Manual Administrativo Financiero para la Organización y Funcionamiento de las Casas Maternas / Financial Administrative manual for the Organization and Operation of the Maternal Houses

El presente documento constituye el Manual Administrativo Financiero para la Organización y Funcionamiento de las Casas Maternas que reciben financiamiento subsidiario del Ministerio de Salud (MINSA-FONSALUD. En el mismo se describen las normas y procedimientos administrativos y financieros que deben utilizar las Casas Maternas para asegurar el control interno de los recursos económicos. Este Manual pretende ser un instrumento que contribuya a la Administración eficiente de los recursos financieros en las Casas Maternas (CAM) asegurando el uso racional y eficiente de los mismo. Facilita el registro y control de las operaciones administrativas financieras, que realizan las Casas Maternas; estandariza las normas y los procedimientos administrativos financieros utilizados por las Casas Maternas para la administración de los desembolsos que reciben del MINSA-FONSALUD.

On the Feasibility of a RUG-III based Payment System for Long-Term Care Facilities in Korea / 간호학회지

PURPOSE: The purpose of this study was to classify the elderly in long-term care facilities using the Resource Utilization Group(RUG-III) and to examine the feasibility of a payment method based on the RUG-III classification system in Korea. METHOD: This study measured resident characteristics using a Resident Assessment Instrument-Minimum Data Set(RAI-MDS) and staff time. Data was collected from 530 elderly residents over sixty, residing in long-term care facilities. Resource use for individual patients was measured by a wage-weighted sum of staff time and the total time spent with the patient by nurses, aides, and physiotherapists. RESULT: The subjects were classified into 4 groups out of 7 major groups. The group of Clinically Complex was the largest (46.3%), and then Reduced Physical Function(27.2%), Behavior Problems (17.0%), and Impaired Cognition (9.4%) followed. Homogeneity of the RUG-III groups was examined by total coefficient of variation of resource use. The results showed homogeneity of resource use within RUG-III groups. Also, the difference in resource use among RUG major groups was statistically significant (p<0.001), and it also showed a hierarchy pattern as resource use increases in the same RUG group with an increase of severity levels(ADL). CONCLUSION: The results of this study showed that the RUG-III classification system differentiates resources provided to elderly in long-term care facilities in Korea.