Browse > Article
http://dx.doi.org/10.4040/jkan.2011.41.3.302

Development of a Resource-based Relative Value Scale and Its Conversion Factor for Advanced Nursing Practices in the National Health Insurance  

Kim, Jin-Hyun (College of Nursing, Seoul National University)
Kim, Myung-Ae (Seoul National University Hospital)
Kim, Mi-Won (Department of Nursing, Sangmyung University)
Kim, Kyung-Sook (Department of Nursing, Namseoul National University)
Yoo, Cheong-Suk (Seoul National University Hospital)
Publication Information
Journal of Korean Academy of Nursing / v.41, no.3, 2011 , pp. 302-312 More about this Journal
Abstract
Purpose: The purpose of this study was to develop a resource-based relative value scale (RBRVS) and its conversion factor for advanced nursing practices carried out by critical care nurse practitioners (CCNP) in intensive care units. Methods: The methodology was developed by calculating CCNP's RBRVS for 32 advanced nursing services based on CCNP's workload and time spent in the context of national health insurance. A cost analysis was performed to estimate the conversion factor of CCNP's RBRVS. The share of CCNP's contribution to fee-for-service in intensive care units was also analyzed. Results: Calculation of the RBRVS of 32 advanced nursing practices showed a range of points from 100.0 to 1,181.4 and an average of 296.1 points. The relevant conversion factor for advanced nursing practices in CCNP were estimated at 37.3-48.4 won. The contribution rate of CCNP's advanced nursing practices in the relative value scale of the national health insurance was estimated at 0.1-31.3%. Conclusion: Measuring the economic value of advanced nursing services will be a basis for esta-blishing a reimbursement system for CCNP's practices and thus encourage a social demand for advanced nurse practitioners.
Keywords
Nurse practitioners; Advanced practice nursing; Relative value scales; Fees and charges; Conversion factor;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
Times Cited By Web Of Science : 0  (Related Records In Web of Science)
연도 인용수 순위
1 Schull, D. E., Tosch, P. K., & Wood, M. (1992). Clinical nurse specialist, as collaborative care managers. Nurse Management, 23(3), 30-33.   DOI   ScienceOn
2 Park, K. J. (2008 February). Present and challenge in system of advanced practice nurses. Workshop presented at the meeting of Korean Nurses Association and Korean Accreditation Board of Nursing on how to obtain methods of application of Advanced Practice Nurses. Seoul, Korea.
3 Rhoads, J., Ferguson, L. A., & Langford, C. A. (2006). Measuring nurse practitioner productivity. Dermatology Nursing, 18, 32-34, 37-38.
4 Rose, S. B., All, A. C., & Gresham, D. (2003). Role preservation of the clinical nurse specialist and the nurse practitioner. The Internet Journal of Advanced Nursing Practice, 5(2).
5 Nuccio, S. A., Costa-Lieberthal, K. M., Gunta, K. E., Mackus, M, L., Riesch, S. K., Schmanski, K. M., et al. (1993). A Survey of 636 staff nurses: Perceptions and factors influencing the CNS role. Clinical Nurse Specialist, 7, 122-128.   DOI   ScienceOn
6 National Health Insurance Corporation. (2009, March). 2009 Health insurance fee schedule. Seoul: Author.
7 O'Brien, J. M. (2003). How nurse practitioners obtained provider status: Lessons for pharmacists. American Journal of Health-System Pharmacy, 60, 2301-2307.
8 Oh, P. J., Shin, S. R., Kim, I. O., Lee, K. S., Kang, K. A., Go, M. S., et al. (2003). A study on the projected workforce of advanced practice nurses in Korea. The Korean Nurse, 42(5), 63-73.
9 Paez, K. A., & Allen, J. K. (2006). Cost-effectiveness of nurse practitioner management of hypercholesterolemia following coronary revascularization. Journal of the American Academy of Nurse Practitioners, 18, 436-444.   DOI   ScienceOn
10 Mundinger, M. O., Kane, R. L., Lenz, E. R., Totten, A. M., Tsai, W. Y., Cleary, P. D., et al. (2000). Primary care outcomes in patients treated by nurse practitioners or physicians: A randomized trial. Journal of the American Medical Association, 283, 59-68. doi:10.1001/jama.283.1.59   DOI   ScienceOn
11 Korean Accreditation Board of Nursing. (2005). Core competencies of advanced practice nurse and job performance of each branches of advanced practice nurses. Seoul: Author.
12 Korean Accreditation Board of Nursing. (2010). Business performance on advanced nurse practitioners. Retrieved August 1, 2010, from http://www.kabon.or.kr/kabon04/index02.php
13 Korean Hospital Nurses Association. (2001). A study on state and need on advanced practice nurse in hospital policy report. Seoul: Author.
14 Litaker, D., Mion, L., Planavsky, L., Kippes, C., Mehta, N., & Frolkis, J. (2003). Physician-nurse practitioner teams in chronic disease management: The impact on costs, clinical effectiveness, and patients' perception of care. Journal of Interprofessional Care, 17, 223-237. doi:10.1080/1356-182031000122852   DOI   ScienceOn
15 Hsiao, W., Brauns, P., Becker, E., Causino, N., DeNicola, M., & Dunn, D., et al. (1988). A National study of resource-based relative value scales for physician services: Final Report (HFCA Contract No. I7-C-98795/I-O3). Boston, MA: Department of Health Policy and Management, Harvard School of Public Health & Department of Psychology, Harvard University.
16 Kim, J. H., Kim, M. A., Kim, M. W., Kim, K. S., Yoo, C. S., & Lee, E. H. (2009). Analysis on performance and new classification of advanced practices by critical care nurse practitioners. Journal of Korean Academy of Nursing Administration, 15, 527-538.
17 American Academy of Nurse Practitioners. (2010). Nurse practitioner facts. Retrieved October 30, 2010, from http://aanp.org/NR/rdonlyres/ 54B71B02-D4DB-4A53-9FA6-23DDA0EDD6FC/0/NPFacts2010.pdf
18 Cooper, R. A., Getzen, T. E., McKee, H. J., & Laud, P. (2002). Economic and demographic trends signal an impending physician shortage. Health Affairs, 21, 140-154. doi:10.1377/hlthaff.21.1.140   DOI   ScienceOn
19 Goolsby, M. J. (2005). 2004 American Academy Nurse Practitioners national nurse practitioners sample survey, Part II: Nurse practitioner prescribing. Journal of the American Academy of Nurse Practitioners, 17, 506-511. doi:10.1111/j.1745-7599.2005.00088.x.   DOI   ScienceOn
20 Health Insurance Review & Assessment Service. (2006, December). Study on revised relative value scale. Seoul: Author.