The following criteria have been worked out by the Clinical Heads of Departments. They serve as a guideline when making decisions regarding a tertiary/ qua-ternary level of patient care. All doctors working at IALCH are to follow these criteria, both for the admission of patients to IALCH and discharge of patients to a lower level of care in another hospital. It is the responsibility of the Clinical Heads of departments, on behalf of the Medical Manager to ensure that these criteria are implemented.