MPOC Intl Roadshow

8/13/2019 MPOC Intl Roadshow

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Modernization of the

Philippine Orthopedic Center

Source: Department of Health (DOH)


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Outline of Presentation

Development Objective

Project Description

Proposed Structure for PPP

Investment Opportunity

Way Forward

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Project Objectives

To drive the establishment of the New Hospital Facility as the

countrys Leading Tertiary Care Center for Bone and Joint

Diseases, Trauma, and Rehabilitation Medicine, capable of

providing international quality orthopedic and trauma care

To facilitate affordable, competitive and quality focused medical

care for all through cross subsidization framework, thus

achieving Universal Health Care agenda


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Why the need for a new hospital?

Constraints & Issues Solutions facilitated by New Facility

LOW CAPACITY UTILIZATION(only 70%-75% of Sanctioned capacity)

Private sector operational efficienciesto improve capacity utilization to 90-95% beds

STAFF-TO-BED RATIO &DISCHARGE PERIODS(lower than ideal)

Improved Staff-to-Bed ratio andreduced discharge period

LIMITED MEDICAL SERVICES(only primary and secondary services)

Super specialty tertiary care withmodern equipment and select qualifiedmedical staff

LIMITATIONS IN CATERING TO NON-CITIZEN PATIENTS OR MEDICAL

TRAVELERS

Medical tourism patients identified aspart of envisaged overall patient

population served

ARCHAIC INFRASTRUCTURE &

FACILITIES REQUIRING ESSENTIAL

UPGRADATION

State of the art infrastructure andmodern equipment & facilities to beinstalled and operated


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Identified Site of the Project

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Located w ith in th e National Kidn ey and Transplant Inst i tute (NKTI) Compo undalong East Avenue, Quezon City, Phil ipp ines in an appro xim ate area of 8,000sq . meters


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Private proponent shall design, build, finance, operate, manageand transfer the super-specialty tertiary care Orthopedic Hospitalproviding orthopedic clinical services and allied services

The project is a 700-bed capacity hospital with state of the art

infrastructure, modern medical diagnostics and clinical equipment,and IT facilities, which shall be operated and maintained within aperiod of 25 years, including:

clinical services (core) as well as facility maintenance (non-core);

specialty orthopedic care related to joint replacement, degenerative disorders,orthopedics oncology, orthopedic trauma care, pediatric orthopedics, spine care,

arthroscopy and sports medicine and injury rehabilitation; and

provision of teaching and training facilities for basic and advanced clinical care andmanagement of specialized and sub-specialized treatments & surgical procedures.

Project Scope

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Features of the New Facility In-house Diagnostic facility Administrative and ancillary services of advanced level that is commensurate with the

specific clinical specialties practiced in tertiary care

Specific functional areas: general rooms, private suites & specialized areas (OT, ICU,

SICU, etc.)

Non core - Support amenities & services (Cafeteria, Pharmacy, Kitchen/Dietaryservices, Laundry, CSSD, IT, Security)

Clinical Services Joint Replacements-Hip/Knee

Degenerative Disorders

Orthopedics Oncology Orthopedic Trauma Care

Pediatric Orthopedics

Spine Care

Arthroscopy

Sports Medicine & Injury Mgt.

Hospital Area Segregation Day Care & Nursing Units

Ambulatory Patient Block

Administrative Block Sports Medicine Block

Rehabilitation Block

Teaching, Training & Research Block

Seminar Hall, Auditorium, Gymnasium,

Cafeteria, etc.

Plan for the New Hospital Facility


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700

Beds60%

Sponsored PatientsCost of treatment is

entirely covered by

PhilHealth/Insurance

No direct payment by

the patient to the

hospital

PhilHealth/Insurer

reimburses hospital

operator for service

Beds Reserved - 420

30%

Pay Patients Partly sponsored

patients with co -

payment ( i.e. balance

exceeding insurance

coverage paid by

patient)

Private patients who

pay entire cost of

treatment, directly to

the hospital operator

Beds Available - 210

10%

Service PatientsPaid for by operator

Beds Reserved - 70

Additional revenue sources to include fees generated from use of support amenities,

affiliations, teaching & training, research, homecare, advertising, leasing, byproduct sales,

and use of allied infrastructure such as seminar hall, auditorium, gymnasium, etc.

Fee Sources & Patient Mix

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Deliver the site & right of way (ROW)

Assist in securing government approvals

Select & appoint Independent Consultant

(IC)

Enforce the project proponents right todevelop, operate & collect fees from theservices as authorized under the BOTAgreement;

Provide funding support in form of O&Mcash support (if required)

Ensure adherence to DOH stipulatedpolicies, standards, norms as well as theMPSS requirements monitored by IC

Special Purpose Company(Concessionaire/Project Proponent)

Department of Health(Awarding Agency)

Undertake the project scope &conditions i.e. design, build, finance,operate & maintain the new hospital inadherence with the MPSS forconstruction & operations and patient

mix to be prescribed in BOT agreement

Collect the fees for services asauthorized under the BOT Agreement

Set up the SPC, appoint IC & achievefinancial close

Bear commercial risks from project as agoing business concern; and

Turn-over and transfer the new hospitalin good working condition to DOH at

the end of the cooperation period

Roles/Obligations under BOT Agreement

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Project Proponent/SPC(Concessionaire)

IndependentConsultant for

Construction

constructs new hospital facility

in conformity with MPSS

ensures compliance

with MPSS & other

construction related

standards

DOH(Concessioning Authority)

appoints SPC under concession

based contract

monitors compliance based on

Independent Consultantsrecommendations

Structure during Construction Phase

1010


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undertakes O&M in accordance

with MPSS and O&M Manual

DOH representatives

monitors compliance with

MPSS and O&M Manual

provides independent

third party monitoring

on all operational

aspectsHospital Operator/

Project Proponent

Project Management &

Monitoring Team

Governance Committee

Project Proponent SPC

DOH

Independent

Consultant for

O&M

constituted with representation

from members of Project

Proponent & DOH

resolves disputes

Structure during Operation Phase

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Likely Bid Parameter

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HIGHEST UPFRONT LUMP SUM AMOUNT

PAYABLE BY THE BIDDER TO THE DOH

(Premium)

LOWEST LUMP SUM AMOUNT

PAYABLE BY DOH TO THE BIDDERFOR FIRST 5 CONSECUTIVE YEARS OF OPERATIONS

(O&M Subsidy)

OR


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Nearly 237,000 patients projected at the facility at the time of operations

commencement, over 268,000 by the end of cooperation period, after

accounting for competing medical facilities

On average, more than 230,000 patients served each year, incremental

patients may be expected from medical tourism & availing of allied services

at the facility

Projected Case 2016 2020 2024 2028 2032 2036 2038

Total Patients 237,500 246,750 253,500 260,250 265,500 267,000 268,000

In Patient 33,000 34,750 36,500 38,250 40,000 40,500 40,500

Out Patient 204,500 211,750 217,000 222,000 225,500 226,750 227,500

Start ofCommercial

Operations

End ofCooperation

Period

Projected No. of Patients Served

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Activity Timeline

Invitation for Request for Bid proposal 18 November 2012

Release of Bid Documents 26 November 2012

Bid preparation 26 November 2012 to

25 March 2013

Pre-bid conference 25 January 2013

Bid Submission Due Date 26 March 2013

Bid Evaluation Period April 2013

Notice of Award May 2013

Signing of BOT Agreement May 2013

Independent Consultant Selection December 2013Start of Commercial Operation April 2016

End of Cooperation Period & Turnover to DOH October 2038

Note that these timelines are tentative and may be subject to change. The final timelines shall be communicated at the

appropriate time, as necessary. The bidding process, once commenced, shall follow the timelines as prescribed under the

BOT Law of Philippines and its 2012 Revised Implementing Rules and Regulations.

Way Forward: Estimated Project Timelines

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MPOC Bid Documents

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Bid documents shall be available at:

Center of Excellence for Public Private Partnerships in Health (CEP3H)

3rd Floor of the Diagnostic Center of the National Kidney and

Transplantation Institute

East Avenue, Quezon City, Philippines

Will be available from 26 November 2012 to 25 February 2013

Payment of non-refundable fee of Two hundred Fifty Thousand Pesos (PhP

250,000) shall be made in cash or managers check payable to the Department

of Health, or by wire transfer to the following account:

Department of Health COBAC Account # 1432104610

Landbank of the Philippines,

Tayuman Branch, Sta. Cruz, Manila

* Only entities that have been issued the Bidding Documents shall be allowed to participate in the Bidding Process


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Bidding Activities

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Pre-bid Conference:

25 January 2013, 10:00 a.m.

Auditorium, 3rd Floor, Diagnostics Center, National Kidney and

Transplant Institute Compound, East Avenue, Quezon City,

Philippines

Bid submission deadline:

26 March 2013, 2:00 p.m.

COBAC, Ground Floor, Building V, Department of Health, SanLazaro Compound, Rizal Avenue, Manila City, Philippines

* Only entities that have been issued the Bidding Documents shall be allowed to participate in the Bidding Process


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Modernization of the

Philippine Orthopedic Center

THANK YOU!

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