• Title/Summary/Keyword: fee

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Development of the DRG Fee Adjustment Mechanism Reflecting Nurse Staffing Grades (간호관리료 차등제를 반영한 DRG수가 조정기전 개발)

  • Kim, Yunmi;Kim, Se Young;Kim, Jiyun
    • Journal of Korean Clinical Nursing Research
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    • v.19 no.3
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    • pp.321-332
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    • 2013
  • Purpose: Korean health insurance extended application of the Diagnosis Related Groups (DRG) payment system to tertiary and general hospitals from July, 2013. This study was done to develop a DRG fee adjustment mechanism applied to levels of nurse staffing to assure quality nursing service. Methods: Nurse stafffing grades among hospitals in Korea were analyzed. Differences and ratio of inpatient costs by nurse staffing grades in DRG fees and differences of DRG fee between tertiary and general hospitals were compared. Results: In 2013, nurse staffing grades in tertiary and general hospitals had improved, but other hospital nurse staffing grades remained at the 2001 level. Gaps of inpatient costs between first and seventh nurse staffing grades were over 10% in 4 out of 7 DRG diagnosis; However differences of DRG fee between tertiary and general hospitals were only 4.51% and 4.72% respectively. A DRG fee adjustment mechanism was developed that included nurse staffing grades and hospitalization days as factors of the formula. Conclusion: Current DRG fees motivate hospitals to decrease nurse staffing grades because cost reduction is bigger than compensation. This DRG fee adjustment mechanism reflects nurse staffing supply to motivate hospitals to hire more nurses as a reasonable compensation system.

A study on stormwater fee imposition for sustainable rainwater management (지속가능한 빗물관리를 위한 강우유출수 부담금 도입방안 검토)

  • Kim, Gil-Bok
    • Journal of Korean Society of Water and Wastewater
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    • v.33 no.2
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    • pp.103-110
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    • 2019
  • Management of stormwater runoff is considered a nationwide challenge. To deal with this challenge, many researches have been conducted to study initial stage of stormwater fee imposition. The objective of this study was to recommend a framework for stormwater fee imposition not only for funding the stormwater management programs but also for encouraging people to decrease impervious area. This study focused on, regulations, financial resources and international cases related to stormwater runoff management. Polluter pays principle, which is generally recognized environmental policy principle is regarded the basis of stormwater fee imposition. Three components suggested for the stormwater rate structure are 1) stormwater utility revenue requirement, 2) billable equivalent stormwater unit, 3) system unit cost. The key point of stormwater rate structure is the "Equivalent Residential Unit(ERU)". The concept of an ERU is one residential area with a runoff coefficient. The runoff coefficient is that portion of rainfall that becomes runoff rather than infiltrating into the ground. In addition to this, this study took into account the observed data simulation for the separation of stormwater treatment expenditure from the comprehensive wastewater treatment cost.

Development of a Nursing Fee Schedule Model (적정간호수가 산정모형 개발을 위한 연구)

  • 조소영;박정호
    • Journal of Korean Academy of Nursing
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    • v.23 no.1
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    • pp.68-89
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    • 1993
  • This study was conducted to develop a model of a fee schedule for nursing services.'Regardless of the demand for skilled and professional nursing service today, the Korean health insurance system does not furnish a chapter for the nursing service fee schedule. A nation-wide survey of hospital nursing service fee schedules was to provide practical and realistic data about how the variety of nursing services are being charged. From September 1990 to April 1991, data from the fee schedule used by twenty hospitals located in eight large cities which are designated large medical regions in the Korea Health Care and Patient Referral System were collected. Nursing services and the fees charged for them were analyzed. The nursing services were subjected to a secondary analysis with referrence to reports on “nursing services to be charged in Korea”. The total number of nursing services recommended by the literatures was 177 : finally 141 types of nursing services were selected by investigator as chargable nursing services. In addition, data on managerial characteristics of the hospitals were collected to discover influential variables for a nursing fee schedule model. Under the assumption that all the managerial characteristics of the hospitals influenced the fee schedule, the following model was tested : Fee of nursing services (C) = f(A₁, A₂, A₃, A₄, A/sub 5/, A/sub 6/, A/sub 7/, A/sub 8/,) When, A₁ = number of nurses A₂ = the first salary of a nurse educated in a four year A₃ = scale of nursing management division A₄ = location of the hospital A/sub 5/ = the type of hospital management (profit / non-profit) A/sub 6/ = number of hospital beds A/sub 7/ = years of hospital operation A/sub 8/ = number and kinds of clinical divisions The results showed that the model should be built as follows : C = f (A₁, A/sub 4/, A/sub 5/) Each nursing service was applied to the fee schedule with consideration for the professional level and time-taken to provide the services. Detailed fee schedules were presented in the related tables. Of the 141 kinds of nursing services, 24.8% were chargeble to the Korea Health Insurance, 32.6% of the nursing services were being paid directly by the patienty. The rest of nursing services (42.6%) were not being charged to any source. It was recommened that the Korea Health Insurance Reimbursement system should add a classification system for nursing services that can be used in the national health care program. Further study is needed about how to include 32.6% of the nursing services now being paid for directly by the patients in the health insurance system.

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The research on the characterization solution of eyeglass dispensing & fitting fee in optical shop (안경원의 안경 조제·가공료와 피팅비 정착화에 관한 연구)

  • Leem, Hyun-Sung;Lee, Eun-Hee;Jung, Mi-A
    • Journal of the Korea Convergence Society
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    • v.8 no.12
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    • pp.391-395
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    • 2017
  • In this research, we conducted a questionnaire survey of contents necessary for eyeglass dispensing & fitting fee and characterization solution of eyeglass dispensing & fitting fee. From August 1, 2016 to September 30, questionnaires were set up for 202 spectators of Seoul and Gyeonggi area, questionnaire survey was conducted online and offline. Statistical processing of all data was performed using Origin Pro 8.5. 92.1% (186 people) and 93.1% (188 people) were positively evaluating the necessity of introduction for the necessity of introducing eyeglass dispensing & fitting fee, respectively. The result suggested that it is necessary to establish the position of the optician as a medical service expert by providing a more stable policy through analysis of overseas cases of eyeglass dispensing & fitting fee.

Development Of a Project Sensitive Matrix Model For CM Fee Calculation (건설사업관리 대가 산출 모델의 방향 설정에 관한 연구)

  • Kee JunHo;Kim ChangDuk;Kim Yea-Sang
    • Korean Journal of Construction Engineering and Management
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    • v.1 no.4 s.4
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    • pp.91-97
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    • 2000
  • Construction Management(CM) has been introduced in Korean Construction Industry for its merits and benefits proven in International Construction Industries. However, many regulations, standards, manuals and details of practices considering its constituents and industry conditions have not yet to be developed. Of these, the standards and details of CM fee calculation should be developed in order to stretch its application toward public construction sectors as well as the private sectors. This research proposes CMFM(Construction Management Fee Model), a project sensitive matric CM fee model for CM fee calculation. The model calculates CM fees for modular services in a two by two matrix taking project phases on one dimension and CM services on the other.

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Economic Analysis and Fee Development by Relative Value Scale of Nursing Practices by Emergency Nurse Practitioner (응급전문간호행위에 대한 건강보험 상대가치 수가개발 및 경제성 평가)

  • Kim, Jin Hyun;Kim, Kyung Sook;Kim, Mi Won;Lee, Kyoung-A
    • Korean Journal of Adult Nursing
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    • v.25 no.3
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    • pp.275-288
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    • 2013
  • Purpose: The purpose of this study was to perform an economic analysis and estimate the fee for the practices that carried out by Emergency Nurse Practitioner (ENP) using relative value scale (RVS) and its conversion factor. Methods: First, we developed ENP's RVS for 25 advanced nursing services based on ENP's workload and its time spent by survey. A cost analysis was performed to evaluate the conversion factor of ENP's RVS. The share of ENP's contribution to fee-for-service in emergency setting was also analyzed. Results: Calculation of the RVS of 25 advanced nursing practices showed a range of points from 73.4 to 296.3 and an average of 145.1 points. The relevant conversion factor for advanced nursing practices among ENP was estimated at 12.2~15.9 won. The contribution rate of ENP's advanced nursing practices in the relative value scale of the national health insurance was estimated at 13.1~17.0%. Conclusion: The practices of ENP are not compensated separately and its reimbursement is usually included in physician fee. An estimation of nursing fee and an independent fee related to ENP's services shows the contribution rate to total revenue. It suggests that emergency nurse practitioners be considered as a revenue source the in emergency room.

A Study on the Plan for Rationalizing Warehouse Storage Fee of LCL Cargo imported by Sea (해상수입 LCL화물의 창고보관료 적정화방안에 관한 연구)

  • Kim, Yong-Jin;Seo, Dong-Gyun
    • Journal of Korea Port Economic Association
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    • v.26 no.4
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    • pp.310-328
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    • 2010
  • The purpose of this study is to contribute to reducing distribution costs, enhancing export price competitiveness, and improving distribution system in LCL cargo, by pursuing the present status of warehouse storage fee, a cause & problem about excessive hike, and a plan for stabilizing warehouse storage fee, as for LCL Cargo, which is imported by sea. The plans for rationalizing warehouse storage fee in LCL cargo were suggested the adoption of the ceiling system for warehouse storage fee rate, the obligation of offering information on warehouse storage fee rate, the eradication of illegal rebate, the improvement in distribution system of the imported LCL cargo, a scheme for the importer to designate a bonded warehouse and forwarder, the introduction of the tentatively named 'LORAS(Lowest Rate Service),' and formation of the dispute coordinating committee for warehouse storage fee.

A Study on Boarding Fee Determinants of University Dormitory (대학 기숙사의 기숙사비 결정 요인에 관한 연구)

  • Lee, Joong-Sik;Yoo, Seon-Jong
    • Journal of the Korean Institute of Educational Facilities
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    • v.21 no.3
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    • pp.29-36
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    • 2014
  • Properties of school foundation are divided into fundamental property for education and fundamental property for profit. As school sites and teachers used for educational and study activities of students, fundamental property for education includes practice sites, farms and support research attached facilities in addition to school facilities. According to the Clause 1 of Article 4 of the University Foundation and Management Regulation and the Attached Table 2 of the Same Regulation, dormitory is classified as property for education(non-profit). In other words, there is no need to create profit for dormitory management. It is supposed that there are little regional differences in construction cost of dormitory with general specifications. In this case, boarding fees of university dormitories should make no difference. This study analyzed boarding fees, depending on regional factors(Seoul, Gyeonggi-do, metropolitan cities and provinces), and depending on foundation subjects(national public university and private university), classes(four-year university and college) and principal schools-branch schools. The result of One-Way ANOVA showed that Seoul showed the highest average boarding fee and it was followed by Gyeonggi-do, metropolitan cities and provinces. Also, the average boarding fees of private universities and four-year universities were higher than national public universities and than colleges, respectively. In addition, branch school's boarding fee was higher than principal school's. Additionally, this study extracted a model using the hedonic model to see how various characteristics such as region, foundation subject and class influence the boarding fee. This study would serve as fundamental research on the boarding fee. Thus far, there have been difficulties in obtaining accurate data and analyzing boarding fees, since there is no open data about dormitories and it isn't mandatory to open it, but it is anticipated that this would be used as fundamental research for estimating and analyzing boarding fees of many universities in the future.

Essay on the Calculation of Appropriate Working Environment Measurement Fees (적정 작업환경측정수수료 산정을 위한 소고)

  • Park, Ji-Yeon
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.31 no.3
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    • pp.274-285
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    • 2021
  • Objectives: The question of whether the level of fees paid to working environment measurement agencies is appropriate has long been a matter of concern to the government. In addition, measurement institutions express dissatisfaction with their level of compensation, which has a great influence on the evaluation of a subject's policy. This study is intended to find a way to appropriately calculate working environment measurement fees. Methods: We looked at the principle of fee determination as a basic theory of fee calculation used in fee calculation, the legal and academic aspects of the general method of fee calculation, and government cost calculation standards. Furthermore, we reviewed the research methods applied so far to derive a method of calculating fees appropriate for this environment. Results: The working environment measurement environment is different from other commission calculation environments. The other environment is to appropriately calculate the service price provided by a monopoly public enterprise, while the situation is to appropriately calculate the fees provided by competitive private enterprises. Therefore, the service delivery environment and the delivery entity are different. In this case, the appropriate method of calculating service fees would be competitive pricing. There have also been many problems under the method of calculation by service cost. Conclusions: First, the working environment measurement fee requires an accounting correction of endogenous variables. Second, the theory of calculating fees appropriate for this situation is appropriate for competitive pricing that applies to private competitors. Third, the government should make efforts to make the service supply market a fully competitive market while ensuring that the service fee level is determined at the marginal cost level. Fourth, economically, research on marginal cost levels is needed.

A Study on the Improvement of Technical Guidance Fee for Preventing Accidents at Small-Medium Construction Sites (중·소규모 건설현장 재해예방 기술지도 대가 개선에 관한 연구)

  • Lim, Se-Jong;Shin, Seung-Hyeon;Won, Jeong-Hun;Yoon, Young-Cheol
    • Journal of the Korea Institute of Building Construction
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    • v.21 no.5
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    • pp.469-481
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    • 2021
  • Under Korean law, small-to-medium-sized construction projects with budgets of more than 100 million won and less than 12 billion won must receive technical guidance by a visiting technician belonging to a specialized institution. This study proposed a method for calculating the technical guidance fee to prevent the potential inadequacy of technical guidance when the responsibility providing the technical guidance fee is changed from a contractor to a client. The method simplified the construction works which should receive technical guidance into four sections according to the construction amount. For each section, the number of instances of technical guidance per day provided by the visiting technician and the minimum technical grade of the visiting technician were limited, and the guideline for estimating engineering services fees was applied to calculate the fee per instance of technical guidance. The results show that the proposed method can be applied to the establishment of a technical guidance fee guideline since it well reflects the current fee distribution and K2B analysis results.