philippine general hospital diliman project

Project Briefer

July 2021

Philippine General Hospital Diliman Project

UP PGH Diliman Project Briefer July 2021

1. The project 03

2. Scope and structure 10

3 The process 15

4. Contacts 17

Contents

2

1

The project

4

The Philippine General Hospital

As the national university hospital and premier referral center, the Philippine General Hospital (PGH) is committed to quality service, training, and research.

PGH implements and continuously improves its Quality Management System (QMS) to conform with the requirements of patients, regulatory agencies,

other stakeholders, and the performance goals set by management.

● On Service – PGH ensures that all patients understand their conditions and are able to participate in their own treatments.

● On Training – PGH is the heart of the University’s Health Sciences Campus. It is in PGH that postgraduate and undergraduate students undergo

rigorous clinical rotations in various departments under the tutelage of leaders in the fields of medicine, nursing, and allied health professions.

● On Research – PGH continues to focus on research initiatives that impact on national health policies.

5

The goal of UP and PGH is to have PGH Diliman as a world-class hospital accessible to the poor, with related educational and research facilities.

The PGH Diliman is envisioned to be a new 700-bed

public hospital (with potential for further expansion

through an adjoining in-patient building, if needed in the

future) to be located in the Arboretum site within the

campus of UP Diliman in Quezon City and providing multi-

specialty services.


PGH Diliman Objectives

6

02Complement and enhance

capabilities and capacity of

PGH Manila

04Offer research and teaching hospitals

with innovations in medicine, oncology,

neuroscience, and sports medicine,

among others

PGH Diliman Project

Provide accessible world-

class healthcare to the poor

03Reduce increasing

overcrowding issues in

hospitals

01

7

Approximately 4.2 hectares fronting Central Ave., Quezon City

Classified as “other parks and major open spaces” and

not part of the “protected forest area”

Project Site

8

The catchment area of PGH Diliman covers NCR and the contiguous provinces of Bulacan and Rizal**selected cities or municipalities within 30-kilometer radius

to PGH Diliman


Why is the PGH Diliman Project needed?

9

Lack of available

beds

Congestion in other

hospitals

Low bed-to-patient

ratio vs. peers

Increase healthcare

demand

01 02

03 04

The share of private hospital beds

increased from 46% in 2003 to 53%

in 2016. This contributes to the

disparity between the available beds

for high-income earners using private

hospitals and those of low-income

earners using public hospitals.

For public hospitals within the

indicated catchment area of PGH

Diliman, the ratio of hospital bed

per 1,000 population for Service

Patients is at 0.77, below World

Health Organization (WHO) standard

of 5.00 and below peers in the 1.21-

1.98 area.

Based on a World Health Organization

2018 survey, the average bed

occupancy for a Level 3 public hospital

in NCR was 103% in 2012. The

international benchmark for optimal

efficiency is 80-85%.

The total population within the

catchment area of PGH Diliman is

projected to increase by 20.2m

people by 2042. With this increase,

bed-to-patient ratio within the catchment

area may decrease further without

additional investments in healthcare

infrastructure.

2

Scope and structure


700 hospital beds

with potential for

expansion

2,000 outpatient

visits per day

80,000 sqm total

floor area

13,600 sqm

parking area

Project Sizing

11

Average bed

occupancy rate of

85%

36,196 in-patient

admissions/year

Estimated total project cost: PHP21,302m


Hospital Services

12

Internal Medicine

Pediatrics Surgical OB/GYN NeurosciencesOrgan

Transplantation Program

OrthopedicsEmergency and Family Medicine

Vaccination and Travel Medicine

AnesthesiologyPsychiatry and

Behavioral Health

Ophthalmology

ENT DermatologyNutrition Science

Pain Management

Palliative Medicine and

Supportive CareCancer Care

ToxicologyCentre for Infectious Diseases

GenomicsComplementary

Medicine

Infertility and Difficult

PregnancyUrology

Employee and Occupational

Health

Infusion Services

Rehabilitation Services

Wounds/Burns Care

Pathology Services

Imaging Services

Clinical Services

Diagnostic Services


PPP Structure

13

ServicePrivate

Partner

UP

Design and Construction of Building ✓

Equipment:

Procurement and maintenance of non-medical and minor medical equipment ✓

Procurement and maintenance of Major medical and IT infrastructure ✓

Clinical Services ✓

Facilities Management Services ✓

Hospital Management and Administration Services ✓

Client Support Services ✓

Research and Teaching ✓

Temporary relocation and resettlement of project affected informal settler families

(ISF)s

✓

● All facility

management services

will be included within

the PPP, as is common

for most hospital

infrastructure-based

PPP projects around

the world.

● All medical teaching

and research

activities will be

excluded from the PPP

and undertaken by

PGH.

Note: Structure is indicative and may be

subject to change


Contractual Structure

14

Lenders SPVof PPP Partner

UP (Implementing

Agency)

Private

Partners/

Subcontractors

Investors/

Shareholders

Debt Equity

1Fixed Availability Payments Services

23

4Construction

Maintenance

Medical

Equipment

Non-Clinical

Services

Suite of Agreements:

1. PPP Contract between

UP and SPV

2. SPV Shareholders’

Agreement

3. SPV Loan Agreement

4. SPV Subcontractors

The PPP Company will receive a

monthly performance-based

availability payment (AP) from the

start of the operation of the facility

to the termination of the contract.

The payment is based on the first

year AP proposed by the PPP

Company in their bid.

Advantages of the private sector:

● Clinical services are excluded from the PPP scope,

reducing the complexity of services to be provided

by the private sector

● Private sector will be paid an Availability Payment

from the Government based on their bid, with

private patient revenue risk being retained by

Government

● Flexibility to operate potential ancillary businesses in

the hospital facility

Note: Structure is indicative and may be subject to change

Clinical services

3

The process


Proposed Tender Process - Two-Stage Bidding Process

16

Stage 1 Stage 2

PQ Process Bidding ProcessContract Award and

Signing

Submission and evaluation

of prequalification (PQ)

documents (legal, technical

& financial) by prospective bidders

Submission and evaluation of

• Technical bid

• Financial bid

Winning bid will be determined based on lowest Availability Payment required.

Winning bidder compliance

with Notice of Award (NOA)

The Philippine Amended BOT Law (R.A. 7718) and its Revised Implementing Rules and Regulations (IRR)

will be followed for the bidding process.

4

Contacts


The Transaction Advisory Team

18

University of the

Philippines

Lead Transaction

Advisor

Legal

Advisor

Various Technical

Advisors

Public - Private

Partnership Center

of the Philippines

Elvira A. Zamora

Vice-President for Development

University of the Philippines

Email: [email protected]

Maria Lerma L. Advincula

Director IV - Project Development Service

Public - Private Partnership Center of the Philippines


Mary Jade T. Roxas - Divinagracia

Partner

Isla Lipana & Co. (PwC Philippines)


mailto:[email protected]



philippine general hospital diliman project

Documents