The demand for kidney care has been on the rise, driven by an increasing prevalence of chronic kidney disease and a growing awareness of treatment options among patients and healthcare providers. As traditional hemodialysis centers face challenges such as high operational costs and limited access for patients in rural areas, alternative treatment modalities like peritoneal dialysis are gaining traction. Establishing a business in this field not only offers the opportunity to make a meaningful impact on patients' lives but also taps into a burgeoning market with significant growth potential. This article will guide aspiring entrepreneurs through the essential steps to launch a hemodialysis and peritoneal dialysis business, covering key considerations from regulatory compliance and facility setup to patient engagement and staff training. Whether you are a healthcare professional looking to expand your impact or an entrepreneur seeking to enter the healthcare sector, understanding the nuances of this specialized industry is crucial for success.

The global market for dialysis services, including both hemodialysis and peritoneal dialysis, has been experiencing significant growth due to the increasing prevalence of chronic kidney disease (CKD) and the rising aging population. As of 2023, the global dialysis market is estimated to be valued at over $100 billion, with projections indicating a compound annual growth rate (CAGR) of approximately 5-7% in the coming years. Peritoneal dialysis, in particular, has gained traction as a home-based treatment option, appealing to patients seeking more flexibility and autonomy in managing their kidney disease. This segment of the market has been expanding, driven by advancements in technology and increased awareness about the benefits of home dialysis. The demand for peritoneal dialysis is further bolstered by the growing number of patients opting for this method due to its lower cost compared to traditional hemodialysis, which often requires frequent visits to dialysis centers. Geographically, North America and Europe dominate the dialysis market, primarily due to well-established healthcare infrastructure and high awareness levels among patients. However, the Asia-Pacific region is emerging as a significant market contributor, fueled by increasing healthcare investments, a rising middle class, and a growing patient population. Countries like India and China are witnessing a surge in CKD cases, leading to heightened demand for dialysis services, including peritoneal dialysis. In summary, the global dialysis market, particularly for peritoneal dialysis, presents a lucrative opportunity for entrepreneurs looking to enter this field. With the right business model and strategic planning, there is substantial potential for growth and profitability in this essential healthcare sector.

When considering the target market for a hemodialysis and peritoneal dialysis business, it is essential to identify the primary demographics and characteristics of potential clients. The primary market consists of individuals diagnosed with chronic kidney disease (CKD), particularly those in advanced stages who require renal replacement therapy. This group includes patients with end-stage renal disease (ESRD) who may be seeking either hemodialysis or peritoneal dialysis treatments. Age is a significant factor, as the prevalence of kidney disease increases with age. Therefore, older adults, typically aged 60 and above, represent a substantial portion of the target market. However, it is also important to consider younger patients, including those with genetic predispositions or diabetes, who may require dialysis at a younger age. Geographical location plays a crucial role in identifying the target market. Businesses should focus on regions with higher rates of kidney disease and limited access to dialysis services. Urban areas with established healthcare infrastructure may present opportunities for outpatient dialysis centers, while rural areas might benefit from mobile dialysis services or home dialysis training programs. Additionally, the socioeconomic status of potential clients is an important consideration. Many patients may be covered by government healthcare programs such as Medicare or Medicaid, while others might have private insurance. Understanding the financial capabilities and insurance coverage of the target market can help businesses tailor their services and pricing models accordingly. Family members and caregivers also represent an essential segment of the target market. Many patients rely on their families for support, education, and assistance in managing their treatment. Therefore, marketing strategies should also address the needs and concerns of these caregivers, providing them with resources and information about the dialysis process. Lastly, collaboration with healthcare providers, nephrologists, and hospitals can enhance the reach of a hemodialysis and peritoneal dialysis business. Building relationships with these stakeholders can help generate referrals and establish a reputation within the healthcare community, ultimately expanding the customer base. By understanding and targeting these diverse segments, a hemodialysis and peritoneal dialysis business can effectively meet the needs of patients and their families, ensuring a successful operation in this critical healthcare sector.

When considering the establishment of a hemodialysis or peritoneal dialysis business, selecting the right business model is crucial for long-term sustainability and success. This decision will influence your operational approach, revenue generation, and patient engagement strategies. Here are several business models to consider:
1. Outpatient Dialysis Center: This model involves setting up a facility where patients come for regular dialysis treatments. You can offer both hemodialysis and peritoneal dialysis options, catering to a diverse patient base. The revenue primarily comes from insurance reimbursements, government programs, and out-of-pocket payments. This model requires significant investment in medical equipment, staff training, and regulatory compliance.

2. Home Dialysis Services: Focusing on at-home dialysis, this model supports patients who prefer or need to perform dialysis in their homes. The business can provide training for patients and caregivers, along with ongoing support and monitoring. Revenue can be generated through service fees, equipment rentals, and consumables. This model often leads to higher patient satisfaction and lower overhead costs compared to outpatient centers.
3. Mobile Dialysis Units: A more innovative approach involves creating mobile dialysis units that travel to patients’ homes or community centers. This model addresses accessibility issues, especially in rural or underserved areas. Revenue can be generated through service contracts with insurance companies or local health authorities. The investment is in mobile equipment and logistics, but it can significantly enhance patient outreach.
4. Partnerships with Healthcare Facilities: Establishing partnerships with hospitals or nursing homes can provide a steady stream of patients needing dialysis services. This model can involve providing dialysis on-site at these facilities or creating referral agreements. Revenue typically comes from shared patient services and can lead to reduced marketing costs due to established relationships within the healthcare community.
5. Telehealth and Remote Monitoring: Incorporating telehealth services allows for regular patient check-ins and support without the need for in-person visits. This model enhances patient engagement and can help in monitoring patient health and treatment adherence. Revenue can be generated through subscription fees or bundled services, capitalizing on the growing trend of digital health solutions.
6. Education and Training Services: Another avenue is to offer educational programs for patients and healthcare providers about dialysis procedures, care, and management. This can include workshops, online courses, and certification programs. Revenue from this model can come from course fees, sponsorships, or partnerships with healthcare organizations.
7. Hybrid Models: A combination of the above models can also be effective. For instance, a business could operate an outpatient center while also offering home dialysis training and telehealth services. This flexibility allows you to cater to various patient needs and preferences, potentially increasing your market reach and revenue streams. In conclusion, selecting the right business model for a hemodialysis or peritoneal dialysis business relies on understanding the local market, patient demographics, and healthcare trends. Careful consideration of these factors will guide your operational decisions and ultimately contribute to the success of your business venture.

The competitive landscape for a hemodialysis and peritoneal dialysis business is shaped by several key factors, including existing service providers, market demand, regulatory considerations, and technological advancements. Existing Service Providers: The industry is dominated by a mix of large healthcare corporations, regional dialysis centers, and independent practices. Major players such as Fresenius Medical Care and DaVita Kidney Care hold significant market share and have established a robust network of clinics and facilities. These organizations benefit from economies of scale, brand recognition, and extensive operational expertise, making it challenging for new entrants to compete on cost and service breadth. Market Demand: The demand for dialysis services is growing, driven by an increase in chronic kidney disease (CKD) prevalence, an aging population, and advancements in treatment modalities. However, competition is fierce in regions with a high concentration of existing facilities. New businesses must identify underserved markets or niches, such as providing home-based peritoneal dialysis options or specialized care for specific patient demographics. Regulatory Considerations: The healthcare industry is heavily regulated, and dialysis services are no exception. New businesses must navigate complex licensing requirements, reimbursement policies from government programs (like Medicare and Medicaid), and insurance providers. Compliance with local and federal regulations is crucial, and failure to adhere can lead to significant penalties or closure. Understanding the regulatory environment will be essential for any new entrant looking to establish a credible and compliant service. Technological Advancements: The integration of technology in dialysis treatment offers opportunities for differentiation. Innovations such as telehealth services, remote patient monitoring, and automated systems for both hemodialysis and peritoneal dialysis can enhance patient care and operational efficiency. New businesses that leverage technology effectively can attract patients looking for more convenient and personalized care options. Patient-Centric Approaches: As patients increasingly seek personalized care and better experiences, businesses that prioritize patient engagement, education, and support services will likely stand out. Developing a strong patient relationship management strategy, offering educational resources, and creating a supportive community can help new entrants build loyalty and attract referrals. In summary, while the competitive landscape for a hemodialysis and peritoneal dialysis business presents challenges, it also offers opportunities for differentiation through niche services, innovative technologies, and a focus on patient-centered care. Understanding the dynamics of the market, learning from established players, and identifying unique value propositions will be key strategies for success in this growing industry.

Starting a hemodialysis or peritoneal dialysis business involves navigating a complex landscape of legal and regulatory requirements designed to ensure patient safety, quality of care, and compliance with healthcare laws. Key areas to consider include:
1. Licensing and Certification: - It is crucial to obtain the necessary licenses at both the state and federal levels. In the United States, facilities that provide dialysis services must be certified by the Centers for Medicare & Medicaid Services (CMS) and meet the conditions of participation outlined in the Code of Federal Regulations (CFR). Additionally, state health departments may have their own licensing requirements that must be adhered to.

2. Accreditation: - Accreditation from recognized bodies, such as The Joint Commission or the National Integrated Accreditation for Healthcare Organizations (NIAHO), may be required or beneficial. Accreditation ensures that the facility meets high standards of care and operational practices.
3. Regulatory Compliance: - Compliance with the Health Insurance Portability and Accountability Act (HIPAA) is necessary to protect patient privacy and secure health information. Furthermore, adherence to the Clinical Laboratory Improvement Amendments (CLIA) is required if the facility performs laboratory testing.
4. State Regulations: - Each state has its own regulations governing healthcare facilities, including staffing requirements, infection control protocols, and patient safety standards. It is essential to review and comply with these regulations to avoid legal issues.
5. Medicare and Medicaid Requirements: - If your facility plans to accept Medicare or Medicaid patients, it must comply with specific program requirements, including quality metrics, billing practices, and patient care standards. Enrollment in these programs requires thorough documentation and adherence to ongoing reporting requirements.
6. Insurance and Liability: - Obtaining appropriate insurance coverage is vital. This includes general liability, professional liability, and malpractice insurance to protect against potential lawsuits and financial losses. Understanding the insurance landscape for healthcare facilities is crucial for risk management.
7. Staffing and Training: - Regulatory bodies require that healthcare providers working in dialysis centers are properly trained and certified. This includes nephrologists, nurses, and technicians who must meet specific educational and certification standards.
8. Environmental and Safety Regulations: - Compliance with Occupational Safety and Health Administration (OSHA) regulations is necessary to ensure the safety of employees and patients within the facility. This includes proper handling of hazardous materials and maintaining a safe working environment.
9. Quality Assurance and Performance Improvement (QAPI): - Establishing a QAPI program is a requirement for dialysis facilities. This program ensures ongoing monitoring and improvement of patient care quality, safety, and operational efficiencies.
10. Community and Stakeholder Engagement: - Engaging with the community and relevant stakeholders can help in understanding local needs and ensuring compliance with local health initiatives. This may also involve public health reporting and collaboration with local health departments. Navigating these legal and regulatory requirements is complex, and it is advisable to seek legal counsel or consult with regulatory experts to ensure full compliance before launching a hemodialysis or peritoneal dialysis business.

When embarking on the journey to establish a hemodialysis or peritoneal dialysis business, securing adequate financing is crucial for success. Entrepreneurs in this niche must consider various funding options to cover initial startup costs, ongoing operational expenses, and potential expansion. Here are some viable financing options to explore:
1. Personal Savings: Many entrepreneurs start by using their personal savings to fund their business. This approach allows for full control without incurring debt or giving away equity. However, it also carries the risk of personal financial loss.

2. Family and Friends: Seeking financial support from family and friends can be a quick way to gather initial capital. It’s essential to approach these individuals with a clear business plan and an understanding of the risks involved, as mixing personal relationships with business can lead to complications.
3. Bank Loans: Traditional bank loans are a common financing option for small businesses. Entrepreneurs can apply for a business loan or a line of credit, which can provide a lump sum of cash or flexible funding as needed. A solid business plan and good credit history are typically required to secure favorable loan terms.
4. Small Business Administration (SBA) Loans: The SBA offers various loan programs designed to assist small businesses. These loans often have lower interest rates and longer repayment terms than conventional loans, making them an attractive option. However, the application process can be lengthy and competitive.
5. Investors: Attracting private investors or venture capitalists can provide significant funding for a dialysis business. Investors may be interested in equity stakes in exchange for their financial support. Developing a comprehensive pitch and demonstrating the potential for profitability will be vital in securing investment.
6. Grants: Research potential grants offered by government agencies, nonprofits, and healthcare organizations that focus on improving patient care and expanding access to dialysis services. Grants are advantageous as they do not require repayment, but the application process can be competitive and time-consuming.
7. Crowdfunding: Platforms like Kickstarter, GoFundMe, or Indiegogo have become popular for raising funds for various business ventures. By presenting a compelling story and vision for your dialysis business, you can attract contributions from individuals interested in supporting healthcare initiatives.
8. Partnerships: Forming a partnership with an established healthcare provider or organization can be a strategic way to access funding and resources. This collaboration can provide not only financial backing but also credibility and expertise in the field.
9. Equipment Financing: Since starting a dialysis business involves significant investment in medical equipment, exploring financing options specifically for medical devices can be beneficial. Many suppliers offer leasing or financing plans that allow businesses to acquire necessary equipment without a large upfront cost.
10. Local Economic Development Programs: Many local governments offer funding programs to stimulate economic growth in their areas. Investigate local initiatives that may provide low-interest loans or grants to healthcare businesses, particularly those that enhance community health services. By carefully considering these financing options and developing a solid financial strategy, entrepreneurs can successfully launch and sustain a hemodialysis or peritoneal dialysis business, ultimately providing essential services to patients in need.

When embarking on the journey of establishing a hemodialysis or peritoneal dialysis business, having a robust marketing and sales strategy is crucial for attracting and retaining patients, as well as building relationships with healthcare providers and insurers. Here are some effective strategies to consider:
1. Identify Your Target Market: Understanding your target demographic is the first step in crafting your marketing strategy. This includes assessing the needs of patients with chronic kidney disease, their families, and caregivers. Additionally, consider the referral sources such as nephrologists, primary care physicians, and hospitals that may direct patients to your services.

2. Build a Strong Online Presence: In today’s digital world, a professional website is essential. Your site should provide comprehensive information about your services, treatment options, and the advantages of choosing your facility. Incorporate patient testimonials, educational resources, and a blog featuring relevant content about kidney health and dialysis. Optimize your website for search engines (SEO) to ensure it appears in search results when potential patients seek dialysis options.
3. Leverage Social Media: Utilize platforms like Facebook, Instagram, and LinkedIn to engage with potential patients and their families. Share success stories, informative posts, and updates about your services. Social media can also foster community engagement and provide a platform for patients to connect and share experiences.
4. Establish Partnerships: Forming collaborations with local healthcare providers, hospitals, and community organizations can enhance your credibility and visibility. Consider hosting informational sessions or workshops with nephrologists to educate their patients about dialysis options. Additionally, establishing relationships with insurance companies can facilitate smoother claims processes for your patients.
5. Implement Referral Programs: A well-structured referral program can incentivize existing patients and healthcare providers to recommend your services. Offer rewards, such as discounts or gift cards, for referrals that lead to new patient registrations.
6. Focus on Education and Awareness: Educating potential patients and their families about the benefits of hemodialysis and peritoneal dialysis is vital. Create informative brochures, host webinars, and participate in community health fairs to raise awareness about kidney health and treatment options.
7. Provide Exceptional Patient Experience: A strong emphasis on patient-centered care can set your business apart. Ensure that your staff is trained in empathy and communication, and continuously seek feedback from patients to improve services. Positive experiences can lead to word-of-mouth referrals, which are invaluable in healthcare.
8. Utilize Direct Mail Campaigns: Targeted direct mail campaigns can effectively reach potential patients and their families. Send out informative brochures or postcards that outline your services, highlight patient success stories, and include a call to action for scheduling consultations.
9. Monitor and Adapt Your Strategy: Regularly assess the effectiveness of your marketing and sales efforts. Utilize analytics tools to track website traffic, social media engagement, and patient acquisition sources. Be prepared to adapt your strategies based on what is working or not working in the ever-evolving healthcare landscape. By implementing these marketing and sales strategies, your hemodialysis or peritoneal dialysis business can build a solid patient base, foster meaningful relationships within the community, and ultimately contribute to improved patient outcomes.

When starting a hemodialysis or peritoneal dialysis business, effective operations and logistics are crucial to ensure the delivery of high-quality patient care and the efficient management of resources. Here are key considerations for establishing robust operations and logistics in this healthcare sector:
1. Facility Setup and Equipment Procurement: - Location Selection: Choose a facility that is accessible to patients, ideally in proximity to hospitals and clinics. The space should comply with health regulations and have the necessary infrastructure, including plumbing, electrical systems, and space for patient treatment areas. - Equipment Acquisition: Invest in high-quality dialysis machines, peritoneal dialysis supplies, and necessary medical tools. Establish relationships with reputable suppliers and consider leasing equipment to manage costs. Regularly assess equipment for maintenance and compliance with safety standards.

2. Supply Chain Management: - Inventory Management: Develop a comprehensive inventory system to track dialysis supplies, medications, and disposables. This includes catheters, dialyzers, and dialysis solutions. Implement just-in-time inventory practices to reduce waste and ensure that necessary supplies are always available. - Ordering Systems: Establish efficient ordering processes with suppliers to maintain stock levels, negotiate bulk purchase agreements for cost savings, and schedule timely deliveries to prevent disruptions in patient care.
3. Staffing and Training: - Hiring Qualified Personnel: Recruit skilled healthcare professionals, including nephrologists, dialysis nurses, and technicians. Ensure that staff have the necessary certifications and experience in dialysis care. - Continuous Education: Provide ongoing training programs to keep staff updated on the latest techniques, technologies, and patient care protocols. This will enhance service quality and ensure compliance with healthcare regulations.
4. Patient Scheduling and Management: - Appointment Systems: Implement a robust scheduling system that accommodates patient needs and optimizes the use of equipment and staff. Consider software solutions that allow for easy rescheduling and cancellations. - Patient Flow Optimization: Design the facility layout and operational workflow to minimize wait times and streamline patient care processes. This includes efficient registration, treatment, and post-treatment follow-up.
5. Compliance and Quality Control: - Regulatory Standards: Familiarize yourself with local, state, and federal regulations governing dialysis centers, including health and safety standards. Ensure that all operations are compliant to avoid legal issues and ensure patient safety. - Quality Assurance Programs: Develop protocols for monitoring patient outcomes, equipment performance, and staff adherence to best practices. Regular audits and feedback loops can help identify areas for improvement.
6. Patient Education and Support: - Informational Resources: Create educational materials for patients and their families about dialysis procedures, care routines, and lifestyle management. Offer workshops or support groups to foster community and assist patients in managing their conditions. - Customer Service: Establish a responsive support system for patients to address their concerns and questions. Ensure staff is trained in customer service best practices to enhance patient satisfaction.
7. Technology Integration: - Electronic Health Records (EHR): Implement an EHR system to streamline patient data management, enhance communication among healthcare providers, and ensure accurate record-keeping. - Telehealth Capabilities: Consider offering telehealth services for follow-up appointments and patient education, which can improve access to care and convenience for patients. By focusing on these operational and logistical aspects, you can create a well-functioning hemodialysis or peritoneal dialysis center that prioritizes patient care, maximizes resource efficiency, and meets regulatory standards.

Establishing a hemodialysis or peritoneal dialysis business requires careful attention to human resources and management, as these are critical components that directly influence the quality of patient care and operational efficiency. First, it is essential to recruit qualified healthcare professionals who have the necessary training and certification in dialysis procedures. This includes nephrologists, nurses, dialysis technicians, and support staff. Conducting thorough background checks and verifying credentials will ensure that your team is competent and compliant with healthcare regulations. In addition to clinical staff, administrative personnel are vital for managing the business operations. This includes hiring individuals skilled in healthcare administration, billing and coding, patient scheduling, and compliance with regulatory standards. A strong administrative team can streamline operations, improve patient flow, and maintain accurate records, which is essential in a healthcare setting. Training and development programs should be implemented to keep staff updated on the latest dialysis technologies, techniques, and regulations. Ongoing education not only enhances staff skills but also promotes a culture of excellence and safety within the organization. Consider establishing partnerships with local educational institutions or offering in-house training sessions to ensure continuous professional development. Effective management also involves fostering a positive workplace culture. Implementing policies that encourage collaboration, communication, and respect among staff can improve job satisfaction and retention rates. Regular team meetings and feedback sessions can help identify areas for improvement and encourage staff to voice their ideas and concerns. Additionally, implementing a robust performance evaluation system is crucial. Regular assessments can help identify high-performing employees, areas for improvement, and training needs. This system should be transparent and provide opportunities for staff to set personal goals and receive constructive feedback. Finally, consider the importance of compliance with health regulations and standards specific to dialysis facilities. Ensuring that all staff are well-versed in these guidelines will help maintain a safe and effective treatment environment for patients. Regular audits and quality assurance programs can help monitor compliance and improve service delivery. By focusing on these human resources and management strategies, you can create a well-functioning hemodialysis or peritoneal dialysis business that prioritizes patient care and operational excellence.

In conclusion, launching a hemodialysis or peritoneal dialysis business presents a unique opportunity to make a significant impact on the lives of patients with kidney disease. By understanding the intricacies of the dialysis process, adhering to regulatory requirements, and prioritizing patient care, aspiring entrepreneurs can build a successful practice that not only meets a vital healthcare need but also fosters a compassionate environment for patients and their families. Establishing strong relationships with healthcare providers, leveraging technology for efficient operations, and continuously seeking feedback will further enhance the quality of services offered. With careful planning, dedication, and a commitment to excellence, those venturing into this field can contribute to improving health outcomes while achieving their business goals.

A business plan is a critical tool for businesses and startups for a number of reasons
Business Plans can help to articulate and flesh out the business’s goals and objectives. This can be beneficial not only for the business owner, but also for potential investors or partners
Business Plans can serve as a roadmap for the business, helping to keep it on track and on target. This is especially important for businesses that are growing and evolving, as it can be easy to get sidetracked without a clear plan in place.
Business plans can be a valuable tool for communicating the business’s vision to employees, customers, and other key stakeholders.
Business plans are one of the most affordable and straightforward ways of ensuring your business is successful.
Business plans allow you to understand your competition better to critically analyze your unique business proposition and differentiate yourself from the mark
et.Business Plans allow you to better understand your customer. Conducting a customer analysis is essential to create better products and services and market more effectively.
Business Plans allow you to determine the financial needs of the business leading to a better understanding of how much capital is needed to start the business and how much fundraising is needed.
Business Plans allow you to put your business model in words and analyze it further to improve revenues or fill the holes in your strategy.
Business plans allow you to attract investors and partners into the business as they can read an explanation about the business.
Business plans allow you to position your brand by understanding your company’s role in the marketplace.
Business Plans allow you to uncover new opportunities by undergoing the process of brainstorming while drafting your business plan which allows you to see your business in a new light. This allows you to come up with new ideas for products/services, business and marketing strategies.
Business Plans allow you to access the growth and success of your business by comparing actual operational results versus the forecasts and assumptions in your business plan. This allows you to update your business plan to a business growth plan and ensure the long-term success and survival of your business.

Many people struggle with drafting a business plan and it is necessary to ensure all important sections are present in a business plan:Executive Summary
Company Overview
Industry Analysis
Consumer Analysis
Competitor Analysis & Advantages
Marketing Strategies & Plan
Plan of Action
Management Team
The financial forecast template is an extensive Microsoft Excel sheet with Sheets on Required Start-up Capital, Salary & Wage Plans, 5-year Income Statement, 5-year Cash-Flow Statement, 5-Year Balance Sheet, 5-Year Financial Highlights and other accounting statements that would cost in excess of £1000 if obtained by an accountant.

The financial forecast has been excluded from the business plan template. If you’d like to receive the financial forecast template for your start-up, please contact us at info@avvale.co.uk . Our consultants will be happy to discuss your business plan and provide you with the financial forecast template to accompany your business plan.

To complete your perfect hemodialysis peritoneal dialysis business plan, fill out the form below and download our hemodialysis peritoneal dialysis business plan template. The template is a word document that can be edited to include information about your hemodialysis peritoneal dialysis business. The document contains instructions to complete the business plan and will go over all sections of the plan. Instructions are given in the document in red font and some tips are also included in blue font. The free template includes all sections excluding the financial forecast. If you need any additional help with drafting your business plan from our business plan template, please set up a complimentary 30-minute consultation with one of our consultants.

With the growth of your business, your initial goals and plan is bound to change. To ensure the continued growth and success of your business, it is necessary to periodically update your business plan. Your business plan will convert to a business growth plan with versions that are updated every quarter/year. Avvale Consulting recommends that you update your business plan every few months and practice this as a process. Your business is also more likely to grow if you access your performance regularly against your business plans and reassess targets for business growth plans.