Todd Medical Tourism Facilitator's Handbook

1. Auflage 2012
ISBN: 978-1-4665-1355-6
Verlag: Taylor & Francis
Format: EPUB
Kopierschutz: Adobe DRM (»Systemvoraussetzungen)

E-Book, Englisch, 180 Seiten

In addition to coordinating health travel logistics and gathering medical records, medical tourism facilitators play the role of travel agent, appointment setter, concierge, hotel reservationist, tour operator, and hand-holder to clients seeking health services domestically and abroad. Addressing the issues that are likely to emerge as clients travel, the Medical Tourism Facilitator's Handbook is a must-have resource of hard-to-find tools, checklists, terminology, and other helpful information for hospital-based, lay facilitators, travel agents, and even retired physicians and nurses.

Supplying the advice of a recognized expert in global healthcare, the book provides a detailed and empathic understanding of patient needs and expectations. It covers the full range of best and worst case scenarios that can occur when clients travel to obtain health services. Using a conversational tone, it includes coverage of international travel logistics, where to find answers to immigration concerns, confidentiality/privacy issues, and unanticipated care in transit in the event of complications or missed connections.

The book delivers a fast-moving presentation of useful information and teaches readers how to decode the language, what to look for in terms of safety and quality, how to decode hospital facilitator agent agreements, and how to anticipate clients’ needs and expectations. It also includes access to a regularly updated website with helpful worksheets and reference material so you will be prepared to handle any scenario that might present itself when your clients travel.

Zielgruppe

Medical Tourism facilitators, case manager, utilization review managers and directors, discharge planning managers and directors. Managers and directors of insurance companies responsible for global medical care services; others interested in becoming facilitators in this emerging market. Travel agents interested in becoming medical facilitators.

Autoren/Hrsg.

Todd, Maria K.

Fachgebiete

• Medizin | Veterinärmedizin Medizin | Public Health | Pharmazie | Zahnmedizin Medizin, Gesundheitswesen Gesundheitssystem, Gesundheitswesen
• Wirtschaftswissenschaften Betriebswirtschaft Management
• Medizin | Veterinärmedizin Medizin | Public Health | Pharmazie | Zahnmedizin Pflege Krankenpflege

Inhaltsverzeichnis

Defining the Role of the Facilitator
Professional Medical Travel Facilitator
Case Management
Travel Planner
Travel Agent Individual Designations The Travel Agent Proficiency (TAP) Test Certified Travel Associate (CTA) Designation Travel Agency Credentials IATA/IATAN Endorsement IATAN Credentials/ID Cards Agency Appointments Airlines Reporting Corporation (ARC)
Agencies Without ARC Accreditation or Appointments
Regulatory Oversight
Computer Software and Programs to Support Your Travel Agency Business
Web Portal (Electronic Mail)
Concierge
Additional Resources Trade and Industry Organizations American Society of Travel Agents ASTA Future Travel Professional (FTP) Club National Association of Commissioned Travel Agents, Inc. International Airlines Travel Agent Network (IATAN)— www.iatan.org Airline Reporting Corporation—www.arccorp.com
Travel Agency Bonds
Travel Trade Publications
Travel Agency Software

Business Startup
Business Plan
Present Status of the Business
Describe Your Competitive Advantage
Industry Overview
Marketing Plan
Customer Service Plan
Technology Plan
Consultants for Your Business
Compliance Plan
Basic Privacy Laws
Developing a Medical Records and Electronic Data Privacy and Security Plan
The Red Flags Rule: Fair and Accurate Credit Transactions Act (FACTA)
Compliance
Health Insurance Portability and Accountability Act (HIPAA) Privacy and Security Compliance
Health Care Business Associate Agreement Recitals Definitions Specific Definitions Obligations and Activities of Business Associate Permitted Uses and Disclosures by Business Associate Obligations of Covered Entity Permissible Requests by Covered Entity Term and Termination Miscellaneous
Health Information Technology for Economic and Clinical Health (HITECH)

Developing a Business Startup Budget
Financial Projections
Cash Management Plan
Costly Contingencies, Refunds, and Liabilities
Nonrefundable and Partially-Refundable Deposits
Ostensible Agency Liability
Failure to Perform Due Diligence
Privity of Contract
Joint and Several Liability
Liquidated Damages
Slow Pay

Understanding Managed Care and Health Care Reimbursement
Health Plans in the United States
Health Maintenance Organizations (HMOs)
Administrative Services Organizations (ASOs)
Preferred Provider Organizations (PPOs)
Third-Party Administrators (TPAs)
Exclusive Provider Organizations (EPOs)
Consumer-Driven Health Plans (CDHPs)
Medicare and Medicaid

Building Your Product and Inventory
What Do You Sell?

The Procedures
Paper or Software?
Anesthesia Overview
General Anesthesia
Regional (Block) Anesthesia
Spinal Anesthesia
Epidural and Caudal Anesthesia
Peripheral Nerve Block
Intravenous Regional Anesthesia (Bier Block)
Monitored Anesthesia Care (MAC) (Anesthesia Standby)
Local Anesthesia
Acupuncture and Hypnosis
Hypnotic Anesthesia
Postanesthesia Recovery
An Overview of Medical Procedures Diagnostic Procedures Cancer Treatment Cardiac surgery Laryngectomy Biopsy Myotomy Radiosurgery Laparoscopy Cauterization Pleurodesis Grafting Hemorrhoidectomy Fistulotomy Parathyroidectomy Angioplasty Cricothyrotomy or Corodotomy Endoscopic Thoracic Sympathectomy Frenectomy Eye Surgery Corneal Transplantation Refractive Surgery Cataract Surgery Macular Degeneration Glaucoma Retinal Detachment
Gynecological Surgery Hysterectomy Oophorectomy Episiotomy Tubal ligation Tubal reversal (tubal anastomosis) Colporrhaphy Lithotripsy Orchidectomy Circumcision Foreskin restoration Penectomy or Peotomy Phalloplasty Vasectomy Prostatectomy
Discectomy
Bilateral Cingulotomy
Cordotomy or Chordotomy
Orthopedic Surgery Hip Replacement Hip Resurfacing (Birmingham HipTM) Arthrodesis Arthroplasty Arthroscopy
Knee Replacement (TKR) Partial Knee Resurfacing/Unicondylar Knee Arthroplasty (UKA)/Journey Deuce Anterior Cruciate Ligament (ACL) Reconstruction
Shoulder Reconstruction Acromioplasty Ulnar Collateral Ligament Reconstruction or Tommy John Procedure
Amputation
Shoulder Replacement Pediatric Surgery Plastic Surgery Rhytidoplasty or rhytidectomy
BOTOX® Cosmetic, Dermal Fillers, and Other Wrinkle Treatments
Breast Augmentation (Implants) Breast Lift (mastopexy) Breast Reduction Breast Reconstruction Reconstructive Mammoplasty Lumpectomy Mammectomy or Mastectomy Flap Procedures Buttock Augmentation/Buttock Lift Eyelid Surgery (blepharoplasty) Ear Surgery (otoplasty) Myringotomy Stapedectomy Mastoidectomy Adenoidectomy Tracheotomy Tracheostomy Frontalis lift or Forehead Lift Liposuction Tummy Tuck (abdominoplasty) Thigh Lift Facelift (rhytidectomy) Thread Facelift Rhinoplasty (Nose Surgery) Mentoplasty
Podiatric Surgery
Regenerative Medicine Spine Surgery Khyphoplasty Laminectomy Hemicorporectomy
Urological Surgery Diverticulectomy Abdominal Surgery Splenectomy Pancreaticoduodenectomy Kidney Transplantation Lung Transplantation Thoracotomy Thrombectomy Thymectomy Pneumonectomy or Pneumectomy Nephrectomy Thyroidectomy Heart transplantation Hernia Repair Gastrectomy Nissen fundoplication Cholecystectomy Laparotomy Hepatectomy Appendectomy Cesarean section or C- Section Colon resection Colostomy
Weight Loss Surgery (Bariatric Surgery) Bariatric Surgery "Lite"

Workflows
Initial Contact
Contacting the Medical Experts
Reporting Back to the Client
Day Before Travel
Travel Day
On Arrival at the Destination
Hotel Considerations
Second-Tier City Considerations
RevPAR—Watch Out For "Ancillary" Fees
Keeping the Terms of the Negotiated Rates Are Key
Pointers on How to Negotiate
On the Day of Surgery or the Day Prior to Surgery
On the Day of Discharge
Postoperative Tourism and Leisure Activities
On the Day of Departure
On Return Back to the Client’s Home Country
Contracting for Your Services Working Up a Price Estimate Dealing with Extra Charges that May Arise
Travel Planning Planning the Travel for a Surgical Client Planning the Travel for a Wellness Visit Client Planning the Travel for a Diagnostic Services Client If the Client Is Unable to Travel in Commercial Airliners
Peri-Operative Planning Preoperative Details and Preparations
Postoperative: In Country, Prior to Departure
Postoperative, Follow-Up, and Aftercare
Postsurgery Recuperation Period

Spa Tourism; Derek Bryson Hedden
Target Market
Getting to Know Your Client
Services
Types of Spas Medical Spas Resort Spas Destination Spas Hot Springs Weight Loss Spas
Spa Associations

Quality and Safety Transparency; Lisa Beichl, Transparent Borders LLC
Types of Medical Tourism Groups and Venues Medical Tourism Venues General Medical Tourism Flow (Domestic and International)
Risk Assessments Market Risk Transition Risk
Importance of Transparency in Managing Risks
Importance of Market Transparency in International Medical Tourism
Quality and Safety Transparency
Accreditation
Patient Safety
Quality Tools to Promote Transparency
Risks and Rewards of Medical Tourism
Measuring Outcomes Surgical Site Infection Rates Readmission Rates Mortality Rates and Discharge Status Patient Satisfaction
Movement to Standard Best Practices

Putting It All Together: Your Provider Network
Anticircumvention
Professional Liability Issues Disclaimer of Liability Option 2: Each Responsible for Own Acts Theories of Liability Ostensible Liability Vicarious Liability Shared Liability Assignment of the Contract
Provider Credentialing and Privileging Agreement to Accept Hospital’s Credentialing Dispute Resolution Liquidated Damages Reimbursement and Financial Terms Exclusions and Inclusions Cancellations and Provider Refund Policies, If Any Commissions Forms or Methods of Payment Revenue Cycle Time Period for Provider to Receive Payment Confidentiality
Physician and Dentist Agreements Credentialing and Privileging Malpractice and Professional Liability Hotel Agreements Chauffeur Services
Contracts, Agreements, and Forms
Market Research
Medical Association Contact Information
Quality Metrics and Outcomes
Dealing with Late-Reported or Delayed Adverse Outcomes
Additional Resources
Bibliography
Index

Über Autor(innen)

Maria K. Todd, MHA, PhD, is the CEO of Mercury Healthcare. Dr Todd's background includes postgraduate degrees in Health Administration, and more than 30 years of healthcare industry experience. Her professional experience includes work as a HMO provider relations coordinator, an Independent Practice Association (IPA), Physician Hospital Organization (PHO), and Management Services Organization (MSO) developer and executive director, contract analyst and negotiator, medical group administrator, surgical assistant and EMT, hospital business office manager, health law paralegal and certified mediator. She is the author of the industry's bestselling book, IPA, PHO MSO Development Strategies: Building Successful Provider Alliances (1997, McGraw Hill and the HFMA, Chicago).
Dr. Todd has led the project management of more than 150 integrated health delivery systems, many still in successful operation today, and is a highly-regarded international healthcare industry consultant and contract negotiator who authored hundreds of journal articles, several white papers and nine professional trade books. Since 1989, she has presented more than 2700 US and International educational presentations and keynote addresses on topics ranging from managed care contract analysis, integrated delivery system development, medical tourism, contracted reimbursement, and global healthcare program development.

In her role with Mercury Healthcare, she leads the world's first and only globally integrated health delivery system® making its vast integrated provider network available by contract to a variety of payers of health benefits, including insurers, third party administrators or employers. Mercury also grants access to individual consumers seeking local care and domestic and international health travel for elective healthcare and related services, and manages logistical coordination and medical case management services for clients.