Medical Tourism Facilitator's Handbook  book cover
1st Edition

Medical Tourism Facilitator's Handbook

ISBN 9781439812839
Published November 23, 2011 by Productivity Press
180 Pages 9 B/W Illustrations

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USD $68.95

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Book Description

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.

Table of Contents

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)
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)—
     Airline Reporting Corporation—
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)
Health Insurance Portability and Accountability Act (HIPAA) Privacy and Security Compliance
Health Care Business Associate Agreement
          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
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
     Cricothyrotomy or Corodotomy
     Endoscopic Thoracic Sympathectomy
     Eye Surgery
          Corneal Transplantation
          Refractive Surgery
          Cataract Surgery
          Macular Degeneration
          Retinal Detachment
Gynecological Surgery
     Tubal ligation
     Tubal reversal (tubal anastomosis)
     Foreskin restoration
     Penectomy or Peotomy
Bilateral Cingulotomy
Cordotomy or Chordotomy
Orthopedic Surgery
     Hip Replacement
     Hip Resurfacing (Birmingham HipTM)
Knee Replacement (TKR)
     Partial Knee Resurfacing/Unicondylar Knee Arthroplasty (UKA)/Journey Deuce
     Anterior Cruciate Ligament (ACL) Reconstruction
Shoulder Reconstruction
     Ulnar Collateral Ligament Reconstruction or Tommy John Procedure
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
     Mammectomy or Mastectomy
     Flap Procedures
     Buttock Augmentation/Buttock Lift
     Eyelid Surgery (blepharoplasty)
     Ear Surgery (otoplasty)
     Frontalis lift or Forehead Lift
     Tummy Tuck (abdominoplasty)
     Thigh Lift
     Facelift (rhytidectomy)
          Thread Facelift
     Rhinoplasty (Nose Surgery)
Podiatric Surgery
Regenerative Medicine
     Spine Surgery
Urological Surgery
     Abdominal Surgery
     Kidney Transplantation
     Lung Transplantation
     Pneumonectomy or Pneumectomy
     Heart transplantation
     Hernia Repair
     Nissen fundoplication
     Cesarean section or C- Section
     Colon resection
Weight Loss Surgery (Bariatric Surgery)
     Bariatric Surgery "Lite"

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
     Recuperation Period

Spa Tourism; Derek Bryson Hedden
Target Market
Getting to Know Your Client
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
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
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
          Forms or Methods of Payment
          Revenue Cycle
          Time Period for Provider to Receive Payment
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


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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.