TRENDS:

PROJECT

ENTREPRENURSE

WHAT IS AN ENTREPRENEUR?
Entrepreneur, translated from its French roots, means "one who undertakes." The term is used to refer to anyone who undertakes the organization and management of an enterprise involving independence and risk as well as the opportunity for profit. An entrepreneur, typically, is inspired to start a business because the entrepreneur perceives a consumer need that is not being adequately filled. This area of need - sometimes called an "opportunity niche" - can usually be expressed as a problem statement.

AN

ENTREPRENEUR

ORGANIZES

OPERATES

ASSUMES

THE RISK OF A BUSINESS ADVENTURE

THE

QUESTION IS

Can Nurses be

Entrepreneurs?

THREE TYPES OF NURSE ENTREPRENEUR:

The Termite (or the insider) These are nurses, midwives or health visitors who are entrepreneurial employees and are sometimes referred to as intrapreneurs. They come in all shapes and sizes, can work in acute or primary care, can be any level from Staff Nurse to Director of Nursing, Ward Managers to Matrons, Clinical Nurse Specialist to Nurse Consultant.

The Goby Fish (or the independent supporter) These are nurses, midwives or health visitors who run organisations or are self-employed providers of services with an indirect relationship to healthcare. They can be Nurse Consultancies, Expert Witnesses, Trainers, etc.

The Butterfly (or the independent provider) These are nurses, midwives or health visitors who run organisations or are self-employed providers of healthcare. They can be running hospitals, clinics, nursing agencies, social enterprises, etc but they are no part of the

DO YOU HAVE THE SKILLS AND TENACITY TO BECOME NURSE ENTREPRENEURS?

Be

passionate about developing an area of interest. willing to take risk. willing to make a commitment. enthusiastic.

Be

Be

Be

 Believe

in yourself and your dream.

Have

strong self-image and plenty of self-confidence. the drive to achieve and succeed. a strong customer orientation.

Have

Have

NEXT STEP

Do your homework!

EVALUATE YOURSELF

Carry out a self-assessment and work on a personal SWOT analysis before you formally begin with you business. an analysis of your internal resources
an external analysis of POLITICAL, ECONOMIC, SOCIAL, & TECHNOLOGICAL influences w/in the environment.

STRENGTHS WEAKNESSESS OPPORTUNITIES THREATS

LOOK AT YOUR PROFESSIONAL PROFILE

Three to five years nursing experience Continuing education relevant to your area of practice Competence in communication, negotiation, marketing, time management, public relations and accounting skills Knowledge of legal, insurance, grants, and tax matters

SETTING UP A BUSINESS

TRANSLATING NURSING EDUCATION, EXPERTISE, AND EXPERIENCE INTO A

BUSINESS CAN BE SIMPLIFIED BY APPLYING THE NURSING PROCESS.

Assess your nursing

experience to determine what type of business you might pursue.

PLAN HOW YOU WILL ESTABLISH THE BUSINESS. YOU MUST DEVELOP A GOOD WORKING PLAN FOR THE START-UP.

Monitor the business idea for viability.

Evaluate. There are two strategic considerations when evaluating:

ADVANTAGES OF BECOMING A NURSE ENTREPRENEUR:

Opportunities

Flexibility

WHILE BECOMING A NURSE

ENTREPRENEUR IS EXCITING, THERE ARE CERTAIN DANGERS YOU SHOULD WATCH OUT FOR:

Business Funds

Knowledge

HOW TO BECOME SUCCESSFUL NURSE ENTREPRENEUR:

1)

Hands On Approach

2)

Getting Started

3)

Think Positive

4)

Don't Put All Eggs in One Basket

PERSONAL COMPETENCIES OF A
SUCCESSFUL BUSINESSMAN OR WOMAN

Leadership Decisive Risk-taking Confident Willingness

qualities

Enterprising Innovative

TRENDS IN NURSE-ENTRENEURSHIP

WELLNESS CLINIC CENTER

TRENDS IN NURSE-ENTRENEURSHIP

MEDICAL SUPPLY CENTER

TRENDS IN NURSE-ENTRENEURSHIP

BIRTHING CENTER/HOMES

TRENDS IN NURSE-ENTRENEURSHIP

BEAUTY CLINICS

TRENDS IN NURSE-ENTRENEURSHIP

ENTREPRENURSE

TRENDS IN NURSE-ENTRENEURSHIP

EDUCATION AND TRAINING CENTER

AERO-MEDICAL/ IN-FLIGHT NURSING

MANAGEMENT PRIMARY HEALTH CARE PODIATRY RESEARCH SPECIALIST NURSES WORKING AT HOME WITH TECH

HOW CAN A NURSE

EARN AN EXTRA INCOME WHILE PRACTICING HER CAREER?

TIPS FOR SUCCESS!

Be Proactive Begin with the End in Mind Put First Things First Be professional Think Win/Win Seek First to Understand, Then Be Understood Synergize

Filipino nurses are not destined to be poor. We are destined to be wealthy and it will happen when we want it to happen.

AN INITIATIVE OF DOLE, IN COLLABORATION WITH BON PRC, DOH, PNA, UPCN, OHNAP

To reduce the cost of health care for the countrys indigent population by bringing primary health care services to poor rural communities To maximize employment opportunities for the countrys unemployed nurses To utilize the countrys unemployed human resources for health for the delivery of public health services and the achievement of the countrys Millennium Development Goals on maternal and child health, consistent with the Formula One for Health framework of the DOH

PROJECT ENTREPRENURSE

Nurses could engage in the independent practice of nursing (RA 7164 and 9173) Aims to change the outlook of nurses in the country and help them recognize that nurse entrepreneurship is a viable option by engaging in nursing related businesses for themselves, where DOLE will provide the start up capital for the cooperatives

LEGAL BASIS
RA 9173 Section 28. Scope of Nursing A person shall be deemed to be practicing nursing within the meaning of this Act when he/she singly or in collaboration with another, initiates and performs nursing services to individuals, families, and communities in any health care setting. It includes, but not limited to, nursing care during conception, labor, delivery, infancy, childhood, toddler, preschool, school age, adolescence, adulthood and old age. As independent practitioners, nurses are primarily responsible for the promotion of health and prevention of illness. Article V. RA 7164 Section 27. Scope of nursing

PROJECT BENEFICIARIES
HMO members PhilHealth members Self paying patients Convalescent Patients Patients needing long-term treatment Elderly Occupationally disabled Identified Poor rural communities Unemployed nurses

SEND two or three hundred nurses for six months to a poor rural community and see the tremendous impact ADOPT a nurse cooperative and help sustain the mission of hundreds of public health advocates DONATE to a nurse cooperative OUTSOURCE the delivery of your health care services to a nurse cooperative

FIRST PROJECT
Davao

Region the pilot area in honor of DOLE Regl Director Jalilo dela Torre, who conceptualized the program
nurse cooperative for each five provinces and 1 for Davao City

STEPS FOR FIRST PROJECT

1.

2.

In Region 11: 500 nurses are trying to comply with the requirements for registration with the Cooperative Development Authority MASICAP assistance for business plans to be used to ask grants from govt and non govt sources

IMPLEMENTING ENTITIES AND THEIR PRINCIPAL ROLES

Department of Labor and Employment (DOLE) Provide overall management and direction and provide financial assistance in the form of grants to nurses cooperatives which the latter will use as start-up capital. The DOLE through its regional offices shall also assist the nurses organize themselves into cooperatives or associations and register themselves with the appropriate government authority. Department of Health (DOH) Lead in the formulation or reform of health policies in support of this initiative, including referring patients to the projects nurses cooperatives. Philippine Health Corporation (PhilHealth) Upon approval of its Board of Directors, shall modify its rules to include home and rehabilitation services as part of its package of benefits for Philhealth members and pay for or reimburse home health care services of nurses cooperatives registered with the CDA under this Project.

Board of Nursing-Professional Regulation Commission (BON-PRC) Promote nurse entrepreneurship among the countrys nursing students and schools and research on the feasibility of including nurse entrepreneurship in the BSN curriculum; Design and implement an Enterprise Development Training Course for nurses cooperatives in partnership with the Cooperatives Development Authority. University of the Philippines College of Nursing and Philippine Nurses Association (UPCN and PNA) Research and formulate costing standards that our nurses cooperatives can use as guide in fixing the cost of their services; formulate metrics in evaluating socio-economic impact of the project on public health in pilot communities and conduct evaluation using the same metrics.

Philippine Nurses Association (PNA) Shall promote the concept of nurse entrepreneurship among its chapters and members and help obtain funding grants from abroad, particularl its overseas chapters. Occupational Health Nurses Association of the Philippines (OHNAP) Refer qualified patients from their company-based clinics to the projects nurses cooperatives; and train nurse cooperative members on basic occupational safety and health for nurses Cooperatives Development Authority (CDA) Shall register nurses cooperatives and train them on cooperativism Insurance Commission (IC) Shall promote the Project among HMOs to include home health care as part of its package of benefits for their HMO member.

POTENTIAL SOURCES FOR REVENUES

1. 2. 3. 4. 5. 6.

7.

Local Government Units PhilHealths Capitation Fund Foreign Donors Migrant Filipino Organizations abroad Patients per visit basis Congressmens and Senators Priority Development Funds DOH critical partner 1. Source of data on the status of health services delivery in poor rural communities

PROGRAMS STRATEGY
1.

encourage nurses to form cooperatives with a minimum number of nurse members of 500 manage nurses clinic under supervision of trained and experienced nurses deploy newly licensed nurses to poor rural communities with little or no access to basic health care, with substantial populations of sick, elderly, and disabled patients

2.

3.

RATIONALE
To achieve public health objectives Address the unemployment problem of registered nurses

Majority of Filipinos cannot afford quality health care <15% have health insurance 47.5% of total health expenditures is out of pocket Poor access to primary health care PHILIPPINES - 1 doctor : 9,689 population REGION 11 1 doctor: 40 353

OVERSUPPLY OF NURSES
150 000 registered nurses in the country 1980s 2008 nursing school inflation

The DOLEs Project NARS has provided temporary employment to 11 000 nurses all over the country in 1 000 poverty-stricken municipalities (questionable sustainability in 2009) REACH Rural Entrepreneurship Awareness for CHange

FORMS OF NURSE ENTREPRENEURSHIP

Hospice, domiciliary and healthcare facility management Public health advocacy Home health care services Outsourcing public health delivery for LGUs, NGAs, and other government institutions Medical transcription services Health care training management Emergency medical services Tourism health care services

Wellness and fitness management for private

Companies Outsourcing health services for private establishments per Labor Code requirement

Medical mission management for private companies and LGUs Periodic physical examination of workers for

PROCESS FLOW

HOME HEALTH CARE BUSINESS,

A LINK BET ENTREPRENEURSHIP AND PUBLIC HEALTH

Patients who are medically fit to go home continue to be cared for in a home setting by health care professionals Principally nurses, aside from performing in home services to qualified patients, may perform public health functions to serve indigent patients and educate the community on the prevention of diseases

SERVICES OFFERED
Blood donation drive Birth delivery Dispensing medicines Immunization Pre natal check ups Nutrition evaluation Mass treatment of schistosomiasis Cataract operation Pre marriage counseling OPD referrals

Medical and Dental services caravan TB program enrollment Minor surgery Family planning seminar Tubal ligation/vasectomy Dental health program Health education H1N1 Dengue surveillance

PROMINENT SUPPORT PERSONALITIES

USEC

Carmelita Pineda prime mover of DOLE BON Marco Antonio Sto Tomas DOLE Secretary Marianito Roque DOH Secretary Esperanza Cabral

THANK YOU!!!