• Title/Summary/Keyword: Case Mix

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Impacts of DRG Payment System on Behavior of Medical Insurance Claimants (DRG 지불제도 도입에 따른 의료보험청구 행태 변화)

  • Kang, Gil-Won;Park, Hyoung-Keun;Kim, Chang-Yup;Kim, Yong-Ik;Ha, Beom-Man
    • Journal of Preventive Medicine and Public Health
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    • v.33 no.4
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    • pp.393-401
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    • 2000
  • Objectives : To evaluate the impacts of the DRG payment system on the behavior of medical insurance claimants. Specifically, we evaluated the case-mix index, the numbers of diagnosis and procedure codes utilized, and the corresponding rate of diagnosis codes before, during and after implementation of the DRG payment system. Methods : In order to evaluate the case-mix index, the number of diagnosis and procedure codes utilized, we used medical insurance claim data from all medical facilities that participated in the DRG-based Prospective Payment Demonstration Program. This medical insurance claim data consisted of both pre-demonstration program data (fee-for-service, from November, 1998 to January, 1999) and post-demonstration program data (DRG-based Prospective Payment, from February, 1999 to April, 1999). And in order to evaluate the corresponding rate of diagnosis codes utilized, we reviewed 820 medical records from 20 medical institutes that were selected by random sampling methods. Results : The case-mix index rate decreased after the DRG-based Prospective Payment Demonstration Program was introduced. The average numbers of different claim diagnosis codes used decreased (new DRGs from 2.22 to 1.24, and previous DRGs from 1.69 to 1.21), as did the average number of claim procedure codes used (new DRGs from 3.02 to 2.16, and previous DRGs from 2.97 to 2.43). With respect to the time of participation in the program, the change in number of claim procedure codes was significant, but the change in number of claim diagnosis codes was not. The corresponding rate of claim diagnosis codes increased (from 57.5% to 82.6%), as did the exclusion rate of claim diagnosis codes (from 16.5% to 25.1%). Conclusions : After the implementation of the DRG payment system, the corresponding rate of insurance claim codes and the corresponding exclusion rate of claim diagnosis codes both increased, because the inducement system for entering the codes for claim review was changed.

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A Case Study of Asphalt Pavement Construction Quality Assurance Using the Quality Related Specification Software

  • Jeong, M. Myung;Jung, Younghan
    • Journal of Construction Engineering and Project Management
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    • v.6 no.3
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    • pp.14-21
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    • 2016
  • One of the major issues in the material-based or acceptance quality characteristics asphalt pavement Quality Assurance (QA) is that the method does not have rationality to link between the individual materials and the projected performance of the pavement. A new asphalt mix QA method has been recently developed under a national research project using the probabilistic Performance Related Specification (PRS). This advanced PRS QA methodology integrates the AASHTOWare Pavement ME Design$^{(R)}$ technology with the simple performance test concept that bridges the material characteristics with the pavement performance. This paper presents a case study of asphalt pavement performance using the developed PRS QA computer program, named Quality Related Specification Software (QRSS), with an actual pavement project, to demonstrate the developed PRS procedure and to assess the robustness of QRSS in terms of the rationality of the distress predictions. The results of this limited case study show that the new PRS QA method reasonably predicts the pavement performance, properly applied the probabilistic methods, and produced rational pay adjustment.

Preferences of Mixed Types in a Social Mix Apartment Community and It's Residents' Social Behavior - Focused on the first district in Eunpyeong New Town in Seoul - (사회적 혼합아파트 거주자의 혼합유형 선호특성과 사회적 행태 연구 -서울시 은평뉴타운을 대상으로-)

  • Lee, Hye-Jin;Lee, Yeun-Sook;Lee, Soo-Jin
    • KIEAE Journal
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    • v.11 no.5
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    • pp.69-77
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    • 2011
  • In order to solve social exclusion and segregation phenomenon and to realize social integration, the necessity of social combination and consensus has been presented and existing conception about the public lease apartment confronts a turning point due to the diversification of apartment supply system. With this social background, Eunpyeong New Town Project implemented by Seoul Metropolitan Government is the first example that supplied diverse apartments for social integration. Survey was made upon the residents aged 20 and over and living in combination apartments, lease apartments and common apartments for private ownership in the Enpyeong New Town Apartment Complex in section 1 area, and the survey sheets filled up by the respondents were collected by personal visits or by using specified gathering spots. Summary of study results is as follows: Firstly, regarding the combination method, respondents preferred the irregular combination of lease apartment units and common apartment units in the same apartment building at the top, analyzing by survey groups marked that residents of common apartment with initial ownership responded not to choose combination apartment complex or combination apartment in future. Secondly, the living consciousness with neighbors revealed that respondents were generally satisfied without difference between the residents of lease apartment and common apartment. As the demand and policies for diverse lease apartments are increasing recently, Eunpyeong New Town Project aimed for positive social integration and consensus will be evaluated as model case for social combination apartment in future. And it is necessary to introduce the policies that consider the differences in consciousness and interest of the residents among the lease apartments and common apartments.

Study for Export Performance and Adaptation/Standardization Level on Marketing Variables -the cases of New Zealand Exporting Companies- (수출성과와 수출마케팅변수의 적응화/표준화 수준에 관한 연구 - 뉴질랜드의 수출기업 사례를 중심으로 -)

  • Hwang, Sun-Dai
    • International Commerce and Information Review
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    • v.16 no.4
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    • pp.103-123
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    • 2014
  • Export performance has been a core topic in export marketing research. This study aims to investigate the relationship between adaptation/standardization strategies and export performance obtained after implementing each of these strategies to marketing mix variables. It is expected that the study results will help companies better understand an efficient marketing mix and applicability of adaptation/standardization approaches in their export ventures. New Zealand exporting firms which actively seek for export markets in Korea are selected for empirical analysis of this study. Adaptation and standardization are concepts that signify the level of intensity in each strategy; both have advantages and weaknesses. In the case of adaptation approach, it is shown that the difference in export performance between satisfactory and non satisfactory export ventures is statistically significant in marketing mix variables such as price, place and promotion. However, product variables affect statistical significance on export performance between satisfactory and non satisfactory export ventures in standardization approach. This study implies that when a company exports its product overseas, standardization effort is more important for product variables whereas much effort needed in adapting marketing variables such as price, place, and promotion to get satisfactory export performance.

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Suggesting Optimum Mix Proportion of Hardener for Soil-pavement Concrete Incorporating Natural Organic Lime and Magnesia-lime (천연유기석회 및 고토석회를 조합한 흙 포장 콘크리트용 경화재의 최적배합안 도출)

  • Han, Min-Cheol;Han, Jun-Hui
    • Journal of the Korea Institute of Building Construction
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    • v.20 no.2
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    • pp.113-121
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    • 2020
  • Lots of soil-pavement concrete placed showed a number of problems such as decreasing strength, and durability. In this research, to provide a solution of the problem reported the wasting materials of natural organic lime and magnesia lime were used as a hardener to achieve sufficient performance of soil-pavement concrete. Namely, as a stimulus of blast furnace slag, the natural organic lime and magnesia lime were tested within the mix proportion of 0 to 10 % for each lime to make a new hardener. As a result, in the case of mortar with 1 to 3 % of cement to fine aggregate, 30 % replaced blast furnace slag showed the more favorable results with 5 to 5 % of mix proportion for natural organic lime and magnesia lime.

The Spatial Performance of Multi-Level Shopping Clusters A Case Study of Nanshan Commercial Cultural District

  • Haofeng, Wang;Yupeng, Zhang;Xiaojun, Rao
    • International Journal of High-Rise Buildings
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    • v.6 no.2
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    • pp.149-163
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    • 2017
  • With the intensification of urban development in Chinese cities, mixed land use in urban centers extends vertically into 3-D and expands its scale from a single building to commercial clusters. The multi-level pedestrian system in city centers also changed its role from one of traffic isolation to spatial integration, where transit nodes, street sidewalks, squares, building entrances, atriums, and corridors are interconnected, both horizontally and vertically, into a whole spatial system, within which pedestrian flows are guided and shopping facilities are arranged. This paper uses spatial configuration analysis of space syntax to examine the impacts of spatial patterns on movement distribution and the business performance of tenant mix in the multi-level commercial system of the Nanshan Commercial Cultural District in Shenzhen, China. The key objective is to better understand the interactions between the socio-economic variables and spatial design parameters of a shopping complex. The research findings point to the importance of multiplicity between syntactic variables and other spatial variables in influencing the pedestrian flows, business performance and tenant mix in highly complex commercial systems. Particularly noteworthy is the relationship between spatial accessibility measures and the location of escalators, and the ways in which individual commercial buildings are embedded into the overall spatial system. The study suggests that this may lead to the preliminary identification of the spatial qualities of effective vertical extensions of mixed land use in a high-density urban settings.

Determination of the Pallet Quantity Using Simulation in the FMS for Aircraft Parts (시뮬레이션 기법을 이용한 항공기 부품 가공 유연생산시스템의 팔레트 수량 결정)

  • Kim, Deok Hyun;Lee, In Su;Cha, Chun Nam
    • Journal of Korean Society of Industrial and Systems Engineering
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    • v.41 no.4
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    • pp.59-69
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    • 2018
  • This study deals with the case study on the pallet quantity determination problem for the flexible manufacturing system producing 32 different types of aircraft wing ribs which are major structures of an aircraft wings. A Korean company has constructed the WFMS (wing rib flexible manufacturing system) that is composed of several automated equipments such as the 5-axis machining centers, the RGV (rail guided vehicles)s, the AS/RS (automated storage and retrieval system), the loading/unloading stations, and so on. Pallets play a critical role in the WFMS to maintain high system utilization and continuous work flow between 5-axis machining machines and automated material handling devices. The discrete event simulation method is used to evaluate the performance of the WFMS under various pallet mix alternatives for wing rib manufacturing processes. Four performance measures including system utilization, throughput, lead-time and work in process inventory level are investigated to determine the best pallet mix alternative. The best pallet mix identified by the simulation study is adopted in setting up and operating a real Korean aircraft parts manufacturing shop. By comparing the real WFMS's performances with those of the simulation study, we discussed the cause of performance difference observed and the necessity of developing the CPS (cyber physical system).

Analysis of Meteorological Characteristics by Fine Dust Classification on the Korean Peninsula, 2015~2021 (2015년~2021년 한반도 고농도 미세먼지 사례의 유형분류에 따른 기상학적 특징 분석)

  • Jee, Joon-Bum;Cho, Chang-Rae;Kim, Yoo-Jun;Park, Seung-Shik
    • Atmosphere
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    • v.32 no.2
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    • pp.119-133
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    • 2022
  • From 2015 to 2021, high-concentration fine dust episodes with a daily average PM2.5 concentration of 50 ㎍ m-3 or higher were selected and classified into 3 types [long range transport (LRT), mixed (MIX) and Local emission and stagnant (LES)] using synoptic chart and backward trajectory analysis. And relationships between the fine particle data (PM2.5 and PM10 concentration and PM2.5/PM10 ratio) and meteorological data (PBLH, Ta, WS, U-wind, and Rainfall) were analyzed using hourly observation for the classification episodes on the Korean Peninsula and the Seoul metropolitan area (SMA). In LRT, relatively large particles such as dust are usually included, and in LES, fine particle is abundant. In the Korean peninsula, the rainfall was relatively increased centered on the middle and western coasts in MIX and LES. In the SMA, wind speed was rather strong in LRT and weak in LES. In LRT, rainfall was centered in Seoul, and in MIX and LES, rainfall appeared around Seoul. However, when the dust cases were excluded, the difference between the LRT and other types of air quality was decreased, but the meteorological variables (Ta, RH, Pa, PBLH, etc.) were further strengthened. In the case of the Korean Peninsula, it is difficult to find a clear relationship because regional influences (topographical elevation, cities and coasts, etc.) are complexly included in a rather wide area. In the SMA, it is analyzed that the effects of urbanization such as the urban heat island centered on Seoul coincide with the sea and land winds, resulting in a combination of high concentrations and meteorological phenomena.

A study on Improved Genetic Algorithm to solve nonlinear optimization problems (비선형 최적화문제의 해결을 위한 개선된 유전알고리즘의 연구)

  • 우병훈;하정진
    • Korean Management Science Review
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    • v.13 no.1
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    • pp.97-109
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    • 1996
  • Genetic Algorithms have been successfully applied to various problems (for example, engineering design problems with a mix of continuous, integer and discrete design variables) that could not have been readily solved with traditional computational techniques. But, several problems for which conventional Genetic Algorithms are ill defined are premature convergence of solution and application of exterior penalty function. Therefore, we developed an Improved Genetic Algorithms (IGAs) to solve above two problems. As a case study, IGAs is applied to several nonlinear optimization problems and it is proved that this algorithm is very useful and efficient in comparison with traditional methods and conventional Genetic Algorithm.

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