## Requirements # Requirements ## 1. Functional Requirements ### 1.1 Visiting Nursing - The responsibilities of administrators at visiting nursing stations must be clarified and requirements reviewed to ensure efficient operation while maintaining the quality of visiting nursing services. [KB-01a2d77c-a20a-47e5-ae19-16ab2c89e272] - Establishment of an abuse prevention system in visiting nursing is mandatory, and physical restraints are generally prohibited to promote proper abuse prevention measures. [KB-01a2d77c-a20a-47e5-ae19-16ab2c89e272], [KB-e14d657a-8970-4e3e-9ccb-5662af7d6525] - Requirements and evaluation for frequent visit add-ons must be reviewed to appropriately assess patient conditions in home medical care. [KB-17ac1ec0-b2d4-4910-9884-a2e46ea25ce0] - The requirements and evaluation for the 24-hour response system add-on must be revised to consider efforts to reduce nurse workload and to review the handling of communication systems related to 24-hour response. [KB-06db46ba-7647-483b-9f38-f7fa62a24d77] - Requirements and evaluation for emergency visiting nursing add-ons must be reviewed to ensure appropriate provision of emergency designated visiting nursing, including revision of claim documentation. [KB-4be6a015-623d-440c-95dd-a51bf556ebbd] - Requirements and evaluation for visiting nursing management fee must be revised to strengthen the functions of visiting nursing stations, responding to diverse user and regional needs and ensuring high-quality, effective care. [KB-aeb72a17-5d44-4c8e-b3c6-e83c459da003] - Abuse prevention measures and proper use of physical restraints must be promoted in visiting nursing, with system establishment for abuse prevention made mandatory and physical restraints generally prohibited. [KB-e14d657a-8970-4e3e-9ccb-5662af7d6525] - When an online qualification confirmation system is introduced for home consent acquisition, new evaluation will be conducted for planned management of designated visiting nursing based on acquired diagnostic and medication information at the initial visit, ensuring high-quality medical care. [KB-9e53203f-143a-4301-abb8-e7bd7dde87af] ### 1.2 Nursing and Physical Restraint - Requirements and evaluation for nursing assistant system enhancement add-ons must be reviewed to further promote division and collaboration of duties between nursing staff and assistants, and to encourage minimization of physical restraint. [KB-05c4460e-0933-40a9-962c-fc2be422e060] - Medical institutions must establish organizational systems to minimize physical restraint, strengthening efforts to reduce physical restraint in hospital basic fees and related areas. [KB-edc81296-4474-4138-a404-f797f293eb19], [KB-8445364a-473a-46bc-8207-fb1f2671bde6] ### 1.3 Medication Management and Guidance - Requirements for medication management include supporting patients with medication management, performing necessary guidance, and calculating points based on the number of days of medication administration when packaging three or more types of oral medications per dosing time. [KB-07f1aee1-1797-47ce-a5e9-b2462436b453] - When patients or their families bring medications to the pharmacy, medication management and provision of information to medical institutions must be performed, and prescribed points can be calculated. [KB-2f8bb1e8-7cd1-4808-802d-61cbf1dea96e] - For patients receiving multiple medications or those who have difficulty opening packages themselves, after obtaining the prescribing physician's consent regarding the necessity and support for medication management, packaging and guidance must be provided. [KB-ff3ce6e4-b5ec-4058-afe5-c24124781336] - If duplicate prescriptions are identified through comprehensive management of a patient's medications, pharmacists must propose resolution to the prescribing physician in writing, with prescribed points calculated once every three months. [KB-50d4fc2a-962d-4820-a105-6ba75b15cf4c], [KB-f2bbf07b-2196-40f3-9da7-66b45e6dd128] - For particularly safety-critical pharmaceuticals, pharmacists must confirm usage, side effects, and provide necessary pharmaceutical management and guidance, with special add-ons calculated. [KB-f271747d-fadb-4d69-9ff8-ea0f4702f4f2], [KB-fde2b685-c7c4-44d8-9de7-3a7051dd9005] - For narcotics, pharmacists must confirm usage, storage, and side effects, providing necessary pharmaceutical management and guidance, with narcotics management guidance add-ons calculated per instance. [KB-24385190-0703-42d1-a834-6854e998b904], [KB-ad7d4dc3-8896-4c1b-92c7-8d969120b377], [KB-66969593-ac17-45cd-a41d-f335a2406225], [KB-31de50ce-f3df-4fb0-a0bd-6a1ce5795463], [KB-10f23eda-03d3-4220-8642-6ff7cbf64700] - For pediatric patients with disabilities, necessary information must be confirmed directly with the patient or their family, guidance provided, and documentation recorded in a handbook, with pediatric-specific add-ons calculated. [KB-ba91d9ab-b335-4929-9779-694ba115ef39], [KB-6bb697eb-fdad-4cda-a697-9d148e072b9d] ### 1.4 Medication Information Provision - When requested by medical institutions and with patient consent, pharmacists must provide necessary information in writing regarding medication usage, including post-dispensing follow-up, with points calculated once per month. [KB-37919876-98a0-4f81-879a-7de2d13e4a0f], [KB-0dc6dd3-3ecc-4685-9f43-b8bcb2ab8ce4] - For refill prescriptions, information must be provided to the prescribing physician in writing after dispensing, with points calculated. [KB-c35807e4-304e-4ba2-8e86-e1404c20a9fd] - Information must also be provided to care managers as required, with points calculated. [KB-c35807e4-304e-4ba2-8e86-e1404c20a9fd] ### 1.5 Home Medical Care - Requirements and evaluation for comprehensive support add-ons must be reviewed to further promote appropriate evaluation based on patient conditions in home medical care. [KB-09f32992-f81b-4576-aaa4-262f9f8d8579] - Requirements and evaluation for terminal care add-ons must be reviewed to support end-of-life care in accordance with patient wishes. [KB-3e410501-b1b1-45a9-8876-3e7fcf55b2dd] - Requirements and evaluation for home care transition add-ons must be reviewed to promote 24-hour support systems for patients receiving home care from non-home care support clinics/hospitals. [KB-75ca8a38-02f4-46be-9a1d-a9f8673d799c] - Requirements and evaluation for emergency joint guidance fees for home patients must be reviewed, with points calculated for pharmacists providing guidance in response to sudden changes in patient condition. [KB-4fc322f9-642f-4801-89c3-cb70c9af6ab1], [KB-5b2ae222-dd34-4f8f-b2de-0e51e6778c29], [KB-d1dea226-c0ae-4dfe-b0ce-d6cb90c165fb] - Requirements and evaluation for joint discharge guidance fees must be reviewed for pharmacists providing guidance to patients after discharge, with points calculated. [KB-061bef49-5443-4529-80cb-0067c3bedc4f], [KB-44db8f45-e972-47c4-ba46-8ad6a816615e], [KB-1eebb670-f513-40ab-a8e2-7127863e3404] ### 1.6 Pharmacy Management - Requirements and evaluation for pharmacy management must include necessary guidance for patients, especially those using high-risk medications, with points calculated for specific cases. [KB-08289384-33b4-4060-8531-77d29c0895ef], [KB-e8ad7124-d716-4649-9f50-064344c869d7] - Requirements and evaluation for inhalation drug guidance add-ons must be reviewed, with points calculated for guidance using written materials and practice inhalers for asthma or COPD patients. [KB-604920cd-6896-4a10-97db-9faeb614d499], [KB-ef609548-ff37-4388-9fd5-c638d8bf6eab] ### 1.7 Dementia Care - Requirements and evaluation for dementia care add-ons must be reviewed to promote minimization of physical restraint and include delirium identification in assessment. [KB-c2bd624b-5c92-413c-be0e-30abb7e64211] - Requirements and evaluation for dental disease management add-ons for dementia patients must be reviewed to promote information sharing and collaboration between primary care dentists and physicians. [KB-99f12607-9f08-40a0-abb5-7c958e92d05d], [KB-d5f332af-4a8d-4af8-a3a3-8261a8217cb1], [KB-6325a096-0775-4575-b189-c388b3fb3707] ### 1.8 Cancer Care and Chemotherapy - Requirements and evaluation for outpatient tumor chemotherapy management fees must be reviewed to ensure safe and secure chemotherapy, including new evaluation for pharmacist confirmation and reporting of medication status before consultation. [KB-ae822bb5-db0a-4310-9d78-651887df1be2], [KB-f700221a-650f-4f32-ada0-aff43c6a8ba9] ### 1.9 Pediatric Care - Requirements and evaluation for pediatric-specific add-ons must be reviewed, including guidance and documentation for children with disabilities. [KB-ba91d9ab-b335-4929-9779-694ba115ef39], [KB-6bb697eb-fdad-4cda-a697-9d148e072b9d] ### 1.10 ICT and Telemedicine - Requirements and evaluation for telemedicine and ICT utilization must be reviewed, including new evaluation for telemedicine in pediatric developmental disorders and psychiatric care, as well as for information sharing in end-of-life care. [KB-e0dc4383-67ee-4091-918d-5e929ef99278], [KB-fa0fdacb-f933-4296-8d0b-ac501b9102a5], [KB-ef95bdaa-ef0b-4848-bf4b-a5c073be5ba9] ## 2. Business Requirements - Business requirements include calculation of prescribed points for various add-ons, such as medication management, narcotics management, pediatric-specific guidance, and inhalation drug guidance, as specified in the functional requirements above. [KB-07f1aee1-1797-47ce-a5e9-b2462436b453], [KB-24385190-0703-42d1-a834-6854e998b904], [KB-ba91d9ab-b335-4929-9779-694ba115ef39], [KB-604920cd-6896-4a10-97db-9faeb614d499] ## 3. Interface Requirements - Information provision to medical institutions, care managers, and other relevant parties must be performed in writing as specified in the functional requirements. [KB-c35807e4-304e-4ba2-8e86-e1404c20a9fd], [KB-37919876-98a0-4f81-879a-7de2d13e4a0f], [KB-0dc6dd3-3ecc-4685-9f43-b8bcb2ab8ce4] ## 4. Quality Requirements - Abuse prevention systems must be established and maintained. - Systems to minimize physical restraint must be established and maintained. - Medication management must be performed to ensure patient safety, including confirmation of usage, side effects, and provision of guidance. - Information sharing and collaboration between healthcare professionals must be promoted, especially in dementia care and end-of-life care. ## 5. Constraints - Calculation of certain add-ons is limited to specific frequencies (e.g., once per month, once every three months, twice per month, etc.) as specified in the requirements. [KB-473d2d4d-0a06-4fe0-990e-29bef944a7c7], [KB-3471e397-bc65-485a-89e4-733c6e99747b], [KB-95340505-f820-4879-9646-0167a0508c15] ## 6. [GAP: Missing data for Requirements] If additional requirements are needed, please provide further context or specify the domain for more detailed requirements.