Date of Award


Degree Name

Nursing (D.N.P.)


College of Nursing

First Advisor

Dianne Slager, DNP, FNP-BC

Second Advisor

Karen Burritt, PhD, RN, FNP-BC

Third Advisor

Kathryn Speeter, AGNP, DNP, RN


Objectives: This project evaluation aimed to determine if the tobacco cessation program, American Lung Association’s Freedom From Smoking (ALAFFS), within the designated community mental health organization (CMHO) is affordable and sustainable through a budget impact analysis.

Methods: The study modeled the impacts on the costs of facilitator training, staff salaries/time, program workbooks, program supplies, bus passes, and other supplies and materials. The Medicaid reimbursement rate used for tobacco cessation group therapy was included. The budget impact analysis projected financial consequences of the presence of training costs and number of smokers with severe mental illness who attended the program.

Results: The results of the budget impact analysis showed a total cost of $1,169 to implement. Medicaid reimbursement rates for the organization allowed up to $412.80 per person who finishes the program. A three-year projected impact showed the organization making a profit of up to $311.60 if at least two participants finish the program or break even at $47 if at least 10 sessions were attended.

Conclusions: The budget impact analysis assessed the cost and affordability of the tobacco cessation program, ALAFFS, in a CMHO. The budget included both direct and indirect costs of the program and Medicaid reimbursement rates of group therapy. This project’s BIA show that the ALAFFS programming could be a financially profitable and sustainable service at the designated CMHO.

Available for download on Friday, May 06, 2022

Included in

Nursing Commons