Survey of Costs & Census


No organization has been selected. Please first select the organization for which you plan to enter information.

This is the second step of the rapid policy analysis of the cost and impact of Screening and Brief Intervention (SBIRT). In this section you will describe the cost of delivering SBIRT within your organization. We will use the answers you provide below to draft a report suggesting a reimbursement rate that meets your cost of care.

Before you proceed, complete the attached worksheets (close the worksheet when you are done to return to this page):

  1. Number of clients
  2. Number of visits
  3. Full time equivalent personnel
  4. Personnel costs
  5. Market value of volunteers' contribution
  6. Cost of materials and supplies
  7. Cost of building
  8. Cost of occupancy
  9. Cost of equipment
  10. Cost of liability insurance
  11. Cost of paper or electronic health records

After you have entered data in the above section, please enter your organization and Access code below so that you can review your data before submission.

1. What is your access code?


This is a six character alphanumeric code that you used to enter data in step 1, definition of SBIRT. You must enter the same access code, otherwise your responses will not be linked together.

2. Enter your organization code:

 
Data will be collected across each organization within your operations.  Organization refers to an institution with an independent budget and board of directors.  You selected the organization code in a previous survey.


This page is part of the Rapid Policy Analysis for Screening and Brief Intervention.   This page was last edited on 07/03/2007 by Farrokh Alemi, Ph.D.  To select a different organization, click here Please report any problems with the page to Farrokh Alemi, Ph.D.