Ordinance on the School Medical Service (VSäD) - Scope (VSÄD)

1. This Decree Regulates the School Medical Service in Public Elementary Schools.

1. The School Medical Service includes

a) Maintenance and promotion of the physical and mental health of school children;

b) Early detection of health disorders;

c) Medical consultation on questions of health education.

1. The Department of Health, after consulting the Cantonal Medical Association, establishes examination and vaccination programs.

1. The Preventive Medicine Physician is responsible for coordinating the school medical service.

2. He or she

a) advises school authorities as well as school physicians on health promotion and education;

b) assists with the organization and documentation of the school medical service;

c) evaluates the activity reports of the school physicians.

1. The school community is responsible for the organization and implementation of the school medical service.

2. It ensures that all children are examined.

3. It selects doctors and physicians who are licensed for independent practice in the canton for a term of four years as school doctors, and reports the elected individuals to the health department.

1. The children are examined regarding their health condition in kindergarten, in the 5th school year, and before leaving school.

1. The school medical examinations focus on identifying findings that require further evaluation according to the examination programs of the Department of Health.

2. Findings requiring further evaluation are communicated to the parents with recommendations for further action.

1. The examinations are conducted by the school physician.

2. Parents may have the examinations performed by a physician of their choice if they bear the cost of the examination themselves.

3. The school community informs the parents about this right of choice.

1. The examining physician shall maintain an examination card for each female and male student, recording the examination findings thereon. The examination card remains with the examining physician.

2. The school community shall prepare a progress card for each female and male student. The examining physician shall report the completion of the examination to the school community on this progress card.

1. The school community ensures that any examinations not conducted are rescheduled and carried out by a school doctor or school physician.

1. During each examination, the vaccination card will be checked.

2. If the parents consent, the examining physician will administer vaccinations according to the health department's vaccination schedule.

1. The school doctor shall take the necessary measures in special situations in consultation with the preventive medicine specialist or the cantonal doctor.

1. The school doctor collaborates particularly with the student's parents, teachers, physicians, school psychologists, and social welfare authorities.

2. He or she participates in referrals of students to special classes or special schools for medical reasons.

1. The school physician advises and supports school authorities as well as teaching staff in medical matters and in health promotion.

1. The school doctor evaluates exemption requests submitted for health reasons on behalf of the school authorities.

1. The school doctor shall report to the school community at the end of the school year on their medical activities within the school.

2. The report shall include the number of students examined, the vaccinations administered, and any special occurrences.

3. The school community shall forward the report to the preventive medical officer.

1. The school district bears the costs for examinations conducted by the school doctor as well as for medical consultations and administrative tasks that the school doctor undertakes on its behalf.

2. Vaccinations are billed through health insurance.

1. School medical examinations are compensated under the TARMED tariff agreement of September 30, 2002, for insurers pursuant to the Federal Law on Accident Insurance of March 20, 1981.

2. For the examinations, the following can be charged per student

a)* in kindergarten, a maximum of 15 minutes plus CHF 40 for compensation of the entire administrative effort;

b)* in the 5th grade and before leaving school, a maximum of 10 minutes plus CHF 40 for compensation of the entire administrative effort.

1. With 213.12 TARMED tariff points per hour at the rate for insurers according to the Federal Law on Accident Insurance of March 20, 1981, the following are compensated

a) Consultations and assessments commissioned by school authorities;

b) Reporting.

1. The Regulation on the School Medical Service from March 16, 1982, is repealed.

1. This decree shall be applied from August 1, 2005.