• Title/Summary/Keyword: Standards for Review

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The Development Job Standards for Advanced Health Insurance Review Nurses (보험심사 전문 간호사의 직무표준 개발)

  • Hwang, Hye-Young
    • Journal of Korean Academy of Nursing Administration
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    • v.15 no.2
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    • pp.264-274
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    • 2009
  • Purpose: This study is to develop job standards in order to propose proper job level of the advanced nurse practitioners and apply the results to the work and enhance the expertism. Method: This study is a methodical study. The validity was examined by using the content validity index(CVI). Result: The pre-items of job standards for advanced health insurance review nurses were established and the final job standards comprising of 12 standards, 46 criteria, 92 indicators, 418 activities were determined after the examination by the advisory group. The validity of the job standards were examined for two times by the seven professionals. The relevance of the modified job standards was examined by the working level employees above the assistant manager position working in the general hospitals and the result was 93.14% relevance. The job standards comprising of 12 standards, 46 criteria, 89 indicator and 409 activities were developed. Conclusions: By the development of the job standards, it is expected to prove that advanced health insurance review nurses are the most suitable professionals for dealing with medical affairs such as management and propriety evaluation of medical expenses while defining the roles of advanced health insurance review nurses.

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Analysis of Physician's Observance Behavior of Health Insurance Review Standards (의사의 진료비 심사기준 준수행동 분석)

  • Lee, Eunsil;Youn, Kyungil
    • Korea Journal of Hospital Management
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    • v.20 no.2
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    • pp.28-38
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    • 2015
  • This study was conducted by extending Ajzen's Theory of Planned Behavior(TPB) model in analyzing physician's observance behavior of National Health Insurance review standards. An extended TPB model was proposed by including 'background knowledge'and 'dorganizational commitment'in original model to predict physician's review standards observance behavior. Surveys for data collection were carried out on the physicians who were working in a general hospital, clinics, specialized hospitals, local medical centers and long term care hospitals located in Daegu and Kyoung-Buk province in Korea. Two hundreds twenty copies of questionnaires were distributed and 166 physicians responded. Data were analyzed using a structural equation model. The results show that an affirmative attitude and subjective norms have significant positive effects on physicians' behavior of observing review standards. However, the effect of perceived behavioral control on intention to behavior is not significant. The organizational commitment and background knowledge have a positive effect on the intention of observance of review standards. In conclusion, because physician's observance behaviors are affected by background knowledge and organizational commitment as well as attitudes, subjective norms, hospital managements should establish a communication system to share information on the review standards among physicians and provide appropriate measures to increase physician's organizational commitment.

A Study on the Effect of Practice on Post-Management According to the Change in Perception of Quality Control Personnel: Focusing on Korea Standards Certification Factory Review Evaluation Criteria (품질관리 담당자의 인식 변화에 따라 실행이 사후관리에 미치는 영향에 관한 연구: KS 인증 공장심사 평가항목을 중심으로)

  • Taek-Yeon Yoo;Jung Eui Hong
    • Journal of the Korea Safety Management & Science
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    • v.26 no.3
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    • pp.123-131
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    • 2024
  • In this study, two things were analyzed for Korean Standards certification factory review evaluation items. First, it was examined whether there is a difference between the Practice of factory review evaluation items and Post-Management according to the change in perception of the factory review evaluation items of Korean Standards certification personnel. Second, the moderating effect of the Korean Standards certification personnel's perception of the effect of the Practice of the factory review evaluation items of Korean Standards certification personnel on Post-Management was verified. Although there is a statistically significant difference between Practice and Post-Management according to changes in perception of Korean Standards personnel, there is no statistically significant difference in the impact (slope) of Practice on Post-Management according to changes in perception of Korean Standards certification personnel. As the perception of factory review evaluation items increases, the Practice and Post-Management of factory review evaluation items are increasing, but the impact of the Practice of factory review evaluation items on Post-Management does not affect it. In order to further advance Korean Standards certification, which plays an important role in maintaining the quality level of products produced by companies, efforts to raise the level of perception of Korean Standards certification personnel are considered necessary.

A Comparative Study on Awareness of Review Work of Medical Institutions and Review Institutions - Focusing on Insurance Claim Officers at General Hospitals and Review Officers at Health Insurance Review Agency - (의료기관과 심사기관의 심사업무인식도 비교연구 - 종합병원 청구직원과 건강보험심사평가원심사직원을 중심으로 -)

  • Lee, Soo-Yun;Ha, Ho-Wook;Sohn, Tae-Yong
    • Korea Journal of Hospital Management
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    • v.9 no.3
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    • pp.71-97
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    • 2004
  • This study conducted a comparative analysis of awareness level of review standards, continuing education, and awareness about the need for speciality and educational courses in order to improve quality of Korean health insurance review work and to present directions for policies of personnel development and continuing education to smoothly perform hospital's insurance claim work and Agency's review work. The analysis unit of the study is individuals, and survey was conducted among hospital's claim officers and Agency' review officers by distributing questionnaires. The major results of the study are as follows: First, it is found that hospital's claim officers and Agency's review officers have conflicting awareness about review standards; more Agency's review officers think that current review standards are universal and reasonable, while more hospital's claim officers believe that they need to be revised. Especially, hospital's claim officers replied that it is possible that review results can differ according to government's policies. Second, there is no significant difference between the two groups in the opinion that there are individual differences in awareness level of review standard. In particular, both groups share the opinion that review results can differ according to officer's interpretation of review standards. Third, Both review officer groups feel the need for further training and continuing education. Fourth, there is no difference between the two groups in the opinion that both groups members should be educated in review related educational institutions. However, while 81.5% of Agency's review officers the education should be offered at the Agency, only 45.2% of hospital's claim officers agreed to it. Fifth, both review personnel do not show any difference in awareness of needed experience to successfully perform review work; both groups replied that three to four years experience is necessary to smoothly perform claim work and review work. This study was tried in order to search for directions to improve Korean insurance review work in quality rather than to explore characteristics themselves of individual factors. In this sense, this study presupposed an intention that the educational subjects for further training and continuing education for the two groups should be the same in order to narrow the awareness gap between hospital's claim officers and Agency's review officers. Thus, this study suggests that it is desirable to offer beginner courses at junior colleges or in undergraduate courses and advanced courses in professional graduate school for six to twelve months. In that a comparison of awareness level of hospital's claim officers and Agency's review officers who are actually in practice should precede appropriate presentation of directions for the qualitative improvement of insurance review work in Korea, the significance of this study lies in comparatively analyzing the awareness level of hospital's claim officers and Agency's review officers and in presenting the establishment of future further training and continuing education.

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Comparative Review of Design Guidelines of Hospice Facilities for Establishing Standards (호스피스 시설기준 수립을 위한 디자인 가이드라인 비교연구)

  • Lee, Sukyung;Yoon, Hungjin
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.25 no.1
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    • pp.51-60
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    • 2019
  • Purpose: This study aims to analyze design guidelines for hospice facilities in the US, UK, and Canada focused on design considerations and space requirements, and utilizes them as baseline data for establishing standards for Korean hospice facilities. Methods: Comparative review was carried out to investigate hospice care models, design consideration, and room sizes and requirements for design guideline of hospice facilities in United States, UK and Canada identified on electronic database and review articles, and to examine major characteristics and tendencies of hospice facilities. Results: The hospice care models characteristics in design guidelines is generally largely divided into hospital-based hospice facility, Nursing home-based hospice facility, and daycare hospice. The design considerations in hospice facilities focused on medical efficiency, flexibility, barrier-free environment, person-centered care, and stability. There is also a need for single resident room, rooms for the patient's family, and isolation room for infection control. Implications: it is recommended to establish standards for the installation and operation of required and recommended rooms and considerations when establishing the standards of hospice facilities in Korea. This Study is limited to a simple comparative analysis of the framework of guideline.

Review on the Seismic Design Standards of Fill Dam (필댐의 내진설계기준의 비교검토)

  • 신동훈
    • Proceedings of the Earthquake Engineering Society of Korea Conference
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    • 1999.10a
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    • pp.129-136
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    • 1999
  • Several seismic design standards for fill dams adopted in Japan USA and Korea are reviewed in this study. The review on those standards is tried to provide a thinking way for a new seismic design standard which is urgently requested by the government I. e. the Ministry of Construction & Transportation and the Ministry of Science & Techniology. This study suggest that as a new seismic design standard of fill dam including concrete face rockfill dam(CFRD) the modified earthquake intensity method based on dynamic analysis be adopted in Korea while the dynamic analysis method should be used in evaluatiing the performance of fill dams precisely.

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A Review on ISO Standards Applicable for a Human Error Tolerant Control Center Design (제어실의 인적오류 예방에 적용 가능한 ISO 표준 검토)

  • Lee, Dhong-Ha
    • Journal of the Ergonomics Society of Korea
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    • v.30 no.1
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    • pp.161-168
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    • 2011
  • Objective: The aim of this study is to review the ISO(the International Organization for Standardization) standards recommendations on a human error tolerant control room design. Background: ISO TC(Technical Committee) 159 published a variety of international standards on design of mental and physical work, design of displays and controls, and workstation layout design. A proper edition of these standards can be a good resource for a human error tolerant control center design guidelines. Method: Recommendations of ISO TC 159 standards were grouped into arrangement of control suite, layout of control room, layout and dimensions of workstations, design of displays and controls, environmental design, alarm, automation, management system design, procedure and training. Results: It was found that some standards on the design of supervisory control and data acquisition(SCADA), alarm, automation, layout, workload management, and environment can be used for human error prevention guidelines in the control center design. Conclusion: ISO TC 159 standards were not sufficient to cover all the ergonomics area of control center design. Application: Designers can have technical aids from these ISO standards to improve ergonomic performance of their control center.

A Review of NCTM's 'Principles and Standards for School Mathematics' (NCTM 『학교 수학의 원리와 규준』에 대한 소고)

  • Park Mangoo
    • Journal of Elementary Mathematics Education in Korea
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    • v.7 no.1
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    • pp.87-94
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    • 2003
  • The purpose of this paper was to review NCTM's Principles and Standards for School Mathematics, which is an updated version of the Curriculum and Evaluation Standards for School Mathematics (1989). With releasing the previous version, NCTM has affected mathematics education in other countries as well as in the United States. The Principles and Standards for School Mathematics was revised in line with current technology and requirement of students, who will live in the 21st century. However, many mathematics teachers and educators do not know about the contents of this new version even though most of them already know what the version is about. In this paper, the author addressed the contents of the version with his personal opinions and suggested some lessons from the version.

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A Review of the Methods for Improving the Efficiency of Drive Motors to Meet IE4 Efficiency Standards

  • Dorrell, David G.
    • Journal of Power Electronics
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    • v.14 no.5
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    • pp.842-851
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    • 2014
  • High efficiency standards are slowly being introduced with IE3 efficiency levels shortly becoming compulsory in many countries; IE4 efficiency levels being developed for future implementation. In this paper a review is carried out of the IE 60034-30 standard which covers standard line-start induction motors. Some design techniques that can be used to increase efficiency in order to meet the IE4 standards are discussed. This standard is now being replaced by the IE60034-30-1 standard which extends to other line start motors and also IE 60034-30-2 is being introduced to cover variable speed drives in order to address developing technology. The conclusion is that IE4 standards are obtainable but careful design is needed to reach this. Examples from the literature are given.

A REVIEW ON DEVELOPING INDUSTRIAL STANDARDS TO INTRODUCE DIGITAL COMPUTER APPLICATION FOR NUCLEAR I&C AND HMIT IN JAPAN

  • Yoshikawa, Hidekazu
    • Nuclear Engineering and Technology
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    • v.45 no.2
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    • pp.165-178
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    • 2013
  • A comprehensive review on the technical standards about human factors (HF) design and software reliability maintenance for digital instrumentation and control (I&C) and human-machine interface technology (HMIT) in Japanese light water reactor nuclear power plants (NPPs) was given in this paper mainly by introducing the relevant activities at the Japan Electric Association to set up many industrial standards within the traditional framework of nuclear safety regulation in Japan. In Japan, the Fukushima Daiichi accident that occurred on March 11, 2011 has great impact on nuclear regulation and nuclear industries where concerns by the general public about safety have heightened significantly. However for the part of HF design and software reliability maintenance of digital I&C and HMIT for NPP, the author believes that the past practice of Japanese activities with the related technical standards can be successfully inherited in the future, by reinforcing the technical preparedness for the prevention and mitigation against any types of severe accident occurrence.