Ambulatory Infusion Center Business Plan Lorraine A. Babcock University of Central Florida 07/19/14 lorrainebabcock@knights.ucf.edu Executive/Company Summary Not-for-profit Hospital-based outpatient center Specialty services offered Mission Statement To contribute to the health and well-being of our patients by providing outpatient treatment services to prevent hospital admissions and emergency room visits Executive/Company Summary Goals & Objectives Absorb patients from a service area that provides endocrine testing, renal testing, & rheumatology infusions Increase patient volume Increase revenue Prevent Emergency Department visits Prevent hospitalization Provide every patient with the experience of quality care delivery Staff to workload Submit thorough billing in a timely manner Executive/Company Summary Services meet the needs of the organization Specialized nursing staff For use by all medical services Preferred option for patients Decreases inappropriate ED visits & admissions Flexible appointment access Specialty services Infusions Transfusions Ultrasound-guided IV insertion PICC placement Endocrine & renal testing Market Strategy Patients identified by provider referral Criteria for treatment Ambulatory or able to transfer to chair Alert & oriented or accompanied by caregiver Stable vital sign status No telemetry needed Treatment length is within operating hours Open 7 days a week from 7am-7pm Market Strategy Intranet AIC nursing webpage Computer provider order entry instructions Contact information Patient criteria Scheduling guidelines Publicity generated via Case management knowledge Email announcements Meetings Newsletters Outpatient service area visits Market Strategy Budget Internal FTE used for marketing tasks Administrative assistants Nursing leadership Manages webpage Assists with meeting agendas & announcements Educates case management Educates other nursing service areas Conducts outpatient service area visits Public relations personnel Manages newsletters Financial Plan Financial Projections at Start Up Operating Expenses Nurse Manager Salaries (allied health staff) Benefits AHS Orientation/Training Medical Supplies Office Supplies Medical Director Fees Computer hardware & software Overhead Allocation Total $ 90,000 320,000 100,000 15,000 150,000 5,000 150,000 10,000 550,000 $ 1,390,000 Financial Plan Statement of Operations Fiscal Year 2013 Revenues Gross patient care revenue Medical revenue reductions Total Expenses Salaries (FTE, paid leave) & benefits Supplies General expense (administrative & bad debt) Facilities (campus operations & maintenance) Internal Services (food, environmental, billing) Travel Depreciation Taxes Overhead Allocation Total Operating Income $ 7,157,398 $(4,488,699) $ 2,668,699 $ 1,496,705 $ 109,601 $ 2,134 $ 229,253 $ 81,027 $ 3,750 $ 129,732 $ 38,409 $ 550,979 $ 2,641,590 _________ $ 27,109 Implementation Strategy Salary determination Market comparison of nursing personnel in similar infusion centers Market comparison of hospital-based outpatient nursing personnel in the region Level of staff experience Level of nursing education Specialty certifications Implementation Strategy Human Resource implications Regular market analyses for potential salary increases Relationship with nursing leadership for establishing recruitment & retention strategies Behavioral panel interviews Shared governance Training programs Self-scheduling Informal leadership opportunities Continuing education Management Team Nurse Manager Medical Director Provides support for nursing leadership Provides guidance for clinical practice issues Nurse Administrator Directly oversees daily operations & personnel Financial management of service area Provides support for the nurse manager Liaison between nurse manager & CNO RN Team Leader Supervises nursing staff Assumes responsibilities of nurse manager as needed References Finkler, S. A., Jones, C. B., & Kovner, C. T. (2013). Financial Management for Nurse Managers and Executives (4th ed.). St. Louis, MO: Elsevier Saunders.