Overview: Planning Your Centering Budget

There are some standard operating costs assiciated with implementing and sustaining Centering, including group m
patients, facilitation training, and practice resources. This XLS workbook contains three worksheets (tabs): this Ove
Budget worksheet, and a SAMPLE completed budget. You will upload this workbook with your application.

Group Costs Per Participant

Overall, CHI recommends that at a minimum a practice sees approximately 60 CenteringParenting or 120 Centerin
patients per year in Centering groups. If offering more than one type of Centering group, this number increases su

CHI has published patient notebooks that include content relevant for each patient enrolled in CenteringParenting
CenteringPregnancy. It is important to budget for use of the supplemental educational materials for your patients.
notebook costs $18-$22 depending on the quantity ordered.

CHI also recommends that each group session provide participants with healthy snacks. Snacks help make the grou
inviting and offer opportunity for group members to socialize and build community. Typically a practice will allocate
for snacks for each group session. Total budget allocation for snacks depends on how many Centering sessions will
year.

Calculating Centering Sessions: The number of group sessions that will occur in a given year varies depe
which Centering model of care you offer and how many new groups per month you begin. Starting one n
CenteringParenting group per month results in an average 50 Centering sessions each year. Beginning on
CenteringPregnancy group each month results in about 85 sessions each year. When running one new g
month of CenteirngPregnancy and Parenting simultaneously, there are 135+ session that occur annaully
more than one group per month, the number of sessions you hold for Centering accordingly.

For the sake of this budget, determine which model(s) you will be implementing. Consider your patient volume and
new groups for that model you plan to start each month. It is common to start one group per month initially and sc
Centering spreads in your clinic.

Facilitation Training Costs

The Basic Facilitation Workshop is an engaging two-day workshop will prepare staff and providers to launch Cente
and gain confidence in facilitative leadership through a variety of skill-building and interactive learning activities. Pa
will practice facilitation and group management skills using proven Centering techniques such as mindful listening,
Acknowledge, Refer, Return (ARR) and strategic questioning; plan and lead a Centering group experience; and rece
feedback.

Initial participation in a Basic Facilitation Workshop during Year 1 will be included in granted services. For staff who
training in subsequent years, the cost is typically $850 per person.
 The Advanced Facilitaton Workshop is for experienced Centering Facilitatiors who are ready to take their facilitatio
next level or find thenselves struggling with facilitative leadership and need some fresh ideas to bring to Centering
workshop is a one-day interactive learning experience. Participants explore new facilitative approaches to difficult t
conversations and other group challenges, based on personal experience in Centering groups. Participants will have
opportunity to identify and develop strategies that address specific challenges in their groups.

The Advanced Facilitation Workshop costs $500 per person.

For travel considerations, CHI will attempt to offer grantees workshops that are available locally. Sites in rural area
to travel to a nearby major city.

Other Resources

CHI has found designating a Centering Coordinator to be an integral component to the success of Centering implem
sustinability. The Centering Coordinator is the main person at the practice responsible for managing the componen
Centering implementation, including group scheduling, patient outreach, and data collection. They will also be the
contact with the Centering Healthcare Institute. This person does not need to be a new hire, but should be someon
desingated time allocated to executing their Centering responsibilities. The minimum recommended time for this is
hours/week and hourly pay rates vary.

The Centering Leader Kit will provide a practice with all of the tools needed to lead informative, engaging and fun C
groups. The cards and activities can help group explore a range of topics for pregnancy, health, safety and parentin
included are tools to help manage groups, redirect difficult conversations or change the energy in a group. The Lead
$300.

Some practices need additional medical supplies to outfit their Centering group space. These can include, but aren
blood pressure cuffs, scale, low exam table, etc. Costs varies depending on the needs of the Centering space.

Depending on the space available for Centering groups, you may need to allocate some funds for furnishing your s
building it out to be the warm, welcoming room you want it to be. Costs can range from full scale renovations to sm
like changing the wall collor, adding some plants to increase privacy in the self assessment area, or getting new, com
chairs for your Centering circle.
g and sustaining Centering, including group materials for
ok contains three worksheets (tabs): this Overview, your
this workbook with your application.

oximately 60 CenteringParenting or 120 CenteringPregnancy

type of Centering group, this number increases substancially.

nt for each patient enrolled in CenteringParenting or

lemental educational materials for your patients. Each patient

ts with healthy snacks. Snacks help make the group setting

d build community. Typically a practice will allocate about $20
cks depends on how many Centering sessions will occur each

sessions that will occur in a given year varies depending on

y new groups per month you begin. Starting one new
age 50 Centering sessions each year. Beginning one new
t 85 sessions each year. When running one new group per
eously, there are 135+ session that occur annaully. If you begin
ns you hold for Centering accordingly.

e implementing. Consider your patient volume and how many

mmon to start one group per month initially and scale up as

p will prepare staff and providers to launch Centering groups

skill-building and interactive learning activities. Participants
n Centering techniques such as mindful listening,
n and lead a Centering group experience; and receive valuable

will be included in granted services. For staff who need

n.
g Facilitatiors who are ready to take their facilitation skills to the
p and need some fresh ideas to bring to Centering groups. The
ts explore new facilitative approaches to difficult topics,
perience in Centering groups. Participants will have the
fic challenges in their groups.

kshops that are available locally. Sites in rural areas should plan

ral component to the success of Centering implementaiton and

e practice responsible for managing the components of
utreach, and data collection. They will also be the primary
not need to be a new hire, but should be someone with
lities. The minimum recommended time for this is 8

ols needed to lead informative, engaging and fun Centering

f topics for pregnancy, health, safety and parenting. Also
rsations or change the energy in a group. The Leader Kit costs

entering group space. These can include, but aren’t limited to,
ending on the needs of the Centering space.

need to allocate some funds for furnishing your space or

e. Costs can range from full scale renovations to small updates
acy in the self assessment area, or getting new, comfortable
Your Centering Budget
INSTRUCTIONS
Enter data in the highlighted cells. Calculations are automatic.

Centering Costs Year 1 Year 2 Ongoing

Site License Fee $250 $250 $250
Group Costs Per Participant
Patients/year
Groups starting/month 0.0 0.0 0.0

Total group sessions

Centering Patient Notebooks, each $20 $20 $20
SUBTOTAL: Centering Patient Notebooks $0 $0 $0
Cost of snacks/ group session
SUBTOTAL: Snacks cost $0 $0 $0
Facilitation Training Costs
Basic Facilitation Workshop Fee/ person $0 $850 $850

# of staff to attend Basic Facilitation Workshop

SUBTOTAL: Basic Facilitation Workshop $0 $0 $0
Advanced Facilitation Workshop Fee/person $500 $500 $500
# of staff to attend Advanced Facilitation Workshop
SUBTOTAL: Advanced Facilitation Workshop $0 $0 $0
Travel and lodging for workshops / person
SUBTOTAL: Facilitation Training $0 $0 $0
Other Resources
Hourly rate for Centering Coodinator
Hours/week for Centering Coordinator
SUBTOTAL: Centering Coordinator time $0 $0 $0
Centering Leader Kit $300 $0 $0
Medical supplies
Space build out/ furnishing
Grand Total $550 $250 $250
Total Per Participant #DIV/0! #DIV/0! #DIV/0!
Enter 50 x (# new groups per month) for CenteringParenting
Enter 85 x (# new groups per month) for CenteringPregnancy
Enter 135 x (# new groups per month) for a continuity model with CenteringPregnancy and Parenting

All providers and support staff that will be facilitating groups will attend a Basic Facilitation Workshop
Recommended minimum to attend: 8
Sample Centering budget
Centering Costs Year 1 Year 2 Ongoing
Site License Fee $250 $250 $250
Group Costs Per Participant
Patients/year 120 240 360
Groups starting/month 1.0 2.0 3.0

Total group sessions 85 135 220

Centering Patient Notebooks, each $20 $20 $20
SUBTOTAL: Centering Patient Notebooks $2,400 $4,800 $7,200
Cost of snacks/ group session $20 $20 $20
SUBTOTAL: Snacks cost $1,700 $2,700 $4,400
Facilitation Training Costs
Basic Facilitation Workshop Fee/ person $0 $850 $850

# of staff to attend Basic Facilitation Workshop 8 6 3

SUBTOTAL: Basic Facilitation Workshop $0 $5,100 $2,550
Advanced Facilitation Workshop Fee/person $500 $500 $500
# of staff to attend Advanced Facilitation Workshop 0 6 4
SUBTOTAL: Advanced Facilitation Workshop $0 $3,000 $2,000
Travel and lodging for workshops / person $0 $0 $0
SUBTOTAL: Facilitation Training $0 $8,100 $4,550
Other Resources
Hourly rate for Centering Coodinator $25 $26 $28
Hours/week for Centering Coordinator 8 8 8
SUBTOTAL: Centering Coordinator time $10,400 $10,816 $11,648
Centering Leader Kit $300 $0 $0
Medical supplies $1,500 $0 $0
Space build out/ furnishing $0 $0 $0
Grand Total $16,301 $26,418 $27,801
Total Per Participant $136 $110 $77
Enter 50 x (# new groups per month) for CenteringParenting
Enter 85 x (# new groups per month) for CenteringPregnancy
Enter 135 x (# new groups per month) for a continuity model with CenteringPregnancy and Parenting

All providers and support staff that will be facilitating groups will attend a Basic Facilitation Workshop
Recommended minimum to attend: 8