• Title/Summary/Keyword: Cost Model Index

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Methods and Estimates of the Reimbursement for the Nurse Midwifery Center in the National Health Insurance (조산원의 건강보험수가 산출방법과 추계)

  • Im, Hyo-Min;Kim, Jin-Hyun
    • Women's Health Nursing
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    • v.17 no.4
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    • pp.328-336
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    • 2011
  • Purpose: The purpose of this study is to develop the optimal nursing fee for nurse-midwifery center (MC) in the national health insurance system. Methods: The three methodologies used to calculate the conversion factors for the MCs in the national health insurance include cost accounting method, sustainable growth rate (SGR) model, and index model. In this study, the macro-economic indicators and the national statistics were used to estimate the conversion factors for the MCs. Results: The optimal nursing fee for the MCs in 2011 was estimated to be an increase of 57.7% by cost accounting analysis, a decrease of 17.1% by SGR model, and a decrease of 16.1% by index model. The results from SGR model and index model could had been biased due to the upswing of medical spendings in the short-term period (2008~2009). A sensitivity analysis of pre-delivery subsidy program for OB & GYN hospitals and clinics showed that the program has substantially diminished the demand for the MC services. Conclusion: More reliable methodologies to estimate nursing fees precisely are required to prove the value of nurses' services and a government subsidy program for the MC services should be followed from a social perspective.

Estimating the Reimbursing Price Level of Oriental Medical Services in the National Health Insurance (한방의료서비스의 건강보험수가 산출방법과 추정)

  • Kim, Jin-Hyun
    • Journal of Society of Preventive Korean Medicine
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    • v.12 no.3
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    • pp.21-34
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    • 2008
  • Objectives : This paper analysed the alternative methods of calculating conversion factor for oriental medicine in the National Health Insurance and estimated the conversion factor(reimbursing price level) of the oriental medical services, based on health insurance claims data and macro economic data. Methods : Comparing cost accounting method, SGR model, and index model to estimate conversion factor in the national health insurance, six empirical models were derived depending on the scope of revenue considered in financial indicators. Classifications of data and sources used in the analysis were identified as officially released by the government. Results and Conclusion : Cost accounting analysis and SGR model showed a two digit decrease in the physician fee schedule of oriental medical services in the national health insurance, while index model indicated a positive increase in the fee reimbursed. As expected, SGR model measured an overall trend of health expenditures rather than an individual financial status of medical institutions, and index model properly estimated the level of payments to oriental medical doctors. Upon a declining share of health expenditures on oriental medicine, a global budget system fixed to a flat rate of total budget could be an opportunity as well as a challenge.

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Development of a Calculating Model for Local Index Based on Historical Data of Public Apartment Buildings (공공아파트 실적데이터 기반의 지역지수 산정 모델 개발)

  • Lim, Dae-Hee;Lee, Seung-Hoon;Seo, Yong-Chil
    • Journal of the Korea Institute of Building Construction
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    • v.10 no.2
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    • pp.75-80
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    • 2010
  • With the intensifying of price competition and structural diversifications, the uncertainty of the domestic housing market has been increased. This highlights the importance of the planning stage of construction projects, and the increased need for a higher level of accuracy in approximate estimates. Currently, a number of research and development programs to calculate construction cost at the initial planning stage are being conducted. However, there are few cases in which local characteristics are considered in deriving the results. If local calibration can be conducted during estimates, more accurate cost estimates will be enabled. This could also play a major role in ensuring the success of a project. Therefore, the purpose of this research is to develop a calculation methodology and a model for a local index based on the historical data of public apartment buildings, and to derive a local index that supports accurate construction cost estimates.

Risk based Value Index Evaluation Model for Modular Design Alternatives in Plant Construction Projects (플랜트 건설사업의 모듈러 설계대안별 RVI 평가 모델)

  • Kang, Hyun Wook
    • Korean Journal of Construction Engineering and Management
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    • v.23 no.5
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    • pp.98-107
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    • 2022
  • The purpose of this study is to suggest a model for evaluation of a risk based value index for modular design alternatives in plant construction projects. Accordingly, 1) Setting the basic project cost and the scope to apply the module, 2) Evaluating the importance, easiness, and effectiveness index for Engineering, Procurement, Fabrication, transportation, and construction work, 3) Estimating the total project cost by analyzing the risk reserve Step, 4) Comparing the effectiveness index and total project cost for each modular design alternative, it was composed of the steps of deriving RVI. To verify such a model, Plan-A, which applied a module to one process, and Plan-B, which applied a module to three processes, were composed to evaluate RVI.

Development of Construction Cost Model through the Analysis of Critical Work Items (코스트 중요항목 분석을 통한 공사비 예측모델 연구)

  • Lee Yoo-Seob
    • Korean Journal of Construction Engineering and Management
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    • v.4 no.4 s.16
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    • pp.212-219
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    • 2003
  • In construction project planning and control, a cost model performs a critical role such as cost determination on a contract stage and cost tracing. The model can maximize owner's profit and value within the project budget and optimize cost management works on overall construction implementation stages. A BoQ(Bill of Quantities) generally adopted in a unit price contract has been applied as an important tool for cost control and forecast. However a previous cost model based on the BoQ has shown limitations in that it requires too detailed information and heavy manpower on cost management and difficulty in keeping relationship with construction planning, scheduling and progress management. The each cost items and unit prices which constitute of construction works are individually very important management factors but the relative weight for each items and prices have a difference on the contents and conditions of each conditions of each construction works. In consideration of this structural mechanism of cost determination, this research is aimed at examining the critical factors affecting the construction cost determination and propose and verify a new cost forecasting model which is more simple and efficient and also keeps the accuracy of cost management.

Reliability Analysis on the Decision Method of Lateral Flow of Foundation Piles for Abutment (교대 기초말뚝의 측방유동 판정식에 관한 신뢰성 해석)

  • Ahn, Jong-Pil;Kim, Gyu-Deok;Kim, Il-Goo;Choi, Jin-Ho
    • Proceedings of the Korean Geotechical Society Conference
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    • 2008.10a
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    • pp.1090-1097
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    • 2008
  • This study conducted the decision method of lateral flow in abutment structures founded on the soft soils and the reliability analysis on the foundation pile for abutment. On the basis of the results, this study proposed the reliability design model. Reliability analysis was conducted by applying second moment method, point estimation method, and expected total cost minimization to lateral movement index, lateral movement decision index, modified lateral movement decision index, and circular failure safety factor for the decision criteria of lateral flow. The reliability index by analysis method had a similar tendency each other. Point estimation method was found as a practical method in the aspect of convenience because it could conduct the analysis only by mean and standard deviation as well as the partial derivative on random variables was not necessary. Optimum reliability index and optimum safety according to increasing in failure factors and load ratio were analyzed and loads and resistance factors of the design criteria of optimum reliability were estimated. It presented rational design model which can consider construction level and stability and economical efficiency overall.

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Data Structure Modeling for the LCC Analysis of the Plate Girder Bridge Considering Corrosion (부식을 고려한 판형교의 LCC 분석 데이터구조 설계)

  • Kim, Dong-Hyun;Kim, Bong-Geun;Lee, Sang-Ho
    • 한국방재학회:학술대회논문집
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    • 2007.02a
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    • pp.497-500
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    • 2007
  • Data structure was designed not only to estimate LCC but also to analyze time-variant reliability index of plate girder bridges. Information model for data structure was categorized into cost information, cost variable information, user cost information, and reliability analysis information according to the characteristic of data. EXPRESS language of STEP was adopted to describe the data structure for the electronic representation of LCC information. The suitability of the developed data structure was verified by estimating LCC and analyzing time-variant reliability index of a plate girder bridge considering corrosion on the basis of the constructed test database.

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A Study on the Prediction-Formulas of Approximate Estimate Based on Actual Work Cost for Subway (실적공사비에 의한 지하철 공사비 예측모형에 관한 연구)

  • Park, Jong-Hyuk;Jeon, Yong-Bae;Park, Hong-Tae
    • Journal of the Society of Disaster Information
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    • v.9 no.1
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    • pp.11-21
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    • 2013
  • This study proposed cost prediction equation model by considering duration, construction, size, actual cost with the subway construction started by the actual cost system which was introduced since 2004. Costs - scale exponent n(confidence range: 0.5 to 0.7) for cost prediction of subway construction was drawn total cost(0.713), net cost(0.77) in point of the 11 subway construction data. The cost prediction equation model of the subway construction which was presented in this study is able to effectively apply to business planning, preliminary investigation, feasibility study, basic design stage to estimate the approximate cost in the future.

Wiener-Hopf Design of the Two-Degree-of-Freedom Controller for the Standard Model (표준 모델의 2자유도 위너-호프 제어기 설계)

  • Jo, Yong-Seok;Choe, Gun-Ho;Park, Gi-Heon
    • The Transactions of the Korean Institute of Electrical Engineers D
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    • v.49 no.3
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    • pp.102-110
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    • 2000
  • In this paper, Wiener-Hopf design of the two-degree-of-freedom(2DOF) controller configuration is treated for the standard plant model. It is shown that the 2DOF structure makes it possible to treat the design of feedback properties and reference tracking problem separately. Wiener-Hopf factorization technique is used to obtain the optimal controller which minimizes a given quadratic cost index. The class of all stabilizing controllers that yield finite cost index is also characterized. An illustrative example is given for the step reference tracking problem which can not be treated by the conventional H2 controller formula.

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Internal Property and Stochastic Deterioration Modeling of Total Pavement Condition Index for Transportation Asset Management (도로자산관리를 위한 포장종합평가지수의 속성과 변화과정의 모델링)

  • HAN, Daeseok;DO, Myungsik;KIM, Booil
    • International Journal of Highway Engineering
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    • v.19 no.5
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    • pp.1-11
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    • 2017
  • PURPOSES : This study is aimed at development of a stochastic pavement deterioration forecasting model using National Highway Pavement Condition Index (NHPCI) to support infrastructure asset management. Using this model, the deterioration process regarding life expectancy, deterioration speed change, and reliability were estimated. METHODS : Eight years of Long-Term Pavement Performance (LTPP) data fused with traffic loads (Equivalent Single Axle Loads; ESAL) and structural capacity (Structural Number of Pavement; SNP) were used for the deterioration modeling. As an ideal stochastic model for asset management, Bayesian Markov multi-state exponential hazard model was introduced. RESULTS:The interval of NHPCI was empirically distributed from 8 to 2, and the estimation functions of individual condition indices (crack, rutting, and IRI) in conjunction with the NHPCI index were suggested. The derived deterioration curve shows that life expectancies for the preventive maintenance level was 8.34 years. The general life expectancy was 12.77 years and located in the statistical interval of 11.10-15.58 years at a 95.5% reliability level. CONCLUSIONS : This study originates and contributes to suggesting a simple way to develop a pavement deterioration model using the total condition index that considers road user satisfaction. A definition for level of service system and the corresponding life expectancies are useful for building long-term maintenance plan, especially in Life Cycle Cost Analysis (LCCA) work.