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THIS WEEK IN MEDICAL TRAVEL TODAY Greetings, While caution seems to be ruling the approach of many business and industries today, organizations involved in medical travel continue to make ambitious plans and moves for growth. As always, we welcome your comments, story ideas, and press releases. Cheers, Amanda Haar, Editor
Toral shares his perspectives on the growing industry with Medical Travel Today on a monthly basis. One Voice, One Message “Quality Healthcare for Less…A Lot Less” Just a couple of days ago, I received a report published by Amadeus and the Economist Intelligence Unit (EIU) entitled “The Austere Traveller." The study examined how corporate travel patterns and budgets were changing in these economically uncertain times. As you would expect, corporate travel budgets are shrinking, but these challenging times do offer a unique opportunity for branded hotels that understand how to deliver and communicate value. In short, the main findings of the Amadeus study are:
As in travel, corporate human resources directors will be under increasing pressure to cut health care costs, and they will be looking for budget options that deliver on the basics. This is just the crack in the door that international hospitals need to gain a foothold in the U.S. employer market. But to have any impact the industry must communicate one message, clearly and repeatedly: “Quality healthcare for less ...a lot less." The economic crisis is providing the medical tourism industry with a unique opportunity to leverage the biggest advantage it has – price. Let’s not waste it. Ruben Toral SPOTLIGHT
When International Hospital Corporation (IHC) set about building hospitals in Latin America, they no doubt had some faith in the adage "build it and they will come." What they didn't know was that the "they" that would arrive wouldn't be just the local community they expected to serve but also international patients looking for an alternative to the care available in their homeland. Medical Travel Today recently spoke to Dr. Barcie about his role at IHC and his expectations for the organization's expanding international patients department. Medical Travel Today (MTT): Tell me about your role at International Hospital Corporation and what it means to be in charge of centralized services? Jose Barcie (JB): IHC started 12 years ago with our first CIMA Hospital in Mexico. CIMA expanded operations within Mexico and Central America and later acquired the VITA hospital group in Brazil. The CIMA hospitals in Mexico and Central America operated very independently of each other. The VITA hospitals in Brazil, however, were a well-established group before they joined our system. I was hired by IHC to help make the hospital departments within the CIMA Hospitals operate well together as a system. I was charged with standardizing hospital services. For example, each hospital had its own departments for marketing, information technology, quality and safety, education, clinical research, and so on. These all needed to work together as a system. And that's what I did and continue to do. MTT: You mentioned international patients. How much of your time would you say is devoted specifically to that area? JB: Well, I'm very fortunate in that I have a very strong regional manager in Ms. Balbina Lankenau de la Garza. She came to us after working as the international patient coordinator for another company. She joined us a year ago. Because of her efforts and those of her team, I'm only devoting about 14 percent of my time to that area. MTT: That still sounds like a good bit of your time. JB: Yes, I suppose, but it's no longer devoted to the establishment of the department and hiring staff, but rather to development and expansion. We're constantly looking for more ways to serve our medical traveler. When I examine our competition, I see more than a few areas of concerns. We want to make sure we continue to do everything better, by constantly raising the quality and safety bar. I’m focusing a great deal on ensuring we provide the best continuum of care for all our patients, local or international. MTT: Did you anticipate spending as much time and energy on medical travel issues as you currently do? JB: No. Although, everyone seems to think this would be a big growth opportunity, we were focusing our primary attention on the local community we serve. Our hospitals were not developed for the purpose of attracting international patients, but soon we discovered that our hospitals were ideally located to meet the needs of those who were looking for the best and highest quality services close to home. MTT: Earlier this year you noted that IHC first saw an increase in foreign patients five years ago. What's been the trend in terms of numbers of patients over the past year? JB: In the past five years the number of international patients has been growing at a very steady rate without marketing and advertising. People are simply finding us through word-of-mouth. I believe this rate could be even higher if we actually spent some time marketing our services. MTT: Are all your hospitals experiencing the same increase in international patients? JB: Generally speaking all the hospitals are seeing the same rate of growth with regards to international patients. But, if I had to pick one as a leader, I'd say CIMA Costa Rica gets slightly more international patients. And that's probably because there are so many U.S. ex-pats living in Costa Rica who have direct communication with family and friends in the United States. I believe that if they have seen the hospital, they are a source of encouragement in terms of coming to CIMA San Jose for any treatment. MTT: What do you have in the works in terms of marketing? JB: We're currently evaluating several very interesting strategies. The end result is that more people will know about our attention to detail and passion for providing safe, quality healthcare at an affordable price. That’s why we say “It’s your safest medical care close to home ®.” MTT: Where are the majority of your foreign patients currently coming from and how has that changed, if at all, over the past year or so? JB: At the moment the vast majority of our patients come from the United States and Canada, with a small percentage coming from other Latin American countries like Argentina, Chile, and Panama. Where patients come from hasn't changed much, but what they come for sure has. In the early years most of our international patients came for cosmetic procedures and weight control procedures. While those numbers are still holding steady, we see more and more patients coming for more complex surgeries like orthopedics, cardiology, and neurology. MTT: Tell me a bit about the Medical Value Travel Department? JB: In order to better serve the international patient, we established the Medical Value Travel (MVT) as the regional office for our international patient care services offered by any of our hospitals, whether they are in Costa Rica, Mexico, or Brazil. It's based out of Monterrey, Mexico, because Monterrey is one of the three most important cities in Mexico and a modern industrial and business center with a strong relationship with the United States. The office, which is available 24/7, year round, is staffed by Ms. Lankenau and her dedicated staff. All of our hospitals are in daily contact with this office. MTT: Do you all your international patients work through that office? JB: Yes. We found that it’s less stressful for the typical patient to contact us there. The MVT team then works to find the appropriate physician and facility in our system that matches their needs, based on both specialty and proximity. MTT: What does the creation of a Medical Value Travel department do to your relationship with other medical travel facilitators? Do you still partner with them? JB: Yes. We firmly believe that having MVT benefits the medical travel facilitator by providing a central point of contact. They no longer have to contact so many different hospitals or doctors; it’s a one-stop shop for the facilitator. However, we're very slow to partner with facilitators. Right now sitting at my desk I have 18 contracts for review from medical facilitators. The truth is that because there are no barriers to entry, anyone can become a medical travel facilitator. We feel it's necessary to do a very thorough background check of prospective partners for the sake of the medical traveler. We can afford to be choosy. People are eager to work with us because not only are we the largest Pan-Latin American hospital group but we stand by our word to provide the safest medical care close to home. And, I encourage anyone considering traveling abroad to make sure they do their homework, too. Don’t just compare prices. Healthcare in foreign countries is not a commodity. MTT: In addition to creating the MVT department this year in Monterrey, Mexico, specifically for international patients pre- and post-treatment needs, what other plans are currently in the works or being discussed to continue addressing the needs of this market? JB: The decision to create the MVT department came about because of our desire to provide international patients with a complete service model with continuity of care, before, during, and after having their procedure. Towards that end we offer our patients continued support from all our staff and doctors before they arrive, during their stay, after discharge, while convalescing, and even after they return home. MTT: Since we're at the start of a New Year, what product or service related to medical travel that doesn't exist today do you think might exist next year at this time? JB: Maybe additional growth in the post-op care area. We would like to see more U.S. physicians and nurses get involved in this very young market. About Joseph S. Barcie, M.D., Ph.D. Mediescapes India is First ISO 9001: 2000 Certified Medical Value Travel Company Mediescapes India is the first ISO 9001: 2000 Certified Company in the medical travel field in India, due to its exceptional management track record for “medical value travel.” Healthplace America Introduces Surgery Benefit Management Savings of 30 to 50 Percent Belgium TPA, Vanbreda International, Opens Branch in Dubai Treatment Abroad Owner Announces Partnership with NetDoctor Intuition Communication, the owner of Treatment Abroad, has launched a private health care guide in an online partnership with Netdoctor, the United Kingdom’s largest commercial health information site. NetDoctor attracts 3.4 million visitors per month and is owned by Hearst Digital, a division of the National Magazine Company. In addition to Treatment Abroad, Intuition already operates a portfolio of health sites including Private Healthcare UK, the United Kingdom’s leading web portal for information on private treatment, the Harley Street Guide, Cancer Advice, Self Help UK and OHS Directory. The new Private Healthcare Guide on NetDoctor will give 3.4 million monthly NetDoctor visitors access to an extensive resource of advice, information, and treatment options in the private sector both in the United Kingdom and abroad. The Guide contains over 1,500 pages of information on all aspects of private health care services including private doctors, private treatment, health insurance, and private hospitals. The launch of the Guide on NetDoctor will also be a useful resource for self paying UK patients and the increasing number of National Health Service patient who are exercising their rights to access private healthcare both in the United Kingdom and abroad. The Guide will be promoted extensively within the NetDoctor site, and will attract a proportion of NetDoctor’s 3.4 million monthly visitors. “We are really pleased to be launching the Private Healthcare Guide on NetDoctor,” says Bal Singh, publisher of NetDoctor. “There is an obvious synergy between Private Healthcare UK and NetDoctor - both provide clear, unbiased information that help patients understand their choices and treatment options, and both are written in clear English without using difficult to understand and often confusing medical jargon.” Keith Pollard, founder and managing director of Private Healthcare UK, adds, “Having a Private Healthcare UK portal on NetDoctor gives us access to a much wider potential audience. In addition, we are providing some of NetDoctor’s 3.4 million unique visitors a month with easy access to extensive information on private healthcare and helping them make choices about private healthcare options in the UK and abroad.” For more information please contact: Caroline Ratner 020 8209 0120 or caroline@carolinecomms.com. About Private Healthcare UK www.privatehealthcare.co.uk is a one-stop gateway to all aspects of private health care services, including private hospitals, private doctors, and specialists. The Web site’s Patient Advice and Education area contains information about operations and procedures and diseases and medical conditions. It also has many useful guides to various aspects of private treatment including a “Guide to Going Private” and “Questions to ask your doctor before an operation.” About Intuition CommunicationIntuition Communication publishes some of the UK’s most visited health care information sites including Private Healthcare UK, Treatment Abroad, and:
About NetDoctor NetDoctor.co.uk is a collaboration between committed doctors, health care professionals, information specialists, and patients who believe that medical practice should be based on quality-assessed information and, wherever possible, on the basis of the principles of evidence-based medicine.Over 250 of the UK's and Europe's leading doctors and health professionals write, edit, and update the contents of NetDoctor.co.uk. In addition to creating written content for the patient these same health professionals respond to user’s questions and concerns regarding their general health. Robin Elsham is busy preparing for a trip to East Asia. We look forward to his upcoming first-hand reports from South Korea. In the meantime, you may access previous stories at the following links.
MEDICAL SPOTLIGHT: Rotator Cuff Surgery While not necessary for all injuries, surgery is a good choice for shoulder weakness caused by complete tears. Surgery is also the go-to choice when an injury does not respond to other, less invasive treatments. A lack of response often indicates the patient has either partial or complete tears or subacromial roughness. There are two typical procedures performed to resolve rotator cuff issues: rotator cuff repair and subacromial smoothing. Both can be performed arthroscopically and are sometimes performed in partial combination. Most patients need to stay in the hospital for several days post surgery and are discharged with their arm immobilized in a sling. Recovery can take anywhere from three to six months depending upon the severity of the initial injury and the nature of the surgery. Pain is usually managed with medication, and patients are encouraged to participate in physical therapy in order to achieve the full benefit of the surgery. COST COMPARISON Source: *WorldMed Assist According to T. L. Harris, M.D., of PlanetHospital, they coordinate one to two procedures per month with most patients coming from the United States or Europe. Harris notes that recovery for rotator cuff surgery can "be lengthy and uncomfortable," and feels that this contributes to the relatively low patient numbers. However, for those that do decide to travel, the motivating factors can be tied to circumstances in their home country. As Harris puts it, "Most of our U.S. patients choose to travel for the cost savings. On the other hand, our European clients are more interested in avoiding lengthy wait-times than in saving money. The most likely destinations for Americans are Panama, where we have an American physician, or Mexico. Europeans usually choose to travel to India or Belgium for the procedure." Harris adds, "The patient profile for this procedure really runs the gamut. Our youngest patient was a 26-year-old male, but the average age is 42. Interestingly, we've only had one female patient out of 91 since November of 2006." Is there a topic you'd like to see covered in our MEDICAL SPOTLIGHT? Please let us know. Send your thoughts to ahaar@cpronline.com Asia’s Biggest Landmark Healthcare Congress – Global Health Conference (GHC) 2009—Announces Its Agenda Disease management will directly impact the future models of care. But what shape and form these models will take is of question. Will we see more of specialized hospitals? If so, where will they be located? How will innovative ‘disruptive’ technologies help the future health care cities and hospitals cater to and deal directly with new disease management? The future of health care delivery lies mostly in disease-based intervention programs. The health care cities and hospitals of the future will greatly benefit from a clearer understanding of how to effectively integrate disease management into future facilities and core competencies to be built. Leaders in global healthcare will be tackling these issues head-on at Asia’s biggest landmark health care congress, Global Health Conference (GHC) 2009, which will feature two co-located events, “Healthcare Cities & Hospitals of the Future” and “Crossing International Borders” (February 23-26, 2009, Singapore). For more information on the event, please visit www.magenta-global.com.sg/healthcare or kindly contact: Attn: Ms Catherina Koh, Conference Director Magenta Global Pte Ltd For media inquiries, please contact: Thailand Convention & Exhibition Bureau to Sponsor the 2009 World Medical Health Tourism Conference in Phuket Thailand Convention & Exhibition Bureau (TCEB) is set to sponsor the World Medical Health Tourism Conference: A New Way Forward, which will be held in Phuket, Thailand, September 2009. TCEB’s participation and sponsorship in this internationally diverse networking event will aim to promote Thailand on an international scale as a medical tourism destination and a preferred venue for international meeting, incentive, convention, and exhibition (MICE) events. Phuket, dubbed as the medical tourism hub in Asia, is the ideal location to hold the conference because of its infrastructure, capacity to host a massive number of international guests, and the availability of cutting-edge technology and internationally trained medical experts manning their world-class medical facilities. Sometime within the next month the floor plan or layout for exhibitors at the venue, Hilton Phuket Arcadia Resort & Spa, will be published online and application forms will be available for the exhibitors to download from the Web site. Many pre-conference and post-conference activities have been planned for the conference, which early estimates expect to bring a windfall to Phuket of about $10 million over the two-week period. Interested parties are advised to visit the conference website: www.sosmedicaltourism.com for more information. Alternatively, for more information call + (66)76-289-800, to request a printable registration brochure by email sosmedical@sosmedicaltourism.com or sosmedical@ymail.com Date Set for Healthcare Travel Exhibition & Congress in Dubai: October 27-29, 2009 With the healthcare travel industry poised to play an important part in Dubai's growth strategy, the Institute for International Research (IIR) Middle East, the organizers of the first medical tourism conference in the United Arab Emirates (UAE), which concluded in Dubai, recently have reported high levels of interest from a potentially huge international market. "Research unveiled at the event indicated a global market of around two million medical travelers a year and an industry constrained by hospital capacity and lack of consumer familiarity with medical travel," says Sietske Meerloo, marketing manager at IIR Middle East and organizer of Healthcare Travel Exhibition & Congress. IIR Middle East is also the organizer of the Arab Health Exhibition and Congress, the region's premier event for Middle East healthcare that takes place in Dubai 27-29, October, 2009. “Large numbers of hospitals and clinics around the world are attempting to tailor their health services to cater to medical tourists," Meerloo added. "Several major insurance companies offer a travel component in their policies, and governments are looking closely at policies to take account of the trend." The health care event was officially opened by Haidar Al Yousuf, M.D., transition director at the Dubai Health Authority, who highlighted the importance the Authority is placing on the future of medical tourism. "As we look to develop our domestic health strategy, we also want to develop a joint strategy with our colleagues in the Department of Tourism & Commerce Marketing (DTCM), for the future of health tourism in Dubai," says Dr. Al Yousuf. "The health care sector in Dubai will become an increasingly attractive place for international health care investors, providers, services, facilities, and other health care professionals." PlanetHospital, a California-based leader in medical tourism, used the event as a platform to announce the official opening of its Jeddah Saudi Arabia office to serve inbound and outbound medical tourists from the Arabian Gulf region. "The Gulf has the potential to drive growth in medical tourism," says Mohammed Alarifi, managing director for the new operation. "It is not only a destination from where patients seek medical care abroad but is also becoming a medical tourism destination itself thanks to major hospital developments throughout the region." The American Hospital Dubai also had high visibility at the event. There was "a lot of exchange of experience among colleagues from around the world," says Naser Saleh, director of marketing and sales. “On the conference side, the sessions were very informative." Gary Miller, CEO of Health Travel TV, says the event had been important for them. "We have a unique product, and we’re the only broadcast media here dedicated to this area. I’m coming back to Arab Health in January." Organized in association with the International Medical Travel Association, the Healthcare Travel Exhibition and Congress was supported by the UAE Ministry of Health and the Health Authority of Abu Dhabi. Platinum sponsors were Singapore Medicine. Gold sponsors were the American Hospital Dubai and Dubai Health Authority. For details about Arab Health events, please visit: www.arabhealthonline.com Companion Global Healthcare Expands Service to Include Hospitals in Mexico Columbia, S.C. – Medical travel company Companion Global Healthcare Inc. announced today that its individual clients and U.S. employer groups now have additional options for saving money on surgery and other medical care while remaining closer to home. Companion Global Healthcare President David Boucher said his company has accepted the CIMA Hospitals in Hermosillo, Mexico, and Monterrey, Mexico, into its network of accredited, international hospitals that treat American patients at affordable prices. The hospitals are the first in Mexico to join the network. Today’s announcement means Companion Global Healthcare will arrange travel, set appointments and provide other services to its individual clients and U.S. employer group members who choose treatment at either CIMA facility, as it does for clients traveling to any network hospital. Rates at Companion Global Healthcare network hospitals are up to 90 percent less than those at U.S. hospitals, meaning individuals and self-insured employers can save tens of thousands of dollars on a single procedure. The network includes 15 hospitals in India, Costa Rica, Singapore, Thailand, Turkey, Ireland, Taiwan and Mexico. All network hospitals are accredited by the Joint Commission International (JCI), and all have completed Companion Global Healthcare’s extensive credentialing process. “U.S. employers searching for ways to save on employee health care have encouraged us to bring into our network some accredited hospitals in Mexico, and we are pleased to announce our affiliation with CIMA Hermosillo and CIMA Monterrey,” Boucher said. “Both cities receive direct flights from multiple U.S. cities, making travel convenient for our clients. “Both facilities are excellent additions to our network, offering employers and individuals more options for seeking a high standard of medical care at an affordable price.” Both CIMA Hermosillo and CIMA Monterrey are owned by International Hospital Corp. (IHC) of Dallas, Texas. CIMA Monterrey is an acute-care hospital, providing a full range of diagnostic, therapeutic, emergency and surgical services. CIMA Hermosilla is one of Mexico’s main medical centers for cardiology. Employer groups interested in restructuring their benefit plans to include Companion Global Healthcare’s network and services should call 1-800-906-7065. Media Contact: Billy Quarles, 803-264-5779 About Companion Global Healthcare Companion Global Healthcare Inc. (www.CompanionGlobalHealthcare.com), headquartered in Columbia, S.C., provides assistance to clients who travel to its network hospitals, serving as a single launch point for appointments, travel arrangements, case management, medical travel insurance, follow-up care in the United States, and help with claims filing. The company serves uninsured and underinsured individuals, as well as employers and insurance companies that have included the Companion Global Healthcare network in their benefit plans.
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