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Biomedical subjects

W M Kleinberg

Publications and source records attributed to W M Kleinberg.

9 recordsLinked to original sources
PubMed1985

A new methodology for ancillary services review.

This study used life table analysis techniques to evaluate the daily charges generated for diagnostic tests, procedures, and therapies for a sample of patients without regard to diagnosis and for patients with a primary diagnosis of congestive heart failure. The study indicated that about 50% of all ancillary services ordered are accumulated by the 5th day of stay and 75% by the 9th day. Length-of-stay review (LOS) undertaken after the 9th day, therefore, affects only 25% of tests and treatments. A method is proposed to generate data useful for reviewing the diagnostic tests, procedures, and therapies ordered during the early days of a patient's hospital stay. This approach has relevance for cost control under the new diagnosis-related groups reimbursement plan.

Actuarial Analysis↗
PubMed1982

Reimbursing for residency training: how many times?

Through an investigation of charges generated for 105 patients treated for congestive heart failure, three issues of reimbursement policy for graduate medical education are examined: 1) reimbursement policy by third parties for resident salaries and for the portion of teaching physicians' time devoted to graduate medical education; 2) the level of involvement for physicians in dual roles as attending physicians for private patients when simultaneously engaged in graduate medical education and supervising patient care delivered by residents; and 3) the greater utilization of hospital resources in teaching units. The results demonstrate that the reimbursement policy, as presently practiced, ignores the basic differences in the level of involvement between teaching and nonteaching physicians. The data also show for the first time the incremental effect of graduate medical education in a teaching hospital. Several alternatives are suggested to eliminate the deficiencies.

Adult↗
PubMed1979

Student peer review of diagnostic tests at the Medical College of Ohio.

Students in their clinical clerkship performed retrospective reviews of their peers' laboratory usage patterns. Data covering the patient's history and physical examination, problem list, and treatment plan had been completed by students during internal medicine and pediatrics rotations. This information, along with the first day's diagnostic orders, was provided to community medicine clerkship students who then evaluated the cost and medical necessity of diagnostic tests ordered in light of the problem information. Application of such cost control programs, before students form definitive conceptions of treatment, may contribute to more cost-conscious behavior in their future medical practice.

Clinical Laboratory Techniques↗