Braun Megazebo Day Surgery Clinic Franchise (ppt)

Megazebo: Franchised Day Surgery Clinics
Patent Pending. Please respect our IP
Megazebo Clinics:
Investment Proposal to
Medical Funding Managers
$ 30 Million for 30 Day Surgery Clinics in Asia
Our product: Fast-up, turn-key steel-frame prefabricated structures
that are earthquake resistant. 6 operating theatres in 3 Megazebos to
make-up one economic scale cluster
Total cost under $25,000 per bed. $ 2.1 million per cluster + land
Totally unique design with center operating theatres surrounded by
nursing stations and 14 pre and post op beds facing out to gardens
through floor to ceiling windows. Abundant natural sunlight.
Easy to sterilize and maintain. Low operating costs.
No ducting or vents to collect virus dust and spread disease.
Spiral staircases for quick movement between floors.
Center Utility Core (CUC) saves materials and controls air movement
Solar panels and top wind turbines to produce back-up electricity
Strict visitor and staff regulations.
Megazebo Clinics
Earthquake Resistant Structures
USPTO: US 60/783,376
I have designed a pre-engineered prefabricated 2 level, polygon steel
structure with both aesthetic and utility features. These are multifunction structures built quickly to provide health care delivery at a
reasonable cost. United States Patent Pending # US60/783,376
I wish to organize a consortium of Investor and Wealth Management
Funds to finance, build, and operate a network of up to 300 identical
day surgery clinics in Asia as local clinics and medical tourism
facilities. (100 in China, 30 in Japan and Korea, 100 in India, and 70 in
I will license my system to local steel fabricators and hospital
professionals in each State or Province to build and operate the
This presentation demonstrates how we built polygon structures.
Future of Medicine in Asia
We see the emergence of 5000-6000 highly skilled and highly
specialized surgeons from all countries who base themselves
in big cities with large practices; but are willing to roam to
smaller cities and even remote rural areas for 2-3 months each
year rendering their unique skills.
We want to be their facility provider. Supply the super
hygienic, small, but very efficient pre-fabricated fast-erection
clinic structures with local staff. Zero learning curve.
We see all Asian governments dropping local residency and
licensing requirements in an effort to attract skilled surgeons
to their constituencies. Let’s give all Asian access to the very
best in Medicine. Asean should take the lead.
Why 300 Identical Clinics ?
1. Economies of scale. Amortize all soft costs (design,
architecture, engineering, research, permitting, utility plan,
wiring plans, IT planning, etc).
2. Large scale purchasing of materials, medical equipment,
furniture furnishings, and consumables.
3. Incentives for universities and teaching hospitals to build a
identical teaching Megazebos on each campus.
4. No learning curve as highly specialized surgeons move from
clinic to clinic performing unique operations. They know the
layout, equipment, all the “system and network protocols”.
5. Marketing and promotion is less expensive.
6. 300 clinics can be self-insured.
Phase One Target Clients
Surgery Benefits under Existing Health Insurance Plans
1. Federal, State, and Urban Government employee
medical insurance plans.
Post Office and Military plans.
State companies actively looking for solutions to
reduce their employee benefit health care costs.
We Deliver Health Care in small, inexpensive, prefabricated steel frame structures. Typical site
7 Medical Applications
Day Surgery Clinics with 6 operating theatres
in a 3 Megazebo cluster.
Rural Hospitals. 50-80 beds in each cluster
Urban Medical or Dental Practices.
Quarantine Clinics at airports. 1 day convert
Animal Hospitals and Pet Centers
University Medical Centers with separate
Gazebos for laboratories, pharmacy, out
patient services, cancer treatment, etc.
Institutional clinics. Police. Immigration.
Braun Megazebos are a pre-engineered,
prefabricated, modular, site assembled,
inexpensive, super hygienic, two level steel
structures identified by:
– Perimeter floor to ceiling 360 degree glass.
– Large diameter pillars. Storage or AC units
– Without (optional) partition walls. No ducts.
– Multi-function CUC central utility core; and OR.
– 320 degree nursing station and 14 ICU beds.
– Stone tile floor and roof with a wind turbine and
solar panels.
Clusters of small, hygienic, and safe Megazebos
make more sense than high-rise hospitals.
Administration and Service Building
Admitting Laboratory, X-Ray, Pharmacy, Kitchen, Laundry, Office, Examining
Rooms, Doctors suites, Maintenance, Storage, Accounting, Transport.
Anterior Admin Building
For: Admitting, offices, doctors suites, sauna,
washrooms, laundry, kitchen, storage, examination
rooms, lab, dispensing, imaging, emergency.
Clinic Layout: Center OR; surrounded by a 3200
nursing station: 14 beds looking onto a Garden.
Pillars convey strength, longevity,
durability, and transparency.
Clean Look
5 Turn-key Clinic Packages
Admin Bldg + 3 Mega Shells + Equipment +
Furniture + Consumables + Staff
Admin / Services Bldg
 MGZ structures only
 Medical package
 Furniture furnishings
 Consumables package
 Staff of 70
1 x $500,000
3 x $200,000
6 x $160,000
3 x $120,000
3 x $60,000
Local pre-fab structure.
Asia based equipment mfgs.
Asia based manufacturers
2 year supply
Teaching Hospitals
An accounting target of $2,600,000 per cluster.
Easy access to all
Design: Minimum staff
needed to monitor a
maximum number of
Top view: Walkways link the
Megazebo Clinics.
External large elevator
Size Options: 280 or 320 M2 per level.
3000 to 3400 sq ft. per level.
 Levels:
Single level, bi-level, and
optional basement level.
 Lot size:
1 hectare: 2 to 5 acres.
Options :
Roof and floor material,
pillar diameter and façade, appliances,
turn-key equipment, staircases. tinted
glass, partition walls, heating and cooling.
Megazebo “Skin”
There are no exterior walls since the
exterior façade is only enlarged pillars
separated by floor to ceiling glass. Very
sanitary. Low maintenance.
This allows for 360 degree panoramic
views onto a garden, courtyard, field, lake,
or forest We are NOT urban core people !!!!
Steel Superstructure
Earth Quake Resistant. Main tube posts and
CUC wedge posts both support the roof H
beams and protect the OR. Top wind turbine.
Q235 structural square tube and wedge steel tube
H Beams for the roof. Upper copula wind turbine
Upper support octagon. Air scrubbers, medical
gas, Batteries, OR equipment.
Roof supported by both main and CUC posts.
Cross beams at all levels.
Floor joists to a center utility octagon. CUC
Base plates anchor to the concrete pad
Roof Specifications
6mm steel cable threaded thru the H beams.
 18mm Plywood or synthetic stone MGO base.
Roof tiles (metal, stone, or slate)
 Wood carved ornamentation under the roof
 Overhang of 0.7 meters.
 Sun Blinds on 3 sectors exposed to the sun’s
rotation as if effects the site.
 Optional Wind turbine for electricity.
Nice Clean Looking Pillars
Optional Niche Pillars:
A Major Sustainable Revenue Stream
Ceramic or Stone Roof Tiles
Clinic Floor. Granite, Ceramic, or Cork
Floor designs
contribute to patient
Top Cupola Outlet. Optional
horizontal wind turbine
Wind Turbines Replace the Cupola
Cupola Roof Wind Turbine
My Prototype Team in Shanghai
Assemble Components On-Site
in 20 days.
Key Advantages
Pre-engineered prefabricated modular design.
Turn-key solution. A single contract
Erected in 20 days. Re-located years later.
Over-sized storage pillars convey an image of
strength, stability, permanence, and durability.
Durable materials. Ceramic roof, Granite floors.
Glass walls. Longevity.
Spiral stairs for quick access to other levels.
Staff efficiency. Easy to monitor patients.
No exterior walls. Only glass and pillars. A neat
and clean look
360 degree panoramic views.
Low operating and maintenance costs
Abundant natural light.
Interior open space concept.
Freedom to design and modify later.
Efficient Central Utility Core (CUC) hosts
the Operating Theatre.
The CUC conserves materials. Less wire,
pipe, copper, ducting, cables, plumbing,
Easy to sterilize and create a “clean room”
No heating or air-con ducts. Room units
embedded in the pillars. Less air carried
infections. Less disease.
Efficient nursing stations surround the OR.
Less staff to monitor more patients.
Upper loft for shift workers to rest or sleep.
Hooded vents up to air scrubbers in the CUC
Ceiling track system and suspended beds for
ease of movement. (In the design phase).
Easy to clean and maintain. Sanitary.
Rigid visitor and staff regulations
Can convert to a quarantine facility in 24 hrs.
Common full bed elevator to serve all
Megazebos in the cluster.
Surgeon suites in the service building.
No visitor or emergency room traffic in the
operating theatre cluster.
Fire alarm and sprinkler system.
“Aircraft slide’ emergency evacuation
Earthquake resistant CUC core design
The whole CUC , drugs, OR equipment,
and appliances can be easily locked-down.
Designed, built, delivered, erected for
about $25,000 / bed. (Target)
In many instances the client may provide
the land, and utility access.
Floor Plan for a rural clinic.
Nursing Station is in CUC
Floor Plan for Day Surgery Clinic.
The CUC is the Operating Theatre
Sanitation Proverb: “You come with
nothing; you leave with nothing”
In Western clinics, this old Jewish proverb refers to wealth !!!
In our Day Surgery Clinics, the expression refers to bodily
bacteria, virus, and germs both internal and external .
All Braun clinic staff: doctors, surgeons, and OR staff have
life-style restrictions. They cannot live on a farm or hobby
farm, No pets at home, No visitors with pets. Shoes off policy
at home, No sleeping with children, Filtered air and water.
No visitors to the OR Megazebos at any time. Video contact.
Each patient and periodically all staff are subject to a hot tub
and steam message, bacteria shampoo, and total skin
exfoliation with a mild scrub cloth and glycerine antibacterial soap before going to the OR.
Emergency Bed Layout : 14 Beds
Divided OR
for simple
Rural Hospital Emergency Bed Layout : 21 Beds
Suspended Beds (in design phase)
Ceiling Track. Rotation Knuckle. Docks to the nursing station
Cork or Porcelain Tile Floor. Portable tent toilet on castors
Suspended Beds Dock To Nursing Station
Ceiling Track. Rotation Knuckle
Cork-Backed Floor
Guidelines for a Sustainable Health
Care Delivery System in Asia.
Health Care Reform Guidelines:
To be eligible to license and manufacture the Braun building system
we have 12 basic guidelines for Asian governments.
1. There must be a basic national health insurance plan in place.
2. There must be a national drug plan with generic drugs available at
factory cost to rural residents and the elderly. Competitive pricing.
3. All shareholders, administrators, as well as doctors, nurses and
hospital staff must be exempt from mal practice litigation. Designate
all our sites as international territory with legal / diplomatic immunity.
4. Clinics must be allowed to render “death-care services” just as they
provided health care services while patients are alive. New revenue.
5. Clinics must have Foundations to accept estate gifts and inheritance
assets tax free from patients upon death.
6. Volunteerism must be encouraged and rewarded.
7. There must be no professional barriers, zoning laws, or
building code regulations to block mass produced, prefabricated, modular design clinic structures.
8. Government must surrender 70% of all gross tobacco and
alcohol taxes to the national health system and distribute
proceeds pro rata to all hospitals and clinics.
9. At least 30% of profits from the major national lotteries must
go to health care and directly to hospitals and clinics.
10. Health education must be a component in the education
11. The death penalty in the country’s legal framework and be
inflicted upon illegal drug, and large tobacco and alcohol
12. Doctor assisted life termination should be studied.
Financing Alternative for the first 5 Clusters
We could approach all large companies and
institutions with more than 1,000 employees. In
exchange for land, capital costs, equipment or
furnishings we would offer free day surgery
procedures over the first 5 years.
The strategy: We design, build, equip, staff, and
operate for 5 years; build a reputation; and then sell
as a franchise to a local surgeons group and keep a
5% perpetual royalty stream for ourselves.
Then build the next 5 clusters.
Thank you. Denis Braun © 2010 Skype: Megazebo
E-Mail: [email protected]

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