Abstract
ObjectiveTo identify and measure the costs of implementing an intensive comprehensive aphasia program (ICAP). DesignRetrospective 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. SettingUrban rehabilitation hospital. ParticipantsAdults with aphasia. Main Outcome MeasuresTotal implementation cost to the provider. ResultsImplementation 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. ConclusionsInitial 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.
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