1. Joslin Diabetes Center Affililated Programs Business Plan Development October 27, 2008

2. 2 Incidence of Diabetes  Market assessment indicates that diabetes is at epidemic proportions domestically & internationally  Per Centers for Disease Control, incidence of diabetes is  6-8% Caucasian  12% Asian  15% African American  18% American Indian/Native American  14% Hispanic/Latino  16% Eskimo/Pacific Islander

3. 3 Business Plan Structure  Business Plan Purpose  To Design a Comprehensive, Thoughtful & Strategic Document with Goals, Outcomes & Measurements  What Elements Should Be Included in a Successful Business Plan? -Component Areas Involve Structure Process Outcomes  Areas to Review -Administrative/Structure -Clinical -Education -Marketing

4. 4 Business Plan Structure  Executive Summary  Participants  SWOT Analysis  Demographic Overview of Region  Map of primary and secondary service areas  Map of Hospital System Locations  Diabetes Incidence Analysis  U.S. Census Bureau Data for area  Economic Information for area

5. 5 Business Plan Structure  Diabetes Program Structure  Current Adult Diabetes Outpatient Services  Current Organizational Structure  Recommended Adult Diabetes Outpatient Structure  Recommended Organization Chart  Recommended Adult Inpatient Diabetes Resource Structure  Sample Job Descriptions - Joslin Center Administrator, Medical Director, Advanced Practice Nurse  Outpatient Clinic Space Guidelines  Sample Floor Plans

6. 6 Business Plan Structure  Volumes & Analysis  Physician, NP & Educator Productivity Projections  Medicare rate calculations based on billing model  Pro-forma projections based on affiliated program metrics and program ramp-up  Billing & Reimbursement Overview

7. 7 Business Plan Structure  Billing & Reimbursement Preparation  Credentialing (Medical Staff & Payer)  Encounter Form Review  CPT & HCPCS Review  Insurance Coverage for Diabetes  Pro-forma Business Plan

8. 8 Business Plan Development  Goals: 5 year strategy to grow Joslin Affiliated Program  How do we get there:  Clinical Planning  Education Planning  Marketing Planning

9. 9 Affiliate Financial Model  Why Develop A Financial Model?  Basis for Productivity Guidelines to assure financial viability  Benchmarking  Budgeting  Financial Value Proposition

10. 10 Joslin Affiliates Financial Model

11. 11 Putting It Together  Sample Business Planning Template tool should be working document to allow you to build a comprehensive and thoughtful 5 year business plan