A Best Practice for Innovative, High-Tech Affordable Health Services

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CIES – GLOBAL BUSINESS MODEL- TIERED MOBILE HEALTH SCREENING AND SERVICES

Level I Preventive Medicine Program “PMP”

The “Level I” service is intended as a mass community screening program and is the primary care level or “PMP” or Preventive Medicine Program service, where large number of individuals are brought into the delivery model.     PMP, which essentially a screening program of 10-15 minutes duration per patient who are then registered and digitally recorded in a unique HIT system data base. 

 Hybrid Day Hospital Configuration –Administrative Suites; Integrated Billing, Documentation and Control in Adaptable Scalable Box Configurations

Hybrid Day Hospital Configuration –Administrative Suites; Integrated Billing, Documentation and Control in Adaptable Scalable Box Configurations

Basic Preventive screening test including:

  • Station I - Comprehensive Family and Personal History for Risk Factors,
  • Station II - Vital Signs - Height, Weight, BMI calculation, Blood Pressure (sitting only), HR, RR,
  • Station III - Blood Stick Tests -Non Fasting Serum Glucose and Cholesterol
  • Stations IV - Sensory Screening- Vision Screening (Chart only) and Hearing (Audiometry).  
  • Station V – Optometry Evaluation Basic
  • Station VI -- Dental Hygiene and Basic Evaluation
  • Station VII – Clinical Consultation - The patient will receive a targeted, professional medical consultation and his/her health risk score is calculated based on the “Michigan Heart Association” Preventive Screening Algorithm”.  

The patient then return to the “concierge” desk were a few exit questions are asked and they are given a “CIES Smart Card” with their Health Data and suggested referrals for follow up, sub specialty care and age dependent procedures needed.

Level II Advanced Diagnostic and Treatment

Diagnostic Testing:

  • Upper GI Endoscopy
  • Lower GI Colonoscopy
  • Naso-Pharyngeal Larygnscopy – ENT
  • Vascular Doppler Ultrasound – Peripheral Vascular disease, Thrombosis
  • Echocardiography and EKG
  • Mammography

Treatment Surgical and Medical

  • Varices of lower extremities – Saphenous
  • Cataract removal – Ophthalmologic

As an Evidenced Based Medicine model (EBM), the “PMP” is intended as a gateway screening that will lead to an advanced “Level II” clinical diagnostic testing and procedures that are important preventive measures recommended by the US Preventive Services Task Force and are age and gender dependent.

Telemedicine will be an integral part of the CIES program as an intermediary free-standing and unmanned station or “Health Box” has been designed to be positioned strategically in metropolitan areas using a telemedicine platform and blue tooth medical equipment.

The concept, already functional in Brazil, allows an individual to privately enter the Health Box and be seated in an “Ergo Chair” while they enter vital health information confidentially (HIPPA compliant) into an e-health personal health record (PHR) then can access anywhere there is broad-band and updated data is uploaded to their CIES Smart Card during the encounter. 

During the visit basic anthropometric data is obtained from the Ergo Chair and easily utilized virtual medical equipment (i.e. blood pressure sphygmomanometer, blue tooth stethoscope, HDR “scope” for visualizing eyes, ears and throat).

With the swipe of a debit or credit or pre-paid card, the end user can automatically and instantaneously access a network of providers of every medical specialty and who speak a variety of languages for a medical consultation charged on a per minute basis.   

Next- Mini Hybrid Hospital Joinville Brazil

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About the author

Eduardo Montana

Dr. Eduardo Montaña is a Preventive Pediatric Cardiologists and Lipidologist who in 2001 founded Children’s Cardiovascular Medicine, a private practice in the Metropolitan Atlanta area covering the needs of the infants, children and adolescents throughout the State Georgia. 
He currently serves as a National Hispanic Medical Association (NHMA)/National Hispanic Medical Foundation (NHMF) Physician Leadership Fellow in Washington DC where he participates in developing policy initiatives related to Culturally and Linguistically Appropriate healthcare Services (CLAS) for Latino Communities.
He serves as Chair of the Board of Directors of the Hispanic Health Care Coalition of Georgia (HHCCG) supporting initiatives at addressing Obesity and Diabetes in Latino Communities through Health Education and Promotion Services. 
Dr. Montaña completed both his training in Preventive Medicine and Pediatric Cardiology at the Emory University School of Medicine as well as his Masters of Public Health at the Rollins School of Public Health. 
In the early nineties, Dr. Montaña was awarded and completed an appointment at the Centers for Disease Control and Prevention, Center for Environmental Health and Health Promotion in the Epidemiology Intelligence Service in Birth Defects Surveillance. He later served on faculty at Emory University School of Medicine, Department of Pediatrics and Pediatric Cardiology. 
Dr. Montaña earned his MBA in Healthcare Administration and Management from University of Colorado Executive Health Care Business School. He remains committed to positively impacting educational and health care disparities in Latin American youth.