Guidance of the hospital

Areas of Focus

The Tokyo Metropolitan Bokutoh Hospital has three central functions and six areas of focus through which it supports health care in the Tokyo Metropolitan Area.

Central functions

Central functions is medical care functions of the Tokyo Metropolitan Bokutoh Hospital fulfilling a central role among municipal hospitals.

(1) Tertiary emergency care for critical patients (including “Tokyo ER Bokutoh”)

We have established an emergency and intensive care center for only the area to the east of the Sumida River (with 24 beds and step-down beds). Dedicated staff work 24-hours-a-day to provide emergency life support to tertiary emergency care patients.

An emergency department was established in November 2001 to provide initial and secondary emergency care. In addition to the emergency and intensive care center, the “Tokyo ER Bokutoh” was also opened. We put forth every effort to provide emergency care that is in absolute shortage in the area.

(2) Perinatal care

This is the first comprehensive perinatal medical center in a Tokyo municipal hospital aimed at addressing the increasingly sharp decline in the number of births. As a hub for perinatal care in the Tokyo Metropolitan Area, this center provides advanced medical care and accepts and coordinates transfers for high-risk pregnancies and newborns.

The facility has a maternal-fetal intensive care unit (M-FICU) (9 beds), neonatal intensive care unit (NICU) (15 beds), and growing care unit (GCU) (30 beds), and is staffed by the first Newborn Individualized Developmental Care and Assessment Program (NIDCAP)-certified nurses in Japan, as well as NICU inpatient children support coordinators. Infants and their families are provided with all types of support, including home discharge.

(3) Emergency psychiatric care

There is a shortage of psychiatric treatment facilities, particularly for psychiatric emergency care, in the region,. We provide such care for 8 of Tokyo’s 23 wards, including out-of-hours admission for emergency measures observation, emergency compulsory admission , emergency admission, and admission for medical care and protection.

We also focus efforts on support and consultations for social reintegration, and offer a small day care.

Areas of focus

Areas of focus is medical care functions fulfilled by the Tokyo Metropolitan Bokutoh Hospital for medical administration purposes.

(1) Infectious disease care

We provide various types of infectious disease care. Furthermore, we serve as both a type 1 infection designated medical institution that treats type I and II infectious diseases and a regional acquired immunodeficiency syndrome (AIDS) treatment hub hospital.

(2) Cancer care

As a designated Tokyo cancer treatment hospital, advanced multidisciplinary treatment is provided not only for the five major types of cancer, but also for other types of cancer. We lead cancer care in Tokyo’s eastern wards by offering second opinions, running a cancer consultation support center, and holding palliative care seminars.

(3) Intractable disease care (rheumatic and connective tissue-related diseases, specified organ-related diseases)

Our Rheumatology Department staff, with their advanced specialized medical skills, provide treatment for rheumatic diseases and intractable connective tissue-related diseases, which are increasing in prevalence each year. Intractable specified organ-related diseases in the liver, kidneys, digestive system, or other organs are treated by other departments.

(4) Dental care for the disabled

The Dental/Oral Surgery Department provides dental treatment to individuals with disabilities that is based on the premise of general anesthesia and is not often available at regular dental clinics.

(5) Cardiac care

The Cardiovascular and Thoracic Cardiovascular Surgery Departments have a cardiac catheter examination room and an intensive care unit, and provide advanced medical care, including aortic aneurysm surgery.

(6) Cerebrovascular disease treatment

Cerebrovascular diseases that require prompt action are mostly treated in the Neurological Surgery and Internal Medicine Departments. These departments coordinate with the Clinical Radiology Department, which utilizes magnetic resonance imaging and other medical devices.