Table 4 Cost of PRISM and Indicators of Potential Savings

Cost of PRISM

➢ Startup costs

➢ Cost of implementation includes implementation team meetings and initial training (including the opportunity costs incurred by training participants) and other investments necessary for implementation

➢ Participation in, number and length of implementation meetings, trainings to prepare for PRISM implementation

Ongoing

➢ Operational costs: PRISM general

➢ Participation in, number and length of PRISM sustainment meetings; cost of depression registry

Ongoing

➢ Operational costs: Providers, staff, and navigator

➢ PRISM Navigator, provider, and staff time sampling

Occurs every 6 months for two years after intervention implementation

➢ Operational costs: providers and staff

➢ PRISM provider and staff time sampling

Occurs every 6 months for two years after intervention implementation

Cost of MCPAP for Moms

➢ Operational costs: MCPAP for Moms (already in place)

➢ MCPAP for Moms data

Ongoing

Indicators of cost Saving Potential

➢ Compare hospitalization rates (medical, obstetric, and psychiatric) for perinatal patients receiving care from PRISM versus MCPAP for Moms

➢ Self-report during structured interviews with patients

➢ Cost per hospitalization based on average cost, obtained from Massachusetts Health Policy Commission, a publicly available de-identified database

Ongoing

➢ Birth outcomes: birth weight, preterm delivery

➢ Infant outcomes: hospitalizations (NICU, special care nursery)

➢ Self-report during structured interview with patients

Ongoing