Measuring Costs to Community-Based Agencies for Implementation of an Evidence-Based Practice

Jason M. Lang, Christian M. Connell

Research output: Contribution to journalArticle

8 Scopus citations

Abstract

Healthcare reform has led to an increase in dissemination of evidence-based practices. Cost is frequently cited as a significant yet rarely studied barrier to dissemination of evidence-based practices and the associated improvements in quality of care. This study describes an approach to measuring the incremental, unreimbursed costs in staff time and direct costs to community-based clinics implementing an evidence-based practice through participating in a learning collaborative. Initial implementation costs exceeding those for providing “treatment as usual” were collected for ten clinics implementing trauma-focused cognitive behavioral therapy through participation in 10-month learning collaboratives. Incremental implementation costs of these ten community-based clinic teams averaged the equivalent of US$89,575 (US$ 2012). The most costly activities were training, supervision, preparation time, and implementation team meetings. Recommendations are made for further research on implementation costs, dissemination of evidence-based practices, and implications for researchers and policy makers.

Original languageEnglish (US)
Pages (from-to)122-134
Number of pages13
JournalJournal of Behavioral Health Services and Research
Volume44
Issue number1
DOIs
StatePublished - Jan 1 2017

    Fingerprint

All Science Journal Classification (ASJC) codes

  • Health(social science)
  • Health Policy
  • Public Health, Environmental and Occupational Health

Cite this