Skip to main content

Table 4 Cost of PRISM and Indicators of Potential Savings

From: The PRogram In Support of Moms (PRISM): study protocol for a cluster randomized controlled trial of two active interventions addressing perinatal depression in obstetric settings

Outcome/ Endpoint Measure Data Source Time frame
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
  1. Table 4 represents the costs and indicators of potential savings measures for the PRogram In Support of Moms (PRISM) protocol versus the Massachusetts Child Psychiatry Access Program (MCPAP) for Moms. Time frames for data collection are varied.