David Boucher, MPH, FACHE, CPO President and Chief Operating Officer. The Buzz: Why Americans and Canadians Travel For Care

Transcription

1 David Boucher, MPH, FACHE, CPO President and Chief Operating Officer The Buzz: Why Americans and Canadians Travel For Care

2 Regardless of The Supreme Court s Decision on PPACA Costs Increasing at 3x Inflation (U.S.) Quality Continues to Diminish (U.S.) Queues Slow to Mitigate (Canada) Increased Demand for Voluntary Benefits Fewer Employed Americans With Dental Coverage Increased Consumerism thus Increased Transparency on Cost and Quality

3 The Missing Link In Consumer Transparency? Hospital Quality Comparison Tool Direct Post Noscomial Inpatient Surgical Medication Surgical Infection Patient Mortality Mortality Error Complication Rate Satisfaction Average American Hospital 1.50% 0.35% 2.70%?? 67.0% Bumrungrad International 0.65% 0.05% 0.23%?? 89.6% Albert Einstein Medical Center 0.5% 0.5% 0.10%?? 88.2% Klinikum Chemnitz 0.3% 0.3% 0.05%?? 87.3% Centro Medico Teknon - Spain 0.32% 0.32% 0.15%?? Anadolu Medical Center - Turkey 0.60% 0.03% 0.24%?? Blackrock Clinic - Ireland 0.10% 0.10% 0.03%?? CIMA - Costa Rica 0.40% 0% 0.24%?? Wockhardt Hospital - India 0.53% 0.53% 0.11%?? HIMA Hospital - Puerto Rico 0.23% 0.03% 0.34%?? Parkway Hospital - Singapore 0.14% 0.10% 0.09%??

4 Safety, Service, & Savings

5 Safety 2000 IOM Report, To Err Is Human ~ 98,000 patients die in America s hospitals yearly as result of patient safety. Goal was to cut number in half in 5 years 2009 Hearst News ~ The death toll from hospital-related deaths approached 200,000 The Number Doubled Rather Than Halved

6 Safety The Equivalent To More Than One Fully- Loaded 747 Crash Each Day For a Year

7 Safety Pneumonia and Sepsis (the leading cause of death in U.S. hospitals) killed 48,000 patients and cost $8.1 billion in 2006 (Reuters, 2/22/2010) HHS released data from 2008: ~Rates of bloodstream infections after surgery increased 8% ~Urinary infections from catheter after surgery up 3.6% Feds estimate that 180,000 Medicare recipients die each year from hospital mistakes.

8 Report Finds Most Errors at Hospitals Go Unreported Hospital employees recognize and report only one out of seven errors, accidents and other events that harm Medicare patients while they are hospitalized, federal investigators say in a new report.

9 Arnold Milstein, MD Stanford University We doubt that the average U.S. hospital can offer better outcomes for common complex operations such as coronary-artery bypass grafting, for which several JCI-accredited offshore hospitals report gross mortality rates of less than 1%. New England Journal of Medicine October 19, 2006

10 Donald Berwick, MD Administrator of CMS It is politically correct, and widely believed, to say American health care is the best in the world. It is not. Business Week, January 24, 2011

11 Service Have We Become Accustomed to Mediocre Service? Patients Met at The Jet Ramp Hospital Staff Handles Baggage 5-Star Hospitals Robust Nurse : Patient Ratios Physicians Take Time to Listen All Employees Make Eye Contact and Genuinely Smile! Flavorful Food, 24/7 In-Room Massages & Other Wellness Services

12 Savings Procedure Averages for Six Major Surgical Procedures CABG, Heart Valve Replacement, Vaginal Hysterectomy, Spinal Fusion, Total Hip & Total Knee Replacements U.S. Charges CGH Price Average %Variance From U.S. Charges Averages: $103,864 $11, % Procedure Averages for Four Major Dental Procedures Crowns, Implants, Porcelain Veneers & Root Canals Average U.S. Charges Companion Global Dental Price Average %Variance From U.S. Charges Averages: $1,619 $538 67%

13 Domestic Medical Travel Blue Distinction Centers for Cardiac, Spine, Knee, Hip Replacement, Bariatric Surgery, Rare Cancers, & Transplants Mobile Apps Now Available via GeoBlue for U.S. Distinction Centers Lowes & Pepsico, both Blue Self-Insured Customers, Contracted Directly with The Cleveland Clinic and Johns Hopkins, Respectively, for Cardiac and Orthopaedic Care

14

15 Current Business Models Directly With Employers (Medical & Dental) Directly With Consumers & Well-Being Travel Agents Through Health & Dental Insurers

16 Why Highlight The Three S s? Because With Increased Transparency, Educated Consumers Will Be Our Best Customers Sadly, The More American Consumers Know About Care Locally, The More Likely They May Become To Seek Out Higher Quality, Safer Care Whether At Johns Hopkins in Baltimore or In Istanbul Employers Will Continue To Provide Employee Incentives To Seek Out The Best Providers

17 The Best Exotic Marigold Hotel for the Elderly and Beautiful