TY - JOUR
AU - T. Grover
AU - I. M. Bennett
AU - M. Campbell
AU - M. Vredevoogd
AU - L. Saldana
A1 - 
AB - BACKGROUND: Although costs are of key importance to clinic leadership when considering adoption of new programs, few studies examine real-world resource needs associated with implementing complex interventions for chronic conditions in primary care. This analysis sought to identify the costs necessary to implement the evidence-based collaborative care model (CoCM), an integrated behavioral health program for common mental disorders in primary care. METHODS: Ten federally qualified health centers (FQHCs) adopted CoCM as part of a larger national randomized trial evaluating implementation strategies for CoCM when adapted for perinatal mental health. The Cost of Implementing New Strategies (COINS) tool was used to assess implementation costs associated with activities completed by sites as they progressed through the implementation process. National wage norms were used to calculate cost estimates for staff time. RESULTS: On average, clinics spent $40,778 (SD=$30,611) on implementation, with clinics ranging widely from $4,502 to $103,156. Three out of 10 participating clinics achieved competency in the intervention during the 2-year implementation period. Costs among competent clinics ranged from $20,944 to $65,415 (mean=$41,788). Clinics that did not achieve competency were more varied, with both the lowest and highest resource use. Significant staff effort was required to complete all implementation stages; clinical staff and program champions showed greatest effort. CONCLUSIONS: Site implementation costs for this complex behavioral health intervention were substantial and varied dramatically, particularly among sites who did not achieve competence. Additional work is needed to identify optimal site resource investment related to implementation success for CoCM. TRIAL REGISTRATION: ClinicalTrials.gov.NCT02976025. Registered on November 23, 2016.
AD - University of Washington Seattle Campus: University of Washington.; Chestnut Health Systems Inc.
AN - 39649162
BT - Res Sq
C5 - Financing & Sustainability; Healthcare Disparities
DA - Nov 27
DO - 10.21203/rs.3.rs-5256122/v1
DP - NLM
ET - 20241127
JF - Res Sq
LA - eng
N2 - BACKGROUND: Although costs are of key importance to clinic leadership when considering adoption of new programs, few studies examine real-world resource needs associated with implementing complex interventions for chronic conditions in primary care. This analysis sought to identify the costs necessary to implement the evidence-based collaborative care model (CoCM), an integrated behavioral health program for common mental disorders in primary care. METHODS: Ten federally qualified health centers (FQHCs) adopted CoCM as part of a larger national randomized trial evaluating implementation strategies for CoCM when adapted for perinatal mental health. The Cost of Implementing New Strategies (COINS) tool was used to assess implementation costs associated with activities completed by sites as they progressed through the implementation process. National wage norms were used to calculate cost estimates for staff time. RESULTS: On average, clinics spent $40,778 (SD=$30,611) on implementation, with clinics ranging widely from $4,502 to $103,156. Three out of 10 participating clinics achieved competency in the intervention during the 2-year implementation period. Costs among competent clinics ranged from $20,944 to $65,415 (mean=$41,788). Clinics that did not achieve competency were more varied, with both the lowest and highest resource use. Significant staff effort was required to complete all implementation stages; clinical staff and program champions showed greatest effort. CONCLUSIONS: Site implementation costs for this complex behavioral health intervention were substantial and varied dramatically, particularly among sites who did not achieve competence. Additional work is needed to identify optimal site resource investment related to implementation success for CoCM. TRIAL REGISTRATION: ClinicalTrials.gov.NCT02976025. Registered on November 23, 2016.
PY - 2024
SN - 2693-5015
ST - Implementation cost analysis of collaborative care for perinatal mental health in community health centers
T1 - Implementation cost analysis of collaborative care for perinatal mental health in community health centers
T2 - Res Sq
TI - Implementation cost analysis of collaborative care for perinatal mental health in community health centers
U1 - Financing & Sustainability; Healthcare Disparities
U3 - 10.21203/rs.3.rs-5256122/v1
VO - 2693-5015
Y1 - 2024
ER -