Air ambulance transportation for international patients Berlin, 16 April 2018
About Founded in 1993 AC Operator worldwide license Owners: DPE/ Mr. Krombach 24/7 multilingual operation Leader in Aircraft Technology 135 staff Pool of top qualified doctors and nurses 950 air ambulance missions per year 14 own aircraft based in Germany, Austria and the UK Own aircraft assembly hangar Certified:
Medical Board Dr. Gert Muurling, MD Group Medical Director Senior Consultant Anaesthetist, intensive care and emergency medicine at Zuyderland Medisch Centrum (Maastricht University) Prof. Walter KLIMSCHA, MD, MBA Medical Director Austria Chairman of the Department of Anaesthesiology and Intensive Care at Danube Hospital Vienna / Austria Jon WARWICK, MD ChB, FRCA Medical Director UK Senior Consultant Anaesthetist Oxford University Hospitals NHS Trust, UK
Why use an air ambulance flight? Critically ill patients Cannot travel on commercial flight Urgent surgeries Better comfort
Typical Patient Conditions Accidents Cardiovascular Respiratory Neurological Neoplasms Neonates / Pediatric Bariatric ( XXL ) ECMO
Challenges for authorities, hospitals and family Quality /Safety Fair price Payment Timelines Intercultural expecations (language, food, privacy) etc.)
What kind of med crews? Current practice in critical care and ICU essential Several years of experience Ongoing medical training Clear Clinical Governance processes
Are all aircraft the same? Learjet 35 A Configuration: up to 2 stretchers (max. 1 ICU) Range: 2.250 nm/ 4.100 km No companions, no luggage, no wheelchairs! Learjet 55 Configuration: up to 2 stretchers (max. 1 ICU) Range: 2.100 nm/ 3.900 km 1 companion, luggage/ wheelchair possible
A star for long range comfort Challenger 604 Configuration: up to 3 stretchers Range: 3.700 nm / 6.850 km Companions, luggage, wheelchairs ok
Compare sizes Scope of Services Air Alliance Medflight plans, organizes and performs: Full spectrum from Basic Life Support to Critical Care patients Worldwide, also in crisis/ remote regions Adult, pediatric, neonatal ECMO Transports Transports of bariatric patients Transport of organs for transplants
Safety comes first Number of airline passengers worldwide per year: 4 billion Number of fatalities in aviation worldwide per year: 300 Number of hospital cases in the US per year: 40 million Number of preventable deaths in US hospitals per year: 200,000 (estimated)* This is the equivalent of three fatal airline crashes per day! *Narinder Kapur et al, Royal Society of Medicine Journal, 2016
How to choose an air ambulance company
The Value Chain who is who Patient (Insurer) Hospital (Intermediary) Air Ambulance Operator
What is an air ambulance operator? Air Operator Certificate (AOC) - Own aircraft - Licensed by aviation authorities Credentials - Insurance - Aeromedical Accreditation (EURAMI, CAMTS, NAAMTA)
What is in a flight quote? Fixed cost Bank financing rates Aircraft maintenance Standard medical equipment/ Maintenance Flight crew Insurance (Aircraft, Med and Flight Crew) Office, IT and staff costs Hangar rental / parking Crew trainings Variable cost Fuel Landing, Overflight, Handling, Parking Non-standard Medical equipment Medical Crew Navigation charges Out of Hours charges Overnight of crews Bed-to-Bed transfer
Why is it so expensive? Fuel consumption of a Learjet 35/ hour 380 EUR Fuel consumption of a Challenger 604/ hour 670 EUR New Learjet 35A windscreen 68,000 EUR Landing/ handling at Birmingham/ UK 370 EUR Landing/handling at London Heathrow 6,000 EUR Single basic stretcher 165,000 EUR 12 year maintenance aircraft check 270,000 EUR
Aircraft location directly affects the price
Impressions
Conclusion Prio 1: safety and quality Be prepared, avoid Dr. Google Ask for licenses and insurance Compare at least 3 quotes Avoid extra loops and creeping cost Compare apples with apples!
Thank you! Questions? Eva Kluge Director of Sales and Business Development e.kluge@air-alliance.de Phone: +49 170 366 4933