How to open a children's clinic. How to open a medical office from scratch, where to start. How to open a medical center: a step-by-step algorithm

Any person who does not even have a specialized education can open a medical center. The main thing is to want to start your own business and have organizational skills.

conduct a thorough market analysis in the region where you are going to open a medical facility (what services the local population needs, how much money people with average incomes are willing to pay for the examination);
find out how efficiently the market works;
collect information about competitors.

Medical center business plan

Think over all the important points. Indicate the type of the future clinic (specialized or multidisciplinary), how much money will be spent on equipment, the nature of the premises, the number of employees.

Directions in the work of the medical center

The founders of private healthcare institutions should initially make a listservices, think over the question of whether only a diagnostic center or a clinic will be located here. Popular directions are gynecology, dentistry and cosmetology.

In the ides of medical centers:

Children's;
Consulting and diagnostic;
Highly specialized;
Multidisciplinary.

The location of the clinic and its appearance

For a successful business development, you need to take care of the convenience and aesthetics of the building. Choose a location in the city center or on a busy street.

To open a small dental office, you will need a room of 25-30 sq. m. Room for treatment - not less than 14 sq. m. m, for sterilization - 6 sq. m, plus a reception area for visitors.

Equipment purchase

On modern devices have to spend money. For a conventional device for ultrasound diagnostics alone, pay at least $ 160,000.

Official approvals

The activities of all medical institutions are subject to licensing. The center receives the documents if the premises and personnel have been checked for requirements. A license will also require a list of equipment and certificates for each unit of medical equipment. Full list of the requested documents is issued by the regional Ministry of Health. It will be different for a consultation center and a full-fledged clinic with a hospital.

The application is considered for about two months. But for every kind medical services a separate license is required. To be eligible to issue sick leave, you will need a separate paper. Obtaining all work permits can take a year. When the company moves to another address, you will have to deal with them again.

Medical centers often turn to commercial companies for document verification and turnkey licensing. This can cost a lot.

Clinics are taxed according to a simplified system. This is 6% of income or 15% of the difference between them and costs. The first option saves the entrepreneur from scrupulous calculations and often turns out to be more profitable.

Medical center staff

In a good private clinic, only real specialists with official experience of at least 3 years should work. If candidates have completed internship abroad, speak a foreign language, this will be counted during the interview.

Let's list the employees:

Medical staff. Its amount depends on the size of the clinic.
Two administrators with a 2 × 2 or 2 × 3 schedule.
Cleaners. For a small center, two shifts are enough.

A doctor's salary is about 800 USD. per month, nurses - $ 300

Patients more often go to the clinic where a doctor with an impeccable reputation works, even if there is not the latest equipment.

Note:you can download ready business plan of the medical center from our partners with a quality guarantee.

Doctors are often fired from those institutions where they are not valued and are paid a small salary for better working conditions.

Common services

Obtaining a sick leave and documents for children's leisure, driver's license.
Consultation. Many clients would like to receive help in the selection of a drug. Scheduled examinations by specialists can also be attributed to the same category.
Dentistry.
Examination: fluorography, ultrasound, ECG, tomography, analyzes.
Gastroenterology.
Gynecology.
Pediatrics.
Cosmetology and treatment of skin diseases.

How much money does it take to open a medical center

The amount is about 20-30 thousand dollars. It will be enough for a specialized clinic.

Many aspiring entrepreneurs choose this business to gain experience, knowledge and skills for development. They hire a minimum number of workers, buy used equipment, and provide a limited number of services.

Mandatory initial costs:

rent of premises, repair for the needs of the center. On average - 3 thousand dollars;
purchase of equipment - about 15 thousand dollars for one type of medical equipment;
obtaining an official license - at least $ 200;
purchase of tools and materials - about 2 thousand.

If you add up all these amounts, then on average you get $ 20,200 for opening a small private clinic. A full-fledged center will need at least $ 100,000.

Profitability

Profitability depends on flotation. If an average of 50 people visit the institution in 1 day, the income will be about $ 60,000 per month (with an average price for a service of $ 50).

The number of clients depends on the ratio of cost and quality of service, as well as the reputation of the clinic and specialists. If a doctor changes jobs, his patients can go after him. But one unscrupulous specialist can ruin the reputation of the entire center.

The opening of a private clinic makes it possible to realize the entrepreneurial potential by offering clients comfortable medical care. Starting a healthcare business requires knowledge, time and perseverance... Where to begin? To open your own clinic, you do not need to have a specialized education. But it is useful to study at the department of healthcare organization at a university. Medicine is a specific sphere, the activities of health care institutions are strictly regulated by the state, and it is easier to understand it by taking special courses.
In the first step, choose a direction:

Highly specialized medical Center requires less investment, pays off faster. Popular areas: dentistry, gynecology, urology, cosmetology.
The multidisciplinary clinic has greater coverage and is more stable in the market.
The diagnostic center or laboratory makes a profit through direct provision of services and cooperation with other medical institutions.
The Consulting Center provides the services of highly qualified specialists and makes a profit on their names.

Before opening a private clinic in Russia, get official status... It is necessary to choose the form of activity (individual entrepreneur or entity), oKVED codes, tax regime, register with the tax office and government funds. To open an individual entrepreneur and work in medicine, you must have a specialized education. There is no such requirement for LLC founders.

What you need to open a clinic

Premises
The room must comply with SanPiN. The regulations indicate how much square meters should fall on a particular room, what kind of finishing can be used, requirements for the placement of equipment, water supply, sewerage, ventilation, lighting, microclimate. They are formulated in SanPiN 2.1.3.2630-10, SanPiN 2956a-83, SanPiN 2.6.1.1192-03, SanPiN 2.1.3. 1375-03.
If you are planning to open a children's clinic, you will have to take care of the appropriate design, the availability of a mother and child room, and a play area.
The second point is location. Availability of parking, stops public transport, absence of competitors in the region are important criteria. Consider flotation. The plus will be large enterprise, shopping or business center nearby.

Licenses
Obtaining licenses is the longest stage of opening a medical clinic... The difficulty is that the license is "tied" to a specific address. A separate license is required for each service that will be provided. It is also required if you will issue sick leave.
To obtain a license, it is necessary to comply with the requirements of Roszdravnadzor for premises, equipment, personnel (it is necessary to have certificates). The procedure takes from two months to a year. Obtaining a license is preceded by obtaining a permit from fire supervision and a sanitary and epidemiological conclusion.

Staff
The main requirement for personnel is the availability of diplomas, valid certificates, medical categories, academic degrees, as well as work experience and internships. Often, clients do not go to the hospital, but to a specific doctor, therefore, the selection of personnel has to be given maximum attention.
In addition to doctors, attendants will be required. If the clinic is large, you need your own technician to monitor the equipment. Breakdowns and repairs in specialized centers stretch for weeks, which threatens with financial losses.

Equipment
The purchase of equipment is the most expensive stage of starting a business... A diagnostic apparatus for a laboratory, for example, costs from $ 10,000, X-rays from $ 150,000. The set of equipment depends on the specialization. It is clear that it is better to use equipment from trusted manufacturers, ideally those that your specialists know. This creates an opportunity to save on training.
It is a widespread practice to buy used equipment. At the same time, the quality of services does not suffer, because it depends more on the qualifications of the doctor. Bank installments and leasing help to reduce the initial investment in equipment.

Information system
To store management and accounting reports, maintaining a client base is required functional software... He helps to debug the work of all departments, control the business, carry out active work with clients and promptly interact with staff.

A solution that allows you to combine all areas of work in one place offers service. it software to maintain customer base, processing requests, accounting for consumables and tracking equipment maintenance times.
The system is adapted for medical institutions, helps to manage personnel and fully control business processes. You automate the work of the reception, receiving patients, warehouse, management, financial accounting, work to attract customers, freeing up time for the development of new directions.

According to experts, one of the most effective business ideas of 2016 is the opening of a private clinic. Such a business guarantees a high income for its owner, while the entrepreneur himself is not required to have a medical education. But, as in any other business, this event has its own nuances, inattention to which can lead to unfortunate consequences. How to open a private clinic and be successful in the medical services industry?

Business registration

Before opening a private medical clinic, an entrepreneur will have to obtain a number of permits and license the services that will be provided in the institution.

As an organizational form of activity, the future owner is free to choose both an individual entrepreneur and an LLC. Only when choosing an individual entrepreneur should it be borne in mind that licenses will be issued to an entrepreneur as a private person, and he himself will have to provide medical services. Therefore, this option is suitable for a practicing doctor who has decided to go into private practice and open his own medical room.

Licensing

An important point when opening a private clinic - obtaining a license to carry out certain activities. In order to apply for a license, you first need to resolve issues with premises, equipment and personnel.

The license is issued within 60 days and is tied to a specific clinic address. Each type of service requires separate licensing.

You will also need a special license for registration and issuance sick leave... This issue can be solved by hiring a specialist with the appropriate certificate.

Room selection

Before opening his own private clinic in Russia, the entrepreneur will have to carefully study the sanitary norms and rules. According to the document SanPiN 2.1.3. 1375-03, clear requirements are imposed on the premises for a private clinic regarding the area of \u200b\u200bthe room, ventilation, lighting, and the presence of emergency exits. Equipment and repairs, up to the choice of wall coverings, are also regulated by these standards.

In addition to permits from the sanitary and epidemiological station, the premises will have to undergo a service check fire safety... Experts recommend that those who do not have sufficient experience and knowledge required in the field of medical services should not waste time searching and equipping a room. It is easier and faster to rent a part of a municipal hospital or other medical facility, if possible in a particular city.

As for the location, it is worth choosing a place with good traffic, preferably in the city center and at an equal distance from the sleeping and residential areas. However, patients are often ready to travel to a neighboring city and even a country for quality medical services.

Equipment for a private clinic

Purchasing equipment is the most expensive part of a business plan

The list of the clinic's equipment is compiled in accordance with the chosen direction and the services provided. In any case, the purchase of equipment will become the most expensive part of the business plan. So, one ultrasound machine costs about 1,040,000 rubles. Leasing often comes to the aid of entrepreneurs.

Some businessmen resolve issues with equipment by purchasing used equipment. In this case, check whether the equipment has required documents, because otherwise the clinic will not receive a license.

Equipment Suppliers

If a private clinic is guided by Western standards and plans to provide services high Quality, you need to purchase equipment only from trusted suppliers who are world leaders in the production of medical equipment.

Private clinic services

According to the rating compiled by experts, some medical services are especially popular among the population. Choosing one of the following as the main direction, the entrepreneur is guaranteed to receive high demand:

private dental office;
gynecological services;
urologist services;
sexopathology;
services of a cosmetologist, plastic surgeon;
ophthalmological clinic;
multidisciplinary institution.

Clinic staff

The staff of a private clinic is its person, who will further determine the attendance of the institution. Patients often go to the clinic to seek advice from a specific specialist. The main requirements for doctors:

the presence of a diploma of medical education;
doctor degree;
certificate for the provision of medical services;
experience.

Preference should be given to specialists who own foreign languages and completed an internship in the West.

Nursing staff and non-essential staff

In the medical environment, there are state standards according to which it determines the number of nurses per doctor. This figure depends on the specialization of the doctor, so the entrepreneur will have to familiarize himself with the standards on his own.

In addition to the nursing staff, the clinic needs:

an administrator for maintaining patient records and receiving payment for services;
accountant;
sanitary staff.

Cost and return on investment

Opening a private clinic requires a significant investment at the start. Experts advise to start with a small single-profile institution with no more than 6 people, including 2 doctors. The opening of such a clinic will require at least 1,950,000 rubles, while more than 80% of the costs will be the purchase of equipment.

How are the costs for opening a small private dental office with an area of \u200b\u200b25 sq. m .:

Table. Capital investments

The profitability of a private clinic is on average 10-15%. The average monthly income according to the calculations of specialists is 2 million rubles.

According to experts, this businesshowever, not recommended for a beginner. An experienced entrepreneur who is familiar with the medical services industry or has the appropriate education is much more likely to succeed.

Russian “free” medicine is getting worse every year - this is an indisputable fact. That is why there is an acute shortage of quality medical services at an adequate price on the market. The apparent inadequacy of medical centers is visible to the naked eye even in metropolitan areas, not to mention in ordinary medium-sized cities. Therefore, opening your own medical office - great ideawhich is guaranteed to bring you a good profit. In this article, you will learn how to start opening a medical center, what is needed for this and how much you can earn on providing services to the population.

We study the market

First of all, you should study the market and find out how popular your services will be. It should be understood that increased requirements are imposed on medical centers both by regulatory authorities and by potential clients.

A medical center can bring you good profit and fame

We recommend that you first create a clinic not of a general profile, but of a narrow topic. It is necessary to choose the most suitable job profile, find personnel, and select equipment. Then, as you work, you will understand what services are popular in your city / area, and you can develop further.

To study the market, you will need to analyze several factors:

Are there medical centers in your city that provide paid services... How many such centers operate in your area, what services they provide, what level of prices they offer to the population.
What services are popular in your city. This information can be obtained at the nearest clinic, simply by looking at the queues and talking with the receptionists.
How effectively the medical center will be able to cure the existing disease.
What is the average cost of the services you plan to provide.

Based on this analysis, you can draw up a high-quality business plan and determine the feasibility of opening your own center. Also, on the basis of these studies, marketing plan, equipment procurement plan, recruiting, etc., so never ignore the market research process.

Premises and opening options

Where is the best place to open a private medical clinic to get the maximum flow of clients? Optimal choice - city center, elite microdistrict, microdistrict with new buildings. You shouldn't be guided by old sleeping areas - they are home to many retirees and young people who are not your target audience.

You need a large enough room to open a clinic. It will need to accommodate several treatment rooms, a staff room, a treatment room, a staff room, several bathrooms, offices for admin staff, etc. The room must have plumbing, heating, sewerage, electricity (some devices require 380 volts). It will be necessary to make high-quality repairs in the premises and purchase the appropriate equipment.

Note:the purchase of equipment is the largest cost item. To choose it correctly, you need to determine the class of the medical institution and the scope of its activity.

A medical center needs high-quality equipment

There are three classes of clinics:

Elite.
Middle.
Economy.

* Calculations use average data for Russia

Any entrepreneur can open a private medical clinic, if desired. You don't need to be a practicing doctor and have medical diploma... Also, business is even better. if a clinic is opened by a specialist with entrepreneurial and organizational skills, experts say. Open their clinics and insurance companies in order to reduce the cost of medical care under insurance policies

Highly specialized medical centers are more attractive to entrepreneurs because of the relatively affordable private investment and quick profit.

The most profitable areas of paid medicine: dentistry, gynecology, urology and cosmetology.

Private clinic: Premises

The location of the clinic plays an important role. Perfect option - location near the metro or with busy transport routes, in the city center, at the same distance from the sleeping areas.

The premises for the clinic should be chosen depending on the number of services that it will provide.

If this is a dental office, then an area of \u200b\u200b25-30 m2 will be enough, where one office with an area of \u200b\u200b14 m2 will be located - this is how much space is needed for one dental unit according to sanitary rules and norms (SanPiN); one sterilization room, occupying at least 6 m2, and a small hall where the administrator's seat will be located.

According to the requirements of the fire service and the Sanitary and Epidemiological Supervision, it is imperative to carry out special ventilation, lighting and special repair of the premises. The standards for special repair can be found in the document SanPiN 2.1.3. 1375-03 "Hygienic requirements for the placement, arrangement, equipment and operation of hospitals, maternity hospitals and other medical hospitals."

Private clinic: Equipment

The most expensive part of the clinic is the purchase of medical equipment. Modern equipment is very expensive, for example, an ultrasound machine costs at least $ 160,000, a diagnostic apparatus for a laboratory - from $ 10,000 to $ 70,000.

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If the owner of the clinic is focused on providing quality medical care according to Western standards, then the equipment must be purchased from global manufacturers.

Often, at the initial stage, the clinic purchases not new, but used equipment. This does not always mean that the quality of medical services suffers from this. Everything in this case depends on the qualifications of the doctor.

Private clinic: Licensing

Any medical activity is subject to compulsory licensing. To obtain a license, a clinic must have the appropriate premises, a list of necessary medical equipment and personnel with valid certificates. Consideration of the application takes place within two months.

According to several owners of private clinics, the procedure for forming a package of documents and the licensing itself usually lasts at least a year. The license applies only to a specific address. The difficulty lies in the fact that each medical service requires a separate license.

To issue sick leave, the clinic also needs to obtain a separate license or hire a specialist who has a certain certificate. When planning costs, one should take into account the fact that the finished clinic is idle during the licensing period.

Private clinic: Staff

Basic selection principles medical staff in most private clinics: the presence of diplomas and valid certificates, academic degrees and higher medical categories, work experience or internships in the West, knowledge of foreign languages. Some clinics require applicants for more than 3 years of work experience in private medical institutions.

The average salary for doctors in private clinics is $ 800-2000 per month, for nurses - about $ 300.

In the private healthcare market, it is widespread to entice doctors from one clinic to another for obvious reasons. All clinics apply for good specialists, because often patients go to the clinic for a certain doctor, and their circle is limited.

This is especially applied to dentists. But it is also quite difficult to find the average medical staff.

Private clinic: investment and profitability

The minimum investment for opening a private clinic in a small rented space is $ 30-50 thousand. With this money, you can create a highly specialized medical center with one type of medical services, for example, dentistry.

Often, entrepreneurs in this area start with just this - they buy not the most expensive equipment, open a small clinic and earn money from it to open larger medical centers. In a small clinic, you can get by with five or six workers: two doctors and two nurses who will work in shifts, an administrator and an accountant.

For a clinic with several areas of activity and equipment for diagnostics, at least $ 100 thousand is required.

Ready ideas for your business

According to preliminary estimates of experts, the maximum monthly income of the clinic can be about 2 million rubles, with its full workload (the maximum possible number of visits - 50 per day) and with an average cost of one visit - 1,500 rubles.

Private clinic: Opening costs

The cost of opening a private highly specialized medical clinic

Repair and rent of a small room - from $ 3 thousand