The document discusses:
1) Why pre-admission screenings are important for determining Medicaid eligibility for long-term care services and ensuring individuals meet admission criteria.
2) The criteria for determining eligibility based on an individual's abilities and needs, including requirements for dependencies in activities of daily living and the presence of medical nursing needs.
3) The documentation required for different types of long-term care services to receive Medicaid reimbursement, including completion of the Uniform Assessment Instrument.
This document provides an update from the Air Force Medical Service leadership on initiatives to improve health services. It discusses expanding deployable medical response teams to provide emergency care within 20 minutes of arriving in remote locations. It also highlights partnerships to enhance education and research training for medical personnel. The focus is on building a patient-centered approach where beneficiaries can access high quality care anywhere through a coordinated medical system.
1. Library materials are divided into printed and non-printed categories, with printed materials including textbooks, reference books, and research reports while non-printed includes audiovisual items.
2. Networking components are explained, identifying a router as a device that connects multiple networks together, and that it functions similarly to a hub but can send data packets to specific ports and links rather than broadcasting to all connected components in the network.
3. An online resource is provided for further information on networking components and configurations.
Este documento descreve oito unidades de um curso sobre tecnologias na educação. As unidades cobrem tópicos como navegação na internet, blogs, edição de texto, planilhas eletrônicas e cooperação online. O objetivo geral é capacitar professores a integrar tecnologias de comunicação e informação em suas práticas pedagógicas.
The document discusses coverage in hardware design verification. It defines key coverage terms like coverage model, coverage space, and coverage point. It outlines a coverage planning process including choosing a specification language, identifying the coverage model, and implementing coverage. It also discusses collecting coverage data, analyzing results, and using findings to improve verification. The goal of coverage is to understand design functionality and ensure a thorough verification process.
El abuelo le enseña a su nieto la importancia de leer la Biblia a través de una historia. A pesar de que el nieto no podía llevar agua en el canasto debido a que se salía, el abuelo insistió en que lo intentara de nuevo. Cuando el nieto miró dentro del canasto, se dio cuenta de que aunque el agua se salió, el canasto estaba limpio por dentro. Esto representa cómo aunque no se recuerde todo lo leído en la Biblia, ésta cambia a la persona por dentro transformándola.
Este documento resume las intervenciones no farmacológicas efectivas para controlar la hipertensión esencial en atención primaria. Las principales recomendaciones incluyen seguir una dieta baja en sodio y rica en potasio, consumir la dieta DASH, realizar ejercicio aeróbico regularmente, mantener un peso saludable y limitar el consumo de alcohol y tabaco. También se recomienda la automedición de la presión arterial y se concluye que la musicoterapia puede mejorar la calidad de vida de los pacientes
The document discusses:
1) Why pre-admission screenings are important for determining Medicaid eligibility for long-term care services and ensuring individuals meet admission criteria.
2) The criteria for determining eligibility based on an individual's abilities and needs, including requirements for dependencies in activities of daily living and the presence of medical nursing needs.
3) The documentation required for different types of long-term care services to receive Medicaid reimbursement, including completion of the Uniform Assessment Instrument.
This document provides an update from the Air Force Medical Service leadership on initiatives to improve health services. It discusses expanding deployable medical response teams to provide emergency care within 20 minutes of arriving in remote locations. It also highlights partnerships to enhance education and research training for medical personnel. The focus is on building a patient-centered approach where beneficiaries can access high quality care anywhere through a coordinated medical system.
1. Library materials are divided into printed and non-printed categories, with printed materials including textbooks, reference books, and research reports while non-printed includes audiovisual items.
2. Networking components are explained, identifying a router as a device that connects multiple networks together, and that it functions similarly to a hub but can send data packets to specific ports and links rather than broadcasting to all connected components in the network.
3. An online resource is provided for further information on networking components and configurations.
Este documento descreve oito unidades de um curso sobre tecnologias na educação. As unidades cobrem tópicos como navegação na internet, blogs, edição de texto, planilhas eletrônicas e cooperação online. O objetivo geral é capacitar professores a integrar tecnologias de comunicação e informação em suas práticas pedagógicas.
The document discusses coverage in hardware design verification. It defines key coverage terms like coverage model, coverage space, and coverage point. It outlines a coverage planning process including choosing a specification language, identifying the coverage model, and implementing coverage. It also discusses collecting coverage data, analyzing results, and using findings to improve verification. The goal of coverage is to understand design functionality and ensure a thorough verification process.
El abuelo le enseña a su nieto la importancia de leer la Biblia a través de una historia. A pesar de que el nieto no podía llevar agua en el canasto debido a que se salía, el abuelo insistió en que lo intentara de nuevo. Cuando el nieto miró dentro del canasto, se dio cuenta de que aunque el agua se salió, el canasto estaba limpio por dentro. Esto representa cómo aunque no se recuerde todo lo leído en la Biblia, ésta cambia a la persona por dentro transformándola.
Este documento resume las intervenciones no farmacológicas efectivas para controlar la hipertensión esencial en atención primaria. Las principales recomendaciones incluyen seguir una dieta baja en sodio y rica en potasio, consumir la dieta DASH, realizar ejercicio aeróbico regularmente, mantener un peso saludable y limitar el consumo de alcohol y tabaco. También se recomienda la automedición de la presión arterial y se concluye que la musicoterapia puede mejorar la calidad de vida de los pacientes
The document outlines the IMHA Quality Assurance and Accreditation Programme for Maritime Clinics. It discusses the development of quality standards for maritime medical clinics in key areas like medical fitness examinations. Clinics can apply for accreditation by conducting self-assessments and assessments visits against 296 criteria across areas like staffing, facilities, and clinical practice. Accreditation brings benefits like demonstrating a commitment to quality for clients, authorities, seafarers and insurers. The program aims to expand standards to other maritime healthcare services and provide a single internationally recognized quality assurance system.
The document outlines the IMHA Quality Assurance and Accreditation Programme for Maritime Clinics. It discusses the development of quality standards for maritime medical clinics in areas like medical fitness examinations. Clinics can apply for accreditation by conducting self-assessments and assessments visits to ensure they meet the 296 criteria across areas like staffing, facilities, and clinical practice. Accredited clinics benefit from internationally recognized quality assurance. The program aims to improve seafarer health and ensure consistent, high-quality medical services for the maritime industry.
Medbirds offers affordable access to the finest internationally acclaimed hospitals in Asia. We offer over 200 high quality medical and dental procedures at 60-80% less than the cost for the same treatments in the U.S. For a safe, enjoyable and successful medical tourism experience, trust in America’s best medical tourism company
The document discusses the need to reform the US healthcare delivery system. It notes rising costs, a large uninsured population, and quality and safety issues. The Affordable Care Act aims to address these problems through insurance expansion and regulation, quality initiatives, and a shift to value-based care through tools like Accountable Care Organizations. Seton Health Alliance in Central Texas was selected as a Pioneer ACO and is working to clinically integrate providers to coordinate care and be financially responsible for patient outcomes.
1) The document provides information about Pacific Cataract and Laser Institute (PCLI), including its history, mission, values, services, strengths, and opportunities for growth.
2) PCLI aims to develop strategic objectives and tactics to increase its referring physician base by 20%, LASIK patients by 10%, and market share to 55% while reducing costs by 5%.
3) Tactics include establishing relationships with vision plans, marketing to potential patients, and leveraging mobile services to expand access to care.
ACO = HIE + Analytics - a Healthcare IT PresentationPerficient, Inc.
ACO = HIE + Analytics. An ACO requires health information exchange capabilities to integrate clinical and claims data from various sources. It also requires advanced analytics to enable predictive modeling, population health management, and performance tracking against metrics like quality, costs, and health outcomes. The combination of HIE and analytics provides ACOs with insights needed to improve care coordination, reduce costs, and enhance overall population health.
BPEX pig health initiative bsas presentationSam Hoste
Healthy collaboration breeds new knowledge sharing between pig farmers and industry. Regional pig health schemes in Yorkshire, East Anglia, and East Midlands since 2009 have focused on disease control, training, and improving biosecurity. Success requires high biosecurity, motivated farmers, and collaboration between neighbors. The document discusses international best practices and establishing regional steering groups and clusters of local farmers to regularly meet and share information. The goal is a supportive producer network and building trust across the industry.
ACO = HIE + Analytics: Enabling Population Health ManagementPerficient, Inc.
An ACO aims to improve healthcare delivery and population health outcomes while lowering costs. It coordinates patient care across providers to share financial risk and responsibility for a given population. Key components include primary care physicians, specialists, hospitals, and mechanisms for care coordination. Success is defined by achieving the triple aim of better patient experience of care, improved population health outcomes, and lower per capita costs.
Bumrungrad Hospital in Bangkok, Thailand aims to provide world-class healthcare and customer service. It focuses on clinical quality, patient and staff satisfaction, and continuous improvement. The hospital attracts over a million international patients annually through competitive pricing, advanced technology and facilities, and an emphasis on reliability, responsiveness, assurance, empathy and tangible aspects of service quality.
This document describes Physicians Proviso (P2), an organization that aims to support independent physicians. P2 provides advocacy, education, and collaboration to help increase physicians' profitability. It also surveys physicians to understand challenges like high costs, dealing with insurance, and electronic health records that cause many to leave private practice. P2 connects physicians to partner companies offering practice management, disease management, personalized prescriptions, and other services. The organization is led by an Executive Leadership Council of prominent physicians and aims to give members more control, reduce risks, and maximize revenue through these partnerships and services.
Patient Safety Initiatives Maloy IDN Summit Fall 2009Dan Maloy
Fall 2009 IDN Summit presentation on Patient Safety Initiatives and their importance to healthcare product suppliers; includes a discussion of healthcare "Never Events" and product value proposition development
BPEX Health initiatives - benefits for breedersSam Hoste
Regional pig health schemes have been established in several areas of England since 2009 with the goals of improving pig health and collaboration across the industry. The schemes are producer-driven and aim to improve biosecurity, disease monitoring and information sharing. Central elements for their success include high producer engagement, motivated farmers, collaboration between neighbors, and involvement of local veterinarians. The schemes establish regional steering committees and organize smaller cluster groups of nearby producers to jointly address health priorities and apply for funding. While challenges include maintaining funding and overcoming apprehensive producers, the programs benefit the industry by expanding disease-free areas and improving whole chain communication.
BPEX Health initiative - opportunities for breedersSam Hoste
Regional pig health schemes were established in Yorkshire, Humberside, East Anglia, and the East Midlands to improve pig health through collaboration. The schemes focus on disease control, training in health and biosecurity, and improving biosecurity to enhance health status. Central elements for success include high biosecurity, motivated farmers, collaboration between neighbors, and the right procedures. The schemes involve regional steering groups of local producers, supply chain members, and veterinarians. Farmers meet in health districts and clusters to share information, develop biosecurity plans, and apply jointly for funding. Breeding companies can play an integral role but may face risks regarding supply, models, health status, and resources.
The document discusses meaningful use attestation and the process for receiving EHR incentive payments from the government. It outlines the three main steps: 1) registration in the EHR incentive program, 2) meeting meaningful use criteria using certified EHR technology, and 3) attesting that meaningful use criteria have been met. The document provides an overview of meaningful use goals and stages, EHR certification, eligibility for incentives, and the registration process.
This document discusses quality assurance for medical examiners in maritime medicine. It outlines that an effective QA system should be tailored to maritime health, include external peer reviews, and be acceptable to all stakeholders. The current situation involves lists of approved doctors and some audit visits, but it is patchy and not standardized. The proposed solution is IMHA QUALITY, which would provide internationally agreed standards and peer reviews from trained assessors to give an unbiased assessment of clinics and enable continuous quality improvement. The key challenges to implementing this system include engaging different stakeholders and determining who bears the costs.
SoundCare is an on-hold messaging system that communicates relevant healthcare messages to callers to drive additional revenue, improve patient satisfaction, and increase safety. One message saved a woman's life by prompting her to enroll in a lung cancer clinical trial. SoundCare delivers results for healthcare marketers by driving business, educating callers, promoting services, and improving experiences. It provides a significant return on investment for organizations and prompts callers to take important health actions.
SoundCare is an on-hold messaging system that communicates relevant healthcare messages to callers to drive additional revenue, improve patient satisfaction, and enhance branding. One message saved a woman's life by prompting her to enroll in a lung cancer clinical trial. SoundCare delivers results for healthcare organizations by promoting services, educating callers, and improving the patient experience. It provides an integral part of marketing strategies and a significant return on investment.
Case Study "Dignity Health: Implementation of an EHR Alliance Bridging Acute and Ambulatory Care"
This session will provide a unique learning opportunity focusing on the Dignity Health $1.8B implementation program to meet horizon 2020 as we transform healthcare. The initiative encompassed a 42 hospital health IT implementation in the acute care setting. Mr. Lowe will also review the challenges associated with governance and review lessons Learned from the project.
Learning Objectives:
∙ Key implementation points
∙ Integration with Ambulatory strategies for a full market approach
∙ What’s next – business intelligence
Dr. David Prezant - Enterprise Content Management: New York City Fire DepartmentAlfresco Software
This document discusses the need for enterprise content management solutions at the New York City Fire Department. It summarizes the challenges of managing the large volume of medical claims and records for 11,500 firefighters. It introduces ClaimConnect, a system developed by ImageWork Technologies to digitize and streamline the medical claims processing workflow. ClaimConnect allows electronic form submission, automates validation and payments, and provides secure access to claims data and payment histories. The system has improved processing times and efficiencies for the Fire Department. Future enhancements may include mobile access and expanded use cases.
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Similar to How To Design A Benefit Plan To Include A Medical Travel Option
The document outlines the IMHA Quality Assurance and Accreditation Programme for Maritime Clinics. It discusses the development of quality standards for maritime medical clinics in key areas like medical fitness examinations. Clinics can apply for accreditation by conducting self-assessments and assessments visits against 296 criteria across areas like staffing, facilities, and clinical practice. Accreditation brings benefits like demonstrating a commitment to quality for clients, authorities, seafarers and insurers. The program aims to expand standards to other maritime healthcare services and provide a single internationally recognized quality assurance system.
The document outlines the IMHA Quality Assurance and Accreditation Programme for Maritime Clinics. It discusses the development of quality standards for maritime medical clinics in areas like medical fitness examinations. Clinics can apply for accreditation by conducting self-assessments and assessments visits to ensure they meet the 296 criteria across areas like staffing, facilities, and clinical practice. Accredited clinics benefit from internationally recognized quality assurance. The program aims to improve seafarer health and ensure consistent, high-quality medical services for the maritime industry.
Medbirds offers affordable access to the finest internationally acclaimed hospitals in Asia. We offer over 200 high quality medical and dental procedures at 60-80% less than the cost for the same treatments in the U.S. For a safe, enjoyable and successful medical tourism experience, trust in America’s best medical tourism company
The document discusses the need to reform the US healthcare delivery system. It notes rising costs, a large uninsured population, and quality and safety issues. The Affordable Care Act aims to address these problems through insurance expansion and regulation, quality initiatives, and a shift to value-based care through tools like Accountable Care Organizations. Seton Health Alliance in Central Texas was selected as a Pioneer ACO and is working to clinically integrate providers to coordinate care and be financially responsible for patient outcomes.
1) The document provides information about Pacific Cataract and Laser Institute (PCLI), including its history, mission, values, services, strengths, and opportunities for growth.
2) PCLI aims to develop strategic objectives and tactics to increase its referring physician base by 20%, LASIK patients by 10%, and market share to 55% while reducing costs by 5%.
3) Tactics include establishing relationships with vision plans, marketing to potential patients, and leveraging mobile services to expand access to care.
ACO = HIE + Analytics - a Healthcare IT PresentationPerficient, Inc.
ACO = HIE + Analytics. An ACO requires health information exchange capabilities to integrate clinical and claims data from various sources. It also requires advanced analytics to enable predictive modeling, population health management, and performance tracking against metrics like quality, costs, and health outcomes. The combination of HIE and analytics provides ACOs with insights needed to improve care coordination, reduce costs, and enhance overall population health.
BPEX pig health initiative bsas presentationSam Hoste
Healthy collaboration breeds new knowledge sharing between pig farmers and industry. Regional pig health schemes in Yorkshire, East Anglia, and East Midlands since 2009 have focused on disease control, training, and improving biosecurity. Success requires high biosecurity, motivated farmers, and collaboration between neighbors. The document discusses international best practices and establishing regional steering groups and clusters of local farmers to regularly meet and share information. The goal is a supportive producer network and building trust across the industry.
ACO = HIE + Analytics: Enabling Population Health ManagementPerficient, Inc.
An ACO aims to improve healthcare delivery and population health outcomes while lowering costs. It coordinates patient care across providers to share financial risk and responsibility for a given population. Key components include primary care physicians, specialists, hospitals, and mechanisms for care coordination. Success is defined by achieving the triple aim of better patient experience of care, improved population health outcomes, and lower per capita costs.
Bumrungrad Hospital in Bangkok, Thailand aims to provide world-class healthcare and customer service. It focuses on clinical quality, patient and staff satisfaction, and continuous improvement. The hospital attracts over a million international patients annually through competitive pricing, advanced technology and facilities, and an emphasis on reliability, responsiveness, assurance, empathy and tangible aspects of service quality.
This document describes Physicians Proviso (P2), an organization that aims to support independent physicians. P2 provides advocacy, education, and collaboration to help increase physicians' profitability. It also surveys physicians to understand challenges like high costs, dealing with insurance, and electronic health records that cause many to leave private practice. P2 connects physicians to partner companies offering practice management, disease management, personalized prescriptions, and other services. The organization is led by an Executive Leadership Council of prominent physicians and aims to give members more control, reduce risks, and maximize revenue through these partnerships and services.
Patient Safety Initiatives Maloy IDN Summit Fall 2009Dan Maloy
Fall 2009 IDN Summit presentation on Patient Safety Initiatives and their importance to healthcare product suppliers; includes a discussion of healthcare "Never Events" and product value proposition development
BPEX Health initiatives - benefits for breedersSam Hoste
Regional pig health schemes have been established in several areas of England since 2009 with the goals of improving pig health and collaboration across the industry. The schemes are producer-driven and aim to improve biosecurity, disease monitoring and information sharing. Central elements for their success include high producer engagement, motivated farmers, collaboration between neighbors, and involvement of local veterinarians. The schemes establish regional steering committees and organize smaller cluster groups of nearby producers to jointly address health priorities and apply for funding. While challenges include maintaining funding and overcoming apprehensive producers, the programs benefit the industry by expanding disease-free areas and improving whole chain communication.
BPEX Health initiative - opportunities for breedersSam Hoste
Regional pig health schemes were established in Yorkshire, Humberside, East Anglia, and the East Midlands to improve pig health through collaboration. The schemes focus on disease control, training in health and biosecurity, and improving biosecurity to enhance health status. Central elements for success include high biosecurity, motivated farmers, collaboration between neighbors, and the right procedures. The schemes involve regional steering groups of local producers, supply chain members, and veterinarians. Farmers meet in health districts and clusters to share information, develop biosecurity plans, and apply jointly for funding. Breeding companies can play an integral role but may face risks regarding supply, models, health status, and resources.
The document discusses meaningful use attestation and the process for receiving EHR incentive payments from the government. It outlines the three main steps: 1) registration in the EHR incentive program, 2) meeting meaningful use criteria using certified EHR technology, and 3) attesting that meaningful use criteria have been met. The document provides an overview of meaningful use goals and stages, EHR certification, eligibility for incentives, and the registration process.
This document discusses quality assurance for medical examiners in maritime medicine. It outlines that an effective QA system should be tailored to maritime health, include external peer reviews, and be acceptable to all stakeholders. The current situation involves lists of approved doctors and some audit visits, but it is patchy and not standardized. The proposed solution is IMHA QUALITY, which would provide internationally agreed standards and peer reviews from trained assessors to give an unbiased assessment of clinics and enable continuous quality improvement. The key challenges to implementing this system include engaging different stakeholders and determining who bears the costs.
SoundCare is an on-hold messaging system that communicates relevant healthcare messages to callers to drive additional revenue, improve patient satisfaction, and increase safety. One message saved a woman's life by prompting her to enroll in a lung cancer clinical trial. SoundCare delivers results for healthcare marketers by driving business, educating callers, promoting services, and improving experiences. It provides a significant return on investment for organizations and prompts callers to take important health actions.
SoundCare is an on-hold messaging system that communicates relevant healthcare messages to callers to drive additional revenue, improve patient satisfaction, and enhance branding. One message saved a woman's life by prompting her to enroll in a lung cancer clinical trial. SoundCare delivers results for healthcare organizations by promoting services, educating callers, and improving the patient experience. It provides an integral part of marketing strategies and a significant return on investment.
Case Study "Dignity Health: Implementation of an EHR Alliance Bridging Acute and Ambulatory Care"
This session will provide a unique learning opportunity focusing on the Dignity Health $1.8B implementation program to meet horizon 2020 as we transform healthcare. The initiative encompassed a 42 hospital health IT implementation in the acute care setting. Mr. Lowe will also review the challenges associated with governance and review lessons Learned from the project.
Learning Objectives:
∙ Key implementation points
∙ Integration with Ambulatory strategies for a full market approach
∙ What’s next – business intelligence
Dr. David Prezant - Enterprise Content Management: New York City Fire DepartmentAlfresco Software
This document discusses the need for enterprise content management solutions at the New York City Fire Department. It summarizes the challenges of managing the large volume of medical claims and records for 11,500 firefighters. It introduces ClaimConnect, a system developed by ImageWork Technologies to digitize and streamline the medical claims processing workflow. ClaimConnect allows electronic form submission, automates validation and payments, and provides secure access to claims data and payment histories. The system has improved processing times and efficiencies for the Fire Department. Future enhancements may include mobile access and expanded use cases.
Similar to How To Design A Benefit Plan To Include A Medical Travel Option (20)
Dr. David Prezant - Enterprise Content Management: New York City Fire Department
How To Design A Benefit Plan To Include A Medical Travel Option
1. Courtesy of
HOW TO DESIGN A…
BENEFIT PLAN TO INCLUDE A
MEDICAL TRAVEL OPTION
2. • Medical Tourism declared • Costa Rica offers three JCI
of national and public accredited hospitals:
– HOSPITAL CIMA
interest by former President
– HOSPITAL CLÍNICA
of the Republic Oscar Arias BIBLICA
in 2009 – HOSPITAL & HOTEL LA
CATOLICA
• Formal commitment of
actual President of the • Additionally, Costa Rica is
home of Latin American
Republic Laura Chinchilla
branches of accreditation body
• In 2009 Costa Rica received like AAAASF and AAAHC
approx. 30.000 medical (deeming authorities for
travelers injecting about CMS).
U$250 million in Costa • Today there are more than
Rica’s economy 20 ambulatory clinics
internationally accredited
ABOUT COSTA RICA
Costa Rica: quality health care and nature within your reach!
3. • PROMED is the board for the promotion and quality
assurance of the Costa Rican healthcare industry.
• PROMED is a private association of accredited
Hospitals, certified Doctors, Universities and Tourist
Services, supported by the Costa Rica Ministry of
Health and the Costa Rica Tourism Board.
• Through the seal of quality PROMED makes sure
that any healthcare and recovery facility provides
with services of excellence in favor of patients
security.
ABOUT PROMED
PROMED: the gate to quality healthcare in Costa Rica!
5. • WHAT is a Global Centers of Excellence
Program
• COMPONENTS of a Quality Program
• SPECIALTIES of a Program
• WHY Enhance Your Benefit Program
• Benefits to YOUR COMPANY
• Benefits to YOUR
EMPLOYEES/RETIREES
• HOW to Add Global Centers of Excellence
Agenda
Courtesy of
7. Designed to
Improve
Outcomes
Bariatric
Cost Savings Humana Provided Travel
with Reduced for Member and
Complications 1982 Companion
Every Major
City has
Multiple COE’s
Centers of Excellence (COE)
Courtesy of
8. Quality
Outcomes
for a
Reduced
Cost
Highly
Accredited
English
Speaking
Providers
JCI
Accredited Specialized
(similar to Targeted
US Procedures
Standards)
What is a GLOBAL CENTERS
OF EXCELLENCE PROGRAM
Courtesy of
9. Joint Commission Joint Commission
Accreditation – United States Accreditation - International
• Correctly ID Patient • Correctly ID Patient
• Improve Effective • Improve Effective
Communications Communications
• Improve High-Alert Med • Improve High-Alert Med
Safety Safety
• Ensure Correct site, • Ensure Correct site,
Correct-Procedure, Correct-Procedure,
Correct-Patient Surgery Correct-Patient Surgery
• Reduce Risk of Health • Reduce Risk of Health
Care – Associated Care – Associated
Infections Infections
• Reduce Risk of Patient • Reduce Risk of Patient
Harm Resulting from Falls Harm Resulting from Falls
Although US Accreditation is different the standards for the International Community are
same and in some cases more stringent
Accreditation
Courtesy of
11. Reduced
THE PATIENT ADVOCATE Cost
IS THE KEY !!!
Facilitating the process
for the member
- Medical Necessity
- Providing Cost and Adverse
Measurable Patient
Provider Options Outcome
Outcomes Advocate
Protection
- Coordinating Travel
and In-Country
Transportation
- Facilitating Claim
Payment
- Providing Medical Enhanced
Follow Up Contact Clinical
Service
Components of a Global
Centers of Excellence Program
Courtesy of
13. Volume of
Procedure at
Facility or by
Provider
Complications Morbidity
Re-admission or
Secondary Mortality
Infection Rates
Measurable Outcomes
Courtesy of
15. • Increased Level of Service
• RN patient ratio 4:1
Nursing • US nursing ratio can exceed 10:1
•Many US/ Western Trained Physicians
•Technologically advanced hospitals
Technology/ •Example: oxygen chamber to enhance healing after surgery
Training •Private rooms
•Recovery Centers with personalized care
•Patient Advocate coordinates return to home country; follow patient through
Follow up recovery
Enhanced Clinical Experience
Courtesy of
17. Domestic US International
• Mal-practice • Insurance Policy
Insurance
• Specific
• Legal System
• Protections for
• Protracted
• Uncertain both patient and
• Up to 33% of Award to employer/plan
Lawyers
• Outcome
• Adversarial Assured
• Outcome
Uncertain
Adverse Outcome Protection
Courtesy of
18. Up to 50%
Up to 90% on
savings in Up to 80%
Prescription
Medical for Dental Savings
Drugs
Package Price
Reduced Cost
Courtesy of
19. • Savings of up to 80% on Dental Procedures
• Most US dental plans pay 50% up to $1000-$2000
annually costing member thousands, if not tens of
thousands out of pocket
• Package price savings of approximately 50% for
Medical
• Saves Plan Money (ERISA allows use of tax advantage
dollars)
• May save employee money (FSA, HSA, Possible HRA)
• Prescription Drug savings
• Nexium 30 day 40 mg, available OTC for $22
• US cost $160, prescription required
• One of the TOP 5 drug in ANY US corporate medical
plan
Reduced Cost
Courtesy of
20. • Knee
• Sleeve
• Hip
• Lap Band
• Shoulder
• Roux-en-Y
• Full Rehabilitation
Included
Orthopedic Bariatric
Major
Plastic and
Surgery Cosmetic
Dental
• Face/Neck • Implants
• Body Contouring • Crowns
• Enhancements • Veneers
• Laser Re-Sculpting • Whitening
Specialties
Courtesy of
21. Company Employee
• Cost savings • Patient Advocate
• Comparable • Comparable
Quality Quality
• Enhanced Service • Enhanced Service
• Tourism
• Competitive
Difference • Potential Cost
Savings
• Embracing Global • Dental
Workforce • Cosmetic
Solutions • Potential Design
Changes to Reduce
Out of Pocket Cost
Who Benefits? EVERYONE !!!
Courtesy of
22. • Self Funded Employer – Houston
• 2 employees
• BMIs of +40 and 32
• Procedure – Gastric Sleeves
• Outcome – at 6 months more than 100lbs
combined – No complications.
• Cost –
• Houston $30,000 -$35,000
• Costa Rica $14,000 (included travel, hotel,
surgery, complication insurance, companion)
• Savings = 53%
CASE STUDY 1
Courtesy of
23. • Employee seeking full mouth reconstruction
• Employer Dental plan annual maximum $2,500
• Cost –
• Houston $38,000 over 6 months
• Absent from work 21 days
• Costa Rica $16,000 over 2 weeks,
• Absent from work 14 days
• Savings –
• Employer 7 days of lost time ($8,500)
• Employee $22,000 ($35,500 - $13,500)
CASE STUDY 2
Courtesy of
25. Design Plan
Decide on
Specialties
Incentives Competitive
Obtain
Committee
Contract with
Patient Enhanced
Advocate
Approval
Organization Benefit
Amend
Documents
Employee
Communications Offering
HOW TO ADD THIS TO YOUR PLAN
Courtesy of
26. Prevalence Of Obesity…Trends Among
U.S. Adults between 1985 and 2009
Definitions:
• Obesity: Body Mass Index (BMI) of 30 or higher.
• Body Mass Index (BMI): A measure of an adult’s
weight in relation to his or her height, specifically
the adult’s weight in kilograms divided by the
square of his or her height in meters.
27. Obesity Trends* Among U.S. Adults
BRFSS, 1985 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14%
28. Obesity Trends* Among U.S. Adults
BRFSS, 1986 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14%
29. Obesity Trends* Among U.S. Adults
BRFSS, 1987 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4”
person)
No Data <10% 10%–14%
30. Obesity Trends* Among U.S. Adults
BRFSS, 1988 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14%
31. Obesity Trends* Among U.S. Adults
BRFSS, 1989 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14%
32. Obesity Trends* Among U.S. Adults
BRFSS, 1990 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14%
33. Obesity Trends* Among U.S. Adults
BRFSS, 1991 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19%
34. Obesity Trends* Among U.S. Adults
BRFSS, 1992 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19%
35. Obesity Trends* Among U.S. Adults
BRFSS, 1993 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19%
36. Obesity Trends* Among U.S. Adults
BRFSS, 1994 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19%
37. Obesity Trends* Among U.S. Adults
BRFSS, 1995 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19%
38. Obesity Trends* Among U.S. Adults
BRFSS, 1995 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19%
39. Obesity Trends* Among U.S. Adults
BRFSS, 1997 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% ≥20%
40. Obesity Trends* Among U.S. Adults
BRFSS, 1998 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% ≥20%
41. Obesity Trends* Among U.S. Adults
BRFSS, 1999 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% ≥20%
42. Obesity Trends* Among U.S. Adults
BRFSS, 2000 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% ≥20%
43. Obesity Trends* Among U.S. Adults
BRFSS, 2001 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% ≥25%
44. Obesity Trends* Among U.S. Adults
BRFSS, 2002
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% ≥25%
45. Obesity Trends* Among U.S. Adults
BRFSS, 2003 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% ≥25%
46. Obesity Trends* Among U.S. Adults
BRFSS, 2004 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% ≥25%
47. Obesity Trends* Among U.S. Adults
BRFSS, 2005 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
48. Obesity Trends* Among U.S. Adults
BRFSS, 2006 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
49. Obesity Trends* Among U.S. Adults
BRFSS, 2007 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
50. Obesity Trends* Among U.S. Adults
BRFSS, 2008 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
51. Obesity Trends* Among U.S. Adults
BRFSS, 2009 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
52. Obesity Trends* Among U.S. Adults
BRFSS, 1990, 1999, 2009
(*BMI ≥30, or about 30 lbs. overweight for 5’4” person)
1990 1999
2009
No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
53. THANK YOU!
The Council for International Promotion of Costa Rica Medicine
PROMED
US phone number (305) 381-2988
Costa Rica +506 2201-5265
info@promedcostarica.com
54. Obesity Trends Among U.S. Adults
between 1985 and 2009
Source of the data:
• The data shown in these maps were collected
through CDC’s Behavioral Risk Factor Surveillance
System (BRFSS). Each year, state health
departments use standard procedures to collect data
through a series of telephone interviews with U.S.
adults.
• Prevalence estimates generated for the maps may
vary slightly from those generated for the states by
BRFSS (http://aps.nccd.cdc.gov/brfss) as slightly
different analytic methods are used.
55. • In 1990, among states participating in the Behavioral Risk Factor
Surveillance System, ten states had a prevalence of obesity less than
10% and no states had prevalence equal to or greater than 15%.
• By 1999, no state had prevalence less than 10%, eighteen states had a
prevalence of obesity between 20-24%, and no state had prevalence
equal to or greater than 25%.
• In 2009, only one state (Colorado) and the District of Columbia had
a prevalence of obesity less than 20%. Thirty-three states had a
prevalence equal to or greater than 25%; nine of these states
(Alabama, Arkansas, Kentucky, Louisiana, Mississippi, Missouri,
Oklahoma, Tennessee, and West Virginia) had a prevalence of
obesity equal to or greater than 30%.
56. Citations
• BRFSS, Behavioral Risk Factor Surveillance System
http: //www.cdc.gov/brfss/
• Mokdad AH, et al. The spread of the obesity epidemic
in the United States, 1991—1998 JAMA 1999;
282:16:1519–22.
• Mokdad AH, et al. The continuing epidemics of obesity
and diabetes in the United States. JAMA. 2001;
286:10:1519–22.
• Mokdad AH, et al. Prevalence of obesity, diabetes, and
obesity-related health risk factors, 2001. JAMA 2003:
289:1: 76–9
• Vital Signs: State-Specific Obesity Prevalence Among
Adults —United States, 2009 MMWR 2010;59(30).