International News

Cayman Islands (June 29, 2018) - The Health City Cayman Islands model "is potentially very disruptive to U.S. health care", according to authors Vijay Govindarajan and Ravi Ramamurti in an article published in the respected Harvard Business Review journal.
Both professors at U.S. universities, Govindarajan and Ramamurti have written the book Reverse Innovation in Health Care: How to Make Value-Based Delivery Work, which studies examples of Indian principles being applied with great success in western health care organizations.
The authors note in the Harvard Business Review article that by combining prices that are 25 to 40 percent of those found in the U.S. with a mortality rate close to zero, accreditation by Joint Commission International, and glowing patient testimonials, Health City has created a model for change.
"Even with zero copays and deductibles and free travel for the patient and a chaperone for 1-2 weeks, insurers would save a lot of money," the article states.
The headline of the story asks "Is this the hospital that will finally push the expensive U.S. health care system to innovate?"
The authors cite cost and location as key factors in Health City's potential to be an innovative model for change in the delivery of health care in the U.S.
By offering "excellent care at ultra-low prices at a location close to the U.S." while also being outside of the U.S. "regulatory ambit", the authors theorize that "U.S. health care providers should pay attention" to Health City both as an example to follow and a potential threat to their current business model.
This, they say, is the driving force behind the four-year-old tertiary care hospital's development as spearheaded by founder Dr. Devi Shetty, chairman of India's Narayana Health.
The authors quote Dr. Shetty as saying, ""For the world to change, America has to change. So it's important that American policy makers and American think-tanks can look at a model that costs a fraction of what they pay and see that it has similarly good outcomes."
They also refer to the comments of a former patient, an American vascular surgeon based in Massachusetts, who on vacation at Cayman Islands underwent open-heart surgery at Health City. He had this to say about his experience: "I see plenty of patients post cardiac surgery. My care and recovery is as good or better than what I have seen. The model here is what the U.S. health-care system is striving to get to."
The duo list the principles transferred from India that Health City has used in its model as a case of what they term "reverse innovation", including lower building costs, leveraging supplier relationships through being a part of the Narayana Health group, and outsourcing some back office operations.
In conclusion, they opine that "U.S. health care providers can afford to ignore experiments like HCCI at their own peril" and quote Robert Pearl, CEO of Permanante Medical Group and a clinical professor of surgery at Stanford University, who said, "Ask most Americans about obtaining their health care outside of the United States, and they respond with disdain and negativity. In their mind, the quality and medical expertise available elsewhere is second-rate. Of course, that's exactly what Yellow Cab thought about Uber, Kodak thought about digital photography, General Motors thought about Toyota, and Borders thought about Amazon."
Author Vijay Govindarajan is the Coxe Distinguished Professor of Management at Dartmouth's Tuck School of Business. Co-author Ravi Ramamurti is the University Distinguished Professor of International Business and Strategy and the director of the Center for Emerging Markets at Northeastern's D'Amore-McKim School of Business. 
Their book, Reverse Innovation in Health Care: How to Make Value-Based Delivery Work will be published on July 10, 2018 by the Harvard Business Review Press. 
Harvard Business Review is a general management magazine published by Harvard Business Publishing six times a year. It has a circulation of 263,645.

Christina Trumbach
Marketing & Communication Manager 
Health City Cayman Islands
Tel. + 1 (345) 526-2203


CHTA counsels high front-end taxes and fees discourage travel and have downside consequences
BARBADOS (June 30, 2018) - The Caribbean Hotel and Tourism Association (CHTA) strongly urged Governments in the region to consider carefully the impact of leveling high air travel-related taxes and fees on travel demand as they wrestle with balancing budgets.
"We recognize the challenges facing countries, but it is our duty to point out that taxing for additional revenue may have a reverse effect as tourists may choose not to travel to or within the Caribbean and instead select other destinations because of the high cost of our destinations," stated CHTA's Director General and CEO Frank Comito.
In such a case, not only would the government see fewer tax revenues, but local businesses would likely suffer, Comito contended: "High upfront taxes also typically adversely affect on-island spending by visitors who do come. They will either opt for shorter stays or spend less on activities, restaurants and attractions to offset the additional cost."
The region saw this happen in 2010 and the immediate years following, he recalled, "as the United Kingdom imposed large duties on travelers to, from and through their country. As the cost of family travel increased by hundreds of dollars, travel demand declined, impacting net tax revenue and employment in those Caribbean destinations which had a high percentage of UK-based and transient travelers."
"Recognizing the damaging effect, Barbados successfully led the regional lobby against this restrictive duty which resulted several years later in the UK modifying it and helping to restore travel demand," stated the CHTA CEO.
While Caribbean tourist arrivals have grown in recent years, the region continues to lose global market share and growth within the region. Travel is currently heavily skewed to less expensive destinations. CHTA cited data from the World Travel and Tourism Council and the Caribbean Tourism Organization showing an erosion of market share and disproportionate visitor arrivals growth. Likewise, intra-Caribbean travel has declined significantly as the cost of travel within the region has skyrocketed.
Representing the region's largest private sector tourism organization, Comito suggested that greater awareness of the impact of travel and tourism on local economies was needed at a critical time for the Caribbean. "We need to incentivize travel on the front end. Taxing outputs has proved to be a more successful strategy than taxing inputs."
The CHTA CEO's comments came on Friday following the organization's participation in the International Air Transport Association's (IATA) Aviation Day conference in Barbados, sponsored by IATA, the Caribbean Development Bank (CDB) and the Latin American and 
Caribbean Air Transport Association. At the conference, reports shared by IATA and the CDB reinforced the importance of policies which can stimulate travel into and within the region.
The CDB and IATA cited high aviation taxes and fees, regulatory barriers and operational deficiencies as obstacles to stimulating more travel, and by extension economic growth. Theirs and CHTA's research clearly points to the reduction in travel demand as costs increase.
Source: Caribbean Hotel and Tourism Association (CHTA)
Contact: Greta Andzenge, Marketplace Excellence
Telephone: +1 201 861-2056
Rosembert Moise in front of his mural.
PORT-AU-PRINCE, Haiti (July 2, 2018) - A historic Caribbean hotel is beautifying the streets of downtown Port-au-Prince with a stunning mural of Haitian art.
The mural, commissioned last summer by the hotel's management team and created by renowned Haitian graffiti artist Jerry Rosembert Moise, wraps around the popular Le Plaza hotel to feature the globally-famed creativity of Haitian artisans.
Rosembert Moise, assisted by Nadia Todres, an American photographer resident in the country since 2010, is known for highlighting the vibrancy of Haiti's art and culture.
After the devastating earthquake in 2010, Rosembert Moise took his painting tools to the streets of Port-au-Prince with a strong political message, but today he uplifts his compatriots with lively artistic renderings of Haitian life.
His work, redolent with the humor and color of Haitian life, also graces the walls of a new shopping and restaurant compound in Pétion-ville, enlivening an otherwise undistinguished corner of town. He is nearing completion of his latest creation, which features lush jungle scenes, on the walls of Le Plaza, which is located in a dense urban setting.
A section of the urban mural in Port-au-Prince.
"As one of the few hotels that has stayed open in downtown Port-au-Prince during these challenging years, there is no way that we could miss this opportunity to celebrate Haitian culture and beautify this historic downtown area for the benefit of citizens and visitors alike," said Marc Pierre-Louis, General Manager of Le Plaza. "We hope more visitors will come and see the creativity of our people, and the vibrant history and culture of this, the second-oldest independent state in the hemisphere."
About Le Plaza Hotel
A tranquil sanctuary in the heart of Port-au-Prince, Le Plaza Hotel is tucked discreetly behind courtyard walls that conceal a lush oasis of historic trees and fragrant tropical flowers. Established 60 years ago, this 95-room hotel is soulful and stunning, an exuberant testament to the island's history and heritage. Beloved by long-time guests who delight in the hotel's exceptional cuisine, local artwork and unbeatable central location, it's a favored choice for visitors seeking "the real Haiti" from a home base that's both stylish and secure. For more information visit
Contact: Greta Andzenge, Marketplace Excellence + 1 201 861-2056 


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CAYMAN ISLANDS (July 3, 2018) - Dr. Garth Rattray of Jamaica checked himself into Health City Cayman Islands for one ailment and was overjoyed to learn he needed treatment for a less complicated condition, one which the Health City cardiac specialists dealt with so quickly and efficiently that he is recommending the clinic to everyone.
Dr. Rattray recalled his cardiologist in Jamaica had recommended Health City for an atrial fibrillation-related heart condition. In a conversation with Dr. Ravi Kishore, Chief Interventional Cardiologist and Electrophysiologist at Health City Cayman Islands, he learned his condition was deteriorating.
"I literally dropped everything, and got myself booked to come here," said Dr. Rattray, who was born with cardiac irregularities.
"They manifested themselves as arrhythmia, rapid beats. When you do something, you feel it starting, you have to stop. If you sleep in the wrong position, it starts to threaten you. So, I was almost an invalid. I couldn't do so many things, and I'd been in the ER (Emergency Room) four times in one year," he revealed.
His decision to fly to Health City was based on the advice of his cardiologist in Jamaica who Dr. Rattray noted has attended many conferences and studiously kept abreast of developments in his field. "And for him to tell me: 'This is the best place,' there was no if ... that was it for me," the Jamaican doctor said.
Furthermore, Dr. Rattray himself had done his homework. "I researched before I got here. I actually typed in negative comments about this place. I couldn't find any. I thought to myself, 'Well, I'll find out when I get here.' And, it's very true. It's the staff, they smile at you, they're very efficient and (they make) you feel confident."
Dr. Rattray's confidence was reinforced when Dr. Ravi - as he is fondly referred to - started preparing for an ablation for a type of atrial fibrillation which was quite serious. Dr. Rattray explained: "But, when he went in, in the lab, and did a simulation, he said: 'No, you have this kind.' Best thing I ever heard in my life!"
The good news for Dr. Rattray was made possible by the extra research done by Dr. Ravi, who said: "Very interestingly he turned out to have not atrial fibrillation, but a condition called AVNRT (Atrioventricular Nodal Reentry Tachycardia) when we did the EP (Electrophysiology) study ... which we could cure with a kind of cryoablation - but not for atrial fibrillation, but for AVNRT."
With the new information, which uncovered a less complicated condition than the serious atrial fibrillation Dr. Rattray was initially diagnosed with, Dr. Ravi was able to go to work.
"We managed to cure it completely using the cryoablation strategy, because with radio frequency ablation there was a chance that there could have been a complication," Dr. Ravi disclosed.
Following his procedure and treatment by the caring staff, Dr. Rattray knows what he will prescribe for patients who ask him for hospital referrals. "I'm just going to say, 'Come to Health City Cayman Islands.' I have no complaints, and I recommend this place to anybody, any time," he said.
About Health City Cayman Islands
Health City Cayman Islands, the vision of renowned heart surgeon and humanitarian, Dr. Devi Shetty, is supported by Narayana Health, one of India's largest health care systems. Health City, only the second hospital in the Caribbean to receive the Joint Commission International's "hospital accreditation", provides compassionate, high-quality, affordable health care services in a world-class, comfortable, patient-centered environment. Offering health care to local, regional and international patients, Health City Cayman Islands delivers excellence in adult and pediatric cardiology, cardiac surgery, cardiac electrophysiology, medical oncology, orthopedics, sports medicine, pediatric endocrinology, gastrointestinal and bariatric surgery, neurology, interventional neurology and neuro-diagnostics, neurosurgery, minimally invasive spine surgery, gynecology, urology, pediatric allergies, colorectal surgery, dental, sleep lab and pulmonology services.
For further information, visit
Christina Trumbach
Marketing & Communication Manager
Health City Cayman Islands
Tel. + 1 (345) 526-2203




Photo Credit: Ricardo Saint Cyr
Stacy Cox and Nandana Kandabadage pictured holding their awards in center with the Turks and Caicos delegation in Miami.
MIAMI (July 4, 2018) - Tourism representatives from Turks and Caicos Islands captured two of four Caribbean Hotel and Tourism Association (CHTA) tourism industry awards at the opening of the fourth Caribbean Hospitality Industry Exchange Forum (CHIEF) in Miami last month.
Stacy Cox, Executive Director of the Turks and Caicos Hotel and Tourism Association, received the prestigious Caribbean Association Executive of the Year award during the presentation, which honors leading executives and employees in the Caribbean.
A native of the Bahamas and a citizen of the Turks and Caicos Islands, Cox wields more than 20 years of hospitality experience, and is known for her advocacy, marketing and human resource development initiatives to build a sustainable tourism product through awareness, outreach and education.
Cox, who was appointed president of the Caribbean Society of Hotel Association Executives (CSHAE) last year, brings a rare combination of savvy, sophistication and a forward-looking view of the industry. She has volunteered her time not only with CHTA but also with community organizations and events such as Youth Explosion, Maskanoo, TCI Shines Clean-up Campaign and TCI Little Chefs.
Nandana Kandabadage of Seven Stars Resort in Turks and Caicos was named Caribbean Supervisor of the Year for demonstrating exceptional leadership in his management abilities. He started his career as a Room Attendant in 1994 in Dubai where he began learning the importance of first class service through various positions. Part of the original housekeeping team at Seven Stars Resort, Kandabadage's skills led to his promotion to Housekeeping Supervisor in 2012. The first to volunteer for 'lateral' service he also introduced changes to work practices and procedures which led to his department receiving a score of 100 percent on the recent Forbes hotel inspection.
Other winners included Caribbean Employee of the Year, Harold Rasjmin, Restaurant Captain of The Chophouse (formerly The French Steakhouse) at Manchebo Beach Resort & Spa in Aruba. Recognized as an outstanding hotel or tourism employee in the private sector who exemplifies above-average technical competence and hospitality skill, he brings more than 30 years of food and beverage and hospitality experience to the management of the restaurant as well as to the training of staff, especially in his table-side dish preparations so beloved by guests. His extensive knowledge of menus, food, wine and service was obtained through decades of dedicated service in the restaurant industry. He takes wonderful care of both island visitors as well as the many locals who frequent The Chophouse.
The Caribbean Allied Member of the Year Award went to Neil Kolton of Interval International. Described as a consummate sales professional with a keen eye for detail, Kolton has been a valued Allied Member of CHTA. Joining Interval in 2005, he quickly made his mark and was promoted from a northeast regional position to Caribbean region manager. In 2010, he was promoted to Director of Sales and Service for the Caribbean and Florida. Demonstrating a great capacity to understand the region's needs and offer valuable solutions that helped hotels grow in reach and revenue, his work with Interval has helped the company develop this key area of their business - the Caribbean. He also has demonstrated a commitment to the education and promotion of Caribbean nationals. Through his dedicated involvement with the CHTA Education Foundation, Kolton has helped raise more than $700,000 in scholarships for Caribbean students pursuing degrees and certificates in tourism and hospitality.
Photo Credit: Margot Jordan
In winners' row (from left): Harold Rasjmin, Stacy Cox, Neil Kolton and Nandana Kandabadage at CHIEF's Industry Awards in Miami.
About the Caribbean Hotel and Tourism Association (CHTA)
The Caribbean Hotel and Tourism Association (CHTA) is the Caribbean's leading association representing the interests of national hotel and tourism associations. For more than 50 years, CHTA has been the backbone of the Caribbean hospitality industry. Working with some 1,000 hotel and allied members, and 32 National Hotel Associations, CHTA is shaping the Caribbean's future and helping members to grow their businesses. Whether navigating new worlds like social media, sustainability, legislative issues, emerging technologies, climate change, data and intelligence or, looking for avenues and ideas to better market and manage businesses, CHTA is helping members on issues which matter most.
For further information, visit

Contact: Greta Andzenge, Marketplace Excellence +1 201 861-2056