ROI CQI Outsourcing Calculator

Properly analyzing the cost benefits of operating a proper CQI program should include the potential revenue recapture benefits to the organization when determining the true cost of providing these services.

The revenue recapture amounts will offset some of the cost of outsourcing the CQI program. For an estimate of the cost of outsourcing, contact Girard & Associates at paul.girard@girardassoc.com.

Revenue projections and recapture are estimated based on Girard & Associates experience with new clients. Many clients see revenue recapture rates between the Low and High ranges. Most agencies fall in the medium range depending on a variety of factors within the agency

Note: CQI program operational costs can be either decreased substantially, or even provide a positive return on investment through proper techniques that will emphasize and promote proper patient care functions.

Plug in your agency’s numbers into each of the white input fields below to determine potential cost recoupment for your agency. If a field does not apply, put a “0” in the white field.

Revenue Projection	Low	Medium	High
Refusals Converted to Transports
Current Annual Refusals
Reduction
Revenue per Call ($)
Total Revenue
BLS to ALS Conversions
Calls Triaged to BLS by ALS per Year
Conversion
Difference ALS vs BLS per Call ($)
Total Revenue
Savings in Annual Insurance Premiums
Annual Insurance Savings ($)
Savings (Same for all)
ALS 1 to ALS 2 Conversions
Number of ALS1 Calls Per Year
Conversion
Difference ALS1 vs ALS2 Rate ($)
Total Revenue
Internal Annual CQI Savings
Internal Annual CQI Savings ($)
Total Estimated Revenue Recapture
Total Revenue
Estimated Cost of Outsourcing CQI Services
Cost of Outsourcing CQI ($)
Actual Net Cost of Outsourcing CQI
Net Result

A negative number is the net cost to the agency of outsourcing CQI after revenue recapture. A positive number is the net revenue gain to the organization by outsourcing CQI.