Dr. Conville S. Brown, MD, MBBS, FACC, FESC, PhD.: Bringing Transformation to the Healthcare Sector in The Bahamas and Caribbean Countries
Top 10 Impactful Healthcare Leaders to Watch 2021
In July of 1990, when Dr. Conville S. Brown returned
home to The Bahamas, he found that many of his family, friends, and countrymen
could not afford his Cardiology Services, albeit because of the cost of
Cardiology, not himself. He says, “Necessity is the Mother of
Invention. It was either wait for the government or others to develop a
cardiology service with infrastructure, (human & physical), or do it
myself. I clearly chose the latter, over which I would have more control of my
destiny, however difficult. I always wanted to be a doctor from early childhood
and to help others.”
Dr. Brown is the Chairman, President, CEO
and Founder of The CSB5
Group Of Companies at The Medical Pavilion Bahamas. (The CSB5 Group is comprised of Dr. Conville
S. Brown, Dr. Corrine Sin Quee-Brown, Conville
Stephan Brown, Corey Samuel Brown and Dr. Chelsea
Samantha Brown). Having graduated from the University of the
West Indies Medical School in 1982, he completed his residency in
Internal Medicine and subsequently his fellowship in Cardiology at the
University of Medicine and Dentistry of New Jersey and Newark Beth Israel
Medical Center (6/1990). As a Healthcare Developer, he always
felt that the initiation, development, and/or propagation of a healthcare
service, especially advanced healthcare services, must be coupled with enhanced
access to the less fortunate amongst us. Hence, that led to the development of his
Signature Partnered Care Model, 3.0, in 1990.
The Partnered Care Model is originally a Tri-Partite Public-Private Partnership, (TPPPP). He recognised that the government, private, and user sectors could not afford the healthcare burden for his country alone, and thus recommended and enacted a partnership, (Private Sector Initiated and Led), to share the burden in an attempt to reduce costs and improve access. Insured
patients are billed 100% of the country’s fees, while self-paying private patients are billed 75%, thus receiving a 25% discount, and government patients, who are neither insured nor able to afford private care, are billed 50% of the fees, thus receiving a 50% discount. The Government then acts as a regulator and safety net while many such patients are able to access services on their own, now that billings would have been halved. There is little to no capital outlay for the Government while the Private Sector leads, funds and owns the service and infrastructure.
Hence his slogan,“Controlling The Cost of Quality Healthcare While Providing Affordable Access To ALL Via Partnered Care!”
The Medical
Pavilion Bahamas
The Medical
Pavilion Bahamas, The Flagship Centre of Partnered Care, hosts a variety of advanced medical service
offerings for Life-Threatening Catastrophic Illnesses including Heart, Cancer
and Kidney Disease, with Dr. Brown’s Signature Partnered Care Model utilized
routinely to make said services more affordable and hence accessible to ALL.
The Bahamas Centre
for Heart Disease, Ltd., (BCHDL), doing business as The Bahamas Heart Centre, (BHC), first opened
its doors in the summer of 1990. Dr. Brown, a young Bahamian cardiologist just
starting out in private practise, came up with the idea to establish a private,
free-standing facility to enable the development of comprehensive,
ambulatory cardiac care after seeing the need to develop and expand cardiac
services to battle the country’s leading killer. As a result,
The Bahamas Heart Centre – Bahamas Chest
Centre, (BHC-BCC), was born in 1993, as a
renovation of a 1,200 SF house to a State-Of-The-Art 10,000 SF Ambulatory
Medical Facility.
This was accompanied by the introduction of
a State-Of-The-Art Imaging Centre in The Bahamas Imaging Centre, (BIC),
with multiple modalities including general radiology, nuclear medicine and
nuclear cardiology services.
The Bahamas Chest Centre was formed to host The Cardiac and Chest Teams, inclusive of
cardiovascular and chest specialists, (internal medicine, pulmonology, adult
and paediatric cardiology, cardiac
and thoracic surgery, and anaesthesia), collaborating with specialists from The
Bahamas Heart Centre (clinical, non-invasive, invasive, and interventional
cardiology). Since then, Dr. Brown’s aim of bringing the greatest
cardiovascular medical care to The Bahamas and beyond has brought together a
number of internationally renowned specialists.
The Centreville Medical Pavilion was conceived in late 2001, after 9-11, and the BHC-BCC evolved with
the development of expanded facilities up to 30,000 SF and containing a
State-Of-The-Art Cancer Centre in Radiation Therapy Services Bahamas Ltd.,
(RTSBL), in 2004, and later to be called The Cancer Centre Bahamas,
(TCCB), in 2006. TCCB also became the Only Coveted American College of
Radiation Oncology (ACRO)-Accredited Cancer Centre in the world outside of
North America.
The Pavilion has since been renamed The
Medical Pavilion Bahamas, (TMPB), at 40,000 SF, especially in anticipation
of further centres within, and elsewhere, as in The Medical Pavilion
Antigua, (TMPA), Home to The Cancer Centre Eastern Caribbean for The
Organization of Eastern Caribbean States, (OECS), 9 countries, 600-700,000
population.
Advancing in the
Hospital & Health Care Industry
Having engineered and led a number of de
nouveau advanced healthcare services over the past three (3) decades in The Bahamas
via his Partnered Care Model, meant that The Bahamas had several such services
long before many other Caribbean countries.
Dr. Brown’s Partnered Care Model, or
variants thereof, were also utilized to facilitate the development of several
similar Advanced Healthcare Services with a basis of improved access in the
Bahamas and other countries where said variants were utilized:
- Guyana, 2008, Cardiac Surgery
Program at The Georgetown Public Hospital Corporation.
- Antigua, 2015, State-Of-The-Art
Radiation Therapy and Cancer Care for The Organization of Eastern
Caribbean States, (OECS), at The Cancer Centre Eastern Caribbean, (TCCEC),
at The Medical Pavilion Antigua. Same developed by Dr. Brown at the
invitation of then PM Baldwin Spencer in 2009 and endorsed by The
OECS Heads of Governments’ Meeting in Anguilla, 11/2009, specifically
using Dr. Brown’s Partnered Care Model.
- Jamaica, 2018, new private Interventional Cardiology Program
and Cardiac Wing at Medical Associates Hospital following the Partnered
Care Model via Partners Interventional Centre Jamaica, (PICJ).
Dr. Brown is a principal of the last two
centres in Antigua and Jamaica.
Dr. Brown has developed several other
centres for Advanced Healthcare Services at The Medical Pavilion Bahamas,
including but not limited to: –
1.
The Breast Centre, 2008, the first free-standing facility dedicated to breast cancer
screening, diagnosis, treatment, and support. Also the first to provide Digital
Mammography and Computer-Assisted Diagnostics with Image-Guided Biopsies.
2.
The Dialysis Centre
Bahamas Ltd., 2010, the western hemisphere’s
first fully digital, non-reuse haemodialysis centre.
3.
The Partners Clinical Research
Centre, 2011, has collaborated to bring
world-class, ethical medical research to The Bahamas, with publications in the
likes of the New England Journal of Medicine, (NEJM).
4.
The Partners Stem Cell
Centre, 2012, is the first centre in The Bahamas to
successfully perform Ethical Cardiac and Peripheral Vascular Stem Cell
Implantations on October 11th 2012, (10/11/12). Both of the forgoing are
actively involved in international research and registries for innovative
therapies better performed in The Bahamas as Advanced TransNational Medical
Procedures where we exercise “FDA Rigour In Our Non-FDA Jurisdiction.”
5. The Specialists’ Centre, 2016, A Surgical and Interventional Centre for
Innovations, Diagnostic & Therapeutic, in Multiple Specialties as an Ambulatory
Surgical Hospital and Interventional Centre, (ASHIC). Also serves as Home
to The Institute for Advanced Medical Procedures, be they medical,
surgical, interventional, device or pharma-based, as well as The Pavilion
Interventional Cardiology Centre, (PICC).
6.
The Sunrise Medical
Centre Hospital Complex, 1996, The first private
hospital in The Bahamas outside of Nassau, situated in Freeport, and to serve
Freeport, Grand Bahama and The Northern Bahamas. Was a mainstay of
hospital-based care after the devastation of Hurricane Dorian for almost 2
years.
7. The CSB5 Collins On Sixth Commercial Complex, 2020. A new 72,000 SF commercial and
multipurpose complex that will set a new standard for the inner city of the
Capital, Nassau.
Dr. Brown’s Definition of Success
Dr. Brown describes the intellectual,
human and financial capital that facilitates success, while the absence or
paucity of either component(s) can present major goal-impeding challenges with
increasing levels of difficulty. A leader should lead by example and passion,
and espouse and show the value of what he or she can do and promote To Help
Others.
As per Dr. Brown, the status quo is not
always the most efficient or efficacious, and expectedly, innovations can be
enhancers or disruptive, and may therefore not be met with open arms, but more
likely with roadblocks. Dr. Brown sees real success as the task and/or
idea, vision for development, planning, implementing, executing, and accomplishing
the same with benefits to others and the community. He says, “Without
such efforts, more of those less fortunate will be denied access to Life-Saving,
Advanced Healthcare Services; an absolute travesty of National and International Proportions
and Implications.”
Attaining Global Recognition
In Partnered Care, The Private Sector typically leads the way in designing, developing, funding, owning,
and operating healthcare infrastructure, and then providing said services at a
reduced rate to government and self-paying patients, as mentioned above to
improve access. The Model, thereby, has been able to provide many advanced
healthcare services in several developing countries in the Caribbean, and at
minimal capital outlay for low-resource governments and countries, as shown
above.
In recent years, the Partnered Care
Model 3.0 evolved to 5.0 to include Industry and Philanthropic
Sectors to enhance the accomplishment of its mission, hence a Penta-Partite
Public-Private Partnership, (PPPPP), for Advanced Healthcare Services.
At The CSB5 Group Of Companies, Dr. Brown
is responsible for its vision, mission, overall operations and funding, as
well as physician-in-chief, for all of its healthcare services. He also assists
with administrative, financial, management, and clinical functions to varying degrees.
The one word that truly describes him is “determined”. He was
selected as Person Of The Year, 2009, in The Bahamas upon the Official International
Utilization of his Partnered Care Model of Healthcare Development for
Developing Countries, by Prime Minister Hon. Baldwin Spencer of Antigua and
Barbuda, and The OECS Heads of Governments, to develop The Cancer Centre
Eastern Caribbean, for their nine (9) countries and some 600,000-700,000
population.
Wishes To Provide Affordable Healthcare
That Is More Accessible
Dr. Brown’s vision for The CSB5
Group of Companies, Healthcare Division, is to Develop Advanced Healthcare
Services while making them as affordable as possible using his Public-Private
Partnership (PPP) in the form of his Partnered Care Model, 5.0, Penta-Partite
Version with Private, Government, User, Industry and Philanthropic Sectors. He
says, “I want to better establish our services, and improve access,
even by the development of our own Payer System, (In Progress).
My Personal Goals: Lead The CSB5
Group of Companies to successful achievement of their goals, and Establish a
Succession Plan to ensure continuity of these important services to our country
and beyond.
Advice: Go For It And Do Not Allow
Someone Else To Define You.”
Dr. Brown also wishes to encourage as many
colleagues as possible to invest in advancing the healthcare systems in
developing countries while ensuring maximum access to those whom they need to
serve.
“Striving For Excellence With A HEARTy Smile
While Ensuring Affordable Access To ALL Via Partnered Care”