How to open a rehabilitation center for the treatment of drug addiction. Rehabilitation of drug addicted patients as a business idea

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Organization of activities

Before embarking on the implementation of a project to open a rehabilitation center, it is necessary to study the legislative framework for conducting such activities well. All medical services are subject to compulsory licensing. In addition, specialists who will work in the center must have all the necessary documentation (diplomas, certificates, work permits). The entrepreneur will need to decide whether he can recruit the appropriate staff. It is important to take into account that the success of the institution depends on a well-selected highly qualified team.

The next organizational moment is the selection of a suitable room. Its territorial location is very important, here special attention should be paid to the area where the medical center will operate, first of all, this, of course, is the level of prosperity of the local population, which can be determined by the state of the housing stock. If the planned establishment is designed to provide a wide range of services, then there is a possibility that customers will come from other areas. Another approach when choosing a location is the opening of a rehabilitation center not in a residential area, but outside the city, closer to nature. The proximity of thermal or mineral springs, clean environmental conditions will be additional factors contributing to the rapid recovery of patients, and, therefore, will have a positive impact on the reputation of the rehabilitation center.

Also, when choosing a premises, it is necessary to pay attention to the presence of competitors in the immediate vicinity, their presence requires the development of unique business concepts, the use of original methods so that your establishment can always attract the attention of more customers.

As for the area of the premises, it should be calculated based on the needs of the institution. The following institutions must be located on the territory of the rehabilitation center:

Medical services area: diagnostic center, inpatient medical care for adults, inpatient medical care for children, traditional medical activities.
Pharmaceutical activity.
Hotel.
Warehouse and utility rooms.

In addition, there must be a territory around the center for the organization of forest plantations and recreation areas for clients.

The total area of the territory can be up to 500 square meters. m. and more. But small rehabilitation centers within the city also have the right to exist and often bring a good income to the entrepreneur.

When choosing premises, it is best to consider the issue of acquiring a building, and not renting, if financial possibilities allow, since renting a large suburban complex can cost 500-700 thousand rubles of monthly expenses.

Room refurbishment, repairs

Any premises are subject to mandatory re-equipment in accordance with the criteria of medical institutions. The first thing to do is to issue a permit to carry out activities in the sanitary and epidemiological service. After that, you need to start doing the project. It is best to entrust design work to specialists, you can independently collect and draw up a package of documents necessary for work, but, firstly, it will take a lot of time and can drag on for months or even years, and, secondly, you can save a lot of everything it won’t work anyway, because the designers will have to pay anyway.

The placement of all objects must be approached with special care to create maximum convenience and comfort for visitors. You may even need the services of designers who will develop the stylistic design of the institution according to the functions assigned to it.

The mandatory conditions that must be observed when planning a rehabilitation center are:

well-designed communication networks (water supply, sewerage, ventilation, air conditioning, electricity);
properly located and equipped areas;
quality repair.

The design of each individual institution requires an individual approach.

In addition, the entire medical complex requires the purchase of fairly expensive medical equipment that will be used to provide services, as well as the necessary additional equipment. The cost can be calculated on an average of 10 thousand rubles per 1 sq. m., but sometimes the amount can be much higher. Especially when it comes to purchasing equipment for the departments of surgery, transplantation, resuscitation, cardiology, etc.

On the basis of the rehabilitation center, it is also possible to provide additional services related to the main activity, which will significantly increase the profitability of the institution and reduce its payback period. It could be:

medical and educational activities;
cosmetic procedures;
organization of donation;
development and implementation of new medical devices, devices, technologies, etc.

Pricing policy

The main criterion of the pricing policy is a customer-oriented focus. An important condition is the availability of services to the population. But in no case should the quality suffer. To resolve this issue, you need to analyze the prices of competitors. It is desirable that the cost of services in your center at the initial stages after opening be below the average market indicators. In the future, it is necessary, focusing on the demand of the population, to adjust prices upwards in order to obtain greater profitability of the institution. It will also be necessary to introduce flexible pricing systems for various service programs. As a rule, paid medical institutions practice the use of discounts for regular customers, family subscriptions, and benefits for certain groups of the population.

Recruitment

As for the staff, as mentioned above, all medical staff of the rehabilitation center must have a suitable education, work experience, and be certified. But, besides this, when selecting personnel, attention should be paid to the psychological and personal characteristics of hired specialists.

Important. Often, patients turn to paid clinics not only because of the quality of equipment and applied medical practices, but also for the quality of service, which is characterized by the absence of queues, the courtesy and patience of employees, and round-the-clock qualified care.

The entire team, from the administrator at the registration desk to professors, must show a polite attitude towards the patient and his relatives. In order to interest the staff in private medical institutions, it is practiced to use high salaries, bonuses and all kinds of additional payments that can be calculated according to the work performed.

The staff of the rehabilitation center must necessarily consist of:

director;
accounting;
medical workers of various ranks;
technical workers;
administrators;
guards.

You will also need to recruit separate staff to service the hotel complex.

The item of labor costs will depend on the number of highly qualified specialists.

Advertising

In order for the institution to fully work, it is necessary that customers know about its existence. To do this, even at the planning stage, it is necessary to agree on cooperation with companies such as:

counseling centers;
Insurance companies;
travel companies;
transport organizations, including railway stations, airports.

Another important step will be cooperation with various agents who are in direct contact with individuals.

To create a working advertisement on the Internet, you need to open your own website, through which customers can get acquainted with the entire list of services of the center, find out the current prices. It is better to entrust the development of the site to specialists, and for its full-fledged work it is necessary to hire an administrator who will answer all the questions of online users and give high-quality recommendations. It is desirable that the site has the opportunity to sign up for certain procedures or consultations with doctors.

Quite often in practice, this type of advertising is used as sponsorship. The rehabilitation center can sponsor various sporting events, symposiums, etc.

You should also pay attention to holding various promotions for certain types of services, for example, on the eve of the New Year holidays or summer holidays.

Risks associated with the implementation of the project to open a rehabilitation center

Any business is exposed to outside influences, opening a rehabilitation center also has significant risks:

Political, associated with instability in the legislative framework.

Measures to reduce these risks are the search for stable partners, the creation of consortiums, and the registration of the status of a medical non-profit institution.

Legal, related to inaccuracies in the wording of the constituent documentation.
Technical, related to all sorts of problems during construction, such as project approval, commissioning of systems.

To reduce technical risks, you should use the services of third-party organizations that provide a turnkey documentation package.

Production related to delays in the commissioning of new technical facilities.
Socio-psychological, associated with tension in the team, staff turnover.

Measures to reduce internal risks are high-quality recruitment, training, the right approach to the development and distribution of the wage fund.

Financial related to income.

Financial risks can only be reduced by attracting more customers to service, developing and implementing new additional activities and expanding investments.

The business plan of a rehabilitation center is quite difficult to execute, but only through its careful and detailed consideration can significant mistakes be avoided already in the process of work. And the activity itself, which requires significant expenses at the first stages, with proper business management, will pay off in a few years not only with financial income, but also with the gratitude of healthy patients

The development of a business plan for a medical neurological center was carried out using materials from a really working project. Most of the business plans developed by Alto Consulting Group specialists have been successfully implemented and bring profit to more than one entrepreneur.

This business plan is equipped with financial calculations set out in Excel format. The ability to quickly change the main financial indicators allows you to quickly and easily calculate a new, adapted project, taking into account the client's requests.

The ease of submitting the material allows you to make all changes to the project to suit your needs with lightning speed, even for people who do not have a financial education.

All calculations are presented in a format that allows you to quickly enter new parameters and immediately get acquainted with financial forecasts. Changing a business plan to work in any other region of Russia is done simply and without the use of special knowledge.

The business plan of the medical neurological center was created taking into account the analysis of the development trends of this market in the coming years. All factors influencing the success of business development in this area are taken into account.

Name of the project:
"Medical Neurological Center".

Objective of the project:
This business plan has been developed in order to calculate the effectiveness of the project and attract investment funds to create a medical center.

Initiator of the project:
***

The implementation of this project will allow:

Create a medical center focused on:

assistance in the rehabilitation of children with birth injuries, cerebral palsy, ADHD, etc.;
assistance in the rehabilitation of CFS, neurosis, insomnia, PTSD, etc.;
complex family psychotherapy, psychodiagnostics and psychocorrection.

Create a business and get an income in the amount of *** thousand rubles.
Satisfy the demand for medical services in this area;
Create new jobs.

Number of service areas - 3.

The main characteristics of the project:
The volume of investments - *** thousand rubles.
Net present value - *** thousand rubles.
The discounted payback period is *** years.
The internal rate of return is ***%.
Return on investment - ***%.

The medical center "***" will be created "from scratch" in the city of ***. The center is planned to be located on leased premises in the *** district of the city. Organizational legal form - Limited Liability Company. Founder - ***.

The medical center provides for the creation of a private medical clinic that provides a wide range of services in the field of neurology. The neurological center belongs to the medical and preventive institutions of the outpatient-polyclinic type. The center will specialize in the diagnosis and treatment of children and adults with various disorders and diseases of the nervous system.

The main profile of the center will be neurology with the following list of services:

Expert advice
Functional diagnostics
Treatment

The medical center has no competitors. It will be the first such center in the region.

2 DESCRIPTION OF THE ENTERPRISE
2.1 Description of the medical center
2.2 Characteristics of the medical center
2.3 Regulatory documentation
2.4 Structural divisions
2.5 Flows of customers, personnel and materials
2.6 Sanitary maintenance of premises, equipment, inventory

3 EQUIPMENT OF THE MEDICAL CENTER
3.1 Equipment specifications
3.1.1 Equipment for functional diagnostics
3.1.2 Equipment for methods and programs
3.1.3 Equipment for the gym
3.1.4 Massage equipment
3.2 Other technological processes
3.2.1 Registry and cash desk
3.2.2 Cloakroom, lobby and waiting area
3.2.3 Doctor's workplace
3.2.4 Engineering equipment and interior decoration
3.2.5 Working conditions and safety
3.3 Center promotion
3.4 Environmental issues

4 MARKETING ANALYSIS
4.1 Characteristics of the medical industry
4.1.1 Key health indicators
4.1.2 Number and specifics of healthcare facilities
4.2 The market for paid medical services
4.2.1 Market size and dynamics
4.2.2 Market structure by income
4.2.3 Factors affecting the market
4.3 Consumer rating
4.3.1 Target audience

5 INVESTMENT PLAN
5.1 Directions of investment investments
5.1.1 Preparatory phase
5.1.2 Equipment costs

6 FINANCIAL PLAN
6.1 Project financing
6.2 Loan repayment
6.3 Service delivery plan
6.3.1 Duration of work shift and work schedule of employees
6.3.2 Duration of services provided
6.3.3 Health center capacity
6.4 Income plan
6.4.1 Cost of services
6.4.2 Revenue forecast
6.5 Cost plan
6.5.1 Fixed costs
6.5.2 Variable costs
6.6 Depreciation charges
6.7 Tax payments

7 PROJECT PERFORMANCE ANALYSIS
7.1 Key performance indicators
7.2 Indicators of investment attractiveness of the project
7.2.1 Calculation of the discount rate
7.2.2 Net present value (NPV)
7.2.3 Regular (PB) and Discounted (DPB) payback periods
7.2.4 Profitability Index (PI)
7.2.5 Internal rate of return (IRR)
7.2.6 Project performance indicators

8 BREAK-EVEN ANALYSIS

9 RISK ANALYSIS
9.1 Project sensitivity
9.2 Qualitative analysis

10 CONCLUSIONS

APPENDIX 1. STATEMENT OF CASH FLOW

APPENDIX 2. PROFIT AND LOSS STATEMENT

LIST OF GRAPHS, CHARTS, TABLES AND CHARTS

List of charts:
Graph 1 - Number of medical institutions in Russia, units.
Graph 2 - Number of doctors in Russia, thousand people
Graph 3 - Number of hospital beds in Russia, thousand units
Graph 4 - Number of health facilities in Russia, units.
Graph 5 - The volume of the market for paid medical services in Russia, billion rubles.
Chart 6 - Number of organizations operating in the CHI system, units
Chart 7 - The number of non-governmental organizations working in the CHI system, units.
Chart 8 - The volume of the CHI market, billion rubles.
Chart 9 – Volume of the VHI market, billion rubles
Graph 10 - Standard of living of the population of Russia, rub.
Chart 11 - Dynamics of income growth in Russia, in % to 2008
Chart 12 - Structure of household spending on paid services
Graph 13 - Number of patients with diseases of the nervous system, thousand people.
Graph 14 - Dynamics of cases for the first time
Chart 15 - Number of children under 14 diagnosed with nervous system diseases, thousand people
Graph 16 - Dynamics of the number of children under 14 with a diagnosis of the nervous system who fell ill for the first time, thousand people.
Chart 17 - Equipment cost structure, %
Chart 18 - Dynamics of income, thousand rubles.
Chart 19 - Dynamics of expenses, thousand rubles
Chart 20 - Dynamics of the value of assets, thousand rubles.
Chart 21 - Dynamics of the discounted flow, thousand rubles.
Chart 22 - Impact of Parameters on Net Present Value
Chart 23 - Influence of parameters on the internal rate of return

List of tables:
Table 1 - Equipment
Table 2 - Availability of medical personnel in Russia
Table 3 - Provision of hospital beds in Russia
Table 4 - Dynamics of the paid medical services market in Russia
Table 5 - Investments
Table 6 - Estimated cost of the preparatory phase
Table 7 - Required equipment
Table 8 - Structure of attracted funds
Table 9 - Loan conditions
Table 10 - Loan payments
Table 11 - Key indicators for loan repayment
Table 12 - Staffing
Table 13 - Staff work schedule
Table 14 - Services provided
Table 15 - Calculation of the capacity of the medical center
Table 16 - Attendance of functional diagnostics rooms
Table 17 - Prices for services
Table 18 - Revenue Forecast
Table 19 - PAYMENT
Table 20 - Variable part of wages
Table 21 - Cost of consumables
Table 22 - List of consumables in the average check
Table 23 - Calculation of depreciation charges
Table 24 - Tax payments by years
Table 25 - Financial indicators of the project
Table 26 - Calculation of the discount rate (WACC method)
Table 27 - Net present value calculation
Table 28 - Economic efficiency of the project
Table 29 - Calculation of break-even income
Table 30 - Operating lever
Table 31 - Sensitivity analysis for project profitability
Table 32 - Risk assessment

List of diagrams:
Diagram 1 - Specialization of medical institutions in Russia,%
Diagram 2 - Structure of income of medical institutions, %
Diagram 3 - Behavior of Russians in case of health problems, %
Diagram 4 - Financing structure, %
Diagram 5 - Structure of personnel costs, %

List of drawings:
Figure 1 - Scheme of flows of patients, medicines and personnel

Entrepreneur, director of the Tyumen developmental center "Steps" for children with speech problems Marina Bakulina told MN about the work of her center, about the meeting with Medvedev, and also explained why children are increasingly making mistakes in dictations.

The children's developing center "Stupenki" has been operating since 2004. It helps children from four months to ten years old with various speech therapy problems, and also deals with the prevention of speech disorders in children. Children with disabilities are engaged together with children with developmental norms in groups: reading, math, drawing, physical education and sand therapy. The head of the center, Marina Bakulina, won the annual Impulse of Kindness award, taking third place in the nomination For Personal Contribution to the Development of Social Entrepreneurship.

You, albeit a social, but an entrepreneur. Always wanted to make money instead of working for someone for hire?

I have a philological education - I am a teacher of Russian language and literature. I worked at school for a year, then I wanted to go into business. When I was at the university, I worked as a counselor in the Tyumen camp "Children's Republic", where there were shifts for children with disabilities. There I learned what cerebral palsy is in practice. Then she also worked with deaf-mute children. In general, I was very hooked on this topic. My sister is a speech therapist, she worked with the hearing impaired. Both of us became so close to this topic that, having joined forces and wrote several projects, we began to deal with it. In 2004, our private center was created (it must be said that there were no private centers in Tyumen at that time). Now we are engaged in the prevention of speech therapy disorders - this is our feature. We have reading and mathematics go through singing.

- Are there many children with speech therapy disorders now?

- Unfortunately, quite a lot. According to statistics, in my opinion, today every second child is a speech pathologist (logopathy is a state of speech insufficiency with normal hearing - note, “MN”). hearing, did not correct all violations. Hence the illiterate speech, and errors in dictations. Accordingly, all this must be prevented. There are also a lot of children born by caesarean section who are most likely to be speech pathologists. Most likely, they will be diagnosed with speech therapy at the age of three.

- Who helped you with your work? You were a simple teacher, and suddenly - your own business ..

In addition to my sister, my mother and father. From the very beginning, they began to work with me in the center. Such a family business turned out. True, dad has now changed his field of activity.

- Where did you find the money?

I took out a regular consumer loan to renovate an apartment (laughs), because they didn’t give it any other way. But that was a long time ago, in 2004, when banks did not work with entrepreneurs, there was even nowhere to consult. At the time, I had no idea about taxes or anything else. There were also difficulties with this - it is always difficult to find a good person who will do your bookkeeping and prepare all the reports correctly. There were big personnel problems, because the teachers working in the municipal series are not client-oriented, so it is very difficult to select people. This is now a service, everyone is talking about it. A few years ago this was not the case. Do people from the public sector have us as usual? - they bark, but don’t talk (laughs), so it was hard to find staff. Now we have a fund to support entrepreneurs, which is good: there is always someone to turn to. And young entrepreneurs are more fortunate, because there are already programs where you can come, ask for something, up to filing reports with the tax authorities.

What is the ratio of teachers' salaries in your center and in other preschool institutions in the Tyumen region?

Our salaries have always been much higher than in state kindergartens, so people came to us with pleasure, despite our tough selection of people - thirty people come, you choose only one person. What will happen next, we cannot predict. If there is an increase in salaries, then we will also increase, because we have a slightly different approach, other clients and we need to match our level.

- Tell me, is socially responsible business successful?

Yes, we fully pay for ourselves, our center makes a profit. We have the opportunity to buy additional equipment, computers. I will not say, of course, that it is as profitable as trading or something else. But, nevertheless, it turns out to live and develop. You can open branches, but for this, of course, you will need to attract additional resources: either take out loans or look for an investor. From time to time we participate in various competitions, we receive grants (albeit small amounts).

- You seem to have even achieved a meeting with Dmitry Medvedev?

It's been a long time (laughs). It all started in 2008, when I came up with a proposal to legalize private kindergartens and centers, first with the head of the city, then with the governor. Then they were already invited to the president. Our business was not regulated: there was no legal framework, no laws, no SanPiNs for us. In the end, we achieved that we were included in the law on education. This was very important, because parents were no longer afraid to come to us and bring their children. We introduced all this at a meeting with D.A. Medvedev. And the practical result was that six months later SanPiNs were prepared and approved for us.

- Would you like to go into politics yourself?

The question is very difficult. I don’t know, I’m not ready to answer it yet, because it’s a very big responsibility. Now I am already doing social work. Maybe in a little while I'll think about it. My goal is simply to be helpful. If for this it will be necessary to go into politics, then, apparently, there will be no other option. I do not want to purposefully engage in politics - only if it is necessary for business.

Archpriest Dionysius Puchnin, Head of the Department of Social Service and Charity of the Mariinsky Diocese and Head of the Zeledeevo Orthodox Rehabilitation Center

The parish has little funds and not enough people, but is there a need to start the rehabilitation of drug addicts or alcoholics? Where to begin? Archpriest Dionysius Puchnin, who has been heading a successful rehabilitation center in the small Siberian village of Zeledeevo for 8 years, shared his experience during the online seminar.

Rural parishes usually lack funds and lack people. What if there is a need to engage in the rehabilitation of alcoholics or drug addicts? How to choose a house for the center, where to get funds, where to recruit staff, what is the role of a priest in the center and what is the place of worship in rehabilitation - these and many other questions were answered at the next Internet seminar of the Synodal Department by Priest Dionisy Puchnin, Head of the Department of Social Ministry and charity of the Mariinsky diocese and the head of the Zeledeevo Orthodox Rehabilitation Center.

The rehabilitation center in the village of Zeledeevo has been operating since the spring of 2007. The new rector of the rural church, who was transferred here from the city parish, at first thought to deal primarily with works of mercy and work with youth. He had no idea to rehabilitate drug addicts. “I thought that I would do, as in the city, work with children: I would open a Sunday school. I never thought about working with drug addicts, ” - says father Dionysius.

His opinion was changed by an incident that happened to a familiar fellow villager. The priest found out that he was a drug addict, but then he left for Tomsk and ended up in a sectarian center for rehabilitation. When he returned, he said that he would open a similar center in a neighboring town.

“Conversations with this man convinced me that it was necessary to tackle the problem of rehabilitation closely, and our meetings convinced him of the need to repent and return to the Orthodox Church,” - continues Archpriest Dionysius Puchnin.

Together they began to study various rehabilitation programs, went to a rehabilitation center in Novosibirsk. After some time, I managed to buy a house in a nearby village. The newly created center had two more assistants.

With the blessing of the bishop, he began to work with rehabilitators. The house was bought for 1 km, away from the highway. It was both cheaper and secluded. However, according to the leader of the seminar, because of the remoteness from the temple, the new center lacked the constant participation of the priest in its work.

Father Dionisy went to study in the village of Sapernoye, Leningrad Region, where Archpriest Sergiy Belkov has been rehabilitating drug addicts for ten years. “It was his program that we took as a role model. We needed such rehabilitation activities that would be carried out without the involvement of specialists. Not because I deny their help. Just the opposite. We just live in a remote village, where there is not even a paramedic, and finances do not allow attracting specialists from outside,” says Father Dionysius.

Father Dionysius began to work under the program "Abode of Healing". Within a month, the rehabilitation center was moved directly to the temple grounds. As the founder of the center notes, the situation has improved rapidly. Initially, the center provided rehabilitation for both alcohol and drug addicts, but over time, this practice was abandoned. The center began to specialize in helping drug addicted young men.

“It has to do with - Father Dionysius explains, - that we found mutual dislike between alcoholics and drug addicts. Each of them considers his illness less shameful than the others.

However, a new problem arose - footage: “For a while, my assistants stayed with me, but after about a year and a half they dropped out. I was left alone. I had to check discipline, even at night. And expel, for example, for smoking. For a year and a half I worked at the center alone. Then the first assistants appeared from among the pupils themselves, who wanted to help their brothers.

Initially, the center existed on donations from the parishioners of the rural church. “When we started the rehabilitation process, we didn’t have a penny for our soul, - says father Dionysius. - The temple is rural, and it is not necessary to count on its budget. I began to bring food and ask parishioners to buy them to help drug addicts. The parishioners took it with great enthusiasm and even began to bring food themselves. Then we planted a vegetable garden."

All the time the center was open, the rehabilitators fully served themselves. Until recently, until a cook appeared, they cooked their own food.

During the seminar a film about the life of the pupils of the center was shown. “I was waiting for me to be cured here, I would leave and live my old life, not using drugs, but also without faith. It turned out otherwise, I have changed forever. The second stage in the center after rehabilitation is training. Without churching it is impossible to avoid mistakes, crises are repeated. Yes, it’s impossible to do without them, because you begin to pull out all the dirt from yourself, get rid of it, ” - says one of them.

“It is important to build new relationships with other people, with yourself and with God during the rehabilitation period,” - says Father Dionysius.

Archpriest Dionysius Puchnin notes that it is important to be in contact with a professional who could help with practical advice. For him, Archpriest Sergiy Belkov became such a person. Today, the center in Zeledeevo itself organizes conferences on the rehabilitation of drug addicts in Yurga.

Arseny Zagulyaev

How to open a rehabilitation center in a rural parish | Russian Orthodox Church, Synodal Department for Church Charity and Social Service

The parish has little funds and not enough people, but is there a need to start the rehabilitation of drug addicts or alcoholics? Where to start?.RU

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How to open a rehabilitation center for the treatment of drug addiction. Rehabilitation of drug addicted patients as a business idea

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Organization of activities

Room refurbishment, repairs

Pricing policy

Recruitment

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LIST OF GRAPHS, CHARTS, TABLES AND CHARTS

Portal for the student. Self-training

Send your good work in the knowledge base is simple. Use the form below

Similar Documents

Organization of activities

Room refurbishment, repairs

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