COSTS - St. Boniface Hospital Research



Provide the RRC with a breakdown (itemised) of the costs and the revenue provided. This is required to show that you have adequate resources available to conduct the study. If there is a shortfall, you will need to identify where the additional funds will come from (ie a departmental “slush fund”, additional grant applications etc.)

EXAMPLE:

COSTS

Pharmacy fees: Start-up/management/closeout $     

      per patient X       patients $     

Laboratory fees: start-up/management/closeout

      per patient X       patients $     

Other tests fees:       $     

      $     

Medical Records: $5 per chart retrieval

$7.60 per chart pulled from off-site

      per chart X       charts $     

Nursing time: Study set-up       hrs @       /hr $     

      visits X       hrs/visit X       /hr $     

Study close-out       hrs @       /hr $     

Investigator fees: Study set-up       hrs @       /hr $     

      visits X       hrs/visit X       /hr $     

Study close-out       hrs @       /hr $     

Phones, courier, space, equipment, photocopying etc.

      $     

      $     

Ethics fees: $2500 per protocol

Health/Biomedical Research Ethics Boards

University of Manitoba $     

Advertising: Newspaper ads, poster printing, radio ads $     

Sub total $     

Plus 20% overhead (Industry Sponsored studies) $     

Total costs $     

FUNDING Start-up (flat rate) $     

      Per patient X       patients $     

20% overhead $     

Other:       $     

      $     

Total funding $     

Difference between costs and funding provided $     

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