Table 1 Resources used and costs associated with status quo scenario for a level I trauma center (A&F targeting 15 high-value practices and 3 outcomes) and additional costs of A&F module (targeting 6 LVPs) per A&F cycle (one year)^a

Costs associated with status quo scenario

 Report preparation (Costs for all trauma centers)

  Biostatistician

- Data manipulation, validation and analysis, and preparing graphs (Biostatistician: 2 days per week for 6 months; Research coordinator: 3 days per week for 6 months)

$33,060

  Research coordinator

  Research supervisor

- Validating materials for INESSS (6 h)

 Act on the results (Costs for a level I trauma center)

  Medical coder

- Prepare patient charts for review (20 h for 18 quality indicators)

$10,555

  Trauma program manager

- Three days of data analysis (7 h per day per person involved)

  Two trauma program medical directors

 Local trauma committee meeting (Costs for a level I trauma center)

  Trauma program manager

- Patient chart revision;

- Discuss problems and potential solutions with healthcare providers involved (to identify improvement strategies); (2 h per meeting for 5 meetings in one evaluation cycle)

$7,445

  Hospital administrator

  Three physicians

  Medical coder

  Laboratory technician or multidisciplinary services

 Report production for INESSS—Action plan (Costs for a level I trauma center)

  Trauma program manager

- Two weeks of full-time work by the trauma service (7 h per day) coordinator to produce the action plan

$10,561

  Medical directors

- Report validation by heads of 10 medical services (3 h per person)

Total costs for a Level I center with 18 indicators in the status quo scenario

$28,562

Additional costs associated with implementation of A&F module targeting 6 LVPs

 Costs of adding 6 quality indicators for a level I trauma center

$9,521

 Costs of adding 6 quality indicators to all three level I centers^b

$28,562

 Additional costs for report preparation for 6 quality indicators

$11,020

 Total costs of adding 6 quality indicators to all 57 adult’s trauma centers (plus report preparation)

$135,363