Chapter 4 Matters to be handled by accredited medical institutions
Article 14
The matters that an accredited medical institution should handle are as follows:
1. Setting up occupational injury and disease service windows.
2. Open occupational injury and disease clinics more than five times a week. However, medical institutions in Hualien County, Taitung County, Penghu County, Kinmen County, and Lianjiang County open more than four outpatient clinics per week for occupational injuries.
3. Provide diagnosis and treatment of workers with occupational injuries and diseases; when necessary, may prepare occupational disease assessment reports.
4. Provide referrals for occupational injury and illnesses for medical rehabilitation and other departments.
5. Provide social rehabilitation and functional rehabilitation services or referrals for occupational injury and disease labors.
6. To provide suggestions on the evaluation and methods of resumption or assignment of workers with occupational injuries and diseases.
7. Provide occupational injury and disease case management services and follow-up and referral of subsequent work resumption.
8. Reporting of occupational injuries and diseases.
9. Establishment of regional service network and counseling network hospitals.
10. Communication and coordination of medical advice on work resumption plans for workers with occupational injuries and diseases.
11. On-site visits and assessments for suspected occupational diseases, resumption of work or assignments.
12. Cooperate with the central competent authority and insurers to conduct on-site visits and assessments of occupational diseases or suspected occupational diseases.
13. Cooperate with the central competent authority in handling occupational injury and disease training courses, education and training, or various occupational injury and disease prevention and control campaigns.
14. Cooperate with the central competent authority and various labor inspection agencies to support and assist in the investigation of occupational injury and disease labor cases and provide professional medical advice on occupational medicine.
15. Other matters announced by the central competent authority.
Article 15
The presiding physician of the Occupational Injury and Disease Diagnosis and Treatment Integrated Service Center specified in Item 1 of Paragraph 4 of Article 3 shall be responsible for the overall management of the following matters:
1. Diagnosis and treatment of occupational injuries and diseases.
2. On-site visit and evaluation of suspected occupational diseases.
3. Proposals for labor resumption or assignment.
4. Reporting of occupational injuries and diseases.
5. Business promotion and performance management of occupational injury and disease integration services.
6. Promotion, establishment and connection of network hospitals.
7. The personnel, business management, and usage of subsidy funds of the Occupational Injury and Disease Diagnosis and Treatment Integrated Service Center.
Article 16
Occupational injury and disease case specialists specified in Item 2 of Paragraph 4 of Article 3 shall be exclusively responsible for handling the various services of the Occupational Injury and Disease Diagnosis and Treatment Integration Service Center, and shall not concurrently undertake work unrelated to Article 14.
Article 17
Accredited medical institutions shall have occupational injury and disease case specialists listed in Item 2 of Paragraph 4 of Article 3 participate in the on-the-job training courses for occupational injury and disease diagnosis and treatment services provided by the central competent authority, for not less than 12 hours per year.
Article 18
Accredited medical institutions should guide network hospitals to establish mechanisms and improve quality on the following matters:
1. Diagnosis and treatment of occupational injuries and diseases.
2. Reporting of occupational injuries and diseases.
3. Establish referral of different departments and follow-up case tracking.
4. On-site visit and evaluation of suspected occupational diseases.
5. Other occupational injury and disease service matters.
Article 19
When a specialist in occupational medicine assessment is necessary, an accredited medical institution may integrate the functional rehabilitation professional institution specified in Article 66 of this Act to assist occupational accident labors or employers in applying for and formulating work resumption plans.
In order to assist occupational accident workers in returning to work, accredited medical institutions should cooperate with their functional rehabilitation units and other functional rehabilitation professional institutions to make two-way referrals for occupational injury and disease cases.
Article 20
Accredited medical institutions should regularly track occupational injury and disease cases. For cases that require resumption of work, they should be traced to three months after resumption of work, except in one of the following circumstances:
1. Unable to return to work after being assessed by a specialist in the Department of Occupational Medicine.
2. After three months of tracking, it is still impossible to resume work or there is difficulty in resuming work.
The rate of follow-up of the cases referred to in the preceding paragraph shall be over 70% by accredited medical institutions; for cases where there is no willingness to resume work, the reasons shall be recorded.
For those who are unable to resume work or have difficulties in resuming work as specified in Item 2 of Paragraph 1, accredited medical institutions may refer them to the vocational rehabilitation and employment service system according to the situation and needs of the individual case.
Article 21
Occupational medicine specialists in accredited medical institutions and their network hospitals shall conduct on-the-spot visits for suspected occupational diseases according to individual circumstances; when necessary, they may report to the central competent authority to coordinate the labor inspection agency to dispatch personnel for assistance.
Article 22
When the central competent authority deems it necessary, it may request an accredited medical institution to prepare an occupational disease assessment report or an occupational medical evidence investigation report, and the accredited medical institution shall cooperate.
The report referred to in the preceding paragraph shall be prepared by an accredited medical institution based on the results of on-site visits of suspected occupational diseases and the investigation data of the labor inspection institution.
Article 23
When it is necessary for the insurer to review occupational diseases, it may contact an accredited medical institution to provide an occupational disease assessment report, and the accredited medical institution shall cooperate.
Article 24
Accredited medical institutions shall provide appropriate medical assistance when the insured applies for subsidies or allowances in accordance with the provisions of Paragraph 1 of Article 78 of this Law, and shall provide appropriate medical assistance when he or she needs to seek medical treatment; if it is diagnosed that it is an occupational disease, an occupational disease assessment report shall be made.
Article 25
In order to review the application for the health follow-up examination specified in Paragraph 2 of Article 63 of this Act, if the insurer finds that there is any doubt about the eligibility, the insurer may contact an accredited medical institution to assist in the evaluation.
Article 26
Accredited medical institutions shall collect, process and utilize data on occupational injury and disease accidents cases in accordance with the relevant provisions of the Personal Data Protection Act.
Article 27
Accredited medical institutions should formulate document control procedures to standardize the filing and preservation of occupational disease assessment reports, occupational medical evidence investigation reports, visit records, and service records and other related documents, with a retention period of at least seven years.