The CLC Business Plan will contain the sections and components common to typical business plan models. The specific needs of each project will determine the appropriate model to use. Whichever model y

ACS Mobile MAMMOGRAPHY AND Prevention Outreach Unit

Team Blue Business Plan

Project Manager: Jessica Brossack

Team Members:

Sandrine Amuli

Amy Diebert

Comeneisha Dixon

Melanie Readal

The objective of this mobile mammography start-up is to increase access to mammogram prevention services to women between the ages of 40 and 74 who reside in socioeconomic disadvantaged urban and rural communities.

The mission of the ACS Mobile Mammography and Prevention Outreach Unit strives to provide technologically advanced, environmentally friendly, and patient-centered breast cancer screening and outreach services to women in socioeconomically disadvantaged urban and rural communities that promotes and encourages increased early breast cancer education, detection, and awareness.

The primary keys to success of this new mobile mammography venture will include:

1. Increasing access to much needed mammography screening services.

2. Establishing a strong relationship with community members, government agencies and legislators, and other community providers

3. Establishing strong partnerships will fellow healthcare providers to create a comprehensive continuum of care for all those served.

According to the Centers for Disease Control and Prevention, “245,299 new cases of Female Breast Cancer were reported, and 41,487 women died of Female Breast Cancer in the United States,” (CDC, 2019). On average, socioeconomically women have decreased access to basic prevention services, including annual mammograms. These statistics can be improved with additional outreach and access to services. By incorporating a rolling mammography service, the American Cancer Society will be able to reach more women living in critical urban and rural areas. By incorporating these critical services to socioeconomically disadvantaged urban and rural communities, the American Cancer Society can continue their mission to “free the world from cancer,” (ACS, 2019) through improved prevention outreach, enhanced patient support services, and finally, increasing the funding , conduction and sharing of expert information to advance research to find a cure.

Company Ownership

The American Cancer Society is the primary owner and operator of the ACS Mobile Mammography and Prevention Outreach Unit. All management and staff are under the employ of ACS. The American Cancer Society, Inc. has all controlling interests, monitors all financial inputs and outputs, and will maintain all electronic records.

Legal Entity

Mammography and Prevention Outreach Coach

• Department of Health licensures

  • Mobile Unit licensing – Facility staff will submit to and maintain an active and current state license to provide services. It will be posted within the coach where services are being provided. In addition, copies will be held at both the Cranberry Township, PA satellite and Pittsburgh ACS office. The mobile unit and its staff will agree to and assist as needed during all annual surprise and scheduled regulatory mandated audits.

  • Professional licenses – All clinical staff will have a current and active license to practice within the state where services are being provided. Professional licenses will be maintained at the Cranberry Township satellite office

• Department of Transportation licensing requirements:

  • Drivers will possess a legal and current state CDL license and have at least a 10-year clean driving record. Driver will also submit to random and incident related drug screens.

  • Mobile unit will be inspected, and emissions testing will be conducted annually meeting or exceeding state requirements – including state EPA mandates and standards

• Vendor permits – permits will be obtained, as needed, to meet municipality requirements where services are being provided.

• Insurance requirements – The mobile unit will be insured under an American Cancer Society insurance rider with the highest levels of insurance available – ($100,000/$300,000) – and all staff will be insured and bonded to provide services.

Cranberry Township Office

The Cranberry Township Satellite office will house a reception area, locked file room quarters, and two drop in workstations, locked supply closet, a fully outfitted multi-gender bathroom, a functioning kitchenette, a leased copier/fax/scanner, and a manager’s office. This location will also house satellite servers, phones, and desk and laptop computers.

The American Cancer Society is headquartered in Atlanta, Georgia, with satellite offices in every major city across the United States. The pilot location for this venture will have a primary brick and mortar office space and garage located in Cranberry Township, PA and will receive primary support through the Pittsburgh office located at 320 Bilmar Drive, Pittsburgh, PA 15205. Cranberry Township is centrally located and was specifically chosen due in part to access to major highways and the PA Turnpike; all of which serve as primary transportation arteries to all or most of the 11 counties currently being served in Southwestern Pennsylvania.

Mammography Coach

The mobile mammography 38 cu ft. coach is outfitted with a Hologic Genesis Tomography 3D, R-2 Cad, Toshiba Power conditioner, Arlen Generator, 10 ft. Slide out, entrance stairway, wheelchair lift, AC/Heating unit (no less than 5 tons), HWH leveling system, alarm and gps tracker, dual rear with air ride, 5 seat waiting area, small reception area, dressing rooms, large mammography suite, kitchen area, cabinetry, and granite counter tops.

Armor Mobile Systems Mobile Mammography Coach – Interior photos

Reception Area

(DOTMED, 2019)

Dressing Room

(DOTMED, 2019)

Mammography Suite

(DOTMED, 2019)

(DOTMED, 2019)

Cranberry Township Office

The Office space will offer drop in office space for working staff to complete any necessary documentation, restock supplies, maintain servers and store electronic records. The location will have a triple lock system, as required by federal HIPAA laws and the State of Pennsylvania’s Department of Health requirement. The triple lock system will involve a passkey (encrypted chip) access badges that can be monitored by the Cranberry Office Manager, two door passages and locked file cabinets; which will meet all the above described regulation requirements.

Mammography Coach

The mammography screening and outreach coach will operate based on outreach event times with a majority requesting services between the hours of 8:00 AM to 5:00 PM Monday through Saturday.

Cranberry Township Office

Office hours will be conducted during normal business hours of 8:00 AM and 4:30 PM Monday through Friday.

Screening

The American Cancer Society is committed to providing prevention screening services and outreach to socioeconomically disadvantaged communities across the United States. Since 2011, 915,000 cancer prevention screenings, and more than 4.8 billion dollars towards researching the causes of many forms of cancer; resulting in 2.4 million patients averting death. The ACS Mobile Mammography and Prevention Outreach Unit intends to primarily provide direct care mammogram services and outreach services to underserved communities. In addition to these vital screening services, patients seeking support will also have the opportunity to meet with a case manager to address issues related to barriers that they may be experiencing in their daily lives and get connected to resources in an effort to empower and educate patients to living a healthier life where they feel confident and are able to thrive in their environment, free from cancer. Patients will be encouraged to seek additional testing should their x-ray show any anomalies or abnormalities. They will be provided additional resources through the American Cancer Society, should services be deemed necessary.

Staffing Requirements

The American Cancer Society, Pittsburgh location, will provide oversight and support to the Mobile Mammography and Prevention Outreach Unit

• Radiologist- services will be provided through partnerships with healthcare institutions within the service area.

• Mammography Manager

• Mammography Screening and Outreach Coordinator

• Mammography Technologists – 2 fulltime, 2 part-time

• Case Manager – 1 fulltime, 1 part-time

• Administrative Assistant

• CDL licensed Van Drivers – 1 fulltime, 2 part-time

• Accounts Payable/Receivable services will be provided through the ACS Pittsburgh location

One of our largest suppliers will be PDC Medical Supplies located in Valencia, CA. They will provide 3-D Breast Tomo Markers, Skin Markers, Patient Wipes, Biopsy Cold Packs, Biopsy Specimen Transports, Patient Self-Examination Education Cards (in Spanish and English), and Mammogram Jacket Folders, Patient Gowns, various labels (such as exam markers, and allergy alerts) along with other necessary office and exam supplies that may be used throughout the patient experience (PDC Healthcare, 2019).

The members are experienced in health management and will be instrumental in initiating the project. Making follow-up and linking with key stakeholders. The members will run the program on a daily basis until it passes the piloting stage. The members are qualified health managers with sufficient skills to start and run a start-up health program. Jessica Brossack will be the executive leader of the program and CFO, Comeneisha will be the VP human resources, Amy Diebart will be in charge of operations and Melanie Readal as the V for communications. However, the management of the project will also include attaches from the ACS who will ensure that its management aligns with the ACS model, vision and mission. Also, it will provide sufficient technical and informational support to the management team.

The liaison with the ACS implies that we will seek partnerships in the management of the program. The program will introduce other ACS managers such as Sharon Byers, the Chief development, marketing and communication, Catherine Mickle, the chief administrative officer and senior vice president talent and strategy. The selection of these leaders is based on the experience in cancer information and the dynamics involved in running a cancer association with several community programs.

Sharon Byers was a corporate leader before joining ACS. She has worked at Coca-Cola as vice president for partnerships. She has continued to nurture partnerships between ACS and other organization willing to support the eradication of cancer and support for cancer patients. The project management team will require her input in creating a link with ACS advisory and also mentoring.

Catherine Mickle is the chief administrator who is responsible for overseeing ACS programs, talent management, volunteer engagement and mission delivery among others. She will be instrumental in assessing the viability of the program in the lens of AVS and alignment with its mission, vision, and values.

Phil Monaghan is a talent and strategy manager responsible for human resources. The activities include training and development, diversity, policies, and recruitment. He will be instrumental in recommending the most effective recruitment plan for the program, and other aspects such as training and development needs based on the deliverables of the program.

The program will also need to hire five clinical nurses and two oncologist nurses. The main qualifications for the nurses will be;

• Be registered nurses in the state they will be deployed

• Have effective communication skills

• Have great attention to detail

• Be adaptable to work in different environments

• Have critical thinking skills

• Work ethics and integrity

The employees will work under the management and will report to the operations manager. The employees will be remunerated according to industry standards.

Industry Description and Outlook

The American Cancer Society founded in 1913 by 15 physicians and businessmen is one of the most prominent organizations within the health care industry. While the organization was founded at the time where speaking about cancer was considered taboo in society, it has managed to shift its organizational purpose along with the health industry as people became more educated on the disease. Mobile mammography units have been on the rise with the discovery of the greater impact of breast cancer on the lives of minority group women underserved by the health care industry. Despite the decline of deaths due to breast cancer, medically underserved women, particularly those living in poverty, are 146 times more likely to die from breast cancer. Mobile mammography units are intended to eliminate some of the barriers to a screening mammography to those women in underserved communities. While the use of mobile mammography units are still fairly new and lack sufficient data, the mammography market itself was valued at $1.43 billion in 2015 and projected to grow at a rate of 10.5% globally (https://www.grandviewresearch.com/industry-analysis/mammography-market).

Target Market

The target audience is American women aged 30 to 60 making a yearly income ranging from $35,000 to $75,000. This women is a wife and mother who lives a relatively low active lifestyle engaging in physical activity 1-2 times a week and eats relatively nutritional meals while ensuring her children are getting all of their required nutrients. Our American working woman lives a busy lifestyle and is typically on-the-go forgetting to schedule her own doctors’ appointments putting her personal health on the back burner while tending to other issues. She may also live in a medically underserved community where breast cancer screening are not made a priority. Our target market spans about 20 million women across the United States (https://censusreporter.org/data/table/?table=B13002&geo_ids=01000US&primary_geo_id=01000US#valueType|estimate). The accessibility of our mobile mammography units will motivate the target audience to participate in the breast cancer screening. With the busy lifestyles these women live, the presence of the mobile mammography units within their neighborhoods or places of employment simplifies the decision for these women to put their health first. By partnering with several companies and having various workplaces allowing women to take a paid break to participate in the screening, American Cancer Society could garner potential customers that would otherwise never participate in a breast cancer screening.

Market Need

Several factors influence the need for mobile mammography units within the market including increased access to breast cancer screening services and increased awareness in the benefits of early detection. Studies have shown that women are more than twice as likely to partake in screening services when mobile mammography units are made readily available in familiar locations such as their local clinic (http://news.unchealthcare.org/pcic/september-2016-pcic-newsletter/improvement/copy_of_improvement-story-template). With the busy lifestyles our target audience leads, the accessibility of the mobile mammography unit could make the difference between early detection of breast cancer and preventative action taken and late detection of the disease and a life lost. Because so many women are now aware of the benefits of early detection, more women see the need to take advantage of the screening services offered to them. While locations where patients are able to schedule a mammography exist, it’s been found that often these locations have waitlists where women then have to wait for an appointment to become available. With the mobile mammography, the goal will be to provide quality screenings to as much as possible women interested in the service.

Market Growth

Over the next 3-5 years, it’s projected that the mobile mammography industry will continue to expand and potentially become the primary source of breast cancer screening services to women nationwide. The accessibility of the service and greater ease will result in women choosing to participate in the screenings via mobile mammography units rather than appointments at hospitals and clinics. The American Cancer Society may experience such success with the rollout of the mobile mammography units that they implement a yearly mammography tour throughout the United States to promote the importance of not only getting screened, but consistently making your health a priority.

Competitive Analysis

For patients with private insurance, pricing for the exam will be based upon insurance guidelines. For patients with government insurance, i.e. state Medicaid (or similar) program(s), exam will be covered at no cost to patient. For patients that will be paying ‘self-pay’ or ‘out-of-pocket’ cost, price will be based on________________(interview with MDA mobile mamm clinical manager)

July 2019 Initiate contact with grant contractors/writers (CDC, 2018)

July 2019 Identify available grant resources and donations (CDC, 2018)

July-November 2019 is the pre-award phase for the grants where we will begin applications (CDC, 2018)

November –March 2020 The award phase for grants will be made (CDC, 2018)

March 2020-March 2025 The post award phase begins where the applicant can draw awarded funds and work on achievement of the grant (CDC, 2018)

“The Department of Health Resources Inc. (HRI) anticipate making up to six to ten awards. Each awardee will receive two contracts; a contract with HRI to support operations and a sole source contract with the State to award State Capital fund to support purchase of the van and/or mammography equipment: (HEALTH RESEARCH, INC. and New York State Department of Health, 2016 p. 4). The HRI awards are renewed annually for three years, and award being within two months of award notice, and the value is anticipated to be up to $1,070,000 for up to three-year award value of $3,210,000 (HEALTH RESEARCH, INC. and New York State Department of Health, 2016).

• With the awarded funds we would purchase the mobile mammography unit/van and equipment, and this funding will also help with the cost of contracts for staff (3 nurses, 3 mammogram techs). We will have to make sure we have enough diagnostic providers to participate in the service region (radiologists).

• Obtain all certifications and license to operate a mobile mammography in accordance with state regulation.

• Hire and train team that have the skill and licensing to operate all areas of the mobile mammography van program, according to state and national certification requirements.

• Schedule of staff and location for events-clinical staff and promotions/support staff, conduct activities to target population and service area.

• Education for patients and family with options for the multiple languages in the area.

• Monitor and report on project progress and outcomes, have a time frame that is decided by the group and report number of clients that have been screened and what the proposed target amount will be according to demographics.

In determine start-up capital, a total estimated cost of all required resources, e.g. personnel, supplies, equipment, licensing and vehicle will be summed up and a 10% contingency cost for unanticipated costs or changes to be approved by the project manager after consultation with the project team.