Todd Medical Tourism Facilitator's Handbook

1. Auflage 2011
ISBN: 978-1-4398-1284-6
Verlag: Taylor & Francis
Format: PDF
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 Pflege Krankenpflege
• Medizin | Veterinärmedizin Medizin | Public Health | Pharmazie | Zahnmedizin Medizin, Gesundheitswesen Gesundheitssystem, Gesundheitswesen
• Wirtschaftswissenschaften Betriebswirtschaft Management

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.