---
title: "ESE Rionegro: +121K appointments managed | COCO"
description: "How Hospital San Juan de Dios E.S.E. Rionegro reduced no-show from 17.4% to 12% and managed +121K appointments with COCO's AI."
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![Hospital San Juan de Dios E.S.E. Rionegro](/__l5e/assets-v1/3059f522-894a-4f5b-88db-923887c4c10a/hospital-logo.jpg)

Hospital San Juan de Dios E.S.E. Rionegro · Public Sector 

# Healthcare services contracting as an efficiency enabler. 

Operational and financial sustainability in the public sector. Over two centuries serving healthcare in eastern Antioquia.

Diana Mejía — Manager, ESE Hospital San Juan de Dios de Rionegro

Book a demo

+121K

Appointments managed

98%

AI effectiveness

\-5.4%

No-show rate

24/7

Availability

Explore 

History and evolution 

## More than two centuries serving healthcare. 

From colonial times to becoming a regional reference for eastern Antioquia.

Before 1788 

### Colonial-era beginnings

The hospital was born under the Spanish crown to serve the urgent need to care for severely ill patients who used to take 3–4 days to reach the hospital in Antioquia, putting their lives at risk.

1st Site 

### District Charity Hospital

The first site sat where the Instituto Josefina Muñoz stands today, under the name Hospital de Caridad del Distrito de Rionegro, serving a population of 10,000.

1819 

### Caring for a national hero

General José María Córdova was treated at this Charity Hospital after falling from his horse on December 28th, 1819.

1963 

### New headquarters

The new facility opened with a single surgical table, a surgical lamp and 8 patients. Nearly 700 people attended the inauguration.

1968 

### Regional reference

One year later the hospital reached the highest hospitalization index in Colombia. In 1968 it became Antioquia's first Regional Health Center, serving 23 municipalities of eastern Antioquia.

1995 · 2000 

### On the map

In 1995 it became a State Social Enterprise (E.S.E.) and in the year 2000 it officially adopted the name Hospital San Juan de Dios E.S.E. Rionegro - Antioquia.

Statistics and projections 

## The hospital today. 

Heart of the 23 municipalities of eastern Antioquia, ensuring medical quality with humanity.

156K

Yearly average appointments

21

Primary Health Teams · 8K households · 19K people

40K

Emergencies handled · 2025

10K

Surgeries performed · 2025

1.8K

Births · UMI

11K

Hospitalized patients

700

CAPSM patients

200+

MRI scans · 2025

![Sede Gilberto Mejía Mejía](/__l5e/assets-v1/2eef23b8-d9a8-41b5-b672-223108d6f79c/clinic-entrance.png)

42.8%

de la operación · 51,730 citas

Sede Gilberto Mejía Mejía

![Sede principal](/__l5e/assets-v1/b88a05c9-6ed0-493d-aa7b-13fde96e8459/clinic-sign.png)

56.8%

de la operación · 68,953 citas

Sede principal

![Vista aérea del Hospital](/__l5e/assets-v1/b1418ba4-36b7-483e-b636-1ff4cbfac331/clinic-aerial.png)

Vista aérea del Hospital

![Área de urgencias](/__l5e/assets-v1/e1bc3f56-841b-496b-9c91-d40adfffdbfe/clinic-urgencias.png)

Área de urgencias

Initial situation · Before April 2025 

## The challenge: Access barriers. 

The Hospital San Juan de Dios faced an access and operational efficiency crisis that limited the wellbeing of thousands of patients.

0 digital channels

### Limited channels

Scheduling was 100% on-site or by phone, causing frustration and dissatisfaction among users.

Endless queues

### Operational collapse

Long lines at admissions and saturated phone lines overwhelmed the hospital's capacity.

Restricted hours

### Waiting times

Excessive waits for patients and no possibility to schedule outside office hours.

17.4% no-show

### High no-show rate

Without automated reminders, the no-show rate reached 17.4%, wasting installed capacity.

The Solution 

## 360° Digitization. 

COCO became the hospital's strategic need: 24/7 availability, patient self-service and no-show reduction from the very first month.

### Cloud service

No installations or physical infrastructure

### 100% Secure

Easy, secure and customizable

### Artificial Intelligence

Process automation and resource optimization

### Technical Support

Via email, WhatsApp and internal channel always available

### Certified Training

Training platform for all staff

### Unmet Demand

Availability for patients on waiting lists

### Automated reminders

Confirmation 12h before, 57% call, 38% WhatsApp

### Statistical dashboards

Real-time data for better decisions

Results · Real Impact 

## Democratizing access to healthcare. 

Historical data from Hospital San Juan de Dios with COCO in operation.

01

01 

+121K

Appointments managed historically

02

02 

98%

Historical management effectiveness

03

03 

89%

Efficiency during demand peaks

04

04 

20%

Patients on self-service

### No-show Reduction

2024 baseline vs 2025 with COCO

Antes

17.4%

2024 · Baseline

\-5.4 pts 

Con COCO

12%

2025 · With COCO

Timely confirmation optimizes installed capacity and reduces unplanned absences.

### Patient Self-service

Distribution by channel · 20% is already autonomous

Internal 71% 

Web 17% 

WhatsApp 2.8% 

### Artificial Intelligence · Serving life

The COCO Bot acts as a strategic ally, ensuring reduction of human errors and immediate response to citizens.

57%

Confirmation by call

38%

Confirmation by WhatsApp

74%

Average attendance rate

1,224

Appointments rescued

Comparative analysis 

## Impact on PQRS. 

Communication difficulty with lines and service channels: before and after COCO.

Baseline · Before COCO

561

2024 complaints

↓11.6%

Reduction

Absolute reduction of 65 year-over-year complaints

With COCO · Real result

496

2025 complaints

A direct reflection of the improvement in effectiveness and accessibility of institutional communication channels thanks to COCO.

Comparative Trends 

## Trends and 2026 projection. 

The downward no-show trend is sustained and projects an even greater impact next year.

### Prenatal Control

↓17 pts 

De 28% → 11%

Antes 28% 

Hoy 11% 

### Psychotherapy

↓24 pts 

De 35% → 11%

Antes 35% 

Hoy 11% 

### 2026 Projection

If the trend continues

-   Additional projected average reduction: 8–12 points 
-   No-show consolidation <15% in Prenatal Control, Chronic and Mental Health 
-   Better contractual and financial indicators 
-   Higher adherence to prenatal and mental health follow-ups 

> Words from Management Diana Mejía
> 
> Manager, ESE Hospital San Juan de Dios de Rionegro
> 
> Technology does not replace  human care,  **it empowers it.**

COCO Technologies · Public Sector 

## Ready to transform your hospital?

Discover how COCO can reduce costs, optimize schedules and improve your patients' experience — just like at Hospital San Juan de Dios.

24/7

Availability

+40%

Operational savings

<15%

No-show goal

98%

AI effectiveness

Book a demo

## Other success stories

Explore more results achieved with COCO.

[

### Success story: surgical management

How a hospital optimized operating rooms and surgical scheduling with AI.

Read the story ](/en/testimonials/case-surgeries)[

### Success story: Messer

Patient journey automation and shorter waiting times.

Read the story ](/en/testimonials/case-messer)[### Success story: cancer screening

71% screening attendance in a Central American public health system.

Read the story](/en/testimonials/case-cancer-screening) [See all testimonials and success stories ](/en/testimonials)

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