Development of a Resource-based Relative Value Scale and Its Conversion Factor for Advanced Nursing Practices in the National Health Insurance.
10.4040/jkan.2011.41.3.302
- Author:
Jin Hyun KIM
1
;
Myung Ae KIM
;
Mi Won KIM
;
Kyung Sook KIM
;
Cheong Suk YOO
Author Information
1. College of Nursing, Seoul National University, Seoul, Korea.
- Publication Type:Original Article ; English Abstract
- Keywords:
Nurse practitioners;
Advanced practice nursing;
Relative value scales;
Fees and charges;
Conversion factor
- MeSH:
Adult;
Advanced Practice Nursing/*economics;
Costs and Cost Analysis;
Humans;
Intensive Care Units;
National Health Programs;
Nurse Practitioners/*economics;
*Relative Value Scales;
Workload
- From:Journal of Korean Academy of Nursing
2011;41(3):302-312
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
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.
