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Nursing Home Business Plan

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Bright House

Executive summary executive summary is a brief introduction to your business plan. it describes your business, the problem that it solves, your target market, and financial highlights.">, opportunity.

There is a lack of full-time assisted living facilities available that offer skilled and respectful care to residents. In addition, there are not enough medically skilled short-term care facilities for patients in CT.

Bright House aims to be that home for 14 lucky full-time assisted living residents, offering medically-skilled care in a respectful, self-sustaining community, and offering skilled nursing care for short-term residents. On our beautiful, newly remodeled 6 acre property (the former Wayfield Bed and Breakfast) in the small college town of Middletown, CT, Bright House brings together decades of experience and innovative, alternative visions of the potential in our elderly family members’ latest years.

The aging of the Baby Boomers is a well-known and much discussed fact of our times. More and more of this population, many of whom were instrumental in creating the counter-culture of the 1960’s and 70’s, are unhappily surprised about the options available to them as they age. Fortunately, just as AARP (formerly known as the American Association of Retired Persons) has become a major representative of this non-traditional group, elder-care alternatives along the Eden Care model are being founded.

Residents’/Patients’ Needs

Our own experience, based on years of caring for elderly patients, is that people seeking assisted living care and skilled nursing care have many of the same needs:

• To be treated with respect and dignity
• To be actively engaged in a community of some kind
• To be involved in his/her own treatment and living plan
• To be cared for by skilled, medically-knowledgeable clinicians and caregivers, working as a team

You may notice that our list of "needs" seems to go in the opposite order to that of most hospital-model nursing homes; this is not an accident. Unfortunately, most of our elderly population who need care are treated with the billing system’s needs, and not their own, in mind. 

Families’ Needs

Similarly, the families of people seeking caring environments have their own set of needs they are seeking to fulfill:

• Peace of mind about their loved-ones’ physical and mental state
• Relief from the time-consuming job of caring for their family members themselves
• Relief from the feelings of guilt which often overcome them when they find they do not have the physical, emotional, or intellectual resources to personally provide appropriate care for those they love

The big, unstated elephant-in-the-room for families seeking care is the feeling of being a bad daughter or son or spouse, who is not willing or able to put her life on hold to take care of a much-loved family member. At Bright House, we do not seek to dismiss this feeling, but to reassure families in everything we do that the choice to let us take care of their family member is a loving, kind, and generous act.

Competition

There are a number of different options for families seeking nursing home care, from in-hospital recovery centers, to for-profit chains, to specialized care for people with Alzheimer’s, AIDS, diabetes, and so on. The specialized care facilities, which are usually nonprofit, and offer individualized nursing care, come closest to our care model, but are usually reserved for people with a particular ailment in need of intensive medical assistance.

At Bright House, we promote the dignity and self-worth of all of our residents, and strive to give them excellent quality of life, as defined by the residents, individually and as a group. To that end, we encourage resident group decision-making through the House Councils, access to all areas of their homes here at Bright House, and self-determination in activities, socialization, and food preferences. Bright House is not just a caregiving facility—it is their home, and their community.​​​​​​

Expectations

Financial highlights by year, problem & solution, problem worth solving, our solution, target market, market size & segments.

We are basing our Market Analysis on data from Middlesex and Hartford counties, affluent portions of which, such as Glastonbury, are within a short drive of our facility.

Base Numbers for private residents:

The current total population of residents 65 and older, according to the 2000 U.S. Census, is 155,071 in Middlesex County, and 857,183 for the same group in nearby Hartford County. (The percentage of elderly in both counties is slightly higher than the 12.4% of the overall Connecticut population.) Our projections reduce that number by 70% to account for those healthy enough to care for themselves, or with family members able to care for them, leaving us with a total potential market of 303,676. We then reduce that number again by half to get the total potential customers living within a 35 minute drive of Middletown (these are small counties, and we are situated at their juncture), leaving us with 151,838. Of these, we estimate roughly 8.5% will have the means ($150,000 or more family income) to pay for full-time private care at our facility (based on the 2000 census data about Connecticut income).

This leaves us with roughly 12,906 nearby upper-income residents of Hartford and Middlesex County who are 65 or older, and in need of medical or other daily assistance in their living situation. To project into the future, we again looked to the 2000 Census. The Census’ Projected Population of Connecticut is as follows:

While the overall population of Connecticut is projected to decline over the next five years, before rising again, we know that the proportion of the overall population age 75 and older (our target market age) is slowly rising. We therefore include a modest projected increase in potential customers of 1% over the next five years.

Medicare residents and short stays:

A study published recently in the journal Health Affairs by Morrissey, Sloan, and Valvona found that the proportion of Medicare patients transferred to post-hospital care has doubled since the Prospective Payment System (PPS) was introduced. Rather than staying in the hospital until recuperated, the current system preferentially delegates recovery care to private non-hospital facilities, leaving room in hospitals for urgent or crisis care. We base our projections for Medicare residents on the same figures listed above, but looking at the percentage of elderly with family incomes between $30,000 and $75,000 dollars,* rather than just the highest bracket, we get 40% of the population, or 60,735. We apply the same conservative 1% growth rate, below.

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Market Segmentation

Although we have broken our target population into two groups based on income, our marketing strategies rely on another level of breakdown—marketing to potential residents, and marketing to the families of potential residents, who may or may not have similar needs.

Target Market Segment Strategy

The overall populations we wish to serve are older people (65 and older), in need of daily assistance, who value community and the contributions of their peers. Since Bright House will become their home, we especially are seeking residents willing to make this house a home, and learn from and teach each other.

We also recognize that we must meet the somewhat different needs of our residents’ families, who will help them make the decision to live with us, or recuperate here, and who will almost certainly be contributing to the monthly payments necessary to provide for their care.

Current alternatives

 Alternatives and Usage Patterns

Families choose one elder care facility over another for a variety of reasons. The most common issues involved in their decision are distance from their home(s), affordability, quality of staff and facilities, and particular medical specialties necessary for their family member. Families will usually choose the highest level of care affordable within 45 minutes to one hour of their homes, in order to make visiting their family member easier.

Main Alternatives

The following three organizations are representative of the types described above:

Fox Hill Center, Rockville

• For-profit, part of a chain
• 3.37 nursing staff hours/resident day
• 150 beds (not 150 rooms)
• 11 deficiencies in Medicare inspection

Fox Hill Center is typical of the hospital-model nursing home. It is large (150 beds), for-profit, and has a fairly low rate of nursing hours per resident day. Its size makes it able to care for many patients, but often at the expense of individual attention.

Sister Anne Virginie Grimes Health Center, New Haven

• Nonprofit, religious based, located in a hospital
• 3 deficiencies

The Grimes Health Center, like many religious care centers, is nonprofit, and has a slightly higher rate of nursing hours per resident day than the for-profit centers, despite its large size. Quality of care, however, is noticeably higher (3 deficiencies in inspection, compared to 11 at Fox Hill).

Leeway, Inc., New Haven

• 4 deficiencies

Leeway is a typical specialized private (not in a hospital) nonprofit care facility. It is much smaller than the other two described, has the highest rate of nursing care per resident day, and high quality marks in inspection. Its small size and nonprofit status allow it to focus on providing individual attention. Leeway is Connecticut’s first and only skilled nursing home dedicated solely to the treatment of people living with AIDS.

Our advantages

Although the hospital model of care practiced in most nursing homes provides good results for Medicaid and Medicare billing purposes—that is, easily quantifiable lists of procedures and medicines administered, test results, and billable nursing hours—it does not provide good quality of life for residents (or "patients," as they are referred to in the hospital model).

At Bright House, we see a different way of assisting our elderly members through a new stage in their lives. Acknowledging that where they live is their home, and belongs to them, not to the medical staff, we have established a facility that not only meets their medical and physical needs, but one that also nourishes their social connections, individual dignity, and personal preferences. Each resident has a private room with bath, opening onto a central shared common area containing the kitchen, living room, and dining room, where all meals are shared communally at our 15 foot farm-style dining table.

Far more devastating than physical illness to our elders, is lack of purpose. Studies have shown over and over that seniors who are engaged in activities they find meaningful are far more likely to retain mental acuity, physical health, and emotional well-being. Although the hospital model tries to provide such stimulation, its "activities" are usually organized by staff, with little or no input from "patients," and become just one more set of required tasks for all involved. At Bright House, we have already begun working with prospective residents to identify areas of interest and methods of community involvement that will appeal to them.

Keys to Success

We have identified four keys to success for Bright House:

• We offer more resident-oriented, small-scale, home-model care than our competitors;
• Our innovative use of Elder Assistants lowers the cost of providing this care considerably;
• Our fair wages and team structure lower dissatisfaction, and thus turnover rates among our staff;
• Our on-site Skilled Nursing Facility ensures continuity of care when our residents need more intensive assistance.

Marketing & Sales

Marketing plan.

The main means of marketing for Bright House is through word of mouth. Due to our respectful and medically skilled staff we trust our business to speak for itself. Therefore, we don’t need much marketing. In addition to word of mouth, we will offer tours Monday-Friday. These tours will allow us to show off our beautiful facilities, and will hopefully draw in more potential residents. Lastly we will have a website that we will use to promote our tours and will serve as marketing to our more tech-oriented customers.

Our sales will mostly come from tours, but some will come from our website as well. Our space is limited, especially for full-time residents, so potential customers will need to go through an application process. People are able to fill out an application in person at our main office, or can submit an application online. If the application is approved, we can talk to the family about the specific needs of the resident and when they can move in!

Locations & Facilities

We have now nearly completed the five-month renovation of the former Wayfield Bed and Breakfast into our two main facilities. The main building will house our privately insured, assisted-living residents. The skilled nursing facility across the courtyard offers more intensive care for post-operative and recovering temporary residents, as well as providing a setting for increased care for our residents as needed.

Each resident in our assisted living retreat will have a private bedroom and bath, opening onto a central social area containing the living room, dining room, and kitchen. We have two larger rooms that can accommodate married couples who move in at the same time, for a total of 12 rooms, holding up to 14 residents. Each room is wheelchair accessible, and can accommodate maintenance machines such as oxygen.

Middletown, where we are situated, is centrally located 25 minutes from Hartford, and 30 minutes from New Haven. Middletown is a small college town, with an ethnically and economically-varied population.

In addition to our advanced medical equipment, the main use of technology at Bright House will be the installation and use of our computerized medical record system. The benefits of this system (described in the Start-up Summary, above) are numerous. The system will also allow residents to access their own individual records with a password at will, to ensure that they understand as much as they can about their own situation, and how to maintain their health.

We are working carefully with DigInfoMedTel to ensure that all of our technology meets Health Insurance Portability and Accountability Act (HIPAA) standards before implementation. We will hold a series of HIPAA trainings with the software in mid-December to ensure that our staff is fully-knowledgeable in this area.

Milestones & Metrics

Milestones table, key metrics.

Key Metrics 

• cost effective housing and prcing 
• pharmacy inventory 
• twitter reviews and retweets 
• radio advertisements 

Ownership & Structure

Bright House is chartered as a nonprofit 501(C)(3) corporation in Middletown, CT, with the goal of providing holistic and respectful assisted living and skilled nursing home care to a small group of elderly residents. Our primary location is the old Wayfield Bed and Breakfast, on Farmer’s Road, which we have spent the last five months converting into a two building nursing home facility in line with Eden Alternatives "Greenhouse" model for enlightened elder living. (See architectural drawing, attached.)

Management team

Caregiving Management

Bright House offers a different management structure from that of the typical hospital-model nursing home. Our primary caregivers, the 6 Elder Assistants, work as a self-managed team, meeting with the Medical Director and the nurse on-call every morning to coordinate care for the coming day.

Although the Medical Director has the ultimate responsibility for the health and well-being of all residents and visitors, the nursing and caregiving staff, with their different kinds of knowledge about the residents’ physical, social, and mental well-being, are expected to note, discuss, and recommend courses of action for all residents who, in their combined estimation, need help.

A 2001 study by the Robert Wood Johnson Foundation found that the small percentage of Chief Nursing Officers reporting no nursing shortages in their facilities at the time of the study cited formalized programs focused on the needs of, and professional recognition for, their nursing staffs as the reason for their adequate staffing. Our compensation packages, management structure, and caregiving requirements are designed to continually remind our LPNs and Elder Assistants how very valuable they are. 

Dr. Mildred Johnson is our Medical Director. Dr. Johnson has served as the head of Gerontology for six years at The Connecticut Hospital, and oversaw the creation, last year, of their Elder Assistant training program, which provides certification for Certified Nursing Assistants (CNA) to provide in-home hospice and respite care. Dr. Johnson has 20 years of experience working with elderly patients in this area, and has been integral in designing the physical layout, management structure, and priorities of Bright House.

The rest of our already-hired caregiving staff brings a whopping collective 75 years of professional experience in caring for elderly patients.

Financial Management:

Madeleine Morgan has been overseeing financial management of nonprofit organizations in Connecticut for 27 years. She became involved in our project when her mother developed a long-term care plan with Dr. Johnson which included home-based hospice care. "I wish everyone could have the same love and attention Dr. Johnson showed to my mother," Madeleine said. Ms. Morgan will be in charge of all financial operations at Bright House, overseeing billing, personnel payment and benefits, and development efforts.

Advertising and Marketing:

We are fortunate to have a skilled public relations officer in our group. Janice Ruthers is a retired ad executive living in Middletown with her husband (a professor at the university). She will be working 20 hours per week in our offices as a volunteer for the first two years of our plan, helping us design advertisements and brochures, and to plan events like our Open House in December to let the public see the results of our efforts.

5.1 Management Team Gaps

We still need to hire one swing-shift LPN, and one Elder Assistant. We are currently recruiting through Dr. Johnson’s connections at The Connecticut Hospital, and expect to complete our team by mid-December, at the latest.

Financial Plan investor-ready personnel plan .">

Key assumptions.

A "full" elder care facility is generally 90% to 95% full. Our non-standard model allows us to forecast for full occupancy in the main building, since turnover rates for assisted living residents are expected to be quite low (1-2 per year, at most). The skilled nursing facility, on the other hand, requires a certain number of empty beds to offer the flexibility needed to accommodate shorter stays. We therefore are projecting reaching "capacity" of our eleven-bed facility at 10 full beds.

Our resident monthly prices are based on the current Medicare nursing-hours-per-resident-day rates for our kind of services. Medicare patients are billed at roughly $135/day for nursing care, not including the cost of any medication to be administered by our staff. Our private patients are billed at a slightly higher rate to account for the low Medicare reimbursement rate, but also to pay for the extra benefits they receive as part of living at Bright House. Our rates are roughly 2/3 of our nearest competitors, the difference being made up for in donations, and savings gained through staff retention and the use of highly trained, flexible, Elder Assistants.

The small size of our facility allows us a cost savings on maintenance and grounds.

One other important assumption concerns payables: We have assumed collection days of 60, which averages our private residents’ monthly up-front payment, and the typical 60-90 day reimbursement rate from Medicare.

Revenue by Month

Expenses by month, net profit (or loss) by year, use of funds.

Start-up Expenses

One of the largest items in our Start-up budget is a computerized medical records system. Preliminary designs of this system have already been constructed by DigInfoMedTel. In addition to the obvious benefit of allowing multiple care-team members to easily exchange information as they change shifts, this system will allow our residents and staff to keep track of chronic conditions, monitor gradual but serious changes in condition which might be overlooked in day-to-day interactions, and corroborate quantifiable medical data for our Medicare patients in the skilled nursing facility.

Start-up Assets

Long-term assets include our existing location, the former Wayfield Bed and Breakfast, currently assessed at $400,000 including renovations. The location was willed to us by Evelyn and Jack Bright last February, with the condition that we include a small Medicare facility as part of the overall plan. This category includes new Long-term Assets needed as follows: $200,000 for (long-term, resalable) medical equipment, and $150,000 for initial furnishings, after the renovation.

Medical Equipment:

• 1 Fully-loaded Crash Cart
• Standard monitoring equipment (blood pressure, sugar, etc.)
• Call-button system

Furnishings:

For the common areas of both buildings, we will need couches, self-lifting recliners, tables, and chairs suitable to our residents’ needs. We have allocated $35,000 for furnishing the four common rooms.

Each private room will need a hospital-capable bed, linens, a dresser, and a phone, at the minimum. With the remaining funding, that leaves just over $6,000 per room. This budget will allow us to provide attractive, functional, and comfortable surroundings to our residents in their new homes. Each bedroom in the main building will have enough remaining space that residents can bring plenty of familiar furniture with them (up to two side tables and wingback/reclining chairs, and a second dressing table or its equivalent).

Sources of Funds

We will get a low interest loan for $210,000. We have collected donations and pledges of $291,000 Our founders will provide $407,000 

Projected Profit and Loss

Projected balance sheet, projected cash flow statement.

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How To Write a Nurse Staffing Agency Business Plan + Template

Creating a business plan is essential for any business, but it can be especially helpful for a nurse staffing agency that wants to improve its strategy or raise funding.

A well-crafted business plan not only outlines the vision for your company but also documents a step-by-step roadmap of how you are going to accomplish it. In order to create an effective business plan, you must first understand the components that are essential to its success.

This article provides an overview of the key elements that every nurse staffing agency owner should include in their business plan.

Download the Ultimate Staffing Agency Business Plan Template

What is a Nurse Staffing Agency Business Plan?

A nurse staffing agency business plan is a formal written document that describes your company’s business strategy and its feasibility. It documents the reasons you will be successful, areas of competitive advantage, and information about your team members. Your nurse staffing agency business plan is a key document that will convince investors and lenders (if needed) that you are positioned to become a successful venture.

Why Create a Nurse Staffing Agency Business Plan?

A nurse staffing agency business plan is required for banks and investors. The document is a clear and concise guide of your business idea and the steps you will take to make it profitable.

Entrepreneurs looking to get involved in staffing agencies can also use this as a roadmap when starting their new company or venture, especially if they are inexperienced in starting a business.

Writing an Effective Nurse Staffing Agency Business Plan

The following are the key components of a successful nurse staffing agency business plan:

Executive Summary

The executive summary of a nurse staffing agency business plan is a one- to two-page overview of your entire business plan. It should summarize the main points, which will be presented in full in the rest of your business plan.

• Start with a one-line description of your nurse staffing agency  
• Provide a short summary of the key points in each section of your business plan, which includes information about your company’s management team, industry analysis, competitive analysis, and financial forecast among others.

Company Description

This section should include a brief history of your healthcare staffing agency. Include a short description of how your company started, and provide a timeline of milestones your company has achieved.

If you are just starting your nurse staffing agency , you may not have a long company history. Instead, you can include information about your professional experience in this industry and how and why you conceived your new venture. If you have worked for a similar company before or have been involved in an entrepreneurial venture before starting your nurse staffing firm, mention this.

You will also include information about your chosen nurse staffing agency business model and how, if applicable, it is different from other companies in your industry.

Industry Analysis

The industry or market analysis is an important component of a nurse staffing agency’s business plan. Conduct thorough market research to determine industry trends and document the size of your market. 

Questions to answer include:

• What part of the healthcare industry are you targeting?
• How big is the market?
• What trends are happening in the industry right now (and if applicable, how do these trends support the success of your company)?

You should also include sources for the information you provide, such as published research reports and expert opinions.

Customer Analysis

This section should include a list of your target audience(s) with demographic and psychographic profiles (e.g., age, gender, income level, profession, job titles, interests). You will need to provide a profile of each customer segment separately, including their needs and wants.

For example, a nurse staffing agency business’ customers may include:

• Private practices
• Nursing homes

You can include information about how your customers make the decision to buy from you as well as what keeps them buying from you.

Develop a strategy for targeting those customers who are most likely to buy from you, as well as those that might be influenced to buy your products or nurse staffing services with the right marketing.

Competitive Analysis

The competitive analysis helps you determine how your product or service will be different from competitors, and what your unique selling proposition (USP) might be that will set you apart in this industry.

For each competitor, list their strengths and weaknesses. Next, determine your areas of competitive differentiation and/or advantage; that is, in what ways are you different from and ideally better than your competitors.

Marketing Plan

This part of the business plan is where you determine and document your marketing plan. . Your plan should be clearly laid out, including the following 4 Ps.

• Product/Service : Detail your product/service offerings here. Document their features and benefits.
• Price : Document your pricing strategy here. In addition to stating the prices for your products/services, mention how your pricing compares to your competition.
• Place : Where will your customers find you? What channels of distribution (e.g., partnerships) will you use to reach them if applicable?
• Promotion : How will you reach your target customers? For example, you may use social media, write blog posts, create an email marketing campaign, use pay-per-click advertising, or launch a direct mail campaign. Of course, you may also promote your nurse staffing agency business via word-of-mouth or a referral program.

Operations Plan

This part of your nurse staffing agency business plan should include the following information:

• How will you deliver your product/service to customers? For example, will you do it in person or over the phone only?
• What infrastructure, equipment, and resources are needed to operate successfully? How can you meet those requirements within budget constraints?

The operations plan is where you also need to include your company’s business policies. You will want to establish policies related to everything from customer service to pricing, to the overall brand image you are trying to present.

Finally, and most importantly, in your Operations Plan, you will lay out the milestones your company hopes to achieve within the next five years. Create a chart that shows the key milestone(s) you hope to achieve each quarter for the next four quarters, and then each year for the following four years. Examples of milestones for a nurse staffing agency include reaching $X in sales. Other examples include adding new staff, reaching a certain number of customers, maintaining a retention threshold, or launching a new service.

Management Team

List your team members including their names and titles, as well as their expertise and experience relevant to healthcare staffing. Include brief biography sketches for each team member.

Particularly if you are seeking funding, the goal of this section is to convince investors and lenders that your team has the expertise and experience to execute your plan. If you are missing key team members, document the roles and responsibilities you plan to hire for in the future.

Financial Plan

Here you will include a summary of your complete and detailed financial plan (your full financial projections go in the Appendix). 

This includes the following three financial statements:

Income Statement

Your income statement should include:

• Revenue : how much revenue you generate.
• Cost of Goods Sold : These are your direct costs associated with generating revenue. This includes labor costs, as well as the cost of any equipment and supplies used to deliver the product/service offering.
• Net Income (or loss) : Once expenses and revenue are totaled and deducted from each other, this is the net income or loss

Sample Income Statement for a Startup Nurse Staffing Agency

Balance sheet.

Include a balance sheet that shows your assets, liabilities, and equity. Your balance sheet should include:

• Assets : All of the things you own (including cash).
• Liabilities : This is what you owe against your company’s assets, such as accounts payable or loans.
• Equity : The worth of your business after all liabilities and assets are totaled and deducted from each other.

Sample Balance Sheet for a Startup Nurse Staffing Agency

Cash flow statement.

Include a cash flow statement showing how much cash comes in, how much cash goes out and a net cash flow for each year. The cash flow statement should include:

• investments

Below is a sample of a projected cash flow statement for a startup nurse staffing agency .

Sample Cash Flow Statement for a Startup Nurse Staffing Agency

You will also want to include an appendix section which will include:

• Your complete financial projections
• A complete list of your company’s business policies and procedures related to the rest of the business plan (marketing, operations, etc.)
• Any other documentation which supports what you included in the body of your business plan.

Plan for Success

Writing a good business plan gives you the advantage of being fully prepared to launch and/or grow your nurse staffing agency company. It not only outlines your business vision but also provides a step-by-step process of how you are going to accomplish it.

A well-written business plan is an essential tool for any startup nurse staffing agency. It not only lays out your business vision but also provides a step-by-step process of how you are going to accomplish it. The business plan can help to attract investors.  

Finish Your Nurse Staffing Agency Business Plan in 1 Day!

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Nursing Home Business Plan Template

Written by Dave Lavinsky

Nursing Home Business Plan

Over the past 20+ years, we have helped over 1,000 entrepreneurs and business owners create business plans to start and grow their nursing homes. On this page, we will first give you some background information with regards to the importance of business planning. We will then go through a nursing home business plan template step-by-step so you can create your plan today.

Download our Ultimate Business Plan Template here >

What is a Nursing Home Business Plan?

A business plan provides a snapshot of your nursing homes as it stands today, and lays out your growth plan for the next five years. It explains your business goals and your strategy for reaching them. It also includes market research to support your plans.

Why You Need a Business Plan for a Nursing Home

If you’re looking to start a nursing homes, or grow your existing nursing homes, you need a business plan. A business plan will help you raise funding, if needed, and plan out the growth of your nursing facilities in order to improve your chances of success. Your nursing home business plan is a living document that should be updated annually as your company grows and changes.

Sources of Funding for Nursing Home Businesses

With regards to funding, the main sources of funding for a nursing homes are personal savings, credit cards, bank loans and angel investors. With regards to bank loans, banks will want to review your business plan and gain confidence that you will be able to repay your loan and interest. To acquire this confidence, the loan officer will not only want to confirm that your financials are reasonable, but they will also want to see a professional plan. Such a plan will give them the confidence that you can successfully and professionally operate a business. Personal savings and bank loans are the most common funding paths for nursing homes.

Finish Your Business Plan Today!

How to write a business plan for a nursing home.

If you want to start a nursing home or expand your current one, you need a business plan. Below we detail a sample of what should be included in each section of a business plan for a nursing home.

Executive Summary

Your executive summary provides an introduction to your business plan, but it is normally the last section you write because it provides a summary of each key section of your plan.

The goal of your Executive Summary is to quickly engage the reader. Explain to them the type of nursing homes you are operating and the status. For example, are you a startup, do you have nursing homes that you would like to grow, or are you operating nursing facilities in multiple markets?

Next, provide an overview of each of the subsequent sections of your plan. For example, give a brief overview of the senior care industry. Discuss the type of nursing homes you are operating. Detail your direct competitors. Give an overview of your target market. Provide a snapshot of your marketing plan. Identify the key members of your team. And offer an overview of your financial plan.  

Company Analysis

In your company analysis, you will detail the type of nursing homes you are operating.

For example, you might operate one of the following types of nursing homes:

• Skilled Nursing Care Facilities : this type of nursing home provides skilled nursing care, rehabilitation, activities, meals, supervision, etc.
• Assisted Living Facilities: this type of nursing home provides 24-hour supervision, including meals, assistance with daily activities, healthcare service, and common services that include assistance with eating, bathing, dressing, using the bathroom, taking medication, transportation, and housekeeping.
• Independent Living Facilities: this type of nursing home are communities that offer fully equipped homes or apartments to residents. They are ideal for seniors who can maintain their independence with few medical issues impeding them.
• Alzheimer’s & Specialty Care Facilities : this type of nursing home offers 24-hour support for residents suffering from Alzheimer’s or dementia.

In addition to explaining the type of nursing facility you will operate, the Company Analysis section needs to provide background on the business.

Include answers to question such as:

• When and why did you start the business?
• What milestones have you achieved to date? Milestones could include the number of patients in care, number of positive reviews, reaching X amount of patients served, etc.
• Your legal structure. Are you incorporated as an S-Corp? An LLC? A sole proprietorship? Explain your legal structure here.

Industry Analysis

While this may seem unnecessary, it serves multiple purposes.

First, researching the senior care industry educates you. It helps you understand the market in which you are operating.

Secondly, market research can improve your strategy, particularly if your research identifies market trends.

The third reason for market research is to prove to readers that you are an expert in your industry. By conducting the research and presenting it in your plan, you achieve just that.

The following questions should be answered in the industry analysis section:

• How big is the senior care industry (in dollars)?
• Is the market declining or increasing?
• Who are the key competitors in the market?
• Who are the key suppliers in the market?
• What trends are affecting the industry?
• What is the industry’s growth forecast over the next 5 – 10 years?
• What is the relevant market size? That is, how big is the potential market for your nursing homes? You can extrapolate such a figure by assessing the size of the market in the entire country and then applying that figure to your local population.

Customer Analysis

The customer analysis section must detail the customers you serve and/or expect to serve.

The following are examples of customer segments: elderly and aging adults, retirees, those suffering from Alzheimer’s or dementia, etc.

As you can imagine, the customer segment(s) you choose will have a great impact on the type of business you operate. Clearly, Alzheimer’s or dementia patients would respond to different marketing promotions than recent retirees, for example.

Try to break out your target customers in terms of their demographic and psychographic profiles. With regards to demographics, include a discussion of the ages, genders, locations and income levels of the customers you seek to serve.

Psychographic profiles explain the wants and needs of your target customers. The more you can understand and define these needs, the better you will do in attracting and retaining your customers.

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Competitive Analysis

Your competitive analysis should identify the indirect and direct competitors your business faces and then focus on the latter.

Direct competitors are other nursing homes.

Indirect competitors are other options that customers have to purchase from that aren’t direct competitors. This includes rehabilitation facilities, adult daycare programs, family of the aging adult, etc. You need to mention such competition as well.

With regards to direct competition, you want to describe the other nursing homes with which you compete. Most likely, your direct competitors will be nursing homes located very close to your location.

For each such competitor, provide an overview of their businesses and document their strengths and weaknesses. Unless you once worked at your competitors’ businesses, it will be impossible to know everything about them. But you should be able to find out key things about them such as:

• What types of elderly care do they provide?
• What type of nursing home are they?
• What is their pricing (premium, low, etc.)?
• What are they good at?
• What are their weaknesses?

With regards to the last two questions, think about your answers from the customers’ perspective. And don’t be afraid to ask your competitors’ customers what they like most and least about them.

The final part of your competitive analysis section is to document your areas of competitive advantage. For example:

• Will you provide exercise and activities for the elderly?
• Will you provide services that your competitors don’t offer?
• Will you provide better customer service?
• Will you offer better pricing?

Think about ways you will outperform your competition and document them in this section of your plan.  

Marketing Plan

Traditionally, a marketing plan includes the four P’s: Product, Price, Place, and Promotion. For a residential care home business plan, your marketing plan should include the following:

Product : In the product section, you should reiterate the type of nursing home company that you documented in your Company Analysis. Then, detail the specific products you will be offering. For example, in addition to a nursing home, will you provide nutritional advice and meal preparation, daily activities, rehabilitation, and any other services?

Price : Document the prices you will offer and how they compare to your competitors. Essentially in the product and price sub-sections of your marketing plan, you are presenting the services you offer and their prices.

Place : Place refers to the location of your nursing home company. Document your location and mention how the location will impact your success. For example, is your nursing homes located in a busy retail district, a residential neighborhood, near a hospital, etc. Discuss how your location might be the ideal location for your customers.

Promotions : The final part of your nursing home marketing plan is the promotions section. Here you will document how you will drive customers to your location(s). The following are some promotional methods you might consider:

• Advertising in local papers and magazines
• Reaching out to websites
• Partnering with hospitals and rehab facilities
• Social media marketing
• Local radio advertising

Operations Plan

While the earlier sections explained your goals, your operations plan describes how you will meet them. Your operations plan should have two distinct sections as follows.

Everyday short-term processes include all of the tasks involved in running your nursing homes, including coordinating nurses’ patient schedules, coordinating with doctors, communicating with family and loved ones of the elderly, managing staff duties, etc.

Long-term goals are the milestones you hope to achieve. These could include the dates when you expect to acquire your Xth patient, or when you hope to reach $X in revenue. It could also be when you expect to expand your nursing homes to a new city.  

Management Team

To demonstrate your nursing homes’ ability to succeed, a strong management team is essential. Highlight your key players’ backgrounds, emphasizing those skills and experiences that prove their ability to grow a company.

Ideally you and/or your team members have direct experience in managing nursing homes. If so, highlight this experience and expertise. But also highlight any experience that you think will help your business succeed.

If your team is lacking, consider assembling an advisory board. An advisory board would include 2 to 8 individuals who would act like mentors to your business. They would help answer questions and provide strategic guidance. If needed, look for advisory board members with experience in managing a nursing home or successfully running a hospital or rehabilitation facility.  

Financial Plan

Your financial plan should include your 5-year financial statement broken out both monthly or quarterly for the first year and then annually. Your financial statements include your income statement, balance sheet and cash flow statements.  

Income Statement

In developing your income statement, you need to devise assumptions. For example, will you take on one new patient at a time or multiple new patients? And will sales grow by 2% or 10% per year? As you can imagine, your choice of assumptions will greatly impact the financial forecasts for your business. As much as possible, conduct research to try to root your assumptions in reality.  

Balance Sheets

Balance sheets show your assets and liabilities. While balance sheets can include much information, try to simplify them to the key items you need to know about. For instance, if you spend $50,000 on building out your nursing homes, this will not give you immediate profits. Rather it is an asset that will hopefully help you generate profits for years to come. Likewise, if a bank writes you a check for $50,000, you don’t need to pay it back immediately. Rather, that is a liability you will pay back over time.  

Cash Flow Statement

Your cash flow statement will help determine how much money you need to start or grow your business, and make sure you never run out of money. What most entrepreneurs and business owners don’t realize is that you can turn a profit but run out of money and go bankrupt.

In developing your Income Statement and Balance Sheets be sure to include several of the key costs needed in starting or growing a nursing homes:

• Cost of licensing and training
• Cost of equipment and supplies
• Payroll or salaries paid to staff
• Business insurance
• Taxes and permits
• Legal expenses

Attach your full financial projections in the appendix of your plan along with any supporting documents that make your plan more compelling. For example, you might include your nursing home location lease or list of nursing, assisted living, and rehab services you are working on.  

Putting together a business plan for your nursing home is a worthwhile endeavor. If you follow the sample template above, by the time you are done, you will truly be an expert. You will really understand the senior care industry, your competition, and your customers. You will have developed a marketing plan and will really understand what it takes to launch and grow a successful nursing homes.  

Nursing Home Business Plan FAQs

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The goal of your Executive Summary is to quickly engage the reader. Explain to them the type of nursing home you are operating and the status; for example, are you a startup, do you have a nursing home that you would like to grow, or are you operating a chain of nursing homes?

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How to Write a Nursing Business Plan

by Don Simkovich

Published on 8 May 2019

Providing care, comfort, and health education is a way to improve the quality of life for families and give them relief when faced with an illness or personal question. Nurses with an entrepreneurial spirit have a range of profitable options when starting a health business. Taking time to write the nursing business plan proves a vital first step to capture the business model and know how many months are needed to reach profitability.

1. Identify the Nursing Business Plan Purpose

Identify personal and professional reasons for starting a nursing business whether it's a desire to set a schedule around family needs or use the knowledge of a graduate degree in a for-profit setting. List related experiences: caring for elderly relatives; counseling parents on their child's health needs; or sitting through training at local hospitals. Evaluate the profit potential of your idea and then ask contacts in the health field if others have the same need.

2. Select a Business Model

health concept image by drx from Fotolia.com

Decide if the most effective business model is to form an independent company, join a home health franchise operation or start a division within a larger health care corporation. Compose the mission statement as the first step. Write it as “directed and focused as possible," states the Small Business Administration, so if potential business partners or investors read it then they will have a clear picture of the business purpose.

Edit the first draft of the mission statement to make sure the wording distinguishes how the health service will benefit the target clients like “helping senior citizens remain comfortable in their homes and offering peace of mind to extended family”.

3. Find a Unique Selling Proposition

Describe how the company will function and what level of personnel are needed: Nurse Practitioners, Registered Nurses, or Licensed Vocational Nurses. Write distinguishing characteristics such as an “the only all male nursing business" or offering personnel with varying skill levels to match the variety of patient needs.

4. Create a Budget

Create a budget for supplies and necessary equipment. Include information like purchasing quality medical equipment at below market prices to show a commitment to quality and profitability. State whether strategic relationships with medical device companies, pharmaceutical companies or established medical clinics will be utilized. Look for care home business plan examples online to help with your drafting.

5. Comply with Licensing Requirements

Read the state board of registered nursing requirements to stay up-to-date with the “ongoing communication of competency standards to consumers, registered nurses, advanced practice nurses . . . and other regulators” as stated by the California Board of Registered Nursing. Verify that health practitioners in the company will stay current with licensing requirements by taking the proper continuing education units.

6. Make Financial Projections

Use a spreadsheet or software program to estimate the length of time to reach profitability. Account for the cost of state licenses, malpractice insurance and the costs of continuing education. Estimate travel costs, if any, and project when in the first three years or five years how much money will be needed for new equipment or supplies. Estimate the client revenue. Run a report to see when the client revenue will be greater than the expenses.

7. Write an Executive Summary

Write the Executive Summary last to state the most pertinent information about why the business exists, qualifications for providing health care, and the need in the marketplace like addressing the “rapid growth [that] is expected in hospital outpatient facilities, such as those providing same-day surgery, rehabilitation, and chemotherapy”, according to the Bureau of Labor Statistics Occupational Outlook.

The business plan must also include how income and expenses will be tracked.

Do not inflate the income potential and accidentally reduce the number of possible expenses.

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How to write a robust business case for service development

19 June, 2017

Strategic recommendations and practical tips to help nurses write thorough and convincing business cases. This article is accompanied by a self-assessment questionnaire so you can test your knowledge after reading it

At a time of cuts and savings in the healthcare system, how can nurses convince decision makers to put money into improving or expanding services? A clear, concise and comprehensive business case is a good place to start. This article provides nurses with strategic recommendations and practical tips, stressing that a strong business proposal will need to be linked to local and national priorities, and articulated in the language of financial constraints. Nurses are often reluctant to write business cases but, with the right knowledge and support, they can successfully bring a service improvement idea into the strategic arena.

Citation: Carter H (2017) How to write a robust business case for service development. Nursing Times [online]; 113: 7, 25-28.

Author:  Helen Carter is an independent healthcare adviser, Carter Consulting, Oxford.

• This article has been double-blind peer reviewed
• Scroll down to read the article or  download a print-friendly PDF here
• Assess your knowledge and gain CPD evidence by taking the  Nursing Times Self-assessment test

Introduction

Writing a business case, while time-consuming, is not complicated – but getting it wrong can be costly and frustrating. At a time when the healthcare system is trying to cut costs, nurses who want to improve or expand services need to able to write business cases that stand out and convince decision makers. This article outlines the national context, provides practical advice for all nurses – and specialist nurses in particular – and gives tips for linking a local service improvement idea to an organisation’s general targets and constraints. The advice given is not a guarantee that nurses will win their case; however, as integrated health and social care moves forward, it will certainly allow them to share their expertise of working with specific patient groups and identify how their roles can add quality to service provision.

What is a business case?

A business case is a formal, structured written document submitted to those responsible for approving and/or funding a service development initiative or project. You will need one if you want to obtain, for example, large or costly pieces of equipment, better information technology systems, additional staff, service changes or new services. A business case is usually made at a local level. By contrast, a business plan is the overarching document describing a major initiative or the strategy of an entire organisation – the two terms are sometimes used interchangeably. To increase the chances of a business case gaining approval, it can help to present it as part of a wider initiative, rather than in isolation.

Writing a business case is a time consuming process that usually follows a period of data collection, audit and analysis. It is not difficult in itself, but getting it right can be tricky, especially if the authors are not aware of the local, regional and national priorities that will influence the decision. A business case should reflect the organisation’s priorities, values and goals, and its author(s) should try to understand the complexity of service development and funding.

Understanding the national context

Year on year, there is a continued focus in the NHS on improving productivity to make savings by 2020/21. Clinical staff are expected to participate in the efforts to improve efficiency and reduce costs while maintaining high-quality services.

For nurses who are keen to be part of the current transformation of health and social care, this is a good time to try to influence the process, but they need to understand the national context and learn to articulate the needs of their services in the language of financial constraint. If they do so, there is a realistic possibility they will secure the resources needed to enhance services. There are a number of national documents, frameworks and priorities of which they need to be aware.

Better Care Fund

The Care Act (2014) provided a legal framework for the allocation of money from the Better Care Fund, which organisations can access to promote the integration of health and social care. The Department of Health and the Department for Communities and Local Government (2016) have identified the national conditions that bodies responsible for Better Care Fund plans are expected to fulfil in 2016/17.

Sustainability and transformation plans

Sustainability and transformation plans ( STPs ) were announced in NHS planning guidance at the end of 2015. NHS organisations are now required to develop five-year plans to determine the key priorities for their geographical areas and identify how services are going to be delivered in an integrated way across health and social care.

There is a push towards strengthening primary and community services, as well as encouraging individuals to take responsibility for their health. From April 2017, STPs will be the only way to secure additional NHS funding, with the best plans receiving funding quickly.

The King’s Fund has assessed STPs (Ham et al, 2017) and concluded that:

• They offer the best hope for the NHS and its partners to sustain services and transform the delivery of health and social care;
• They are wide-reaching and propose changes in several areas, from prevention to acute and specialised services;
• A high priority for many STPs is to redesign services in the community to reduce demand for in-hospital care;
• Proposals to reconfigure hospitals could improve quality but need to be scrutinised and considered on their own merits;
• Proposals to reduce capacity in hospitals will only be credible if there are robust plans to provide alternatives in the community;
• Cuts in social care and public health, as well as the lack of earmarked funds to support transformation, will affect the ability of NHS organisations and their partners to implement STPs.

In its assessment, The King’s Fund points out that there is widespread criticism, anger and anxiety in the face of these latest proposals, which appear to be reinventing the wheel or overcomplicating a system that is already suffering hardship (Ham et al, 2017).

NHS England mandate

The government published its mandate to NHS England (NHSE) in January 2016 (DH, 2016a). This set out the objectives, budget and how NHSE’s performance would be measured for the current financial year. On 31 March 2016, NHSE published the NHS outcomes framework and indicators for 2016/2017 (DH, 2016b), which set the priorities for the coming year. The key themes were improving health, transforming care, controlling costs and enabling change.

The DH (2016a; 2016b) set out indicators and improvement areas to which NHSE would be held to account, which included:

• Preventing people from dying early;
• Enhancing the quality of life for people with long-term conditions;
• Helping people to recover from episodes of ill health or injury;
• Ensuring people have positive experiences of care;
• Treating and caring for people in a safe environment and protecting them from avoidable harm.

Key components of a business case

The key components of a business case are described in Table 1. It is likely that your organisation already has a business case template; alternatively, examples can be sourced online. Your organisation may also have a template for risk assessment, which will help you identify risks; these may become apparent as you scope the project.

Before you start writing, remember to find out what your local policy is in terms of:

• Processes to follow;
• People to consult;
• Authorisations to be gained.

This will help avoid disappointment if your bid is not well received.

Nurses who want to get involved in writing a business case need an in-depth knowledge of the scope, feasibility and issues of the proposal. This will involve plenty of discussions with stakeholders. It is important to include stakeholders, patients and line managers in any initial discussions and brainstorm exercises. Qualitative and quantitative feedback from patients can give a strong sense of how services work and why gaps in services are a cause of concern.

Many charities aim to support specialist nursing roles and are likely to be able to provide national data, as well as possible funding sources, to support a bid. For example, the British Heart Foundation (2015) has published evidence of the success of the role of cardiac nurse specialists in the community. Nurses considering writing a business case can benefit from seeking advice from charities in their specialist area.

The five-case model

To help public sector organisations bid for funds, HM Treasury has devised the ‘five-case model’ (HM Treasury, 2015). This requires business cases for new initiatives to contain evidence that:

• The intervention is supported by a compelling case for change that fits with other parts of the organisation and the wider public sector – the ‘strategic case’;
• The intervention represents best value for public money – the ‘economic case’;
• The proposed deal is attractive to the marketplace, can be procured and is commercially viable – the ‘commercial case’;
• The proposed spending is affordable – the ‘financial case’;
• What is required from all parties is achievable – ‘the management case’.

Financial considerations

In the current economic climate, nurses are expected to streamline their work to make savings. However, they are not traditionally taught how to be financially astute, and often lack confidence in the area of service development. By developing the confidence needed to deal with financial issues, nurses can influence change in practice and make their ideas a reality.

When writing a business case, it is vital to identify the financial impact and implications – how much is the initiative expected to cost? How much is it likely to save? A new service will need funding, so the costs and benefits of developing it should be fully researched. All financial aspects must be considered, and presented in as much detail as possible. Estimates are acceptable as long as they are based on the most up-to-date evidence available; they can be updated as the project moves forward. If an organisation is going to invest money in a project, leaders and commissioners will want to know the return on investment (Box 1).

Box 1. Return on investment

To calculate the return on investment (ROI), the benefit (or return) of an investment is divided by its cost, and the result is expressed as a percentage or a ratio.

ROI = (gain from investment) divided by (cost of investment)

The ROI provides an evaluation of the benefits of an investment over a period to time, so it can be used to predict savings and indicate value for money.

Source: Investopedia

As the BHF (2017) explains: “the financial section of any business case is crucial and will be analysed closely. When putting this section together, it’s important to get help and advice from your organisation’s finance department to make sure that any additional or hidden costs are stated clearly.’

The financial section also needs continual review, so if things go haywire, the project is rethought, refocused – or ended.

Questions to consider are:

• What are the estimated costs?
• How will the project contribute to savings, and over what time period?
• What is the measure of success?
• What predictions are being made and how have they been calculated?
• What are the opportunities to update information throughout the project?

Practical tips

Below are some practical tips on how to write a business case that will be taken seriously and stand out from other proposals in a board meeting. Some may seem trivial, but decision makers are human beings who all have their dislikes – to make sure nothing is going to trigger the ‘reject’ or ‘delete’ button, you need to:

• Be clear who your audience is and write at their level of understanding;
• Know your specialty and how it fits into the wider context;
• Be concise;
• Be specific;
• Be factual;
• Use reliable sources of data. Avoid anecdotes – but do use case studies if they add to the proposal;
• Know your finances;
• Make the document interesting to the reader;
• Avoid abbreviations (or add a glossary at the end);
• Use the format that is standard in your organisation;
• Check grammar and spelling;
• Get someone to proofread your proposal.

The British Association of Dermatologists has a checklist that helps clinicians maximise the chances of decision makers supporting their business case (Box 2).

Box 2. Business case checklist

• Is the need clearly stated?
• Does the proposal contribute to the achievement of NHS policy and priorities, and the trust’s objectives and plans?
• Are the benefits clearly stated?
• Is it clear how the benefits will be realised?
• Are the demand, capacity and income forecasts robust?
• Are the capital and revenue costs robust?
• Is it clear why the preferred option has been selected?
• Is the project affordable?
• Are the risks and plans to mitigate them explicitly stated?
• Do the main stakeholders support the project?
• Does the team have the capacity and capability to deliver it?

Source: Adapted from the British Association of Dermatologists

Another useful checklist is the SMART acronym, according to which your project needs to be:

• S – specific
• M – measurable
• A – achievable
• R – realistic
• T – time-bound

What is the value of specialist nurses?

When writing a business case, you may want to demonstrate the value there is in employing specialist nurses. The Royal College of Nursing (2010) has identified that the role can save money, arguing that it helps to:

• Reduce waiting times;
• Avoid unnecessary hospital admissions or readmissions (through reduced complications post surgery, enhanced symptom control and improved patient self-management);
• Reduce the length of post-operative hospital stays;
• Free up consultant appointments for other patients;
• Deliver services at the point of need or in the community;
• Reduce patient drop-out rates;
• Educate health and social care professionals;
• Introduce innovative service delivery frameworks;
• Give direct specialist advice to patients and families.

The BHF (2015) adds that specialist nurse roles are also important in providing care throughout patients’ disease trajectories, from diagnosis to end of life.

There have been concerns that the role of specialist nurses may become overlooked or misunderstood and, in 2014, the RCN highlighted that funding issues were having a negative impact on the role, stating that we were in a situation: “whereby funds are being transferred from the NHS for integrated health and social care with no guarantee that the money will be spent on care provision” (RCN, 2014).

There are different ways to approach integration across organisations, services or between individuals, and different models have been successfully implemented in the UK and beyond (Goodwin and Smith, 2011). The RCN calls for nurse-led teams in hospitals and the community, and in specialist services to develop working relationships and collaborate across health and social care (RCN, 2014).

As Fletcher (2011) pointed out, specialist nurses are held in high regard by patients, and consistently so, compared with other health professionals. It is crucial to gain feedback from patients. However, as Fletcher explained, this feedback in itself is not sufficient evidence for commissioners, as it can be considered anecdotal, and specialist nurses: “need to ensure they have evidence their services are cost-effective and improve patient safety and outcomes.”

Writing a business case can be frustrating. It is made easier by engaging decision makers from the outset to ensure the proposal is set within the national context and identify how it will help the organisation to reach its targets.

You will need to gain the right strategic support and source as much accurate data and information as possible. Researching ideas, gaining feedback from stakeholders inside your organisation and, where possible, influencing people from partner organisations, will help your project gain momentum. Involving patients and getting qualitative feedback to support the quantitative data will enhance your proposal.

Nurses are often reluctant to write business cases, and it mainly falls to leaders or commissioners. However, with the right support, they can develop the confidence to articulate a service development idea formally and bring it into the strategic arena.

• A business case is a formal document submitted to decision makers for approval and/or funding of a service development initiative
• A convincing business case must link the proposed service improvement to local, regional and national priorities and constraints
• The financial section of a business case will be analysed closely, so costs and benefits need to be made clear
• If nurses learn to articulate the needs of their services in the language of financial constraints, they have a good chance of securing funding
• The current move towards more integrated health and social care means this is a good time for nurses to try to influence decisions

• Test your knowledge with Nursing Times Self-assessment after reading this article. If you score 80% or more, you will receive a personalised certificate that you can download and store in your NT Portfolio as CPD or revalidation evidence.
• Take the Nursing Times Self-assessment for this article

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20 Entrepreneur and Business Ideas for Nurses

Are you a nurse pursuing an entrepreneur or business opportunity? Nursing is unique. It can prepare you to become a nurse entrepreneur and open doors to business. Nurses develop strong critical thinking , communication, time management, organizational, and conflict resolution skills. Each is crucial in business management.

With November being National Entrepreneurship Month, now is the perfect time to explore your options as a nurse. We’ll explore 20 entrepreneurial and business ideas for nurses that fit well with a nurse’s skill set. If you’ve been thinking about moving away from bedside nursing but still want to use your education and skills, consider some of the following options.

Business Ideas for Nurse Entrepreneurs

Over 20 U.S. states now give full-practice authority to nurse practitioners (NPs). The idea of opening your own private practice may have crossed your mind if you live in one of these states. However, that is just one of many ways nurses can use their skills in business.

There are several options open to nurses such as consulting, coaching, and education. These business ideas for nurses are for those who want to explore their entrepreneurial spirit.

1. Private Practice

In nearly half the states in the U.S., NPs have full-practice authority. This means that NPs have full authority to order and evaluate testing, diagnose conditions, and treat patients. This improves patient access to healthcare, reduces costs, and streamlines care.

NPs who want to practice independently must practice in one of the full-practice authority states. You will need strong clinical, diagnostic, and business skills to maintain and grow your practice. It is important to start with a business plan that identifies every detail, including:

• Insurance strategies
• Start-up capital
• Focus of your practice
• National provider identifier
• Malpractice insurance

Many see setting up the practice, billing challenges, and governmental oversight as disadvantages to owning your own practice. However, you can balance that against choosing treatment, such as holistic nursing , that might fit your patient’s needs and being in control of the growth and expansion of your practice.

2. Nurse Freelancer

A nurse freelancer works under a short-term contract with a healthcare organization. They can find their own clients or work through an agency. Nurse freelancers may work in a hospital, clinic, doctor’s office, or home healthcare company. But the options are not limited to healthcare. Nurses with skills from other degrees or hobbies can earn additional money. For example, nurse freelancers may teach dance classes, sell photography, teach a foreign language, or be wellness coaches.

Nurses must have strong organizational and time management skills. These skills help give you the freedom to be your own boss and the flexibility to set your schedule. Most nurses also find there are more out-of-pocket costs than having a full-time job. There is also less job security, and other challenges that come with running your own business.

3. Medical Spa

A medical spa is a facility within a medical practice that provides aesthetic treatments under the care of a licensed healthcare provider. Treatments often include noninvasive options to rejuvenate the skin and body. You may also open a practice with a board-certified dermatologist or plastic surgeon.

After graduating from an NP program, nurses need experience and training with a dermatologist or plastic surgeon. They may then seek certification from the Plastic Surgical Nursing Certification Board . Courses are available through the American Association of Aesthetic Medicine and Surgery and International Association for Physicians in Aesthetic Medicine.

4. Homecare Agency

The home health sector is a fast-growing industry. As one of the largest generations ages and retires, they require care at home. According to the Centers for Disease Control and Prevention, 60% of adults have at least one chronic disease and 40% have two or more.

In 2019, the home health industry supported the employment of 1.4 million people to meet the needs of the 71.2 million baby boomers who required care. Nurses who want to start their own agency will require a business plan, employer ID number, funding, and a state license.

Nurses will need strong business skills as they will likely be running the business and not providing care as a home health nurse themselves. The earning potential is an advantage. The rising cost of equipment and difficulty seeking payment from Medicare and Medicaid can be challenging. In the beginning, you may need to take on much of the day-to-day aspects of running the business, along with your overall business goals.

5. Cannabis Agency

As researchers learn more about the body’s endocannabinoid system, cannabis and cannabidiol (CBD) oil are becoming more important in treating several health conditions. Nurses have a distinct advantage of understanding the health benefits of CBD oil, including:

• Pain management
• Fibromyalgia

There are several options for nurses who want to help their clients with CBD. They may open a medical marijuana shop, sell CBD oil, educate the public on the benefits, or combine a love for cooking with baking cannabis products.

Like other business ventures, nurses must have strong business skills, good customer relations and communication skills, and a knowledge of the local regulations.

6. Intravenous Infusions

Nurses can be certified as intravenous ( IV ) infusion nurses. IV nurses are experts in the administration of medications and fluids. They may use an IV line, central line, or catheter. As more patients seek care at home, the need for these professionals on an outpatient basis is growing.

Nonhospital use of IV hydration is becoming more popular. It is used to administer vitamins, hydration, and treatment to increase energy or improve skin quality. There are opportunities to open your own business or join a franchise business dedicated solely to the administration of IV hydration.

There are advantages to joining a franchise as you start with a recognizable name and support. However, you are limited to using the franchise suppliers’ products and the services the franchise allows. If you choose to open your own company, you’ll need to:

• Find funding
• Create a business plan
• Apply for licenses and permits
• Build your team
• Get malpractice insurance for your providers

7. Content Editing Business

Being a nurse writer or content editing is a fast, affordable business you can start from home. It is easiest to get started by targeting a specific market. For instance, nurses who need a refresher on grammar, punctuation, and writing may consider an online course. Nurses also have an in-depth knowledge of medical jargon and physiology, which lends to medical, health, and wellness writing.

It’s important to familiarize yourself with several style guides, such as APA, MLA, and the Chicago Manual of Style. You must also determine what you will charge for your services. It would be best to establish yourself as a business for tax purposes, permits, and marketing plans. You might consider applying for posted jobs to get testimonials from satisfied clients before pitching companies on your services.

8. Legal Nurse Consultant

Nurses must hold an active registered nurse (RN) license in the state where they practice to be legal nurse consultants . These professionals analyze and evaluate documentation and testimony to offer a medical opinion on the delivery of healthcare and patient outcomes. They may also determine the nature and cause of documented injuries. The legal nurse consultant assesses if healthcare guidelines were followed during care.

Nurses must have strong nursing skills in documentation, communication, and critical thinking. To sit for the certification examination by the American Association of Legal Nurse Consultants (AALNC), a nurse must have 2,000 hours of clinical experience. The AALNC offers a review course to help pass the 200 multiple-choice exam.

This business idea for nurses requires little start-up costs and may be done from the comfort of your home as a remote RN job . However, nurses must maintain their license and certification and do their own marketing to find clients.

9. Specialized Care Provider

Nurse entrepreneurs can become specialized care providers inside an organization and then serve clients in their own business. For example, nurses with extensive experience in breastfeeding can become certified lactation counselors . They help new parents successfully breastfeed their infants.

After working as a labor and delivery nurse , a nurse may get additional training as a doula versus a midwife . Nurses who focus on health and wellness may choose to practice holistic or alternative medicine or help clients with stress reduction.

In each case, the specialized care provider must have a background in business management, good communication skills, and a drive to help their clients. Most of these businesses require little overhead. However, these are typically not 9-to-5 businesses, so you must be prepared for calls or patient visits any time of the day or night.

10. Independent Massage Therapy

Massage therapists must have a deep knowledge of human anatomy. Nurses who want to start their own massage therapy business have the advantage of experience and knowledge of the human body. A massage therapy program can take up to 15 months to complete. Community colleges usually offer these programs. To become certified, ensure the state accredits the program.

The state requirements for practical experience vary among states. After your education is complete, you may be required to take a state licensing exam or the Massage and Bodywork Licensing Examination. In some states, it may also be necessary to be certified to practice as a massage therapist.

Nurses must have a dedicated structure for their clients. The business requires communication skills, strong upper body strength, and endurance.

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11. Acupuncturist

The practice of acupuncture requires a strong foundation in anatomy and physiology. Acupuncture uses a unique system to stimulate specific points on the body to improve health and reduce illness. It is one of the most researched complementary and alternative medicine practices.

The minimum education required is an accredited master’s acupuncture program. Most states also require a certification examination. National board certification also confirms a certain skill level and knowledge needed for a successful practice.

Nurses must have a place to treat patients, equipment, malpractice insurance, and billing procedures. Nurse acupuncturists may work collaboratively with other healthcare practitioners.

12. Wellness Coach

Opportunities for health and wellness coaches are growing. More people are seeking out education and motivation to make lifestyle changes that impact their health. Health and wellness coaches work with nutritionists, fitness coaches, and complementary healthcare professionals to improve health. Clients may hire a wellness coach to help them lose weight, reduce stress, quit smoking, or achieve a better work-life balance.

Nurses must complete a minimum number of hours of education and experience. To be board certified, you must graduate from an accredited program. Wellness coaches must have strong assessment and communication skills. The practice focuses on education, motivation, and communication with clients.

Wellness coaches can work online, over the phone, or in person. How you choose to interact with clients determines your overhead expenses.

13. Yoga Instructor

Yoga is rooted in Indian philosophy. However, in the U.S. it typically emphasizes physical postures, breathing techniques, and meditation. Evidence shows that this complementary strategy can help people quit smoking, reduce stress, relieve menopausal symptoms, and lose weight.

The move to practicing and teaching yoga is popular among holistic nurses whose focus is on using more natural practices to maintain and improve health. Yoga instruction programs range from 200-500 hours, depending on your goal as an instructor.

Although certification is not required to practice, it does offer you the benefit of teaching in a studio space. As a certified instructor, you may teach private classes, in a studio, open your own studio, or teach online.

14. Medical or Pharmaceutical Product Sales

Medical equipment and pharmaceutical sales representatives are always in high demand. Many sales reps work on commission, which means that while they sell for a specific company, their salary is based on commission.

These reps sell medical supplies, equipment, or pharmaceuticals to doctors, clinics, facilities, and hospitals. It is their job to contact customers, answer questions, explain the product features, and negotiate the final sale. Pharmaceutical sales reps must become a certified national pharmaceutical representative. Once you’ve decided on your specialization, it’s important to get relevant experience. For example, if you are interested in psychiatric pharmaceutical sales, you’ll want to get an internship and shadow a sales rep in that market.

Nurses working in pharmaceutical or medical sales must be experts at networking, communication, sales, and marketing. This business idea for nurses offers you the opportunity to grow your network independently and develop your sales skills.

15. Nurse Health Tutor

Were you a whiz at writing care plans? Can you list many of the body’s over 200 bones off the top of your head? Do you understand the relationship between the gut and the brain? You may be fully qualified to become a nurse or health tutor working from home . Nursing students and other students struggling with health concepts look for tutors who can help them learn.

Nurses who want to work as tutors may work for tutoring companies, colleges or universities, or independently. Nurse tutors must have strong communication skills and love nurse teaching . They have patience with their students. Nurse tutors should also have a sound invoicing system. The initial start-up costs and overhead are low. Nurses who work independently must also develop their own marketing strategies.

16. Nurse Influencer

Nurses are already influencers in their immediate circle of friends and family. You likely have been asked several questions about health and wellness. You can also use social media platforms to influence many others in their efforts to seek health and wellness.

One paper in the Nursing Forum describes a nurse influencer this way: “A nurse influencer is a nurse who has a platform to affect change through demonstrating integrity, a dedication to learning, and excellent communication of ideas and information.”

You need a professional profile on the social media platforms of your choice, such as Instagram, TikTok, Facebook, or YouTube. It’s easier to establish yourself on one platform before adding another. Nurses can make money on these platforms after building their followers. The more followers you have, the more likely you are to land advertising or sponsorship gigs.

It would help if you enjoyed writing because you’ll be doing that every day. Nurse influencers must also network with other influencers and either guest post on their blogs or appear in their podcasts or videos. The start-up costs are minimal and may include the cost of hosting a blog or a good microphone for podcasts and videos.

17. Childbirth Educator or Doula Services

Nurses who are childbirth educators or provide a doula service are involved in education before birth and are often present during delivery. After spending at least two years on a maternity unit, you may be interested in furthering your education and services. This allows you to branch out and work independently of hospitals and clinics.

The International Childbirth Education Association (ICEA) has a certified professional childbirth educator and birth doula program. It verifies that you have the necessary knowledge and skill to carry out pregnancy, labor, and delivery procedures. Parents, childbirth educators, and doulas have to make informed decisions, such as deciding between at-home births versus hospital births .

A doula offers continuous physical, emotional, and educational support to a woman before, during, and after childbirth but not clinical support. Candidates have to apply for the certification examination within two years of completing the ICEA certification program.

18. Health Blogger

A nurse is in a unique position of being able to share health information with clients, friends, family, and the general public. There is no additional certification or education necessary to be a health blogger. However, you must share accurate, evidence-based information.

In the beginning, it may be easier to put your blog on a site, such as WordPress, but the company may take down your content without notice. It is best to purchase a host site with a company and own your URL outright. This offers more protection as you grow your audience. You can make money as your audience increases by advertising products to your readers.

Health bloggers must have good writing and communication skills, have an interest in researching their topic, and a focus on learning marketing skills. Nurse entrepreneurs may choose to be health bloggers alongside another health and wellness business option as it is not a full-time job. However, it’s important to note that it can take months to build your audience and make money from your efforts.

19. Public Speaker

When you want to be a public speaker, it makes sense to take purposeful steps to lead you to your goal. Define and refine your message and then decide how you’ll tell it. Popular public speakers are engaging, entertaining, and know how to tell a good story. It’s stories that keep people captivated and more likely to learn from your content. Nurses have a lot of good stories to tell (leaving out patient names, of course!).

You’ll need to be comfortable speaking in front of groups of people or on camera. If your audience is allowed to ask questions, you’ll need to think quickly about your answers. Public speaking usually involves traveling, and you must have a professional website. Public speakers network easily and are comfortable marketing their services.

20. Nurse Author or Historian

Nurses who contribute content to articles, blogs, historical books, or movie scripts about healthcare are in high demand. Healthcare is constantly evolving and changing. Television and movie scriptwriters need healthcare consultants to ensure they get the information right.

You may fact-check medical details in books, articles, or videos to accurately represent the nurses’ role. If you have editorial training, your skills may be used to ensure the final manuscript represents the nursing skills and culture of the period.

Nurse authors and historians can also use their knowledge to contribute to articles and blogs, maintain their own blogs, or write books and scripts about nursing. Nurse authors must have an active RN license to use the credential. If you have retired your license, you can use your degree to signify your education.

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15 Business Ideas for Nurse Entrepreneurs

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For those with an entrepreneurial mindset, there’s an endless list of potential business opportunities and ways to build a side hustle. One of the keys to starting your own business and turning it into a successful enterprise is to play to your strengths. For those with a nursing degree, there are a number of business opportunities that you’ll have that aren’t available to others — you'll have the ability to leverage your medical degree, experience and skills to launch your own business.

A study by RN Network found that 50% of nurses consider leaving their jobs due to burnout, overwork and high-stress levels. Opening your own business and relying on your skills and certifications as a nurse, therefore, can be a new, refreshing opportunity. Looking for a place to start? In this guide, we've compiled a list of the 15 best business ideas for nurses — plus we'll break down some tips for choosing the right entrepreneurial path for you.

Top business ideas for nurse entrepreneurs

There are a number of different business ideas for nurses out there — whether you're looking for a home-based business idea or an idea that allows you to travel to different clients in your area, there are a variety of options that may align with your skills, interests and schedule.

1. Legal nurse consultant

For nurses who are detail-oriented and love to dive into the details of a patient file, becoming a legal nurse consultant, or LNC, can be a great business idea.

An LNC is a consultant that offers expert advice for legal cases. An attorney might consult with a legal nurse consultant to better understand the facts of their case or an LNC might be asked to analyze testimony in a legal case to look for errors.

There are a number of different ways in which legal nurse consultants can work within the legal system. One of the benefits of this position is that as a legal nurse consultant and business owner, you choose which cases you work on. Overall, this health care business idea gives you a lot of control over your schedule and how you spend your time.

2. Nurse health coach

Many nurses work in a clinical setting where they’re part of a team that treats and diagnoses patient symptoms. For some, this can feel limiting, as you only have so much say in how a patient is treated.

If this applies to you, becoming a health coach might be one of the best nurse entrepreneur business ideas for you. A nurse health coach is someone who helps people to assess their health goals and creates a plan to achieve them. This type of work takes a holistic look at a patient’s health and focuses not only on the symptoms, but also the broader picture.

As a nurse health coach, you might consult with doctor’s offices or hospitals. More often, nurse health coaches run their own practice and see patients on a one-on-one basis.

Seeing the long-term outcomes in patients’ health can be highly rewarding and is ideal for nurses who want to work closely with their patients to help them achieve their goals.

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Once we uncover your personalized matches, our team will consult you on the process moving forward.

3. Specialized care provider

Becoming a specialized care provider is a great business idea for nurses who have learned a specialized set of skills throughout their career and want to apply those skills in their own business. Similarly, becoming a specialized care provider can be one of the best small business ideas for nurse practitioners as well — especially if they want to branch out on their own and work in-depth in one area.

Some examples of specialized care provider businesses include:

Childbirth training.

Fertility consulting.

Lactation consulting.

Telehealth.

In-home care.

Holistic or alternative medicine services.

Mindfulness and stress reduction.

There are a number of ways to take a nursing degree and pair it with a passion to turn it into a business. If there’s a specific aspect of nursing that you love or have extensive experience in, think about how you can turn it into a business. All you need is passion and the time and patience to turn your idea into a reality.

4. Wellness coach

As more and more patients move away from taking medication to solve their health issues, they’re looking for alternative methods and more holistic approaches.

By pairing a nursing degree with a holistic approach to health, you can become a wellness coach. Becoming a health coach will likely require additional training and certification , but it will pair well with the knowledge you already have as a nurse.

When it comes to business ideas for nurses, becoming a wellness coach fits the belief system and knowledge base of many nurses, making this a simple transition.

Moreover, becoming a wellness coach is a great home-based business idea for nurses — as you can opt to work with and see clients in your own space, or, if you choose, travel to meet them. Plus, a large part of wellness coaching often involves building and maintaining an online presence, something that can also be done from home.

5. Nurse blogger

Many people turn to the internet for information on anything, including (if not especially) medical ailments. And while there are plenty of helpful resources out there, there’s also a lot of misinformation — and in the medical field, this can be especially dangerous. As a nurse, you have a specific knowledge base that can be very helpful to a number of people. Thus, one of the best nurse entrepreneur ideas for you might be to start a blog using your nursing credentials and knowledge.

This is an especially easy business to start as a side hustle. In addition to your full-time job as a nurse, you can offer to be interviewed by reporters to provide a medical context to certain articles. You might also start your own blog to share your perspective on nursing and the medical industry.

Your blog can be your entire business or you can use blogging to grow your business. Plus, just like becoming a wellness coach, starting your own blog is a great home-based business idea for nurses, whether as a side hustle or full-time gig.

6. Freelance writer or editor

If you don't want to commit to starting your own blog, you might utilize your medical knowledge and expertise to write or consult for other publications. There are a number of medical sites that might be hiring freelance writers, as well as hospitals or other medical offices who are looking for copywriters or editors with a medical background to contribute to their websites.

In addition, you might find medical journals and academic research publications that could benefit from the expertise of a medical professional to help them with their writing, editing and publication. Again, offering up your services as a freelance writer or editor is a great way to start your own business as a nurse, from home, with significant flexibility and freedom.

Plus, once you've found a client or a handful of clients that use your services, you may be able to branch out into other types of writing and marketing to grow your freelance business.

7. Hospice caregiver

As the baby-boom generation ages, the demand for in-home senior care and end-of-life care will increase. Although the work of a hospice caregiver does deal with the end of someone’s life, it requires more skills than just nursing. Many hospice caregivers are focused on the wellbeing of the patient as the wellbeing of family members. Juggling the physical and mental wellbeing of multiple people doesn’t make this job easy, but it can be very rewarding.

Starting a business as a hospice caregiver can be hard work, not only as a business owner but as a person — as you might expect, the work of a hospice caregiver takes an emotional toll.

Therefore, before you invest in this business idea for nurses, it’s important to remember that if you choose to go into this line of work, you need to be aware of the business risks as well as the risks to your own health. However, if you excel at brightening people’s days and enjoy being able to improve this difficult part of a person’s life, then this could be the perfect fit for you.

8. Childbirth education or doula

On the other hand, you may choose a service-based business idea focused on the beginning of a person’s life, rather than the end. Many nurses choose to start a business as a doula, or someone who provides childbirth education to pregnant women.

Starting your own business as a childbirth educator can take a few different paths. Some doulas work one-on-one with pregnant women to prepare them for the birthing process. These doulas are on-call and are on-site for the birth.

Another option for this type of nurse entrepreneur idea is to offer classes to people who are preparing for childbirth. Teaching classes can be slightly less intense work than helping couples one-on-one and being present for the births themselves.

In either case, however, these business ideas allow you to utilize your medical background, as well as take part in an exciting and rewarding part of life — without requiring the strict, intensive schedule of a hospital or doctor's office.

9. Fitness nurse

Next, a top business idea for nurses that can be done from home or on-the-go, becoming a fitness nurse involves working with clients to create a personalized health plan that includes exercise, nutrition and lifestyle changes. This type of health care business is focused on preventing disease instead of treating it.

This new type of nursing might be just the right way to combine your skills with a passion and start a business — especially if you're enthusiastic about fitness and exercise. Of course, to best serve your clients, you may decide to obtain some additional certifications for nutrition and personal training specifically. Alternatively, you may decide to hire and work with people who specialize in these fields.

10. Medical product sales

While many of these business ideas for nurses have focused on using the skills you’ve acquired as a nurse, there is another option for using your knowledge of the medical industry as a whole. You can start a business selling medical products. This might include products for nurses or for the general medical industry. Some examples include selling scrubs, accessories, medical equipment or medicine.

Starting a business in medical product sales is a great way to use the skills you already have as a nurse. Familiarity with the tools used to treat patients and medications gives you firsthand experiences to help sell products.

Plus, starting your own medical sales business allows you to take advantage of the perks of entrepreneurship — like being your own boss and setting your own schedule.

11. Telehealth consulting

If you're skilled with technology, the best business for you to start, as a nurse, could be related to telehealth. Telehealth is becoming more and more popular within the medical field — allowing patients to converse with nurses and doctors through phone or video calls. This means patients don’t have to leave their homes to receive diagnoses and prescriptions, and medical professionals can see more patients in a day.

Starting a business as a telehealth consultant can allow you to practice as a nurse, just like you do now, but without the commute. As a telehealth consultant, you can also set a schedule that’s more flexible for both you and your patients — including early mornings or later at night, when regular doctors’ offices aren’t typically open.

Once again, like many of these ideas, telehealth consulting is a perfect home-based business idea for nurses as well.

12. Education specialist or course creator

Next, if you have a particular affinity for teaching others, the best nurse entrepreneur business idea might be for you to become an education specialist or online course creator. First, becoming an education specialist could involve a variety of different tasks. You might start as a teaching assistant at a nursing school, or acquire the credentials you need to become a full-time professor.

Similarly, you might work with schools, childcare centers or local government agencies to teach health classes or seminars, like CPR certification, when needed. Along these lines, you might also take advantage of an online class platform to develop and sell your own courses related to nursing, medicine and wellness. If you have particular expertise, you might be able to create a series of lessons dedicated to that subject.

As we've seen throughout our list of the best business ideas for nurses, this opportunity allows you to start something of your own that leverages your expertise. Plus, you have the flexibility to work from home or travel, or do a little of both.

13. Medical billing and coding contractor

If you're looking for a small business idea that's a little different, but still related to the medical field, you might become a medical billing and coding specialist. These individuals work with hospitals and doctor's offices to translate medical records for billing to insurance providers and other payers.

Although some employers may require a specific medical billing and coding certificate, as a nurse, you'll likely be familiar with the processes and be able to pick up the required skills very quickly. Additionally, medical billers and coders can operate as independent contractors, as well as find part-time or full-time positions with one employer.

Ultimately, it would be up to you to decide where you'd like to take this nurse business idea and how you'd like to operate your business.

14. Career coach

For nurses who enjoy mentoring others and offering job advice, the best business idea to start might be a career coaching business. Similar to any coaching business, you'd work with students, young professionals and other clients to help them apply for jobs, plan their career paths and prepare for interviews.

As a medical professional with experience in the field, you'd be able to serve as a great resource to those also looking to become nurses, nurse practitioners or doctors. You'll be able to offer general career and professional advice, as well as clue your clients into the details and nuances of the medical field.

In addition, as a career coach, you can operate your business virtually, have clients come into your home, or even open your own office — depending on what you'd prefer. Plus, as you work on your coaching business, gain clients and see success, you might be able to market your services on a larger scale to colleges, universities and other education organizations.

15. Child care provider

Finally, the best business idea for nurses with previous experience working with kids might be becoming a child care provider. As a medical professional, you could start a variety of childcare-related businesses — you might start a daycare center, become an in-home caregiver for children with specific medical needs, or serve as a medical consultant or resource for other childcare businesses.

Of course, certain ideas, like starting a daycare, will require special licenses and permits, whereas others may be easier to start from home or as a side hustle. In any case, your credentials as a medical professional will make it easier to market your services and work with different parents, caregivers and organizations.

Start Your Dream Business

How to choose the right nurse entrepreneur idea

As you can see, there are a variety of business ideas for nurses, however, before you invest time and money into a specific idea, you'll want to think about these three things to help you determine which idea is best for you:

Assess your skills

Ask yourself these questions to figure out your skills and passions:

What aspects do I like most about my current job or the health care system?

What aspects of my current job do I enjoy the least?

Is there a specific population of patients that I prefer to work with?

Do I enjoy sales?

Would I prefer a job that deals less with people and more with the background and administrative tasks of the health care industry?

Am I good at noticing problems and finding solutions?

What weaknesses slow me down at my current job?

What types of tasks am I best at and do I enjoy?

These questions are a good way to get a better understanding of what types of work you enjoy and what you’re especially good at. Use this information to inform what type of business you choose to start.

Align your schedule

Do you want to start your business as a side hustle or invest in your idea full time? If you're going to start a side hustle, you'll need to take your current schedule into consideration.

Starting your business as a side hustle and building it into a full-time endeavor is a good way to determine whether there’s enough demand for your business, as well as to work through any workflow or operational issues before you completely dive in. This way, you maintain the income from your current job while building your new business.

On the other hand, of course, you might decide to go all-in on your business idea — and in that case, you'll want to make sure you do your research beforehand so you have an idea of the amount of demand you can expect, who your market is, how much startup capital you’ll need, and more.

Feed your passion

While there are many reasons to start your own business, an important one to focus on is doing something that you’re truly passionate about. Operating your own business can certainly increase your income, but that shouldn’t be the sole reason you go into business for yourself. Focus on picking a business that will allow you to do more of the things you love and less of the things you don’t.

Choosing a business idea for nurses that meshes with your passion will make the long hours that you’ll inevitably work (at least when you’re first getting things off the ground) just a little bit easier.

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FREE 4+ Nursing Business Plan Samples [ School, Service, Agency ]

Nurses are arguably the most trusted healthcare professionals in the world. They are and have always been the front liners of global healthcare and public health. The field and industry of nursing is quite broad. It covers roles such as general public health, illness prevention, medicine, rehabilitation , recovery and so much more. Because of this very extensive scope, there is nothing more important to a nursing business than being prepared and planning ahead for every circumstance that they may encounter. That’s why a tool such as a nursing business plan is very important for every nursing business in the world.

Nursing Business Plan

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Businesses are not simple entities to manage, especially if the nature of the business involves medicine and healthcare. Planning ahead ensures that the nurses are able to provide well-rounded care for their patients and clients. Business plans do that really well. Business plans are largely important documents that any business or company of all shape or scale or type must have.

It can provide them with a roadmap that the business can follow in order to ensure success and avoid potential problems. Operating a business without a business plan is generally discouraged as those who do typically just don’t last very long. A well written business plan can come with a slew of benefits, including being able to come up and explore new business ventures without having to invest too much money or resources into it, because you’ve already covered that in your plan. To get properly acquainted with a nursing business plan, check out these samples that we have listed right below. After getting to know what the document is and how it works, you can then use these samples as a guide or even as a template for when you develop your own business plan.

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A business plan is a written document that outlines how a business would define and achieve the goals that it has set. A business plan lays out a roadmap that the management can follow derived from the perspectives of its different departments, marketing , financial , and operational. It’s a largely important document that is usually used to attract prospective clients and investors especially before the company is able to establish an impressive reputation. Although the document is especially useful for new and startup businesses, every company should be able to establish a business plan for their operations.

This will allow them to have something to review and periodically update to see if the goals that they have set are met or if the company is just actually doing good overall. A business plan should be able to outline all the projected and estimated costs of a project or a venture that they are currently working with. Even among competitors in the same industry, it still incredibly rare for competing companies to have identical business plans. Separate businesses tend to have their own way of dealing with things.

The length and coverage of a business plan depends entirely on the nature of the business and the circumstances that they are currently working with. In usual cases, all information should fir into a 15 to20 page document. Although no two business plans are alike, they usually work with all the same components or elements. These elements will be discussed in more detail below.

• Executive summary First and foremost, the company should be able to outline all its relevant information regarding what it is, their mission-vision values, company leadership, employees, operations, and general location. Essentially, executive summaries should talk about what the business is, the nature of all its operations, and all other necessary details.
• Products and services The next section is where the company should outline all the products or services that they may offer. It should include pricing, service lifespan, and what other benefits the customer may receive. Other factors that may be included is manufacturing and production process, patents, and proprietary technology.
• Market analysis A company needs to have a crystal clear idea of its target customers and their target demographics. It should be able to outline who or what the competition is in the industry, and have a better idea on how to stay ahead in the local industry. It will also describe the expected consumer demand for the services and tell you how easy or difficult would be to take advantage of the market.
• Financial planning This section is where the financial status of the company will be reflected. It is presented to attract the attention of the prospective clients and investors that may be reading your plan. Financial statements, balance sheets, and other relevant information regarding the company’s finances.
• Budget Every company needs to set a proper budget in place. This includes costs, staffing, manufacturing, development, marketing, and all other business related expenses.
• Situation analysis
• Services positioning
• Setting objectives

Kindness, trustworthiness, empathy, caring, and compassion are some of the traits that people already have. Nurses take these innate goodness and escalates it really well. helping them communicate and empathize properly and clearly with their patients that are possibly at the worst moments of their lives.

Business plans are usually summarized for the people who work in and around the business or company. It’s only presented in full without any revisions when presenting to outside entities such as investors, lenders, suppliers, clients, and other executives.

Nursing is not an easy profession, much more when operating in a business. That’s why a business plan is one of the most vital tools a nurse can have when running their own industry. To at least take some weight off their backs.

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• The 7 Step Business Plan for a Medical Staffing Agency

By Adam Day

• Uncategorized

April 22, 2021

A strong business plan can make or break a new startup. Therefore, if you’re looking to open a healthcare staffing agency, a solid business plan should be your first port of call.

Not only does it provide a clear road map for getting your business up and running, it’s also the first step in applying for a business loan. Furthermore, with so much to handle from financing to legal protection, the act of writing it all down with actionable steps can take a huge load off your mind and make that mountain ahead seem a lot easier to climb 

To help you in your journey, we’ve outlined below in seven easy steps how you can create a business plan for a medical staffing agency.

1. Outline Your Business Goals and Purpose

Start by writing out in clear terms what your business goals are for starting a healthcare staffing agency.

It should be concise and easy to understand. Furthemore, If you’re going to be applying for a business loan, this is your chance to lay out why you’ll need the funds and what your growth targets are. 

2. Decide on the Type of Business You’ll Be Running

Every staffing agency must decide on the type of ownership structure it will operate under. You have a few options, and each have their own pros and cons. Take some time to decide which one might work best for you depending on your personal and business goals. 

• Sole Proprietorship – This is where one person owns the entire business under their own name. Any debts or liabilities that the business takes on are the sole personal responsibility of the owner.
• Joint Partnership – When two or more people open a business together, they enter into a partnership. Depending on the arrangement, each owner may hold an equal or different share in the business. All debts and liabilities are still considered personal. 
• A Limited Liability Company – An LLC comes with significant tax benefits and can be opened under sole proprietorship or joint partnership. Another benefit to this arrangement is that it offers the legal protection of being a corporation. 
• A Corporation – Functions much the same as an LLC, with the important difference that it is owned by its shareholders, whereas an LLC is owned by one or more individuals. 

Whatever type of business you decide on, keeping track of employee time and attendance will make your life a whole lot easier. Learn more about our staffing agency software here . 

3. Ensure Liability Protection

As a nurse staffing agency, you’re in a rather unique position regarding legal protection. Your staff will be working in several different locations, some safer than others and you need to ensure that both they and you have proper protection.

Outline the type of liability insurance you’ll need and how it will protect your company from any damages caused. Since you’re operating in the medical industry, it’s advisable that you go with premium liability insurance. 

You’ll also need proper worker’s compensation in case one of your employees suffers an injury on the job. Your insurance program should cover both medical costs and rehabilitation. As an added bonus, it may also be worth getting short or long-term disability insurance on top of the base package. 

4. Investigate Funding Options

Whatever agency you operate within, when you first get started, you’ll likely be operating out of a spare room.

Furthermore, for the first few months, as you try to hire staff and find clients, your business will probably be in the red, financially speaking.

This is perfectly normal. That being said, eventually you’re going to have to find extra funding before your business can really take off. Employees will have to be paid before you even have clients and you’ll have advertising, recruiting, and operating costs to cover. 

To get yourself through these first early months, outline a plan for how you will fund your business venture. Some of it can come from your own personal savings, but in all likelihood, you’re going to need a business loan to cover the rest. Research what loan options are available and what the requirements are to be approved.

5. Make Revenue Projections

Key to the success of any business venture is an accurate revenue projection. This will be crucial when it comes time to apply for a business loan, so lay out your expected earnings for each month and yearly quarter for the first 2-3 years. It should be properly cited with market reports and financial statements to back up your projections. Be aggressive in your goals, but also realistic. Your loan officer will want to see clear evidence that you can cover your monthly loan payments and any other debts or liabilities you may have taken on.

This is also a good time to think about how you can achieve critical mass, the point at which you have enough staff and clients that your business becomes self-sustaining. When you first get started, you’ll be operating on a shoestring budget and largely dependent on whatever funding you could get.

Try to get a clear sense of how much you’ll need to grow before you can compete in the medical market effectively and remain competitive. Your point of critical mass will be an ever-changing target, so be aware that you’ll need to revise it over time. The revenue projections you make will have a direct impact on the balance between your medical staffing agency’s bill rate vs pay rate .

Revenue projections and medical staffing analysis is made easier by using our staffing agency software . Learn more here. 

6. Develop a Marketing Plan

This is where you will lay out your marketing plans and how you intend to achieve them. You’ll need to outline two marketing plans, one for attracting medical employees and another for clients.

For your medical employees, brainstorm a bunch of ideas for how you can draw talent. For instance, reach out to local schools that specialize in nursing and medical care. You could even try teaming up with a local faculty to encourage new graduates to join your agency. Other methods for finding staff include reaching out on social media or asking medical staff you already have on the books to reach out through their connections and pitch job offers.

As for clients, draw up a list of all the nearby hospitals, health clinics, and anywhere else that needs medical staff. These will be the targets for your marketing campaign, and you should have a clear idea for how you can attract their business.

If you have a unique selling proposition (USP), this is your chance to showcase it and explain how you will compete with other staffing agencies. You should also research any educational events in your area. Medical personnel are always in need of continuing education credits to maintain their professional licenses, and these events can be a great place to find both new recruits and new business clients.

7. Bring It All Together

Type out everything in a single document with each area categorized and properly indexed. It should be easy to present to lenders and provide a clear blueprint for how your business will operate and grow in the future. A basic business plan should include the following:

• An executive summary
• Company ownership structure and financing
• Market analysis and business plan
• Pricing model and marketing plan
• An appendix section listing supporting information

Bottom Line

There you have it! While there is no blueprint for how to open a healthcare staffing agency, if you follow these 7 steps your chance of success will drastically increase. 

Once you’re up and running, make sure you finalize your temp agency markup rates to ensure you’re profitable but don’t price yourself out of the market.

Furthermore, to offer unique value and attract the best medical professionals, invest in staffing agency software in order to streamline your time and attendance, payroll and HR.

Want to learn more about how Timerack can benefit your medical staffing agency? Book a personalized demo here . 

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Nursing Home Business Plan Sample

AUG.01, 2018

Do you want to start nursing home business?

Do you want to start a nursing home business? Well, it may prove the right choice if you want to serve people besides earning money. A nursing home is like a residential care center for elderly people who can’t be cared at home and are too healthy to be admitted to a hospital. Due to the advancements in medical science, life expectancy has been increased, especially in the developed countries. So, the elderly people who don’t have any caretakers at home or who choose not to live independently needs a timeless service in which they are provided with mental, medical, occupational, speech and physical assistance.

If you are determined to help the retired and elderly people and also want to generate a surplus amount of money, then this is the most suitable profession for you. Before you start the nursing home business, the first step is to make its comprehensive business plan, in which you include all the details about how to open a retirement home and how will you manage it etc. In case, you don’t know how to start a home nursing care business , you can take help from this sample business plan written for a nursing home business startup named ‘Kate Nursing Home’ owned by Kate Greene.

Executive Summary

2.1 the business.

Kate Nursing Home owned by Kate Greene, will be a home to elderly people who need daily assistance and care, located at a 5 minutes’ drive from DMC Heart Hospital, Detroit. Kate Nursing Home will be a 3-floored vast building with the capacity to accommodate about 35 people.

2.2 Management

Opening a nursing home is not just a business, it is a task of great responsibility and accountability. The owner of the business will be responsible for routine works of about 35 people. The whole system will be managed by Kate, her daughter and a hired manager. Moreover, Kate will hire recreational staff to meet social, emotional, intellectual and spiritual needs of elderly people, skilled nurses, nursing assistants, accountants, housekeepers, therapists and guards.

2.3 Customers

Before starting a nursing home business, you must acknowledge the type of your customers to plan your business according to their demands and needs. The customers of a nursing home will be usually the people living in Detroit of age 60 or above. You have to use all means to provide proper care and attention to the residents of your nursing home.

2.4 Target of the Company

Our target is to fill out all our rooms within the two or three months of our launch. We aim at providing excellent temporary and permanent caring services to the elderly people of our town, and to make them feel at home. Our major purpose is to provide the elderly people of our home with comfortable and friendly environment. Besides, we also have some monetary targets; the fundamental one will be to balance the cost of startup within the next three years of launch.

Our sales and revenue targets for the next three years are summarized in the chart below:

Company Summary

3.1 company owner.

Kate Greene will be the owner of Kate Nursing Home. Kate had been awarded an MD (Doctor of Medicine) degree by the University of Michigan. She had been working in the DMC Heart Hospital for the past 20 years. Now, she has taken retirement because she wants to open a nursing home. She will work on her nursing business plan ideas , with the assistance of her daughter, who is also a doctor, and an experienced and caring team.

3.2 Why the Business is being started

Kate was interested in serving and helping people since her childhood. She didn’t become a doctor for the sake of salary, but for improving the life qualities for others. Now she had enough money and time to open up a nursing home for the people who need assistance with their daily routine, but don’t have anyone at home to pay attention to them and their needs.

3.3 How the Business will be started

Starting a nursing business  requires a lot of effort, time and money. If you don’t just want to open a nursing home but also want to run it successfully benefitting more and more people, you have to put loads of effort into it.

Kate has decided to procure an existing building and turn it into a nursing home. She will rent a large building with 3 floors, at least 8 private rooms with attached baths, and 20 general bedrooms. Each floor will have five bathrooms, a kitchen, and a big sitting lounge. There will be a lawn with walking and running tracks and a therapy gym with basic equipment and machines. Each room will be well-furnished and every comfort will be provided to the residents. Kate will hire a team of housekeepers, nurses, assistants and therapists for the 24-hour assistance of the residents.

If you want to jump into this business but don’t have an idea of how to start a retirement home , we are here to help you by this sample business plan.

The costs for startup are as follows:

The startup requirements are as follows:

Services for customers

After getting the basic knowledge about how to open nursing home business , the next step is to add the services, you are going to provide, in your nursing agency business plan . Your services will decide whether you will be able to compete in the market or not.

If you want guideline on the services you should provide, you can take help from this sample business plan on how to start up a nursing home  and run it successfully. Kate Nursing Home will provide the following services:

• Specialty Care: For the disabled persons who need acute care and attention, we have licensed nurses and nursing assistants who will provide them with daily assistance and personal care by serving meals, taking care of their medicinal needs, transferring them from bed to chair etc. Besides, our skilled nurses will make a daily nutrition plan for them, to assist them in improving their health.
• Temporary Assistance (of 2 months): This type of assistance will be given to your loved ones if they are ill and need proper care and therapy until they are fit and healthy again. Usually, the temporary residents of a nursing home are fighting with some physical, mental or emotional disorder. For them we’ll provide three types of therapies:
• Occupational Therapy to assist residents in fighting with some illness or injury.
• Physical Therapy for assisting them to regain their strength and flexibility.
• Speech Therapy given to the persons who have trouble producing and evaluating speech.
• Permanent Assistance: We’ll assist our permanent residents by taking care of all their needs and requirements including physical, mental and emotional needs. Elderly people usually get emotional and behavioral sickness. So, we will hire a recreational staff for arranging birthday parties, musical events, religious services, art and crafts, adopting pets, outdoor activities and picnics for them to refresh their moods.
• Evening Activities: For the people above age 60, whether they are our residents or not, we’ll arrange evening activities like playing cards or chess or learning the use of technology, to assist them in maintaining their intellect and memory.

Marketing Analysis of nursing home business

If you are going to start a nursing home business , then you surely need to make a nursing home business plan . While designing your nursing home business plan template , you must focus on the marketing analysis segment. The accuracy of your nursing business plan depends upon how keenly you focus on your target market and analyze it in your personal care home business plan .

If you are finding difficulty at writing residential care home business plan , you will be glad to know that we are providing a nursing home business plan free of cost. You can take help from this sample personal care home business plan  or can also find more nursing home business plans  available online. However, if you are starting this business on a very large scale then instead of writing a plan by yourself by taking help from a sample business plan personal care home , you should hire services of experts to make for you an accurate personal home care business plan  according to your dimensions and finances.

5.1 Marketing Trends

Before starting a new business, you must study the marketing trends in detail to help you demonstrate the market potential of a new startup. A careful marketing analysis will help you to decide the most favorable location for your business. According to a report by IBISWorld, there are more than 31,000 nursing home businesses in the United States running successfully. The business is expanding at a rate of 2.3% and is expected to continue expanding at a much faster rate over the coming years. Because an estimate shows that 22% of the world population in 2050 will be comprised of the people of age above 60. The business is generating a revenue of $136 billion annually and is serving as a source of employment for more than 1.8 million people in the United States. These statistics clearly demonstrate that this is the good time to enter in this industry, and the business can prove extremely profitable for you if you plan it wisely and successfully.

5.2 Marketing Segmentation

While writing a business plan, you must clearly acknowledge the groups or segments of the society that can prove your prospective or potential customers. An accurate marketing segmentation can help you in devising your policies according to the demand of your customers. Our customers will include the non-acutely ill or companionless people of age 60 or above living in Detroit, or the one who has some disability and need 2-3 months of full-time rest and proper care. We will also be serving the people, whose family may be going to somewhere else for a short period of time and need a trusted care center for their loved ones. We also have arranged evening activities for the people who want some recreational and intellectual activity for themselves. Evening Activities will be available for the temporary and permanent residents of the nursing home as well as non-residents. Our experts have identified the following target groups for our services:

The detailed marketing segmentation of our target audience is as follows:

5.2.1 Elderly & Alone People: The first group of our customers will be the elderly people, who don’t have a family or any caretaker at home, who want to spend time in productive and recreational activities and can afford the charges of full-time assistance at a nursing home. Such elderly people can prove our permanent residents and we’ll provide them with our best services fulfilling all their nutritional, medical and recreational needs.

5.2.2 Disabled or Diseased: The second category includes the people who have some serious disorder or disease, and whose loved ones want them to be in a homey environment rather than a hospital. Such people need daily therapies to enhance their workability, besides the routine assistance. For such residents, Kate Nursing Home has hired experienced nurses and therapist who will make sure that the residents are given occupational, speech and physical therapies according to their needs. They will mostly be kept in specialty care or under temporary assistance.

5.2.3 Non-acutely Ill: The people whom we cannot declare as healthy, and who are not much seriously ill to be cared in a hospital will be our third and the biggest target group. Our honest and hard-working professionals will ensure that the best possible care is being delivered for such permanent residents. We will ensure that our caring and compassionate staff will treat the residents as their family. We’ll ensure extra care and attention along with the daily routine assistance to this category of our residents.

The detailed and comprehensive market analysis of our potential customers is given in the following table:

5.3 Business Target

Kate is not opening the nursing home just for the sake of money, but because she has the passion to serve humanity by helping the helpless. Our major target will be to provide a homey and comfortable environment for the elderly and disabled old people. We’ll hire the persons who are skilled, ethical, compassionate and ready to treat our residents as their own family members. Our target is to provide them with the care and assistance they need and deserve in this old age. For the sake of giving proper attention to our residents, we are not going to accommodate hundreds of people in our nursing home, instead, we will accommodate a maximum of 35 people and will comfort them with our best efforts and services.

To serve more and more elderly people efficiently, we have to make our business financially strong. For that monetary advancements, our business targets are:

• To become the most trusted and most successful nursing home in Detroit
• To achieve the net profit margin of $10k per month by the end of the first year, $15k per month by the end of the second year, and $25k per month by the end of the third year
• To balance the initial cost of the startup with earned profits by the end of the first year

5.4 Product Pricing

Product Pricing is the major leading factor in deciding the success and failure of a startup. If you are starting a new business, you have to keep your prices low at the initial stage, so that more and more people are attracted towards you. In this sample business plan, we are giving the product pricing scheme of Kate Nursing Home.

We haven’t priced our services very highly; we have the rates which are currently offered by other nursing homes in the city. However, we haven’t compromised on the quality of our business. All the inventory and things which our residents will need for daily usage will be available every time, and the rooms and furniture will be maintained on a daily basis.

Basically, we’ll have these three types of memberships:

• Membership for Permanent Residence for $600 per month
• Membership for Specialty care for $800 per month
• Membership for Temporary Residence for $400 per month
• Membership for Evening Activities for $150 per month

These are the charges for general accommodation, if you want a private and more comfortable room for your loved ones or for yourself, you have to pay additional charges for it. Moreover, for the people who need intense professional therapy, we’ll be taking a little bit more money to meet their medicinal needs.

If you are working on how to start a nursing home business , the most important part you should consider is your sales strategy in the business plan . Kate has done a lot of research on the sales, marketing, and advertisement techniques, so that more and more people will know about the new startup and can use the services of Kate Nursing Home either for themselves if they are above 60; or for their parents if they are unable to give them proper time or care.

Here is starting a nursing home business plan , which we have provided in order to help you in formulating yours.

6.1 Competitive Analysis

Our biggest competitive advantage is the devotion and determination of all our team. We have an excellent team which believe in serving the people who are unable to serve themselves. Our second biggest competitive advantage is the range of indoor and outdoor services we will provide to our residents. No other nursing home in this vicinity arrange the hobbies and activities for old people like adopting pets, playing games etc. Most significantly, we will teach our permanent residents to use latest social networks and websites so that they will conceive that they are not outdated and can compete with the new generation. Lastly, we have a wide parking area for the vehicles of the visitors whenever they visit their loved ones.

6.2 Sales Strategy

We will attract our customers towards us by various efforts, such as:

• We will advertise our nursing home in magazines, newspapers and social media
• We will arrange seminars and awareness sessions on giving the elders the required care and attention
• We will arrange transportation facilities with caretakers for our residents when they want to go out
• We will give 5% discount to the first 10 customers

6.3 Sales Forecast

Our sales are forecasted in the following column charts:

The detailed information about sales forecast is given in the following table:

6.4 Sales Monthly

Our forecasted monthly sales for the first year of startup are given below:

6.5 Sales Yearly

Our forecasted yearly sales for the first three years of startup are given below:

Personnel plan

If you are starting a nursing home care business , you must focus on the staff you are going to hire. You will need the staff which is compassionate enough to understand the misery and distress of the elderly people when they find that they are not cared like the way they deserve. You should keep in mind that you will be dealing with those people who get emotional at small things and hire your members accordingly if you really want to serve them.

7.1 Company Staff

Kate will hire the following staff for starting a personal home care business:

• 1 General Manager for managing the overall operations
• 2 Accountants for maintaining financial records
• 2 Cooks for preparing meals
• 5 Nurses for examining and treating the residents
• 10 Nursing Assistants for aiding the residents with their daily works
• 5 Recreational Workers for indulging residents in indoor and outdoor activities
• 5 Cleaners to maintain extreme cleanliness
• 2 Drivers for providing transportation facility
• 2 Physiotherapists for the therapy and physical exercise of the residents
• 2 Security Guards

7.2 Average Salary of Employees

The average salary of our staff is summarized in the following table:

Financial Plan

To run a nursing home business successfully you don’t only require the passion for it but also a large amount of money to meet with the daily expenses of so many people, among whom some can be disabled or suffering from any disease. For balancing your incomes with your expenses, you need a financial plan. A detailed and accurate financial plan must be devised before a personal care home business start up . In your financial plan, you have to develop an outline defining nursing home business profit and a record of your investment group business plan and expenses.

If you need some help regarding the formulation of a financial plan for your business, you can take help from this sample business plan on how to open a nursing home business. But if you are opening the nursing home on a very large scale, you must seek the help of financial experts to make you a financial plan according to your actual expenses and investments. The detailed financial plan of Kate Nursing Home for the next three years is given below.

8.1 Important Assumptions

8.2 brake-even analysis.

8.3 Projected Profit and Loss

8.3.1 profit monthly.

8.3.2 Profit Yearly

8.3.3 Gross Margin Monthly

8.3.4 Gross Margin Yearly

8.4 Projected Cash Flow

8.5 Projected Balance Sheet

8.6 business ratios.

Download Nursing Home Business Plan Sample in pdf

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The Business Plan

The business plan will differ depending on the funding model (fee for service, alternative funding plans, health networks, etc.). The following are some things to consider in terms of revenue and expenses:

Revenue sources

Provincial health insurance programs : Increasing the number of patient visits or roster size through improved capacity and access can bring in more revenue. In many provinces, as long as the physician interacts with the patient, the visit can be billed. Indeed in some provinces, procedures such as cervical screening, immunizations and injections can also be billed without an interaction with the physician. The average fee-for-service bill for an office visit is $30; a physician-RN team should be able to easily accommodate two additional patients per hour, thus increasing revenue by $60 and covering the RN’s compensation.

Where deliverables or outcome targets (such as P4P) affect revenue, the ability to provide more care to more patients may provide a higher compensation range.

Non-insurable services : Certain services could increase in a team practice due to increased capacity. This will increase revenue. These services include medicals, form completion, travel immunizations and other procedures that are not covered under provincial insurance plans. In some practices, this added revenue will come from directly billing the patients for these services.

Research revenue : A physician-RN team may have more capacity to become involved in research programs, resulting in an increase in revenue.

Enhancements in care : Depending on the funding arrangements, an increase in screening (e.g., cervical screening) and immunization (e.g. tetanus, flu, pneumonia vaccines) will not only improve patient care, but add revenue for the practice

Nursing salary : The average mid-level Canadian salary for nurses is $30.00-$40.00 per hour. Being an RN is very challenging, requiring experience and advanced knowledge. In order to recruit and retain the best RNs, a competitive salary may be an important consideration.

Benefits : Many primary care practices do not offer employee benefits. Physicians in such practices should consider topping up base salaries to compensate for this (typically an additional 15-25 per cent).In practices where some or all of these benefits are available, the cost of providing these benefits (employer contributions) would be a consideration.

Overhead : Additional office costs will undoubtedly be incurred as a physician-RN team treats more clients. These extra costs should be a consideration in a primary care practice. Typical overhead costs include office support salaries, medical supplies and facility costs (electricity, maintenance, phones, electronic medical records, etc.).

Equipment:  More equipment may be necessary as an RN adds to the number and diversity of patients that are treated in a physician-RN primary care practice. One-time equipment expenses at the time an RN is added may include: stethoscope, blood pressure cuffs (different sized cuffs), otoscope, thermometer, baby scale, adult scale, steadiometer (height measurement), exam table, exam light, computer, printer, software and licence and office furniture.

Space rental : Additional space may be necessary to accommodate the registered nurse, which would be an additional cost. Link to section 1.4

Payroll expenses : Employer contributions to CPP and EI (if relevant) are usually in the range of 8-12 per cent.

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Nursing Strategic Plan

Nursing departments and divisions within hospitals, organizations, medical facilities, and academic institutions use a nursing strategic plan to ensure that nurses and the entire department will be prepared for future operations. Nursing strategic plans, like  health and safety strategic plan examples , provide an idea on how action plans and strategies can be implemented to achieve set goals and objectives.

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Nursing Strategic Plan Example

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Nursing Company Strategic Plan Example

Basic Nursing Strategic Plan Example

If you want your nursing department to be relevant, well-prepared, and organized, coming up with a comprehensive nursing strategic plan is a great idea. This document can help the entire department to become more organized and orderly especially when it comes to providing patient care and other services.

A number of downloadable nursing strategic plan examples are listed in this post to serve as your references and guides. Make sure to browse through any or even each of them so you can have an idea on how to develop your own nursing strategic plan.

Nursing Strategic Plan Summary Example

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Why Is a Nursing Strategic Plan Essential?

There are many ways on how a nursing strategic plan can be beneficial to nurses and the organization. In comparison to  human capital strategic plan , a nursing strategic plan also deals with the proper deployment and designation of nurses in particular time frames to cover necessary shifts and/or practices. However, the usage of this document is not limited to this manner. Here are some of the reasons why a nursing strategic plan is considered as an essential document:

• A nursing strategic plan presents the vision and goals of the organization. Hence, nurses can have a clear focus when it comes to ensuring that specific objectives will be realized with the help of their skills, time, effort, and expertise. This also allows the work processes and action plans of the nursing department to be aligned with that of the business.
• A nursing strategic plan can be used as a reference when monitoring activity results and process progress. This is very helpful in identifying the impact of certain nursing programs and protocols to the operations of the business. It is necessary for action plans, strategies, and tactics to be evaluated so that the business and the nursing team can identify all the processes that affect the team’s efficiency and effectiveness.
• A nursing strategic plan promote the implementation of consistent and even improved work processes that can reflect the quality standards of the hospital or the organization where the nurses work for. Since a nursing strategic plan is already at hand, nurses can have an easier time in identifying the standards that they need to meet and the deliverable that they must bring to the table every time they are in the workplace.
• A nursing strategic plan helps nurses and nursing departments to be more strategic and tactical when facing situations and instances. Especially during unforeseen circumstances, nurses can be more guided with what to do or how to react.
• A nursing strategic plan helps nurses to become more alert and responsive. With this document, hospitals and other organizations can designate work responsibilities to the nurses in a way that the needs of patients, communities, and other entities can be given in a timely manner.

Standard Nursing Strategic Plan Example

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Nursing Service Organization Strategic Plan Example

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Nursing Division Strategic Plan Example

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Advantages of Having a Nursing Strategic Plan

May it be a  one-page strategic plan  or a full-blown five-year nursing strategic plan, being able to come up with any document that can help you present action plans while setting goals that can help you get your desired outcomes can be very beneficial. Here are some of the advantages that you can experience if you will have a nursing strategic plan at hand:

• Creating a nursing strategic plan can help the team list down its strengths as well as its weaknesses. More so, it allows the nursing team and the organization to come up with plans that can fully utilize the deliverable of all the nurses. This can then open opportunities for growth and development.
• Having a nursing strategic plan can present the condition of the nursing team at the moment. It can discuss about operational lapses, training standards, and other issues that can affect the performance of the nurses. This is a great way to create action plans that can bridge the gap between the current state of the nurses and the condition within the operations where they aspire to be.
• Developing a nursing strategic plan can concisely define the steps that are needed to be taken so that the plans of the team can be implemented and the goals of the organization can be achieved. It can organize all work processes and other transactions where nurses are involved. This is a great way to create a tactic where involvement and collaboration among team members is evident.
• Coming up with a nursing strategic plan can create a communication channel where nurses and other entities within the team can collaborate and talk to one another to ensure that proper measures will be considered within the planning of new action plans and strategies. This is a great way to ensure that the nursing team are well-aware of the issues and concerns surrounding within the operations and that they are willing to participate in coming up with solutions to problems and weak points of nursing processes.

Strategic Plan for Nursing Example

Final Nursing Strategic Plan Example

Comprehensive Nursing Strategic Plan Example

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Detailed Nursing Strategic Plan Example

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School of Nursing Strategic Plan Example

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Tips in Making a Nursing Strategic Plan

Any nursing agenda, goals, and objectives can be achieved in time with the help of a nursing strategic plan. This is the reason why this document needs to be created accordingly. If you want your nursing vision come to life, then you have to list down all the tactics, strategies, and processes that you need to incorporate not only within the operations but also on the daily activities of the workforce. A few of the useful tips that you can incorporate in the creation of a nursing strategic plan include the following:

• It is essential for all the action plans and strategies that you will develop to be based on the current practices of the nursing department. You have to ensure that you will rely on credible evidences and firsthand information for your plans to be applicable to the operations of the facility.
• Keep in mind that strategic planning requires the presence of measures or metrics that can evaluate the results of action plans and other efforts. You have to ensure that you will develop and incorporate an evaluation process for the nursing strategic plan that you will create.
• It is important for the person who will create the nursing strategic plan to be knowledgeable of the document’s purposes. Veering away from the objective of the document can only weaken or lessen the effectiveness of the document.
• Just like when creating a  security strategic plan  and other kinds or types of strategic plan documents, you have to be aware on how to properly format the document. You should create a layout that can make the document look presentable, well-arranged, and organized. You can use templates as your references if you want to come up with a nursing strategic plan that is polished and formal looking.
• List down all the key factors that can affect the effective implementation of the nursing strategic plan. You also need to consider the elements that can impact your activities or the processes where the nurses will be immersed in.
• Evaluate the final draft of the nursing strategic plan. It will be great if you will allow decision-makers and other stakeholders to review the document first before implementing its content. This can help you gather recommendations and suggestions which in turn can improve the document’s content as well as its presentation. Moreover, this can help you identify errors that you can remove or fix before officially disseminating copies of the document to different entities.

If you think that it is too hard, tedious, and challenging for you to create a nursing strategic plan on your own or from scratch, you do not need to worry as we have come up with a list of downloadable nursing strategic plan examples. As we have mentioned above, you can just refer to these examples as they can help you with the development of both the content and format of your nursing strategic plan.

Text prompt

• Instructive
• Professional

Create a study plan for final exams in high school

Develop a project timeline for a middle school science fair.

Nursing Care Plans (NCP) Ultimate Guide and List

Writing the  best   nursing care plan  requires a step-by-step approach to complete the parts needed for a care plan correctly. This tutorial will walk you through developing a care plan. This guide has the ultimate database and list of nursing care plans (NCP) and nursing diagnosis samples  for our student nurses and professional nurses to use—all for free! Care plan components, examples, objectives, and purposes are included with a detailed guide on writing an excellent nursing care plan or a template for your unit. 

Table of Contents

Standardized care plans, individualized care plans, purposes of a nursing care plan, three-column format, four-column format, student care plans, step 1: data collection or assessment, step 2: data analysis and organization, step 3: formulating your nursing diagnoses, step 4: setting priorities, short-term and long-term goals, components of goals and desired outcomes, types of nursing interventions, step 7: providing rationale, step 8: evaluation, step 9: putting it on paper, basic nursing and general care plans, surgery and perioperative care plans, cardiac care plans, endocrine and metabolic care plans, gastrointestinal, hematologic and lymphatic, infectious diseases, integumentary, maternal and newborn care plans, mental health and psychiatric, musculoskeletal, neurological, pediatric nursing care plans, reproductive, respiratory, recommended resources, references and sources, what is a nursing care plan.

A  nursing care plan (NCP)  is a formal process that correctly identifies existing needs and recognizes a client’s potential needs or risks. Care plans provide a way of communication among nurses, their patients, and other healthcare providers to achieve healthcare outcomes. Without the nursing care planning process, the quality and consistency of patient care would be lost.

Nursing care planning begins when the client is admitted to the agency and is continuously updated throughout in response to the client’s changes in condition and evaluation of goal achievement. Planning and delivering individualized or patient-centered care is the basis for excellence in nursing practice.

Types of Nursing Care Plans

Care plans can be informal or formal: An informal nursing care plan is a strategy of action that exists in the nurse ‘s mind. A  formal nursing care plan is a written or computerized guide that organizes the client’s care information.

Formal care plans are further subdivided into standardized care plans and individualized care plans:  Standardized care plans specify the nursing care for groups of clients with everyday needs.  Individualized care plans are tailored to meet a specific client’s unique needs or needs that are not addressed by the standardized care plan.

Standardized care plans are pre-developed guides by the nursing staff and health care agencies to ensure that patients with a particular condition receive consistent care. These care plans are used to ensure that minimally acceptable criteria are met and to promote the efficient use of the nurse’s time by removing the need to develop common activities that are done repeatedly for many of the clients on a nursing unit.

Standardized care plans are not tailored to a patient’s specific needs and goals and can provide a starting point for developing an individualized care plan .

Care plans listed in this guide are standard care plans which can serve as a framework or direction to develop an individualized care plan.

An individualized care plan care plan involves tailoring a standardized care plan to meet the specific needs and goals of the individual client and use approaches shown to be effective for a particular client. This approach allows more personalized and holistic care better suited to the client’s unique needs, strengths, and goals.

Additionally, individualized care plans can improve patient satisfaction . When patients feel that their care is tailored to their specific needs, they are more likely to feel heard and valued, leading to increased satisfaction with their care. This is particularly important in today’s healthcare environment, where patient satisfaction is increasingly used as a quality measure.

Tips on how to individualize a nursing care plan:

• Perform a comprehensive assessment of the patient’s health, history, health status, and desired goals.
• Involve the patient in the care planning process by asking them about their health goals and preferences. By involving the client, nurses can ensure that the care plan is aligned with the patient’s goals and preferences which can improve patient engagement and compliance with the care plan.
• Perform an ongoing assessment and evaluation as the patient’s health and goals can change. Adjust the care plan accordingly.

The following are the goals and objectives of writing a nursing care plan:

• Promote evidence-based nursing care and render pleasant and familiar conditions in hospitals or health centers.
• Support holistic care, which involves the whole person, including physical, psychological, social, and spiritual, with the management and prevention of the disease.
• Establish programs such as care pathways and care bundles. Care pathways involve a team effort to reach a consensus regarding standards of care and expected outcomes. In contrast, care bundles are related to best practices concerning care for a specific disease.
• Identify and distinguish goals and expected outcomes.
• Review communication and documentation of the care plan.
• Measure nursing care.

The following are the purposes and importance of writing a nursing care plan:

• Defines nurse’s role. Care plans help identify nurses’ unique and independent role in attending to clients’ overall health and well-being without relying entirely on a physician’s orders or interventions.
• Provides direction for individualized care of the client.  It serves as a roadmap for the care that will be provided to the patient and allows the nurse to think critically in developing interventions directly tailored to the individual.
• Continuity of care. Nurses from different shifts or departments can use the data to render the same quality and type of interventions to care for clients, therefore allowing clients to receive the most benefit from treatment.
• Coordinate care. Ensures that all members of the healthcare team are aware of the patient’s care needs and the actions that need to be taken to meet those needs preventing gaps in care.
• Documentation. It should accurately outline which observations to make, what nursing actions to carry out, and what instructions the client or family members require. If nursing care is not documented correctly in the care plan, there is no evidence the care was provided.
• Serves as a guide for assigning a specific staff to a specific client.  There are instances when a client’s care needs to be assigned to staff with particular and precise skills.
• Monitor progress. To help track the patient’s progress and make necessary adjustments to the care plan as the patient’s health status and goals change.
• Serves as a guide for reimbursement.  The insurance companies use the medical record to determine what they will pay concerning the hospital care received by the client.
• Defines client’s goals. It benefits nurses and clients by involving them in their treatment and care.

A nursing care plan (NCP) usually includes nursing diagnoses, client problems, expected outcomes, nursing interventions, and rationales. These components are elaborated on below:

• Client health assessment , medical results, and diagnostic reports are the first steps to developing a care plan. In particular, client assessment relates to the following areas and abilities: physical, emotional, sexual, psychosocial, cultural, spiritual/transpersonal, cognitive, functional, age-related, economic, and environmental. Information in this area can be subjective and objective.
• Nursing diagnosis . A nursing diagnosis is a statement that describes the patient’s health issue or concern. It is based on the information gathered about the patient’s health status during the assessment.
• Expected client outcomes. These are specific goals that will be achieved through nursing interventions. These may be long and short-term.
• Nursing interventions . These are specific actions that will be taken to address the nursing diagnosis and achieve expected outcomes . They should be based on best practices and evidence-based guidelines.
• Rationales. These are evidence-based explanations for the nursing interventions specified.
• Evaluation . These includes plans for monitoring and evaluating a patient’s progress and making necessary adjustments to the care plan as the patient’s health status and goals change.

Care Plan Formats

Nursing care plan formats are usually categorized or organized into four columns: (1) nursing diagnoses, (2) desired outcomes and goals, (3) nursing interventions, and (4) evaluation. Some agencies use a three-column plan where goals and evaluation are in the same column. Other agencies have a five-column plan that includes a column for assessment cues.

The three-column plan has a column for nursing diagnosis, outcomes and evaluation, and interventions.

This format includes columns for nursing diagnosis, goals and outcomes, interventions, and evaluation.

Below is a document containing sample templates for the different nursing care plan formats. Please feel free to edit, modify, and share the template.

Download: Printable Nursing Care Plan Templates and Formats

Student care plans are more lengthy and detailed than care plans used by working nurses because they serve as a learning activity for the student nurse.

Care plans by student nurses are usually required to be handwritten and have an additional column for “Rationale” or “Scientific Explanation” after the nursing interventions column. Rationales are scientific principles that explain the reasons for selecting a particular nursing intervention.

Writing a Nursing Care Plan

How do you write a nursing care plan (NCP)? Just follow the steps below to develop a care plan for your client.

The first step in writing a nursing care plan is to create a client database using assessment techniques and data collection methods (physical assessment, health history, interview, medical records review, and diagnostic studies). A client database includes all the health information gathered . In this step, the nurse can identify the related or risk factors and defining characteristics that can be used to formulate a nursing diagnosis. Some agencies or nursing schools have specific assessment formats you can use.

Critical thinking is key in patient assessment, integrating knowledge across sciences and professional guidelines to inform evaluations. This process, crucial for complex clinical decision-making, aims to identify patients’ healthcare needs effectively, leveraging a supportive environment and reliable information

Now that you have information about the client’s health, analyze, cluster, and organize the data to formulate your nursing diagnosis, priorities, and desired outcomes.

Nursing diagnoses are a uniform way of identifying, focusing on and dealing with specific client needs and responses to actual and high-risk problems. Actual or potential health problems that can be prevented or resolved by independent nursing intervention are termed nursing diagnoses.

We’ve detailed the steps on how to formulate your nursing diagnoses in this guide:  Nursing Diagnosis (NDx): Complete Guide and List .

Setting priorities involves establishing a preferential sequence for addressing nursing diagnoses and interventions. In this step, the nurse and the client begin planning which of the identified problems requires attention first. Diagnoses can be ranked and grouped as having a high, medium, or low priority. Life-threatening problems should be given high priority.

A nursing diagnosis encompasses Maslow’s Hierarchy of Needs and helps to prioritize and plan care based on patient-centered outcomes. In 1943, Abraham Maslow developed a hierarchy based on basic fundamental needs innate to all individuals. Basic physiological needs/goals must be met before higher needs/goals can be achieved, such as self-esteem and self-actualization. Physiological and safety needs are the basis for implementing nursing care and interventions. Thus, they are at the base of Maslow’s pyramid, laying the foundation for physical and emotional health.

Maslow’s Hierarchy of Needs

• Basic Physiological Needs: Nutrition (water and food), elimination (Toileting), airway (suction)-breathing (oxygen)-circulation (pulse, cardiac monitor, blood pressure) (ABCs), sleep , sex, shelter, and exercise.
• Safety and Security: Injury prevention ( side rails , call lights, hand hygiene , isolation , suicide precautions, fall precautions, car seats, helmets, seat belts), fostering a climate of trust and safety ( therapeutic relationship ), patient education (modifiable risk factors for stroke , heart disease).
• Love and Belonging: Foster supportive relationships, methods to avoid social isolation ( bullying ), employ active listening techniques, therapeutic communication , and sexual intimacy.
• Self-Esteem: Acceptance in the community, workforce, personal achievement, sense of control or empowerment, accepting one’s physical appearance or body habitus.
• Self-Actualization: Empowering environment, spiritual growth, ability to recognize the point of view of others, reaching one’s maximum potential.

The client’s health values and beliefs, priorities, resources available, and urgency are factors the nurse must consider when assigning priorities. Involve the client in the process to enhance cooperation.

Step 5: Establishing Client Goals and Desired Outcomes

After assigning priorities for your nursing diagnosis, the nurse and the client set goals for each determined priority. Goals or desired outcomes describe what the nurse hopes to achieve by implementing the nursing interventions derived from the client’s nursing diagnoses. Goals provide direction for planning interventions, serve as criteria for evaluating client progress, enable the client and nurse to determine which problems have been resolved, and help motivate the client and nurse by providing a sense of achievement.

One overall goal is determined for each nursing diagnosis. The terms “ goal outcomes “ and “expected outcome s” are often used interchangeably.

According to Hamilton and Price (2013), goals should be SMART . SMART stands for specific, measurable, attainable, realistic, and time-oriented goals.

• Specific. It should be clear, significant, and sensible for a goal to be effective.
• Measurable or Meaningful. Making sure a goal is measurable makes it easier to monitor progress and know when it reaches the desired result.
• Attainable or Action-Oriented. Goals should be flexible but remain possible.
• Realistic or Results-Oriented. This is important to look forward to effective and successful outcomes by keeping in mind the available resources at hand.
• Timely or Time-Oriented. Every goal needs a designated time parameter, a deadline to focus on, and something to work toward.

Hogston (2011) suggests using the REEPIG standards to ensure that care is of the highest standards. By this means, nursing care plans should be:

• Realistic. Given available resources. 
• Explicitly stated. Be clear about precisely what must be done, so there is no room for misinterpretation of instructions.
• Evidence-based. That there is research that supports what is being proposed. 
• Prioritized. The most urgent problems are being dealt with first. 
• Involve. Involve both the patient and other members of the multidisciplinary team who are going to be involved in implementing the care.
• Goal-centered. That the care planned will meet and achieve the goal set.

Goals and expected outcomes must be measurable and client-centered.  Goals are constructed by focusing on problem prevention, resolution, and rehabilitation. Goals can be short-term or long-term . Most goals are short-term in an acute care setting since much of the nurse’s time is spent on the client’s immediate needs. Long-term goals are often used for clients who have chronic health problems or live at home, in nursing homes, or in extended-care facilities.

• Short-term goal . A statement distinguishing a shift in behavior that can be completed immediately, usually within a few hours or days.
• Long-term goal . Indicates an objective to be completed over a longer period, usually weeks or months.
• Discharge planning . Involves naming long-term goals, therefore promoting continued restorative care and problem resolution through home health, physical therapy, or various other referral sources.

Goals or desired outcome statements usually have four components: a subject, a verb, conditions or modifiers, and a criterion of desired performance.

• Subject. The subject is the client, any part of the client, or some attribute of the client (i.e., pulse, temperature, urinary output). That subject is often omitted in writing goals because it is assumed that the subject is the client unless indicated otherwise (family, significant other ).
• Verb. The verb specifies an action the client is to perform, for example, what the client is to do, learn, or experience.
• Conditions or modifiers. These are the “what, when, where, or how” that are added to the verb to explain the circumstances under which the behavior is to be performed.
• Criterion of desired performance. The criterion indicates the standard by which a performance is evaluated or the level at which the client will perform the specified behavior. These are optional.

When writing goals and desired outcomes, the nurse should follow these tips:

• Write goals and outcomes in terms of client responses and not as activities of the nurse. Begin each goal with “Client will […]” help focus the goal on client behavior and responses.
• Avoid writing goals on what the nurse hopes to accomplish, and focus on what the client will do.
• Use observable, measurable terms for outcomes. Avoid using vague words that require interpretation or judgment of the observer.
• Desired outcomes should be realistic for the client’s resources, capabilities, limitations, and on the designated time span of care.
• Ensure that goals are compatible with the therapies of other professionals.
• Ensure that each goal is derived from only one nursing diagnosis. Keeping it this way facilitates evaluation of care by ensuring that planned nursing interventions are clearly related to the diagnosis set.
• Lastly, make sure that the client considers the goals important and values them to ensure cooperation.

Step 6: Selecting Nursing Interventions

Nursing interventions are activities or actions that a nurse performs to achieve client goals. Interventions chosen should focus on eliminating or reducing the etiology of the priority nursing problem or diagnosis. As for risk nursing problems, interventions should focus on reducing the client’s risk factors. In this step, nursing interventions are identified and written during the planning step of the nursing process ; however, they are actually performed during the implementation step.

Nursing interventions can be independent, dependent, or collaborative:

• Independent nursing interventions are activities that nurses are licensed to initiate based on their sound judgement and skills. Includes: ongoing assessment, emotional support, providing comfort, teaching, physical care, and making referrals to other health care professionals.
• Dependent nursing interventions are activities carried out under the physician’s orders or supervision. Includes orders to direct the nurse to provide medications, intravenous therapy , diagnostic tests, treatments, diet, and activity or rest. Assessment and providing explanation while administering medical orders are also part of the dependent nursing interventions.
• Collaborative interventions are actions that the nurse carries out in collaboration with other health team members, such as physicians, social workers, dietitians, and therapists. These actions are developed in consultation with other health care professionals to gain their professional viewpoint.

Nursing interventions should be:

• Safe and appropriate for the client’s age, health, and condition.
• Achievable with the resources and time available.
• Inline with the client’s values, culture, and beliefs.
• Inline with other therapies.
• Based on nursing knowledge and experience or knowledge from relevant sciences.

When writing nursing interventions, follow these tips:

• Write the date and sign the plan. The date the plan is written is essential for evaluation, review, and future planning. The nurse’s signature demonstrates accountability.
• Nursing interventions should be specific and clearly stated, beginning with an action verb indicating what the nurse is expected to do. Action verb starts the intervention and must be precise. Qualifiers of how, when, where, time, frequency, and amount provide the content of the planned activity. For example: “ Educate parents on how to take temperature and notify of any changes,” or “ Assess urine for color, amount, odor, and turbidity.”
• Use only abbreviations accepted by the institution.

Rationales, also known as scientific explanations, explain why the nursing intervention was chosen for the NCP.

Rationales do not appear in regular care plans. They are included to assist nursing students in associating the pathophysiological and psychological principles with the selected nursing intervention.

Evaluation is a planned, ongoing, purposeful activity in which the client’s progress towards achieving goals or desired outcomes is assessed, and the effectiveness of the nursing care plan (NCP). Evaluation is an essential aspect of the nursing process because the conclusions drawn from this step determine whether the nursing intervention should be terminated, continued, or changed.

The client’s care plan is documented according to hospital policy and becomes part of the client’s permanent medical record, which may be reviewed by the oncoming nurse. Different nursing programs have different care plan formats. Most are designed so that the student systematically proceeds through the interrelated steps of the nursing process , and many use a five-column format.

Nursing Care Plan List

This section lists the sample nursing care plans (NCP) and nursing diagnoses for various diseases and health conditions. They are segmented into categories:

Miscellaneous nursing care plans examples that don’t fit other categories:

Care plans that involve surgical intervention.

Nursing care plans about the different diseases of the cardiovascular system :

Nursing care plans (NCP) related to the endocrine system and metabolism:

Care plans (NCP) covering the disorders of the gastrointestinal and digestive system :

Care plans related to the hematologic and lymphatic system :

NCPs for communicable and infectious diseases:

All about disorders and conditions affecting the integumentary system :

Nursing care plans about the care of the pregnant mother and her infant. See care plans for maternity and obstetric nursing:

Care plans for mental health and psychiatric nursing:

Care plans related to the musculoskeletal system:

Nursing care plans (NCP) for related to nervous system disorders:

Care plans relating to eye disorders:

Nursing care plans (NCP) for pediatric conditions and diseases:

Care plans related to the reproductive and sexual function disorders:

Care plans for respiratory system disorders:

Care plans related to the kidney and urinary system disorders:

Recommended nursing diagnosis and nursing care plan books and resources.

Disclosure: Included below are affiliate links from Amazon at no additional cost from you. We may earn a small commission from your purchase. For more information, check out our privacy policy .

Ackley and Ladwig’s Nursing Diagnosis Handbook: An Evidence-Based Guide to Planning Care We love this book because of its evidence-based approach to nursing interventions. This care plan handbook uses an easy, three-step system to guide you through client assessment, nursing diagnosis, and care planning. Includes step-by-step instructions showing how to implement care and evaluate outcomes, and help you build skills in diagnostic reasoning and critical thinking.

Nursing Care Plans – Nursing Diagnosis & Intervention (10th Edition) Includes over two hundred care plans that reflect the most recent evidence-based guidelines. New to this edition are ICNP diagnoses, care plans on LGBTQ health issues, and on electrolytes and acid-base balance.

Nurse’s Pocket Guide: Diagnoses, Prioritized Interventions, and Rationales Quick-reference tool includes all you need to identify the correct diagnoses for efficient patient care planning. The sixteenth edition includes the most recent nursing diagnoses and interventions and an alphabetized listing of nursing diagnoses covering more than 400 disorders.

Nursing Diagnosis Manual: Planning, Individualizing, and Documenting Client Care  Identify interventions to plan, individualize, and document care for more than 800 diseases and disorders. Only in the Nursing Diagnosis Manual will you find for each diagnosis subjectively and objectively – sample clinical applications, prioritized action/interventions with rationales – a documentation section, and much more!

All-in-One Nursing Care Planning Resource – E-Book: Medical-Surgical, Pediatric, Maternity, and Psychiatric-Mental Health   Includes over 100 care plans for medical-surgical, maternity/OB, pediatrics, and psychiatric and mental health. Interprofessional “patient problems” focus familiarizes you with how to speak to patients.

Recommended reading materials and sources for this NCP guide: 

• Björvell, C., Thorell-Ekstrand, I., & Wredling, R. (2000). Development of an audit instrument for nursing care plans in the patient record.   BMJ Quality & Safety ,  9 (1), 6-13. [ Link ]
• DeLaune, S. C., & Ladner, P. K. (2011).  Fundamentals of nursing: Standards and practice . Cengage learning.
• Freitas, F. A., & Leonard, L. J. (2011). Maslow’s hierarchy of needs and student academic success .  Teaching and learning in Nursing ,  6 (1), 9-13.
• Hamilton, P., & Price, T. (2007). The nursing process, holistic.  Foundations of Nursing Practice E-Book: Fundamentals of Holistic Care , 349.
• Lee, T. T. (2004). Evaluation of computerized nursing care plan: instrument development .  Journal of Professional Nursing ,  20 (4), 230-238.
• Lee, T. T. (2006). Nurses’ perceptions of their documentation experiences in a computerized nursing care planning system .  Journal of Clinical Nursing ,  15 (11), 1376-1382.
• Rn, B. O. C., Rn, H. M., Rn, D. T., & Rn, F. E. (2000). Documenting and communicating patient care: Are nursing care plans redundant?.  International Journal of Nursing Practice ,  6 (5), 276-280.
• Stonehouse, D. (2017). Understanding the nursing process .  British Journal of Healthcare Assistants ,  11 (8), 388-391.
• Yildirim, B., & Ozkahraman, S. (2011). Critical thinking in nursing process and education .  International journal of humanities and social science ,  1 (13), 257-262.

66 thoughts on “Nursing Care Plans (NCP) Ultimate Guide and List”

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Thank you! Hope we’ve helped you write better nursing care plans!

Will definitely use this site to help write care plans. How should I cite this link when using APA format. Thank You

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Risk for ineffective thermoregulation would be a good one for you to do next for newborn.

Hi, i have learnt a lot THANK YOU. i would kindly like to learn more on paper 1 since am yet to sit for my nursing council exams and feel challenged on the paper.please do assist me thank you.

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What is a nursing care plan a mother in second stage of labour?

Please see: 36 Labor Stages, Induced and Augmented Labor Nursing Care Plans

What is the nursing care plan for pulmonary oedema?

I m interest in receiving a blank nursing care plan template for my students to type on. I was wondering if it was available and if so can you please direct me on where to find it?

Hi! You can download it here: Nursing Care Plan Template

I love this website!!! Is there a textbook version of the Nurseslabs that I can purchase??

Thank you Nurseslabs. This is a wonderful note you’ve prepared for all nurses. I would like a pdf of this. Thanks.

I wish I had had this resource when i was in nursing school 2008!!

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This is the kind of step-by-step guidance that I needed. Thank you!

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Hi Matt! I would like to purchase a textbook of your nursing care plan. Where I can purchase pls help!

Hi Criselda,

Sorry, we don’t have a textbook. All of our resources are here on the website and free to use.

Good day, I would like to know how can I use your website to help students with care plans.

Sincerely, Oscar A. Acosta DNP, RN

Oh I love your works. Your explanations

I’m glad I’ve met your website. It helps me a lot. Thank you

I love this, so helpful.

These care plans are great for using as a template. I don’t have to reinvent the wheel, and the information you provided will ensure that I include the important data without leaving things out. Thanks a million!

Hi, I have learnt a lot, this is a wonderful note you’ve prepared for all nurses thank you.

Matt, this page is very informative and I especially appreciate seeing care plans for patients with neurological disorders. I notice, though, that traumatic brain injury is not on your list. Might you add a care plan page for this?

Thanks alot I had gained much since these are detailed notes 🙏🙏

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Hi, is there a downloadable version of this, pdf or other files maybe this is awesome!

Hi Paul, on your browser go to File > Print > Save as PDF. Hope that helps and thanks for visiting Nurseslabs!

Matt, I’m a nursing instructor looking for tools to teach this. I am interested in where we can find “rules” for establishing “related to” sections…for example –not able to utilize medical diagnosis as a “related to” etc. Also, resources for nursing rationale.

Hello, please check out our guide on how to write nursing diagnoses here: https://nurseslabs.com/nursing-diagnosis/

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Thanks for your time. Nursing Care Plan looks great and helpful!

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Hello Ujunwa, Thanks a lot for the positive vibes! 🌟 It’s super important to us that everyone has access to quality resources. Just wondering, is there any specific topic or area you’d love to see more about? We’re always looking to improve and add value!

Great work.

Hi Abbas, Thank you so much! Really glad to hear you found the nursing care plans guide useful. If there’s a specific area or topic you’re keen on exploring more, or if you have any suggestions for improvement, feel free to share. Always aiming to make our resources as helpful as possible!

It has been good time me to use these nursing guides.

What is ncp for acute pain

For everything you need to know about managing acute pain, including a detailed nursing care plan (NCP), definitely check out our acute pain nursing care plan guide . It’s packed with insights on assessment, interventions, and patient education to effectively manage and alleviate acute pain.

Good morning. I love this website

what is working knowledge on nursing standard, and Basic Life Support documentation?

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• February 28, 2024
• Business Plan

Creating a comprehensive business plan is crucial for launching and running a successful home care business. This plan serves as your roadmap, detailing your vision, operational strategies, and financial plan. It helps establish your home care business’s identity, navigate the competitive market, and secure funding for growth.

This article not only breaks down the critical components of a home care business business plan, but also provides an example of a business plan to help you craft your own.

Whether you’re an experienced entrepreneur or new to the healthcare industry, this guide, complete with a business plan example, lays the groundwork for turning your home care business concept into reality. Let’s dive in!

Our Home Care business plan is designed to address all vital elements necessary for a detailed and effective operational strategy. This plan encompasses the scope of our home care services, marketing approaches, the environment in which we operate, an analysis of our competitors, the structure of our management team, and financial projections. 

• Executive Summary : Offers a succinct overview of the Home Care business’s unique proposition, highlighting personalized and professional in-home care services tailored for seniors, market analysis showcasing the sector’s growth and demand, management’s expertise in senior care, and a financial strategy that outlines investment opportunities and revenue expectations.
• Services & Area Coverage: Describes the array of in-home care services, including personal care, medication management, specialized care for dementia, and emergency response, all delivered within a specified service radius to meet the unique needs of each senior.
• Pricing: Details the pricing strategy , designed to be transparent and competitive, offering flexible options to cater to various financial situations of clients, including hourly and flat-rate packages tailored to different care needs.
• Key Stats: Presents data underscoring the market size , growth trends, and demographics that illustrate the potential and necessity of home care services.
• Key Trends: Highlights significant trends such as the increasing preference for aging in place, the integration of technology in care, and a shift towards personalized care.
• Key Competitors : Analyzes the main competitors within the service area, their offerings, and how the business’s unique approach and technology set it apart.
• SWOT Analysis : Conducts a comprehensive analysis of Strengths, Weaknesses, Opportunities, and Threats to strategically position the business.
• Marketing Plan : Outlines marketing strategies aimed at building brand awareness, attracting new clients, and retaining them through superior service, patient satisfaction programs, and targeted marketing efforts.
• Timeline : Sets forth key milestones and objectives from the business setup to its launch and key growth phases.
• Management: Highlights the experienced team leading the business, from caregiving professionals to administrative management, emphasizing their roles in ensuring high-quality care and operational success.
• Financial Plan: Projects the financial outlook for the business over the next five years, detailing revenue models from various services, cost management strategies, profit margins, and expected return on investment, ensuring a clear route to financial sustainability and growth.

Home Care Business Plan

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Executive Summary

The Executive Summary introduces your home care business plan, offering a concise overview of your agency and its services. It should detail your market positioning, the range of home care services you offer, including personal care, nursing care, and companion services, its service area, and an outline of day-to-day operations. 

This section should also explore how your home care agency will integrate into the local community, including the number of direct competitors within the area, identifying who they are, along with your agency’s unique selling points that differentiate it from these competitors. 

Furthermore, you should include information about the management and co-founding team, detailing their roles and contributions to the agency’s success. Additionally, a summary of your financial projections, including revenue and profits over the next five years, should be presented here to provide a clear picture of your agency’s financial plan.

Make sure to cover here _ Business Overview _ Market Overview _ Management Team _ Financial Plan

Dive deeper into Executive Summary

Business Overview

For a Home Care Business, the Business Overview section can be effectively divided into 2 main slides:

Services & Area Coverage

Briefly describe the range of home care services your agency offers, emphasizing the personalized and compassionate care provided to clients in the comfort of their own homes. This can include personal care services like bathing and dressing, skilled nursing care, physical therapy, and companion services such as meal preparation and light housekeeping.

Then, mention the geographic area your agency covers, highlighting the convenience and accessibility of your services to clients within this area. Explain why your service area is strategically chosen to meet the needs of your target clientele, considering factors like population demographics and the presence of community resources.

Pricing & Payment Options

Detail your pricing structure for the various home care services offered, ensuring it reflects the quality of care provided and is competitive within the market you’re targeting. Your pricing strategy should be transparent, making it easy for clients and their families to understand the cost of care.

Also,highlight any flexible payment options, insurance partnerships, or programs that can help offset the cost for clients, such as Medicaid, Medicare, or private insurance coverage. Emphasize any packages or special programs that provide added value to your clients, such as customized care plans or discounted rates for long-term services, encouraging long-term relationships and client loyalty.

Make sure to cover here _ Services & Area Coverage _ Pricing & Payment Options

Market Overview

Industry size & growth.

In the Market Overview of your home care business plan, start by examining the size of the home care industry and its growth potential.

This analysis is crucial for understanding the market’s scope and identifying expansion opportunities, particularly in the context of an aging population and increasing preference for aging in place.

Key market trends

Proceed to discuss recent market trends , such as the growing consumer interest in personalized home care services, the use of technology to improve service delivery, and the emphasis on holistic care that encompasses physical, emotional, and social well-being.

For example, highlight the demand for services tailored to specific health conditions or preferences, alongside the rising popularity of integrated care models that coordinate across different healthcare providers.

Key competitors

Then, consider the competitive landscape, which includes a range of providers from large national chains to local independent agencies, as well as emerging tech-based care solutions.

Emphasize what makes your agency distinctive, whether it’s through exceptional caregiver training, a comprehensive range of services, or specialization in certain types of care (e.g., dementia care, post-operative care).

Make sure to cover here _ Industry size & growth _ Key market trends _ Key competitors

Dive deeper into Key competitors

First, conduct a SWOT analysis for the home care business, highlighting Strengths (such as compassionate and well-trained caregivers, a comprehensive range of services), Weaknesses (including potential regulatory challenges or staffing issues), Opportunities (for example, an aging population and increasing preference for home-based care), and Threats (such as changes in healthcare policies that may affect funding or reimbursement).

Marketing Plan

Next, develop a marketing strategy that outlines how to attract and retain clients through targeted outreach, informative and empathetic communication, engaging online presence, and community partnerships. Emphasize the importance of building trust with clients and their families, showcasing testimonials, and highlighting the qualifications and dedication of your caregiving team.

Finally, create a detailed timeline that outlines critical milestones for the home care agency’s launch, client acquisition efforts, service expansion, and strategic objectives, ensuring the business advances with clear direction and purpose. Include key benchmarks for assessing the quality of care, client satisfaction, and operational efficiency to continually improve and grow your agency.

Make sure to cover here _ SWOT _ Marketing Plan _ Timeline

Dive deeper into SWOT

Dive deeper into Marketing Plan

The Management section focuses on the home care business’s management and their direct roles in daily operations and strategic direction. This part is crucial for understanding who is responsible for making key decisions and driving the home care business towards its financial and operational goals.

For your home care business plan, list the core team members, their specific responsibilities, and how their expertise supports the business.

Financial Plan

The Financial Plan section is a comprehensive analysis of your financial projections for revenue, expenses, and profitability. It lays out your home care business’s approach to securing funding, managing cash flow, and achieving breakeven.

This section typically includes detailed forecasts for the first 5 years of operation, highlighting expected revenue, operating costs and capital expenditures.

For your home care business plan, provide a snapshot of your financial statement (profit and loss, balance sheet, cash flow statement), as well as your key assumptions (e.g. number of customers and prices, expenses, etc.).

Make sure to cover here _ Profit and Loss _ Cash Flow Statement _ Balance Sheet _ Use of Funds

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