Implementation of VA care coordination program to improve transitional care for veterans post-non-VA hospital discharge: an incremental cost analysis

Table 4 Projected 5-year CHTP costs to VA

Program year	Start up (3 months)	1 (9 months)	2 (12 months)	3 (12 months)	4 (12 months)	5 (12months)	5-year overall total^d	Average per veteran^e
Veterans served ^a	-	225	300	720	720	720	2685
Transition team (FTE)^a		0.75	1.0	2.0	2.0	2.0
VA investment^b
Central Program Support	$14,567	$4881	$6671	$6838	$6968	$7184	$42,951	$16.00
VAMC Site 1 (RN-only)	$8439	$196,210	$268,154	$549,716	$563,459	$577,546	$1,896,685	$706.40
VAMC Site 2 (RN/SW)	$11,089	$142,911	$195,312	$400,389	$410,399	$420,658	$1,386,259	$516.30
Total program costs (Central and Site 1 only)	$23,006	$201,092	$274,825	$556,554	$570,427	$584,730	$1,939,636	$722.40
Total program costs (Central and Site 2 only)	$25,655	$147,792	$201,983	$407,227	$417,366	$427,842	$1,429,210	$532.29
Total program costs (Central and both sites)	$34,094	$344,003	$470,137	$956,943	$980,825	$1,005,388	$3,325,895	$619.35
Healthcare Costs^b,c
VA primary care (per site)		$21,668	$29,612	$72,846	$74,667	$76,534	$247,973	$92.35
Total Costs -- Program Delivery and Healthcare^b
Central and Site 1 only	$23,006	$222,759	$304,438	$629,400	$645,094	$661,263	$2,187,609	$814.75
Central and Site 2 only	$25,655	$169,460	$231,595	$480,073	$492,034	$504,376	$1,677,183	$624.65
Central and both sites	$34,094	$365,670	$499,749	$1,029,789	$1055,493	$1,081,922	$3,573,868	$665.52

^aProgram is assumed to increase staffing to 2.0 FTE by year 3 and increase caseloads from 25 to 30 cases per FTE per month
^bAdjusted to constant 2021 dollars for Start-up/Year 1, assumes 2.5% annual inflation in subsequent years
^cIncremental VA primary care costs per site
^d5-year totals were discounted by 3%
^e5-year overall total divided by veterans served over 5 years

ISSN: 2662-2211