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2013 cambridge  mena’s emerging healthcare industry rani zahr
2013 cambridge  mena’s emerging healthcare industry rani zahr
2013 cambridge  mena’s emerging healthcare industry rani zahr
2013 cambridge  mena’s emerging healthcare industry rani zahr
2013 cambridge  mena’s emerging healthcare industry rani zahr
2013 cambridge  mena’s emerging healthcare industry rani zahr
2013 cambridge  mena’s emerging healthcare industry rani zahr
2013 cambridge  mena’s emerging healthcare industry rani zahr
2013 cambridge  mena’s emerging healthcare industry rani zahr
2013 cambridge  mena’s emerging healthcare industry rani zahr
2013 cambridge  mena’s emerging healthcare industry rani zahr
2013 cambridge  mena’s emerging healthcare industry rani zahr
2013 cambridge  mena’s emerging healthcare industry rani zahr
2013 cambridge  mena’s emerging healthcare industry rani zahr
2013 cambridge  mena’s emerging healthcare industry rani zahr
2013 cambridge  mena’s emerging healthcare industry rani zahr
2013 cambridge  mena’s emerging healthcare industry rani zahr
2013 cambridge  mena’s emerging healthcare industry rani zahr
2013 cambridge  mena’s emerging healthcare industry rani zahr
2013 cambridge  mena’s emerging healthcare industry rani zahr
2013 cambridge  mena’s emerging healthcare industry rani zahr
2013 cambridge  mena’s emerging healthcare industry rani zahr
2013 cambridge  mena’s emerging healthcare industry rani zahr
2013 cambridge  mena’s emerging healthcare industry rani zahr
2013 cambridge  mena’s emerging healthcare industry rani zahr
2013 cambridge  mena’s emerging healthcare industry rani zahr
2013 cambridge  mena’s emerging healthcare industry rani zahr
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2013 cambridge mena’s emerging healthcare industry rani zahr

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  1. MENA’s Emerging Healthcare Industry
  2. Outline • Global Medical Tourism • Demand for Medical Tourism in MENA o MENA Capacity for the Health Care Industry • Lebanon’s Distinguished Healthcare o Infrastructure • Proposed Plan of Action o Legal Infrastructure o Medical Service Tourist Sector o Projected Tourism Revenue
  3. Global Medical Tourism
  4. Quality Cost Anonymity Technology/Expertise Availability 2004 2010 2012 2013 40 60 80 100 $Billions Global Revenues Statistics • 50+ Destination Countries • Over 8 million patients • 2013 Expected Growth 20% TOP 5 Destinations (~6.5 Million MT ) THAILAND HUNGARY INDIA SINGAPORE MALAYSIA
  5. Global Medical Tourism Hotspots
  6. Demand for Medical Tourism in MENA 150 JCI Accredited Hospitals and Clinics
  7. Medical Tourism Mena KSA 12 JCI $1 B  240K MT $2 Billion IMF Loan Jordan 10 % Growth 40 JCI $1.6 B  50K MT 44 JCI 42K MT 20% Growth $16.8 B HC Costs ~ 2015 100K Medical tourists ~ 2016
  8. Middle East Healthcare Market Trends Growing HC Demand (9%) Growing & Aging Population w/ Chronic Disease Burden Health Consumption Drivers: Rising Income Levels and Increased Insurance Penetration (mandatory) Human Capital Shortages Shortage in physicians. High dependence on expatriates Limited medical education options Increased Regulation eClaims, DRG-based licensing Price Revisions
  9. MENA Healthcare DiseaseDrivers Unhealthy Dietary Habits Inter-marriages within families Smoking Low Exercise Level Poor Road Safety 38.00% 17.00% 16.00% 3.00% 3.00% 2.00% 21.00% Leading Causes of Death
  10. MENA Healthcare 400 488 497 885 264 688608 1579 771 1704 520 1612 KSA Kuwait Bahrain UAE Oman Qatar GCC Per Capita Healthcare Costs (USD) 2000 2009 525252 52% 224% 134 % 54% 93% 97% • Preventative Care • Disease Management • Population 3.2% CAGR MENA Region Population (millions) 1950 2007 2050 Arabian Peninsula 8 61 125 North Africa 44 156 235 Western Asia 52 215 332
  11. MENA Medical Tourist Projects Oman International Medical City  $1.0 B project  530-bed hospital  Transplant Center  Rehabilitation Center  Diagnostic  Prevention  Health Resort Bahrain Dilmunia Health Island  $1.6 B project  358-bed hospital  216-bed hospital  Specialist clinics  Sports medicine  3 five-star hotels,  Leisure & Recreation  Shopping centers  15,000 pp community
  12. GCC Outpatient Medical Travel
  13. ME 32% EU 13% EU 40% NA 95% ME 2%ME 58% ME 8% MENA Medical Travel Destinations
  14. Lebanon’s Distinguished Healthcare
  15. “Lebanon will be the regional resource serving the advancement of health and medical tourism to the people of the MENA”  Quality & Affordable Health Care  Availability of Hospital Beds  Highly Qualified Medical Staff  Physician & Nurse Patient Ratios  High Nurse to Patient Ratios  Geographic Location  World Class Services & Culture,  Skilled and Multi-lingual Staff Medical Tourism Lebanon
  16. JCI Accredited & University Affiliated Medical Centers St. George Balamand University Rafik Hariri Lebanese University Rizk Hospital Lebanese American Uni Hotel Dieu St. Joseph's University Center Hospital Kaslik University University Affiliated Medical Centers (Non-Accredited) Hospitals, Accreditation & Affiliation Columbia University U. George Washington John Hopkins University Saint Jude Children Research Hospital University of Poitiers Neurosciences Laval University in Quebec Centers of Excellence
  17. Infrastructure Capacity … 100 000 Medical Tourists Today … 10,000 foreign MT 10,000 Nurses12,000 Doctors 117 19 28 0 Private Short& Medium Private Long Stay Public Hospitals (1570) (9224 beds) (3496)
  18. Brain Drain… Wasted Talent
  19. 19 New Hospital Tower Cancer and Children’s Hospital Academic and Clinical Center Current Medical Center $500 M Project 600 Bed Hospital 342 physicians 129 (38%) US Board Certified AUBMC’s Regional Dominance
  20. • Al Manaa General Hospital (AMGH) • Damascus Cardiovascular Center (DCVC) • Jordan Ministry of Health • Iraq Ministry of Health • UNRWA • Palestinian Red Crescent Society (PRCS • Al Quds University • Medical City Teaching Hospital (MCTH) in Baghdad • World Health Organization (WHO): Training for 100 Iraqi physicians and nurses in: o Advanced Trauma Life Support (ATLS) o Cardiac Life Support (CLS) o Pre-Hospital Trauma Life Support (PHTLS) o Advanced Trauma Care for Nurses (ATCN) o Pediatric Trauma • Al Quds University - Palestine • King Faisal Specialist Hospital & Research Center - KSA • King Hussein Cancer Center - Jordan • Medical City Teaching Hospital (MCTH) - Iraq • Royal College of Surgeons in Ireland (RCSI) - Bahrain • Dr. Haifa Mahmoud Eye Center/Hospital – Bahrain • Mouwasat – KSA • Harley Street Medical Clinics – Abu Dhabi
  21. Surgery ('000) USA India Jordan Singapore Thailand Lebanon (AUBMC) Heart Bypass 144 9 10 14 24 15 Angioplasty 57 9 5 8 7 4 Heart Valve Rep. 170 1.5 12 14 22 15 Hip Rep. 50 8 8 11 14 14 Knee Rep. 50 7 7 11 12 13 Spinal Fusion 100 12 10 18 11 20 Dental Implant 2 - 10 0.5 3 3 0.8 Lap Band 30 8 5 12 12 12 Breast Implants 10 5 3 5.4 4 4 Rhinoplasty 8 4 2.5 2.7 3.5 4 Face Lift 15 7 3 4 7 4.7 Hysterectomy 15 5.5 2.5 4 5 4.5 Price Analysis
  22. Infrastructure
  23. Patient Flow
  24. Lebanon’s Proposed Plan of Action
  25. Public Private Partnerships Quality Assurance Board Medical Research Regional Marketing Expedited Visas Tax Incentives Tax Write-Offs Reinvestment into Healthcare Low Import Duties on new equipment Depreciation on old equipment Initiatives
  26. Moving Forward Accreditation of Medical Tourist Stakeholders International Accreditation of Health-Care Facilities Informed Patient Choice Continuity of Care Non-Waiver of Liability • Create a National Regulatory & Accreditation Board o Maintain the Registrar of Medical Practitioners o Administer continuing medical education o Encourage synergies among the various medical centers (medical, health, lab, wellness…etc.) o Stimulate collaboration between the health sector and the emerging entrepreneurial ecosystem in Lebanon. o Regulate the ethical conduct of registered medical practitioners. Privacy and Confidentiality of Patient Information Professional Standard of Care and Health Services Training and Certification of MT Agents Medical Travel and Complication Insurance Contributions to Compensation Fund
  27. Potential Revenues $0 $200 $400 $600 $800 $1,000 $1,200 2015 2016 2017 2018 2019 2020 Medical Tourist Revenue (million USD) Tourist Revenues Medical Revenues Revenue Medical Expense $8,560 Tourists Per Patient 4 Avg. Length of Travel 5 Expense/Person $300 Total Other Costs $6,000 Year Medical Tourists Healthcare Staff Service Staff Total New Jobs 2015 16,695 83 334 417 2016 26,085 130 522 652 2017 40,693 203 814 1017 2018 51,127 256 1023 1278 2019 62,604 313 1252 1565 2020 75,125 376 1503 1878 Total 6808

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