Burden Calculation

ACA 3004 LTCH Quality Reporting Program:

Program Evaluation

Burden Calculation Worksheet

1. Time Burden Calculation

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

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

• Number of Staff at Each LTCH to be Interviewed: 2 persons

• Job Titles of Staff to be Interviewed:

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

  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 per interview

• 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.)

Burden to Each Facility for Participation in LTCH Monitoring Program:

126 minutes 2 staff interviews

15 minutes time spent by LTCH staff to prepare for interview

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

Burden to All LTCHs Participating in Monitoring Program:

141minutes / 60 minutes per hour = 2.35 hours

2.35 hours per each LTCH x 30 LTCHs = 70.5 hours for a total of 30 LTCHs

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:

Job Title Average Hourly Estimated Yearly

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 LTCH:

63minutes / 60 minutes per hour = 1.05 hours

1.05 hours x $40.52 per hour = $42.55

2. Across all 30 LTCHs

1.05 hours x 30 LTCH = 31.5 hours

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

Infection Control / Quality Assurance Nurse Wages:

1. Wages Per Each LTCH:

78 minutes / 60 minutes per hour = 1.3 hours

1.3 hours x $34.78 per hour = $48.83

2. Across all 30 LTCHs:

1.3 hours x 30 LTCH = 39 hours

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

Total Estimated Wages to be Incurred by Each LTCH:

$42.55 Nurse Administrator Wages

$45.21 Infection Control /Quality Assurance Nurse Wages

$87.76 TOTAL

Total Estimated Wages to be incurred across 30 Participating LTCHs:

$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