...Tourism is also known as Medical Travel, Health Tourism, Surgical Tourism, Health Travel, Treatment Abroad, Surgeries Abroad, and Medical Outsourcing. Medical Tourism Concerns Though many are eager to be the right pieces in the puzzle, many are still struggling to get the right fit. There are a number of concerns and risk factors for patients getting treatment much less seeking them abroad. Some concerns for patients include a consistent quality of care, lack of extensive dialog between the patient and the doctor, lack of post-op follow up, cultural differences and difficulty in obtaining sufficient insurance coverage. In order to mitigate the risk, it’s essential that the patient works with well reputed facilitators. Medical Tourism Accreditation The qualifications of the doctors are important but as U.S. board certification requires specialist training to be undertaken in the U.S. and not anywhere else, there would be relatively few doctors in the world having American board certified qualifications compared to the number of overall physicians. Membership and fellowship of the Royal Colleges in the United Kingdom are the main...
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...health care world, the Joint Commission seems like a viable choice to understand why this organization is important to the health care community. To understand why it is important to have the Joint Commission in the health care system is as simple as reading rules in a classroom on the first day. By understanding its history, the services it offers, and they serve can bring a brief glimpse into what The Joint Commission is about. The Joint Commission: Brief History The history starts with the American College of Surgeons (ACS), founded in 1913 and had developed the Minimum Standard for Hospitals manual and improved standard care within 30 years. With the help of the American College of Physicians (ACP), the American Hospital Association (AHA), the American Medical Association (AMA), and the Canadian Medical Association (CMA), they joined ACS as corporate members to form the Joint Commission on Accreditation of Hospitals (JCAH) in 1951 (Joint Commission History, 2012) . Its sole purpose is to provide voluntary accreditation. The Joint Commission is administered by a 32-member Board of Commissioners that includes physicians, nurses, educators, employers, administrators, and others to bring an assorted array of experience in public policies, health care, and business whom the corporate members appoint. By 1987, JCAH changed the name to Joint Commission on Accreditation of Healthcare Organization (JCAHO) to show their expansion of activities. Twenty years later, JCAHO shortened its...
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...abbreviation for Joint Commission on Accreditation of Healthcare Organizations is a non-for-profit organization that seeks to continuously improve the safety and quality of care provided to the public through the provision of health care accreditation and related services that support performance improvement in health care organizations. It is an organization made up of individuals from the private medical sector to develop and maintain standards of quality in medical facilities in the United States. Although JCAHO has no legal enforcement power, and has no official connection to the US Government regulatory agencies, many medical facilities rely on JCAHO accreditation procedures to indicate to the public that their particular institution meets quality standards”(JCAHO). JCAHO and its policies have taken on a real importance in the medical field, despite the lack of official government sanction. The Joint Commission is an independent, private sector in the United States that administers accreditation programs for hospitals and other healthcare-related organizations. The Commission develops performance standards that address crucial elements of operation, such as patient care, medication safety, and infection control and consumer rights. Most state governments require that healthcare organizations be accredited by the Commission as a condition for licensing and Medicaid reimbursement. JCAHO evaluates and accredits approximately 18,000 health care organizations, including hospitals; ambulatory...
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...doctor and research and development in heart. Just last three years IJN setup their international patient office. This is to promote medical tourism and offer many service to help international patient. In order to market IJN as destination, one of the way IJN do is setup a medical office or in other word representative at overseas. IJN target ASEAN countries because increase in population such as in Indonesia, Cambodia and also Myanmar. Besides that, IJN also promote by Malaysia Healthcare Travel Council (MHTC) to international patient to come to IJN. MHTC is organization that responsible to promote Malaysia health tourism. IJN also do own marketing by mouth to mouth marketing by the international doctor that come to IJN do their training. IJN also offer wide range of services not just cardiologic disease surgery but angiogram and dietician. According to her, roughly around 80-70 Indonesian international patient come to IJN monthly and overall about 150-250 international patient come to IJN. She also explains that international patient especially Indonesian come to IJN to do Coronary Angiogram. It is a special x-ray of the heart arteries to see if they are narrowed or block. It’s a basic procedure that IJN would do to all patients because IJN would not encourage international patient to do the bypass surgery unless very needed because of the cost of the surgery itself expensive. Next, international patient come to IJN is to doing the heart transplant and also at least to consult...
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...The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) has long been the designated accreditation agency for hospitals and other health care facilities. In 1997, JCAHO added quality measurement requirements to existing requirements for participation in the accreditation process for hospitals and long-term care facilities in an initiative called ORYX. In 2003, The Joint Commission launched project activities to examine Children’s Asthma performance measures for inclusion in the ORYX performance measurement initiative. This work was conducted in collaboration with national children’s health care organizations, particularly, the National Association of Children’s Hospitals and Related Institutions (NACHRI), Child Health Corporation of America (CHCA), and Medical Management Planning, Inc. (MMP). An advisory panel was convened to...
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...HEALTH TOURISM IN ASIA 1. Introduction: Medical tourism can be broadly defined as provision of 'cost effective' private medical care in collaboration with the tourism industry for patients needing surgical and other forms of specialized treatment. Medical or Health tourism has become a common form of vacationing, and covers a broad spectrum of medical services. It mixes leisure, fun and relaxation together with wellness and healthcare. The global health care industry is valued at $ 2.8 tn. The market for health tourism is estimated to be $67 bn, growing at a rate 20% per annum. It can be divided into three broad segments: 1. Surgeries like orthopedic surgery, heart by-pass surgery, cancer therapy, eye surgery, organ transplantation. 2. Plastic surgery or cosmetic surgery. 3. Health spas, weight loss exercise centers, hot springs and holistic treatment including wellness therapies. Different countries have become preferred destination in each of these segments for medical tourist. India is a preferred destination for heart, orthopedic, eye and neurosurgeries. Eye surgery kidney dialysis and organ transplantation are among the most common treatments sought by medical tourist in Thailand and according to the Health Ministry, in 2004 the country attracted 600,000 medical tourists, who generated 20 billion baht in revenue. As a result, Asia’s medical tourism industry could generate over US$4.4 billion a year by 2012, with India, Thailand, Singapore, Malaysia...
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...$85,000. This income is post expenditures which is available at their disposal. These Boomers want to travel the world since they the time and money. As Saint Augustine said “The world is a book, and those who do not travel read only one page". Therefore, Using this, I suggest that our travels should focus of introducing travel plans for the baby boomers. A Second Honeymoon Most of these people have spent their life looking after their loved ones and kids. The spouse is most often forgotten or taken for granted. We can focus on a product called ‘second honeymoon’ to the couples. it would be an amazing idea to actually give them a package which would make them feel young again. With the power of buying and the increasing options for international travel, these people can actually visit places they have only heard of in television shows. The boomers can actually surprise the market by their knowledge of the range of options available to them. And with options, the need to do more also increases. We should inculcate the necessity for a change in habit and schedules in these boomers, which in turn would increase revenues for Ranbaxy Travels. Time to take a break and Get pampered Many boomers actually have worked hard enough to keep the family running...
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...Prevention Current Compliance Status for Joint Commission Accreditation Nightingale Community Hospital is committed to providing healthcare excellence, a healing environment and to be the choice for patient care. In order to continue to provide quality healthcare services in accordance with our values of safety, community, teamwork, and accountability Joint Commission Accreditation provides guidelines and standards for the Priority Focus Areas (PFA) for the welfare and quality of patient care. Infection control and prevention extends beyond treating the patient. It encompasses all who work and visit the facility including medical staff, administrative staff, volunteers, vendors, and visitors. Implementing activities and programs to control, treat, prevent and identify sources of infection will help ensure the overall satisfaction and quality of patient care. Based on previous fiscal year data Joint Commission has identified Infection Control as one of the PFAs. In order to be in compliance with the standards and guidelines of Joint Commission Accreditation five areas of Infection Control and Prevention have been identified: 1. The hospital implements its infection prevention and control activities, including surveillance, to minimize, reduce, or eliminate the risk of infection. 2. Comply with either the current Centers for Disease Control and Prevention (CDC) hand hygiene guidelines or the current World Health Organization (WHO) hand hygiene guidelines. 3. Implement evidence-based...
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...The rise of medical tourism in Bangkok While most travellers aim to stay out of the hospital while on vacation, a growing number of medical tourists – people who combine treatment with travel -- are crossing international borders for the sole purpose of attaining medical services, which can range from a hip replacement to a tummy tuck. * Related video: Going local -- Bangkok, Thailand Widespread air travel, mounting healthcare costs in developed countries, long waiting lists and an ageing world population have all contributed to a global explosion of medical tourism in the past decade -- and Asia is leagues ahead in terms of world market share. More than 89% of medical tourists travelled to Thailand, India orSingapore in 2010, with Bangkok and Singapore leading the pack. But the cost of hotel rooms and treatment are both far more expensive in Singapore than in the Thai capital, making Bangkok the most popular place for medical tourism in the world. Even after the devastating floods of 2011, 19 million tourists visited Thailand in 2011, a 20% jump from 2010, with an estimated 500,000 travelling specifically for medical treatment, whereas of the 10.2 million tourists that visit Singapore each year, only 200,000 go to receive medical care. The trend is lucrative too. Medical tourism in Thailand is growing at a yearly rate of 16%, while in financial terms the foreign medical services sector is expected to make a whopping 100 billion baht by 2015. Currently, medical tourism...
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...Ken Kizer MD. coined the term “never events” in 2001 referring to medical mistakes that should never occur (wrong surgery site). The National Quality Forum categorizes never events into six groups: surgical, product or device, patient protection, care management, environmental, and criminal. For a never event to fit into one of the categories never events must be serious in its result (death or significant disability), unambiguous (clearly identifiable and measurable), and usually preventable("AHRQ Patient Safety Network - Never Events," 2011). As of 2006 there are currently 28 “never events” which include unintended retention of a foreign object in a patient after surgery or other procedure, intra-operative or immediately post-operative death in an ASA Class I patient and surgery performed on the wrong body part ("AHRQ Patient Safety Network - Never Events," 2011). In most states there is no mandatory reporting of never events, event though some estimates put national incident rate as high 40 per week. This includes wrong patient and wrong site. Eight hospitals and ambulatory surgical centers in the United States recognized that never events are a critical part of patient safety issues a critical patient safety ("The Joint Commission Center for Transforming Healthcare |Newsroom," 2011). The healthcare facilities joined the Joint commission center for Transforming Healthcare to address the problem. There are currently 25 states and the District of Columbia have mandatory...
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...A. Compliance Status The following executive summary focuses not only on the identified gaps in the current process, but also the corrective action plan to support compliance in the noted areas of the Communications Standards as provided by The Joint Commission, (National Patient Safety Goals, 2013). The high risk associated with surgical procedures performed on the wrong site has driven a risk mitigating approach to the processes involved for these procedures. The goal is to prevent harm to patients having a surgical procedure. The following summary is the current compliance status if the Priority Focus Area of Communication for Nightingale Community Hospital. After review of the specific areas identified in the Priority Focus Area, the following have been identified as requiring further attention: time-outs are routinely performed prior to every procedure (UP 01.03.01) and procedure site is marked (UP 01.02.01). Based on the evaluation of the Nightingale Community Hospital National Patient Safety Goals for Communications the current compliance rate related to the Universal Protocol Time-Out processes performed hospital wide indicate a 95% to 100% compliance rate for the year. The graph provided in the Nightingale Community Hospital National Patient Safety Goals Communication assessment provides limited information as these are hospital wide percentages. No unit specific evaluations of performance have been provided in the report. Upon review of the Site Identification and...
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...Accreditation Audit Task 1 Western Governors University A. Compliance Status Nightingale Community Hospital is not-for-profit, acute care hospital that houses 180 beds. Nightingale provides services in many areas such as general medicine, critical care, emergency services, oncology, cardiology, etc. Nightingale has four core values: safety, community, teamwork, and accountability. Nightingale’s vision is that patients, employees, physicians, volunteers, and community choose Nightingale’s as the hospital to receive care or to seek employment. To create a healing environment, with a passionate commitment to healthcare excellence is the goal of Nightingale. The next anticipated Joint Commission visit is about 13 months away. Over 20,000 health care organizations in the United States are accredited and certified by the Joint Commission. To receive accreditation from the Joint Commission is recognized nationwide as a symbol that certain performance standards of quality have been reached. A three-year accreditation cycle is standard for all member health care organizations. A two-year accreditation cycle is standard for laboratories. The Joint Commission provides the organization’s accreditation decision, the date the organization was awarded accreditation, but it does not provide the organization’s findings public. There are four Joint Commission focus areas for Nightingale and they are: Information Management, Medication Management, Communication, and Infection Control...
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...Executive Summary Accreditation Audit- Task 1 Maggie Miklos January 25, 2014 Executive Summary At Nightingale Community Hospital (NCH) one of our core values is to provide superior service and outstanding clinical care as noted in our safety statement. We welcome The Joint Commission (TJC) to survey our facility on a triennial basis to ensure compliance with their established standards and Priority Focus Areas: Infection control, Communication, Medication Management, and Information Management. In anticipation of the unannounced site visit, I have reviewed our current state of compliance for gaps in the Communication focus area and have prepared actions to close the gaps to ensure compliance. To gauge NGH’s compliance in the Priority Focus Area, Communication, I have reviewed the following Universal Protocol Standards depicted in TJC Handbook. This protocol “…was created to address the continuing occurrence of wrong site, wrong procedure and wrong person surgery and other procedures in Joint Commission accredited organizations” (Joint Commission, 2013). Within each standard our facility must meet the Elements of Performance criteria. The three standards I will be reviewing are: UP.01.01.01: Conduct a preprocedure verification process. (Commission 2013) UP.01.02.01: Mark the procedure site. (Commission 2013) UP.01.03.0: A Time-out is performed before the procedure. (Commissions 2013) The rationale...
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...Executive Summary A. While Nightingale Community Hospital may pride itself on their core values, as safety, community, teamwork and accountability, we understand that there is more that has to be done to provide a safer environment for our patients. Across the nation, hospitals are trying to find innovative ways to provide safer and cost effective healthcare for our patients. This is why it is important to establish and encourage standard practices within the infrastructure of the hospital, which in turn will reduce the chances for human error. Nightingale Community Hospital has the following universal policy in place to ensure that appropriate communication occurs prior to procedures. This policy consists of three specific parts, “pre-procedure verification, site marking, and a time out performed immediately prior to the procedure.” (Maureen Burger RN, 2011) In Joint Commission standard: UP.01.01.01 the hospital is to “implement a preprocedure process to verify the correct patient.” The standard goes on further to state that the hospital identify the items that need to be available for the procedure, (Commission, 2011) In response to this Nightingale has implemented a preprocedure hand-off check list that asks several questions that nursing has to answer prior to the patient procedure. The nurse then signs the sheet, and the receiving nurse also signs that all has been completed. Once the pre-procedure verification has been completed, standard UP.01.02.01 instructs...
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...Drug Tourism and the impact on the real economy There is two definition made by the WTO to talk about the drug tourism: “Drug tourism can be define as the travel for the purpose of obtaining or using drugs for personal use that are unavailable or illegal in one’s home jurisdiction” or “Drug tourism can be also defined as the phenomenon by which one’s travel experience involves the consumption and usage of drugs that are considered to be illegal or illegitimate in either the visited destination or the tourist’s country of origin” (WTO annual report 1995). Today the only drug that is authorized to consume in some countries is the “marijuana”. But the legal consumption or not is attracting more and more tourist since the past decade, like for the sexual tourism I will take three different areas that are actually the same: Netherlands; southeast Asia and Latin America, and to see how the drug tourism impact the economy of those regions. Netherland is the only European country that has a permissive regulation regarding the drug consumption before the end of 2012; Amsterdam and Maastricht were the two main European destinations for drug tourism. In Amsterdam 50% of the entire tourists visit the “coffee shop” (place where you can smoke marijuana, and 10% of all tourists come to Amsterdam especially for that. In the city of Amsterdam, the Coffee shop tourism represents a business of $2.5 billion US, which led to a $503 million in tax revenues for the city of Amsterdam. In another...
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