What is the name of your organization?
Fundacion Valle del Lili
What is the name of your solution?
Hospital Padrino
Provide a one-line summary or tagline for your solution.
A social innovation model in healthcare involves collaborative work between hospitals, where a high-quality hospital supports lesser-scope providers.
In what city, town, or region is your solution team headquartered?
Cali, Valle del Cauca, Colombia
In what country is your solution team headquartered?
COL
What type of organization is your solution team?
Nonprofit
Film your elevator pitch.
What specific problem are you solving?
The Sustainable Development Goals (SDGs) have a deadline of 2030. In terms of health, reducing the preventable maternal mortality ratio (MMR), neonatal mortality, and non-communicable disease mortality is a global priority and a development goal for countries. However, high-impact events at an international level, such as the COVID-19 pandemic, climate change, and political instability by 2025, make it unlikely to achieve the established goals, especially for low- and middle-income countries (LMIC). For example, the goal of achieving a global MMR of 70 maternal deaths per 100,000 live births by 2030 is unattainable when the MMR is 223 maternal deaths per 100,000 live births in 2020. Since 2016, progress has stagnated in reducing preventable mortality, defined in SDG 3, which requires an urgent call for action, and health systems face challenges in ensuring access to high-quality care through coordinated and standardized multidisciplinary teams to adopt comprehensive care processes. In Colombia, the trend in health indicators will not allow the 2030 goals to be achieved, especially given the country's profound inequities in access and quality of care. In the Pacific region of the country, other critical determinants of this behavior are health workers' challenges in providing adequate care and ineffective management networks.
What is your solution?
Hospital Padrino is a model of social innovation that consists of collaborative work between hospitals, where a public or private hospital of high complexity and quality (Hospital Padrino) accompanies and supports providers of lesser scope (sponsored hospital) to improve quality, timeliness, and resolution of care. Through education strategies that save lives, it is intended to strengthen the skills of the health workers of sponsored hospitals with workshops that combine the theoretical and the practical, emphasizing soft skills development. The model strengthens telehealth using telemedicine or telecare strategies from the Padrino Hospital, allowing patients from sponsored hospitals to spend less time on their diagnoses and management. HPS establishes a collaborative alliance with the government (in Colombia, with departmental health secretaries and the Ministry of Health). With them, lines of action, public health priorities, the territory of implementation, and integrated hospital networks are established. It is also defined as the Sponsor Hospital, which will become the network's reference center, the sponsored hospitals, the most remote territories, Internet connectivity, and the logistics of transporting patients between hospitals. For selecting sponsored hospitals, the hospitals with the greatest need for improvement, the hospital's indicators, and the coverage of the rural and minority populations are considered.
Who does your solution serve, and in what ways will the solution impact their lives?
Hospital Padrino (HPS) benefits four population groups: The patients and their families who are the focus of the intervention, health workers of the sponsored hospitals, facilities of the strategy, health secretaries, and the Ministry of Health. HPS initially implemented its activities in the Colombian Pacific region in a social context marked by profound socioeconomic, demographic, and cultural inequalities and areas with limited access to health services, a high prevalence of poverty, and a low human development index. HPS started in 2018 in the Department of Cauca, and by 2024, it has reached 26 territories in alliance with the Ministry of Health. The model's lines of action are maternal and neonatal health, child health, adult health (chronic non-communicable diseases, cancer, and adult emergencies), and mental health. By 2024, HPS had directly benefited 15,1018 patients treated through telehealth. It strengthened the technical and non-technical skills of 16,538 health workers in 363 hospitals who cared for at least 7.5 million people in all age ranges. HPS contributes to equity in health care, timely access to quality services, and knowledge promotion. The aim is to reduce avoidable deaths and provide opportunities for well-being for the entire population.
