1. The Hygienic Laboratory at The University of Iowa March 24, 2010

2.  Before the Worksheet: Map the Process  Save File As, Instructions for Un-protecting Sheets  Summary Sheet  Areas to Complete  Batch vs. No Batch Advantage  Examples of Batch vs. No Batch Advantage  Materials  Labor  Instrument Replacement, Maintenance, Lease  Certifications

3. Per run or sample: ◦ Pre  Client orders test and collection kits are sent out  Sample collected, received, and prepared  Data entry, instrument maintenance ◦ Analytical  Run test  Analyze results ◦ Post  Result entry and communication  Client is billed

4. Occasional: ◦ Performance evaluations ◦ Column changes ◦ Method development ◦ Certifications ◦ Instrument and software acquisition ◦ Continuing education ◦ What else? Estimate number of occurrences and divide by approximate number of tests per interval

5.  Save as “FY2010 [test code] by [method-matrix]” ◦ Use the exact name of test code and description as found in the database ◦ Re-save same cost analysis under all test names that apply to same cost structure  Un-protect spreadsheets by clicking on “Review” in Microsoft toolbar, then clicking “Unprotect Sheet”, then typing in the password “yasmine”

7.  Fill in the gray areas on every sheet and pink areas will be calculated automatically  If any question takes longer than five minutes to figure out HOW to answer it, make an educated guess and provide comments and assumptions either in the comments sections or the “Notes” sheet at the end of the spreadsheet

8.  The “Materials” and “Labor” sheets are each divided into three sections, that are further divided into a ‘batch advantage’ area and a ‘no batch advantage’ area ◦ Pre-analytical ◦ Analytical  Batch Advantage  No Batch Advantage ◦ Post-analytical

9.  Batch Advantage - When a cost is reduced as run size is increased to the point of hitting full capacity per run (ex. Standards)  No Batch Advantage – When a cost is not reduced regardless of the volume of tests in the run (ex. Collection bottles or tubes)

10.  For hard to fit activities, make assumptions and provide notes in ‘Comments’ or ‘Notes’ section ◦ Dilutions ◦ Proficiency Tests or ◦ Performance Evaluations ◦ Reruns

11. Continuing Calibration of Standards  Materials  Batch Advantage  Cost of standards per run is calculated when this area is populated  No Batch Advantage  Labor  Batch Advantage  Minutes spent preparing and setting up standards are calculated per run when this area is populated  No Batch Advantage Rezai Writing Demonstration 3

12. Pipette tips  Materials  Batch Advantage  Use 10 tips for QC  No Batch Advantage  Use two more tips per sample in the run  Labor  Batch Advantage  Many choose to list minutes in lump form for prep/setup  No Batch Advantage  List extra minutes used PER sample to set up with tips

13. Sample Bottles  Materials  Batch Advantage  No Batch Advantage  Sample bottle: $.50  Labor  Batch Advantage  Sample bottle to sample for port: 5 minutes per run/batch  No Batch Advantage  Sample bottle to sample for port: 2 minutes  Comments: sample bottles - assume it takes 5 minutes to setup for the run no matter how many samples in the run and an extra 2 minutes per extra sample in the run

14. Calibration Standards used for multiple runs ◦ Bulk cost is $5,000 usually good for 10 calibrations ◦ Calculate $5,000/10 = $500 per calibration ◦ $500/calibration where each calibration is usually good for 5 runs ◦ On worksheet, list  Materials  Batch Advantage  Calibration standards: $100  Comments: Assume average of 5 runs per calibration so $500/5 = $100

15. Instrument Maintenance every few runs ◦ Extra 90 minutes of labor time every 2-4 runs ◦ Divide 90 minutes by 3 runs = 30 min per run ◦ List  Labor  Batch Advantage  Instrument repair: $30  Comments: assume 90 minutes labor for instrument repair every 2-4 runs

17.  List all materials used or consumed in order to run the test  Examples include reagents, kits, shipping, lab coats, gloves, results paper, hazardous waste liners, instruments not listed under ‘Replacement’ sheet such as microscopes, and any other materials that are a direct part of the testing service process  When estimating amounts, include average amounts used for complications such as dilutions and reruns  Can omit overhead materials such as office chairs, regular trash liners, phones and other indirect materials

18. MaterialsBulk CostBulk UnitsUnits/TestCost/Test Reagent X$2,300251$92 1.Provide a short description of the test material 2.List the amount paid to vendor per package 3.List the number of units per package 4.List the number of units used per test performed 5.Cost per test will automatically be calculated If a material is used for controls, standards or other batch-fixed activities (at least part of the usage is independent of the number of tests run) a.Batch Advantage: Amount of material used regardless of batch size b.No Batch Advantage: Extra material used per extra sample per run 1234512345

20. List every type of labor associated with this test ◦ Pre-analytical: Starts with client order and ends just before running test - can also include PTs, TMDLs here ◦ Analytical: Starts with running the test and ends just before reporting of results ◦ Post-analytical: Starts with result reports and ends with payment for services Be sure to incorporate all labor time including instrument maintenance, performance testing, and reruns

21. Labor Category Minutes/Tes t Hour s Avg Wages+ Labor Cost/Test Sample prep23.38$30$11.50 12 345 1. List description of labor 2.List the number of minutes this type of labor consumes per test 3.Hours will be automatically calculated 4.List the average hourly wage associated with this labor a.Use (average annual wage plus fringe)/1880 hours b.Use1880 hours instead of 2080 since the average cost of vacation and sick days must be incorporated into the hourly labor cost 5.Cost of labor per test will automatically be calculated If some of the labor can be considered batch advantaged but not all, divide time accordingly (see labor example in batch advantage vs. no batch advantage section)

22.  Allows the user to “play” with different labor rates Rezai Writing Demonstration 3

24.  Fill in the fields shaded in gray, writing over the numbers found within some of the fields  Fill in the TOTAL number of tests that this instrument services within the referenced time period (annual)  List purchase price if instrument were to be replaced today  If planning to upgrade or innovate methods, then use price of upgrade

26.  Describe the cost  List the amount normally paid  List the number of years paid amount covers  Annual cost will be calculated automatically  List the number of tests per year that pertain to this certification (this may mean combining workload for multiple tests into one number)  Annual cost per test will be automatically calculated

27.  For questions on how to use the tool OR to give us feedback on how we can improve the tool, please contact:  Yasmine Rezai – yasmine-rezai@uiowa.eduyasmine-rezai@uiowa.edu  Bonnie Rubin – bonnie-rubin@uiowa.edubonnie-rubin@uiowa.edu  Also, thanks to Erik Lehmann, UI intern, who has refined and enhanced our test costing initiative Rezai Writing Demonstration 3