Executive Summary for Medical Support
Vancouver 2010

The 2010 Winter Games will poise several challenges to visitors in need of medical attention. The government owned health system in Canada is based on the principal of rationed resources and is not equipped to handle the huge influx of visitors that will occur during the Games. Private medical resources are limited. Whistler is in a remote location with no significant medical presence.  February is the peak of flu season and the winter conditions will lead to an increase incidence of medical injuries and illnesses. In summary, corporations hosting programs during the Games will be dealing with an

• Overcrowded public health system with limited resources
• Inadequate access to convenient and timely medical care
• Significant incident of illnesses and injuries

The safety and security of corporations’ guests is of the utmost concern during the Games, and as such, organizations are looking to partner with a medical risk management provider during the Games that can deliver high quality medical care in a timely fashion both in Vancouver and Whistler.

Benefits of InHouse Physicians Medical Support Services for Vancouver 2010
InHouse Physicians (IHP) has developed the most comprehensive medical service plan available for the 2010 Winter Games. IHP will deliver the same level of quality and commitment to customer service that it has been providing to our clients for 18 years.

• Solid and successful Olympic experience (1996 Atlanta, 2000 Sydney, 2008 Beijing )
• Long term established presence in Vancouver
• Over 50 highly qualified local healthcare providers in Vancouver and Whistler
• Strong network of local hospitals, clinics, emergency providers, and physician partners
• Focus on customer service and attendee satisfaction
• Comprehensive risk management program

Background – InHouse Physicians

• History

Year established – 1990
Number of years in industry – 18 years
Length of time IHP has offered this product and/or service – 18 years

• Size

Total number of corporate clients – 51

• Business Overview

General Overview of InHouse Physicians’ Core Business
InHouse Physicians is a worldwide leader in the delivery of on-site medical support and medical risk management solutions for corporations and their employees around the world.  IHP was founded in 1989, after recognizing the value of assisting U.S. corporations with the difficult task of providing quality, convenient medical care for their employees.  Over the past 18 years, InHouse Physicians’ services have been routinely utilized by our clients at national and global meetings, incentive programs, senior management retreats, global travel and special events such as the Olympic Games.  Our mission is to ensure a company's success by providing for the health of their employees and guests – whether at home or abroad. IHP has a network of highly qualified, experienced physicians, nurses and paramedics worldwide.  In addition to state-of-the-art medicine, IHP continues to remain dedicated to outstanding customer service with an emphasis on understanding the special needs of our clients.

Summary of Competitive Position / Advantages:

• Extensive experience and in-depth knowledge in providing medical support at Olympic Games (over 20 clients from past Olympics including, but not limited to McDonald’s, AT&T, Home Depot, Bank of America, Xerox, Anheuser Busch, Visa, John Hancock, UPS, Georgia Pacific, Samsung, Sara Lee, Time Inc, and Sports Illustrated)
• Fifteen plus years of experience in Vancouver and Canada
• Existing operations office in Vancouver
• 50 plus IHP physicians, nurses, and paramedics who are local to Vancouver and provide medical support to IHP clients on a regular basis
• Strong local, public and private medical partners including two prominent integrated health care systems with capabilities far exceeding that of any other hospitals in Vancouver.
• Secure pharmaceutical supply chain
• Medical evacuation and crisis management capabilities in conjunction with our partner MEDEX
• IHP’s President and CEO, Dr. Jonathan Spero, will be in Vancouver during the Games and supervising the entire Olympic operation

 Key Value Proposition
InHouse Physicians will bring an unparalleled medical risk management solution to the 2010 Winter Olympic Games that is designed to deliver the most responsive and highest quality of medical care for our client’s employees and guests.  Only IHP can provide this comprehensive set of capabilities:

• Robust Local Resources – Consisting of comprehensive capabilities with an enormous capacity to handle any possible medical situation in both the Vancouver or Whistler areas.  This will allow IHP to respond immediately and effectively to any medical situation that may occur.
• Crisis Management - Our partnership with MEDEX, IonSecurity, and the local integrated health care systems gives IHP a distinct advantage in responding to any medical emergency or unexpected disaster. This advantage includes superior capabilities and capacity, redundant systems, and a good working relationship with local healthcare governmental officials.
• Customer Service – IHP has an impeccable track record of exceeding our clients’ expectations. And, in addition to all of the other resources IHP brings to bear, a promise that our CEO, Dr. Jonathan Spero , will personally be present to supervise and facilitate the medical operations on a 24-hour a day basis.

Key business partners in Vancouver and surrounding areas
Vancouver General Hospital – VGA is one of two acute care facilities that are part of Vancouver Hospital & Health Sciences Centre.  It is the major patient care, teaching and research hospital in British Columbia, Canada.  VGA is a 950-bed facility offering a full spectrum of medical and surgical services. 

• UBC Hospital – UBC Hospital is one of two acute care facilities that are part of Vancouver Hospital & Health Sciences Centre.  It is on of British Columbia’s foremost teaching and research facilities and is located on the campus of the University of British Columbia.  Specialty areas at UBC Hospital include: Acute Medicine, General Surgery, Reconstructive Orthopedic Surgery, Psychiatry, and Gerontology.
   
• Providence Healthcare - Providence is an integrated, private healthcare system in Vancouver consisting of six individual hospitals throughout the greater metropolitan Vancouver area. Their flagship hospital, St. Paul’s, is a 500-bed teaching hospital with a strong research focus. St. Paul's is recognized provincially, nationally and internationally for its work in the areas of heart disease, kidney disease, nutritional disorders, HIV/AIDS and the care of the disadvantaged.

• Whistler Medical Clinic - This clinic can provide outpatient medical evaluation and treatment for a variety of medical and surgical conditions. However, if the need for hospitalization occurs, the patient will need to be transferred to Vancouver for further inpatient care.
  
  
• MEDEX – MEDEX is a recognized leader in emergency travel assistance, serving the needs of over 8 million international travelers and expatriates, and hundreds of global organizations.  The MEDEX proprietary global network contains more than 43,000 provider resources with the ability to provide assistance in any location at any time.  MEDEX offers customized global travel solutions from pre-travel intelligence and contingency planning to 24-hour emergency medical and security assistance, as well as evacuation and repatriation programs.

Medical Support Solution Options

On-Call Physician Program (with or without on-site nurse/paramedic option)

This service offers your group a cost effective medical support solution ensuring high quality, prompt medical care 24 hours a day during the Games. Our physicians and nurses will be strategically located in the Vancouver and Whistler areas in order to provide a prompt response to our clients’ medical needs 24 hours a day. The service includes the following features.

• Medical hotline staffed  by paramedics in our Vancouver call center (24 hours a day)
• On-call local emergency medicine physicians (24 hours a day)
• Physician house calls to your hotel or other  location (24 hours a day)
• Preferred access to local hospitals and diagnostic centers
• Same day physician specialty appointments  (Monday – Friday)
•  Medical liaison to supervise all care at the hospital or specialist’s office
• Prescription delivery (24 hours a day)
• Daily attendee medical reports and real time health alerts
• Medical disaster and contingency plans
• Pandemic preparedness plan
• On-site emergency medicine nurse (optional)

On-Site Physician Program

In addition to all of the features included in the on-call physician program (see above), this service provides you with immediate, life saving physician level capabilities with your own on-site emergency medicine physician 24 hours a day. The on-site physician is board certified in emergency medicine and understands the special needs of executives.  InHouse Physicians will also provide an on-site emergency medical clinic at your hotel or hospitality center. The medical clinic contains everything that is in an ambulance plus an array of physician diagnostic and treatment capabilities.
The on-site physician will be able to treat patients in the hotel clinic or make “house calls”.  The on-site physician is also able to travel with the group as needed (i.e. Whistler or other locations).  In summary, the on-site physician program includes:

• On-site emergency medicine physician 24 hours a day
• On-site emergency medicine clinic 24 hours a day

All the features of the on-call physician program


On-Call Medical Specialists

Whether you choose the on-call or on-site physician program, your group will have access to IHP’s network of physician specialists for same day office appointments and admission to the hospital as necessary. The specialties available are:

• Internal medicine
• Cardiology
• OB-GYN
• General Surgery
• Orthopedic Surgery
• Ophthalmology
• Pediatric
• Mental Health

 
All medical specialists are board certified in their respective specialty and are credentialed by IHP on a yearly basis. Many of the physicians speak other languages in addition to English.  In the event an attendee requires more advanced care outside of the hotel, IHP has the resources and flexibility to choose the best medical specialists for the attendee’s specific medical condition.

Medical Liaison       

Whether you choose the on-call or on-site physician program, your group will have access to a medical liaison that will coordinate all medical care outside of the hotels and hotel clinic.  IHP’s own CEO, Dr. Jonathan Spero, will serve as the medical liaison.  Dr. Spero will accompany any attendee requiring medical care outside of the hotels and will personally direct their care within the Vancouver hospitals.  He will assume personal accountability for keeping our clients informed of each attendee’s situation in real-time.                                                                                                                                     

Medical Contingency Plan

Whether you choose the on-call or on-site physician program, IHP will provide you with a customized medical contingency plan which includes a number of powerful risk management tools:

• Identify general and unique medical risks associated with the Vancouver 2010 Olympics. Also determine the associated probabilities and potential impact.
• Classify levels of medical crisis situations (i.e. mass trauma, infectious disease outbreak, etc.)
• Implement a prevention plan
• Implement a surveillance and detection strategy
• Develop a response strategy for each level of medical crisis
• Secure and coordinate resources to respond to each level of a medical crisis
• Establish procedures and medical evacuation plans
• Create a communication plan
• Test the entire plan before the program begins and modify as necessary

Pandemic Preparedness Plan

The H1N1 pandemic has necessitated pandemic preparedness planning for meetings and events. Below is a summary of our capabilities:

• Rapid, on-site antiviral screening
• Face masks (surgical and N95)
• Hand sanitizers
• Individual Pandemic Kits
• Stockpiling of antivirals

Insurance

InHouse Physicians agrees to secure and protect itself, and shall secure and indemnify our clients, its directors, principals and employees from any liability, claim of liability, expense, cause of actions, loss of damage whatsoever, for any injury including death to any person, or to property, in the performance of a resulting relationship, whether arising from, or in connection with, the services delivered.

InHouse Physicians agrees to carry the following minimum insurance coverage:

• Medical Liability Insurance ($1,000,000 per incident, $3,000,000 aggregate)
• Workers Compensation Insurance (Statutory Limits);
• General Public Liability Insurance of four million dollars ($4,000,000) as combined  single limit

In addition, InHouse Physicians guarantees that all insurance policies, other than medical liability insurance, shall contain a complete waiver by the insurer of subordination against our client.  All subcontractors shall be required to carry the exact insurance coverage as InHouse Physicians, and shall be required to comply with all applicable federal, state and local laws, as well as the rules and regulations pertaining to employee protection and professionalism, as prescribed by our client.
InHouse Physicians agrees that as an Independent Contractor it assumes full responsibility for the acts of its employees, and shall hold our client harmless for any and all damages and/or harm.  InHouse Physicians also bears all risk and responsibility for its employees including, but not limited to, payroll related taxes and insurance. Our client shall have no responsibility for withholding income and employment taxes.

InHouse Physicians provides medical risk management solutions to a growing number of global Fortune 1000 companies.  These successful corporations choose InHouse Physicians for a host of reasons – service quality, superior customer service and our extensive global network of highly qualified physicians, nurses and paramedics.

Contact Us

InHouse Physicians
Carey Coughlin – Regional Sales Director
Ccoughlin@ihphysicians.com
Work 360 433 2293
Cell   360 518 5401
www.inhousephysicians.com