J Korean Acad Nurs.  2011 Jun;41(3):302-312. 10.4040/jkan.2011.41.3.302.

Development of a Resource-based Relative Value Scale and Its Conversion Factor for Advanced Nursing Practices in the National Health Insurance

• Kim JH
• Kim MA
• Kim MW
• Kim KS
• Yoo CS

• KMID: 1015480
• DOI: http://doi.org/10.4040/jkan.2011.41.3.302

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.

Keyword

Nurse practitioners; Advanced practice nursing; Relative value scales; Fees and charges; Conversion factor

MeSH Terms

Adult
Advanced Practice Nursing/*economics
Costs and Cost Analysis
Humans
Intensive Care Units
National Health Programs
Nurse Practitioners/*economics
*Relative Value Scales
Workload

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