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Bogota Health MegaProjects

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Bogota Health MegaProjects

  1. 1. Health Secretariat of Bogotá Bogota’s Hospital MegaProjects June 2019
  2. 2. Consulta Cirugía HospitalizaciónAcciones colectivas 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 the south and in the west. 4. We have to prepare for future population increase.
  3. 3. Consulta Cirugía Contract 1796 of 2016 suscribed between DDH and FND Work Team: With the support of
  4. 4. Consulta Cirugía HospitalizaciónAcciones colectivas Prioritization 1.Usme Hospital. 2.Bosa Hospital. 3.Santa Clara Hospital. 4.Instituto Materno Infantil. 5.Simón Bolívar Hospital. 6.La Felicidad Hospital. (Private initiative.)
  5. 5. Health Secretariat of Bogotá Usme Hospital Project
  6. 6. Cirugía Index 1. Needs to satisfy 2. Size and Location 3. Progress 4. Service Portfolio 5. Investment 6. Contracting Modality 7. Timeline
  7. 7. 1.Needs to satisfy ▪ Even though Usme has more than 430,000 rooms, they do not have neither a public nor a private hospital. ▪ Geographically, Usme is the most fragmented/isolated urban location in Bogotá. ▪ Usme has higher demographic rates than the district. • Fertility: 74,0 vs 56,8 x 1.000 women. • Childbearing: 21,7 vs 16,8 x 1.000 Hab. • Migration: 18,5 vs 2,08 x 1,000 Hab. ▪ The southern subnet presents a deficit of more than 200 hospital beds.
  8. 8. Tres quebradas partial plan (Highway to El Llano) Beneficiaries: 367.201 2. Size and Location Construction area: 33.200 m2 Beds: 221 Available area: 32.200 m2
  9. 9. 3. Progress ▪ Supply and demand analysis. (Service portfolio) ▪ Titles study and urban-architectural analysis ▪ Medical architectural program ▪ Preliminary design ▪ Equipment matrix
  10. 10. USME HOSPITAL BEDS Intensive care units 31 Intermediate care units 31 Obstetrics and gynecology beds 78 Peadiatric beds 60 Camas cuidado basico neonatal 21 TOTAL NUMBER OF BEDS 221 Surgery rooms 4 ER beds 30 X-rays and fluoroscopy rooms 3 Ultrasound Resonance CT Scan Mammogram Dexa Scan Upper GI endoscopy 4. Service portfolio
  11. 11. 5. Usme investment COMPONENT PESOS 2018 (000) USD Design, construction and provisions 273.327.000 87.824.933 Property purchase 16.673.000 5.357.338 Total 290.000.000 93.182.271 Exchange rate: February 21, 2019 3.112,18
  12. 12. 6. Contracting modality The turnkey contract includes: ▪ Detail design ▪ Construction ▪ Medical equipment endowment ▪ Clinical and administrative furniture
  13. 13. 7. Schedule COMPONENT CONTRACTING MODALITY OPENING ADJUDICATION CONTRACT SIGNATURE Property purchase Direct N.A. N.A. March 2019 Design, construction and endowments Bidding July 2019 October 2019 November 2019 Interventory Bidding July 2019 October 2019 November 2019 Hospital opening December 2022 TOTAL
  14. 14. District Health Secretariat San Juan de Dios Hospital Complex Project
  15. 15. Cirugía Index 1. Needs to satisfy 2. Size and location 3. Progress 4. Service portfolio 5. Investment 6. Contracting modality 7. Timeline
  16. 16. 1. Needs to satisfy Current Santa Clara Hospital (261 beds) 1. 1940s construction 2. Non-compliance with earthquake regulations 3. Conservation building 4. No additional space for building constructions
  17. 17. 2. Size and locations 17 Santa Clara + CAPS E + CU 312 beds + 50 ER beds Available area: 28.000 m2 Square meters to build: 84.000 m2 Beneficiaries: 360.000
  18. 18. 3. Size and location Demolitions. 17. SOURCE: PEMP CHSJD n s e o 19.Central building. 27. Primary care unit. Others. 29 Main gates. 28. Psichiatric rehabilitation 26. Instructors tower
  19. 19. 3. Size and location New developments. 17. SOURCE: PEMP CHSJD n s e o 3 2 1 1. Hospital Santa Clara 2. Instituto Materno Infantil 3. Centro de Atención CAP_E 4. Alameda
  20. 20. 3. Progress ➢ Supply and demand analysis. (Service portfolio) ➢ Urban-architectural analysis and study of titles ➢ Architectural Medical Program ➢ Preliminary design ➢ Equipment matrix ➢ Special Management and Protection Plan ➢ Earthquake resistance studies
  21. 21. 4. Service Portfolio HOSPITAL + CAPS + EMERGENCY CENTRE CAPS 46 doctor's office Magnetic Resonance Tomography Angiography Ultrasound Endoscopy 7 Surgery Rooms Hospitalization Services No. of Beds Internal Medicine Hospitalization 136 Surgery Hospitalization 119 255 Adults Intensive Care 35 Adults Intermediate Care 22 312
  22. 22. 5. Santa Clara Investment ITEM Colombian Pesos 2018 (000) USD Construction 325,875,311 104,709,660 Endowment 80,615,802 25,903,323 Subtotal CAPEX 406,491,113 130,612,983 Maintenance 5 years 101,354,341 32,566,992 Total Investment 507,845,454 163,179,975 Exchange Rate: February 21, 2019 3,112.18
  23. 23. 6. Contracting Modality The contract includes: ➢ Detailed design ➢ Construction ➢ Endowment of medical and clinical equipment and administrative furniture ➢ Maintenance of the building and equipment (5 years) ➢ Cleaning and surveillance (5 years)
  24. 24. 7. Timeframe COMPONENT CONTRACTING MODALITY OPENING ADJUDICATION CONTRACT SIGNATURE Design, Construction Endowment, maintenance and administrative services Bidding July 2019 October 2019 November 2019 Interventory Bidding July 2019 October 2019 November 2019 Hospital Delivery December 2022 TOTAL
  25. 25. District Health Secretariat Hospital Bosa Project
  26. 26. Cirugía Index 1. Needs to satisfy 2. Size and location 3. Progress 4. Service portfolio 5. Investment 6. Contracting modality 7. Timeline
  27. 27. 1.Needs to satisfy ➢Bosa only has a II level Hospital with 60 beds but in deficient infrastructure conditions.
  28. 28. 2. Size and location Beds: 215 Available area: 19.000 m2 Construction area: 30.000m2 Beneficiaries: 411.149
  29. 29. 3. Progress ▪ Study of supply and demand. (services portfolio) ▪ Urban-architectural analysis and study of titles ▪ Architectural Medical Program ▪ Preliminary design ▪ Equipment matrix ▪ Implementation plan
  30. 30. 4. Service portfolio Hospitalization internal medicine 135 Hospitalization surgery 60 Censable Beds 195 Adult intensive care 12 Adult Intermediate Care 8 Total Beds 215
  31. 31. 5. Bosa investment ITEM Colombian Pesos 2018 (000) USD Construction 173,209,930 55,655,499 Endowment 59,003,856 18,959,011 Total CAPEX 232,213,786 74,614,510 OPEX 16,736,729 5,377,815 Exchange Rate: February 21, 2019 3,112.18
  32. 32. 6. Contracting modality ➢ PPP Contract: ➢ Detailed design ➢ Construction ➢ Endowment of medical and clinical equipment and administrative furniture ➢ Maintenance of the building and equipment ➢ Replacement of equipment and furniture. ➢ Cleaning and surveillance.
  33. 33. 7. Timeframe COMPONENT CONTRACTING MODALITY OPENING ADJUDICATION CONTRACT SIGNATURE Design, Construction Endowment, maintenance and administrative services Bidding August 2019 November 2019 December 2019 Interventory Bidding August 2019 November 2019 December 2019 Hospital Delivery December 2022 TOTAL
  34. 34. 8. Pre-qualification (Data Room) https://www.contratos.gov.co/consultas/detalleProceso.do?numCon stancia=19-19-9350084 PREQUALIFICATION PROCESS CURRENTLY IN SECOP
  35. 35. 8. Contact Emails If additional information regarding the process and the documents is needed, visit SECOP and search for data room: contratacion@saludcapital.gov.co To request one-on-one appointments with the structuring team: hospitalbosa@fdn.com.co
  36. 36. www.saludcapital.gov.co

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