Trade

1. Bogota´s Healthcare PPP Projects

2. BOGOTÁ D.C.
8 million people.
93% with social
security (healthcare)
82% Contributory.
15% Subsidized.
3% Special.
Capitation payment for
each one.

3. Map of Bogota
North
South
Center East
South
West
Integrated Health Services Network

4. Norte Centro Oriente
Sur
Occidente
Sur
New Health Services Model:
Individual Health Determinants
Integrated health services network
(Public and Private)
Comprehensive Care
Specialized
Hospitzalization Units
Priority Primary Care
Centers
40
CAPS
Homecare
Priority care
Elective care
UMHES
Medical discharge
Surgical discharge
8
Emergency care units
UNIUR
Prehospital atention
Transportation
Patient stabilization
4
6 New
Buildings
40 CAPS
EHR
Appointments
Perscription
Digital health
North
South
Center East
South
West

5. What are we going to do?
We are going to build five (5) new hospitals by PPP
mechanism.
Hospital de Bosa
Hospital de Usme
Nuevo Hospital Simón Bolívar
Nuevo Hospital Santa Clara – CHSJD
Nuevo Instituto Materno Infantil - CHSJD
TOTALLY NEW
REPLACEMENT

6. Why PPPs?
1.Not enough beds in Bogotá: 1,7 x 1.000. Average
country in OECD 4.1 x 1.000.
2. Very old infrastructure. Non-compliance with
earthquake regulations.
3.Bad geographic distribution of the hospitals.
Concentration in the north of the city. Deficit in south
and west.
4.We have to prepare for future population increase.

7. Cirugía
Work Team
Supported by

8. Consulta Cirugía
HospitalizaciónAcciones colectivas
Prioritization
1. Usme.
2. Bosa.
3. Santa Clara.
4. Instituto Materno Infantil.
5. Simón Bolívar.
6. La Felicidad. (Private initiative)

9. Consulta Cirugía
HospitalizaciónAcciones colectivas
Products up to the date
1. Phase I completed.
2. Studies of plot titles completed.
3. Urban analysis completed. (Defined Plots)
4. Capex range defined.
5. Supply-demand studies completed.
6. Due diligence completed.
7. Business case defined.

10. USME
Beds: 221
Available area: 32.200 m2
Construction area: 33.200 m2
Beneficiaries: 367.000

11. BOSA
Beds: 215
Available area: 19.000 m2
Construction area: 27.600m2
Beneficiaries: 411.149

12. SIMON BOLIVAR
Beds: 408
Available area: 32.200 m2
Construction area: 49.300m2
Beneficiaries: 345.408

13. Santa Clara + IMI + CAPS E
Beds: 427
Available area: 28.000 m2
Construction area: 66.000 m2
Beneficiaries: 286.410

14. 17.
FUENTE plano base: PEMP CHSJD
19. Edificio Central.
27. Unidad Primaria de Atención (UPA).
Otros.
29 Porterías.
28. Rehabilitación Psiquiátrica
26. Torre Docente
n
s
e o
SANTA CLARA + IMI + CAPS E
Demoliciones

15. 17.
FUENTE plano base: PEMP CHSJD
1
1. Hospital Santa Clara
3
3. Centro de Atención CAP_E
n
s
e o
SANTA CLARA + IMI + CAPS E
2. Instituto Materno Infantil
2
Ocupación

16. 1. Hospital Santa Clara
. Fuente Imagen Base: ERU – SDS - Consorcio Ciudad Salud
(Synergia SA - INCOL SA– C.Cabal); Modificaciones SDS. Grupo APP
2. Instituto Materno
Infantil
3. Centro de Atención
Prioritaria Especializada
CAP_E
4. Alameda – parqueadero
subterráneo
Imagen general proyecto.
SANTA CLARA + IMI + CAPS E

17. Type of PPP
Hospital de Bosa
Hospital de Usme
Hospital Simón Bolívar
Hospital Santa Clara – CHSJD
Instituto Materno Infantil - CHSJD
PFI + (DBFOMT)
Infrastructure +
biomedical
equipment + soft
services.

18. How are we going to finance it?
We are going to guarantee the payments with public
budget
Future fiscal resources will guarantee the project
finance initiative.
We will pay for availability of service and quality
standards.

19. Consulta Cirugía
HospitalizaciónAcciones colectivas
Transaction structure
Secretaría
Distrital de
Salud -FFDS
SPV.
EPC Equipment
Soft
services
Bank
Empresa Social del
Estado (Hospital)
Commercial
Trust

20. TIMELINE
ACTIVITY DATE
Prequalification process opening APRIL 2018
Request for proposal AUGUST 2018
Subscription of agreements DECEMBER 2018
Detail design and financial closure JUNE 2019
Beginning of construction JULY 2019
Opening of hospitals JULY 2022
End of concession JULY 2042

21. www.saludcapital.gov.co