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Kim, Kim, Kim, Kim, and Yoo: Development of a Resource-based Relative Value Scale and Its Conversion Factor for Advanced Nursing Practices in the National Health Insurance
Original Article
Journal of Korean Academy of Nursing

Journal of Korean Academy of Nursing 2011; 41(3): 302-312.

Published online: 13 June 2011

DOI: https://doi.org/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

Jin Hyun Kim1, Myung Ae Kim2, Mi Won Kim3, Kyung Sook Kim4, Cheong-Suk Yoo5

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 31 August 2010       Accepted 7 June 2011

© 2011 Korean Society of Nursing Science

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.

Keywords: Nurse practitioners, Advanced practice nursing, Relative value scales, Fees and charges, Conversion factor

Figures and Tables

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

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

*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

*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.

Notes

This work was supported by research grants from Korean Nurses Association.

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