Estimating the Costs of Primary Care Transformation: A Practical Guide and Synthesis Report

Prepared by: Melanie Wasserman, PhD, MPA; Amy Berninger, MPH; and Jessie Gerteis, MPH, Abt Associates

Contract No. 290-2010-00004-I, Task Order No. 10

Contents

Acknowledgements
Copyright and Source Information
Background
A Practical Guide for Estimating the Costs of Primary Care Transformation
   Introduction and Purpose
   Step 1. Develop a Detailed Description of Study Setting and Transformation Efforts
   Step 2. Select and Apply a Cost Estimation Method
   Step 3. Report Results
   Other Key Considerations for Estimating Costs of Primary Care Transformation
Synthesis Report: Methods and Results From the AHRQ Estimating Costs Research Grants
   Settings and Practice Change Elements Studied
   Cost Elements Estimated
   Data Sources and Data Collection Methods
   Data Analysis Methods
   Results
   Conclusions
References
Exhibits
Exhibit 1. Methodological Options for Estimating the Costs of Transforming Primary Care
Exhibit 2. Example of a Trend Analysis Graph
Exhibit 3. Items Classified by Estimating Costs Grantees as Direct and Indirect Cost Elements
Appendixes
Appendix A. Key Characteristics of Estimating Costs Grants
Appendix B. Example Data Collection Tools
   Example 1. Pre-Interview Questionnaire
   Example 2. Interview Guide
   Example 3. Organizational Survey
   Example 4. Web-Based Data Collection Tool: Cost Assessment of Collaborative Healthcare (CoACH)
   Example 5. Cost Dimensions Tool
   Example 6. Cost Capture Template
   Example 7. Prescription for Health (P4H) Toolkit
Appendix C. Methodological References Cited by Grantees

Acknowledgements

The authors thank all of the investigators from the AHRQ Estimating the Costs of Supporting Primary Care Practice Transformation grants for their contributions to the field. The authors also thank Lisa LeRoy, PhD, MBA, for assistance in reviewing the report.

Copyright and Source Information

This report was prepared by Abt Associates under contract with the Agency for Healthcare Research and Quality (AHRQ), Rockville, MD, U.S. Department of Health and Human Services (Contract No. HHSA-290-2010-00004-I, Task Order No. 10).

The findings and conclusions in this document are those of the authors, who are responsible for its content, and do not necessarily represent the views of AHRQ. No statement in this report should be construed as an official position of AHRQ or of the U.S. Department of Health and Human Services.

This document is in the public domain and may be used and reprinted without permission.

Page last reviewed July 2015
Page originally created October 2015
Internet Citation: Estimating the Costs of Primary Care Transformation: A Practical Guide and Synthesis Report. Content last reviewed July 2015. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/systems/primary-care/tpc/est-costs-primary-care-trans/index.html