Financially Sustainable Health Departments

Transcription

1 Financially Sustainable Health Departments Stephen Orton, PhD North Carolina Institute for Public Health UNC Gillings School of Global Public Health

2 Poll Question How much business planning experience do you have? A. A lot I ve written several business plans B. Some I ve helped with a business plan C. A little I ve seen a business plan D. None What s a business plan?

3 Best Use of a Public Health Business Plan: Create/redesign a product or service for a Priority Community Need working with Partner(s) that generates Revenue

4 context cc

5 Community Health Assessment

6 Community Health Improvement Plan

7 Action, Business Plans

8 Community Health Assessment Community Health Improvement Plan Action, Business Plans One by one and all at the same time

9 Define idea Get idea Develop business plan Share Study feasibility

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11 Define Idea: Lemonade Stand Problem List your top 1-3 problems 2 Existing alternatives List how these problems are solved today Solution Outline a possible solution for each problem Key metrics List the key numbers that tell you how your business is doing Cost structure List your fixed and variable costs Unique value proposition Single, clear, compelling message that turns an unaware visitor to an interested prospect 3 High-level concept List your x for y analogy (e.g., YouTube=Flickr for videos) Unfair advantage Something that can t be easily copied or bought 9 Channels List your path to customers 5 Revenue streams List your sources of revenue 6 Customer segments List your target customers and users 1 Early adopters List the characteristics of your ideal customers Lean Canvas is adapted from The Business Model Canvas (BusinessModelGeneration.com) and is licensed under the Creative Commons Attribution-Share Alike 3.0 Un-ported License.

12 Define Idea: Lemonade Stand How did that go? What are you learning?

13 Lemonade Stand Problem Thirst Heat Summer blahs Existing alternatives Going to the pool Buying a Coke Solution Cool place to stop Cool, homey drink Key metrics Quarters per minute Unique value proposition Cold, homemade lemonade and a little slice of American nostalgia High-level concept Classic lemonade stand Unfair advantage We re young and cute! Channels Location Sign on the corner Customer segments People going to the pool People driving through the neighborhood Early adopters Grandmom and Granddad Cost structure Marketing (F) Lemonade, lemons, ice, cup (V) in kind Table, yard space in kind Revenue streams Lemonade, ice, etc. in kind Fifty cents per cup Donations Table, yard space in kind

14 Canvas for Public Health Problem List your top 1-3 problems 2 Existing alternatives List how these problems are solved today Solution Outline a possible solution for each problem 4 Partners List key community allies Unique value proposition Single, clear, compelling message that turns an unaware visitor to an interested prospect 3 High-level concept Evidence-based, best, or promising practice models Unfair advantage Something that can t be easily copied or bought 9 Channels List your path to customers 5 Customer segments List your target customers and users 1 Early adopters List the characteristics of your ideal customers Cost structure List your fixed and variable costs 7 Revenue and resources List your sources of revenue for startup, sources of revenue for maintenance, and other resources 6 Key metrics List the key numbers that tell you how your business is doing 8 Evaluation List methods and measures to show stakeholders that you are achieving your mission

15 Poll Question Do you have an idea for a public health business plan? A. Yes, want to rework an existing program B. Yes, have a clear, new idea I m working on C. Yes, have a rough new idea: napkin-stage D. Yes, have a lot of vague ideas, but nothing ready to share

16 Brainstorming Put one idea for a public health business plan into the chat. Initial ingredients Priority need A partner or partners Revenue

17 Problem List your top 1-3 problems 2 Existing alternatives List how these problems are solved today Solution Outline a possible solution for each problem 4 Partners List key community allies Unique value proposition Single, clear, compelling message that turns an unaware visitor to an interested prospect High-level concept 3 Evidence-based, or best, best/promising or practices models Unfair advantage Something that can t be easily copied or bought 9 Channels List your path to customers 5 Customer segments List your target customers and users 1 Early adopters List the characteristics of your ideal customers Cost structure List your fixed and variable costs 7 Revenue and resources List your sources of of revenue for startup, sources of of revenue for maintenance, and other resources 6 Key metrics List the key numbers that tell you how your business is doing 8 Evaluation List methods and measures to show stakeholders that you are achieving your mission

18 What Are We Learning? Local knowledge is critical So are national models The boxes are connected Linear? Not really it is an iterative process Public health agency might be involved only for start-up

19 What Are We Learning? How might business planning help meet our goals? What support do we need to use this approach?

20 Some Examples Executed Projects A Mother s House Highland Health Center Learning Outside Eat Smart Move More Flu Plan Diabetes Plan Other Outcomes Galvanized partners! Planned additional projects! Built buildings! Launched careers! Created community health! Scrapped unfeasible plans Handed off smoothly More at

21 Next Steps

22 What Can Go Wrong? Planning Missteps Budget like a grant Lose local-national balance Lose customer focus

23 Implementation Barriers Easy barriers to see Time, money constraints Harder barriers to see Lack of leader support Reliance on one individual Timing/speed Too successful

24 Final Thoughts Tell the truth Use 4-D glasses (things change over time) Get started, because You have the skills You can build as you go

25 Let s Keep Talking... Stephen Orton sorton@unc.edu Management Academy for Public Health