Building the Business Plan for Community-Based Palliative Care

Last Reviewed: November 12, 2015

What You’ll Learn

  1. Prepare a business plan for your program using the information collected from a needs assessment
  2. Identify key elements of the budget for your community-based palliative care program
  3. Describe variables that will impact the budget and business plan for your community-based program
  4. Identify how partnerships will sustain the program
  5. Organize compelling examples of value that provide justification for program funding

What You’ll Earn

CAPC members can earn the following free continuing education credits:

Case Management: 1.00 CE
Nursing: 1.00 CNE
Social Work: 1.00 CE (NASW)
Social Work: 1.00 CE (NYSED)

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This course is only available to CAPC members. Learn More

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1

Take the course

2

Take the post-test

3

Complete course evaluation

4

Download your certificate

Tools & Resources

MEMBERS ONLY unlock

Business Planning Worksheet

Last Updated: January 29, 2019

Use this tool to organize your working assumptions about patient population, service model, and program staffing.

MEMBERS ONLY unlock

Estimating CbPC Patient Volume

Last Updated: January 29, 2019

This tool uses the information from your needs assessment to project patient volume for the community-based palliative care program.

MEMBERS ONLY unlock

Community Palliative Care: Estimating Average Time/Visit to Determine Capacity

Last Updated: January 29, 2019

Template and example for estimating time per patient visit for a new visit and for follow-up/subsequent visits, including a calculator for generating a weighted average visit time. Center to Advance Palliative Care, 2017.

MEMBERS ONLY unlock

Estimating New Patient Capacity per Year

Last Updated: January 29, 2019

Predicting capacity to match planned FTEs with planned service offers. The tool uses examples for illustration and should not be used as predictive. Center to Advance Palliative Care, 2017.

MEMBERS ONLY unlock

Community Palliative Care: Estimating per Provider Visit Capacity

Last Updated: January 29, 2019

Uses your time per visit estimate to project the number of visits a clinician will make per year, at different assumptions of weighted average hours per visit and annual visits per patient. Center to Advance Palliative Care, 2017.

MEMBERS ONLY unlock

Estimating Patient Capacity per Provider

Last Updated: January 29, 2019

Estimate the number of unique patients per clinician per year, taking into account visit frequency and duration. Center to Advance Palliative Care, 2017.

MEMBERS ONLY unlock

Interdisciplinary Staffing Cost Estimator

Last Updated: January 29, 2019

Average costs per team member by discipline, taking into account non-billable time.

MEMBERS ONLY unlock

Community Palliative Care: Estimating Average Time/Visit to Determine Capacity

Last Updated: May 6, 2019

Template and example for estimating time per patient visit for a new visit and for follow-up/subsequent visits, including a calculator for generating a weighted average visit time. Center to Advance Palliative Care, 2017.

MEMBERS ONLY unlock

Template for Estimating Staff Costs for a Visit and a Patient

Last Updated: January 29, 2019

Model your assumptions about costs based on the variables of staff cost, staff time allocation, and patient volume.

MEMBERS ONLY unlock

Billing Revenue Estimator for Services Provided in the Community

Last Updated: January 29, 2019

Overview of CMS rates for community-based services and template to estimate revenue.

MEMBERS ONLY unlock

Community Palliative Care Business Plan Checklist

Last Updated: January 29, 2019

Organize working assumptions about patient population, service model, and program staffing. Center to Advance Palliative Care, 2017.

MEMBERS ONLY unlock

Community Palliative Care Scenario Builder: Demonstrating the Interaction of Variables in Costs and Capacity

Last Updated: January 29, 2019

Use this tool to organize your thinking on the budget and business plan, and to identify gaps that require more research.

MEMBERS ONLY unlock

Budget Template

Last Updated: January 29, 2019

Populate your budget using data from your needs assessment and service design.

MEMBERS ONLY unlock

Developing a Business Plan for Your Community-Based Program

Last Updated: January 29, 2019

Guide to creating a community-based program business plan, including making the business case, defining value, and creating a work plan and budget.

CAPC Payment Primer- What to Know about Payment for Palliative Care Delivery

Last Updated: March 5, 2019

This monograph covers the basics of Medicare, Medicaid, health plans and the alternative payment models that are taking hold in the U.S. The intent is to provide a solid introduction to health plans, payment concepts and key considerations as a foundation to support sustainable relationships with payers and other risk-bearing entities. Center to Advance Palliative Care, 2017.

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Payment Glossary

Last Updated: March 5, 2019

Defines key terms in payment vocabulary. Center to Advance Palliative Care, 2017.

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Virtual Office Hours

Last Updated: March 3, 2019

Small-group consulting calls with national subject matter experts.

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Lynn Hill Spragens, MBA. President and CEO Spragens & Associates, LLC.

Tom Gualtieri-Reid, MBA. Consultant, Spragens & Associates, LLC.

Elizabeth Man, MD. Fellow, Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai.

Contact information: For technical questions about online activity or continuing education credits, contact membership@capc.org or 212-201-2674.

Provided by the Icahn School of Medicine at Mount Sinai.