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J Acquir Immune Defic Syndr. 2019 Sep 1;82 Suppl 1:S57-S61. doi: 10.1097/QAI.0000000000001968.

Implementing Data to Care-What Are the Costs for the Health Department?

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Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, GA.
Massachusetts Department of Public Health, Boston, MA.
Philadelphia Department of Public Health, Philadelphia, PA.
Yale University School of Medicine, New Haven, CT.
Connecticut Department of Public Health, Hartford, CT.



The Cooperative Re-Engagement Controlled Trial (CoRECT) is a randomized controlled trial that uses a combined health department-provider data to care (D2C) model to identify out-of-care HIV-infected persons. We present cost data for programmatic aspects of the trial during the start-up period (first 30 days of the study).


We used microcosting methods to estimate health department start-up costs. We collected start-up cost data between September 2016 and December 2016; 3 health departments completed a form to capture expenses for the initial 30 days of study implementation; the start date varied by health department. All costs are expressed in 2016 US dollars.


Among the 3 health departments, the total start-up costs ranged from $14,145 to $26,058. Total start-up labor hours ranged from 224 to 640 hours.


As D2C expands nationally with cooperative agreement, PS 18-1802 health departments may be able to use a similar analysis to consider the labor, time, and resources needed to implement D2C within their jurisdiction.

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