4 Miles For Smiles Race Team Dr. Robert Hall – Driver, Co-Owner Alice Cooper – Co-OwnerDr. Hall has driven NASCAR qualityStock Cars at Charlotte Motor Speedway,Texas Motor Speedway, andChicagoland Speedway. Dr. Hall is a generaldentist focusing his interest toward cosmeticdentistry. When Dr. Hall is not practicingdentistry or racing cars he enjoys lecturing atconventions or offering his Dental talents to lessfortunate people in Central America.
9 “Because I skate to where the puck is going to benot where the puck isor used to be”Wayne Gretsky
10 Presentation Objectives Dental/Medical Travel 101 (Survey)Patient’s & Doctor PerspectiveHospital or Clinic Selection & WellnessHotels, Transportation, PharmaciesWhy is Dental/Medical Travel growing?Current Status of Medical TravelWhy Latin America & Costa Rica?
11 Looking for Solutions to USA Healthcare Problems…
12 Public and Private Schools Dental & MedicalExpertise & EducationPublic and Private SchoolsDental Schools5 years plus 1 Year of Social ServiceAdditional Years for SpecialtyMedical School5 years plus Hospital Internship
15 Joint Commission Accreditation – United States Joint Commission Accreditation - InternationalCorrectly ID PatientImprove Effective CommunicationsImprove High-Alert Med SafetyEnsure Correct site, Correct-Procedure, Correct-Patient SurgeryReduce Risk of Health Care – Associated InfectionsReduce Risk of Patient Harm Resulting from FallsCorrectly ID PatientImprove Effective CommunicationsImprove High-Alert Med SafetyEnsure Correct site, Correct-Procedure, Correct-Patient SurgeryReduce Risk of Health Care – Associated InfectionsReduce Risk of Patient Harm Resulting from Falls
16 Enhanced Clinical Experience NursingIncreased Level of ServiceCosta Rica Nurse/Patient Avg. Ratio 3:1USA Nurse/Patient Ratio Avg. 10:1Technology/ TrainingMany USA Trained Dentist & Physicians Post Dental/Medical SchoolTechnologically Advanced Hospitals & ClinicsExample: Oxygen Chamber to Enhance Healing After Surgery, Dental 3-D Imaging ScanPrivate Hospital Rooms in CR is TypicalFollow upRecovery Centers with Personalized 1:1 CarePatient Advocate Coordinates Return to USA-PromedFollow Patient Through Recovery
17 Dental & Medical Clinic Accreditation American Association for AccreditationOf Ambulatory Surgery FacilitiesAccreditation Association forAmbulatory Health Care
18 Healthcare in Costa Rica What is PROMEDPromotion and Quality Assurance of the Healthcare IndustryAssociation of Accredited Hospitals, Certified Dentist & Medical Doctors, Universities and Tourist ServicesSupported Ministry of Health and Tourism BoardNon-profit OrganizationThrough the Seal of QualityAssure any Healthcare and Recovery Facility Provides Services of Excellence that Benefits the Patients Well Being and SecurityPROMEDThe Gate to QualityHealthcare in Costa Rica
20 WHO WHAT WHERE WHEN HOW “HOW” Do I Plan to Pay “WHAT” All Options Provided by DoctorAll Options Provided by HospitalNo Insurance CoverageDue to Elective“WHAT”Decide on the DoctorThorough Exam by InternistI Mean-THOROUGHLaboratory Blood WorkAgree on What Can be Done“WHO”Ask Friends and NeighborsAsk Co-workersAsk Promed“WHERE”Doctor Provided VariousHospital OptionTour the HospitalReview Accreditations“WHEN”Many OptionsTime for Me to Decide
24 Dental/Medical Travel A DOCTOR’S PERSPECTIVEIncreasing High Cost in USA & CanadaGlobal TechnologyAffordable Travel & Close to USA/CanadaTrade LiberalizationIncreased Foreign Investment (Hospitals)Qualified WorkforceQualified AccreditationsTravel Service CompaniesWhat is DrivingDental/Medical Travel
25 Outbound PatientsSeeking Dental/MedicalHealthcare AbroadFrom USA
27 How Are Patients Finding Dental/Medical Providers
28 So What is Next? It’s Our Decision What is Going to Happen to USA Healthcare System?So What is Next?It’s Our DecisionHow Quickly will Employers/CorporationsMake a Change or Decision toTo Offer Alternative Healthcare Options?How Will the USA Healthcare NetworksReact to New CompetentCompetition Abroad?
29 The Chicken was “Involved” The Pig was “Committed” The difference between“Involved” and “Committed”Is like an Egg and Ham Breakfast…………The Chicken was“Involved”The Pig was“Committed”
30 WHY COSTA RICA? STRATEGIC LOCATION ECONOMIC AND POLITICAL STABILITY QUALITY OF LIFE AND SAFEACCREDITED HOSPITALS & CLINICSSTATE-OF-THE ART DENTAL/MEDICAL TECHNOLOGYQUALIFIED DENTAL/ MEDICAL PROFESSIONALSTOP SUSTAINABLE TOURISM DESTINATIONSAVE MONEY for EMPLOYER & EMPLOYEE
31 Why Travel To Latin America & Costa Rica for Healthcare? AccessibilityFew Hours Travel by AirSpecialized Travel Services for International PatientsCost50-80% Savings for Dental/Medical Care and Prescription MedicationsExperienceMany Dentist & Physicians Post Dental/Medical School USA Training300,000+ Patients Travel from USA To Latin America for Dental/Medical Care Every YearQuality36 JCI Accredited Hospitals in Latin America50+ Ambulatory Facilities Internationally AccreditedLatin American Home of AAAASF & AAAHC is Costa Rica
32 Reduced Cost Approximately 50% savings in Medical for Package Price Approximately 70% Dental Savings% on Prescription Medications
38 Incentive for the Patient Incentive for SI Companies/Insurance CompaniesSave Significant Amount of MoneySave Employee MoneySave Days Away from WorkBenefit Attracts Better EmployeesHAPPY EMPLOYEE & COMPANIONIncentive for the PatientWaive the $5000 DeductibleDental/Medical Vacation in Latin AmericaAll Expenses PaidQuality and Competence
41 DENTAL PROCEDURE -2011 Data $ USA & CANADA$ ACCREDITED CLINICCrown-Porc Fused to Metal$ ,200.00$Crown-Solid Porcelain$ ,400.00$Veneer-Porcelain$ ,300.00$Implant-Zimmer$ ,600.00$Root Canal$Filling-Composite$$Bridge-PFM, 3-unit$ ,800.00$ ,200.00Extraction-Erupted$$Hygiene Cleaning$$Panorex x-ray$$Laser Whitening with Trays$
42 Significant Cost Savings = 62% CASE STUDY 2Employee Full Mouth ReconstructionEmployer Dental Plan Annual Max. $2,500Cost –Houston $38, Time: 6 monthsAbsent from Work: 21 daysCosta Rica $16, Time: 2 weeks,Absent from work 14 daysSavings –Employer 7 days of lost time $8,500)Employee = $22,000Significant Cost Savings = 62%
51 Prescription Medications USA Costa RicaLipitor 40 mg $ $ %Cymbalta 60 mg $ $ %Nexium 40 mg $ $ %Viagra 100mg $ $ %*Costa Rica Retail Prices from Real Farmacia. No Prescription is Required.USA Retail Prices from CVS Pharmacy. Dr. Prescription is Required
56 Company Employee Who Benefits? EVERYONE !!! Patient Advocate Cost SavingsComparable QualityEnhanced ServiceCompetitive DifferenceEmbracing Global Workforce SolutionsHappy EmployeeLess Time Away more ProductivePatient AdvocateComparable QualityEnhanced ServiceTravelPotential Cost SavingsDentalCosmeticPotential Design Changes to Reduce Out of Pocket CostWho Benefits? EVERYONE !!!
59 Hospital orClinicWellnessTransportationHotel / B & BPharmacy
60 CLINIC CRITERIA USA Phone number (1800 or Skype) Fluent English Speaking Person Answering PhoneFluent English Speaking DoctorCurrent and Accurate WebsiteCurrent AddressTravel Company or Personnel Utilized for Hotels, Tours & Transportation in Costa Rica
61 Clinical Accurate and Systematic Charting Method ADA & AMA Accepted Clinic Sterilization Methods - Documented TestingUtilize ADA & AMA Approved MaterialsVerification of Laboratory Materials UtilizedFor On-Site or Remote LaboratoryAcceptable to Un-announced Clinic & Laboratory Site Inspection and ChartReview by CDC Staff & USA Trained Doctor
62 Clinic Selection Must Meet All Criteria without Exception A Doctor (Dr. Hall) Trained in the USAWill Oversee & Monitor all Clinics& Laboratories for Quality Control