Bumrungrad was the first Asian hospital accredited by the Joint Commission International (JCI), the international arm of the organization that reviews and accredits American hospitals. Their checklist includes over 350 standards, for everything from surgical hygiene and anesthesia procedures to the systems in place to credential medical staff and nurses. JCI sends a team to re-review hospitals at 3-year intervals. Bumrungrad was first accredited in 2002 and re-accredited in 2005.
That’s what your local primary caretaker is for. Emergencies, of course, would also still be handled locally, however I see outsourcing the expensive stuff, whenever possible, to be the new trend.