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Original Article
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
Journal of Korean Academy of Nursing 2011;41(3):302-312.
DOI: https://doi.org/10.4040/jkan.2011.41.3.302
Published online: June 13, 2011

1Associate Professor, College of Nursing, Seoul National University, Seoul, Korea.

2Chief Nursing Officer, Seoul National University Hospital, Seoul, Korea.

3Full-time Lecturer, Department of Nursing, Sangmyung University, Seoul, Korea.

4Assistant Professor, Department of Nursing, Namseoul National University, Cheonan, Korea.

5Assistant Director, Seoul National University Hospital, Seoul, Korea.

Address reprint requests to: Kim, Kyung Sook. Department of Nursing, Namseoul University, 21 Maeju-ri, Seonghwan-eup, Cheonan 331-707, Korea. Tel: +82-41-580-2712, Fax: +82-41-580-2931, kgs4321@nsu.ac.kr
• Received: August 31, 2010   • Accepted: June 7, 2011

© 2011 Korean Society of Nursing Science

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  • 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.
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Table 1
Relative Value Scale and Conversion Factor of Advanced Nursing Practice in CCNP
jkan-41-302-i001.jpg

CCNP=Critical Care Nurse Practitioner; NIV=Non-Invasive Ventilation; IPV=Intrapulmonary Percussive Ventilation; ECMO=ExtraCorporeal Membrane Oxygenation; IABP=Intraaortic Balloon Pump; ACLS=Advanced Cardiac Life Support; CRRT=Continuous Replacement Renal Therapy.

Table 2
Costs of Advanced Nursing Practice in CCNP
jkan-41-302-i002.jpg

*National Health Insurance Code.

CCNP=Critical Care Nurse Practitioner; NIV=Non-Invasive Ventilation; IPV=Intrapulmonary Percussive Ventilation; ECMO=ExtraCorporeal Membrane Oxygenation; IABP=Intraaortic Balloon Pump; ACLS=Advanced Cardiac Life Support; CRRT=Continuous Replacement Renal Therapy.

Table 3
Contribution Rate of Advanced Nursing Practice in RVS
jkan-41-302-i003.jpg

*contribution rate.

RVS=Relative Value Scales; NIV=Non-Invasive Ventilation; IPV=Intrapulmonary Percussive Ventilation; ECMO=ExtraCorporeal Membrane Oxygenation; IABP=Intraaortic Balloon Pump; ACLS=Advanced Cardiac Life Support; CRRT=Continuous Replacement Renal Therapy.

Figure & Data

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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
        J Korean Acad Nurs. 2011;41(3):302-312.   Published online June 13, 2011
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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
      Development of a Resource-based Relative Value Scale and Its Conversion Factor for Advanced Nursing Practices in the National Health Insurance

      Relative Value Scale and Conversion Factor of Advanced Nursing Practice in CCNP

      CCNP=Critical Care Nurse Practitioner; NIV=Non-Invasive Ventilation; IPV=Intrapulmonary Percussive Ventilation; ECMO=ExtraCorporeal Membrane Oxygenation; IABP=Intraaortic Balloon Pump; ACLS=Advanced Cardiac Life Support; CRRT=Continuous Replacement Renal Therapy.

      Costs of Advanced Nursing Practice in CCNP

      *National Health Insurance Code.

      CCNP=Critical Care Nurse Practitioner; NIV=Non-Invasive Ventilation; IPV=Intrapulmonary Percussive Ventilation; ECMO=ExtraCorporeal Membrane Oxygenation; IABP=Intraaortic Balloon Pump; ACLS=Advanced Cardiac Life Support; CRRT=Continuous Replacement Renal Therapy.

      Contribution Rate of Advanced Nursing Practice in RVS

      *contribution rate.

      RVS=Relative Value Scales; NIV=Non-Invasive Ventilation; IPV=Intrapulmonary Percussive Ventilation; ECMO=ExtraCorporeal Membrane Oxygenation; IABP=Intraaortic Balloon Pump; ACLS=Advanced Cardiac Life Support; CRRT=Continuous Replacement Renal Therapy.

      Table 1 Relative Value Scale and Conversion Factor of Advanced Nursing Practice in CCNP

      CCNP=Critical Care Nurse Practitioner; NIV=Non-Invasive Ventilation; IPV=Intrapulmonary Percussive Ventilation; ECMO=ExtraCorporeal Membrane Oxygenation; IABP=Intraaortic Balloon Pump; ACLS=Advanced Cardiac Life Support; CRRT=Continuous Replacement Renal Therapy.

      Table 2 Costs of Advanced Nursing Practice in CCNP

      *National Health Insurance Code.

      CCNP=Critical Care Nurse Practitioner; NIV=Non-Invasive Ventilation; IPV=Intrapulmonary Percussive Ventilation; ECMO=ExtraCorporeal Membrane Oxygenation; IABP=Intraaortic Balloon Pump; ACLS=Advanced Cardiac Life Support; CRRT=Continuous Replacement Renal Therapy.

      Table 3 Contribution Rate of Advanced Nursing Practice in RVS

      *contribution rate.

      RVS=Relative Value Scales; NIV=Non-Invasive Ventilation; IPV=Intrapulmonary Percussive Ventilation; ECMO=ExtraCorporeal Membrane Oxygenation; IABP=Intraaortic Balloon Pump; ACLS=Advanced Cardiac Life Support; CRRT=Continuous Replacement Renal Therapy.


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