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G L Appel

Publications and source records attributed to G L Appel.

13 recordsLinked to original sources
PubMed1987

Diversification strategies for mid-size hospitals.

Selecting the correct diversification strategy is one of the key decisions that today's health administrator wil make, for at no time have more options been available. These strategies must, however, be good uses of the hospital's resources. In this article, the author discusses three strategies appropriate for the mid-size hospital, employee drug testing, workmen's compensation and fitness. Each targets the key employer market segment. The author includes how these can be fitted into the overall program of the hospital.

Decision Making↗
PubMed1984

DRGs and hospital case records: implications for Medicare case mix accuracy.

As Medicare moves to DRG-based prospective payment, it is not clear whether the federal government has adequate data upon which to formulate DRG prices and assess hospital case mix. This study compares the Medicare case mix of Minneapolis-St. Paul hospitals based on the historical information submitted for billing purposes on the Medicare claim with the actual case mix of hospitals as described in the medical record chart. It was found that for the same patients, the DRG based on the claim matched the DRG on the medical record approximately half of the time. These "mismatches" resulted in a statistically significant understatement of hospitals' case mix, and have obvious implications for the setting of DRG prices and equitable hospital reimbursement.

Centers for Medicare and Medicaid Services, U.S.↗