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Technical Assistance Costing Tool (TACT) USER MANUAL

TACT User Manual - PDF file (945 KB) - when printed: 72 pages


Table of Contents


Chapter 1: Introduction to the Technical Assistance Costing Tool

Description
Review statement
Copyright statement
Chapter contents

Chapter 2: TACT Overview

Structure and Use of TACT
Quick Start Guide
How to use TACT
Basic navigation within TACT
General information on viewing and printing
Input Tab
Optimize on-screen viewing
Minimum data elements required for TACT reports
Viewing reports
Detail report tab
Rollup report tab

Chapter 3: Common Data Sources

What information do I need to use TACT?
What is a Member Month?
How do I determine my member-months?
What should I do if I'm not sure I calculated member months correctly?
Where do I find utilization information?
How should I categorize the care services provided?
What Units of Measurement Should I Use?
How Do I Count Units?
An example of a Primary Care Clinic
Calculating Number of Members Assigned to Clinic

Chapter 4: Determining Unit Cost of Care

What is unit cost?
What do I need to know to develop unit costs?
Profit and Cost Centers
Direct and Indirect Costs
Fully Burdened Cost
Five steps to determine the fully burdened cost of services
Step 1. Gather Total Expenses by Expense Category
Step 2. Assign direct costs to the appropriate cost center
Example
Step 3. Normalize Expenses (expenses with special conditions)
Volunteer staff
Donated goods and services
Expense Redistribution
Step 4. Allocate cost center expenses to profit centers
Direct costs
Revenue
Direct personnel costs
Square footage
Step 5. Split total profit center costs to each type of care provided in that profit center
How do I split costs into care category types?
Fee-based method
RVU-based method
Clinic data and calculations example
Administration Load
What Should My Main Concerns Be?

Chapter 5: Detailed Instructions

Step-by-Step Guide
The Input worksheet
Column B - Service Category
Column C - Sub-Category
Column D - Service Unit Type
Column E - Units of Service per Year
Column F - Total Service Costs
Column G - Annual Co-Pay
Column H - Included in Review Yes = 1 No = 0
Worksheets and Cells Cross Reference Tables
Detail and Rollup Report Worksheets column heading cell reference

Chapter 6: Examples of TACT Reports

Small Primary Care Clinic
Hospital-Based Multi Specialty Clinic
Summary

Appendix A: Input Tab Definitions

Appendix B: Acknowledgements

Appendix C: Acronym List

Index


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