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Acıbadem Healthcare Group is an integrated primary and secondary healthcare services as well as the supporting functions like insurance, central laboratories, project management, catering, housekeeping , ambulance services and education foundation .

24 facilities with

9 hospitals operating since 1991

Acıbadem Healthcare Facilities

Acıbadem Education and Health Foundation

Acıbadem University

Acıbadem Health & Life Insurance

Acıbadem Project

Acıbadem Mobil Healthcare Services

A Plus

Acıbadem Labmed

Genetika

Pathology Laboratory

Acıbadem Labvital Food Central Laboratory

Curent Network 9 Hospitals

15 outpatients centers

∑ of 252.400 m2

General tertiary hospitals

Inpatient beds: 1.168 Operating theatre : 62

Expansion Plan

Bodrum Hospital

Fulya Hospital / İstanbul

Eskişehir Hospital

Inpatient Beds: 1.467 Operating Rooms: 79

1991 2000 2005 2008 2009

Number of Employees

70 1.450 4.374 6.407 8.500

Number of Physicians

13 345 691 1.012 1.500

Number of Nurses 78 230 728 1058 1.500

Number of Outpatients

2.387 300.038 914.674 1.374.484 1.900.000

Number of Inpatients

227 12.826 35.517 52.362 60.000

Number of Surgeries 126 8.143 28.578 30.210 48.000

HEALTH AND LIFE INSURANCE

The FOURTH largest health insurance company in Turkey

Mission: Make healthcare insurance as an integral part of the healthcare system

Over 100.000 policy holders (2008)

Acibadem Project Management (APM) was established in 2004 to provide the following in the healthcare industry:

investment planning design resources planning construction operations

• Fully-equipped land- and air ambulance services• Providing all health related emergency and/or

regular interventions before and after hospitalization

• in all possible areas such as offices, residences, schools

• with the same level of accreditated quality of Acıbadem service levels

• 7 days / 24 hours

As well as:• Home-care • Telemedicine• Health screening programs

Facility Management Company for Hospitals

Centralized kitchen

A new level of quality and presentation in patient room service

Centralized laundry

Housekeeping

Established by Acibadem Healthcare Group in 2002;

To improve the country’s education level and provide better quality of life to the society

To establish a health sciences university with allied institutions.

To provide scholarships to qualified students and fellows in health sciences.

To contribute to research in healthcare.

Medical Faculty

Nursing Faculty

Molecular Biology and Genetics

Computer Engineering Faculty

Industrial Engineering Faculty

Physical Therapy and Rehabilitation Faculty

Health Management Faculty

Psychology

~1.500 different type of tests are conducted at Labmed.

%50 partnership with Labmed Dortmund GmbH of Germany since 2004

Labmed audited by DACH of Germany and received ISO 15189 certification in 2005, the first in Turkey.

Annual number of tests conducted is currently 3 million.

Genetic Diagnosis and Cell Therapies Centres

Cell Laboratory and Stem Cell Bank

Cord Blood Bank

Cell Therapy Center

Centralized system working with field pathologists

Telepathology system betwwen central laboratory and all units

20 pathologist on staff with various subspecialties

The laboratory has been structured in a way that will make it a reference centre for those people and companies ascribing importance to health and food safety. The aim is to become a pioneer in food control and analysis services.

A recently inaugurated company in accordance with Acıbadem’s corporate traditions, the laboratory will soon be applying for TS EN ISO / IEC 17025 Experiment and Calibration Laboratory accreditation certification.

2009 - 9 MONTH (CASH)

PAT. NO AVERAGE

1179 4.325,36 USD

2009 - 9 MONTH (INT. INS.)

PAT. NO AVERAGE

3633 968,86 USD

1. QUALITY

JCI (Joint Commission International) 2005 Accreditation, 2008 Re-accreditation

EFQM (European Foundation for Quality Management)

“Commitment to Excellence” certificate 2004

ISO 9001Central Sterilization Units

ISO 17025Acıbadem Labmed Central Laboratory

ISO 15189Acıbadem Labmed Central Laboratory

Health Quality Service (HQS)International Hospital and Etiler Outpatient

Center

QUALITY-Accreditation & Certification

PATIENT SAFETY PROGRAMFollow up on the events which may endanger the safety of the patients and the employees.

PATIENT SATISFACTIONPatient Complaint Management System, developed by Acıbadem, has been awarded “best-practice” by JCI in 2005.

QUALITY IMPROVEMENT TECHNIQUESPDCA, FMEA, RCA and other techniques are used for continous quality improvement.

ICD – 10 DIAGNOSTIC CODESOur patients are diagnosed using with internationally accepted medical codes

PHYSICIAN CREDENTIALING and PRIVILEGING PROCESS

EVIDENCE BASED MEDICINE

QUALITY- Patient Focus

1. QUALITY

2. HARVARD AFFILIATION

• HMI: Established by Harvard Medical School in 1994

• Acıbadem has been an affiliate of HMI between 2003 - 2008

• Provides access to 18 teaching hospitals and institutions and 9,000+ facultyProfessional development of medical staff

15 medical programs (e.g. Movement disorders, women’s health, infectious diseases) with 2,057 physician participants

Nursing leadership and education

23 programs (e.g. Leadership, evidence based nursing, oncology/epilepsy/stroke specialty nursing)

Support in development and improvement of internal processes

•HR performance management system development•Disaster preparedness•Quality consulting and mock surveys•Administrative observerships

Evidence-based medicine programs

Stroke and oncology treatment guidelines

1. QUALITY

2. HARVARD AFFILIATION

3. TRANSPARENCY & SHARING OF CLINICAL OUTCOMES

ACB BAK KOZ BUR KOC INT

ALOS 2.08 1.90 2.40 2.02 2.22 1.86

Inpatient Mortality (%) 0.83 0.67 1.94 0.96 0.84 0.57

Infection Rate (%) 0.92 1.03 1.68 0.58 2.53 1.34

Surgical Site Infection (%)

0.63 0.40 0.72 0.48 2.15 0.23

ICU Length of Stay 23 hours

ALOS 5.3 days

Observed Mortality 0.9%

Cleveland Clinic Observed Mortality1

0.6%

California Hospitals Observed Mortality2

2.91%

1999-2007 Acıbadem isolated CABG results

References: 1.www.ccf.org/heartcenter/pub/about/specialties/cvsurgery.asp

2. www.oshpd.cahwnet.gov/HQAD/outcomes/studies/cabg/2003report/2003report.pdf

1. QUALITY

2. HARVARD AFFILIATION

3. PUBLISHMENT OF MEDICAL OUTCOMES

4. INFRASTRUCTURE OF ALL FACILITIES AND HIGH TECHNOLOGY

• All medical and surgical subspecialties• 3 Tesla intraoperative MRI• Gamma Knife, Rapidarc, IGRT and PET-CT• Congenital Cardiovascular Surgery• Level III Intensive Care Units• Assisted Reproductive Health and LDRP• Pediatric Sub-specialties• Telepathology and Genetic Testing• Bone Marrow Transplantation• Reconstructive and Micro-Surgery

1. QUALITY

2. HARVARD AFFILIATION

3. PUBLISHMENT OF MEDICAL OUTCOMES

4. INFRASTRUCTURE OF ALL FACILITIES AND HIGH TECHNOLOGY

5. INTEGRATED APPROACH IN MARKETING

Focus on one to one marketing in the region

Visit MOH, Hospitals, Medical Centers, physicians of each related country,

solid understanding of the health economics and needs of the target country

1. QUALITY

2. HARVARD AFFILIATION

3. PUBLISHMENT OF MEDICAL OUTCOMES

4. INFRASTRUCTURE OF ALL FACILITIES AND HIGH TECHNOLOGY

5. INTEGRATED APPROACH IN MARKETING

6. INTERNATIONAL PATIENT CENTER

Our Services Include:

Scheduling of medical appointments with follow-up care (pre-op and post-op evaluation)

Assistance with hospital admission and discharges.

Arrangement of accomodaiton

Arrangement of airport transfer

Assistance with payment procedures and in simplifying financial transactions.

Assistance with language interpretation

Assistance with local tours and excursion arrangements

Assistance with visa procedures

Guidance for Patient and Family before and after arrival Assistance with international insurances

High hospitality efforts door to door service orientation

1. QUALITY

2. HARVARD AFFILIATION

3. PUBLISHMENT OF MEDICAL OUTCOMES

4. INFRASTRUCTURE OF ALL FACILITIES AND HIGH TECHNOLOGY

5. INTEGRATED APPROACH IN MARKETING

6. INTERNATIONAL PATIENT CENTER

7. RESPONSIBILITY IN STOCKS MARKET

Publicly traded in İstanbul stocks exchange since 2000

Acquintance with all foreign investors around the world

Good financial results and rapid growth has been compared with the global market leaders in healthcare.

1. QUALITY

2. HARVARD AFFILIATION

3. PUBLISHMENT OF MEDICAL OUTCOMES

4. INFRASTRUCTURE OF ALL FACILITIES AND HIGH TECHNOLOGY

5. INTEGRATED APPROACH IN MARKETING

6. INTERNATIONAL PATIENT CENTER

7. RESPONSIBILITY IN STOCKS MARKET

8. TRY TO INCORPORATE AFTERCARE FOR THE PATIENT

Hospitalization documents prepared and available upon their discharge in their own language

Focus on follow up care in patients’ local country

Communication & coordination with priovider’s in patient’s local country

1. QUALITY

2. HARVARD AFFILIATION

3. PUBLISHMENT OF MEDICAL OUTCOMES

4. INFRASTRUCTURE OF ALL FACILITIES AND HIGH TECHNOLOGY

5. INTEGRATED APPROACH IN MARKETING

6. INTERNATIONAL PATIENT CENTER

7. RESPONSIBILITY IN STOCKS MARKET

8. TRY TO INCORPORATE AFTERCARE FOR THE PATIENT

9. PRICING STRATEGY

 Acıbade

m USA IndiaThailan

dSingapo

rePanam

aCosta Rica

CABG$

12.500 $

110,000 $

8,000 $ 12,000 $ 15,000 $

20,000 $

24,000

Cardiac Valve Replacement

$ 21.000

$ 130,000

$ 9,000 $ 10,000 $ 12,500

$ 30,000

$ 15,000

Coronary Angiography $ 1.666 $ 6,000 $ 560 $ 1,250 $ 1,313 $ 1,600 -

Coronary Angioplasty $ 3.300 $ 55,000 $

7,500 $ 8,000 $ 12,000 $

15,000 $

20,000

Total Hip Replacement$

20.000 $ 40,000 $

8,500 $ 11,100 $ 13,500 $

11,000 $

12,000

Total Knee Replacment

$ 17.000 $ 40,000

$ 7,500 $ 10,000 $ 13,000

$ 11,000

$ 11,000

Spinal Fusion$

19.000 $ 62,000 $

6,500 $ 7,000 $ 10,000 - $

25,000

Laparoscopic Cholecystectomy $ 8.500 $ 15,000

$ 4,500 $ 3,000 - $ 3,400 $ 3,000

Laparoscopic Hysterectomy $ 7.500 $ 22,000

$ 3,250 $ 3,000 $ 6,000 $ 6,500 -

Vaginal Hysterctomy $ 6.634 $ 19,000 $

2,000 - - $ 5,000 $ 3,000

Inguinal Hernia Repair $4.000 $ 5,000 $

1,000 $ 1,000 $ 1,000 $ 4,000 $ 4,000

Cataract Surgery $ 2.000 $ 5,000 $ 600 - - $ 2,500 -

1. QUALITY

2. HARVARD AFFILIATION

3. PUBLISHMENT OF MEDICAL OUTCOMES

4. INFRASTRUCTURE OF ALL FACILITIES AND HIGH TECHNOLOGY

5. INTEGRATED APPROACH IN MARKETING

6. INTERNATIONAL PATIENT CENTER

7. RESPONSIBILITY IN STOCKS MARKET

8. TRY TO INCORPORATE AFTERCARE FOR THE PATIENT

9. PRICING STRATEGY

10.WIDESPREAD NETWORK OF INTERNATIONAL INSURANCE AND ASSISTANCE COMPANY AGREEMENTS

Patients from European countries prefer Turkey;

For non covered services such as ;Plastic surgeryDental servicesExcimer laser / ophtalmologyIVF

Patients from Balkan ,Eurasia and Middle East Countries prefer Turkey:

Low technology

Lack of expertiese

Lack of hospital management know how

High risk medical treatmentsOncologyRadiation oncologyGamma Knife, CyberknifePediatric &a dult brain surgeryPediatric & adult coronery surgeriesInterventional radialogy and cardiologyTumor surgeriesBone marrow transplantsKidney, liver transplants

Number of hospitals in Turkey:

953 Public hospitals

˜ 450 Private hospitals

Highest JCI accredited hospitals after US is in Turkey, 32 facilities, 29 hospitals ( 9 belong to

Acıbadem)

Challenges in Turkey:

Turkey needs to prioritize the vision of putting the medical tourism on the front line

Today some platforms and organizations are voluntarily working for the international marketing of medical services ,also increasing the awarenes in the government and public …

Parties cooperating towards increasing medical tourism to Turkey :

Foreign Economic Relations Board

Accredited Hospitals Association

The Ministry of Tourism

The Ministry of Health

Association of Turkish Agencies

Turkish Airlines

Turkish Industry & Businessmen Association

ACIBADEM:YOUR

PARTNER IN HEALTHCARE