Introduction to business planning for healthcare and medical organisations
Healthcare & Medical – Planning your business Success
Many would assume that operating a successful Healthcare or Medical service is relatively straight forward. The business simply needs to provide a competent service, a friendly and proactive team of staff, and ensure its clients receive successful outcomes to ensure the business is successful. Such business components are critical to maintaining a successful business, yet they are not the only components required for the business to flourish.
Compliance with state owned and regulatory requirements is becoming more complex than in past years. Service compliance for client treatment is continually evolving, including the client data that needs to be recorded, the recording processes that are to be used, and the measure of a successful outcome data that might be required, especially if the business is providing its services directly to a state owned entity. There may be changing priorities of what style of medical procedure or equipment is to be used, the reprioritizing of client types due to regulatory updates, followed by the data is required to be recorded and be made available to the stated owned entities that have evolved significantly in the last few years.
Many medical practices are owned by the operating medical professional or a number of professionals as a partnership. There are many governance components to consider that allow the business to function. Decisions based on how the business remains sustainable and how the business might move forward. Such governance agreements need to be clearly communicated to staff as well as the owners so that the business may function smoothly.
The Human Resource subject is complicated and not all medical professionals have the knowledge, or the available time to deal with Human Resource issues as they arise. Further to Human Resources, consideration needs to be given to how well the practice and its staff are being utilized. Utilization generally leads into the accounting side of the business and how sustainable the business is functioning.
Some amount of forward planning may be required to ensure the practice has a steady stream of new clients. Is the practice retaining its existing clients or are competitors starting to have an effect on the clientele the business expects.
In recent years I’ve been contracted to advise Healthcare and Medical practices through the muddy waters of business dynamics, as they have come across hurdles that have been difficult to manage and in a couple of cases have threatened the sustainability of the business. Operating a sustainable business is not so much about the intellect of the owner as it is about the knowledge and experience of business dynamics.
As with any other professional business, one of the most important things a business should have is a Business Plan. If a business is operating without a Business Plan, it may well be ‘at Risk’ of having to cross some significant hurdles in its endeavor to remain sustainable.
The importance of planning
Starting or restarting a retail business carries a level of excitement no different to the start of any race with knowledge of some competitors and some unknown. The same applies in business as there is always an element of the unknown with how many prospective customers might purchase from the business, will the customers enjoy the experience, do the customers like what is on offer, and will they return to buy more.
The business owner feels passionate and enthusiastic about what they might achieve when embarking on the adventure of retail with the desire to transform their business idea into profitable and successful outcomes.
The retail business owner feels empowered by the opportunity, driven by perceived successful outcomes, and further fueled by the urgency that success must occur in a timely manner so as to maintain a platform of financial business sustainability. The retail business owner would want to capture the lion’s share of the market before the competitor re-groups and responses to the new business.
After enduring the onslaught of entering the market and battling for market share, then discovering that things haven’t gone the way the business owner wanted them to, tiredness and despondency can fog the pathway forward to better outcomes.
Going into battle without a battle plan would be madness for any general to even think of doing as the losses would be great with few benefits, yet some enthusiastic business owners feel that marching forward whilst blindfolded might be worth the risk.
Passion and enthusiasm should not be confused with strategically planned drive and determination, as there is a mountainous difference between acting on impulse and acting on a measured approach.
Simply relying on passion to succeed can also cause the downfall of the very outcome the business owner was hoping to achieve. Passion and enthusiasm can easily override sensibility and a measured approach in starting a business borne from an idea, yet it is also passion that is one of the most important ingredients needed for a business owner or entrepreneur to initiate and grow a business.
What is a Business Plan
The meaning of the word ‘plan’ as described in the dictionary is “the representation of anything drawn on a plane, and forming a map or chart; a scheme devised; a project; disposition of parts according to a certain design; a method or process; a way; a mode. To invent or contrive for construction; to scheme’ to devise; to form in design.”
Why have a Business Plan
Developing a plan prior to initiating a retail business would assist in identifying any risks that may arise and how those risks could be reduced should they occur. The plan can also guide the business owner to issues such as how to sustain the retail business whilst moving through various hurdles once the business has been established, and the identifying financial impacts of the business from conception, through to profitability.
Types of Business Plan
A basic plan may be used for an individual starting their own business in providing goods to an organization or collection of organisations. It may be that the individual has left employment and is offered a long term contract with the organization they had left or another similar organization. For the individual to provide such services, they may have to initiate a business entity as a sole trader or possibly a limited company.
In doing so the individual may consider developing a basic plan for their business, as there may only be a low level third party (i.e. accountant, lawyer) requirement to view such a plan. The basic plan would simply entail the steps taken to transition from past employee into a business entity, and further maintain a level of financial sustainability that suits the individual.
A basic plan might include information such as:
- Who owns the business (individual or shares)?
- What type of business entity is required?
- How will the financial matters be managed?
- Are there any medium or long term liabilities that need to be managed?
- What are the products/services of the business?
- Are there any constraints in conjunction with the customers?
- What are the business liabilities and risks?
- Will the business plan for any further employees in the future?
- What is the duration of any long term contracts, and what happens when the contracts expire?
- What is the exit strategy of the business?
If the business has no intention of employing staff, does not operate from a leased or purchased facility (operated from home), does not require any marketing input to gain or maintain a customer base, and has no or low equipment overheads to maintain the product/service, a basic plan may provide all that is needed for the business to operate.
When wanting to initiate, restart, or grow a business that has employees, regular overhead costs, or a need to gain and maintain a customer base, having a plan for the business would be valuable.
As with all business entities in NZ business ownership carries a significant level of accountability. The business owner is entirely accountable for all actions within the business and carries the responsibility for anything that occurs within the business they own, whether the business is new or long established.
A component of that responsibility is the business owner being aware of the risks the business may be affected by, having enough financial support to ensure the business will survive the start-up process, implementing and monitoring all regulatory and compliance measures, and ensuring that all employees and other stakeholders are protected by the required employment and safety measures required of the business.
If things go wrong within the business, it is the business owner’s responsibility to show they had taken all practicable steps to identify the possible risks and have a plan to mitigate them. If no evidence can be provided showing the due diligence the business owner has taken, it is likely the business owner could be held accountable by the current government Laws and Acts for negligence of operating the business at risk.
As a business grows to a size needing employees, and further requiring a director, or board of directors that are not owners of the business, liability for any adversities within the business will reflect on the directors initially, then liability may continue through to the shareholders of the business, depending on the adversity and business structure.
One of the mechanisms to reduce negligence is to construct a business plan that would indicate the risks that have been considered and the actions to be applied to mitigate the risks, should they occur.
The business plan should include the critical operational components of the business that need to be managed, supply chain requirements, and the financial impact of implementing the business as well as any growth strategies. Prior to constructing the business plan, identifying who will view the plan and why, will influence the level of detail required. Third party stakeholders viewing the plan will want to understand the direction the business in heading in, and will seek to gain confidence in the soundness of the business, including the competency of the business owner.
Stakeholders that may seek to view a business plan:
- Shareholders (Stock Market listed)
- Management team & employees
- Regulatory & compliance stakeholders
- Banks (for borrowing)
- Suppliers (supply agreements)
- Large Customers (supply agreements)
- Community (based on the product/service)
The business plan should provide enough detail for the plan to clearly indicate the information required to specify what type of business entity it is, what is the purpose of the business, who owns the business, is there enough financial input, what are the risks and have they been mitigated.
There are many types of templates for business plans for a wide range of businesses ranging from owner operator sized businesses through to multi-national corporations. Small to medium business entities wouldn’t be expected to produce the depth of detailed documentation more commonly produced in businesses listed on the stock exchange, or the multi-national corporations, yet there is a framework with minimal information to provide a clear pathway and intent for the business, without the need to document details that may not be significant to the business.
Noel Rodgers MBA – CMC
For further information on this subject please email Noel Rodgers
E firstname.lastname@example.org M 0274 775583