International Healthcare Management

International Healthcare Management a topic of growing concern Waleed Alansari MD, FRCSI, MBA (healthcare)

Introduction Globalization making the World a Smaller Place The Significance of Managing this Trillion $ Healthcare Industry International Standard Industry Classification - Human & Animal Service Provision - Support Services - Pharmaceutical & Medical Equipment Production

Introduction Globalization making the World a Smaller Place The Significance of Managing this Trillion $ Healthcare Industry International Standard Industry Classification - Human & Animal Service Providers - Support Services - Pharmaceutical & Medical Equipment Production What is International Healthcare Management?

International Healthcare Management The International Transfer of: Expertise Information Medical Products Healthcare Professionals Medical Education & Research Patients Capital Investment Humanitarian Aid

Expertise Best Clinical Practices Modern Managerial Tools Ensuring Operational Consistency Cross-Border Standardization International Accreditation Bodies Portability of Technology / Heightened Clinical Acumen Execution to be tailored locally

Information Disseminating Knowledge via Health Informatics International Outsourcing of e-health e services Electronic Medical Records Tele-Medicine / Remote Medicine Picture Archive Communication System (PACS) Remote Robotic Surgery Ensuring Patient Confidentiality at all times

Medical Products Major Pharma companies setting up International: - Production / R&D / Logistic Facilities Increasing R&D Costs cushioned by Increasing Disease Burden Medical Equipment Companies Maintaining Direct Control of Regional Offices Protectionism / Bureaucracy hampers Market Penetration Transparency / Independency at Regulatory Agencies International Arbitrary Role of Health Technology Assessment Agencies (HTA) to offer common unbiased platform

Healthcare Professionals Leading Experts visiting International Locations (temp) - Charitable Donations e.g. Air Hospital - Private Reverse Health Tourism Acquisition of Foreign Healthcare Professionals (long-term) Inter-Cultural Communication Skills Primary Brain Drain Secondary Brain Drain & High Turnover

Education & Research Medical Colleges & Universities Nursing & Allied Health Colleges Post-Graduate Fellowship Programmes Universal Recognition of Specialty Degrees International Congresses, Symposiums & Work-Shops Multi-Center Clinical Research Studies Spreading the Practice of Evidence Based Medicine

Patients The Ancient Greek concept of Health Tourism Drivers of Health Tourism: - Necessity - Higher Experience / Advanced Techniques - Lower Prices - Experimental Medicine - Bypassing Local Ethical Barriers - Wellness, Cosmesis & Alternative Medicine Information must follow the Patient Risks Infection, Quality, Patient s Rights?? The 6th Kondratieff Wave?

Patients The Ancient Greek concept of Health Tourism Drivers of Health Tourism: - Necessity - Higher Experience / Advanced Techniques - Lower Prices - Experimental Medicine - Bypassing Local Ethical Barriers - Wellness, Cosmesis & Alternative Medicine Information must follow the Patient Risks Infection, Quality, Patient s Rights? The 6th Kondratieff Wave?

Capital Investment Increase in Health Expenditure despite Economic Downturn Healthcare costs will increase faster than Inflation Governments want to offload burden to private sector Paving the way for private foreign healthcare providers to enter into PPP at international locations Pros & Cons of Deregulation and Free-Market Policies Healthcare as a Social Responsibility vs Business Venture Throwing Money at Healthcare is not the Solution

Humanitarian Aid Global Health Delivery to the Poor -? Global Health Equity? - 10 million children die needlessly every year - Vicious Circle of Poverty - Fighting corruption - Ensuring Complex Systems deliver Healthcare Disaster Management - Disaster Preparedness - Crises Management - Global Large Scale Acute Logistics - Loco-Regional Network of Experts - Initial Response Capabilities

Message Organize it, Measure it, Assess it, Analyze it You cannot MANAGE what you cannot MEASURE Healthcare is always local and always different Think GLOBAL but act LOCAL

Conclusion We hope that with time, a successful Global Healthcare Strategy may be crafted by a new progeny of healthcare managers possessing a fine balance of International Experience and Local Know-How International Healthcare Management..A profession of growing importance

Thank You