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Initially targeted to OPVMC, but generally useful for any practice looking to grow and provide a useful dialogue with their staff members to explain what they would like them to do and why. This is part one of a series of presentations that provide specific research from the Pew Institute, AAHA, the AVMA, etc,.....
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Veterinary Hospital “A”Strategic Business Planning
“The trouble with not having a goal,.....
is that you can spend your life running up and down the field and never score.”
- Cricket Umpire Bill Copeland
I. Business Planning
The Seven Components of a Successful Business Plan
What Exactly is the Difference Between a Vision and a Mission Statement?
Mission Statement• Your Mission Statement describes what business you
are in and who your customer is.
• As such, it captures the very essence of your
enterprise - its relationship with its customer.
• Your mission statement must “work” not only today but
for the intended life of your strategic plan of which
your mission statement is a part.
Developing Your Statement
• It should be broad enough to allow for the
diversity (new products, new services, new
markets) you require of your business.
• And it will also be specific enough to provide the
focus necessary to the success of your
business.
Vision Statement
• A Vision Statement begins not at “today” - but
at some point in the future.
• That’s because a vision is not true in the
present, but only in the future.
Developing the Vision• Your vision should project a compelling story about the
future.
• Asked of his vision initially, Steve Jobs said, “An Apple on every desk." Well there wasn’t then an Apple on every desk, and in fact, there won’t ever be an Apple on every desk. That’s OK. The vision can be figurative, rather than literal.
• It’s also important for management not just to speak the vision, but also to live the vision.
Communicate the Vision
• Your team needs to decide how it will
communicate its vision to your employees.
• How to continue to nurture and support that vision
every day, in every way.
• How to empower employees to fulfill that vision.
Values• Your company’s values influence “everything.”
• For example, for any statement, whether mission
or vision, to be embraced and acted upon, it must
reflect the values of your organization.
• Values describe what your management and
ownership team really cares about. What it holds
dear.
Goals
Objectives
Identify targets and/or benchmarks associated with objectives
General Business Plan Structure
Execute/Implement Assessment
Mission Statement Vision Statement
Values
Typically, before setting goals and objectives, a business will conduct a SWOT analysis
SWOT Analysis
Strengths Weaknesses
Opportunities Threats
StrengthsHigh standard of care and aggressive diagnostics for
patientsDoctor and technical staff on site 24 x 7
Access 24 x 7 for emergency and appointments during traditional ‘off hours’
Options for dedicated prescription refills
Phone consults 24 x7 with technical staffMultiple options for reminders/communications (e-mail,
postal, texting, etc,...)
Modern facilities and equipment On-call surgeon
Generous and open visitation for hospitalized patientsDoctors with strong surgical and medical skills and
average tenure of approx 12.5 years
On site specialists including board certified surgeon, and an internist, acupuncture, & physiotherapy services
Strong technical staff with an average tenure of approx 8 years
Longevity of the practice (50 + years of service to the community)
Excellent community reputation for medical care
Weaknesses
Not “Customer-Centric” Cumbersome discharge process for all patients
Poor communication frequently, and specifically related to providing clients with recommendations and cost of
care
Inbound calls not answered timely or by someone qualified enough to assist the caller; lends itself to poor
service level and low staff morale
Inconsistent care from doctor to doctorDoctors not adhering to the hospital’s identified
standards of care; not all areas of care have relevant standards as yet
Fragmented client base with many clients using more than one regular clinic
We have not provided care the level of care to the senior pets that we should and they comprise a
significant % of our patient demographics
Opportunities
Improve communications with clients, specifically in those areas identified as weaknesses
Improvement of discharge process
Review and enhance operational processes to improve service and reduce overall costs
Deployment of on-line pharmacy to enhance service delivery of products to clients and reduce the on-site
inventory footprint/cost
Strategic re-deployment of staff specifically related to the client services area to manage on-site arrivals and inbound calls; client services staff re-deployed in more
of a concierge role, designed to enhance client experience
Develop the physiotherapy program
Development of comprehensive marketing campaign inclusive to primarily digital content, on-site materials,
and promotional opportunitiesEnhance patient care, specifically that of senior pets
Threats
New market entries competing for emergency medical care
Strong presence of on-line pharmacies; market changes driven by pharmaceutical companies (ie. flea medications can be bought at Target OTC without an office call, which we still require); big box retailers are increasingly offering products at a much cheaper cost
Market saturation for well-pet carePopulation demographics are not increasing for the
region
2012-13 Business Goals• Enhance the client experience
• Improve patient care through use of standards
• Better management of expense-side costs
• Revenue increase via strategic marketing efforts
• Improve business reporting/KPI's
• According to studies conducted by AAHA
and the AVMA, 62% of practice owners
do not use financial concepts to manage
their business.
• Those that do earn two thirds more.
Plan Objectives• Develop staffing efficiencies and reduce the cost
of staff turnover
• Enhance the client experience
• Drive revenue increase through marketing
efforts, and improved compliance
• Reduce costs affiliated with inventory
management
A. Expense Side Management
Staffing & Turnover• In 2010, the client services department alone,
experienced turnover of 16 employees,
resulting in costs exceeding $200,000
• This was payroll expense for staff members
who are no longer on the payroll
• The costs are higher still when other
department turnover costs are factored in
Staffing Targets• Staff costs should be targeted towards 26-28% of
total revenue
• Establish effective support staff ratios
• Overtime costs should be able to be monitored
more effectively through ADP (based on prior
database design, it is impossible to determine
what it truly was for 2010)
Opportunities
• Staffing the registration desk and call center with
greater number of technicians will yield a direct
reduction in turnover costs, improved service
delivery, and enhanced efficiency in delivering
services to clients
• New ADP software will provide improved reporting
to monitor staffing cost trends
Monitoring Visit Volume• Software should be used to effectively monitor
client visit volume and use trend analysis to
forecast staffing needs
• Identify % of use of available appointments for the
doctors scheduled; should be 65-70% on average
• Staffing adjustments should be considered if goals
are not met