record book with you to your appointment.
2. Referral to a Specialized Medical Facility
If necessary, we will refer you to an appropriate medical facility should you require specialized medical care.
3. Providing consultation on health management, including health checkup results
We are available to answer questions regarding the results of health checkups and screenings, as well as to provide advice on health management.
4. Providing Consultation Services Regarding Health and Welfare Services
We can also provide guidance regarding nursing care and welfare services, working in coordination with relevant organizations as needed.
5. How to Respond to Emergencies, Including Those Outside of Regular Office Hours
For emergencies outside of regular office hours, please contact us at the numbers listed below.
[Contact Information Outside of Office Hours]　0278-23-1231 (Main)

○ Items to Be Posted Regarding the Bonus for the System to Promote the Minimization of Physical Restraints
・Regarding Efforts to Minimize Physical Restraints: Our hospital respects the dignity and rights of our patients and, while ensuring their safety, follows a policy of not using physical restraints as a general rule.
[Initiatives We Are Implementing at Our Clinic]
・We have established a multidisciplinary team dedicated to minimizing physical restraints and conduct regular reviews aimed at lifting restraints as soon as possible. We also hold regular training sessions for staff on minimizing physical restraints, striving to raise awareness and enhance their knowledge.
・We actively promote environmental adjustments and the use of assistive devices to provide safe care without the use of physical restraints.
[Status of the Use of Physical Restraints]
In cases where physical restraints are used as an emergency measure of last resort, we regularly evaluate and analyze the situation and strive to minimize their use and remove them as soon as possible. Note that no physical restraints were used during the previous fiscal year.

○ Items to Be Posted Regarding Rehabilitation Ward Inpatient Fee Category 1 for the Recovery Phase

Dietary Treatment

Our facility provides meals prepared under the supervision of a registered dietitian or nutritionist at appropriate times (dinner is served after 6:00 p.m.) and at the proper temperature.
Effective June 1, Reiwa 8, meal charges for inpatients have been revised and increased as follows. We appreciate your understanding.

Standard Copayment Amount for Inpatient Meal Expenses (Per Meal)

People under the age of 70

People aged 70 and older

Accreditation and Educational Facilities

- Facilities accredited by the Japanese Geriatrics Society
- Educational facility for medical specialists of the Japanese Dementia Society