Table 2 –
Resource components and their sources and costs.
| Resource component | Description | Source | As-delivered cost (US $) |
Replication cost (US $) |
||||
|---|---|---|---|---|---|---|---|---|
| UC | IVR | IVR+ | UC | IVR | IVR+ | |||
| Labor | ||||||||
| Health plan coordination (IVR and IVR+) | Coordination with health plan leaders (travel, phone calls, e-mail, meeting preparation, etc.) | Clinical trial | - | 0.30 | 0.49 | - | 0.17 | 0.29 |
| Education materials development/updates (IVR+) | Personnel time to create educational materials (script writing, editing for clinical content, editing for tone of message, editing for appropriate language and literacy) graphics, includes customization for individual characteristics | Clinical trial | - | - | 0.05 | - | - | 0.02 |
| Focus groups/qualitative analysis (IVR and IVR+) | Time and supplies used in conducting focus groups to help refine phone call methodology (feedback on script, phone branching, mechanics of call) Review of educational materials | Clinical trial | - | 0.12 | 0.23 | - | 0.01 | 0.02 |
| Patient identification and outreach (IVR and IVR+) | Programming time for using, maintaining, and updating population selection algorithm | Clinical trial | - | 3.24 | 4.05 | - | 0.45 | 0.56 |
| Study design/outcome definition (IVR and IVR+) | Design and analysis planning and measurement of adherence variable | Clinical trial | - | 0.06 | 0.06 | - | 0.00 | 0.00 |
| Implementation and maintenance (IVR and IVR+) | Monitor intervention, manage mailing process, perform ongoing QA, etc. | Clinical trial | - | 4.75 | 7.64 | - | 1.65 | 2.82 |
| Administration (IVR and IVR+) | Administrative personnel, budget, reporting, monitoring workflow | Clinical trial | - | 0.27 | 0.66 | - | 0.07 | 0.18 |
| Meetings (IVR and IVR+) | Time spent in standing meetings | Clinical trial | - | 1.02 | 1.46 | - | 0.77 | 1.09 |
| Other (IVR and IVR+) | Clinical trial | - | 1.56 | 1.56 | - | 0.31 | 0.31 | |
| Pharmacy technician (IVR+) | Make live tardy calls, chart review for medication discontinuation before tardy letters and live calls, and documentation of contact with patient in chart, receive live transfer from automated calls, return calls from after-hours messages | Clinical trial | - | - | 3.36 | - | - | 3.36 |
| Pharmacy technician (IVR) | Receive live transfer from automated calls, return calls from after-hours messages | Clinical trial | - | 0.20 | - | - | 0.20 | - |
| Automated calls, printing, and postage | ||||||||
| Automated calls (IVR and IVR+) | Cost to make automated calls | Vendor charges | - | 5.02 | 5.02 | - | 5.02 | 5.02 |
| Introductory brochure (IVR) | Printing and postage of introductory brochure | Printing and mailing Vendor charges | - | 0.63 | - | - | 0.63 | - |
| Introductory brochure and educational mailings: printed materials (IVR+) | Printing and postage of educational materials, including Heart Health Report customization | Printing and mailing Vendor charges | - | - | 18.23 | - | - | 18.23 |
| Educational mailings: pill box (IVR+) | Pill organizer included with initial educational packet | Vendor charges | - | - | 4.11 | - | - | 4.11 |
| Total cost (US $) | - | 17 | 47 | - | 9 | 36 | ||
IVR, interactive voice recognition; IVR+, IVR plus educational materials; QA, Quality Assurance; UC, usual care.