Donna L. Retzlaff-Roberts

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The debate concerning quality of care in hospitals, its "value" and affordability, is increasingly of concern to providers, consumers, and purchasers in the United States and elsewhere. We undertook an exploratory study to estimate the impact on hospital-wide costs if quality-of-care levels were varied. To do so, we obtained costs and service output data(More)
Under Medicare's Prospective Payment System, teaching hospitals receive additional reimbursements, vis-à-vis nonteaching hospitals, for both "direct" teaching expenses and for "indirect" expenses. They totaled $3.1 billion in fiscal year 1989. The authors propose and illustrate a non-regression-based, nonparametric method for viewing the total hospital-wide(More)
In the ongoing effort to control costs, comparisons among hospitals' efficiency levels, if valid, can help identify "best practices" across institutions and uncover situations that need corrective intervention. The authors present an extension of the "adjusted cost per equivalent discharge" approach, which incorporates case-mix-severity differences,(More)
This article discusses the strategic issues surrounding the effective management of product return services and the importance of the role of effective reverse logistics operations to the design and execution of successful and profitable reverse supply chains to support product return activities. A case study and simulation model methodologies were utilised(More)
The University of South Alabama Medical Center is a trauma hospital that serves Mobile, Alabama. Delays in the patient discharge process were preventing patient rooms from becoming available for new arrivals. The discharge decision is typically made early in the morning by the attending physician. However, delays from numerous sources would frequently(More)
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