SIVAM_DIABETESNUTRITION_FAMILY_HEALTH ... · Web viewSDN & FHC LLC. will be distinguished from...

DR. MAVIS FAULKNOR, DNP., APN-C., FHNP-BC., CDE., RD.

FAMILY NURSE PRACTITIONER

Sivam Diabetes, Nutrition & Family Health Care LLC.

Business Plan

Providing Health Care Services for Individual, Family, Community Health and Wellness Empowerment

January 2017

1Sivam Diabetes, Nutrition & Family Health Care LLC.

Table of Contents

COVER PAGE……………………………………………………………………………………………………………………….1

CONFIDENTIALITY AGREEMENT FOR BUSINESS……………………………………………………………………2

STATEMENT OF PURPOSE……………………………………………………………………………………………………5

VISION, MISSION, CORE VALUE STATEMENTS……………………………………………………………………..6-8

STRATEGY STATEMENT……………………………………………………………………………………………………….9-10

GOALS AND OBJECTIVES………………………………………………………………………………………………………11

EXECUTIVE SUMMARY …………………………………………………………………………………….………………13-15

MARKET ANALYSIS, HEALTH AND SOCIAL IMPACT..................................................................16-20

OPERATIONS……………………………………………………………………………………………………………………….21

LOAN PROCEEDS AND START-UP COSTS………………………………………………………………………………21

SERVICES AND PRICING……………………………………………………………………………………………………….30

MARKETING AND PROMOTION……………………………………………………………………………………………32

APPENDICES……………………………………………………………………………………………………………………….34-50


Sivam Diabetes, Nutrition, & Family Health Care LLC. Business Plan

BUSINESS NAME: SIVAM DIABETES, NUTRITION & FAMILY HEALTH CARE LLC.

PROPOSED ADDRESS: 25 SANFORD STREET, EAST ORANGE, NEW JERSEY, 07018

TELEPHONE: (201)-618-1472

OWNERS: Dr. Mavis Faulknor., DNP., APN., FHNP-BC., RN., RD,CDE

NATIONAL PROVIDER IDENTIFIER(NPI)#: 126561491

MAILING ADDRESS: 78-80 Kenmore Avenue, Newark, New Jersey 07106

Telephone: (201) 618-1472

E-mail Address: [email protected] or [email protected]


mailto:[email protected]


CONFIDENTIALITY AGREEMENT FOR BUSINESS PLAN

The undersigned reader acknowledges that the information provided by_________________ in this business plan is confidential; therefore the reader agrees not to disclose information about this business plan without the written permission of Mavis Faulknor_______________________.

It is acknowledged by the reader that the information furnished in this business plan is in all respect confidential in nature, other than information which is in the public domain through other means and any disclosure or use by the same by reader may cause serious harm or damage.

Upon request, this document (Business plan for Sivam Diabetes, Nutrition, & Family Healthcare LLC), is to be immediately returned to Sivam Diabetes, Nutrition & Family Healthcare LLC.

Signature:____________________________________ Date:____________________________

Print or type name:_____________________________


STATEMENT OF PURPOSE

The purpose of this business plan is to outline and summarize Sivam Diabetes, Nutrition, & Family Health care LLC. goals regarding property (business space), services, financial needs and projections, inventory resources and requirements, outreach strategies (marketing and promotion), based on marketing analysis, demographics and health needs of the target population.

This business plan also documents the professional experience/administrative skills; management and leadership abilities of the administrators and owner of this limited liability company (LLC).


MISSION

Sivam Diabetes, Nutrition & Family Health Care (SDNFH) LLC. envisions the provision of

evidence-based, culturally sensitive, high quality primary care with a focus on diabetes

care (Diabetes Self-Management Education and Support (DSME &S), including medical

nutrition therapy (MMT) to the target population:

• Lead innovations in developing health, education, and diabetes mellitus

Interventions with the roles of nurse practitioners to meet the changing needs of the

area’s target population.

• Catalyst in collaborating with other organizations to develop a comprehensive

network of services for the target population in our community and integrate

behavioral health care to address the mental health needs of the target population

through co-location with Luminous Healthcare LLC.

• Secure adequate funding to serve the growing and diverse target population.

• Provide leadership in promoting the well-being of the target population and

empowering them through high-quality healthcare interventions and programs to

improve the health of individuals and hence create healthy communities.


VISION

To be recognized as a culturally competent premier lead organization for the provision of sound integrated primary healthcare, nutrition and diabetes care interventions, in the Northern region of New Jersey with emphasis in East Orange and the surrounding service areas of Essex County. This region is made up of large urban cities such as East Orange, Newark, Orange, South Orange and others. Large ethnic/minority populations of African Americans, Blacks, Hispanics/Latinos as well as migrants from many African countries and the Caribbean reside in the northern area of New Jersey who will benefit from the proposed primary healthcare, nutrition and diabetes care interventions.

Consumer primary prevention, diabetes, nutrition and health management intervention strategies will be implemented to address health prevention and disease promotion to combat chronic disease conditions such as cardiovascular and diabetes mellitus. Emphasis will also be placed on the provision of nutrition interventions to halt the epidemic of obesity and overweight both in adults and children. Diabetes Mellitus which is now at an epidemic level is closely linked to obesity which will be a major focus, as well as hyperlipidemias, heart disease, hypertension and other chronic conditions which are present in the target high risk ethnic minority populations of African Americans, Blacks, and Hispanics at higher rates and with current health projections that the incidence of obesity and diabetes mellitus will continue to increase in these ethnic minority population groups.


CORE VALUE STATEMENTS

1. Sivam Diabetes, Nutrition and Family Health Care LLC. commit to the following core values:

Leadership to envision possibilities, seek opportunities, advocate and act to meet community needs Commitment to make a difference in our communities

Teamwork to build a stronger and always improving organization Partnership to learn from and work with our community through collaboration and cooperation

Integrity in all things Passion for quality and excellence Excellence to hold ourselves to the highest standards in all we do. Cultural Competence to promote cultural diversity in care Motivation to innovate Innovation to think and act in new ways to achieve greatness Accountable to our clients and their members, to our supports, investors, and to one another Respect to recognize the intrinsic value and dignity of all individuals


STRATEGIC STATEMENT

2. The overall purpose of Sivam Diabetes, Nutrition & Family Health Care LLC. to improve clinical outcomes, health status, and quality of life. SDN & FHC LLC. will be distinguished from competitors by using innovation and coordination to significantly address the gaps in primary healthcare and the alarming diabetes prevalence and incidence trends in East Orange, Essex County, New Jersey by:

_ The provision of high quality primary care_ Informed decision-making– Self-care behaviors– Problem-solving and active collaboration with the health care team– Facilitating positive diabetes mellitus self - care behaviors directed at successful

diabetes self – management– Provision of Medical Nutrition Therapy

Sivam Diabetes, Nutrition & Family Health Care LLC. will further the mission of the organization by addressing the tremendous need of the East Orange community and the surrounding service area to control the deadly effects that diabetes mellitus can have on patients with the disease. The chronic care model will be used model with Primary Care Innovations by Nurse Practitioners to promote spread and quality healthcare.

The Chronic Care Model will be the focus of the provision of Primary Family Health care and the DSME & S Program; the use of the Chronic Care Model is effective and relevant for those who have been diagnosed with diabetes mellitus and other chronic disease conditions. The model’s creator Ed Wagner stated that with this approach, “Patients gain the ability and interest in managing their own conditions.” The key to the whole approach is healthcare providers becoming teammates with patients to empower patients to take more control over their illnesses. Wagner defines chronic illness broadly as “Any condition that requires ongoing activities and response from patients and their caregivers, as well as a response from the medical care system”.


There are six main parts to the model: the community and its resources and policies; and health care system; self-management support; delivery system design; decision support; and clinical information systems. These are all focused on creating informed, active patients who are empowered to become actively involved in their own health care.

Adapted from MacColl Institute.


GOALS

To provide comprehensive, culturally competent, evidence-based, patient-centered primary care, including medical nutrition therapy (MNT), and Diabetes Self-Management Education & Support (DSME) as an essential element of the entry point to the healthcare system for clients throughout the lifespan.

The Family Health Nurse Practitioner, Certified Diabetes Educator, Registered Dietitian will provide:

first-contact care for persons with any undiagnosed sign, symptom, health or nutrition concern;

direct referrals and accept referrals from Luminous Cares LLC, East Orange, NJ 07018 a mental healthcare provider; and other providers.

comprehensive care for throughout the lifespan; longitudinal or continuous care for the patient; responsibility for coordinating other health services as they relate to the patient's care; integrated Diabetes Self- Management Education and Support (DSME); culturally sensitive Medical Nutrition Therapy; client and community awareness and empowerment about nutrition, health issues,

physical activity; literacy, culturally tailored education and materials for identified disease conditions.


OBJECTIVES

1. To provide high quality comprehensive primary care, according to established primary (family) care standards and guidelines to 100% of clients/patients provided with healthcare services.

2. To promote clients/patients adherence to 80% to medical nutrition therapy interventions.

3. To promote client, community awareness and empowerment about health, diabetes mellitus, nutrition and physical activity by providing/participating in a minimum of ten (10) community health and nutrition activities annually.

4. Annually demonstrate a 5% increase in the percentage of individuals in the target market who are tested/screened for diabetes mellitus and pre-diabetic conditions.

5. Annually demonstrate a 5% decrease in the percentage of diabetics who received two Glycosylated Hemoglobin (HbA1c) tests per year.

6. Annually demonstrates a 5% increase in diabetics and pre-diabetics who receive specialized diabetes care exams, such as foot exams, eye exams, blood pressure and cholesterol checks.


EXECUTIVE SUMMARY

“PRIVATE PRIMARY FAMILY HEALTHCARE PRACTICE WITH DIABETES CARE FOCUS THROUGHOUT THE LIFECYCLE”

Sivam Diabetes, Nutrition & Family Health Care (SDN & FHC) LLC. is a minority owned registered business in the State of New Jersey, specializing in the provision of primary family healthcare, medical nutrition therapy (MNT) and the provision of diabetes care (DSME & S). The purpose of this company is to establish a new primary healthcare Family Nurse Practitioner (FHNP) practice with a focus on diabetes care, and the provision of medical nutrition therapy in East Orange, New Jersey. Family healthcare is comprehensive healthcare and is a form of primary care that provides continuing healthcare for the individuals and family across all ages, sexes (gender), diseases and all parts of the body. Primary and family healthcare providers are the gatekeepers of the Unites States (U.S) health system. Primary care and family healthcare providers practice health promotion, disease prevention, health maintenance, counseling, patient education and diagnosis and treatment of acute and chronic illnesses in a variety of settings (e.g., office, inpatient, critical care, long-term care, home care and day care). They are the first point of contact for people seeking healthcare by providing care for the whole body

Primary Care, Family Health Care Providers has contributed to the healthcare industry revenue growth in recent years. Most recently the health care reform of the Affordable Care Act (ACA), which aims to provide health insurance to a considerably larger portion of the population has continued to boost the healthcare industry revenue. The boost in healthcare revenue is forecast to increase at an average of 4.1 percent, reaching $204 billion in 2016 (1). According to the Centers for Disease control more than 29 million Americans are living with diabetes, and 86 million are living with prediabetes, a serious health condition that increases a person’s risk of type 2 diabetes and other chronic diseases. People with diabetes either don’t make enough insulin (type 1 diabetes) or can’t use insulin properly (type 2 diabetes). Insulin allows blood sugar (glucose) to enter cells, where it can be used for energy. When the body doesn’t have


enough insulin or can’t use it effectively, blood sugar builds up in the blood. High blood sugar levels can lead to heart disease, stroke, blindness, kidney failure, and amputation of toes, feet, or legs. Type 2 diabetes accounts for about 90% to 95% of all diagnosed cases of diabetes, and type 1 diabetes accounts for about 5%. The health and economic costs for both are enormous:

Diabetes was the seventh leading cause of death in the United States in 2013 (and may be underreported).

Diabetes is the leading cause of kidney failure, lower-limb amputations, and adult-onset blindness.

More than 20% of health care spending is for people with diagnosed diabetes.

People who have one or more of the following risk factors should talk to their doctor about getting their blood sugar tested:

Being overweight. Being 45 years or older. Having a family history of type 2 diabetes. Being physically active less than 3 times a week. Ever having gestational diabetes or giving birth to a baby who weighed more than 9 pounds.

Race and ethnicity are also factors: African Americans, Hispanics and Latinos, American Indians, Pacific Islanders, and some Asian Americans are at higher risk than whites. People with type 1 diabetes need to take insulin for life to survive. For people with type 2 diabetes, healthy eating, regular physical activity, and medicines to lower blood sugar can help prevent or delay complications. Both groups need to work closely with their health care team to receive diabetes education, regular checkups, and ongoing support to self-manage their health (3)

New Jersey medically underserved ranks the City of East Orange and other target areas, including Orange as Primary Health Professionals Underserve Areas (2). According to the East Orange Hospital Community Health Needs Assessment, the most significant health issues facing the community of East Orange include a constellation of chronic diseases that affect residents. Those most common disease conditions include Diabetes, Obesity, Hypertension, Cardiovascular Disease, Congestive Heart Failure, Hemodialysis/Kidney Disease and Cancer.

Dr. Faulknor is exceptionally prepared to start her own practice, with co-location of Luminous Care LLC. Mental Health Provider. Dr. Faulknor has more than thirty (30) years’ experience in healthcare. She completed her Family Health Nurse Practitioner training in 2012 at the

University of Medicine and Dentistry (Now Rutgers University), is board certified as a Family Health Nurse Practitioner by the American Association of Nurse Practitioner and holds a


Doctorate in Family Health Nurse Practice from the University of Buffalo, New York. In addition Dr. Faulknor is a Masters prepared Registered Dietitian (RD) by the Commission of Dietetic Registration, and is a Certified Diabetes Educator (CDE). (See Appendix A - Mavis Faulknor CV). In addition, to clinical training and expertise as a Family Health Nurse Practitioner, Dr. Faulknor has extensive experience in program planning, program administration and implementation and served as Women, Infant and Children Coordinator and Director in New Jersey and New York for a total of more than 15 years. Dr. Faulknor is currently employed as an Advanced Practice Nurse (Family Health Nurse Practitioner ) with the County of Hudson, Meadowview Psychiatric Hospital, New Jersey.

Dr. Faulknor has identified an appropriate location for the private practice at 25 Sanford Street, East Orange, New Jersey, 07018, which is located to New Jersey Transit bus lines via Central Avenue and is in close proximity to the public commuter train lines (Brick-Church in East Orange. The property is on the market for sale at a cost of $260,000, is a mixed used building with more than 7700 square feet on the first (1st) floor that will be modified into three (3) examination rooms and allows for co-location with Luminous Cares LLC. a registered Psychiatric Nurse Practitioner Mental health care provider. In the future the plan is to use the second (2nd

floor) to train entry level healthcare providers such as certified home health aides, certified medication aides and certified nurse aides and CPR). Dr. Faulknor possesses the related State of New Jersey certification in these areas. Additionally, the third floor (3 rd) is currently rented for 850 monthly and the plan is to continue to rent the third floor space to provide financial support for some overhead costs. Sivam Diabetes, Nutrition & Family Health Care LLC. will employ one medical assistant and a part –time office manager during the start –up phase of the private practice, until demand reaches more than 24 clients per day. The private practice will offer primary family healthcare, MNT, DSME & S to individuals and families with private insurance, MEDICAID and MEDICARE. The business model will include a mixed model, which will include acceptance of private insurance, Medicare and Medicaid payments and cash payments from those without insurance will also be accepted as payment for services provided to clients/patients.

Medical record keeping and billing has been streamlined into the select electronic medical record (EMR) software and SDN & FHC) will seek to use EMR for the practice. Dr. Faulknor is computer literate, has used several EMR software programs which can be used to establish billing, practice management and record keeping systems that provides maximum efficiency and reimbursement cycle to optimize healthcare services.

The total estimated cost for equipment and related start-up cost for the private practice is $108,550. The company seeks a $260,000 term mortgage loan and a $108,550 line of credit, both of which will be paid down and backed with the personal guarantee of Dr. Faulknor. Total cost for the real estate purchase and start-up cost is $368,550.00.


1. “ Primary Care Doctors in the U.S” , Ibis World Industry Report 62111a, October 2011, available at www.ibisworld.com. 2. Primary Care Practitioner Loan Redemption Program of New Jersey, retrieved from www.http://rbbs.rutgers.edu/rbweb.3. Diabetes Facts (2016). Centers for Disease Control and Prevention, retrieved from

https://www.cdc.gov/chronicdisease/resources/publications/aag/diabetes.htm.

MARKET ANALYSIS, HEALTH AND SOCIAL IMPACT

Primary Family Healthcare is a healthcare/medical specialty devoted to the comprehensive health care of people of all ages. Family Health Nurse Practitioners are the principal group of advanced –practice nurses (APNs) delivering primary care in the United States. Gaps in the provision of quality health care is a major problem in U.S and in urban communities such as East Orange; combined with the aging the population. According to national statistics, the projected greatest demand for healthcare practitioners is in primary care. There are increased Medicare payments under the ACA reform for primary care providers in an effort to encourage these healthcare providers to stay in primary care. The rise in demand for primary care providers with the use of technology, and the effective use of medical assistants/health care assistants will be required to make a primary care family practice profitable such as Sivam Diabetes, Nutrition, & Family Health Care LLC. while providing optimal diagnostic and personal health care/management service to patients in East Orange and the surrounding target areas.

The East Orange, Essex County, New Jersey Behavioral Health Risk Factor Surveillance survey (EOBRFSS), indicated that Diabetes Mellitus is the fifth leading cause of death in Essex County which is the location of the East Orange Service Area. Rates among Black residents are significantly higher than for all county residents and are indicated as follows:

Black, Non‐Hispanic = 42.1/100,000 Hispanic = 32.9/100,000 White, Non‐Hispanic = 18.8/100,000

Essex County (East Orange) communities with low socioeconomic status experience disparities in health status and access to resources. These disparities are evidenced by uninsured status, limited access to primary care physicians and health services, and inappropriate use of hospital/emergency department services for conditions that could have been treated with preventive and primary care. The total population for East Orange according to 2011 census data is 64,268; and 41, 216 of the total population is 25 years and older. 41.6% of the total population has poverty status, with 24,270 at 185% of the poverty rate and 26,130 at 200% of the poverty rate. The average per capita income is $21,340. 00.


https://www.cdc.gov/chronicdisease/resources/publications/aag/diabetes.htm

http://www.http://rbbs.rutgers.edu/rbweb

The table below provides the Racial and ethnic breakdown of the East Orange. In 2006, 7.8% of residents reported diabetes. In 2010, this number increased to 10.2% population. Diabetes is also on the rise in Essex County (East Orange service area).

Figure1: East Orange Population-Racial/Ethnic breakdown

Health Industry Analysis:

The health care industry is the nation's second-largest employer. The structure of the public


and community health industry is not easy to define. It includes a population based approach versus a personal or individual health care model. Public health focuses on prevention as a primary strategy for improving health and quality of life. Among government agencies, the responsibility for the health of the country is divided among the federal, state, and local entities. SDN & FHC will operate as a limited liability health care provider, with the provision of health services, education and community advocacy. Current industry trends support the development of community based education programs, like SDN & FHC LLC. The US Department of Health & Human Services’ “Healthy People 2020”, explains that:• Communities experiencing the most success in addressing health and quality-of-lifeissues involved many components of their community.• Communities eager to improve the health of specific at-risk groups are more likely tobe successful if they work collaboratively with their communities and if the socialand physical environments are conducive to supporting healthy changes.

• More effective community health promotion programs implement comprehensiveintervention plans with multiple intervention strategies (such as education, policy, andenvironmental changes) within various settings, such as the community. The American Diabetes Association (ADA) surveyed 389 health providers and administrators about the barriers they faced in delivering diabetes care. Providers indicated a need to enhance behavioral change in patients with diabetes. All providers were more confident in their ability to instruct patients on diet and exercise than on their ability to help them make behavioral changes.

The 2005 International Diabetes Federation reported an economic benefit to self-management training programs through reduced hospitalizations and reduced A1c levels.The Diabetes Control and Complication Trial (DCCT), the United Kingdom Prospective Diabetes Study (UKPDS) and the Diabetes Prevention Program (DPP) demonstrate the cost effectiveness of self-management and diabetes education.

The CDC Task Force on Community Preventive Services recommends the following evidence based findings of success in diabetes care management:• Diabetes self-management education in community gathering settings• Community-wide campaigns and point-of-decision prompts to encourage use of stairs• Social support interventions in community settings• Increasing physical activity by using environmental and policy approaches

The use of preventative care programs is growing, as is the use of employee education 18


programs aimed at better managing the effects of diseases such as diabetes. These employer programs aim to reduce employee illnesses, and thereby reduce costs. Questions still exist on the cost of diabetes self-management education programs and who will pay for it. FHDC Inc. hopes to fill a portion of the gap by demonstrating that a community-based diabetes self-management education and support program can be cost effective and serve as a model program for people with Type 2 Diabetes Mellitus.

Target Market Analysis:

In East Orange , New Jersey, diabetes is a growing burden. East Orange has a total population of 64,268. Adults 18-64 make up 63% of the population and seniors age 65+ were 12%. A total of 48,715 East Orange residents are above age 18 with thirty-three percent (36%) of that population (16, 075) potentially eligible for DSME/T services. With increases in both the geriatric population and rates of obesity, the incidence of diabetes is also increasing. Diabetes Mellitus is the fifth (5) leading cause of death in Essex County; with blacks 4.1/100,000; Hispanics 106.8/100,000; and whites 167.8/100,000.

Diabetes can lead to serious complications and premature death, but people with diabetes can take steps to control the disease and lower the risk of complications. Type 2 diabetes, which accounts for 90-95% of all diabetes cases, is linked to obesity, lack of physical activity, unhealthy eating and smoking. Furthermore, diabetes is more common in ethnic minorities (African Americans and Latinos) and persons of lower socioeconomic status. (East Orange Community Health Needs Assessment, 2013). Seventeen percent (17%) of East Orange residents do not have a high school diploma.

Pertinent to the health status of East Orange is the socioeconomic condition. Poverty and lack of access to healthcare are two major factors. In East Orange, African Americans comprise 88.5% of the population and Latinos make up 7.9%. (Census data, 2011). In addition, The 2011 Census reported that 41.6% of all East Orange residents most of which are African Americans live in poverty with lack of access health care coverage.

In East Orange in 2011 the median household income was $34,599, which is $19,254 below the median income of Essex County (NJ) residents. Healthcare insurance coverage and diabetes management classes for the targeted groups are inadequate. The defined primary health service area for the DSME & S intervention will include the following zip codes 07017; 07018; 07109; 07050 and 07101 but not limited to these zip codes.


Competitors/Partners:

The majority of SDN & FHC LLC. DSME & S clientele will be primarily those who are Medicaid, Medicare, uninsured and/or underinsured and private paid clients. Most service providers in the same business such as hospitals and drug stores target clients who have insurance, can afford co-payments and are minimum payment risks. There are no competitors providing similar mix of services offered by s SDN & FHC LLC are the free

clinics, federally funded community health clinics and local health services within the service area but none currently provides DSME & S. T these services are already overburdened by the increasing number of patient and are potential sources of referrals for DSME/T services their programs and facilities. As SDN & FHC LLC. is able to reduce inpatient hospital stays and decrease emergency room visits, potential competitors such as “for profit” hospitals may in effect become supporters rather than competitors. This is expected to result in a more cost effective means of addressing this major health problem SDN & FHC LLC will become an additional needed referral source for the families with health care needs living in East Orange, especially those who have never attended a diabetes class or diabetes management program. The four major partners or “strategic alliances” for the successful implementation of this business plan to provide primary care, diabetes self- management education and training to the target population of East Orange and will serve as the enablers for AADE Recognized program for SDN & FHC LLC; enabling Medicare, Medicaid and other insurance reimbursement for eligible clients served. There is a recognized need to provide these services in the target area as currently there is no DSME& S Program in East Orange and this primary care provider of DSME& S program in a high density urban minority population and will facilitate increased access for people with diabetes to self-management education and training and primary health care. Opportunities to engage national, state and local collaboration and partnerships are included in the plan. At the national level, this will include the CDC, the American Medical Association and the American Association of Diabetes Educators (AADE). At the state level, Partnerships with offices within DHHS including Medicare, Medicaid and Minority Health will be sought. Other partners essential to the successful implementation of the plan at the local level are faith-based organizations that have sponsored and will continue to sponsor training for their members, physicians who serve as referral sources, and pharmaceutical


companies. Cooperative relations and partnership opportunities with organizations providing similar or same services in New Jersey and nationally. SDN & FHC LLC will use its leverage with these groups to promote innovative, creative strategies for primary care with a focus on diabetes education and support within the target area.

OPERATIONSLOAN PROCEEDS AND STARTUP COST

The total population for East Orange according to 2011 census data is 64,268; and 41, 216 of the total population is 25 years and older. 41.6% of the total population has poverty status, with 24,270 at 185% of the poverty rate and 26,130 at 200% of the poverty rate. The average per capita income is $21,340. 00. East Orange and the County of Essex are designated as medically underserved areas and hence supportive of the services that will be provided by Sivam Diabetes, Nutrition & Family Health Care LLC. to the target population. As a Primary Care Family Nurse Practitioner Private Practice provider, the start-up equipment, supplies and build – out space conversion requirements are kept are market value cost. The first floor of the proposed spaced is 720 square feet and will be relatively easy to customize, and should prove very close to actual costs. This space will be collated with Luminous Cares LLC. a mental health care provider which is owned by Dr. Udoko Jeremiah Ejofor, APN with a current caseload of approximately four (400) hundred clients/patients that will allow for convenient referral and the provision of integrated healthcare. There is no expensive testing or diagnostic equipment that is required; one of the most expensive single piece of equipment will be the purchase of an autoclave for sterilization purposes.Waiting Room

Sofa & Chairs $1,500

Educational Racks $ 550____

Total $2,050

Break Room

Table & Chairs $550

Microwave $100

Refrigerator $600 21


Total $1,250

Reception/Common Area

Desk & Chair $600

Telephone System $500

Filing Cabinets $350

Printer/Copy Machine $600

General office Supplies $500

Forms $250

Brochure Rack $200

Total $3000

Doctor’s /Nurse Practitioner’s Office _(4)______________________________

Desk and Chair $1,000

Filing Cabinets $500

Credenza $500

Printer/copier machine $300

Chairs $250

Lamps $150

Bookcases/shelves $250

Total $2,950

Computers/Electronics ____________________________________________

4 Desktops $ 2,400


2 Laptops $1,600

EHR $12,000

Total $14,000

Instruments & Medical Equipment __________________________________

Autoclave $3,000

Anoscope $ 400

Audiometer $1,000

Ophthalmoscopes $ 250

Otoscopes $ 150

Stethoscopes (4) $ 300

EKG machine/paper/electrodes $2,000

Larngoscope $ 150

Nasal Speculum S 100

Spirometer $ 100

Miscellaneous Instruments $ 500

Sundries/Disposables $1,000

Bandages, Dressings, Splints $2,500

Needles, Syringes, Injectables $1,500

Total $12,000

Exam Rooms (4)

Exam Tables ($2,000 each) $8,000

Revolving Stools ($200 each) $800


Side Chairs ($50 each) $200

Utility Cart ($150 each) $600

Trash receptacles (biodegradable & other) $200

Patient Gowns (150*8 each) $1,000

Magazine holders ($20) each $80____

Total $11,000

Build-Out (Customization of the Space) ________________________________

Professional fees $2,500

Dry Wall Layout $8,000

Paint $2,000

Sinage $1,000

Electrical $1,500

Total $15,000

Other Start-Up _ Cost_______________________________________________

Professional Fees $5,000

Real Estate Down Payment $26,000

Website $2000

Graphic Services, Logo, Printing $2,500

Licenses, Registration $250

Open House/Marketing $3,500

Insurance Deposits $6,882

Total $46,132


Summary of Start – up Cost ________________________________________

Waiting Room $2,550

Breakroom $2,050

Reception/Common area $3,000

Instruments & Medical Equipment $12,000

Exam Rooms $11,000

Built-out customization $15,000

Other Start-up costs (reception area) $46,000

Doctor’s/NP’s office $2,950

Computers/Electronic $14,000

Total $108,550

Total business space (Real estate purchase cost) = $260,000.00

Total Start-up cost = $108,550 .00

*TOTAL FOR BUSINESS SPACE & START-UP = $368,550.00 ___________________________________________________________________


___________________________________________________________________

Bank Loan Projections Terms

Estimated amount of Bank loan sought:

Real Estate Purchase = $260,000.00

Line of Credit = $198,550.00

Total = $368,550.00

Interest Rate 4.06%

Terms, 25 Years = (300) months

Projected Monthly Payments = $4,914


FINANCIAL PROJECTIONS/CASH FLOW STATEMENTS

Assumptions are routinely used in financial projections. Revenue estimates future financial estimates for Sivam Diabetes, Nutrition & Family Health Care LLC. are made based on the average charges for services for the three categories of services to be offered; which will include Comprehensive Family Healthcare, Diabetes Self - Management Education and Support and Medical Nutrition Therapy which reimbursable health services. The private healthcare practice will be co-located with Luminous Cares LLC. Which currently of a caseload of 400 patients and continues to grow. This co-location business strategy will allow for cross referral of patients.

Breakdown of Services First 12 months Thereafter

New Patients 45% 15%

Established Patients 15% 50%

Routine Visit 15% 15%

Routine Procedure 25% 20%

The number of patients seen per day is estimated to increase to 20-24 patients at a minimum per day to be seen initially as a sole Family Healthcare practitioner. After attaining a caseload of 59 per day a fulltime medical assistant and part-time office manager will be added to the staff.

Projected increase are as follows:

Month 1 Month 12 Month 24 Month 36________

5 36 59 70


The financial assumptions for gross revenue per year are as follows:

Year 1 Year 2 Year 3

$ 180, 000.00 $270,000.00 405,000.00

Sivam Diabetes, Nutrition & Family Healthcare LLC. Will have considerable accounts receivable, 75% of revenues will be reimbursed from insurance. The proposed use of the electronic Health records (EHR) will dramatically improve the reimbursement terms of the insurance portion of patient charges. An EMR software with a best practice software for billing patients will be selected for use to insure that charges for service provided are collected on a timely basis.

Cash Flow Terms

Patients 50% Cash or Check

50% Credit/debit Card

Credit/Debit Cards Received in 1 week

Insurance Reimbursements 100% in 1-3 months

Inflation is considered at approximately 2-5% to all non-varying cost, except for medical liability insurance which usually increase each year and health insurance. Dr. Faulknor’s salary will increase each year as revenues allow.

Fixed Expenses Monthly, Year 1

Cable $250

Insurance, General Medical Liability $208

Insurance, Malpractice $278

Real estate & start up loan repayment $ 4,900.14

Telecommunications $350


Business supplies $1.5% of Gross

Clinical supplies $3.5 % of Gross

Continuing Education $600.00

Dues & Subscriptions $500.0

Electricity 1.8% of Gross

Employee salaries Based gross business income projections as provided

Laundry Service S200.00

Meals and entertainment $350.00

Merchant Account 2.5% on 50% of charges

Miscellaneous 1% of Gross

Office Salary $8,333 per year

Professional services $625 per year

Promotion & Advertising 1.5% of Gross

Repair and Maintenance $150.00


PRODUCTS, SERVICES & PRICING

The list of services, procedures and their fees for Sivam Diabetes, Nutrition & Family Health Care LLC, can be divided into three main categories, and are listed below. The procedures are services fees are determined from experience and current reimbursement rate, with each service type taking into account the various procedures and coverage levels. The three main categories of services will include:

1. Primary Family Health Care Services throughout the lifespan

2. Diabetes Self-Management Education and Support (DSME)

3. Medical Nutrition Therapy (MNT)

___________________________________________________________________________________

Primary Family Health Care Services

Service Average Cost__per patient____________________

New Patient $ 150

Established patient $ 100

Routine visits (Physicals, etc.) $ 80

Procedures (laboratory evaluations including

blood and urine) $ 65

Medical Nutrition Therapy (MNT)_________________________________________________________

Service____________________________ __Average Cost per patient___________________________

Individual patient initial assessment $120 to $230

Patient’s follow-up visit $ 64 to $195


___________________________________________________________________

Diabetes Self-Management Education and Support Services_(DSME & S)_______

Service__________________________ Average Cost __________________________

DSME (individual) $106.54

DSME (group) $257.40

MNT (Individual $104.16

MNT (group) $64.00________________________________

Grand Total $568.46________________________________

_________Revenue/15 participants___ $8,526.90____(Medicare reimbursement)______


MARKETING & PROMOTIONS

Marketing and promotion of services offered be Sivam Diabetes, Nutrition & Family Health Care LLC. will be conducted by Dr. Faulknor, APN, FHNP-BC and Dr. Udoku J. Ejofor, APN, PhD. Luminous Cares LLC. Dr. Faulknor will assume primary responsibility for the important private practice component of marketing and promotion to ensure attainment of projected patient caseload from the target population. There is a small number of primary family care providers to treat over the minimum 64, 000 patients in the East Orange target area. A scoping search of the area revealed approximately nine providers proving primary car, but non-providing the mixed healthcare services of Primary Family Healthcare, Medical Nutrition therapy and Diabetes Self- Management Education and Support. Of key importance the private family healthcare practice will be co-located with Luminous Cares LLC, an established mental health provider with a caseload of 400 clients, which will be referred to Sivam Diabetes, Nutrition & Family Health Care LLC. for healthcare services.

The company has budgeted 1.5 percent of gross revenues for advertising and promotional efforts, and comes to:

Year 1 Year 2 Year 3

$2,700.00 $4,050 .00 $6,075.00

The follow are some of the marketing strategies that the company plans to employ:

Local Free Press: A professional press release with a write-up of the services offered for the community for the private family healthcare establishment and practice implementation will be provided to all local papers including the Star Ledger, Essex News and Local Talk.

Open House: The clinic will host an opening party with an extensive mail-out to the residential community and advertisement in local papers. The open house will feature creative promotions (blood pressure checks, body mass index measurements and diabetes screening with the provision of refreshments.’


Web site: A professional website is included the budget. The URL is to be determined, and will provide an informational site that will be referenced in all promotional materials. The site may be relatively simple to smart, and will become more robust overtime, to include a Doctor’s blog, health tips, and online booking and appoints capabilities.

Brochure: A clean, three – panel glossy brochure is budgeted and will be created for mailers and handout as appropriated.

Newsletters and pamphlets, and informational brochures: will provide evidence-based health, nutrition and diabetes mellitus information with Sivam healthcare referral information that will be provided to healthcare providers and community based health and social service organizations for referrals of patients/clients for service offered by Sivam Diabetes, Nutrition & Family Health Care LLC. The purpose is to promote healthy lifestyles as well as encourage referrals between professionals.

Word of Mouth: Dr. Faulknor is active in the target area and the communities of East Orange, Newark, Irvington and the other areas that is a part of the target areas from which client can be recruited for health services offered. Dr. Faulknor does on-call medical coverage as a FHNP for Foundation Pediatrics Practice which is located on South Harrison

Avenue in East Orange, and is an Adjunct Faculty of Nursing at Best Care College in East Orange for the past 10 years. She intends to spread the word as widely as possible as she participates in community –based activities.

Online Promotion: The company will explore appropriate methods of online promotions such as the use of health service (Health Pro.com) where clients/patients can find information for needed health services; the use of e-mails, search engines and possibly online advertising.


APPENDICES

A. CV and Professional biographical sketch for Dr. Mavis FaulknorB. CV for Dr. U. Jeremiah EjoforC. Business Formation CertificateD. Copies of Licenses and CertificationE. Copy of Tax filed for the past three yearsF. Copies of one month pay stubsG.


Biography-Mavis C. Faulknor

Dr. Mavis C. Faulknor, DNP, MSN, RD., CDE., APN-C, Family Nurse Practitioner/Nurse Educator , previous Director of the Nursing Program at Hudson County Community College and with an earned Doctorate in Nursing from the University of Buffalo, New York. Ms. Faulknor has devoted her career to improving the nutrition, health and education status of vulnerable, medically underserved and minority population groups. She was a member of the first class of Leadership Newark Fellows.

Ms. Faulknor has lectured and taught extensively in nutrition, health and nursing with an emphasis on reducing infant mortality and promoting access to nutrition for women, infants and children. She served as Women, Infants, and Children (WIC) Coordinator in urban communities in New York and New Jersey for more that fifteen years combined and as Health Director for the Leaguers Inc.

She has been an educator and adjunct instructor at various colleges and education institutions and is a strong advocate that “All students can learn.” She is also a Licensed Teacher of Health Occupations; and has mentored and precept many nursing and nutrition students.

As a committed advocate for the vulnerable and underserved, Ms. Faulknor has served on various health advisory committees and boards for community-based organizations in the City of Newark and surrounding service area. She was a selected State of New Jersey Department of Health and Senior Services Advisory Council member on Black Infant Mortality Reduction (1998-1999).


Mavis C. Faulknor, DNP., RD., RN., CDE., MSN., APN-C, FHNP-BCFamily Nurse Practitioner/Nurse Educator

7880 Kenmore Avenue, Newark, NJ 07106Home: 973 399 3393; Cell: 201 618 1472

Email: [email protected] or [email protected]

Education: Doctorate - Nursing, University of Buffalo, School of Nursing 103 Wende Hall, 3435 Main Street, Buffalo, NY 14214-8012. 09/ 013 - 2017

M.S. Nursing-Family Health Nurse Practitioner (FHNP), University of Medicine and Dentistry (Now Rutgers University), School of Nursing, 65 Bergen Street, Newark, NJ, 07102. Graduated 05/2012.

Certification of Completion/Standard Teacher License-Teacher of Health Occupations, Brookdale Community College- Career Technical Education Alternate Route Teacher Program, Brookdale Community College, 765 Newman Springs Road, Lincroft, NJ 07738. Completed June 7, 2013.

A.S. and Diploma in Nursing, Trinitas School of Nursing, Union County College, 12 West Jersey Street, Elizabeth, NJ,07202. Graduated 05/2003

Dietetic Internship Certificate, University of Medicine and Dentistry, 65 Bergen Street, Rm. 157, NJ 07102, Newark, NJ, 07102. [900 hours supervised experience in surgery, medicine, ICU, nutrition support, geriatrics, pediatrics, rehabilitation, public health, dental health, diabetes mellitus and clinical management]. Completed 05/1993.

M.S. Nutrition, Hunter College, City University of New York, 695 Park Avenue, NY, 10021. Graduated 01/1992.




B.S. Nutrition and Food Science, Hunter College, City University of New York, 695 Park Avenue, NY, 10021. Graduated 06/1989.

Diploma in Dietetics and Nutrition (Honors), University of Technology {Formerly the College of Arts, Science and Technology (CAST))},237 Old Hope Road, Kingston 6, Jamaica W.I. Graduated 03/1985.

Licensure: Advanced Practice Nurse (APN-C) N.J. License # 26NJ00421400 Advanced Practice Nurse,–New York (NP in Family Health) License#: F338391-1

Registered Professional Nurse (RN) N.J. License # 26NR11201600Registered Professional Nurse (RN) N.Y. License # 614 9017-1 Registered Dietitian (RD# 0071705)

Teacher of Health Occupations N.J. License # 906428Certifications:

Certified Family Nurse Practitioner (# F01130005) – January 2013-Currently CPR Instructor Certification- January 2008-currently, American Heart Association

Core Instructor Course. Certified to teach Basic Life Support for Health Care Providers Certified Instructor for Nurse Aide’s Training-April 2008-currently, New Jersey

Department of Health and Senior Services Certified Evaluator for Nurse Aide’s Skills Evaluation, New Jersey Department of

Health and Senior Services-April 2008-currently. Certified Medication Aide Instructor, New Jersey Department of Health and Senior

Services –July 2009-currently. Certified Diabetes Educator (CDE #2092-0575) – December 2009-currently.

Honors and Awards: New Jersey League for Nursing “Nurse Recognition Award”, 2015 AmeriGroup Healthy Hero Award, 2003 Kellogg Academic scholarship, Trinitas School of Nursing, 2003 Employee of the month, City of Newark, 2003 Dean’s list 1988 & 1989, CUNY, Hunter College. Recognition for volunteer contribution by Newark Pre-school, Head Start Council Inc.,

1997. Certificate of Appreciation, The New York State Department of Health, Metropolitan

New York Regional Office for promoting the well-being of mothers and children, 07/1994.

Certificate of Appreciation for contributions to Metropolitan Hospital, NY, 1992 Hospital HMO weight control program, May 1991

Clinical Experience for FHNP: Family Health APN Role Practicum, 01/2012- 05/2012: Atlantic Health Systems, CVS Minute Clinic, 178 Morris Avenue, Springfield, NJ, 07081, Clinical Preceptor: Olubusayo Remi-Johnson, RN, APN, DNP.


Provided primary care health services to families of various social, economic and ethnic backgrounds.

Conducted interventions for disease prevention and health promotion, as well the treatment of various diseases and disorders in an ambulatory clinic setting.

Family Health APN Theory and Practicum: Child Health, 09/2011-12/2011: PEDIDOCS, Irvington Pediatric Associates. P.A Irvington, NJ, Clinical Preceptor: Bernier Laureden MD.

Provided well-child care including immunizations, anticipatory guidance, and health. Promotion to a primarily underserved African American pediatric population in an urban

pediatric clinic. Managed acute illnesses and chronic disease exacerbations for infants, children and

adolescents while incorporating psychosocial skills.

Family Health APN Theory and Practicum: Women’s Health, 05/2011 – 09/2011: University of Medicine and Dentistry, University Hospital (UMDNJ),Obstetrics and Gynecology, Newark, NJ, Clinical Preceptor: Imelda Guimary, APN, MPH.

Provided peri-natal care for pregnant and postpartum women in acute care, emergency room and ambulatory gynecology-oncology setting. The women cared for ranged from menarche to climacteric; and included routine prenatal care in uncomplicated and complicated pregnancies and the assessment and management of common health problems in women.

Primary Care of Adult and the Aged 1 clinical, 01/2011 – 05/2011: Atlantic Health Systems, CVS Minute Clinic, 178 Morris Avenue, Springfield, NJ 07081, Clinical Preceptor: Agnicha Muzeau, RN, APN.

Managed patients in a primary care sub-urban ambulatory clinic setting by providing health promotion, health maintenance and treatment of acute and chronic illnesses.

Primary Care of the Adult and Aged 11 clinical, 09/2010-12/2010: East Orange Medical Practice-Internal Medicine, 108 Munn Avenue, East Orange, NJ 07018, Clinical Preceptor: Robert A. Clarke. MD

Managed acute illnesses and chronic complex, multi-system disease processes in a predominantly low-income African American and Hispanic population.

Counseled clients regarding health risks factors, smoking cessation, stress management, physical activity and disease management.

Advanced Health Assessment clinical, 05/2010-09/2010 – UMDNJ-University Hospital, Newark, NJ, Clinical Faculty: Susan Wiedaseck, Assistant Professor, CNM, RN, DNP.

Conducted physical assessments to patients of various ages, socio-economic in an acute care hospital setting.

Practiced advanced assessment skills by collecting subjective and objective data and the performance of adult physical and mental status assessments.

EMPLOYMENT EXPERIENCE:


08/15 – Presently: Family Nurse Practitioner, Hudson County Department of Health and Human Services, MPH, 595 County Avenue, Secaucus, New Jersey 07094

Provides primary health care to patients by assessing their physical, developmental and psycho-social status by means of obtaining their health history and conducting physical examinations and diagnostic tests.

Interprets test results data. Implements health plans of health care management and health care plans. Participates in various hospital committees such utilization and patient safety committees. Performs other related duties as required.

09/13 – 07/2015: Director, Nursing Program. Hudson County Community College, 870 Bergen Avenue, Jersey City, NJ 07306.

Responsible for the overall administration of the Nursing Program. Guidance and supervision of nursing faculty. Teach a minimum of 10 credits of nursing Develop clinical and simulation lab exercises; and coordinates nursing clinicals. Participate in curriculum development and revisions. Participate in division activities such as curriculum development, academic advisement

and contribute to the college community through committee work, extra-curricular activities, meetings, student advisement, new course development, textbook selection and recruitment activities.

07/2013- September 16, 2013: Advanced Practice Nurse (APN-C), Manager of Transition Care Services, Christ Hospital/Care Point. 176 Palisade Avenue, Jersey City, NJ 07306.

Conducted health assessments and education on disease specific disorders (core measures).

Promoted hospital readmission reduction. Exercise responsibility for the medical care of patients.

Participation in interdisciplinary team meetings and provision of direct patient care.

Collaborated with primary care physicians and specialists to monitor patient’s quality of life.

03/2013-Presently: Adjunct Volunteer Instructor, Department of Interdisciplinary Studies, UMDNJ (Now Rutgers University) School of Health Related Professions, 65 Bergen Street, PO Box 1709, Newark, NJ 07101.

Taught in the Health Science Career Program in the following courses: Anatomy and Physiology I &11, Medical Terminology, Emergency and Clinical Care, Dynamics of Healthcare in Society, Medical Math, Scientific Principles of Nutrition, Health Promotion, and other such activities as assigned by the Chair of the department or the Dean.

01/13-04/13 : Adjunct Instructor Certified Medication Aide, Essex County College, 303 University Avenue, Newark, NJ 07102.


Instruct students for the Certified Medication Aide Program, a NJ Department of Health and Senior Services approved program for current certified nurse aides, homemaker/home health aides and personal care assistants.

Teach students how to administer medications under the delegation of a registered professional nurse.

Prepare students to take the certification examination for Medication Aide.

09/12 – 06/2013: Teacher of Health Occupations, Orange High School, 400 Lincoln Street, Orange, NJ 07050

Developed syllabi for Introduction to Health Careers, Dynamics/Medical Terminology ,Emergency and Clinical Care/Medical Terminology 11.

Responsible for teaching Introduction to Health, Dynamics/Medical Terminology 1, Emergency and Clinical Care/Medical Terminology 11 & Anatomy and Physiology.

Health Occupations Students of America (HOSA) advisor for students. Attends faculty meetings, and other related meetings. Curriculum development and program planning for implementation of Certified Nurse

Assistant (CNA) Program.

09/11-06/12: Teacher, Health Occupations, Essex County Vocational Technical Schools-Newark Tech Campus, 90 West Market Street, Newark, NJ 07102.

Developed syllabi for Nursing 1 and 11 Responsible for teaching Nursing 1 and Nursing 11 as a part of the Health Science

Academy. Health Occupations Student of America (HOSA) advisor to students. Prepare and place orders according to budget allocation. Attends faculty meetings, and other related meetings.

04/08-Presently, Nursing and Nutrition Instructor, Best Care Training Institute, 68 South Harrison Street, East Orange, NJ 07108.

Conduct nursing and nutrition instruction to vocational nursing students preparing to become Licensed Professional Nurses (LPNs) and Certified Nurse Assistants (CNAs) in clinical and classroom settings.

03/10-02/01/11, Director of Health and Nutrition Services, The Leaguers Inc. 405 -425 University Avenue, Newark, NJ 07102.

Managed, coordinated and assured the provision of comprehensive health, mental health, dental, nutrition and disabilities services for the Head Start and Early Head Start Programs;

Promoted preventative health services and early intervention as well as health and safety practices.

Planned and coordinated health, nutrition and first aid and other in-service training to center staff.

Assured that child health records were maintained at assigned sites. Selected, trained, assigned work to, and evaluated subordinate staff.


Planned and facilitated Head Start and Early Head Start Advisory Health Committee and performed all other related duties.

04/2009-03/2014, On-Call Registered Nurse, Canterbury Village, 33 Mount Pleasant Avenue, West Orange, New Jersey 07052.

Responsible for the direction and provision of healthcare services to residents of the facility.

In conjunction with the administrator, responsible for developing and implementing written objectives, standards of practice, policies and procedures, as well as education and training to subordinate nursing staff.

Covered and performed duties of the DON during absences.

9/2011-Presently: Contracted Diabetes Educator/Facilitator (New Jersey), Healthy Interactions, INC. 351 W. Hubbard Street., Chicago, IL. 60654.

Provides sessions for patients, health consumers, caregivers, healthcare professionals and/or other individuals as needed with the use of American Diabetes Association (ADA) approved evidenced-based diabetes mellitus “Conversation Maps.”

Applies facilitation skills during diabetes mellitus education sessions. Participates in training sessions via webinars on how to be successful in the role of a

Diabetes Educator/Facilitator. Participated in extensive training on the use of the diabetes “Conversation Maps” to make a difference in the lives of diabetes mellitus patients/clients and families.

09/96 – 05/07, Nutrition Program Coordinator (WIC), Newark Department of Health and Human Services, Women, Infants and Children (WIC) Program, Newark, New Jersey.

Planned, organized, directed and supervised all aspects of the WIC Program. Prepared grant proposals and budgets. Conducted need assessments and participant’s satisfaction surveys. Facilitated program audits. Developed policies and procedures. Supervised a staff of twenty-eight (28) ranging from clerks to health professionals.

09/03 -03/07, Charge Nurse, Category 1 (Baylor), Genesis Eldercare Westfield, 1515 Lambert’s Mill Road, Westfield, New Jersey 07090.

Provided nursing care in sub-acute and long term care units. Collaborated with the Nursing Supervisor daily, exchanged information regarding customer (patient) care, customer condition and all matters affecting customer wellbeing (i.e., admission, discharges, transfers out of or within the building), and made recommendations regarding the nursing process.

Ensured that a consistently high quality level of care was delivered. Made rounds and reinforced the training and orientation of nursing personnel.


Verified unit staffing and delegated assignments to other nurses and certified nursing assistants.

Ensured the completion of delegated assignments.

06/00 – 2003, Nutrition Consultant, New York University, School of Education, Head Start Quality Improvement Center, Region 11a, 726 Broadway, 5th Floor, New York, New York 10003.

Provided consultation in the area of nutrition and health to Early Head Start and Head Start Programs.

Provided training in small groups, seminars, workshops and large groups. Performed on-site technical assistance to promote adherence with Federal guidelines of

the Head Start Program. Developed techniques for introducing new foods to children. Planned and developed nutritional menus that integrated ethnic preferences. Developed and implemented effective staff and parent nutrition education and training

programs.

09/00 – 01/01, Adjunct Nutrition Instructor, Christ Hospital, School of Nursing, 176 Palisade Avenue, Jersey City, New Jersey 07308

Taught nursing students in the area of nutrition from (Nursing 1-6), which included medical surgical, pediatrics, obstetrics, and psychiatry nursing.

Facilitated student learning in the area of nutrition during nursing clinical. Participated in faculty planning sessions.

01/98 – 06/99, Nutrition Consultant, Babyland Family Services, Inc., 755 South Orange Avenue, Newark, New Jersey 07106.

Provided consultation in the area of nutrition services according to the Head Start Nutrition Performance Standards.

Conducted staff in-service training. Planned nutrition education for staff, parent and children. Participated in menu planning and review. Assisted in interpreting and meeting health, sanitation and safety standards related to

nutrition. Assessed the nutrition status and special needs of children. Provided the food service department with direction in purchasing, storage, preparation,

service and in the setting up of an efficient inventory record system.

06/99-12/2007, Nutrition Consultant, Newark Pre-school Council Inc.-Head Start Program, 10 Park Place, Newark, New Jersey 07102.

Provided nutrition consultation in the area of nutrition and food service to meet the Head Start Program Performance Standards.

Planned and provided nutrition education for staff, parents and children. Conducted menu planning to ensure compliance with the Child and Adult Food Program

(CACFP). Conducted nutrition screening, assessment and interventions for Head Start children.


06/00 – 02/10, Nutritionist Consultant, The Leaguers Inc. Head Start Program, 303-309 Washington Street, Newark, NJ 07102.

Provided consultation in the area of nutrition to meet the Head Start performance standards in the area of nutrition.

Planned and conducted nutrition education training for staff, parent and children. Performed menu planning to meet the age- appropriate menu planning components for

the Child and Adult Care Food Program (CACFP). Conducted staff in-service training sessions.

01/94 – 09/96, Director of Women, Infants and Children (WIC) Program, Bronx Lebanon Hospital Center, 1695 Eastchester Road, Bronx, New York 10468.

Administered all aspects of the supplemental food program for Women, Infants and Children. This included daily program operations, staff supervision and training, fiscal management, vendor operations, writing of annual budgets, nutrition education and outreach plans.

02/96 – 06/96, Adjunct Lecturer, Lehman College, The City University of New York, 250 Bedford Park Blvd. West New York, Bronx, New York 10468

Developed syllabus development for Community Nutrition Education Course. Lectured in Community Nutrition Education to undergraduate students. Arranged for fieldwork placement of students in community nutrition programs.

09/93 – 12/93, Dietician in Charge of Clinical Nutrition Services, Nutrition Management Services at St. Vincent de Paul Nursing Home, 900 Intervale Avenue, Bronx, New York 10459.

Staff supervision and in-service training. Attended interdisciplinary care plan meetings. Conducted nutrition assessments, interventions and provided nutrition counseling. Documented nutrition intervention according to the minimum data set standard (MDS)

and attended decubitus ulcer rounds and interdisciplinary meetings.

06/90 – 07/92, Staff Dietitian, Metropolitan Hospital, Health and Hospital Corporation, Nutrition and Food Service Department, 1901 First Avenue, New York, New York10029.

Performed nutrition screenings and assessments. Conducted Patient charting using the SOAP format. Attended biweekly interdisciplinary team meeting. Provided nutrition education and counseling to patients and family members

Significant Accomplishments: Implementation of caseload strategies/outreach activities in the City of Newark

Department of Health and Human Services, WIC Program which resulted in an increased caseload from 9,000 monthly (1996) to enrollment of 14,049 monthly (2006).


Participated in the planning and integration of the WIC/LEAD initiative into the WIC Program as a part of the one-stop services provided in the City of Newark WIC Program 2009-2007.

Facilitated one of the funded projects in the City of Newark, Department of Health and Human Services, and WIC Program in response to the RFP annual disbursement of funds to reduce black infant mortality by the State of New Jersey Department of Health and Senior Services. “Reduce Stress for Babies Best” – ongoing project to 2007.

Implemented “WIC Moms Reading for Love” literacy initiative for participants of the WIC Program with the aim of encouraging reading by children at an early age-2003.

2005-Invited graduation speaker at the 2005 State of New Jersey Department of Health and Senior Services, WIC Program, Dietetic Internship Program-2005.

Facilitate and guided University of Medicine and Dentistry of New Jersey (UMDNJ) and Montclair University students to obtain Public Health Community Nutrition to fulfill requirements to become Registered Dietitians 1999-2007.

Committee member of the UMDNJ social marketing campaign “Calcium In Lead Out”-Healthful Life Project which promoted adequate dietary calcium intake in children between the ages of 1 and 8. (2000-2001).

Invited panel/presenter for the City of Newark, WIC Program at Rutgers University Institute of Ethnicity, Culture and Modern Experience “Cultures: Nutrition and Urban Youth” - 2003.

Provided training and technical assistance in the area of Head Start Health and Nutrition Services in New York and New Jersey to promote effective implementation and compliance with the National Head Start Nutrition and Health Performance Standards.

Conducted staff training- in-services/workshops to WIC Program employee on a monthly basis to meet Federal and State WIC Program grant requirements. 1996-2007.

Board member/health advisory committee member for various community based organizations in the City of Newark and surrounding service area. 1996-Presently.

Editorial Reviews/Positions, Grant Review Panels, Scholarly Presentations: Participated in the development of the Request for Proposal (RFP) guidelines/criteria for

the annual disbursement of funds to reduce black infant mortality in the State of New Jersey as a selected member of the State of New Jersey Black Infant Mortality Reduction Advisory Council-1999.

Technical Nutrition Reviewer-United States Department of Agriculture (USDA)-Food and Nutrition Service, Educator’s Handbook “Loving Your Family-Feeding their Future”-Nutrition through the Food Stamp Program-2006.


Poster Presentation, Hudson Counter Community College, College Service day, Poster Session. The Use of Human Patient Simulation in Nursing Education. 01/2014.

Grant Funding Applications Approved:Successful submission of many USDA discretionary grant requests/applications for funding to enhance WIC Program services to the residents of the City of Newark and the surrounding service area, these include:

Federal Fiscal Year (FFY) 1998- Obtained WIC Pediatric Health Mobile secondary to a “WIC Mobile on Wheels” United States Department of Agriculture (USDA) discretionary grant application request for funding. The mobile currently serves residents in all five (5) wards of the City of Newark and has contributed to an increase in the WIC Program caseload.

This project was highlighted in the media (TV) on “Positively Black” by Mr. Noble with recording by Ms. Pat Battle of News Channel 4.

FFY 2000 –Obtained USDA funding in the amount of $176,633 for the implementation of aggressive outreach activities in the city of Newark, WIC Program.

FFY 2002- Obtained USDA WIC Program discretionary funding to promote access to WIC Program benefits and services for the provision of non-traditional WIC Program service hours during weekends and extended service hours on weekdays.

FFY 2003- Obtained funding in the amount of $115.950 for “Extended Hours and Outreach” for the City of Newark, WIC Program.

FFY 2004 – Obtained additional funding for the City of Newark WIC Program to continue the provision of non-traditional service hours to promote access to WIC Program services by low income clients/applicants who work and attend school and experienced difficulty accessing WIC Program benefits and services during traditional service hours.

FFY 2007-Obtained USDA discretionary grant funding in the amount of $136,000.00 for “Obesity prevention and intervention initiative” in the City of Newark WIC Program.

Professional Organizations and Committees:

American Diabetes Association-Current American Association of Diabetes Educators – Current American Academy of Nutrition and Dietetics - Current Newark Partnership for Lead Safe Children, Committee member-2010 National Association of WIC Directors-2007 State of New Jersey Department of Health and Senior Services Advisory Council on

Black Infant Mortality Reduction. 1998-1999. Fellow of Ford Foundation-Leadership Newark class of 2000 - 2002. Pre-school Council Head Start Inc. Health Advisory Committee.1996-2007 Leaguers Inc. Head Start Health Advisory Committee. Newark Immunization Executive Council Member. Babyland Family Services Inc. Early Head Start Health Advisory Committee 1998-2000.


Welfare to Work of Essex County committee member 1997-1999 Board Member Gateway Maternal and Child Health Consortium Inc.

2002-2007

Other Community Service: Invited speaker, Leadership Newark Public Policy Summit, “Rebuilding the Dream that

is Newark,” November 2013. Preceptor for Montclair State University students-Michael Patracuolla, Constance

Chukwurka, Noreen Lewars and Victoria Stewart during clinical experience for Applied Nutrition in the Lifecycle course-1996-1997.

Healthy Snacking for Children-Babyland Family Services Inc. Annual training-08/19998. Nutrition and You presentation to the parents support group at Babyland Family Services

Center Inc. 02/1998. Selected Black Infant Mortality Reduction Advisory Council member-Assisted in the

making of recommendations in the areas of: Education and awareness; cultural competency and program services in an effort to reduce black infant mortality in New Jersey.-05/1999.

Good Nutrition throughout the Lifespan presentation to participants at the Second Grandparents Conference, New Hope Baptist Church, Newark, NJ-10/1998.

Participated in Leadership Newark Neighborhood Building Neighborhoods - A neighborhood based participatory planning process for duplication in the City of Newark.-06/ 2000, Rochester, New York.

Preceptor for University of Medicine and Dentistry of New Jersey, Dietetic Internship student-Paula Clinton for pediatric and obstetric rotations. 2002

Implementation of literacy program “WIC Mons Reading for Love in Newark WIC Program.” 05/2003.

Role model and mentor for the National Black Child Development Institute, Newark’s Entering the College Zone Program. 2003-2007.

Letter of Support for Babyland Early Head Start Program, U.S. Department of Health and Human Services application. – Approved 2000.

Letter of Support to Northern New Jersey Maternal Child Health Consortium for application to the March of Dimes Community Grants to solicit funding for paraprofessional training on stress reduction and the prevention of adverse perinatal outcomes. - Approved 09/2005.

Meal preparation and its impact on eating and child development presentation. Newark Preschool Council Head Start.09/2006.

Food Supplies-What to keep for Emergencies? Newark Pre-school council Head Start presentation-01/2007.

Participation in the Center for Medicare and Medicaid Services research project “Assessing Colorectal Cancer Knowledge and Improving Screening Rates among Older Minorities in the City of Newark. Train the trainer program. UMDNJ Division of Academic Medicine, Geriatrics and Community Program. 03/2007.

Food Safety and Sanitation. Newark Preschool Council Head Start Pre-service training. 01/2008.

Child Nutrition and Obesity Prevention. Newark Preschool Council Head Start Program presentation -03/2008.


Purchasing and Preparing Foods-Shop Smart for Disease Prevention and Health Promotion- Newark Preschool Council Head Start pre-service training. 07/2008.

Meal Service and the Head Start Performance Standards. New York University Head Start Quality Improvement Training for Jersey City Child Development Centers.-09/2009.

Medication Administration in Childcare Settings. Leaguers Inc. Head Start and Early Head Start Programs Pre-service training. 09/2010.

Handling Emergencies in Head Start and Early Head Start Programs. Leaguers Inc. Leaguers Inc. Head Start and Early Head Start Programs. 09/2010.

Invited graduation speaker. Best Care Training Institute and School of Practical Nursing. 09/2011.

Hudson County Community College (HCCC), Nursing Pinning Ceremony, 06/2015.

References: Furnished upon request.


UDOKA JEREMIAH EJIOFOR, MSN, MBA, RN-BC, PMHNP-BC, APN-C47 Kenmore Ave

Newark, NJ 07106 Tel: (973) 943-0843

E-mail:[email protected]

Objective: Seeking an outpatient Psychiatric-Mental Health Nurse Practitioner position in a reputable healthcare facility.

EDUCATION

MSN, Adult Psychiatry & Mental Health, University of Medicine and Dentistry of New Jersey (UMDNJ), Newark, September, 2011.

BSN, Nursing, University of Medicine and Dentistry of New Jersey (UMDNJ), Newark, May 2005.

MBA, Marketing, University of Nigeria, Nsukka, 1990.

WORK EXPERIENCE

Luminous Cares, LLC, East Orange, NJ 01/14 – Present

CEO/Psych APN

Performs psychiatric evaluations/assessment for adults and Geriatric patients with mental illness, co-occurring morbidities and substance abuse; prescribes and manages patient medications; provides medication counseling to individuals/families; provides consultation to clients/family members and others regarding medications and other health issues; orders lab and other diagnostic works and interprets results; acts as liaison with physicians, psychiatrists, other healthcare providers; completes managed care or other insurance applications; conducts individual psychotherapy; does psych consultation for the court system, bariatric surgery and immigrations

Catholic Charities, Union City/Jersey City, NJ 12/13 – 05/14

Psych Nurse Practitioner (Per Diem) - Adult

Performs psychiatric evaluations/assessment for adults with mental illness, co-occurring morbidities and substance abuse in both partial hospital care and outpatient programs; prescribes and manages patient medications; provides medication counseling to individuals/families/groups; provides consultation to staff/clients/family members and others regarding medications and other health issues; orders lab and other diagnostic works and interprets results; acts as liaison with physicians, psychiatrists, other healthcare providers; completes managed care or other insurance applications; conducts group psych education.

It Takes A Family, East Orange, NJ 01/13 – 04/14

Psych Nurse Practitioner (Part Time) – Children and Adolescent

Conducts psychiatric evaluations/assessment for children/adolescents with psychiatric-mental conditions and co-occurring morbidities in an outpatient day program; assists in formulating individualized treatment plan; prescribes


and manages patient medications; provides treatment/medication counseling to individuals/families/groups; provides consultation to staff/clients/family members and others regarding medications and other health issues; orders lab and other diagnostic works and interprets results; acts as liaison with physicians, psychiatrists, other healthcare providers; completes managed care or other insurance applications.

Greater Trenton Behavioral HealthCare, Trenton, NJ 05/12 – 10/13

Psychiatric Nurse Practitioner (Full Time) – Adult Day Treatment

Performs psychiatric evaluations/assessment for adults with mental illness, co-occurring morbidities and substance abuse in a partial hospital care program; prescribes and manages patient medications; provides medication counseling to individuals/families/groups; provides consultation to staff/clients/family members and others regarding medications and other health issues; orders lab and other diagnostic works and interprets results; acts as liaison with physicians, psychiatrists, other healthcare providers; completes managed care or other insurance applications; conducts group psych education.

East Orange General Hospital, East Orange, NJ 05/’07 – 08/12

Part Time Nurse/Charge Nurse, RN Psych

Assisted in clinical nursing care of acute mentally ill adults; performs admission, assessments, behavioral management, patient education, medical administration management, discharge, collaborating with physicians, pharmacists, social work services, occupational therapists services in the care of patients

Genesis Health/Elder Care and Rehabilitation Center, Cedar Grove/Morristown, NJ 02/’06 – 09/’07

Part Time Nurse, RN Med-Surge

Assisted in clinical nursing care of sub-acutely ill / chronically ill, medical-surgical patients including patients’ assessments, physicians’ contacts regarding patients’ change in status, therapeutic procedures in disease management, medication administration, wound care and care of other life-saving devices attached to patients.

The University Hospital, Newark, NJ 08/’05 -04/’06

Registered Nurse, Part-Time

Assisted in clinical nursing care of medical-surgical patients; performs admission, assessments, behavioral management, patient education, medical administration management, discharge, collaborating with physicians, pharmacists, social work services, occupational therapists services and other healthcare givers in the care of patients

PROFESSIONAL NURSING ACTIVITIES :

Member, New Jersey State Nurses Association, NJSNA Member, American Nurses Association, ANA Member, NJ Society of Psychiatric Advanced Practice Nurses, SPAPN


Member, The Nurse Practitioner Association of New York state, NPANY Member, Sigma Theta Tau International, a Nursing Honor Society, # - 0444601 Member, Alumni Association of UMDNJ-School of Nursing Nursing Ambassador, UMDNJ-School of Nursing Bilingual: writes, speaks and understands German

PROFESSIONAL NURSING LICENSES/CERTIFICATIONS:

Certified for BLS/CPR. Certified for ACLS Psychiatric – Mental Health Nursing Board Certified, RN-BC, 2012 Psychiatric – Mental Health Nurse Practitioner Board Certified, PMHNP-BC, 2012 Licensed RN in NJ and NY states Licensed APN in NJ and NY states


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