PROJECT: STRATEGIC PLAN FOR
THE DEVELOPMENT OF A NEW
SERVICE
BY
ANGELA BAIRD AND DELPHIA
CROFF
Nurs 440: Nursing Leadership
KENT COUNTY MEN’S WELLNESS CLINIC
This health clinic is focused on the wellness of
the men of Kent County, Michigan. The areas of
men’s health to concentrate on will be the
prevention, education, and screening of diabetes,
hypertension, and cancer. We have a goal to help
the men of Kent County, Michigan understand,
meet, and cope with their health care needs.
EXTERNAL ASSESSMENT
Men tend to disregard symptoms and are
hesitant to seek medical care until problems
arise. A March 2000 survey by the
Commonwealth Fund, found that 24% of men did
not see a doctor in 1999. This is three times that
of women, about 8%
(www.minorityhealth.hhs.gov).
 According to the May 2003 article in the
American Journal of Public Health, Latino and
African American men are considerably less
likely to see a physician than White men. And
55% of Latin and 45% of African American men
do not see a doctor on a regular basis.

Minority men are more likely to be uninsured
than White men. Even when health care
insurance and income differences are accounted
for African American men obtain less preventive
services than white men. Such services include
flu shots and colonoscopy screenings
(www.minorityhealth.hhs.gov).
 Cancer and diabetes type II are on the top ten
lists of preventable male health threats
(www.mayoclinic.com). According to the Center
for Disease Control (CDC) 2004 statistics, cancer,
heart disease, and diabetes are on the top ten
leading cause of death of men in the United
States regardless of ethnicity
(www.cdc.gov/men/lcod/index.htm).


The external environment assessment showed a
lack of available clinics with a focus on men’s
health. The Kent County Health Department
offers multiple programs, but none focused on
male only specific health concerns
(www.access.kent.com). The Men’s Resource
Center of Fountain Hill was the only male only
health service located via a Google internet
search of the Kent County area.

There are very few health education programs
targeted for the male perspective. Educational
handouts and seminars will be held to inform our
patients of diabetes, hypertension, and cancer.
We will also conduct health care assessments and
screenings for diabetes, hypertension, and
cancer. The health screenings will include blood
pressure clinics, blood sugar checks (fasting/ nonfasting) via finger stick, and even prostate and
colorectal cancer screenings.
INTERNAL ASSESSMENT
The original programs offered would be small.
The early programs will provide informal
educational clinics based on one men’s health
issue at a time. The original educational clinics
programming would be conducted and researched
by the licensed professional health care staff.
They would continually assess and validate each
program for its effectiveness.
 Licensed staff would volunteer their time in the
early stages to reduce cost, prior to offering staff
wages.


The clinic has an institution to model after. The
Men’s Health and Wellness Center is located in
Georgia. This clinic is a center that is all about
men and the serious health issues they face. The
Men’s Health and Wellness Center offers health
programs for all of the major health diagnoses,
healthy lifestyle programs and speaking events,
nutrition counseling, men’s health expositions,
internet access, and internet and radio podcast
sessions (www.menshealthandwellness.org).
SWOT ANALYSIS
Strengths
•Unique selling point for men only.
•Staffed by experienced LPN’s, RN’s, NP’s and
Doctors.
•Located in a central downtown area for cultural
diversity and ease of access.
•More services free or on sliding payment program.
•Location in well know and established area for
possible referrals
from the local health department.
•Located in a Urban area for word of mouth
marketing.
Weaknesses
•Few initial services offered.
•Start up costs of staff wages, supplies, and IT
systems.
•Continuing to receive money/donations for
supply and staff wages.
•Initial location/building cost of buying, leasing,
and furnishing clinic.
Opportunities
•Prospect of developing male focused satellite
clinics in Kent and other neighboring counties.
•Opportunity to educate and the advancement of
DM, HTN, and Cancer in men.
•Opportunity to bring new screening methods and
technology to a diverse low-income culture.
•Chance to impact the healthcare of male patients
diagnosed with DM, HTN and Cancer.
Threats
•Affordability of using new technology and
services to a diverse and low-income population.
•Sustaining chartable donations, business
contracts, and patient cash payments for
maintaining operating expenses.
MISSION STATEMENT
“Increase the availability of education, health
screening, and services to men of Kent County to
promote quality of life. Provide early detection
and prevention of diabetes, hypertension and
cancer through high quality, individualized and
compassionate care by nursing professionals.”
PHILOSOPHY
Patients
We believe
 It is the right of all men to make informed
choices concerning their health and treatment to
the extent of individual abilities and needs.
 Men have a right to high-quality nursing care
and opportunities for improving their quality of
life.
 Men have the right to education for early
detection and prevention of diabetes,
hypertension and cancer by nursing
professionals.
 Promotion of health to all men regardless of race,
ethnic background or ability to pay.
Nursing
We believe
 The nurse’s goal is to promote a healthy lifestyle
to men through community health clinics.
 The nurse’s aim is to increase the availability of
education, health screening and services to men
of Kent County.
 It is the nurse’s responsibility to refer men to
higher levels of care when appropriate to
maintain a healthy quality of life.
 The nurse’s goal is to provide education to men of
Kent County on the early detection and
prevention of diabetes, hypertension and cancer
through high quality and compassionate care.
ORGANIZATIONAL GOALS AND OBJECTIVES
Goals
 To provide individualized, non-judgmental, and
comprehensive prevention, educational, and
screening services for Kent county male clients in
an outpatient program.
 To provide our clients affordable diabetes,
hypertension, and cancer screening test in an
outpatient clinic.
 Ensure quality care of male outpatient clients
from a multidisciplinary approach through the
use of LPN’s, RN’s, counselors, and physicians.
Improve community access to the most current
health information on diabetes, hypertension,
and cancer for male patients in Kent County.
 Develop individualized wellness programs
specifically for adolescent and adult male
patients in Kent County, MI.
 Enhance the male patient health experience
through dignity and respect to encourage future
return visits to the wellness clinic.
 Improve health outcomes of men and reduce
negative impacts of diabetes, hypertension, and
cancer on men’s health in Kent County, MI.

Objectives
 Diabetic patients will be able to monitor and
record blood sugar levels, describe sign and
symptoms of low and high blood sugar, and
understand importance of good diabetes control
by the end of their health education program.
 Hypertension patients will be able to monitor and
record blood pressures, describe signs and
symptoms of high or low blood pressure, and
understand importance of good blood pressure
control by the end of their health education
program.
Male clinic patients 45 years old and above will
be able to describe signs and symptoms of
prostate and colorectal cancer and understand
when and what tests are used to screen for these
common male cancers by the end of their health
education program.
 Improve patient blood sugar and blood pressure
levels by their third visit to the clinic.
 Clinic hours consist of 3 hours in the morning
Monday-Saturday, 5 hours in the afternoon
Monday-Saturday, and 4 hours in the evening
Monday-Wednesday-Friday. The clinic will be
closed on Sundays.

ORGANIZATIONAL CHART FOR
KENT COUNTY MEN’S WELLNESS CLINIC
Clinic
Director/Executive
Director of
Funding/Finance
Director of Human
Resources
Director of
Nursing
Director of
Information
Technology
Nurse Manager
Health
Education
Programs
Educational
Handouts and
Seminars for
DM, HTN and
Cancer
RN/LPN
Healthcare
Assessments
Cancer
Screening
Blood Sugar Via
Finger stick
(Fasting/NonFasting Blood
Pressure Clinics
Prostate/Colorect
al Cancer
RN/LPN
Physician/Nurse
Practitioner
Referral to a
Higher Level of
Care
PCP/Hospital
Physician/Nurse
Practitioner
JOB DESCRIPTIONS
CLINIC DIRECTOR
Job description
Ensures delivery of clinic services to patients in
collaborations with the physician and policy and
procedures.
 Applies principles of leadership and human
resource skills in supervision and coordination of
patients and staff.
 Maintains clinic specific standards of practice
based on current evidence-based literature and
professional standards of practice.

Develops clinic quality assurance/improvement in
association with the physician and clinical staff.
 Maintains supplies and equipment as
appropriated for adequate clinic function and
budget expectations.
Requirements
 Minimum Bachelors Degree in Business
Management or Bachelor’s degree in nursing
with current Michigan RN license.
 Previous supervisor experience preferred.
 Demonstrated leadership skills required

PHYSICIAN
Job description
 Evaluates and treats patients (including walkins) in an ambulatory clinic setting.
 Provides preventative care and education for
diabetes, hypertension, and cancer diagnosis.
 Writes prescriptions.
Requirements
 Doctorate Degree in Medicine.
 Licensed to practice Medicine.
 Completion of 3 year family practice or internal
medicine residency.
 Board eligible and or board certified in family
practice or internal medicine.
 Experience with diverse cultures and incomes.
NURSE PRACTITIONER (NP)
Job description
 Evaluates and treats patients (including walk-ins) in
an ambulatory clinic setting.
 Provides preventative care and education for
diabetes, hypertension, and cancer.
 Write prescriptions.
 Care guided by clinic physician.
Requirements
 Licensed in the state of Michigan.
 3 years of family practice or internal medicine
experience
 Experience with diverse cultures
 Must process computer skills
 BCLS and ACLS certified
 Exceptional, compassionate, and highly motivated
individual
 Experience with cultural diversity
REGISTERED NURSE (RN)
Job description
 Provide direct patient care under the direction of
the physician.
 Provide management, follow-up, and mentoring
of patients in a clinic wellness program.
 Assist patient care services by developing and
coordinating implementation of diabetes,
hypertension, and cancer education.
 Provide health screening for diabetes,
hypertension, and cancer diseases for a diverse
culture and income level for men.
 Implement health risk modification programs.
Requirements
 Currently licensed as a Registered Nurse in the
State of Michigan.
 Active BCLS certification.
 Exceptional, compassionate, and highly
motivated professional.
 At least 1 year experience as a Registered Nurse.
 Experience in internal medicine, family practice,
or medical-surgical nursing preferred.
 Must possess computer skills.
LICENSED PRACTICAL NURSE (LPN or LVP)
Job description
 Provide direct patient care under the supervision of
the registered nurse.
 Assess patients in a clinic setting.
 Effective telephone triage and computer skills.
 Maintains patient exam rooms and renew
prescriptions.
Requirements
 Current license as a licensed practical or vocational
nurse.
 Currently BCLS certification.
 Exceptional, caring, and dedicated professional.
 At least 1 year experience as a LPN/LVN.
 Experience as a LPN/LVN in family practice, internal
medicine, or medical-surgical nursing preferred.
DIRECTOR OF FINANCE
Job description
 Maintains employee payroll.
 Budget preparation, reconciling accounts, and
monthly audits of accounts.
 Annual forecasting and analysis.
 Tax preparation and audit of accounts.
 Manages all aspects of facilities accounting and
financial reporting.
Requirements
 Bachelors Degree in Finance.
 Masters Degree in Finance or Business
Administration preferred.
 CPA certification desired.
 Minimum of 5 years experience in accounting or
finance.
 Salary commensurate with experience.
DIRECTOR OF HUMAN RESOURCES
Job description
 Develops job recruiting strategies.
 Maintains employee benefits programs and
unemployment claim issues.
 Ensures compliance with state and federal law
governing all areas of HR functions.
Requirements
 Minimum Bachelors Degree in Human Resources
or Business Management, Masters Degree
preferred.
 Minimum of 5 years recent experience in human
resource management.
 Salary commensurate with experience.
DIRECTOR OF INFORMATION
TECHNOLOGY
Job description
 Maintains computer system administration.
 Manages network operations and databases.
 Oversees all IT infrastructure problems.
Requirements
 Minimum of Bachelors Degree in Information
Technology, Computer Programming, or Business
Administration; Masters Degree preferred.
 Minimum 5 years recent computer systems
management, medical setting preferred.
 Salary commensurate with experience.
NURSE MANAGER
Job description
 Maintains schedules, assignments, and supervise
clinic staff.
 Coordinates and manages patient care programs.
 Ensures compliance of policy, procedures, and
clinical practice guidelines.
 Ensures clinic compliance of regulatory
standards (i.e.: JCAHO, DOH).
 Monitor clinic needs of current and expected
volume and supply demands.
Requirements
 Bachelors Degree in Nursing or Administration
required.
 Masters in Business Administration is desired.
 Salary commensurate with experience.
JOB ADVERTISEMENT
CLINIC DIRECTOR
KENT COUNTY MEN’S WELLNESS
CLINIC
Come and join a new men’s health clinic in Kent
County. This clinic emphasizes on men’s health
of all ages and cultures. Conditions include
diabetes, hypertension, and cancer. The clinic is
currently seeking an exceptional, compassionate,
and highly motivated clinic director.
Job description
Includes delivery of clinic services to patients in
collaboration with the physician, policy and
procedures. Applies principles of leadership and
human resource skills in supervision and
coordination of patients and staff, maintains
clinic specific standards of practice based on
current evidence-based literature and
professional standards of practice, develops clinic
quality assurance/improvement in association
with the physician and clinical staff, maintains
supplies and equipment as appropriate for
adequate clinic function and budget expectations.
Requirements
Minimum Bachelors Degree in Nursing or
Business Management, previous supervisor
experience preferred, and demonstrated
leadership skills required.
Contact Information
Angela Baird, RN or Delphia Croff, RN at:
Kent County Wellness Clinic
2010 Wellness Way Dr.
Grand Rapids, MI 49505
1-800-555-2010 or 616-555-KENT
ADVERTISEMENT PRICES



Michigan Nurse Magazine offers ad by the page. The
price for a ¼ page ad is $850 each x1 insertion and
$770 each x 2 insertions. The price for ½ page ad is
$1,470 each x 1 insertion and $1,391 each x 2
insertions (prices/insertion).
There are free online ads or classifieds. Businesses
can Google online advertising and multiple sources
are available. One internet site example is
www.webclassifieds.us and www.adleaf.com. Most of
these sites ask that you link your website with theirs
and they will then advertise.
Monster.com also offers local or nationwide job
advertisements. Prices are priced per advertisement
for either a 30 day or 60 day duration. The prices are
dependent on your location. For Grand Rapids the
price is $275 for a 60 day duration and $250 for 30
day duration.
BUDGET PROPOSAL
The number of full-time equivalents (FTEs) to meet objectives
will vary depending on the volume of patients that are seen at the
opening of the clinic. Preliminary hours of operation are M-W-F
from 9a-9p, T-TH-Sat 9a-5p, and closed Sundays and holidays.
If the clinic is off to a slow start, we would need to make
adjustments to the FTEs needed. The clinic hours would also be
adjusted to be open M-W-F 9a-9p and every other Saturday 9a-1p
only.
Initially, the most cost-effective staff mix will be one or two
MAs, one or two LPNs, one RN, one NP, and one nurse
manager. This staff mix is cost-effective because MA and LPN
are less expensive to employ than RNs and NPs.
Funding and reimbursement would primarily come
from grants and donations. There would need to be
donations of supplies, medical equipment, computers,
printers, and fax machines. This equipment would be
the greatest expense. It could be donated as used or
new equipment. There are small business and
government grants available. I found many on the
internet to access and apply.
Here are a few websites located on the internet for
small business and government grants:
www.usgrantsforfree.com, www.yourfundingguide.org,
www.SBA.org, www.sba.gov,
www.GovernmentGrantApproval.com, and
www.USAFundingApplications.org. Initial fund
raising fairs or activities are another possibility.
Salaries and benefits are a big expense for any organization, whether they are
for profit or nonprofit. Below is a list of median full-time employee
salaries/year for the Grand Rapids, Michigan area. The salaries listed are as
of March 2010. This information was obtained from www.monster.salary.com.
Medical Director
Finance Director
Human Resource Director
$121,922
Information Technology Director
Nurse Manager
Nurse Practitioner
Registered Nurse
Licensed Practical Nurse
Medical Assistant
$216,244
$229,977
$164,281
$90,846
$90,606
$66,434
$39,137
$31,028
Considering the high expense of salaries for the finance,
human resource, information technology, and clinic director
salaries, the men’s wellness clinic will need to partner with
another institution. The clinic would operate out of a separate
building, but be under the capacity of the parent organization.
This association would allow for the high corporate salaries of
the director positions to be absorbed by the larger parent
organization.
The operating expenses needed in the early stages would be
computers, printers, fax machines and general office supplies.
There would be a need for basic medical supplies of needles,
syringes, band aids, antiseptic, gauze, lab supplies, blood
pressure machines, and other equipment needed to take simple
vital signs.
The least amount of revenue would come from
patients. The services provided for patients are to
be billed to the insurance companies and patients
may be able to pay out-of-pocket for some services
on a sliding scale rate.
The following budget proposal is based on
estimations of staff mix needed, supplies, and
revenue. This initial budget proposed is for one fulltime MA or LPN, one full-time RN, and one fulltime nurse manager, and one part-time NP.
KENT COUNTY MEN’S WELLNESS CLINIC
TWELVE MONTH BUDGET PROPOSAL YEAR 2010
REVENUE
Patient revenue
Insurance payments
Grant income
Donations
Total revenue
$50,000
$100,000
$150,000
$125,000
$425,000
EXPENSES
Salary and benefits
Regular salary
Salary overtime
Benefits
($8,000/employee)
Total salary and benefits expense
$240,000
$5,000
$32,000
$277,000
Supplies
General office supplies
General medical supplies
Patient charge supplies
Minor equipment
Forms
Total supplies
$12,000
$24,000
$6,000
$10,000
$5,000
$57,000
Services
Laundry service
Total services
$2,000
$2,000
Building expenses
Rent/Lease
Utilities
Total Building Expenses
$18,000
$10,000
$28,000
TOTAL REVENUE
TOTAL EXPENSES
REVENUES UNDER/OVER EXPENSES
$425,000
$364,000
$61,000
References
REFERENCES
www.accesskent.com
www.businessballs.com
www.cdc.gov/men/lcod/index.htm
www.fountainhillcenter.org
www.healthyamericans.org/states
www.mayoclinic.com
www.menshealthandwellness.org
www.minorityhealth.hhs.gov
www.monster.salary.com
www.nlm.nih.gov/medlineplus
Yoder-Wise, P.S. (2007). Leading and managing in
nursing. St Louis, MO: Mosby.