Table 3. Relative costing of AWARD framework versus traditional free-text only method.
Unique text to code | Time (hours)a | Estimated cost (USD)b | Number of medication reports collected | Cost per medication report entry (USD) | |
---|---|---|---|---|---|
AWARD system | |||||
Database/web programming | - | 73.5 | $2279 | ||
Set-up—curation of list of common medications | - | 15.0 | $465 | ||
Set-up—coding of list of common medications | 2025 | 25.3 | $785 | ||
Coding of free-text entries | 2529 | 28.5 | $882 | ||
TOTAL | 4554 | 142.3 | $4410 | 128,893 | $0.03 |
Traditional free-text only approach | |||||
Database/web programming | - | 36.4 | $1127 | ||
Coding of free-text entries | 70891 | 797.5 | $24,723 | ||
TOTAL | 70891 | 833.9 | $25,850 | 128,893 | $0.20 |
aAssumptions: 45 seconds per medication allocated for curation of list of common medications;
40.5 seconds allocated for coding of list of common medications (two coders—18.7 seconds each, plus 3.1 seconds per medication for discordance resolution given that 1 out of 6 medications were discordant and required coding by a third coder); 40.5 seconds allocated for coding of free-text entries (two coders plus a third coder for 1 out 6 medications); In the free-text only approach 45% of reports would be duplicate free text, hence only 55% of reported medications would require coding.
bCost per hour calculated based on hourly rate of 31 USD for Research Officer and rounded to the next whole number.