Setting COMMUNITY HEALTH NURSING LECTURE Entrepreneur ❑ Ability to take the factors of production or service-land, labor and capital and use them to produce new goods or services. ❑ Perceives opportunities that other business executive does not see or do not care about. ❑ Sees a need and then brings together the manpower, materials, and capital required to meet that need. Entrepreneurship ❑ Initiating changes in production. ❑ Always search for change, respond to it and exploit it as an opportunity. ❑ Need to shift resources from approaches that have produced low value into areas of higher productivity and yield. ❑ Creates value. The key sectors of healthcare industry can be broadly classified into following four ❑ sub-segments: Health care services and facilities. ❑ Medical devices, equipment, and hospital supplies manufacturers. ❑ Medical insurance, medical services and managed care. ❑ Pharmaceuticals & Related Segments Public Health Entrepreneurship ❑ The opportunistic creation and implementation of catalytic innovations intended to offer sustained improvement in the health of populations in the face of need; without being limited by the resources currently in hand; involving collaboration with and accountability to the constituency served and the outcomes created. Entrepreneurship Basic Principles for Success Be a Solution Provider - “Look for a way to make life easy for others” Have a Vision - “Successful entrepreneurs are those that were able to transform their vision into reality” Choose the Right Team - “Good team work builds speed” Viable Product/Service - Good products most times sell itself” Capital - “Capital isn’t scarce; vision is” Entrepreneurship Basic Principles for Success Accountability - “Accountability breeds responsibility” Growth and Marketing - “Without continual growth and progress, such words as improvement, achievement, and success have no meaning” Know Your Customer– “Always treat your customers as special guests” Priorities - “Things which matters most must never be at the mercy of things which matter least” Never Give Up - “Never, Never, Never Give Up” Public Health Inherently Anti-Entrepreneurial ❑ No profit motives ❑ Governmental stuck in the box (Clinical vs PH) ❑ Slow moving relative to corporate world ❑ Products are harder to sell (cigarette and alcohol VS milk) ❑ Lack of accountability (individual level) ❑ Stifled by funding restraints -best practice paradox. Public Health Inherently Anti-Entrepreneurial ❑ Brain drain-under trained work force, both in numbers and specialties ❑ Hard to target an audience when we have no specific target audience (healthy population) ❑ We don’t really know how we’re doing ❑ Our focus is need and not just needs that will pay. Public Health Offers Inherent Opportunities for Entrepreneurship: ❑ Play on people’s fears!!! ❑ They may not know it, but everybody needs us, and the market is wide open. ❑ We are selling some fabulous things; decreased expenses, increased happy times ❑ Small bites = big change ❑ Passion abounds Public Health Offers Inherent Opportunities for Entrepreneurship: ❑ The market is more receptive. The time to innovate is now!! ❑ Timing is good for public health and medicine to play nice again ❑ The nature of public health is responsive. ❑ There is an inherent need for innovation because we have failed with things in the past. So something has to change! ❑ Evaluation tools for outcome (improved health) The Scope of Public Health Entrepreneurship ❑ Life insurance companies ❑ Large scale companies/factories ❑ Public health insurance / benefits schemes ❑ Health product production establishment ❑ Public health consultancy agencies ❑ Fitness centers Role of Entrepreneurship in Economy ❑ Identifying Existing Opportunities in the Market ❑ Creating Employment Opportunities ❑ Contributing to National Income ❑ Infrastructure Development ❑ Contributing to Community Development Nurse Entrepreneurs Place to Work ❑ Own offices ❑ As an independent nurse contractors for hospitals ❑ In home healthcare visiting patients ❑ Nurse educators ❑ Freedom to set their own hours and flexibility of work based on the company they establish Nurse Entrepreneur Does the Work by: ❑ Use his/her nursing background to start own business in healthcare industry ❑ This can either through medical devices, home health products, nursing services, patient care, nursing education, and consulting work ❑ It also includes accounting, marketing or sales, and developing a customer base. Roles and Duties of Entrepreneur Nurse ❑ Establish business using his/her nursing profession and experience ❑ Business promotion (advertisement and sales to attract clients ❑ Human resources ❑ Accounting, payroll and tax issues/concerns ❑ Provide healthcare products or nursing services Main Barriers to Business Entrepreneurship in Nursing ❑ Legal and regulatory issues ❑ Regulation of profession ❑ Job career culture ❑ Social values ❑ Medical-centered model ❑ Hospital care mode ❑ Reimbursement for health systems ❑ Collaborative arrangements with physicians Main Barriers to Business Entrepreneurship in Nursing ❑ Economic crises and recessions ❑ Personal and ethical conflicts ❑ Lack of acceptability and recognition by the public ❑ Lack of corporatism among nurses ❑ Lack of public policies ❑ Lack of technical supports ❑ Non-change culture ❑ Unfair competition and Gender issues Thanks you for listening! 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