The document discusses value innovation in healthcare and the potential for high-volume solution hospitals (HVFHs) to lower costs while improving quality. It notes that HVFHs could recover some of the $25 billion currently spent on medical tourism by Gulf residents. The document also examines Narayana Hrudayalaya, a low-cost hospital network in India, as a model for using process innovation and high volumes to make quality healthcare more affordable and accessible.

1. The Undeveloped Customer Title Un developed Customer The Scott Frankum The Well Report Hospital Build Conference Dubai, June 2011

2. 25 Billion Leaves the GCC Value Innovation Could Reverse Regional Outflows

3. 17 8 46 14 18 36 48 25 Billion Outflow Greater Middle East Declared Medical Tourism Countries Cypress 1 Egypt 3 Israel 7 UAE 48 $44,000 Jordan 7 Kuwait 2 Lebanon 2 Qatar 6 Saudi Arabia 36 Yemen 1 Turkey 46 Outbound Destinations India 17 $9,000 Thailand 14 $12,000 Singapore 18 $18,500 Malaysia 8 $9,000 Turkey 46 $16,500 =Number of JCI accredited hospitals in the Country =Price of Heart Bypass Surgery (U. S. $50,000 to $130,000)

5. High Differentiation Low Price – Low Differentiation “ Walmart Territory” High Price – Low Differentiation High Price Low Differentiation Low Price Differentiated Line China = Price More Uses of Strategy High Price – High Differentiation Turkey = East & West Thailand = Hospitality Singapore = Science & Technology Low Price – High Differentiation UAE= Arabian Leader India = Value Malaysia = ?

6. Bass Model= Capture the key 1% f (t) = p + qF(t) 2 1 - F(t) 1% Super-Influencer f (t) = rate of change F (t) = installed base p = coefficient of innovation q = coefficient of imitation

7. Greater Middle East vs. Asian Leaders X Y

8. Value = U. S. Health Reform Measures and Publishes 65 Quality Points Rewards Increases in Value Measured by Patient Results Encourages Value and Process Innovation Patient Results Dollars Spent

12. High Volume Single Disease Solution Hospitals Low Price – Low Differentiation High Price – Low Differentiation High Price – High Differentiation High Price Low Differentiation (Amenities) High Differentiation (Amenities) Low Price Low Price – High Differentiation Avoid Country positioning improves dramatically, too

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19. Scott Frankum www. TheWellList.com @TheWellReport [email_address]