• Information Systems Review
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• v.7 no.1
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• pp.275-295
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• 2005

Changes in business environment caused by globalization of the world economy and the beginning of the knowledge society forced hospitals to equip with tools for the enhanced competitiveness. In other words, hospitals must aim three targets such as acquisition of advanced medical skills and equipments, improvement of service level for patients, and achievement of superior managerial performance simultaneously. This study has been done to suggest a way to reduce the possibility of hospital bill claim reduction as an alternative for the achievement of superior managerial performance. If the reduction rate of hospital bill claim is high, it will put negative impact on the hospital's revenue stream and hospital's reliability. Thus, if they want to stay competitive, hospitals need to device ways to cut the reduction rate as much as possible. In this study, a prototype system has been developed and implemented to check the possibility to cut the reduction rate through deep analysis of causes of reduction. The prototype first developed utilizing data mining techniques and the relation rules algorithm. Then the prototype was tested its performance using the D hospital's live data.

• Journal of Korean Society of Industrial and Systems Engineering
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• v.34 no.3
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• pp.97-105
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• 2011

Previous researches have focused on the efficiency of project execution and the satisfaction of internal customers In view of the fact that a project is successful if any defects are not found in the short-term performance test of the project final outcome. To execute a project that both internal customer and external customer are satisfied in terms of longer-term benefit perspective, the project claim costs (PCC) which may occur for the warranty period of the project final outcome should be considered. We propose a model included PCC to the linear programming between time and cost to expedite a project and perform the validity test by applying the model to an example project. This model and related procedure will contribute to overall project activities' cost reduction by taking preventive actions for PCC.

• Korean Journal of Construction Engineering and Management
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• v.13 no.3
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• pp.122-130
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• 2012

Currently, TK(Turn-key) projects have been implemented, the projects on TK basis still have shown several problems rather than its own merits as a bidding method. Increasing the number of claims being occurred during construction process of the projects is reality because of unclear notice of tender documents and conditions of the contract, design review system, and decision process of the qualified bidder. To establish desirable TK projects in domestic market, not only should resonable alternatives for carrying out design review system and selecting the bid winner be set up, but also proper standards for reforming irrational system of contract, bid, and notice of tender related to TK projects. This study is intended to reduce the number of claims and implement efficient projects of apartment construction on TK basis by identifying potential problems through analysis of claim examples of TK projects which have difficulties of revising contract agreement such as drawings and suggesting improvement methods for contract conditions and notice of tender docuements.

• Journal of the Korean Society for Nondestructive Testing
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• v.35 no.6
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• pp.389-397
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• 2015

Recently, wave propagation imaging based on laser scanning-generated elastic waves has been intensively used for nondestructive inspection. However, the proficiency of the conventional software based system reduces when the scan area is large since the processing time increases significantly due to unavoidable processor multitasking, where computing resources are shared with multiple processes. Hence, the field programmable gate array (FPGA) was introduced for a wave propagation imaging method in order to obtain extreme processing time reduction. An FPGA board was used for the design, implementing post-processing ultrasonic wave propagation imaging (UWPI). The results were compared with the conventional system and considerable improvement was observed, with at least 78% (scanning of $100{\times}100mm^2$ with 0.5 mm interval) to 87.5% (scanning of $200{\times}200mm^2$ with 0.5 mm interval) less processing time, strengthening the claim for the research. This new concept to implement FPGA technology into the UPI system will act as a break-through technology for full-scale automatic inspection.

• 사회경제평론
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• v.31 no.2
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• pp.105-126
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• 2018

In this paper, I makes some critical comments on the temporal single-system interpretation (TSSI) of Marxian value theory. The first concerns the claim that the Fundamental Marxian Theorem (FMT) holds within the TSSI under completely general conditions. Based on the idea that the nominal profit does not well fit the FMT, the TSSI proponents suggest that more relevant for proving the TSSI FMT is the real profit, defined by deflating the output prices. In contrast, I propose a more general approach where three possible concepts of profit are all considered, in which case the result is that whether the FMT holds within the TSSI is indeterminate. Second, the refutation of the Okishio theorem presented in Kliman (1996) is critically examined, focusing on the criticism raised in the literature that the Kliman model ignores the cost-reduction criterion as for the technical change and therefore cannot be considered as an internal refutation of the Okishio theorem. Drawing upon the criticism, I explicitly incorporate the cost-reduction criterion into the Kliman model and show that the continuous labor-saving technical change of the Kliman model is not necessarily cost-reducing and under certain conditions is cost-neutral or cost-raising.

• The KIPS Transactions:PartC
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• v.16C no.4
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• pp.417-422
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• 2009

Implementation of DPI(Deep Packet Inspection) system on a general purpose multiprocessor platform is an attractive option from the implementation cost point of view, since it does not require high-cost customized hardware. Load balancing has been considered as a primary means to achieve high performance in multi processor systems. We claim, however, that in case of DPI system design simply balancing the load of each processor does not necessarily yield the highest system performance. Instead, we propose a method in which tasks are allocated to processors based on their functions. We implemented the proposed method in dual processor Linux system and compare its performance with the existing load balancing methods. Under the proposed method, one processor is dedicated to deal with interrupt handling and generic packet processing, while another processor is dedicated to DPI processing. According to experimental results, the proposed scheme outperforms the existing schemes by 60%, mainly because of the reduction of cache miss and spin lock occurrences.

• Korea Journal of Hospital Management
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• v.23 no.2
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• pp.18-27
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• 2018

Purposes: This study aims to investigate the policy effect of mandatory application of DRG for 7 disease groups in general and tertiary hospitals. Methodology: As DRG was fully implemented in July 2013, this study compares two periods before and after the change(from July 2012 to June 2013, and from July 2013 to June 2014). The benefit claim data of the National Health Insurance Service was used for the comparison. Target patients were those who visited general or tertiary hospitals between July 2012 to June 2014. For pharmaceutical consumption, Interrupted Time Series (ITS) analysis was used to see the effect of DRG mandatory application. Findings: The number of drugs prescribed per patient and pharmaceutical expenditure both showed significant reduction compared to before the DRG implementation. Practical Implications: This study used 2 sets of 1 year period data from before and after the full implementation of DRG to analyze pharmaceutical consumption. When the comparison data accumulates further, it would be possible to conduct more diverse analysis to assess policy effect and to provide way forward for the future.

• Health Policy and Management
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• v.13 no.1
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• pp.98-115
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• 2003

Concerns about growing health insurance expenditures became a national Issue in 2001 when the National Health Insurance went into a deficit. Increases in spending for ambulatory care shared the largest portion of the problem. Methods and systems to control the spending should be developed and a system to measure case mix of providers is one of core components of the control system. The objectives of this article is to examine the feasibility of applying Korean Diagnosis Related Groups (KDRGs) to classify health insurance claims for ambulatory care and to identify problem areas of the classification. A database of 11,586,270 claims for ambulatory care delivered during January 2002 was obtained for the study, and the final number of claims analyzed was 8,319,494 after KDRG numbers were assigned to the data and records with an error KDRG were excluded from the study. The unit of analysis was a claim and resource use was measured by the sum of charges incurred during a month at a department of a hospital of at a clinic. Within group variance was assessed by th coefficient of variation (CV), and the classification accuracy was evaluated by the variance reduction achieved by the KDRG classification. The analyses were performed on both all and non-outlier data, and on a subset of the database to examine the validity of study results. Data were assigned to 787 KDRGs among 1,244 KDRGs defined in the classification system. For non-outlier data, 77.4％ of KDRGs had a CV of charges from tertiary care hospitals less than 100％ and 95.43％ of KDRGs for data from clinics. The variance reduction achieved by the KDRG classification was 40.80％ for non-outlier claims from tertiary care hospitals, 51.98％ for general hospitals, 40.89% for hospitals, and 54.99% for clinics. Similar results were obtained from the analyses performed on a subset of the study database. The study results indicated that KDRGs developed for a classification of inpatient care could be used for ambulatory care, although there were areas where the classification should be refined. Its power to predict tile resource utilization showed a potential for its application to measure case mix of providers for monitoring and managing delivery of ambulatory care. The issue concerning the quality of diagnostic information contained in insurance claims remains to be improved, and significance of future studies for other classification systems based on visits or episodes is guaranteed.

• Health Policy and Management
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• v.25 no.3
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• pp.185-196
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• 2015

Background: Issues concerning with the classification accuracy of Korean Outpatient Groups (KOPGs) have been raised by providers and researchers. The KOPG is an outpatient classification system used to measure casemix of outpatient visits and to adjust provider risk in charges by the Health Insurance Review & Assessment Service in managing insurance payments. The objective of this study were to refine KOPGs to improve the classification accuracy and to evaluate the refinement. Methods: We refined the rules used to classify visits with multiple procedures, newly defined chemotherapy drug groups, and modified the medical visit indicators through reviews of other classification systems, data analyses, and consultations with experts. We assessed the improvement by measuring % of variation in case charges reduced by KOPGs and the refined system, Enhanced KOPGs (EKOPGs). We used claims data submitted by providers to the HIRA during the year 2012 in both refinement and evaluation. Results: EKOPGs explicitly allowed additional payments for multiple procedures with exceptions of packaging of routine ancillary services and consolidation of related significant procedures, and discounts ranging from 30% to 70% were defined in additional payments. Thirteen chemotherapy drug KOPGs were added and medical visit indicators were streamlined to include codes for consultation fees for outpatient visits. The % of variance reduction achieved by EKOPGs was 48% for all patients whereas the figure was 40% for KOPGs, and the improvement was larger in data from tertiary and general hospitals than in data from clinics. Conclusion: A significant improvement in the performance of the KOPG was achieved by refining payments for visits with multiple procedures, defining groups for visits with chemotherapy, and revising medical visit indicators.

• Korean Chemical Engineering Research
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• v.50 no.2
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• pp.277-281
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• 2012

This work is concerned with a plan for preventing accidents of CO gas leak from gas boilers, involving the enforcement of installations of both CO alarm system and condensing boilers, and financial support of government grants. If amongst 1,460,000 beneficiaries of basic livelihood security, one million households in use of gas boilers receive 3-year support of 200,000 won, the difference of prices between common and condensing boilers, the government grants would be 2,000 billion won. If 3 million common householders are in 3-year support of 100,000 won, government grants would be 3,000 billion won. Therefore, 3-year grand total of government grants would be 5,000 billion won. Finance for government grants can be purveyed from energy saving; yearly 2,000 billion won of energy saving by enforcing to replace one million existing boilers with condensing boilers, leading to 2 trillion won of energy saving for 10 years. In this way, 6,000 billion won of 3-year grand total of government grants for CO alarm system and condensing boilers can be purveyed. The rest amount would be fundraised for energy savings. We claim that our proposal can make an achievement of more than 50% reduction of CO leak accidents during 10 years.