Tag Archives: JCI

Three Things to Know about your Doctor

A recent Deloitte report on medical tourism predicted that outbound medical travel from the US could reach upwards of 1.6 million patients by 2012, with sustainable annual growth of 35 percent. If you are one of the many potential patients seeking high quality, affordable care outside of the US, you should know three things about your provider before boarding the plane: who they are, how and where they practice, and what are their results and outcomes.
The first question, who they are, probes the provider’s education, qualifications, experience and reputation. Most of this information is usually accessible on the doctor’s website and can be verified on accreditation organization websites or professional association resources. Check to see whether the practitioner is board certified by a reputable US or foreign specialty board and if they are a member of the national specialty society or association.

Secondly, ask how and where they practice. For example, plastic surgeons and dentists are likely to practice and operate in private clinics or ambulatory surgery facilities removed from a hospital setting. Some may even own the clinic and they should divulge that information to you. If something goes wrong during a procedure, make sure you understand how and where you would get emergency care, how you would be transported there, and who would pay for it. In addition, unlike more and more hospital facilities that are being accredited by the Joint Commission International, (click for a list of accredited hospitals) the organization responsible for making sure hospitals adhere to acceptable practices and procedures, independent, free-standing facilities frequently are not similarly examined or accredited.

Finally, and perhaps the most difficult information to find, is the outcome and results of a given procedure. Ask ” How many of these operations do you do in a week, a month or a year ?” Also, inquire about the number of cases that result in complications, the need for revision surgery or significant morbidity i.e. something that unexpectedly doesn’t work the way it should after surgery, or postoperative death. Most doctors, including those in the US, will be unable to give you an accurate answer because they don’t keep good records or have an unreliable system to keep track of results. Sometimes the best you can do is to talk to someone who has had a similar procedure.

Getting information about a doctor and his or her results in not easy, wherever they practice. The more information you know, however, the better you can determine whether surgery away from home makes sense.


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ObesityFree – Specializing in Laparoscopic Weight-Loss Surgeries

MedVoy is pleased to be partnered with ObesityFree that is focused on providing laparoscopic weight loss solutions for patients who have struggled for years with their excess weight. Obesity has become an epidemic and for the first time in many decades, life expectancy is expected to decline in years to come – by as much as 10 years because of this previously underestimated condition. A large number of weight loss operations have been devised over the last 50 years, including: vertical banded gastroplasty, gastric banding (adjustable or non-adjustable), Vertical Sleeve Gastrectomy (Gastric Sleeve) and malabsorbtion procedures such as Roux-en-Y gastric bypass, biliopancreatic diversion and duodenal switch.

Dr. Rosales of ObesityFree has specialized in – Gastric Sleeve and Adjustable Gastric Band – because the best results have come from these procedures, while also being safer with less complications and side effects. Dr. Rosales received an Invasive Surgery Fellowship at the Christus Health Group in Monterrey, Mexico and has been specializing in these procedures for the past five years. The surgeries are performed at the JCI Accredited facility of the Christus Health Group in Monterrey, Mexico. Dr. Rosales is a member of the Member of the Mexican Association of Endoscopic Surgery, AMCE and is also a Board Certified Surgeon with the American College of Surgeons (ACS) Certified for Advanced Trauma and Life Support.

Please visit their page for more details.


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MedVoy visits the Chihuahua Medical Cluster!

Chihuahua Cathedral

Chihuahua Cathedral

MedVoy visits the Chihuahua Medical Cluster

The Chihuahua Medical Cluster in Chihuahua Mexico (less than a two hour flight from Houston), is a collaboration of the government, business, and medical community to provide high-quality medical care and to become a global leader in international healthcare.

With a strong colonial heritage, Chihuahua has a legacy of three centuries of hospitals and plans are already underway for additional hospitals. Meetings with Chihuahua Mayor Alvaro Guillermo Madero MuÒoz and Secretary of Tourism, Minister Hector Valles also unveiled plans for future tourism initiatives – a highlight being a Swiss-made tram being installed in Copper Canyon later this spring. Copper Canyon, a group of canyons twice as deep and five times longer than the Grand Canyon, is an unspoiled gem with breathtaking scenery.

For more photos of hospitals and Copper Canyon, please click here.

CIMA Hospital Chihuahua

CIMA Hospital is an international partnership of US and Mexican investors and the 150 physicians who practice at CIMA. Already ISO 9000 certified, CIMA Hospital is undergoing the JCI accreditation process, to be completed in June 2010.

Executive Wellness Screenings utilize GE Millennium MG Nuclear Imaging Environment (GENIE), which provides an intuitive user interface that goes well beyond the nuclear stress test. The General Health Council recently awarded CIMA Chihuahua the most important recognition in Mexico – recertification as a high-specialty hospital – and the Mexican Association of Private Hospitals has also recognized it as a Hospital of Excellence. Other specialties are: Bariatrics, Plastic Surgery, Cardiology, Angiology, Endoscopies, Orthopedics, Angioplasty, Lung and Heart Transplants.

Oncology Center of Chihuahua

Part of the CIMA Hospital Center, Oncology Center of Chihuahua is a brand-new, holistic, state-of-the-art cancer treatment center that is part of an international collaboration with Southwest Oncology Center of Scottsdale, Arizona.

The only TomoTherapy machine in Latin America, at a cost of $2.8M USD, fuses CT, MRI, and PET Scan simulations for contouring and allows for the most precise angles to be used, which can pinpoint tumors previously thought untreatable. With an on-site psychologist, nutritionist and private suites, treatment options include surgery, radiation and chemotherapy.

Clinica Cumbres

Clinica Cumbres, an American-designed Ambulatory Surgery Center, was built in cooperation with the JCI to follow the current US trend where 70% of clinics are for outpatient care. Clinica Cumbres has been JCI accredited since its inception in 2008, providing multi-year transparency, 100% electronic files and the ability to work with insurance providers.

With private rooms and an English-speaking staff, the average stay is six hours and patients are monitored every ten minutes. Specialties include: Angiology, Anesthesiology, Angiology, General Surgery and Gastroenterology, Plastic Surgery, Ophthalmology, Orthopedics, Otolaryngology, Pathology and Urology.


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Vetting your Doctor

The term medical tourism is a bit of a misnomer as it downplays the serious nature of choosing a doctor – whether in your home country or abroad. The questions below, while not exhaustive, give you some guidance on choosing your doctor wisely.

What are your academic credentials?

Look for specialized training in the chosen field, such as plastic surgery / cosmetic surgery, bariatrics, orthopedics, fertility training, prosthodontics, etc. Many doctors have international training in the US and Europe and may be American-board certified which helps to put US patients at ease. High-quality doctors collaborate internationally and regionally so also, think twice before underestimating a surgeon if they have graduated from a reputable medical school overseas. If you’re not sure – ask MedVoy!

Are you accredited?

International accreditation for providers include: Joint Commission International JCI, Trent Accreditation Scheme (TAS) and International Organization for Standardization (ISO), while the International Board of Medicine and Surgery (IBMS) certifies physicians. Furthermore, many countries also have stringent national standards that follow international guidelines. One example is Colombia, where hospitals follow international non-profit ICONTEC standards that are identical to ISQua standards. Hence, all accredited hospitals in Colombia are subsequently accredited by ISQua. Malaysia also has the Malaysian Society for Quality in Health (MSQH) that acts as an independent, not-for-profit organization to ensure safety and quality.

How many of these surgeries have you performed?

Experience is one of the most important elements towards a successful outcome. Whether the doctor performs the surgery every day or a few times a year is significant! Do they specialize in a certain area? A cosmetic surgeon such as MedVoy’s partner Denver Cosmetic Surgery that specializes in the aging face is going to give you a better outcome than a dilettante. Find out how many of these surgeries the doctors has performed. Also, make sure that the actual surgeon will be performing the surgery and not a subordinate.

What materials do you use?

There is a wide range in quality in the materials used – so ask! Are they from a reputable company like Johnson and Johnson or Boston Scientific? Do they provide a guaranty? MedVoy’s partner Travel and Smile in Peru will uses German-made noble metal crowns and that are the standard in the US and Germany and gives a lifetime guarantee on quality. Make sure that you know this before you are actually there.

This list does not cover all the questions which is why it’s important to work with a well-established medical tourism company.


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MedVoy visits JCI accredited hospitals in Jordan for its medical tourism offering

Recently MedVoy had the opportunity to visit 4 JCI accredited hospitals in Jordan. Jordan has not only been one of the popular tourist destinations with its modern seven wonder Petra, Dead Sea and its religious ties to ancient history but also has offered treatments to almost 210,110 patients from 48 countries treatment in 2008. Jordan is the only country in the Middle East that generates more income than what it spends on health and has been witnessing a yearly steady increase of around 10 percent of foreign patients. This beautiful country with its very ancient history has a lot to offer when it comes to medical tourism and offers a comprehensive solution with the high quality and competitive cost healthcare.

All major JCI accredited hospitals namely Jordan Hospital, King Hussein Cancer Center, Al-Essra Hospital, and Specialty Hospital have the high quality standards with excellent western atmosphere luxury patient rooms. They have not only the latest technologies and medical devices but also have well trained, qualified English speaking staffs giving the best care of service. All the doctors involved in providing international patient care have reputed credentials with wide international medical experiences and some of them include American/UK Board certified surgeons who have returned back home. One factor that differentiates and puts Jordan as a leading destination in medical tourism industry is the experience they have already gained by dealing with international medical tourist patient. 30-40% of their inpatients in year 2008 are from countries outside Jordan. This international exposure combined with their high quality treatments, low cost (almost as low as 25 percent of the value the same medical procedures in U.S.) puts Jordan one of the top most medical tourist destinations in the world. I was impressed on all levels and the quality of care provided truly exceeds the expectation of any accreditation standards and it’s far better than majority of the U.S. based hospitals.

I have no doubt that Jordan is going to be the top most medical tourist destination in the years coming. MedVoy is currently working on adding more medical tourism offerings in the country of Jordan for its North American patients.


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AMA recently published its new guidelines on Medical Tourism. They are as below

(a) Medical care outside of the U.S. must be voluntary.
(b) Financial incentives to travel outside the U.S. for medical care should not inappropriately limit the diagnostic and therapeutic alternatives that are offered to patients, or restrict treatment or referral options.
(c) Patients should only be referred for medical care to institutions that have been accredited by recognized international accrediting bodies (e.g., the Joint Commission International or the International Society for Quality in Health Care).
(d) Prior to travel, local follow-up care should be coordinated and financing should be arranged to ensure continuity of care when patients return from medical care outside the US.
(e) Coverage for travel outside the U.S. for medical care must include the costs of necessary follow-up care upon return to the U.S.
(f) Patients should be informed of their rights and legal recourse prior to agreeing to travel outside the U.S. for medical care.
(g) Access to physician licensing and outcome data, as well as facility accreditation and outcomes data, should be arranged for patients seeking medical care outside the U.S.
(h) The transfer of patient medical records to and from facilities outside the U.S. should be consistent with HIPAA guidelines.
(i) Patients choosing to travel outside the U.S. for medical care should be provided with information about the potential


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