AHMC is a private United States company headquartered in Washington D.C. that offers “individualized turn-key services and total hospital solutions” to governmental healthcare authorities and private investment groups seeking to enhance operational performance and quality medical care

Founded in 1998, AHMC is today the leading international hospital management and administration outsourcing company with the global expertise and successful track record worthy of a collaborating partner’s consideration

AHMC’s business philosophy and experience enable it to deliver global resources locally in order to provide high quality technologically advanced Medical Services

AHMC’s affiliated healthcare facilities are Five Star, Class “A” academic medical centers that provide quality care, exceptional service and committed to long-term financial success

Unique to AHMC is its experience and success with Private-Public Hospital Partnerships, as well as with academic, teaching hospitals

AHMC overview

Scope of Services

New hospital Feasibility and Business Planning , Project Management, Pre-operational Planning, Commissioning and Operations

Turn-key management and administration of medical facilities operated at International-Level Standards

Strategic Planning and Business Development (also Marketing and Branding)

Organizational transformation & turn-around

Accreditation and Specialized Consulting Services (including quality, safety, financial, governance, etc.)

Hospital staffing, recruitment, training, development and retention Continuing Medical Education Programs in partnership with Harvard

Medical Faculty Physicians to develop world-class physicians, nursed and executives

Phases of hospital development

Development of Feasibility Study and Business Plan

Project Management

Pre-operations and Commissioning

Out-sourced Management and Operations

AHMC Medical Center Characteristics

Operated at Joint Commission International standards

Adoption of world class clinical guidelines

Commitment to continuous improvement and enhancements in quality

care

State-of-the-art medical technology and healthcare services

Commitment to continuing medical education and employee development through constant education and technology transfer

Transparent administration and business practices for to earn investors’ trust and in order to enhance ROI

Access to AHMC’s prestigious Strategic Alliances and related resources

AHMC Hospitals AHMC INDIA Hospitals Office and team locations

Centro Medico Cancun, Mexico, Cancun

La Lima Medical Center, Honduras, La Lima Honduras Medical Center, Honduras, Tegucigalpa

Hospital Nacional Panama, Panama City

Clinica Delgado, Peru, Lima

St. Kitts American University Hospital, St. Kitts and Nevis

Swani Road Hospital, Libya, Tripoli

High Tecnology Medical Center, Georgia, Tibilisi

Russian American Medical Center Eastern Europe And Russia, Russia, Tver

Sama Hospital, South Delhi, India Misr University for Science and Technology (MUST) Egypt, Cairo

Trinidad Specialty Hospital Trinidad And Tobago, Port Of Spain

Trasacco, Ghana, Accra

St. James Medical Center, Ghana, Accra

Mount Saint John’s Medical Center Antigua and Barbuda

Intercare Dominican Republic, Santo Domingo

Morrocan American Medical Center Morroco, Casablanca

Pasteur Laboratories, Colombia, Barranquilla and Cartagena

VIP Hospital Libya, Tripoli

Polo Hospital, Panchkula

SSG I & II Hospitals Haryana

Monet Hospital, Raipur

WASHINGTON DC

PANAMA

NEW DELHI

MSKMC 6th of October

• MUST is a private university founded by a family dedicated to excellent private higher education. MUST has 12 colleges and 3 research centers. The college of medicine has a teaching hospital with 160 beds. With current renovation underway, we look to complete the project with 350 beds in all.

Supplier Induced Demand

• Disclosure:

• Supplier induced demand has many variables that are subjective and difficult to control for. Today's discussion is in no way an exhaustive approach of all variables but an introduction.

Supplier Induced Demand

• Defined:

• Simply put, it’s when asymmetry exists between the supplier and consumer.

• “ when a physician influences a patients demand for care”

• Build it and they will come???

Scale Model

Question

• What are some reasons Asymmetry Exists? In other words, what may be the reason/s that the physicians may increase their own demand?

Some things to consider

• Income Driver

• It could be a motivator for the physician to maintain or acquire a certain life style

• Professional Uncertainty

• Individual practice patterns

Professional Uncertainty

• Typically seen in the ER whereby Residents or Interns order a wealth of tests due to lack of experience and or uncertainty. This is an example whereby over utilization of lab and CT can be minimized through protocol implementation.

Standardization

• Some organization seek to use bench mark data and standards which decrease variations.

• Standardizing practices allows for a more credible estimation of resource consumption.

• JCI- Joint Commission collateral incentives. Increase Quality, Better Resource Estimation.

• Drug Companies- in addition to targeting physicians, Pharmaceutical companies are even more aggressive to target the patient directly. If you want to feel….ask your doctor for….

• Ie. Weight loss, Hair Restoration,

Other Examples of Provider Induced Demand

Fountain of Youth?

• Can you guess the Drug?

Provider Exception

• Lets be Fair, not all Physicians are motivated by income nor are all pharmaceutical companies by their bottom line right?

• What happened to the patient advocate ?

Cultural Consideration

• Where the provider would want to limit resources either for conservation or limited supply some , cultures expect an exhaustive effort.

Cultural Consideration

• What norms or practice would be an example in your own country?

• Ie. Hospice service availability?

• Nursing home or extended stay availability?

• Family role in care giving?

• Patient Expectations - Something must be done….

Paradigm Shift

• The relationship of the “ All wise, All Knowing “ is changing…

• How?

Modern Challenges

• Provider Included demand has and is changing. Sites like WEBMD and just about any Google search Arm would be patients with information to begin self diagnosing.

• Direct marketing.

Practical Application

• What tools can you use in your administration?

• What are some methods of aligning physician incentives?

• What is the historical perspective of Provider Induced demand and how has it changed?

• What are some cultural considerations?

Practical Application

• Align Physicians Incentives.

• The Physician gain the availability to increase revenue but is shared with the hospital.

• Physician Fees vs. Salary Considerations

• Who should collect payments and how?

Group Quiz CT Services

• What are some variables to consider?

• What controls can act to balance demand and supply?

• What could happen if services are provided below market rate?

• How do you minimize provider induced demand?

Thank you.