Skip to main content

Table 3 Cost Components

From: Study protocol for reducing disparity in receipt of mother’s own milk in very low birth weight infants (ReDiMOM): a randomized trial to improve adherence to sustained maternal breast pump use

Resources

Units

Source

Cost Measure

PROGRAM COSTS

 STANDARD CARE

  Freezer for pumped MOM storage

Number

Finance

Purchase price

  Human milk waterless warmer

Number

Finance

Purchase price

  Creamatocrit

Number

Finance

Purchase price

  Infant scale

Number

Finance

Purchase price

  Liners for waterless warmer

Number per mother

Finance

Purchase price

  Education materials

1 set per mother

Finance

Purchase price

  Pump kit

1 per mother

Finance

Purchase price

  Custom-fitted breast shields

1 per mother

Finance

Purchase price

  Hospital grade HM storage containers

Number per mother

Finance

Purchase price

  Lactation support (Breastfeeding Peer Counselor [BPC])

Hours per mother

T&M

Average hourly wage

 ‘NICU ACQUIRES MOM’ GROUP

  Hospital-grade breast pump

Months used

Study

Monthly leasing cost

  Time to provide breast pump to mother (NICU Nurse)

Hours per mother

T&M

Average hourly wage

  Transportation of MOM

Number of trips

Study

Standard IRS mileage rate

  Time to transport MOM (Milk Courier)

Hours

Study

Hourly wage x number of trips

  Personal coolers

2 per mother

Study

Purchase price

  Opportunity cost payment

Number of days pumped

Pump Log

$18.50 per day

  Debit card for opportunity cost payment

Weeks

Study

Set-up cost + (loading cost x number of weeks mother receives any opportunity cost payment)

  Time to track MOM received in NICU (BPC)

Hours

Study

Average hourly wage

  Time to process weekly opportunity cost payment (Research Manager)

Hours

Study

Average hourly wage

  Application development and maintenance for mobile pumping log (Analyst)

Hours

Study

Average hourly wage

 ‘MOTHER PROVIDES MOM’ GROUP

  Time to lease breast pump to mother (NICU Nurse)

Hours

Study

Average hourly wage

  Time for monthly collection of breast pump leasing fee (NICU Nurse)

Hours

Study

Average hourly wage

  Time to retrieve leased breast pump at NICU discharge (NICU           Nurse)

Hours

Study

Average hourly wage

HEALTHCARE SYSTEM

 NICU hospital stay

Resources used

Finance

Cost to Rush for hospital and providers to deliver care

 DONOR HUMAN MILK

  mL of donor milk consumed

mL

EMR, Finance

Hospital purchase price per mL

  Time to process and route DHM order (NICU Nurse)

Hours

T&M

Hourly wage

  Shipping fees to NICU

Shipments and quantity per shipment

Finance

Hospital purchase price

  Freezer DHM storage

Number

Finance

Purchase price annualized over 15 years / maximum quantity held / 365

  Time to determine DHM amount to prepare, based on available                 MOM supply (Dietitian)

Hours

T&M

Hourly wage

  NICU space to prepare DHM feedings to ensure safe handling

Square feet

Finance

NICU cost per square foot

  Time to prepare DHM feeding (BPC)

Hours

T&M

Hourly wage

PARTICIPANT COSTS

 Time spent pumping

Time spent

Pump Log

Average hourly wage

 Breast pump lease

Months

Study

Lease cost per month

 Travel time to and from NICU

Time per trip; number of trips

Self-Report

Average hourly wage

 Time spent in NICU

Number of visits; hours per visit

Self-Report

Average hourly wage

 Transportation (e.g., public transportation, taxi, personal vehicle)

Number of trips

Self-Report

Cost per trip

 Mother and other caregiver meals away from home

Number of meals

Self-Report

Cost per meal

 Other out-of-pocket costs

Number

Self-Report

Cost per item

  1. Notes: MOM mother’s own milk; NICU neonatal intensive care unit; Finance financial records; T&M time and motion study; Study study records; Pump Log maternal pumping log; EMR electronic medical record; Self-Report mother self-report