Research Article

What Does It Cost to Prevent On-Duty Firefighter Cardiac Events? A Content Valid Method for Calculating Costs

Table 1

Content validity scores for each draft component (direct and indirect) of the method for calculating costs.

ComponentSubcomponents used to operationalize direct and indirect elements of cost Scale-CVIItem-CVI

Preparatory costsDirectIn the 3 months prior to adopting your program, record the amount of organizational capital disbursed to the following: (a) resource documents such as articles and text on cardiovascular disease among firefighters ($$$);0.660.74
(b) meetings and seminars ($$$);0.74
(c) travel to meetings and seminars concerned with cardiovascular disease among firefighters ($$$);0.57
(d) other resources that provided you with background information and guidance on addressing cardiovascular disease and death among firefighters ($$$).0.65
IndirectIn the 3 months prior to adopting your program, record the number of hours devoted to researching/investigating the program. Record these hours for each individual employed by the company: i.e., fire chief = (HH:MM); deputy chief = (HH:MM); shift supervisor = (HH:MM); other = (HH:MM).**0.62

Investment costsDirectConsider 3 months prior and 1 month after program adoption and record the amount of organizational capital disbursed to a company or companies licensing the program ($$$). 0.770.82
IndirectRecord these hours for each individual employed by the company devoted to communicating with program officials via meetings, telephone calls, and other communication: i.e., fire chief = (HH:MM); deputy chief = (HH:MM); shift supervisor = (HH:MM); other = (HH:MM).**0.72

Orientation and training costsDirectIn reference to each month after program adoption, record the amount of organizational capital disbursed to the following: (a) program manuals and materials such as pamphlets ($$$);0.730.72
(b) costs for copying materials for handouts to employees ($$$);0.52
(c) payment to speakers/guest speakers/medical personnel/trainers paid to provide guidance on program processes and/or training to employees ($$$).0.83
IndirectIn reference to each month after program adoption, record the hours for each individual employed by the company devoted to scheduling orientation and training, including time spent preparing materials and time spent communicating with program officials: i.e., fire chief = (HH:MM); deputy chief = (HH:MM); shift supervisor = (HH:MM); other = (HH:MM).**0.75
Record the amount of time that each employee participating in the program devoted to orientation and training while being “on the clock” at the fire station (HH:MM).**0.74
Record the amount of overtime (or unscheduled/additional) worked by employees covering for their colleagues while they attend orientation and training (HH:MM).**0.74

Medical and pharmaceutical costsDirectIn reference to each month after program adoption, record the amount of organizational capital disbursed to the following: (a) health physicals for employees ($$$);0.820.88
(b) medical tests not included in physical exams such as reoccurring visits to phlebotomists for laboratory tests ($$$);0.88
(c) payment for pharmaceuticals not covered by employee insurance programs ($$$);0.86
IndirectIn reference to each month after program adoption, record the hours each individual employed by the company devoted to visiting their physician/provider for a physical while being “on the clock” (HH:MM).**0.79
Record the amount of time that each employee devoted to medical tests not included in physical exams such as reoccurring visits to phlebotomists for laboratory tests—while being “on the clock” ($$$).**0.74
Record the amount of overtime (or unscheduled/additional) worked by employees covering for their colleagues while they completed the tasks listed as direct costs for this component (HH:MM).**0.75

Education and continuing educationDirectIn reference to each month after program adoption, record the amount of organizational capital disbursed to the following: (a) supporting travel and expenses for employees to attend meetings/seminars/conferences related to the program’s mission ($$$);0.740.75
(b) educating and training new hires on program requirements and parameters ($$$);0.68
(c) payment for speakers and materials that provide ongoing/focused education or continuing education on components of the program—outside of (in addition to) an existing continuing education program supported by the organization ($$$).0.79
IndirectIn reference to each month after program adoption, record the hours each individual employed by the company devoted to visiting education and continuing education linked to the program and while being “on the clock” (HH:MM).**0.710.71
Record the amount of overtime (or unscheduled/additional) worked by employees covering for their colleagues while they completed the tasks listed as direct costs for this component (HH:MM).**0.71

Maintenance costsDirectIn reference to each month after program adoption, record the amount of organizational capital disbursed to the following: (a) travel and expenses associated with company administrators (e.g., chiefs, deputy chiefs, etc.) devoted to attending meetings, seminars, conferences, and other events that provide ongoing instruction on program implementation and management ($$$). These expenses should be outside of (in addition to) costs accounted for in other cost components.0.770.77
IndirectIn reference to each month after program adoption, record the hours company administrators devoted to the direct costs activities while being “on the clock” for the organization (HH:MM).** If paid by the hour, record the amount of overtime (or unscheduled/additional) worked by administrators (HH:MM).**0.720.72

Table notes: Components and subcomponents colored in bold font fail to meet the 0.70 cut-point/benchmark for content validity in this study and thus should be removed from the final algorithm, which is presented in Table 2.
**The algorithm will require multiplying hours (time) by the hourly rate per person. Apply the hourly wage for employees paid per hour. For salaried personnel, divide the salary by a standard work year (50 weeks) and workweek (37–40 hours) to determine hourly wage for cost calculation.