Medical Tourism: Global Context & The Economic Justification for Lithuania

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1 Medical Tourism: Global Context & The Economic Justification for Lithuania Renee-Marie Stephano, JD President Medical Tourism Association Editor Medical Tourism Magazine Editor Health Tourism Magazine MedicalTourismAssociation.com MedicalTourismMag.com HealthTourismMagazine.com Medical Tourism 101 Renee Marie Stephano Medical Tourism Association

2 Medical Tourism Defined People traveling from one country or city to another country or city for medical and/or wellness services. Affordability, Accessibility, Availability Quality Perception of Tourism Value

3 Medical Tourism Destinations Antigua Argentina Australia Bahamas Barbados Belgium Brazil Brunei Bulgaria Cayman Islands China Colombia Costa Rica Croatia Cuba Cyprus Czech Rep. Dominica Dominican Republic Egypt El Salvador Finland France Germany Great Britain Greece Guatemala Hong Kong Hungary India Iran Israel Italy Jordan Latvia Lithuania Malaysia Malta México New Zealand Panama Philippines Poland Saudi Arabia Medical Tourism 101 Renee Marie Stephano Medical Tourism Association Singapore South Africa South Korea Spain St. Marten Syria Taiwan Thailand Tunisia Turkey United States Venezuela Vietnam (Gahlinger, 2008; Horowtiz, 2008; MTA, 2012)

4 What Services they Seek? Orthopedics Cancer Treatment Heart Procedures Transplants Dental Treatment Bariatric Surgery Alternative Stem Cell Treatments Cosmetic Surgery Infertility Treatments Rehabilitation & Geriatric Hips, Knees, Back and Spine Diagnostics, Cyberknife, Stem Cell Angioplasty, Bypasses, Valve Replacements, Stem Cell Liver, Kidney, Lung Implants, Veneers, Crowns Lap Band, Gastric Bypass, Gastric Sleeve Acupuncture, Preventative, Homeopathy, Indigenous Alzheimer's, ALS, Parkinson's, Paralysis, Heart Face Lifts, Breast Implants, Corrective IVF, Fertility, Hormonal Disorders Acute and Chronic Conditions, Geriatric Care

5 Factors and Drivers Increased Global Access, Affordable Transport Affordability Global Establishment of Quality Standards Trade Liberalization GATTS/EU Cross Border Medical Additional Benefits Medical Tourism Availability Increased Demand for Cosmetic and Dental Procedures Quality of Care Accessibility Globalization of Workforces & Medical Training Acceptance by Employers & Health Plans

6 Foreign Investment Factors and Drivers Clusterization Others Involved Affordability Facilitators Growth Silver Tsunami Baby Boomers Additional Benefits Quality of Care Medical Tourism Accessibility Availability Educated Healthcare Consumerism

7 Worldwide Trends Medical Tourism 101 Renee Marie Stephano Medical Tourism Association

8 Global Struggling Healthcare Canada High waiting time Shortage of healthcare resources Lack of Private Participation High waiting time UK Aging Population Shrinking Revenue Europe Russia & CIS Aging Population Improve Quality US High Cost Uninsured Population Latin America/Caribbean Aging Population Lack Quality & Capacity Africa Lack of Appropriate Healthcare Services Lack of Quality HealthCare Services Medical Tourism 101 Renee Marie Stephano Medical Tourism Association China/ Japan Baby Boomers Over Hospital Stay Capacity GCC/Middle East/MENA Population Growth Chronic and Affluent Disorder Genetic Disorders Security

9 Know your Challenges High Quality Healthcare Perception of The Destination Tourism Benefits Affordable Healthcare Lithuanian Medical Tourism Opportunity

10 Successful Model High Quality Healthcare? Perception of The Destination? Tourism Benefits? Affordable Healthcare? Costa Rica Medical Tourism Opportunity

11 Quality of Care Circle Recovery & Long Term Outcome Monitoring The First Response Diagnostic Assessment & Pre Op Testing Continuum of Care Post-Operative Recovery & Post Op Care Quality of Care The Decision Confirmation of Nature & Scope of Treatment Communication of Risk & Informed Consent Delivery of Promise Transition to Treatment Transfer of Medical Records

12 Role of Facilitator Travel Airline Local Transport Documentation Legal Documents Patient Records Reports Claim Submission and Reimbursements Healthcare Identification Price Negotiation Monitoring Quality of Care Tourism / Concierge Translators Personalized Services Representative Tourism related arrangements

13 Role of Hotels Package Transparent Pricing Services Communication Sensitizing Staff Communication Training Coordinated Emergency Response Modifications Dietary / Menu Privacy Nursing Support Entertainment Tourism / Concierge Translators Personalized Services Appropriate Tourism Transportation

14 Why would they go? International Accreditation

15 Importance of Accreditation ISQua - JCI - Trent - Canadian Accreditation - Australian Accreditation - ICONTEC - Healthcare Accreditation Council -

16 Importance of MTA Certification Mission: To not only assure patient safety and quality through accreditation, but to add value to international patients by: Putting protocols and best practices in place to streamline patient flow, effectuate a good continuum of care, and ensure high patient satisfaction rates. Premised upon Transparency, Education and Communication

17 What's Impact of Inbound & Outbound Medical Tourism Impact towards Global Healthcare, Economy, Social & Environmental Sector

18 Innovation in Healthcare Inbound New Technology Development More Research funding and enhanced target market Outbound New technology access Access to better researched services and participation in learning process

19 Enhancement of Healthcare Delivery Medical Tourism 101 Renee Marie Stephano Medical Tourism Association Inbound State of the Art Centers Development of Centers of Excellence Outbound Excess to advanced healthcare Learning opportunities from healthcare developed market

20 International Healthcare Standards Medical Tourism 101 Renee Marie Stephano Medical Tourism Association Inbound Adoptions of International Standards Learning cultural, ethical & legal issues Unification of international standards Outbound Access or extension of healthcare standards Informed consumer / aware consumer

21 Where is the Competitive Advantage? Through a SWAT Analysis, where does Lithuania stand?

22 Quality of Care Circle Recovery & Long Term Outcome Monitoring The First Response Diagnostic Assessment & Pre Op Testing Continuum of Care Post-Operative Recovery & Post Op Care Quality of Care The Decision Confirmation of Nature & Scope of Treatment Communication of Risk & Informed Consent Delivery of Promise Transition to Treatment Transfer of Medical Records

23 Value Proposition ~ Lithuania 2.2 Million Visitors - Russia, Latvia, Poland & Belarus (Germany, Finland, Italy & UK secondary) - Cultural Epicenter - Tourism - Vilnius, Trakai, Palanga, Nida, etc. - 3 International Airports - Cardiology, Cosmetic, Dentistry, Stem Cell, Oncology, Wellness, Spa & Recovery - Agreement for joint purchasing of drugs reduces prices 2012

24 Challenges Brain Drain - Germany hiring without experience requisite - Need for more language skills offered free - Need better salaries - Better work schedules - Social Assurance - Reduced Red Tape - BUT Gross Earnings Increased 2.8% end 2011

25 Medical Tourism Product Medical Tourism 101 Renee Marie Stephano Medical Tourism Association

26 It s About the Patient Experience Medical Tourism 101 Renee Marie Stephano Medical Tourism Association

27 Thank You Ačiū MedicalTourismAssociation.com MedicalTourismMag.com HealthTourismMagazine.com

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