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Development of a Resource-based Relative Value Scale and Its Conversion Factor for Advanced Nursing Practices in the National Health Insurance
Jin Hyun Kim, Myung Ae Kim, Mi Won Kim, Kyung Sook Kim, Cheong-Suk Yoo
J Korean Acad Nurs 2011;41(3):302-312.   Published online June 13, 2011
DOI: https://doi.org/10.4040/jkan.2011.41.3.302
AbstractAbstract PDF
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.

Citations

Citations to this article as recorded by  
  • Measuring the Work Relative Value of Common Nursing Items for the General Departments of Tertiary Hospitals: A Descriptive Study
    Yingli Wang, Cong Wang, Hongfei Ren, Ling Mao, Fenjiao Chen, Taoyun Liang, Yuqin Luo, Yan Jiang
    Journal of Evaluation in Clinical Practice.2025;[Epub]     CrossRef
  • A Resource-Based Relative Value for Clinical Research Nurses’ Workload
    Sangmi Lee, Ihn Sook Jeong
    Therapeutic Innovation & Regulatory Science.2018; 52(3): 313.     CrossRef
  • An Empirical Analysis of Costs related to Nursing Practice
    Yu Kyung Ko, Bo-Hyun Park
    Journal of Korean Academy of Nursing Administration.2017; 23(2): 139.     CrossRef
  • Economic Analysis and Fee Development by Relative Value Scale of Nursing Practices by Emergency Nurse Practitioner
    Jin Hyun Kim, Kyung Sook Kim, Mi Won Kim, Kyoung-A Lee
    Korean Journal of Adult Nursing.2013; 25(3): 275.     CrossRef
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Methods and Applications to estimate the Conversion Factor of Resource-based Relative Value Scale for Nurse-Midwife's Delivery Service in the National Health Insurance
Jinhyun Kim, Yoomi Jung
J Korean Acad Nurs 2009;39(4):574-583.   Published online August 31, 2009
DOI: https://doi.org/10.4040/jkan.2009.39.4.574
AbstractAbstract PDF
Purpose

This paper analyzed alternative methods of calculating the conversion factor for nurse-midwife's delivery services in the national health insurance and estimated the optimal reimbursement level for the services.

Methods

A cost accounting model and Sustainable Growth Rate (SGR) model were developed to estimate the conversion factor of Resource-Based Relative Value Scale (RBRVS) for nurse-midwife's services, depending on the scope of revenue considered in financial analysis. The data and sources from the government and the financial statements from nurse-midwife clinics were used in analysis.

Results

The cost accounting model and SGR model showed a 17.6-37.9% increase and 19.0-23.6% increase, respectively, in nurse-midwife fee for delivery services in the national health insurance. The SGR model measured an overall trend of medical expenditures rather than an individual financial status of nurse-midwife clinics, and the cost analysis properly estimated the level of reimbursement for nurse-midwife's services.

Conclusion

Normal vaginal delivery in nurse-midwife clinics is considered cost-effective in terms of insurance financing. Upon a declining share of health expenditures on midwife clinics, designing a reimbursement strategy for midwife's services could be an opportunity as well as a challenge when it comes to efficient resource allocation.

Citations

Citations to this article as recorded by  
  • Opening Status of the Korea Midwifery Birthing Centers and Development of Midwifery Practice Guideline
    Ji Young Song, Young-Joo Park
    Journal of Korean Academy of Nursing.2020; 50(4): 583.     CrossRef
  • Methods and Estimates of the Reimbursement for the Nurse Midwifery Center in the National Health Insurance
    Hyomin Im, Jinhyun Kim
    Korean Journal of Women Health Nursing.2011; 17(4): 328.     CrossRef
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