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FamilyMedicineClinicBusinessPlannew1.pptx

FAMILY MEDICINE CLINIC BUSINESS PLAN

Student’s name

Introduction

As part of its ongoing efforts to improve access to health care, General Medical Center is subsidizing the start-up and first year of operations of a new family medicine practice, Park Square Family Medicine.

As a advanced practice nurses (APN), I have invested a lot of time and money into education I have gone through dealing with the state laws and nurse practice acts, also gone through the principle of autonomy / collaborative approach of practice with physician

This is important because it fulfils the requirement of the APN professional business plan requirement and also to have an insight to what it takes to set up a clinic after licensure as an APN with practice privileges.

Mission/vision statement

Our vision is to bring quality and affordable healthcare. The clinic aspires to bring special healthcare services, health educational programs (primary preventive measures) as well as personal health and wellness programs.

Location of Business

The targeted location will be in Colorado because:

There is a wide range of people

Large Population

Easily accessible

The targeted location for the hospital set up will be in Colorado. This location is best since there is a wide range of people and the population as well is fair which implies that the hospital will have patients in regular basis which further ensure that the hospital will have a continuous flow of income. Before choosing the location, a thorough research was conducted, and further feasibility studies were conducted so as to be able to penetrate the available market and most importantly become the preferred choice.

SWOT Analysis

Strengths-

a well-qualified team of professionals in various positions of the hospital.

Clinic has a strong ethos of openness, sharing and commitment

weaknesses

Staff not clear of their role in the patient relationship

it is just starting out and therefore may not have sufficient required finance which will sustain the kind of the publicity

The strength of the hospital lies from the fact that they have a well-qualified team of professionals in various positions of the hospital. Therefore, they have the best arms in the whole of Colorado. Moreover, the hospital will be operating for twenty-four hours a day unlike other hospitals. Also, the clinic has a strong ethos of openness, sharing and commitment to increasing patient confidence Patients wanting to get involved Local charities willing to participate. The weaknesses limited is that it is just starting out and therefore may not have sufficient required finance which will sustain the kind of the publicity which is intended so that the business can be well known and also, Staff is not clear of their role in the patient relationship

Opportunities

Constant inflow of patients

Active volunteer committee willing to plan and organize events

Threat

Economic turndown

Patients confidentiality risk

One of the opportunities is that there is an active volunteer committee willing to plan and organize events. Patients who are active in the clinic’s Patient Participation Project can be asked for their opinions and suggestions. Head Nurse is willing flex clinic times to free up clinical staff time. Also, The opportunities which are available to the hospital are that the people not only go to the hospitals when they are sick, rather, they also go on someday for a routine checkup which id continuous practice for the residence. One of the major threats to the Goldenberg hospital is the economic downturn as well as the unfavorable government policies. The economic downturn will indubitably affect the purchasing power of the clients and thus will perceive check up as they used to. Furthermore, Confidentiality is at risk

Patient coercion to do things they do not wish to do.

Marketing Plan

generating a long term personalized relationships with the customers.

Introductory letter will be sent to the residents and the business owners as well as to the corporate and private organizations.

Advertisement through TV and radio stations, magazines and the internet.

The marketing strategy which will be applied by the hospital will be mainly based on generating a long term personalized relationships with the customers. In order to achieve that, the hospital will ensure that they offer top notch all round health care services which can as well be affordable when compared to the other healthcare providers. Advertisements will also be done by use of media such as the local television and the local radio stations. Moreover, the hospital will be advertised on the yellow pages and leverage on the internet so that it can promote the hospital.

key stakeholders

Patients

Providers

Payors

Policymakers

Policymakers establish the framework within which health care is provided to the country’s citizens. Patients are typically citizens, and voters, and sometimes taxpayers. Policymakers have a fiduciary duty to this population, and the country’s policy framework is established to benefit patients. Providers operationalize care delivery within the policy framework. They provide health services to patients and maintain health information about them. Payors operationalize the financial elements of the policy framework. Payors enroll patients as beneficiaries. They procure care services from the providers on behalf of their patient beneficiaries.

Reimbursement

Licensed by the State of Colorado

Services will be reimbursed by

Medicare

Medicaid

private insurance carriers.

Our agency must be licensed by the State of colorado and our services reimbursed by Medicare, Medicaid and other private insurance carriers. The process for licensure and insurance certification has already been initiated and we are well on our way to meeting the regulations and guidelines for providing home health care and social services to patients in Southeastern Kansas.

Insurance Issues

licensed by the State of Colorado

our services reimbursed by:

Medicare

Medicaid

and other private insurance carriers

Our agency must be licensed by the State of Colorado and our services reimbursed by Medicare, Medicaid and other private insurance carriers. The process for licensure and insurance certification has already been initiated and we are well on our way to meeting the regulations and guidelines for providing home health care and social services to patients in Southeastern Kansas.

Budget Plan

The most important factor for the financial plan is collection of receivables

It is assumed that there is a strong economy, without major recession.

It is also assumed that there are no significant unforeseen changes in the federal policy dictating Medicare and Medicaid reimbursement.

The Break-even Analysis below is based on monthly fixed costs and an Average Per Unit Variable Cost. This assumption about cost of sales may at first look low, but in our service-based business, payroll is included with other operating expenses in our fixed monthly amounts, so the variable costs relate to the only other cost of service provided: mileage to and from service locations.

Expenses and Revenue

The profit and loss statement will the increasing ability to cover the expenses of the business over the first year.

Although it will operate at a loss for much of this year, the cash balance will be maintained by subsidies from General Medical.

It is estimated that start-up expenses will be $22,732. This amount of money will be used to purchase office equipment, medical supplies, furniture, stationary, and other start-up expenses. This amount, and a starting cash balance of $10,000, will be financed by General Medical Center.

In addition, we are in the process of acquiring a building worth $225,000 with a 15 year mortgage, which will be repaid from the company's cash flows.

Profit and Loss

The profit and loss statement shows our increasing ability to cover the expenses of the business over the first year. Although we will operate at a loss for much of this year, our cash balance will be maintained by subsidies from General Medical.

Start-up Funding

Start-up Funding
Start-up Expenses to Fund	$22,732
Start-up Assets to Fund	$235,000
Total Funding Required	$257,732
Assets
Non-cash Assets from Start-up	$225,000
Cash Requirements from Start-up	$10,000
Additional Cash Raised	$0
Cash Balance on Starting Date	$10,000
Total Assets	$235,000
Liabilities and Capital
Liabilities
Current Borrowing	$0
Long-term Liabilities	$225,000
Accounts Payable (Outstanding Bills)	$0
Other Current Liabilities (interest-free)	$0
Total Liabilities	$225,000
Capital
Planned Investment
Grant from Marshall Medical	$32,732
Other Investment	$0
Additional Investment Requirement	$0
Total Planned Investment	$32,732
Loss at Start-up (Start-up Expenses)	($22,732)
Total Capital	$10,000
Total Capital and Liabilities	$235,000
Total Funding

The start-up requirements, with the exception of the building loan, are to be financed by General Medical Center. This is in addition to the $288,000 they will be providing over a 12 month period as expense subsidies in the first year, and the physician's salary for the first year.

The purchase of the building will be with a 15-year mortgage (listed under Long-term Liabilities). This loan will be repaid from the clinic's cash flows and guaranteed with his personal assets.

Breakeven Analysis

The Break-even Analysis shows that in the first year (with no physician salary). We will pass this mark by the sixth month.

However, in the second and third year, with increased expenses including the physician's salary, and increased patient load, we will need to bring in roughly $21,400 per month to break even. We do not anticipate reaching this level of patient care payment until the middle of the fourth year, which will end with a modest profit.

Employment Contract for APN

It is hereby agreed that [INSERT NAME] hereinafter called “The Nurse” with [INSERT NAME AND ADDRESS OF PRACTICE] herein after called “The Practice” that the Nurse shall be employed as a Practice Nurse

HOURS OF DUTIES

The Advance Practice Nurse may be required to work a reasonable amount of overtime may be required from time to time to meet the needs of the patients and if the Nurse works such overtime he/she will be paid at [INSERT OVERTIME RATE].

PLACE OF WORK

The Practitioner’s normal place of work shall be [INSERT ADDRESS].

FLEXABILITY

The Nurse is required to be flexible in his/her position and must be prepared to undertake such work as may be assigned to him/her from time to time. Such work can be outside the area of normal duties and may be in a location other than [INSERT PRACTICE ADDRESS]. Employees are also expected to display and take initiative in relation to their positions and the work carried out.

SALARY

The Nurse shall be paid a gross salary of [100,000 plus bonuses] per year. Following all lawful deduction the nurse shall be paid by [INSERT METHOD OF PAYMENT AND RATE OF PAYMENT E.G. WEEKLY ETC.]

ANNUAL LEAVE

The Nurse shall have rest periods and public holidays and annual leave in accordance with the Organization of Working Time Act 1997 or any amendment thereof. The annual leave year runs from 1 January to 31 December. Annual leave is not cumulative and generally cannot be carried over into a following year. The final decision in relation to allocating annual leave rests with your employer

MEDICAL

It is a condition of the nurse’s employment that he/she submits as required to periodic medical examinations.

MEDICAL

It is a condition of the nurse’s employment that he/she submits as required to periodic medical examinations.

ANNUAL LEAVE

CONFIDENTIALITY

The Nurse shall not during or after the period of her employment divulge to any person howsoever or otherwise make use of to her own benefit or to the benefit of any third party any confidential information concerning the Practice or any patients of the Practice. On termination of his/her employment the Nurse must return all notes, memoranda or other documents concerning the Practice and/or any patients which he/she acquired, received or made during his/her employment together with all other property belonging to the company. The Nurse shall during and after his employment respect patient confidentiality in relation to all patients of the Practice

PENSION

The pension scheme provisions should be set out herein. If there is no pension scheme then a statement to that effect should be made together with a statement saying that if the employee wishes to enter into a PRSA scheme the Practice shall facilitate this by allowing appropriate payments from her salary to be made to the scheme by credit transfer

LEGAL & ETHICAL and Contractual ISSUES

contractual

The nurse will provide care, values customs and spiritual beliefs of the individual are respected

Keep information confidential

The nurse when acting in a professional capacity should at all times maintain standards of personal conduct which reflect created upon the profession & practice properly.

Nurse is also responsible for providing care keeping in mind needs of the society

Legal

Serves as a role model by providing nursing care that meets or exceeds accepted standards of care.

Reports substandard nursing care to appropriate authorities

Practices nursing within the area of individual competence.

Prioritizes patients right and welfare first in decision making.

Delegates to subordinates wisely, looking at the managers scope of practice and that of those they supervise.

References

Scarborough, N. M. (2016). Essentials of entrepreneurship and small business management. Pearson.

Sahlman, W. A. (1997). Business Plan. Harvard business review.

Honig, B., & Karlsson, T. (2004). Institutional forces and the written business plan. Journal of Management, 30(1), 29-48.

Karlsson, T., & Honig, B. (2009). Judging a business by its cover: An institutional perspective on new ventures and the business plan. Journal of Business Venturing, 24(1), 27-45.

Ethical

Nurses are obligated to protect the confidentiality of patient's information

Nurses should not undertake a patient though any medical tests without their knowledge.

Nurse will be sued and contract terminated for malpractice.

References

Acuña, J. A., & Accolade Institute Inc. (2015). Viral leadership: The secret to exponential performance improvement.

International Energy Agency. (2014). Medium-term coal market report 2014: Market analysis and forecasts to 2019.

Quesenberry, K. A. (2016). Social media strategy: Marketing and advertising in the consumer revolution.

York, T. W., & MacAlister, D. (2015). Hospital and healthcare security.

Zacharakis, A., Spinelli, S., Timmons, J. A., & Timmons, J. A. (2011). Business plans that work: A guide for small business. New York: McGraw-Hill.