Table 1.

Cost analysis worksheet for monthly costs

	Item	C2H ($)	C2C ($)	Satellite ($)
Monthly costs	Clinic space	NA	−_____	−_____
	Telemedicine technician/presenter	NA	−_____	NA
	Other staff	NA	−_____	−_____
	Practitioner travel	NA	NA	−_____
	Staff travel	NA	NA	−_____
	Software platform	−_____	−_____	NA
	Public awareness/advertising	−_____	−_____	−_____
	Lost new in-person visits at primary clinic	−_____	−_____	−_____
	Lost follow-up in-person visits at primary clinic	−_____	−_____	−_____
	Lost HSATs from primary clinic	−_____	−_____	−_____
	Lost PSGs from primary clinic	−_____	−_____	−_____
—	Other	−_____	−_____	−_____
—	Total monthly costs	−_____	−_____	−_____

Abbreviation: NA, not applicable.

Courtesy of Dr Barry Fields, Atlanta, GA.