Burden Calculation

ACA 3004 Hospice Quality Reporting Program

Program Evaluation

Burden Estimate Worksheet

1. Time Burden Calculation

• Number of Hospices to Participate in Evaluation Process Each Cycle: 30

• Data Collection Method to be Used: In Person or Telephone Interview)

• Number of Staff at Each Hospice to be Interviewed: 2

• Job Titles of Staff to be Interviewed:

  1. Nursing Administrator (Director of Nursing / Nurse Manager)

  2. Infection Control / Quality Assurance Registered Nurse

Estimated Time Required per Each Interview = 63 minutes or 1.05 hours

• Number of Questions Used in Interview = 9

• Estimated Average Time Required to Complete Each Question = 7 minutes

• 9 questions x 7 minutes = 63 minutes

• 63 minutes / 60 minutes per hour = 1.05 hours

Estimated Time per 2 Staff Interviews = 126 minutes or 2.1 hours

9 questions per interview x 7 minutes per question = 63 minutes

63 minutes per interview x 2 staff members = 126 minutes

126 minutes / 60 minutes per hour = 2.1 hours

Estimated time required for onsite preparation for Interviews = 15 minutes

(i.e. – prepare for CMS arrival at facility, Introductions to staff, explanations of interview, preparations, time between interviews, etc.)

Time Burden to Each Hospice for Participation in Monitoring Program:

126 minutes 2 staff interviews

15 minutes Time spent by Hospice staff to prepare for interview

141 minutes – Total estimated time required to prepare for and perform interviews

Time Burden to All Hospices Participating in Monitoring Program:

141 minutes / 60 minutes per hour = 2.35 hours

2.35 hours per each Hospice x 30 Hospices = 70.5 hours

2. Wage Calculation

Nurse Administrator:

Interview by CMS representative 63 minutes

Infection Control/ Quality Assurance Nurse:

Time required for onsite preparation 15 minutes

Interview by CMS representative 63 minutes

Total estimated time: 78 minutes

According to Salary.com and the U.S. Bureau of Labor Statistic, the average hourly wages for the nurses that CMS plans to interview are as follows:

Average Hourly Estimated Yearly

Job Title Wage Wage__________

Nurse Administrator $40.52 $84,281 per year¹

Infection Control Nurse $34.78 $72,351 per year ²

Nurse Administrator Wages:

1. Wages Per Each Hospice:

63 minutes / 60 minutes per hour = 1.05 hours

1.05 hours x $40.52 per hour = $42.55

2. Across all 30 Hospices

1.05 hours x 30 Hospice = 31.5 hours

31.5 hours x $40.52 per hour = $1,276.38

Infection Control / Quality Assurance Nurse Wages:

1. Wages Per Each Hospice:

78 minutes / 60 minutes per hour = 1.3 hours

1.3 hours x $34.78 per hour = $45.21

2. Across all 30 Hospices:

1.3 hours x 30 Hospice = 39 hours

39 hours x $34.78 per hour = $1,356.42

Total Estimated Wages to be Incurred by Each Hospice:

$42.55 Nurse Administrator Wages

$45.21 Infection Control /Quality Assurance Nurse Wages

$87.76 TOTAL

Total Estimated Wages to be incurred across 30 Hospices:

$1,276.38 Nurse Administrator Wages

$1,356.42 Infection Control Nurse Wages

$2,632.80 TOTAL

1 See http://www.bls.gov/ooh/Management/Medical-and-health-services-managers.htm

2 See http://www1.salary.com/Quality-Assurance-Coordinator-Healthcare-salary.html

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