## Requirements # 4. Requirements ## 4.1 Functional Requirements ### 4.1.1 Home-Visit Nursing - The responsibilities of administrators at home-visit nursing stations must be clarified and requirements reviewed to ensure both the quality of provided home-visit nursing and efficient station operation. [KB-01a2d77c-a20a-47e5-ae19-16ab2c89e272] - A system for abuse prevention measures in home-visit nursing must be established as mandatory. Physical restraints and similar measures are, in principle, prohibited. [KB-e14d657a-8970-4e3e-9ccb-5662af7d6525] - The requirements and evaluation for frequent visit additions in home-visit nursing must be reviewed to promote more appropriate assessment based on the patient's condition. [KB-17ac1ec0-b2d4-4910-9884-a2e46ea25ce0] - The requirements and evaluation for the 24-hour response system addition at home-visit nursing stations must be revised, considering initiatives to reduce nurse workload and reviewing the handling of communication systems related to 24-hour response. [KB-06db46ba-7647-483b-9f38-f7fa62a24d77] - The requirements and evaluation for emergency home-visit nursing additions must be reviewed to ensure appropriate provision of emergency designated home-visit nursing, and the content of home-visit nursing care fee statements must also be reviewed. [KB-4be6a015-623d-440c-95dd-a51bf556ebbd] - The requirements and evaluation for home-visit nursing management care fees must be reviewed to strengthen the functions of home-visit nursing stations and ensure high-quality, effective care tailored to diverse user and regional needs. [KB-aeb72a17-5d44-4c8e-b3c6-e83c459da003] ### 4.1.2 Physical Restraint Minimization - Medical institutions must establish an organizational system to minimize the use of physical restraints, strengthening initiatives to reduce physical restraint in both general and dementia care settings. [KB-edc81296-4474-4138-a404-f797f293eb19], [KB-8445364a-473a-46bc-8207-fb1f2671bde6] - The requirements and evaluation for dementia care additions must be reviewed, including the necessity of delirium identification in assessments for dementia care and high-risk delirium patient care additions. [KB-c2bd624b-5c92-413c-be0e-30abb7e64211] ### 4.1.3 Nursing Staff and Assistant Collaboration - The requirements and evaluation for enhanced nursing assistant system additions must be reviewed to further promote the division and collaboration of duties between nursing staff and assistants, and to encourage efforts to minimize physical restraint. [KB-05c4460e-0933-40a9-962c-fc2be422e060] ### 4.1.4 Medication Management and Guidance - When a pharmacist provides necessary guidance to a patient, the following point additions apply: | Case | Points Added | |----------------------------------------------------------------------|---------------| | Guidance for drugs requiring special safety management | 10 points | | Guidance for narcotics (per instance) | 100 points | | Guidance for inhalation drugs (once every 3 months) | 30 points | | Guidance for pediatric patients with disabilities (per instance) | 350 points | [KB-fde2b685-c7c4-44f8-9de7-3a7051dd9005], [KB-ad7d4dc3-8896-4c1b-92c7-8d969120b377], [KB-ef609548-ff37-4388-9fd5-c638d8bf6eab], [KB-ba91d9ab-b335-4929-9779-694ba115ef39] - For patients prescribed multiple medications or who have difficulty managing their medication, pharmacists must organize the medications, provide necessary guidance, and share results with medical institutions. [KB-2f8bb1e8-7cd1-4808-802d-61cbf1dea96e], [KB-ff3ce6e4-b5ec-4058-afe5-c24124781336] - In cases of duplicate prescriptions, pharmacists must propose solutions to the prescribing physician in writing, and points are calculated once every three months. [KB-50d4fc2a-962d-4820-a105-6ba75b15cf4c], [KB-f2bbf07b-2196-40f3-9da7-66b45e6dd128] ### 4.1.5 Home Medical Care - The requirements and evaluation for comprehensive support additions must be reviewed to further promote evaluation based on the condition of patients receiving home medical care. [KB-09f32992-f81b-4576-aaa4-262f9f8d8579] - The requirements and evaluation for terminal care additions must be reviewed to better support end-of-life care in accordance with patient wishes. [KB-3e410501-b1b1-45a9-8876-3e7fcf55b2dd] - The requirements and evaluation for home medical care transition additions must be reviewed to promote systems that enable patients to receive 24-hour support at home. [KB-75ca8a38-02f4-46be-9a1d-a9f8673d799c] ### 4.1.6 Discharge Guidance - When a pharmacist designated by a patient provides post-discharge home medication management guidance with the patient’s consent, a discharge joint guidance fee of 600 points applies. [KB-061bef49-5443-4529-80cb-0067c3bedc4f], [KB-44db8f45-e972-47c4-ba46-8ad6a816615e], [KB-1eebb670-f513-40ab-a8bc-7127863e3404] ### 4.1.7 Palliative Care and Cancer Treatment - The requirements and evaluation for outpatient cancer chemotherapy management fees must be reviewed, including new evaluation when pharmacists check medication status and provide information or proposals to physicians before consultation. [KB-ae822bb5-db0a-4310-9d78-651887df1be2], [KB-f700221a-650f-4f32-ada0-aff43c6a8ba9] - For home-based palliative care, new evaluation must be established for guidance and management of injectable narcotic administration for patients other than those with terminal malignant tumors. [KB-7feb02b9-5c22-4143-be1d-bdddef349def], [KB-a37a229d-a301-4e7f-8fcb-6324bf53e88d] - For terminal cancer patients at home, ICT utilization for sharing end-of-life care information among healthcare professionals must be promoted, and physicians must provide necessary guidance based on this information. [KB-fa0fdacb-f933-4296-8d0b-ac501b9102a5], [KB-ef95bdaa-ef0b-4848-bf4b-a5c073be5ba9] ### 4.1.8 Dementia Medical Care - Medical institutions must establish an organizational system to minimize physical restraint for dementia patients. [KB-8445364a-473a-46bc-8207-fb1f2671bde6] - The requirements and evaluation for dementia care additions must be reviewed, including the necessity of delirium identification in assessments for dementia care and high-risk delirium patient care additions. [KB-c2bd624b-5c92-413c-be0e-30abb7e64211] - The target patients for dental disease management comprehensive medical management additions must be reviewed to promote dental care through information sharing and collaboration among primary care dentists, physicians, and other stakeholders for dementia patients. [KB-99f12607-9f08-40a0-887a-113bbc6d3aa7], [KB-d5f332af-4a8d-4af8-a3a3-8261a8217cb1], [KB-6325a096-0775-4575-b189-c388b3fb3707] ## 4.2 Business Requirements - The requirements and evaluation for the issuance of itemized statements by designated home-visit nursing providers must be reviewed, with free issuance mandated from June 2024. [KB-7b83826c-4a00-4706-aced-07ac5183c8ff] - The requirements and procedures for facility standard notifications and insurance claims must be reviewed and digitized to improve the efficiency of medical institutions and reduce administrative burdens on healthcare workers. [KB-b952325d-d264-48ac-afd5-532c6ea95025] ## 4.3 Interface Requirements - The requirements for the provision of medical information by primary care dentists to school officials must be reviewed to ensure that children requiring medical care can safely attend school. [KB-4d2151dc-fa29-4352-91ee-fd6151d0b86c] - The requirements and naming for medical-dental-pharmacy information sharing fees must be reviewed to enable information sharing and collaboration between dental medical institutions and pharmacies regarding patient medication status. [KB-cf3f3cae-6613-483c-82ec-6394834b6a34] ## 4.4 Quality Requirements - For information and communication technology (ICT)-based medical management of children with developmental disorders, requirements and evaluation must be reviewed to ensure the effectiveness and safety of such remote medical care. [KB-82af478a-eb1e-461e-befc-c32755e8d262] - For the management of medical records, requirements and evaluation for cyber security measures must be reviewed, in accordance with the "Guidelines for Safe Management of Medical Information Systems," to ensure preparedness for emergencies. [KB-f2add61c-f758-48b5-bf48-6956eec6aa8a] ## 4.5 Constraints - The calculation of certain fees is limited by frequency (e.g., once or twice per month, once every three months) and may be subject to additional restrictions based on the type of pharmacy or medical institution. [KB-473d2d4d-0a06-4fe0-990e-29bef944a7c7], [KB-95340505-f820-4879-9646-0167a0508c15] --- [GAP: Missing data for Requirements] If additional requirements are needed for domains or topics not covered above, further information is required.