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OCR for page 25
SECTION IV
PROPOSED BUDGET - LONG-TERM CARE STUDY
ASSUMPTIONS
Duration
The budget assumes a two-year study with the final draft completed
by the committee at the end of month 20. The remaining time is for
review of the report, publication, and dissemination.
Staff
The budget assumes a three person full-time professional staff
consisting of a study director, an associate study director, and
research assistant, plus support staff.
Committee Meetings
Five or six committee meetings (depending on how the first meetings
are organized) of an 18-person committee, with six additional
four-person subcommittee meetings to monitor the work of subcontractors
and commissioned paper authors.
Subcontracts' Commissioned Papered and Consultants
The bulk of the extensive analytical agenda for the study would be
conducted through subcontracts, commissioned papers and the use of
consultants. The subcontracts would be for those tasks where a
considerable amount of secondary data analysis would be carried out.
Commissioned papers are more modest efforts where the study would be
drawing on the existing knowledge and expertise of a single
individual. Consultants would be used to augment the staff capacity as
necessary.
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Dissemination
Travel costs for committee members are built in for dissemination
activities following release of the report. In addition a small
invitational conference is budgeted with travel costs for 30 persons.
During this conference there could be a structured presentation and
discussion of the committee findings and of various policy options.
Invitations would be extended to both policymakers and policy analysts,
interested organizations such as the AARP, and the press.
Other Costs
Other costs include the usual administrative expenses based on
experience with other similar studies.
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LONG-TERM CARE
(24 months)
1. SALARIES and WAGES
Professional Staff
Support Staff
2. FRINGE BENEFITS
OVERHEAD (63% of wages & benefits)
4. CONSULTANTS (100 days)
5. COMMISSIONED PAPERS
6. SUBCONTRACTS - Analytical Studies
7. TRAVEL
Committee Meetings
Staff
Dissemination
8. OTHER DIRECT COSTS
9. G & A COSTS (10.0%)
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$ 291,062
61,878
$ 59,820
1,860
17,580
TOTAL
$ 352,940
77,647
313,336
25,000
15,000
240,000
79,260
48,264
138,173
$1,289,620
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REFERENCES AND NOTES
1. Doty, Pamela, Korbin Liu, and Joshua Wiener. "An Overview of
Long-Term Care." Health Care Financing Review, Spring 1985,
6(3):74.
2. U.S. House of Representatives, Select Committee on Aging,
"America's Elderly at Risk: A Report Presented by the Chairman."
Committee publication #99-508 July 1985, p. 18.
3.
See exhibit C-1, Table 1.
4. Doty, Liu, and Wiener, op. cit., p. 74.
American Association of Retired Persons, Long-TErm Care Research
Study, January 30, 1984 (survey performed for the AARP by the
Gallup Organization).
6. Detailed data on sources of support for long-term care are found
in exhibit B-2.
7.
Detailed data on expenditures are found in exhibit B-2.
8. Levit, Katharine R., Helen Lazenby, Daniel R. Waldo, and Lawrence
M. Davidaff, "National Health Expenditures, 1984." Health Care
Financing Review, Fall 1985, 7~1~:12.
9. See exhibit C-1.
10. Levit, et. al., op. cit., page 20; also Robert M. Gibson,
"National Health Expenditures, 1978," Health Care Financing
Review, Summer 1979, 1~1~:31.
11. Doty, Liu, and Wiener, pot cit., p. 74.
12. Institute of Medicine, "Improving the Quality of Care in Nursing
Homes." National Academy Press, 1986, p. 8.
13. Detailed findings and recommendations concerning the quality of
care in nursing homes are found in the Institute of Medicine
report, "Improving the Quality of Care in Nursing Homes."
14. For example, TOM report cited above and see discussion in exhibit
B-1, page 56.
15. For example, The Brookings Institution is carrying out a major
study of the organization and financing of long-term care.
16. See discussion in exhibit B-2.
17. See discussion of model programs in exhibit B-1.
18. See discussion of relationship of housing to long-term care in
exhibit B-3.
19. Information presented to the planning committee by Robert Kane.
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Representative terms from entire chapter:
committee meetings
