Promoting Excellence : Sample Resource Use Data Collection Form

Cost Accounting Peer Workgroup: Sample Resource Use Data Collection Form

A data collection form representing a service unit form that reflects the service unit grid in practice, as used by a palliative care program

Evaluation Tools - Cost/Utilization

Cost Accounting Peer Workgroup of
Promoting Excellence in End-of-Life Care
Stephen Seninger, Ph.D., Chair

Stephen Seninger, Ph.D.
Bureau of Business and Economic Research
University of Montana
Gallagher Business Bldg. 234
Missoula MT 59812-6840
[email protected]

Recommendation of the workgroup for use of this instrument:
This tool aids practitioners in gathering information for use by the accounting department.

cost analysis, cost data costs of care, financial burden, savings utilization data, program assessment, outcome measurement

To use this tool:
You may print and copy this tool for your own use from the website. Please credit source.

Produced by the Cost Accounting Peer Workgroup.

To view this tool:
Left click on the download link to view the PDF document in your Web browser. Right-click on the download link to save the document to your computer.
pdf PDF 410 KB / 10 pages (Viewing PDF files requires downloading and installation of the free Adobe Acrobat Reader.)

Posted February 24, 2005

# CA02, type:cost/utilization

Promoting Excellence in End-of-Life Care was a national program of the Robert Wood Johnson Foundation dedicated to long-term changes in health care institutions to substantially improve care for dying people and their families. Visit for more resources.

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