Tariff
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#The third part
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Where did the relative value come from:
First, a standard nursing service package was developed for all clinical departments, both outpatient and inpatient, from the patient’s entry to the patient’s exit, where we have both services and care, in the case of medicine, we only have services, so the nursing service package was calculated and then A ratio of nurse participation was considered for him, for example, in serum therapy, did the nurse do part of the service or 100% of it? In the same framework, in cases such as sounding or gavage, it is 100% performed by nursing, but in some services, such as the resuscitation code, the nurse is not 100% the provider of the service, because next to it we have the anesthesia code and the doctor, or in a service such as EKG in the description of the code It is clearly written to do the code and interpret, the nurse does the code and the interpretation is with the doctor, so we extracted all the services and gave the nurse’s participation coefficient and multiplied it by their relative value, and if a service did not have a relative value, it would be given an equivalent value. was considered, finally a team was established in the hospitals and the frequency of providing each of the services for every 24 hours was determined, and finally the relative value of the respective departments was calculated from the sum of these service coefficients, during the implementation we saw experimentally that according to We will have problems with the limitations of his and zero and one, so for relative valuation, a weighted average was considered for each section.
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Do midwives receive a nursing fee?:
There is an important note regarding the inclusion of the subject groups, and that is that midwives who are allowed to provide services in nursing departments and provide nursing services in the departments will receive the tariff.
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Are the routine services of the departments added to the total tariff:
Services that are part of the routine departments are not added to the total tariffs, for example, a service such as EKG is not calculated because it is part of the routine services of the department!
However, services such as dialysis are not part of the routine services of any department and therefore will be added to the total tariffs, as well as services such as echo and endoscopy for internal department patients will be added to the total tariffs.
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How much will the approximate amount of nurses receive from the tariff setting place:
For example, in a 250-bed hospital in Tehran, in July, when the nursing tariff was registered, the number was 1.5 billion, so hospitals should be careful not to lose figures and services, because the sources have been seen and since 1/1401 1 is payable and must be distributed among the nurses, which of course is distributed among the entire nursing team
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The importance of service registration:
In tariff setting, the emphasis is on the accurate registration of services, because credit will not be counted unless the services are accurately recorded
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Does the entire tariff go to the nurse performing the service:
It is not the case that if a nurse served in a department, she would receive the full rate, based on the performance of the nurses of each department, the performance of the assistant nurses of the same department and the performance of the head nurse of the same department will have an increasing coefficient, and accordingly, the efficiency of the supervisors will also have an increasing coefficient. It will be accompanied, a proportionality has been seen in this issue so that the payment interval is meaningful
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– The end of the third part
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