Abstract
Objective
To identify and measure the costs of implementing an intensive comprehensive aphasia
program (ICAP).
Design
Retrospective cost analysis of a clinical ICAP. Cost inputs were gathered directly
from the provider of the ICAP. We performed several sensitivity analyses to examine
major cost drivers and to separate start-up costs from operating costs.
Setting
Urban rehabilitation hospital.
Participants
Adults with aphasia.
Main Outcome Measures
Total implementation cost to the provider.
Results
Implementation cost of running the ICAP for the first time was $133,644 for a cohort
of 8 participants with aphasia. Break-even charges per participant ranged from $15,278
for 10 participants to $19,700 for 6 participants. After accounting for start-up costs
and efficiencies gained, the fourth and subsequent programs were estimated to cost
$84,855 each. The majority of the costs were personnel costs, and the cost of the
speech language pathologist’s time was the main cost driver in this analysis.
Conclusions
Initial implementation costs are high compared with subsequent programs. Future work
should examine effectiveness of an ICAP compared with other treatments to determine
its cost-effectiveness.
Keywords
List of abbreviations:
ICAP (intensive comprehensive aphasia program), SLP (speech language pathologist)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: November 25, 2020
Footnotes
Supported by the Administration on Community Living, National Institute on Disability, Independent Living and Rehabilitation Research (grant no. 90RT5027, PI: Elliot Roth, MD) and the Agency for Healthcare Research and Quality (grant award no. T32 HS000087, PI: Neil Jordan, PhD). Its contents are solely the responsibility of the author(s) and do not necessarily represent the official views of NIDILRR, AHRQ, and the US Department of Health and Human Services.
Disclosures: none.
This paper is part of a supplement from the American Congress of Rehabilitation Medicine.
Identification
Copyright
© 2022 The Authors. Published by Elsevier Inc. on behalf of The American Association for Thoracic Surgery.
