Stamford Medical Lda Corporate Profile January 2013
Table of Contents!! Executive Summary!! Sector Overview!! Company Overview!! Location!! Plan of Operations!! Hours of Operation!! Facilities!! Floor Plan!! Organizational Structure!! Board of Directors, Management Team, and Medical Team!! Strategic Partnerships!! Stamford Medical Contacts 1
Stamford Medical Lda Corporate Profile Executive Summary
Executive Summary!! Stamford Medical Lda ( Stamford Medical ) is a primary healthcare facility that launched in Dili, East Timor, on November 5, 2012.!! Pharmacy commercial license (08003A/MTCI/VIII/2012) granted by MTCI in Aug 2012!! Medical Establishment commercial license (08003B/MTCI/VIII/2012) granted by MTCI in Aug 2012!! Pharmaceuticals importation license (MS-CRAF/LI/033) granted by MOH in Nov 2012!! Mission Statement: To establish a new benchmark for international standards of quality private healthcare in Timor-Leste, and be the preferred private healthcare provider to both the expatriate and local community in Timor-Leste.!! Fill the void created by exiting/downsizing of international healthcare providers.!! Act as centralized medical facility to provide more efficient way to organize existing healthcare resources.!! Support Foreign Direct Investment, and growth across industry sectors.!! Cultivate pool of local Timorese healthcare professionals.!! Stamford Medical will foster strategic partnerships to offer our clients a comprehensive healthcare package.!! Emphasis on solid reputation, proven credentials and on-the-ground experience.!! Leverage partners existing client, knowledge and resource bases. 3
Executive Summary (Continued)!! Stamford Medical will continue to evolve to better serve the growing needs of the international and local community.!! Stamford Medical is committed to a long-term presence in Timor-Leste.!! We recognize that we have been bestowed a great privilege to be able to touch the lives of our customers at significant and vulnerable times in their lives this is a privilege that Stamford Medical will not take lightly.!! Stamford Medical will uphold this privilege with a commitment to professionalism, quality and compassion in order to truly benefit the local and expatriate community alike. 4
Stamford Medical Lda Corporate Profile Sector Overview
Sector Overview!! Healthcare infrastructure under-developed, most service providers do not meet international standards.!! Common healthcare protocol for internationals is self-medication, self-quarantine, and evacuation.!! Dili National Hospital primarily services the Timorese community.!! Planned withdrawal/downsizing of existing international healthcare providers.!! Small private healthcare facilities provide basic services!! Timorese, Chinese and Indonesian providers.!! Majority of consultations are available only after office-hours.!! Basic supplies (eg. Vaccinations, reagents) are hard to find.!! Anticipated growth in scale and scope of healthcare demand (in next 5 years) as different sectors of the economy are opened. 6
Stamford Medical Lda Corporate Profile Company Overview
Location!! Centrally located at Rua Mártires da Pátria, Mandarim, Dili, Timor-Leste.!! Easy access to airport.!! 2 entry points: Main access at Rua Dom Aleixo Corte-Real, and auxiliary access at Rua Mártires da Pátria; Prominent signage displayed at both entrances. 8
Plan of Operations Phase 1 (2012) and 2 (2013)!! Stamford Medical services, and the necessary facilities to support these services, will be offered in two phases. Facilities PHASE 1 (2012)! Consultation Room (2)! Minor Procedure Room (1)! Observation Room (2 Beds)! Nursing Station (1)! Laboratory (1)! Reception (1)! Storage/IT Room (1)! Pantry (1)! Toilets (3)! 24-hour on-site security! Backup generator! Covered car park! Ambulance (1) + PHASE 2 (2013)! Radiology Room (1) Services! Outpatient General Practitioner services! Afterhours consultations! Minor procedures! Comprehensive health, travel, employment screenings! Full laboratory testing! Pharmacy! 24-hour medical emergency hotline! Emergency and stabilization! Medical evacuation! Vaccinations! X-Ray! Pediatrics! Obstetrics and Ante-Natal 9
Plan of Operations Future Growth!! Stamford Medical will continue to evolve to better serve the growing needs of the international and local community.!! Future plans are to expand into a private hospital, offering 24-hour outpatient and inpatient care.!! Growth plans include both the upgrading of existing facilities, and the addition of new facilities. FUTURE GROWTH! Patient wards! Specialist rooms! Operating Theatre! Anesthesiology! Diagnostics Facilities! Inpatient care! Specialist care! Dental care Services! 24-hour Emergency Room! Operating Theatre 10
Hours of Operations!! Stamford Medical s regular office hours are:!! Mondays to Fridays: 0900-1800 hours!! Saturday: 0900-1300 hours!! Consultations/medical services are available on a walk-in or by appointment basis, with appointments being made through our office phone number (+670 3310141).!! After regular hours, access to Stamford Medical can be gained via our 24-hour medical emergency hotline.!! Stamford Medical s on-call doctor mans our 24/7 medical emergency hotline.!! Once activated, our on-call doctor and on-call nurse will treat the patient at Stamford Medical.!! If an escalation of medical attention is necessary, the rest of our medical team will be activated.
Waiting Area/Reception/Dispensary!! New patients are asked to complete a New Patient Information Form (available in English, Portuguese, and Tetum).!! Patient information is stored on our database for easy tracking of medical history and is guarded with strict confidentiality.!! Stamford Medical is a licensed importer of pharmaceuticals in Timor.!! We purchase all our pharmaceuticals from licensed and reputable distributers in Singapore to ensure that our medication is of the highest quality.!! Each pharmaceutical product is registered with the Department of Pharmacy, Timor Leste.
Nursing Area!! Measurement of patient bio-data and vital signs.!! Stamford Medical s team of experienced nurses will perform an initial assessment and triage of the patient.!! Patients requiring urgent medical attention will be flagged and brought to the Doctors attention.!! Administration of vaccinations.!! Preparation and administration of medication.
Consultation Rooms!! 2 consultation rooms, of which 1 is outfitted for OBGYN examinations.!! Clean, well-lit & spacious.!! Stamford Medical uses a electronic clinical software package.!! Data entered into the system is available real-time on the various terminals located through Stamford Medical allowing for easy dissemination/retrieval of information, and patient tracking.!! Our medical professionals are able to retrieve patients medical information stored in overseas databases, and also transmit case reports easily to their medical counterparts in foreign locations
Minor Procedure/Resuscitation Room!! Stabilize/Resuscitate critical patients before transfer to Observation Room and/or Medevac.!! Conduct minor surgical procedures such as:!! Wound Suturing, Excision of Cysts, Biopsies, Abscess Drainage, Dressings, Casting, ECG, Urinary Catheterization!! Fully equipped to handle all minor procedures:!! Emergency Cart, Defibrillator, ECG, Patient Monitors, Medical oxygen (stationary & portable), Ambu Bags, Suction, Laryngoscope, Nebulizer, Autoclave!! Ventilator (in 2H 2013)
Observation Room!! 2-bed observation room!! 1 bed designated for critical patients.!! Temporary holding area for patients requiring Medevac.!! One nurse will be permanently stationed in room for patients requiring close monitoring.!! For patients requiring Medevac:!! Stamford Medical s medical professional can arrange to transport and accompany the patient to the Air Ambulance (airport tarmac).!! Stamford Medical can also liaise with the Aeromedical evacuation team to perform patient handover at Stamford Medical.
Laboratory!! Rapid test kits for Dengue (NS1 Ag + Ab combo), Malaria (Ag P.f/Pan), Hepatitis B, HIV!! Drug & Alcohol testing (Australian Standard compliant)!! Auto Hematology Analyzer!! Parameters: CBC, WBC, Lymph#, Gran#, Lymph%, Mid%, Gran%, RBC, HGB, HCT, MCV, MCHC, RDW-SD, PLT, MPV, PDW, PCT!! Chemistry Analyzer!! Parameters: Glucose, Cholesterol, Triglycerides, HDL Cholesterol, LDL Cholesterol, GPT (ALT), GOT(AST), GGT, Creatinine, Urea, Uric Acid, Potassium, Alkaline Phosphates, Hemoglobin, Bilirubin, CK, Amylase, Pancreatic Amylase!! Urinalysis!! Preparation for outsourcing to partner Laboratory in Singapore for further testing
Storage!! 6 month inventory of pharmaceuticals and consumables, and IV medication!! Comprehensive supply of vaccinations!! BCG, DPT, Hepatitis A, Hepatitis B (Pediatric and Adult), IPV-HIB, Japanese Encephalitis, MMR, Men C, Pneumococcal Virus, Rabies (Immunoglobin- & Vaccine), Typhoid, and Yellow Fever!! Supply of controlled medication for sedation, anesthesia and pain management
Floor Plan Phase 1 Storage Lab Minor PR Nursing St 2 Bed OR CR1 CR2 Reception/ Dispensary Waiting Room Server/ Storage 19
Floor Plan Phase 2 Storage Lab Minor PR Nursing St 2 Bed OR CR1 CR2 Reception/ Dispensary Waiting Room Radiology, Specialist Rooms Server/ Storage!! Purpose-built structure to house Radiology Department!! Construction of the building will comply with international standards for general radiation shielding requirements!! Ample land for additional expansion for specialist rooms 20
Organizational Structure!! International team of medical professionals with up to date certification.!! Competent local staff to be hired and trained for a variety of support roles.!! Combined language skills: English, Portuguese, Tetun, Bahasa, Spanish, French, Italian, German, Mandarin, Cantonese Dr Christiane Peiffer Medical Officer (Germany)! General Practice! Pediatrics! Occupational Therapy Dr Paulo Grilo Chief Medical Officer (Portugal)! General Practice! General Surgery Dr Irene Del Olmo Medical Officer (Spain)! General Practice! Pediatrics Miranda Gusmao Administrator (Timor-Leste) Cleaners (Timor-Leste) Annelo Martin Head Nurse (Philippines) Jason Acido Medical Technologist (Philippines) Jejoania Soares Pharmacist (Timor-Leste) 24/7 Security (Timor-Leste) Arlene Dasalla Nurse (Philippines) Elve K. Dimzon Nurse (Philippines) 21
Board of Directors and Management Team Derek Chua, Director!! Derek was a member of the management team at National Insurance Timor-Leste, where he served as Director, Finance, and Director, Investments.!! Before moving to Timor-Leste, Derek spent 10 years in investment banking in Hong Kong, where he served as:!! Director, Public Sector Origination at DEPFA Bank plc, a bank that provides financial services to the public sector and financing for large infrastructure projects. Derek was the principal originator with primary responsibility for DEPFA s business franchise in ASEAN countries across all product lines.!! Associate Director, Investment Banking Department/Debt Capital Markets at Barclays Capital. Derek was the principal originator for Asian Frontier countries (Mongolia, Pakistan, Sri Lanka and Vietnam).!! Derek holds a Bachelor of Arts in Economics degree from Pomona College (USA). Eddie Eng, Director!! Eddie has 7 years of experience in the financial sector in Hong Kong (HK), where he served as:!! Associate Director, Institutional Equity Sales at SWS (HK) Ltd., a subsidiary of Shenyin & Wanguo Securities Co. Ltd., China s third largest retail brokerage. Eddie's clients were global hedge fund and long-only fund managers.!! Assistant Vice President, Institutional Equity Sales at CIMB (HK) Ltd., the HK branch of the largest investment bank in Malaysia.!! Equity Sales Trader, ABC International (Holdings) Ltd., a wholly owned subsidiary of Agricultural Bank of China.!! Eddie has vast experience in operations. He served as General Manager of Mobilia Knitting Factory (HK) Ltd. (est. 1974) and managed 400 employees.!! Eddie holds a Bachelor of Science degree in Management from San Francisco State University (USA). 22
Management/Medical Team Dr Paulo Grilo, Chief Medical Officer (Portugal) Languages: English, Portuguese!! Over 18 years of medical experience.!! Degree in Medicine (MD).!! General Surgeon, competency in medical emergencies, FRCPS, FPCPS!! (2007-2012, Timor-Leste) Medical Officer of the Portuguese Embassy Clinic in Timor-Leste providing medical assistance to the expatriate community. Other responsibilities include administration, coordination of staff, stock and general issues related to the facility.!! (2003-2007, Portugal) General Surgeon performing emergency surgery, ambulatory surgery, pre-hospital emergency & trauma.!! (1996-2003, Portugal) Medical Director and Medical Coordinator for the National Emergency Call Centre. Responsible for pre-hospital emergency & trauma, triage, general surgery, management and activation of hospital rescue resources.!! (1994-1995, Portugal) General Resident: Internal Medicine, General Surgery, Gynecology/ Obstetrics, Pediatrics, Public Health. Dr Irene Del Olmo, Medical Officer (Spain) Languages: English, Spanish, Italian, French!! Over 25 years of medical experience.!! Degree in Medicine (MD).!! (2011-2012, Spain) Pediatrician at CS Ensanche de Vallecas - providing healthcare to nearly 10,000 children under the age of 14, including scheduled comprehensive checkups, clinical examination, prescriptions, diagnostics, and minor surgery.!! (2000-2011, Spain & Italy) General Practitioner in the national and regional health services clinical examinations, diagnostics, urgent calls, family medicine, and domiciliary programmed controls in older or handicapped patients.!! (2009-2019, Spain) Senior Practitioner in ER Service - part of team of 4 doctors taking care of both outpatient and urgent patients. Cases included internal medicine emergencies, pediatric emergencies, minor surgery and trauma.!! (1982-1998) Complementary medicine consultant homeopathy, acupuncture 23
Management/Medical Team Dr Christiane Peiffer Pinto, Medical Officer (Germany) Languages: English, German, Tetum!! Over 14 years of medical experience.!! Degree in Medicine (MD).!! General Practitioner, Occupational Therapist.!! (2011-2012, Timor-Leste) Medical Officer in Pediatric ward at National Hospital Guido Valadares.!! (2008-2010, Timor-Leste) General Practitioner at the community health centre in Becora.!! (2007, Germany) Medical Officer in surgical emergency department at Marienhospital Gelsenkirchen in Germany.!! (1998-2007, Germany) Internships and practical work at the University Duisburg-Essen, Germany in internal medicine, surgery, neurological rehabilitation, obstetrics, general medicine, pediatrics, and ambulant nursing.!! (1999-2004, Germany) Occupational Therapist providing care for patients at their homes and offices.!! (1997-1998, Germany) Occupational Therapist providing neurological rehabilitation. 24
Medical Team (Nurses) Annelo Martin, Head Nurse!! Over 6 years of nursing experience.!! Bachelor of Science in Nursing!! (2011-2012, Philippines) Staff Nurse in Operating Room at Chinese General Hospital (592-beds), performing as a Scrub Nurse and a Circulating Nurse. Assisting in General Surgery, OBGYN, Orthopedic, Laparoscopic Surgery, Urology, and Plastic Surgery cases.!! (2006-2011, Philippines) Emergency Room Nurse at Chinese General Hospital, performing patient triage, carrying out doctor s orders, starting IV access, administering medication, providing quality health care management and general nursing activities. Cases handled include: Cardiac Arrest, Acute Myocardial Infarction, Diabetes Mellitus, Unstable Angina, Pneumonia, Pulmonary Disease, Tuberculosis, Hepatitis A and B, Appendicitis, Trauma, Dengue Fever, Typhoid Fever, Gastroenteritis, Burns, Benign Febrile Convulsions Arlene Dasalla, Nurse!! Bachelor of Science in Nursing!! (2011-2012, Philippines) Staff Nurse at Commonwealth Hospital and Medical Centre!! (2010-2011, Philippines) Staff Nurse at Judge Celestino Guerrero Memorial Hospital!! (2009-2010) Registered Nurse in Rural Health Unit Elve Dimzon, Nurse!! Bachelor of Science in Nursing CUM LAUDE!! (2011, East Timor) Volunteer Nurse at Bairo Pite Clinic providing maternal and child care.!! (2011) Professional Nurse for HE Prime Minister Xanana Gusmao at the UN Convention & World Bank annual meetings. 25
Strategic Partnerships to Provide Comprehensive Healthcare Solution!! Insurance!! Specialist Support!! Out-Country Treatment!! In-Country Treatment!! Ambulance Service Providers!! Pathology Testing!! Air Ambulance 26
Insurance Companies!! Stamford Medical is in discussions with international and local insurance companies to establish direct billing arrangements.!! Once in place, Stamford Medical will bill insurance companies directly for their Insured clients medical expenses!! As an alternative and in lieu of insurance, Stamford Medical also offers a number of Membership Schemes that offer our customers significant discounts of our retail prices, and other membership benefits.!! For full details please email info@stamfordmedical.com 27
Ground Ambulance Service Providers!! At the onset, Stamford Medical will outsource its ground ambulance service to private ambulance service providers!! We anticipate that the first such provider will come online in 1H2013 28
Air Ambulance Assistance Alliance International Company Overview!! Assistance Alliance International ( AAI ) is a member of the International Assistance Group ( IAG ). Adopting the concept of 'Local Partners...Global Solutions', IAG is today, the world's foremost assistance networks, with correspondents in more than 200 countries. The International Assistance Group is a global network of independent assistance companies, specializing in the provision of world-wide medical and travel assistance, automobile and other innovative assistance packages, tailored to customer needs!! Website: www.aa-international.com!! Fluent in major languages, AAI s team of professionals are trained to handle medical, logistical and technical aspects of minor and major emergencies with the efficiency and compassion that such events require.!! AAI also offers 24 hours Air Ambulance medical transport services. Combining the aptitude and capacity of AAI highly trained medical air-crews and ground management team, AAI are committed to provide service excellence and cost effective solutions to clients. AAI services constantly evolve around the safety and stability of our Customers medical condition at all times prior to any arrangement of air transportation from one destination to another. Contacts: Emily Chow Assistant Vice President Singapore Operations Assistance Alliance International E: emily.chow@aa-international.com!! Stamford Medical is in discussions with established international medical assistance providers, and working with insurance companies, to put emrgency medical SOPs in place so that our clients receive the best medical support in times of need. 29
Pathology Quest Laboratories Pte Ltd Company Overview!! Quest Laboratories ( Quest ) is the largest independent non-hospital based laboratory in Singapore.!! Its Singapore operations are complemented by the strength of its sister network of laboratories in Australia, New Zealand and Malaysia.!! Website: www.questlabs.com.sg Contacts: Clarice Long Business Development Manager Quest Laboratories E: claricelong@questlabs.com.sg!! Stamford Medical has service agreements in place with Quest for the outsourcing of complex lab tests.!! Through Quest, Stamford Medical will have access to testing in all faculties of laboratory medicine:!! Histo & Cytopathology!! Biochemistry!! Hematology!! Microbiology!! Serology!! Immunology!! Molecular Biology!! Industrial Toxicology!! Post-processing and analysis, the results are returned to Stamford Medical s requesting physician by fax, phone, remote-printing and/or on-line computer. 30
International Hospitals!! Strategic partnerships with Singapore s top medical facilities:!! Specialist support/opinion for complex cases.!! Point of referral for cases that require out-country treatment.!! Education: Lectures/workshops by foreign specialists and exchange programs!! Stamford Medical will offer medical residencies for medical practitioners seeking exposure to Timor-Leste-specific cases (eg. Tropical medicine).!! Stamford Medical has entered into strategic partnership with Raffles Medical Group in Singapore. Company Overview!! Raffles Hospital is a tertiary care hospital and the flagship of the Raffles Medical Group, a leading private healthcare provider in Singapore and South East Asia. Raffles Hospital is a JCI accredited hospital and ISO 9001:2001 certified.!! Located just 20 minutes away from Singapore s Changi International Airport and right in the heart of the city, Raffles Hospital offers a full range of specialist, medical and diagnostic services that spans across 35 disciplines. Its 16 specialist centers meet a wide variety of medical needs such as obstetrics and gynecology, cardiology, oncology and orthopedics.!! The hospital is equipped with a 24-Hour Emergency and Specialist Clinics with services spanning across 35 disciplines. The hospital s full range of medical and surgical facilities include day surgery suites, delivery suites, operating theatres, intensive care unit, neonatal intensive care unit, dental, radiology, clinical laboratory, pharmacy, dietetics and physiotherapy services.!! Subscribing to the Group practice model of collaborative care, the specialists of Raffles work as a team to ensure that patients have access to the best skills for their treatment and care. With Raffles Hospital s commitment to quality, patients can be assured of medical services that are integrated, peer reviewed and audited.!! The rooms at Raffles Hospital are outfitted to the standards of five-star hotels, with an array of suites, single, double, four and even six-bed rooms for patients to choose from.!! For International patients and their companions, Raffles Hospital s multi-national Patient Relations Officers provide personalized assistance throughout their stay. Raffles Hospital has family medicine clinics, emergency teams and standby ambulance service, available 24 hours every day and at the Airport to assist international patients from the aerobridge to the hospital.!! Website: www.rafflesmedicalgroup.com 31
International Hospitals!! Stamford Medical will continue to form strategic medical partnerships from both the public and private sector to supplement its in-country capabilities. Company Overview!! Singapore General Hospital ( SGH ) is Singapore s flagship hospital.!! On the SGH Campus are: National Heart Centre Singapore, National Cancer Centre Singapore, National Neuroscience Institute, Singapore National Eye Centre, National Dental Centre Singapore and Duke-NUS Graduate Medical School Singapore.!! Patients have ready access to a comprehensive range of clinical specialties backed by state-of-the art facilities.!! SGH is the third largest teaching hospital in the world to be JCI re-certified.!! The Postgraduate Medical Institute, Alice Lee Institute of Advanced Nursing, Postgraduate Allied Health Institute and Institute of Medical Simulation and Education are established within SGH for the training of local and overseas healthcare professionals seeking advanced and clinical skills training and education.!! SGH also plays a major role in undergraduate medical teaching and serves as a clinical teaching hospital for student nurses, radiographers and therapists from the Asia Pacific region.!! Website: www.sgh.com.sg Company Overview!! The National University Hospital ( NUH ) is a tertiary specialist hospital and major referral centre for a wide range of medical, surgical and dental specialties including Cardiology, Gastroenterology and Hepatology, Obstetrics and Gynecology, Oncology, Ophthalmology, Pediatrics, Orthopedic Surgery and Reconstructive Microsurgery.!! It is the principal teaching hospital of the National University of Singapore s school of medicine.!! Located at NUH: The National University Cancer Institute, Singapore, offers a broad spectrum of cancer care and management covering both pediatric and adult cancers; The National University Heart Centre, Singapore brings together cardiac specialists and experts from a multitude of medical and surgical disciplines to provide a comprehensive and holistic approach to the treatment of heart problems.!! In 2004, the NUH became the first Singapore hospital to receive Joint Commission International (JCI) Accreditation, an international stamp for excellent clinical practices in patient care and safety.!! Website: www.nuh.com.sg 32
Stamford Medical Contacts Please contact us at: Stamford Medical Lda., Rua Mártires da Pátria, Mandarim, Dili, Timor-Leste. Telephone: +670-3310141, +670 3311209 Inquiries: info@stamfordmedical.com Thank You. 33