Costs and Funding

What are the costs to plan for and how will they be covered?

When it comes to expanding HIV testing beyond when clinically indicated, cost and reimbursement are among hospitals' major concerns. Grant funds can be important in getting a program off the ground and demonstrating early outcomes; however, if a program is to be sustainable, existing funding streams will have to tapped and perhaps redirected to support testing in the ED when it is effective.   The next page provides possible sources to further explore for funding or in-kind support.

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The costs associated with ED-based HIV testing include:

• Staffing
  • Program set-up
  • Ongoing program management
  • Counseling and testing staff (if supplemental)
  • Data collection and analysis
  • Quality assurance
  • Trainers for test administration and proficiency testing
• Test kits
• Confirmatory test kits
• Equipment such as timers and mobile carts
• CLIA registration fee
• Quality assurance procedures, such as controls, storage and transport of tests, record-keeping, maintenance of laboratory equipment