Medical Tourism Facilitator's Handbook: 1st Edition (Hardback) book cover

Medical Tourism Facilitator's Handbook

1st Edition

By Maria K. Todd

Productivity Press

180 pages | 9 B/W Illus.

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pub: 2011-11-23
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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)

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

About the Author

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.

Subject Categories

BISAC Subject Codes/Headings:
BUS042000
BUSINESS & ECONOMICS / Management Science
MED003000
MEDICAL / Allied Health Services / General
MED035000
MEDICAL / Health Care Delivery