1. SPORTS MEDICAL CENTRER OF ARUBA

2. A Sports Medicine Facility on Aruba The introduction of Sports Medicine Care as part of the shift of Healthcare Services. Moving towards Maintaining One's Health on Aruba. 2/64

3. Sports Medicine Sports medicine is a branch of medicine that deals with physical fitness, treatment and prevention of injuries related to sports and exercise. Sports medicine is an “umbrella term” used to define specialties in preventing, diagnosing, and treating injuries related to participation in sports, physical activity and/or exercise. 3/64

4. Sports Medicine Sports medicine is a branch of medicine that deals with physical fitness, treatment and prevention of injuries related to sports and exercise. Sports medicine is an “umbrella term” used to define specialties in preventing, diagnosing, and treating injuries related to participation in sports, physical activity and/or exercise. 4/64

5. Sports Medicine Sports medicine is a branch of medicine that deals with physical fitness, treatment and prevention of injuries related to sports and exercise. Sports medicine is an “umbrella term” used to define specialties in preventing, diagnosing, and treating injuries related to participation in sports, physical activity and/or exercise. 5/64

6. Sports Medicine Sports medicine is a branch of medicine that deals with physical fitness, treatment and prevention of injuries related to sports and exercise. Sports medicine is an “umbrella term” used to define specialties in preventing, diagnosing, and treating injuries related to participation in sports, physical activity and/or exercise. 6/64

7. Maintaining One's Health Caring for oneself by being aware of the need and doing what is required to look after one's health, both to respond to risks to health and to prevent ill-health, such as by seeking professional assistance; following medical and other health advice; and avoiding risks to health such as physical injury, communicable diseases, drug- taking and sexually transmitted diseases. 7/64 World Health Organization, International Classification of Functioning, Disability and Health, Geneva, 2001, Classification, Assessment, Surveys and Terminology Team.

8. Maintaining One's Health Caring for oneself by being aware of the need and doing what is required to look after one's health, both to respond to risks to health and to prevent ill-health, such as by seeking professional assistance; following medical and other health advice; and avoiding risks to health such as physical injury, communicable diseases, drug- taking and sexually transmitted diseases. 8/64 World Health Organization, International Classification of Functioning, Disability and Health, Geneva, 2001, Classification, Assessment, Surveys and Terminology Team.

9. Maintaining One's Health Caring for oneself by being aware of the need and doing what is required to look after one's health, both to respond to risks to health and to prevent ill-health, such as by seeking professional assistance; following medical and other health advice; and avoiding risks to health such as physical injury, communicable diseases, drug- taking and sexually transmitted diseases. 9/64 World Health Organization, International Classification of Functioning, Disability and Health, Geneva, 2001, Classification, Assessment, Surveys and Terminology Team.

10. Maintaining One's Health Caring for oneself by being aware of the need and doing what is required to look after one's health, both to respond to risks to health and to prevent ill-health, such as by seeking professional assistance; following medical and other health advice; and avoiding risks to health such as physical injury, communicable diseases, drug- taking and sexually transmitted diseases. 10/64 World Health Organization, International Classification of Functioning, Disability and Health, Geneva, 2001, Classification, Assessment, Surveys and Terminology Team.

11. Maintaining One's Health Caring for oneself by being aware of the need and doing what is required to look after one's health, both to respond to risks to health and to prevent ill-health, such as by seeking professional assistance ; following medical and other health advice; and avoiding risks to health such as physical injury, communicable diseases, drug- taking and sexually transmitted diseases. 11/64 World Health Organization, International Classification of Functioning, Disability and Health, Geneva, 2001, Classification, Assessment, Surveys and Terminology Team.

12. Maintaining One's Health Caring for oneself by being aware of the need and doing what is required to look after one's health, both to respond to risks to health and to prevent ill-health, such as by seeking professional assistance; following medical and other health advice ; and avoiding risks to health such as physical injury, communicable diseases, drug- taking and sexually transmitted diseases. 12/64 World Health Organization, International Classification of Functioning, Disability and Health, Geneva, 2001, Classification, Assessment, Surveys and Terminology Team.

13. Maintaining One's Health Caring for oneself by being aware of the need and doing what is required to look after one's health, both to respond to risks to health and to prevent ill-health, such as by seeking professional assistance; following medical and other health advice; and avoiding risks to health such as physical injury, communicable diseases, drug- taking and sexually transmitted diseases. 13/64 World Health Organization, International Classification of Functioning, Disability and Health, Geneva, 2001, Classification, Assessment, Surveys and Terminology Team.

14. Maintaining One's Health Caring for oneself by being aware of the need and doing what is required to look after one's health, both to respond to risks to health and to prevent ill-health, such as by seeking professional assistance; following medical and other health advice; and avoiding risks to health such as physical injury, communicable diseases, drug- taking and sexually transmitted diseases. 14/64 World Health Organization, International Classification of Functioning, Disability and Health, Geneva, 2001, Classification, Assessment, Surveys and Terminology Team.

15. Short Introduction The Aruban Healthcare System finds itself in a critical position where change in its dynamics must take place. A change must take place in the consumption of care from “exclusively disease care” to “inclusive health self- (preventive)management” 15/64

16. Short Introduction The Aruban Healthcare System finds itself in a critical position where change in its dynamics must take place. A change must take place in the consumption of care from “exclusively disease care” to “inclusive health self- (preventive)management” 16/64

17. Short Introduction The Aruban Healthcare System finds itself in a critical position where change in its dynamics must take place. A change must take place in the consumption of care from “exclusively disease care” to “inclusive health self- (preventive)management” Expectation: Changes in the healthcare system will foster change in healthcare comsumption. 17/64

18. What is a Sports Medical Facility? Is a professional group practice where bundled knowledge is offered on: sports medicine. chiropractic care. sports psychology. sports physical therapy. sports nutrition. 18/64

19. What is a Sports Medical Facility? It is where a knowledgeable evaluation and treatment takes place of sports (exercise) related injuries. THE place for a tailored advice (prescription) and follow-up on physical activity and nutrition. Therapeutic Preventive Promoting 19/64

20. What is a Sports Medical Facility? It is where a knowledgeable evaluation and treatment takes place of sports (exercise) related injuries. THE place for a tailored advice (prescription) and follow-up on physical activity and nutrition. Therapeutic Preventive Promoting 20/64

21. What is a Sports Medical Facility? It is where a knowledgeable evaluation and treatment takes place of sports (exercise) related injuries. THE place for a tailored advice (prescription) and follow-up on physical activity and nutrition. Therapeutic Preventive Promoting 21/64

22. What is a Sports Medical Facility? It is where a knowledgeable evaluation and treatment takes place of sports (exercise) related injuries. THE place for a tailored advice (prescription) and follow-up on physical activity and nutrition. Therapeutic Preventive Promoting 22/64

23. What is a Sports Medical Facility? Is intended for the: athletic as for the non-athletic population. 23/64

24. What is a Sports Medical Facility? Is intended for the: athletic as for the non-athletic population. 24/64

25. What is a Sports Medical Facility? Serves as a referral center for specialized exercise prescription. Starts the job for the Primary Care Practitioners. Adjuncts to the treatment of medical specialties in the healthcare setting. 25/64

26. What is a Sports Medical Facility? Serves as a referral center for specialized exercise prescription. Starts the job for the Primary Care Practitioners. Adjuncts to the treatment of medical specialties in the healthcare setting. 26/64

27. What is a Sports Medical Facility? Serves as a referral center for specialized exercise prescription. Starts the job for the Primary Care Practitioners. Adjuncts to the treatment of medical specialties in the healthcare setting. 27/64

28. What is a Sports Medical Facility? Serves as a referral center for specialized exercise prescription. Starts the job for the Primary Care Practitioners. Adjuncts to the treatment of medical specialties in the healthcare setting. 28/64

29. Services of Sports Medical Care 1.Sports evaluations. 2.Sports injury assessment. 3.Sports injury (SI) treatment. 4.Prevention and surveillance of SI’s. 5.Sports/Physical activity advise. 6.Testing and measuring. 7.Advice on sports goods. 8.Nutrtion advice. 9.Sports/Physical activity guidance. 29/64

30. Services of Sports Medical Care 1.Sports evaluations. 2.Sports injury assessment. 3.Sports injury (SI) treatment. 4.Prevention and surveillance of SI’s. 5.Sports/Physical activity advise. 6.Testing and measuring. 7.Advice on sports goods. 8.Nutrtion advice. 9.Sports/Physical activity guidance. 30/64

31. Services of Sports Medical Care 1.Sports evaluations. 2.Sports injury assessment. 3.Sports injury (SI) treatment. 4.Prevention and surveillance of SI’s. 5.Sports/Physical activity advise. 6.Testing and measuring. 7.Advice on sports goods. 8.Nutrtion advice. 9.Sports/Physical activity guidance. 31/64

32. Services of Sports Medical Care 1.Sports evaluations. 2.Sports injury assessment. 3.Sports injury (SI) treatment. 4.Prevention and surveillance of SI’s. 5.Sports/Physical activity advise. 6.Testing and measuring. 7.Advice on sports goods. 8.Nutrtion advice. 9.Sports/Physical activity guidance. 32/64

33. Services of Sports Medical Care 1.Sports evaluations. 2.Sports injury assessment. 3.Sports injury (SI) treatment. 4.Prevention and surveillance of SI’s. 5.Sports/Physical activity advise. 6.Testing and measuring. 7.Advice on sports goods. 8.Nutrtion advice. 9.Sports/Physical activity guidance. 33/64

34. Services of Sports Medical Care 1.Sports evaluations. 2.Sports injury assessment. 3.Sports injury (SI) treatment. 4.Prevention and surveillance of SI’s. 5.Sports/Physical activity advise. 6.Testing and measuring. 7.Advice on sports goods. 8.Nutrtion advice. 9.Sports/Physical activity guidance. 34/64

35. Services of Sports Medical Care 1.Sports evaluations. 2.Sports injury assessment. 3.Sports injury (SI) treatment. 4.Prevention and surveillance of SI’s. 5.Sports/Physical activity advise. 6.Testing and measuring. 7.Advice on sports goods. 8.Nutrtion advice. 9.Sports/Physical activity guidance. 35/64

36. Services of Sports Medical Care 1.Sports evaluations. 2.Sports injury assessment. 3.Sports injury (SI) treatment. 4.Prevention and surveillance of SI’s. 5.Sports/Physical activity advise. 6.Testing and measuring. 7.Advice on sports goods. 8.Nutrtion advice. 9.Sports/Physical activity guidance. 36/64

37. Services of Sports Medical Care 1.Sports evaluations. 2.Sports injury assessment. 3.Sports injury (SI) treatment. 4.Prevention and surveillance of SI’s. 5.Sports/Physical activity advise. 6.Testing and measuring. 7.Advice on sports goods. 8.Nutrtion advice. 9.Sports/Physical activity guidance. 37/64

38. Services of Sports Medical Care 1.Sports evaluations. 2.Sports injury assessment. 3.Sports injury (SI) treatment. 4.Prevention and surveillance of SI’s. 5.Sports/Physical activity advise. 6.Testing and measuring. 7.Advice on sports goods. 8.Nutrtion advice. 9.Sports/Physical activity guidance. 38/64

39. Services of Sports Medical Care 1.Sports evaluations. 2.Sports injury assessment. 3.Sports injury (SI) treatment. 4.Prevention and surveillance of SI’s. 5.Sports/Physical activity advise. 6.Testing and measuring. 7.Advice on sports goods. 8.Nutrtion advice. 9.Sports/Physical activity guidance. 39/64

40. Products and services Obligatory sports assessment. Basic sports assessment. Basic plus sports assessment. Large (complete) sports assessment. Loose items. 40/64

41. Products and services Obligatory sports assessment: Compelling prior to participation. History and examination: o General internal assessment o General orthopaedic assessment. Results: “ suited” or “not suited”. PADI diving, etc. 41/64

42. Products and services Basic sports assessment: For sports/activities of <7 hr/wk History and examination: o General internal assessment o Sports/activity specific orthopaedic assessment Written advice and standard report to individual, sports team management (STM) and primary care practitioner (PCP). 42/64

43. Products and services Basic plus sports assessment: For sports/activities of >7 hr/wk History and examination: o General internal assessment o Sports/activity specific orthopaedic assessment o Lab work according to medical indication. Written advice and report to individual, STM and PCP. 43/64

44. Products and services Large (complete) sports assessment: Top sports and high risk patients. History and examination: o General internal assessment o Sports/activity specific orthopaedic assessment o Lab work according to medical indication. o Fitness stress testing (ECG, [Lact + ], VO 2max ) Extensive instruction and report to individual, SMT, PCP and specialist team. 44/64

45. Products and services Loose items: Body Composition Analysis. Actigrafy (use of accelerometry). Fitness stress testing (ACSM protocols). e-Consult (email, social media, patient/user portal) Short phone consults (simple items). Long phone consults (extensive items). Group reports. 45/64

46. Sports care and sports insurance Netherlands: Insurance companies keep offering more options for sports insurance to 8.5 million people. Covering of sports care falls under complimentary insurance. On Aruba: just 2200-2500 athletes. but >40k workers. 46/64

47. Sports care and sports insurance Sports Insurance package: Specialized exercise prescription Injury assessment/treatment. Follow-up visits. Sports/PA assessments. Gait analysis, actigraphy other specialized tests etc. 47/64

48. Quality assurance Electronic Health Record (EHR) Social Media. Patient portal. Accreditation. Academic research. 48/64

49. Analysis of the environment. Trends Moving towards Induced demand on therapeutic non-pharmacological approaches, preventive and health promoting selfcare. The aging population require more care. There is an increasing need for care on physical activity, exercise and sports in the non-athletic as well as the athletic population. 49/64

50. Analysis of the environment. Trends Moving towards Induced demand on therapeutic non-pharmacological approaches, preventive and health promoting selfcare. The aging population require more care. There is an increasing need for care on physical activity, exercise and sports in the non-athletic as well as the athletic population. 50/64

51. Analysis of the environment. Trends Moving towards Induced demand on therapeutic non-pharmacological approaches, preventive and health promoting selfcare. The aging population require more care. There is an increasing need for care on physical activity, exercise and sports in the non-athletic as well as the athletic population. 51/64

52. Analysis of the environment. Trends Moving towards Induced demand on therapeutic non-pharmacological approaches, preventive and health promoting selfcare. The aging population require more care. There is an increasing need for care on physical activity, exercise and sports in the non-athletic as well as the athletic population. 52/64

53. Analysis of the environment. Trends Moving towards Induced demand on therapeutic non-pharmacological approaches, preventive and health promoting selfcare. The aging population require more care. There is an increasing need for care on physical activity, exercise and sports in the non-athletic as well as the athletic population. 53/64

54. Attention areas for CEMEDAR Strategic Options: CEMEDAR will hold expertise on high quality sports medical care. Generate product-market combinations per target population. CEMEDAR will share knowledge for the promotion of physical activity and exercise prescription. 54/64

55. Attention areas for CEMEDAR Strategic Options: CEMEDAR will hold expertise on high quality sports medical care. Generate product-market combinations per target population. CEMEDAR will share knowledge for the promotion of physical activity and exercise prescription. 55/64

56. Attention areas for CEMEDAR Strategic Options: CEMEDAR will hold expertise on high quality sports medical care. Generate product-market combinations per target population. CEMEDAR will share knowledge for the promotion of physical activity and exercise prescription. 56/64

57. Attention areas for CEMEDAR Strategic Options: CEMEDAR will hold expertise on high quality sports medical care. Generate product-market combinations per target population. CEMEDAR will share knowledge for the promotion of physical activity and exercise prescription. 57/64

58. Attention areas for CEMEDAR Strategic Options: CEMEDAR will hold expertise on high quality sports medical care. Generate product-market combinations per target population. CEMEDAR will share knowledge for the promotion of physical activity and exercise prescription. 58/64

59. Attention areas for CEMEDAR Strategic Options: CEMEDAR will foster exercise prescription as… Therapeutic in disease states. Preventive of disease complications. Health promoting for maintaining one’s health. 59/64

60. Attention areas for CEMEDAR Strategic Options: CEMEDAR will foster exercise prescription as… Therapeutic in disease states. Preventive of disease complications. Health promoting for maintaining one’s health. 60/64

61. Attention areas for CEMEDAR Strategic Options: CEMEDAR will foster exercise prescription as… Therapeutic in disease states. Preventive of disease complications. Health promoting for maintaining one’s health. 61/64

62. Attention areas for CEMEDAR Strategic Options: CEMEDAR will foster exercise prescription as… Therapeutic in disease states. Preventive of disease complications. Health promoting for maintaining one’s health. 62/64

63. Attention areas for CEMEDAR Strategic Options: CEMEDAR will foster exercise prescription as… Therapeutic in disease states. Preventive of disease complications. Health promoting for maintaining one’s health. 63/64

64. Thank you. 64/64