Table 5.
Implementation and one-year operating costs of integrating an onsite wound care clinic
| Cost category | Count | Per unit cost | Total cost | Cost per visite |
|---|---|---|---|---|
| Implementation costs | ||||
| Phlebotomy chair | 1 | $800.00 | $800.00 | $7.02 |
| Examine table | 1 | $1339.63 | $1339.63 | $11.75 |
| Furniture | – | – | – | – |
| Administrative | – | – | $1271.50 | $11.15 |
| Medical suppliesa | – | – | $1827.23 | $16.03 |
| Total | $5238.36 | $45.95 | ||
| Variable program costs | ||||
| HIV rapid test | 46 | $10.06 | $462.76 | $4.06 |
| HCV rapid test | 22 | $18.81 | $413.82 | $3.63 |
| Wound careb | 31 | $6.56 | $203.36 | $1.78 |
| Incision and drainagec | 17 | $10.64 | $180.88 | $1.59 |
| On-site Rx Antibiotics | ||||
| Bactrim (800 mg/160 mg) | 280 | $0.33 | $92.40 | $0.81 |
| Doxycycline (100 mg) | 42 | $0.86 | $36.12 | $0.32 |
| Snacks/refreshments | – | – | $503.55 | $4.42 |
| Total | $1892.89 | $16.61 | ||
| Societal costs | ||||
| Attending physician | 1/clinic | $250.00/hourd | $45,000.00 | $394.74 |
| Resident physician | 1/clinic | $26.00/hourd | $4680.00 | $41.05 |
| Medical students (onsite) | 4/clinic | $25.43/hourd | $18,309.60 | $160.61 |
| Medical students (oversight) | 6 | $25.43/hourd | $34,330.50 | $301.14 |
| Total | – | – | $102,320.10 | $897.54 |
| Clinic total | – | – | $109,451.35 | $960.10 |
aA detailed list of medical supplies that compromised this category can be found in “Appendix A”
bWound care procedure cost breakdown: $2.16/cohesive bandage, $3.15/saline flush, $0.48/gauze, $0.02/alcohol pad, $0.15/antibiotic ointment
cIncision and drainage cost breakdown: $8.42/incision and drainage kit, $1.78/Chloraprep, $0.11/Lidocaine, $0.08/27G needle, $0.25/10 ml syringe
dHourly wage estimated by the Florida’s Volunteer Health Care Provider Program (VHCPP)
eN = 114