2012

1. CENTRO MEDICO DEPORTIVO ARUBANO SPORTS MEDICAL CENTRER OF ARUBA 2012

2. A SportsMedicineFacilityon Aruba The introduction of Sports Medicine Care as part of the shift of Healthcare Services. Moving towards Maintaining One's Health on Aruba.

3. Sports Medicine Sports medicine is a branch of medicine that deals with physical fitness, treatment and prevention of injuries related to sports and exercise.  Sports medicine is an “umbrella term” used to define specialties in preventing, diagnosing, and treating injuries related to participation in sports, physical activity and/or exercise.

4. Sports Medicine Sports medicine is a branch of medicine that deals with physical fitness, treatment and prevention of injuries related to sports and exercise.  Sports medicine is an “umbrella term” used to define specialties in preventing, diagnosing, and treating injuries related to participation in sports, physical activity and/or exercise.

5. Sports Medicine Sports medicine is a branch of medicine that deals with physical fitness, treatment and prevention of injuries related to sports and exercise.  Sports medicine is an “umbrella term” used to define specialties in preventing, diagnosing, and treating injuries related to participation in sports, physical activity and/or exercise.

6. Sports Medicine Sports medicine is a branch of medicine that deals with physical fitness, treatment and prevention of injuries related to sports and exercise.  Sports medicine is an “umbrella term” used to define specialties in preventing, diagnosing, and treating injuries related to participation in sports, physical activity and/or exercise.

7. Maintaining One's Health Caring for oneself by being aware of the need and doing what is required to look after one's health, both to respond to risks to health and to prevent ill-health, such as by seeking professional assistance; following medical and other health advice; and avoiding risks to health such as physical injury, communicable diseases, drug-taking and sexually transmitted diseases. World Health Organization, International Classification of Functioning, Disability and Health, Geneva, 2001, Classification, Assessment, Surveys and Terminology Team.

8. Maintaining One's Health Caring for oneself by being aware of the need and doing what is required to look after one's health, both to respond to risks to health and to prevent ill-health, such as by seeking professional assistance; following medical and other health advice; and avoiding risks to health such as physical injury, communicable diseases, drug-taking and sexually transmitted diseases. World Health Organization, International Classification of Functioning, Disability and Health, Geneva, 2001, Classification, Assessment, Surveys and Terminology Team.

9. Maintaining One's Health Caring for oneself by being aware of the need and doing what is required to look after one's health, both to respond to risks to health and to prevent ill-health, such as by seeking professional assistance; following medical and other health advice; and avoiding risks to health such as physical injury, communicable diseases, drug-taking and sexually transmitted diseases. World Health Organization, International Classification of Functioning, Disability and Health, Geneva, 2001, Classification, Assessment, Surveys and Terminology Team.

10. Maintaining One's Health Caring for oneself by being aware of the need and doing what is required to look after one's health, both to respond to risks to health and to prevent ill-health, such as by seeking professional assistance; following medical and other health advice; and avoiding risks to health such as physical injury, communicable diseases, drug-taking and sexually transmitted diseases. World Health Organization, International Classification of Functioning, Disability and Health, Geneva, 2001, Classification, Assessment, Surveys and Terminology Team.

11. Maintaining One's Health Caring for oneself by being aware of the need and doing what is required to look after one's health, both to respond to risks to health and to prevent ill-health, such as by seeking professional assistance; following medical and other health advice; and avoiding risks to health such as physical injury, communicable diseases, drug-taking and sexually transmitted diseases. World Health Organization, International Classification of Functioning, Disability and Health, Geneva, 2001, Classification, Assessment, Surveys and Terminology Team.

12. Maintaining One's Health Caring for oneself by being aware of the need and doing what is required to look after one's health, both to respond to risks to health and to prevent ill-health, such as by seeking professional assistance; following medical and other health advice; and avoiding risks to health such as physical injury, communicable diseases, drug-taking and sexually transmitted diseases. World Health Organization, International Classification of Functioning, Disability and Health, Geneva, 2001, Classification, Assessment, Surveys and Terminology Team.

13. Maintaining One's Health Caring for oneself by being aware of the need and doing what is required to look after one's health, both to respond to risks to health and to prevent ill-health, such as by seeking professional assistance; following medical and other health advice; and avoiding risks to health such as physical injury, communicable diseases, drug-taking and sexually transmitted diseases. World Health Organization, International Classification of Functioning, Disability and Health, Geneva, 2001, Classification, Assessment, Surveys and Terminology Team.

14. Maintaining One's Health Caring for oneself by being aware of the need and doing what is required to look after one's health, both to respond to risks to health and to prevent ill-health, such as by seeking professional assistance; following medical and other health advice; and avoiding risks to health such as physical injury, communicable diseases, drug-taking and sexually transmitted diseases. World Health Organization, International Classification of Functioning, Disability and Health, Geneva, 2001, Classification, Assessment, Surveys and Terminology Team.

15. Short Introduction The Aruban Healthcare System findsitself in a criticalpositionwherechange in itsdynamics must take place. A change must take place in the consumption of care from “exclusivelydisease care” to “inclusivehealthself- (preventive)management”

16. Short Introduction The Aruban Healthcare System findsitself in a criticalpositionwherechange in itsdynamics must take place. A change must take place in the consumption of care from “exclusivelydisease care” to “inclusivehealthself- (preventive)management”

17. Short Introduction The Aruban Healthcare System findsitself in a criticalpositionwherechange in itsdynamics must take place. A change must take place in the consumption of care from “exclusivelydisease care” to “inclusivehealthself- (preventive)management” Expectation: Changes in the healthcare system willfosterchange in healthcarecomsumption.

18. Whatis a SportsMedicalFacility? Is a professional grouppracticewherebundledknowledge is offeredon: sportsmedicine. chiropractic care. sportspsychology. sportsphysicaltherapy. sportsnutrition.

19. Whatis a SportsMedicalFacility? It is where a knowledgeable evaluation and treatment takes place of sports (exercise) related injuries. THE place for a tailoredadvice (prescription) and follow-up onphysicalactivity and nutrition. Therapeutic Preventive Promoting

20. Whatis a SportsMedicalFacility? It is where a knowledgeable evaluation and treatment takes place of sports (exercise) related injuries. THE place for a tailoredadvice (prescription) and follow-up onphysicalactivity and nutrition. Therapeutic Preventive Promoting

21. Whatis a SportsMedicalFacility? It is where a knowledgeable evaluation and treatment takes place of sports (exercise) related injuries. THE place for a tailoredadvice (prescription) and follow-up onphysicalactivity and nutrition. Therapeutic Preventive Promoting

22. Whatis a SportsMedicalFacility? It is where a knowledgeable evaluation and treatment takes place of sports (exercise) related injuries. THE place for a tailoredadvice (prescription) and follow-up onphysicalactivity and nutrition. Therapeutic Preventive Promoting

23. Whatis a SportsMedicalFacility? Is intended for the: athletic as for the non-athletic population.

24. Whatis a SportsMedicalFacility? Is intended for the: athletic as for the non-athletic population.

25. Whatis a SportsMedicalFacility? Serves as a referral center for specialized exercise prescription. Starts the job for the Primary Care Practitioners. Adjuncts to the treatment of medical specialties in the healthcare setting.

26. Whatis a SportsMedicalFacility? Serves as a referral center for specialized exercise prescription. Starts the job for the Primary Care Practitioners. Adjuncts to the treatment of medical specialties in the healthcare setting.

27. Whatis a SportsMedicalFacility? Serves as a referral center for specialized exercise prescription. Starts the job for the Primary Care Practitioners. Adjuncts to the treatment of medical specialties in the healthcare setting.

28. Whatis a SportsMedicalFacility? Serves as a referral center for specialized exercise prescription. Starts the job for the Primary Care Practitioners. Adjuncts to the treatment of medical specialties in the healthcare setting.

29. Services of SportsMedical Care • Sportsevaluations. • Sportsinjuryassessment. • Sportsinjury (SI) treatment. • Prevention and surveillance of SI’s. • Sports/Physicalactivityadvise. • Testing and measuring. • Adviceonsportsgoods. • Nutrtionadvice. • Sports/Physicalactivityguidance.

30. Services of SportsMedical Care • Sportsevaluations. • Sportsinjuryassessment. • Sportsinjury (SI) treatment. • Prevention and surveillance of SI’s. • Sports/Physicalactivityadvise. • Testing and measuring. • Adviceonsportsgoods. • Nutrtionadvice. • Sports/Physicalactivityguidance.

31. Services of SportsMedical Care • Sportsevaluations. • Sportsinjuryassessment. • Sportsinjury (SI) treatment. • Prevention and surveillance of SI’s. • Sports/Physicalactivityadvise. • Testing and measuring. • Adviceonsportsgoods. • Nutrtionadvice. • Sports/Physicalactivityguidance.

32. Services of SportsMedical Care • Sportsevaluations. • Sportsinjuryassessment. • Sportsinjury (SI) treatment. • Prevention and surveillance of SI’s. • Sports/Physicalactivityadvise. • Testing and measuring. • Adviceonsportsgoods. • Nutrtionadvice. • Sports/Physicalactivityguidance.

33. Services of SportsMedical Care • Sportsevaluations. • Sportsinjuryassessment. • Sportsinjury (SI) treatment. • Prevention and surveillance of SI’s. • Sports/Physicalactivityadvise. • Testing and measuring. • Adviceonsportsgoods. • Nutrtionadvice. • Sports/Physicalactivityguidance.

34. Services of SportsMedical Care • Sportsevaluations. • Sportsinjuryassessment. • Sportsinjury (SI) treatment. • Prevention and surveillance of SI’s. • Sports/Physicalactivityadvise. • Testing and measuring. • Adviceonsportsgoods. • Nutrtionadvice. • Sports/Physicalactivityguidance.

35. Services of SportsMedical Care • Sportsevaluations. • Sportsinjuryassessment. • Sportsinjury (SI) treatment. • Prevention and surveillance of SI’s. • Sports/Physicalactivityadvise. • Testing and measuring. • Adviceonsportsgoods. • Nutrtionadvice. • Sports/Physicalactivityguidance.

36. Services of SportsMedical Care • Sportsevaluations. • Sportsinjuryassessment. • Sportsinjury (SI) treatment. • Prevention and surveillance of SI’s. • Sports/Physicalactivityadvise. • Testing and measuring. • Adviceonsportsgoods. • Nutrtionadvice. • Sports/Physicalactivityguidance.

37. Services of SportsMedical Care • Sportsevaluations. • Sportsinjuryassessment. • Sportsinjury (SI) treatment. • Prevention and surveillance of SI’s. • Sports/Physicalactivityadvise. • Testing and measuring. • Adviceonsportsgoods. • Nutrtionadvice. • Sports/Physicalactivityguidance.

38. Services of SportsMedical Care • Sportsevaluations. • Sportsinjuryassessment. • Sportsinjury (SI) treatment. • Prevention and surveillance of SI’s. • Sports/Physicalactivityadvise. • Testing and measuring. • Adviceonsportsgoods. • Nutrtionadvice. • Sports/Physicalactivityguidance.

39. Services of SportsMedical Care • Sportsevaluations. • Sportsinjuryassessment. • Sportsinjury (SI) treatment. • Prevention and surveillance of SI’s. • Sports/Physicalactivityadvise. • Testing and measuring. • Adviceonsportsgoods. • Nutrtionadvice. • Sports/Physicalactivityguidance.

40. Products and services • Obligatorysportsassessment. • Basicsportsassessment. • Basic plus sportsassessment. • Large (complete) sportsassessment. • Loose items.

41. Products and services Obligatorysportsassessment: • Compelling prior to participation. • History and examination: • General internalassessment • General orthopaedicassessment. • Results: “suited” or “notsuited”. • PADI diving, etc.

42. Products and services Basicsportsassessment: • For sports/activities of <7 hr/wk • History and examination: • General internalassessment • Sports/activityspecificorthopaedicassessment • Writtenadvice and standard report to individual, sports team management (STM) and primary care practitioner (PCP).

43. Products and services Basic plus sportsassessment: • For sports/activities of >7 hr/wk • History and examination: • General internalassessment • Sports/activityspecificorthopaedicassessment • Lab workaccording to medicalindication. • Writtenadvice and report to individual, STM and PCP.

44. Products and services Large (complete) sportsassessment: • Top sports and high risk patients. • History and examination: • General internalassessment • Sports/activityspecificorthopaedicassessment • Lab workaccording to medicalindication. • Fitness stress testing(ECG, [Lact+], VO2max) • Extensiveinstruction and report to individual, SMT, PCP and specialist team.

45. Products and services Loose items: • Body CompositionAnalysis. • Actigrafy (use of accelerometry). • Fitness stress testing (ACSM protocols). • e-Consult (email, social media, patient/user portal) • Short phoneconsults (simple items). • Long phoneconsults (extensive items). • Group reports.

46. Sports care and sportsinsurance Netherlands: Insurance companies keep offering more optionsforsportsinsurance to 8.5 millionpeople. Covering of sports care fallsundercomplimentaryinsurance. On Aruba: • just 2200-2500 athletes. • but >40k workers.

47. Sports care and sportsinsurance Sports Insurance package: Specializedexerciseprescription Injuryassessment/treatment. Follow-up visits. Sports/PA assessments. Gaitanalysis, actigraphy otherspecialized tests etc.

48. Qualityassurance • Electronic Health Record (EHR) • Social Media. • Patient portal. • Accreditation. • Academic research.

49. Analysis of the environment. Trends • Moving towards Induced demand on therapeutic non-pharmacological approaches, preventive and health promoting selfcare. • The agingpopulationrequire more care. • There is anincreasingneedfor care onphysicalactivity, exercise and sports in the non-athletic as well as the athleticpopulation.

50. Analysis of the environment. Trends • MovingtowardsInduceddemandontherapeuticnon-pharmacologicalapproaches, preventiveand health promoting selfcare. • The agingpopulationrequire more care. • There is anincreasingneedfor care onphysicalactivity, exercise and sports in the non-athletic as well as the athleticpopulation.