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Biomedical subjects

R Decker

Publications and source records attributed to R Decker.

At least 91 records · Page 5Linked to original sources
PubMed1988

Billing delays cause hassles, but hospitals still have to pay for services provided.

A hospital has a contract with the manufacturer to maintain and service copying machines owned by the hospital. The contract calls for the hospital to pay a set minimum monthly fee plus a per-copy charge for all copies made over a set amount. The supplier doesn't furnish any paper products. Recently the hospital received an invoice for 17 months' service. When contacted about this large bill, the supplier told the hospital that it had inadvertently dropped the hospital from its billing computer and had failed to bill the hospital each month. The hospital protested the pressure that this billing practice put upon its budget and asked for an adjustment. The supplier refused to make any adjustment in the amount but did agree to accept the arrears in monthly payments over a year with no interest charges. In this dialogue below, Dr. Decker discusses the legal issues involved in this situation.

Accounting↗
PubMed1988

Materials managers should help hospital boards set freedom of information policies.

A hospital is called a District Hospital and gets about 1% of its net revenue from county taxes. Some of the members of the hospital's board are appointed by the county government. Does this bring the hospital under the Freedom of Information (FOI) laws? Can a supplier demand to see prices currently being paid for items? Does the FOI concept conflict with a purchasing group rule which states that prices are confidential and aren't to be disclosed by a member hospital? In this dialogue, Dr. Decker discusses the laws involved and answers these questions.

Confidentiality↗
PubMed1988

Hospitals can use model procurement code to ensure that vendors deliver on contracts.

A hospital that is part of a state university system is subject to statutory restrictions on obligation of funds. Suppliers frequently delay hospital deliveries or performance beyond the date when funds can be obligated. The hospital doesn't like to pay in advance and needs some way to assure performance of these contracts. In this dialogue, Dr. Decker offers some solutions to the problem.

Accounting↗
PubMed1988

[The diagnostic certainty of various methods of evaluating recent trauma to knee ligaments].

The prognosis of knee ligament injury is mainly dependent on early diagnosis. In a prospective trial comprising 108 patients with fresh injury of the knee ligaments, the prognostic value of clinical non-invasive examination were assessed in awake and anesthetized patients. As a result the merely clinical examination without anesthesia gave only in 48% a diagnosis reliably enough for operation indication. Examination under anesthesia detected more than 83% of injuries with need for operation and 90% of ruptures of the anterior cruciate ligament. Lachman-test proved to be very reliable (more than 90%) and lateral pivot-shift-phenomenon almost provable (more than 86%) for ligament rupture. Arthroscopy in our hands is playing only a minor role at the event of fresh injury of the knee ligaments. In only 10% it was the decisive tool for operation. In our opinion the indication for narcosis examination should be put widely due to its high sensitivity. Since in approximately 90% on additional arthroscopy can be resigned, the entire ischemia time during pneumatic blood circulation blockage (110 to 120 min) is available for operative reconstruction of the knee joint.

Adolescent↗
PubMed1987

T cell and OKM1-positive monocyte populations in the intestinal lamina propria mucosae and in the peripheral venous blood in Crohn's disease.

Nineteen patients with Crohn's disease were examined prior to operation. Peripherally circulating mononuclear cells were examined for the presence of the cell surface markers recognized by monoclonal antibodies OKT3, OKT4, OKT8 and OKM1. After surgical treatment samples of the mucosal lesions were obtained from the resected bowel segments of these patients. The inflammatory infiltrate in the lamina propria mucosae was examined immunohistologically for the presence and distribution of the cell surface markers recognized by Dako T11, OKT4, OKT8 and OKM1. In comparison to normal controls, the patients with Crohn's disease had a relative peripheral lymphocytopenia with a relative monocytosis. The intestines afflicted by active Crohn's disease showed a significant increase in macrophages and T cells in the lamina propria mucosae; both T helper and T suppressor cell populations had equally increased without a significant change in the T helper/suppressor ratio. These findings suggest a change in the equilibrium state between intravascular and intestinal mucosal lymphocytes and monocytes in the active phase of the disease. The new equilibrium can be characterized as an intestinal lymphomonocytosis with a relative lymphocytopenia and monocytosis in the peripheral blood.

Adult↗
PubMed1987

Express warranties.

In this dialogue Dr. Decker reviews the general law on express warranties in the sale of goods so hospital materials managers may have an overview of this important phase of the law.

Commerce↗
PubMed1987

Implied warranties.

Explore the source record for details and available documents.

Equipment Failure↗
PubMed1987

Acceptance of goods.

Hospitals often experience problems over when goods from suppliers have been properly accepted. Since it is fundamental that hospitals have to pay for what they have accepted, it is important to review what constitutes an acceptance of the goods. In the following dialogue, Doctor Decker discusses the basic legal concepts relating to acceptance of goods.

Commerce↗
PubMed1987

Diversion of goods by resale at nonprofit hospital.

Trade magazines, especially those directed toward health careproducts manufacturers and distributors, are currently carrying stories about so-called "illegal" diversion of goods by resale at nonprofit hospitals. What is this all about? What gives rise to the claim of illegality? What stance should responsible hospital materials managers take? In this dialogue, Doctor Decker describes the problem, outlines the issues involved, and makes some recommendations.

Commerce↗
PubMed1987

Terminating a sales contract.

There are times when a hospital materials manager may want to get out of a contract for goods which have been contracted for previously. Assuming that there was, in fact, a binding contract, Doctor Decker discusses the issues involved in this situation.

Contract Services↗