Application Form

A.1 Project identification

Project number

Date of submission of the Application Form

Project title Improved health care in neurology and psychiatry

longer life

Project acronym IHC

Name of the lead beneficiary organisation Special Hospital for Psychiatric diseases Dr
Slavoljub Bakalovic

Name of the lead beneficiary organisation in Specijalna bolnica za psihijatrijske bolesti Dr

native language
Slavoljub Bakalovic

Project duration Start date 01.01.2017.

End date 31.12.2018.

No. of months 24

Programme priority 1 - Employment promotion and basic services

strengthening for an inclusive growth
Programme priority specific objective 1.2 Health and social infrastructure
A.2 Project summary

Please give a short overview of the project and describe:

the common challenge of the programme area you are jointly tackling in your project
Atherosclerosis as a leading cause of Stroke, and Stroke as a one of the most common
cause of death and work incapacity, were recognized by the EU health dealing bodies.
Several protocols, strategies and projects initiated and financed by the EU Commission
and other EU bodies (mentioned under points C.3.1 and C.3.2), prove the awareness of
necessity of joint efforts on the successful diagnostic, treatment and above all
prevention of these neurological diseases.
At the same time, initiatives for introducing of cross-border health care were present
in EU since late 90ties, by the development of a legal framework to enable cross-
border care for citizens.

Due to prevention and timely reaction on Stroke, many lives could be saved, and
the ability to work quickly restored. This is the main challenge of this project
which could be jointly solved through the project Improved health care in
neurology and psychiatry longer life, by involving experts from both sides of the
border.

Stroke (AVC) is the most important cause of mortality and long-term work incapacity
in Europe, including both Romania and Serbia. Consequently, they present a particular
socio-economic impact. 75-80% of all strokes are ischemic, consecutive focal vascular
occlusion. Determining the etiology of ischemic stroke contribute to the choice of
appropriate therapy.
Atherosclerosis is the leading cause of ischemic stroke (30%). Computer tomography
(CT) and magnetic resonance imaging (MRI) allow reliable differentiation of the
bleeding in early ischemic stroke. Vascular imaging (ultrasound Doppler Color-EDC-DSA
digital subtraction angiography, CT angiography, and / or angio-MRI) provides
information about cervical and intracranial blood vessels permeability (stenosis,
occlusion).

the overall objective of the project and the expected change your project will make to the
current situation
The overall objective of the project is: Improvement of quality of life in border
region through medical prevention in neurology and psychiatry. Having in mind
above presented facts, purchasing and involving of necessary equipment in all three
medical institutions, so as development of scientific documents, new protocols and
technics, which demonstrate the methods for reliable diagnosis, noninvasive and
inexpensive, which could be included in a battery of tests for the early screening of
vascular cognitive impairment, prevention especially in rural areas through Mobile
Prevention Diagnostic system, Cooperation e-health platform supported with newly
purchased equipment, could lead to significant decreasing of stroke in both
countries.
the main outputs you will produce and who will benefit from them

2
 Projects Programme specific output
Output title Measurement
outputs indicator

Revitalization of the 1 health facility

facilities of revitalized
Neurological
Main Department of Sveti Investment in health care and
output 1 Luka Hospital social services infrastructure.

Three health care

institutions equipped 3 sets of equipment

Experts involved in 120 experts

Promo conferences

Medical students
involved in project 20 students
activities

Experts using
Cooperation e-health 50 experts
platform

Citizens participating 300 citizens from Citizens involved in project

Main
Info days rural areas activities in cultural, social health
output 2
care services
Citizens involved in 500 citizens from
Awareness campaign urban areas

Citizens included in Min 1000 citizens,

MPD system mostly from rural
areas

Citizens reached by
communication tools 10.000 people

Stroke (AVC) and 23.000 people

Atherosclerosis (during and after
patients in border the project)
region Population covered by improved
Main
output 3 health services
Risk groups for 200.000 people
Stroke and (during and after
Atherosclerosis in the project)
border region

People directly 1800 people

involved in activities
(MPD, Info events)
Number of participants in projects
Main People reached by More than 10.000 promoting gender equality, equal
output 4 communication tools people opportunities and social inclusion
across borders
People which will use 200.000 people
health care services (during and after
after the projects end project)
3
 the approach you plan to take and why is cross-border/transnational approach needed
Similar socio-economic situation, geographic location, lifestyle, diet and habits of
inhabitants of the border region, causes similar medical problems.
The cross-border project team, composed with neurology and psychiatry experts from
both countries will be involved in all stages of the project, backed by a laboratory of
cervical-cerebral Doppler ultrasonography well equipped. Through it, is done cervical
and cerebral echo-Doppler evaluation. The team also has advanced features (eg, brain
CT, MRI brain) allowing thorough investigation of ischemic stroke patients. At the
existing equipment will be added the planned achievements. This equipment was
selected in order to ensure performance improvement of the team, in the cervical and
cerebral Doppler ultrasonography field.
Cross-border approach is necessary in this phase of dealing with the presented issues,
because of the strong correlation between theory and research, which will be done
by Romanian partner, combining with practice which will be done in two Serbian
neuro-psychiatric hospitals. Thats way, problem which influences both countries at the
same way, will be jointly solved. Also, by introduction of Cooperation e-health
platform, this cooperation will be even more successful.
Among the others reasons for cross-border approach to this issue, there is also the
fact that Romania, as an EU country, for several years have an access to new,
modern technologies, and for Serbian medical institution sharing of know-how
could be priceless. Also, lot of young people from Serbia are studying Medicine in
Romania, and some of them will be involved in the project, and will be able to
practice it in Serbia after finishing of college.
what is new/original about it
Over 24 months, how will run the project, we will study the evolution of general
cognitive function, through batteries of tests applicable to patients who have
suffered ischemic strokes. To emphasize the dynamic array elementary neurological
(motor deficit, objectives sensitivity disorders, etc.) evaluations will be performed at
baseline, at 30 days, 90 days and then every 6 months, the scales: NIHSS MRS, Barthel
Index, and in order to assess cognitive deficits will use the following scale: MMSE
sample Rey, Hamilton scale, scale clinical evaluation of dementia - CDR.
Original approach to solving of this issue will be:
Solution for the solving the problem of Stroke (AVC) as the most important cause of
mortality and long-term work incapacity will be:
combining the MPD (Mobile Prevention Diagnostic) in Serbia as a pioneering
approach
with new protocols and technics developed in Romania
by using modern equipment in both countries
Cooperation e-health platform setting-up

4
A.3 Project budget summary*

Serbian Lead Romanian Serbian Partner TOTAL

Beneficiary Partner
Financing
sources
Co- Co- Co-
Co-
financi financin financi
Amount financing Amount Amount Amount
ng rate g rate ng rate
rate (%)
(%) (%) (%)

IPA II 552.725,25 202.329,75 629.658,75 1.384.713,75 85%

85% 85% 85%

Romanian
National co- n/a 0 30.944,55 13% n/a 0 30.944,55 13%
financing

Serbian
National co- n/a 0 n/a 0 n/a 0 n/a 0
financing

Own private
contribution n/a 4.760,70 n/a 4.760,70
0 2% 0 2%
Romanian
partner (s)

Own private
contribution 97.539,75 n/a 111.116,25 208.656,00 15%
15% 0 15%
Serbian
partner (s)

Total 650.265,00 238.035,00 740.775,00 1.629.075,00

100% 100% 100% 100%
eligible

Non-eligble n/a n/a n/a n/a n/a n/a n/a

expenditure

Total budget 650.265,00 238.035,00 740.775,00 1.629.075,00

100% 100% 100% 100%

A.4 Project partners overview

Partner Project partner name County/ District Partner total eligible

number budget (IPA +
national/ own private
co-financing)

1 Special hospital for psychiatric diseases South Banat, Serbia 650.265,00 EUR
Dr. Slavoljub Bakalovic Vrsac

2 Victor Babes University of Medicine and Timis County, Romania 238.035,00 EUR
Pharmacy Timisoara

3 General Hospital Sveti Luka, Psychiatry Podunavski district, Serbia 740.775,00 EUR
Department, Smederevo

5
PART B Project partners

B.1 Project partners*

Partner number Partner role in the project

Lead beneficiary

Name of organisation in original Specijalna bolnica za psihijatrijske bolesti dr Slavoljub

language
Bakalovi Vrac

Name of organisation in English Special hospital for psychiatric diseases Dr. Slavoljub
Bakalovic Vrsac

Abbreviation of organisation SBPB Vrsac

Tax registration number (for Romania

partners)

Registration number (for Serbian

organizations) 08044821

Address Podvranska 13, 26300 Vrac

Legal representative Tatjana Voskresenski, MD

Department/unit/ division Director

Contact person Tatjana Voskresenski, MD

County/ District South Banat

Legal status public

Type of partner Health care institution

VAT number 102084791

Is your organisation entitled to recover

VAT based on national legislation for
No
the activities implemented in the
project?

Which are the organisations thematic Special hospital for psychiatric illness, "Dr. Slavoljub
competences and experiences relevant Bakalovi" with a capacity of 900 beds is one of the
for the project? largest psychiatric institutions in Serbia.

The internal organization of Hospitals includes several

organizational units: outpatient polyclinic services,
hospital services and customer service, legal and

6

What is the benefit for the organisation
from participating in the project?
7
economic and technical issues.
Within the outpatient specialist services organized
work: specialist clinics where they perform
examinations psychiatrists and psychiatrists, then the
dispensary Outpatient Hospital within which organizes
group psychotherapy and examinations for admission
to day care, EEG cabinet and counseling epilepsy,
Cabinet for diagnosis of diseases of the blood vessels of
the head and neck (Duplex scan diagnostics and TCD),
Cabinet for EMG examinations, psychological and
social services, the Cabinet of child psychiatric services
... Mayor Dr. Predrag umi, psychiatrist.
Every month as part of the service inspection is more
than 1,000 patients mainly from the municipalities of
Vrsac, Plandiste, Alibunar and Bela Crkva.
Hospital service includes 15 departments that were
organized as the annex and each department deals
with the diagnosis and treatment of specific psychiatric
entities.
Project Improved health care in neurology and
psychiatry longer life will be implemented in the
border region Romania- Serbia. Through all phases of
the project, starting with the project preparation,
besides the achieving of the projects objectives and
results, we are aware of the fact that this project could
significantly affect on gaining new knowledges and
experiences, not just for the target group, but also to all
members of the project team, so as our potential
stakeholders. Good cooperation with partner
organization and active involvement of all
participants will ensure the smooth running of the
project and will guarantee its sustainability in the
future. Through partnership agreements the partners
commitment will have solid basis. Joint team will help
to better distribute responsibilities, tasks, duties
among the team players; this will facilitate internal
evaluation; cooperation between team members is a
prerequisite for multilateral view and successful
performance. Training methods are compliant with
the adults training approach, which takes into account
the specific character of the target groups. Aiding
trainings materials will be produced and provided to
trainees, together with the necessary technical means.
A balance between theory and practical examples will
be a leading principle, together with immediate

If applicable, describe the organisations
experience in participating in and/or
managing EU co-financed projects or
other international projects.
8
communication, sharing of personal experience and
knowledge. Involvement of the target groups through
active participation in the project will allow a greater
accessibility and more comprehensive dissemination of
the project results, as well as reaching a greater number
of direct beneficiaries. PR tools and visibility of
project: Using various information channels to present
the information will popularize the work under the
project, the actions, the partners, the goals, the results,
the EU as a donor. At the same time, this will ensure the
project transparency, sustainability and local
ownership. The overall methodology leans on the
partners experience and skills and will build on their
capacity. It is implied by the need of successful and
effective implementation of the project.
Project title: Improvement of mental health
protection in Vrsac municipality
Contracting Authority: Delegation of the European
Union to the Republic of Serbia through
Programme: Support for de-institutionalisation
and social inclusion of persons with mental
disability and mental illness
Financial value: 161.462,00 EUR
1.Establishing of the Mental Health Centre outside
from the Special hospital (in the centre of city, with
different visual identity than hospital) will create
conditions for improvement of social inclusion of the
people with mental disabilities in the municipality of
Vrsac, by improving preventive services and services
that enable relocation of current hospital patients who
are in stationary treatment and prepare to resume life
in their families and the local community. Services will
be provided by an additionally trained
multidisciplinary team in charge of activities consisting
of team leader, a psychiatrist, psychologists, social
workers, nurses, occupational therapists and
administrative and support staff. Patients with mental
disorders who use daily care in Special hospital
(including drug addicts), will continue to receive
medical services in the Mental Health Centre. Patients
with mental disorders who need a daily special
hospital but do not have the conditions for- the daily
visits, (motionless, varying degrees of disability,
patients in the deterioration of somatic and mental
health, alcoholics after completion of treatment before
 going to the club) will be enabled to access services
through assistance of a mobile team. All necessary
medical services will be provided by the Centre

In accordance with Serbian Law on the Protection of

people with Mental Disorders from 2013 and
regulations adopted by Serbian Ministry of Health the
Mental Health Centre will provide following activities
and services;

The activities:

1. Promoting mental health and preventing

mental disorders
2. Prevention of disability and rehabilitation
3. Treatment and rehabilitation of persons with
mental disabilities
4. Establishment of a multidisciplinary working
teams
5. Establishment of interdisciplinary collaboration
within the health care system
6. Establish a multi-sectoral cooperation at the
local level with the services of social care
services, local authorities, non-governmental
organizations and patient organizations and
others

The services of the MH Centre:

1. Provide counselling for people with mental

disabilities and their families
2. Education of patients & health care
professionals
3. Treatment - medical therapy
4. Occupational working therapy
5. Recreational Therapy
6. Family therapy
7. Prevention and treatment of addiction
8. Rehabilitation and resettlement
9. Supervision of persons with mental disabilities
10. Psychiatric patronage
11. Social support in crisis situations
12. Help in employment and active job search for
beneficiaries of the MH Centre
13. Support to work of associations of people with
mental disabilities
14. Cooperation with relevant institutions of the
health protection system
15. Organizing and participating in various
9
 professional conferences
16. Creating a database of MH Centre beneficiaries
The Centre would be located in an appropriate area in
the town centre, with less noticeable entrance, for
discretion, and particularly designed to not look like a
hospital or medical facility

2.Increased awareness about the importance of

mental health of the population: Most people with
mental disorders face stigma and consequent
discrimination. Public lacks awareness and
sensitization about importance of mental health and its
protection. Sensationalist media and inadequate public
information further increases already existing stigma
in society. The awareness about the need for
deinstitutionalization and social inclusion of people
with mental disabilities will be increased in general
and professional public and media.

Representatives of general public (press,

representatives of the government, police, clergy,
government officials, the medical students, psychiatry
residents, medical students of secondary schools,
associations, non-governmental sector) and
professional public (all the professionals in the system
of social, educational and health institutions, which are
directly and indirectly involved in counselling and
prevention activities, diagnosis and treatment of
persons with mental disabilities: psychiatrists, general
physicians and nursing services, prison doctors,
developmental and clinical psychologists, social
workers, gerontologists, then the legislative and
judicial legal services, services ombudsman) will be
subject to campaigns for destigmatisation,
deinstitutionalization and social inclusion. Expected
result will be increased awareness about the
importance of mental health of the population
Educated and motivated participants of educational
and participatory forum for promotion of project
concept and project results (existing mental health
care system employees from clinics, health centres,
general hospitals) will be motivated and educated for
initiating similar solutions in their respective local
communities

Currently, the only GO local service in Vrsac

municipality regarding people with mental disabilities
is the Special Hospital itself. The service provided
there is high quality, well monitored and constantly
10
 evaluated, but its based inside of an institution.
Founding of a MHC will significantly contribute to
further the de-stigmatisation and de-
institutionalisation process, also linking the municipal
NGO sector working in the field of mental health with
the centre itself, and most importantly through
education, experience, knowledge and know-how
exchange raise the quality of the services provided to
the beneficiaries of the Centre, either through the
Centre itself, or through the services of other relevant
NGOs operating in the field. At the moment, there are
several local NGOs working in the area of mental
health awareness and treatment: CSW, AA Club
"Vrsacka kula, Vrsac Society for help to mentally
underdeveloped, "Momentum, Refugees and IDPs
NGO "Bozur" and cooperation established between
them and the MHC will significantly improve and
broaden the mental health treatment within the
community and therefore increase mental health
awareness.

The management capacities of affiliated entity

The IAN has long term commitment towards mental

health reform and improvement the position of person
with mental disorders. In the past decade IAN mental
health group has grown and become one of the vital
parts of the reform movement in the country. From the
beginning of the reforms IAN has been involved in
supporting process via participation in Stability Pact
project, via Dutch MATRA program, through support
for Integrated mental health care and social care
services for model region Nis region. The project has
been granted for Serbian and Dutch partners for
period of 3 years starting from October 2007, extended
for additional 6 months and with participation of IAN
in International Mental Health Collaboration Network
where the IAN has place in the board of the network
among other with representatives of Trieste, Lille and
Birmingham WHO collaborative centres for mental
health.

IAN has been long-term supporting organizational

development of association Dusa that gathers people
with mental disorders, and user involvement as part of
the mental health reforms. IAN has participated
drafting the National Strategy for development of
11
 Mental Health 2007, and became part of NPM National
Preventive Mechanism responsible for monitoring of
human rights of people on treatment in closed
psychiatric hospitals, as NGO partner since 2012.

Project title: "Living with psychosis"

Project partners: Consiliu Judetean Resica, Caras-

Severin / Romanian province Caras Severin and
Special Hospital for Psychiatric diseases Dr
Slavoljub Bakalovic

Financial value: 167.000,00 EUR

Donor: Republic of Romania Government EU Fund

The objective of the project was reintegration of

persons with psychotic disturbances, which are in
state of medical remission, into the society - the role of
the SBPB Vrac was to participate in the educational
part of the action, to exchange experiences and know-
how. As a result, SBPB Vrac now has 5 employees,
which are now experienced and educated with the EU
concept of supporting for de-institutionalisation and
re-integration of persons with mental health disability
and mental illness.

Project implemented with the financial support of

Autonomous Province of Vojvodina 2012 2015

Financial value: 338.536,00 EUR

The Administration for capital investment we received

funds for the purchase of medical equipment - 75 beds
for intensive care, 75 mattresses and 3 EKG, and for
the realization of the project "Procurement of medical
equipment for the needs of the Special Hospital".
Procurement is conducted in accordance with Public
Procurement Law, and the value is 40,704.38.

The Ministry of Culture has granted us the competition

1,500.00 for the purchase of a work of art, to
implement the project "Super Hero Time", which
improves the quality of the art therapy Hospitals.

From the Secretariat of Finance we got the money for

the procurement of vehicles for the transportation of
food. The vehicle was necessary to maintain the HACCP
12
 standard, which is implemented through the project
from the previous year. Purchased vehicle cost is about
38,000.00.

From the Secretariat for Youth and Sport we get funds

for implementation of the action plan for the fight
against drugs, and the project team held training and
education in municipalities of Southern Banat on two
occasions. The participants were civil servants and
workers in education who have contact with children
and youth, and the trainings were aimed at spreading
knowledge and the rapid and efficient identification of
addictive behavior. The project aimed at spreading
awareness about the dangers of addictive behavior and
reduce the number of users of psychoactive
substances. The project cost 2,500.00.

The realization of the project "Improving the level of

mental health care in the municipality of Vrsac" (sign is
attached to e-mail). The total value of 155,836.00
euros and the project was successfully completed
08.01.2016. year.

Provincial Secretariat for Health, Social Policy and

Demography granted us funds for the reconstruction of
the roof on the house kitchen Hospitals, working
according to HACCP standards.

Provincial Secretariat of Energy and Mineral Resources

has awarded us funding for the project of installation
of solar panels to heat water for laundry. The
implementation of the project we contributed to the
reduction of energy expenses and significantly
improve the energy efficiency of the institution.

*Please repeat the table for each project partner

Partner number Partner role in the project

Project partner 2

Name of organisation in original language UNIVERSITATEA DE MEDICINA SI

FARMACIE VICTOR BABES ,
TIMISOARA
Name of organisation in English VICTOR BABES UNIVERSITY OF
MEDICINE AND PHARMACY
TIMISOARA
Abbreviation of organisation UMFVBT

13
Tax registration number (for Romania partners) 269215
Registration number (for Serbian organizations)
Address Piata Eftimie Murgu nr 2A,
Timisoara, 300041
Legal representative PROF UNIV DR MARIUS RAICA-Rector

Department/unit/ division Neurology

Contact person Associate Professor Dr Dragos Catalin
Jianu
County/ District Timis
Legal status PUBLIC

Type of partner High level of trust awarded by The

VAT number
Is your organisation entitled to recover VAT based on
national legislation for the activities implemented in the
project?
Which are the organisations thematic competences and
experiences relevant for the project?
14
Romanian Agency for Quality Assurance
in Higher Education ( ARACIS)
RO 27336577
No
Competences and experience in :
treatment of neuro-vascular
emergencies (ischemic strokes,
including iv thrombolytic therapy
of ischemic stroke within 3 hours;
hemorrhagic stroke) diagnosis and
recovery of patients with speech
disorders of aphasic type, neuro-
ophthalmology (anterior ischemic
optic neurophathy, obstruction of
the central retinal artery; Horton
disease with ophthalmic
complications) ultrasound
exploration of cervical, brain
vessels , orbital vessels (extra /
transcranial echo-Doppler
ultrasonography, echo Doppler of
retrobulbar vessels, treatment of
other neurological emergencies:
polyradiculoneuritis, encephalitis,
status epilepticus, myasthenic
crisis. Diagnosis and treatment of
neurodegenerative diseases:
Parkinson's disease (including
treatment with intestinal gel of
levodopa / carbidopa: Duodopa,
 with continuous administration
during the day ; the device probe is
installed laparoscopically at
enteral level in patients with
Parkinson's disease in advanced
stage) , mixed dementia,
amyotrophic lateral sclerosis.
Diagnosis and treatment of
epilepsy, multiple sclerosis,
myasthenia gravis, spinal
pathology.
What is the benefit for the organisation from participating Direct implication on building the
in the project?
knowledge society , by creating
centers of excellence, with an
improved infrastructure, with
support of Professors and of the
Doctoral School, supporting
students to develop research skills,
involving them in research
activities, organizing symposia and
international conferences.

If applicable, describe the organisations experience in 1).The diagnosis and the

participating in and/or managing EU co-financed projects or treatment of Romanian
other international projects.
aphasics with ischemic
stroke - Subproject
,,Technology Cares, financed
by the Program People, the
Program for Interregional
Co-operation INTERREG IVC,
(UK, Spain, Poland,
Romania)-(September 2010-
March 2011)- Associate
professor Jianu Dragos
Catalin -director of the
Romanian research
subproject - value 200.000
euro.

Abstract Aphasia is represented

by acquired disorders of speech
and reception of spoken and
written language produced by
brain injury. Among the
mechanisms of language, coding
and decoding processes of thinking
and emotions are
15
 essential. International studies
have shown that 40% of patients
with stroke present aphasia. The
importance of economic, social,
family and scientific components
lies in the following: in Romania
there are about 1 million patients
with strokes or / and transient
ischemic attacks. Romanian
language shows some peculiarities.
Consequently, language disorders
of Romanian patients have a
number of features that
differentiate them from aphasias
registered in patients with other
mother tongue. diagnosing and
recovering of native Romanian
aphasics can be realised only by
Romanian neurologists in
aphasia, drug therapy (i.e.
piracetam, etc) can not
significantly influence its
evolution, hence the particular
importance of speech theraphy in
aphasics. The project has a
multidisciplinary team of
neurologists, speech therapists,
and other specialists, the
Romanian version of the Western
Aphasia Battery for diagnosis and
monitoring the evolution of the
Romanian aphasics, and the
equipment necessary to diagnose
the type of ischemic stroke which
produced the aphasia.

2).BIOMARK Identification
of biomarkers in patients
suffering from multiple
sclerosis - Prof dr M Simu,
Neurology Department,
University of Medicine and
Pharmacy Victor Babes
Timisoara Cooperation with
University of Szeged, 2011
Abstract Identification of different
markers in the spinal fluid of patients
16
 suffering from multiple sclerosis, which
are part of Timis county and Szeged region
population. The goal of the study was to
optimize the early diagnosis and treatment
of multiple sclerosis patients from
Timisoara and Szeged

3). University of Medicine and

Pharmacy Victor Babes
Timisoara experience:
There have been financed contracts
through Structural Funds under FP7,
HURO, POSCCE and POSDRU programs.
The FP7 program consists of 3
contracts for VBUMPT during
2008-2015:
-CASCADE Cultivated Adult Stem Cells as
Alternative for Damaged tissue
-CAMBRELLA A pan-European research
network for Complementary and
Alternative Medicine
-REBORNE Regenerating Bone defects
using New biomedical Engineering
approaches
The HURO program consists of 8
contracts for VBUMPT during
2010-2015:
-HURO-CARDIOPOL-Development of the
infrastructure for a pole of excellency in
cardiovascular research-
HURO/0802/011_AF
-HURO-DOCS/Hungarian-Romanian
multidisciplinary PhD doctoral school in
medicine-HURO/0901/069/2.3.1
-HURO-BIOMARK-Identification of
biomarkers in patients suffering from
Multiple Sclerosis-HURO/0901/021/2.2.3
-HURO-SESPROT-Joint efforts to describe
the solute effects on the structure and
function of bioenergetically and medically
relevant proteins and peptides-
HURO/0901/219/2.2.2
-HURO-TRANSMED-Implementation of a
regional project for translational medical
research concerning diseases-
HURO/0901/137/2.2.2
-HURO-THORACIC SURGERY-Program for
development of minimal invasive general
and oncological thoracic surgery-
HURO/0802/036_AF
-HURO-TELEMED-Deployment of a
telemedicine system between university
gastroenterology centre of Szeged and
Timisoara for education and training of
professionals-HURO/1001/140/2.3.1
-HURO-TWIN-Twining project for the joint
development of the research
infrastructure-HURO
17
 TWIN/HURO/1101/086/2.2.1
Through POSCCE program 3
contracts were financed during
2010-2015:
-POSCCE 202/15.07.2010 - Administrative
and institutional development in medical
research in VBUMFT
-POSCCE 669/01.09.2014 - Multicentre
study regarding the use of the robotic
approach in correlating the decrease of
circulating adipokine level in obesity with
the risk of pelvic cancer
-POSCCE 667/09.04.2015 - Genomic
Medicine Centre v2
Through POSDRU there have been
financed 11 contracts during
2009-2015:
- POSDRU/86/1.2/S/63815 -
Quality and European
professional competence in
medical education and
management of the educational
activities
- POSDRU/88/1.5/S/ 63117 -
Doctoral Scholarships for
competitive PhD students in the
European research area
- POSDRU/81/3.2/S/59616 -
Specialization for performance,
efficiency and response in organ
transplant
- POSDRU/89/1.5/S/ 60746 -
Interdisciplinary postdoctoral
program: cellular and molecular
biotechnologies with applications
in medicine
- POSDRU/159/1.5/S/136893 -
Strategic partnership for
increasing quality in scientific
research of medical universities
by granting doctoral and
postdoctoral scholarships
- POSDRU/107/1.5/S/78702 -
Interuniversity Partnership to
increase the quality and
interdisciplinary medical doctoral
research through doctoral
scholarships
- POSDRU/81/3.2/S/55651 -
Ergonomics, frequency and
performance management in
dental medicine through
alignment with European
standards
- POSDRU/81/3.2/S/58942 -
Morph pathology Laboratory
professional and organizational
training by implementing quality
18

*Please repeat the table for each project partner
Partner number
Name of organisation in original language
Name of organisation in English
Abbreviation of organisation
Tax registration number (for Romania partners)
Registration number (for Serbian organizations)
Address
Legal representative
Department/unit/ division
Contact person
19
management
- POSDRU/37/3.2/G/38751 - Office
for Human Resources
Development specialization of
the medical personnel
- POSDRU/18/1.2/G/40067 -
Quality standards and
performance indicators specific to
higher education in the field of
health
- POSDRU/107/1.5/S/82839 - A
career of excellence in research
and knowledge of society by
financing PhD studies
The European Funds, FP7 program, consist
of three contracts for VBUMFT in amount
of 267000 euro (1175514,54 RON)
(during 2010-2015)
There have been financed contracts
through Structural Funds under HURO,
POSCCE and POSDRU programs.
HURO program consist of 8 contracts for
VBUMFT in amount of 5054936.76 RON
(during 2010-2015)
Through POSCCE program 3 contracts
were financed in amount of 43271038.42
RON (during 2010-2015) and through
POSDRU there have been financed 13
contracts in total amount of 21037170.48
RON (during 2010-2015).
Partner role in the project
Project partner 3
Opsta bolnica Sveti Luka, Odeljenje
psihijatrije, Smederevo
General Hospital Sveti Luka,
Psychiatry Department, Smederevo
N/A
17820222
Knez Mihajlova 51, Smederevo,
Serbia
Dr Nenad Djordjevic
Psychiatry Department
Dr Nenad Djordjevic
County/ District Podunavski District
Legal status PUBLIC

Type of partner Health care institution

VAT number 107163198

Is your organisation entitled to recover VAT based on
national legislation for the activities implemented in the
project?
Which are the organisations thematic competences and
experiences relevant for the project?
No
Health care activity of General
Hospital Sveti Luka Smederevo
includes admission and Medical
Emergencies, specialist
examinations, diagnostic evaluation,
treatment, rehabilitation and health
care to outpatient level, within the
daily hospital and during
hospitalization, with activity:
internal medicine, pneumofiziology,
psychiatry and neurology
(neuropsychiatry), pediatrics,
surgery, maxillofacial surgery,
anesthesiology and reanimation,
orthopedics and traumatology,
urology, gynecology and obstetrics,
physical medicine and rehabilitation,
transfusion, biochemical,
hematology, microbiology,
pathology, histopathology, cytology,
radiological diagnostics and
pharmaceutical services (hospital
pharmacy), a specialized consulting
industry in ENT, ophthalmology and
dermatology.

General Hospital performs

transportation of patients to other
health facilities.

General Hospital as part of its

activities:
Monitors the health status of the
population and health care in the
areas for which it was established
and has taken and proposes
measures for improvement;
Track and implement methods and
20
 procedures for prevention, diagnosis,
treatment and rehabilitation, based
on evidence found in particular
professional methodological and
doctrinal protocols;
Implement the program of health
care;
Provided the conditions for the
professional development of their
employees and to improve the
organization of work;
Organize and implement measures of
continuous improvement of
professional performance and
internal verification of these
measures;
Implement measures to prevent
unwanted complications and
consequences in the provision of
health care, as well as general safety
measures during the stay of citizens
in the General Hospital, and provides
permanent control of these
measures;
Organize and implement measures in
the event of natural and other major
disasters and emergencies;
Organize, and provides measures for
the disposal or destruction of
medical waste in accordance with
the law;
Performs other duties in accordance
with the law

Psychiatry Department provides the

following services:
Emergency psychiatric service is
organized as a permanent duty
service for the care of patients at the
tertiary level of health care
provision. Emergency psychiatric
service of the Hospital provides care
for patients with clinical psychiatric
and neurological conditions. In the
emergency psychiatric service part
of the Department disposed of
patients that were sent and / or led
the ambulance service, as well as
transportation service other health
21
 care institutions, patients,
accompanied by medical workers
(doctor, nurse - medical technician),
security guards and / or with the
assistance of the police, relatives or
citizens, as well as patients who
come on their own initiative.

What is the benefit for the organisation from participating First benefit of the project Improved
in the project?
health care in neurology and
psychiatry longer life
implemented by three project
partners: Special Hospital for
Psychiatric diseases Dr Slavoljub
Bakalovic Vrsac as a Lead
Beneficiary, Victor Babes
University of Medicine and
Pharmacy, Timisoara, as
Beneficiary 2, and General
Hospital Sveti Luka, Psychiatry
Department, Smederevo, as
Beneficiary 3, is opportunity to
jointly develop, prepare and
implement the project.

Cross - border cooperation within

Romania is for the first time
represented in Podunavski District,
so our institution embraced the
opportunity to cooperate with our
Romanian colleagues.

Exchange of experience and know

how among psychiatrist and
neurologists both from Romania and
Serbia, communication through
Round tables and regular meetings
with our distinguish colleagues will
be huge contribution to development
of our project team, but also to our
institution.

If applicable, describe the organisations experience in Project title: Integrated Health

participating in and/or managing EU co-financed projects Information System (EU IHIS)
or other international projects.
Project duration: 2012 2014

Supported by: Ministry of Health

Republic of Serbia, European Union,
22
 Regional Office of the World Health
Organization for Europe (WHO)
Office in Serbia, with the
administrative assistance of UN
Office for project services (UNOPS)

The Integrated Health Information

System (EU-IHIS) is a 2,5 million Euro
project funded through European
Union (EU) Pre-accession assistance
(IPA). The project foresees
implementation of hospital information
systems (HIS) in 19 selected hospitals
throughout Serbia as well as
development of electronic health
record (EHR).

The EU-IHIS project is jointly carried

out by the Ministry of Health and EU.
The World Health Organization (WHO)
for Europe is in charge of the project
implementation through the WHO
Country office in Serbia with
administrative support of the UN Office
for Project Services (UNOPS). The
project will last until 2015 and will use
the positive experiences and results of
previous EU and World Bank projects
in this area.

The purpose of the EU-IHIS is also the

improvement of information and
communications technologies used in
the health system of the Republic of
Serbia. Based on the functions and
mandate of the health institutions, the
project will address issues like data
entry, flow and sharing, data security,
patients rights and privacy.

Through all these activities, the project

will:

Provide patients with lifelong

electronic health records

Enable health providers to record and

easily access health and care related
data

Establish gathering of information that

can be used to optimize and improve
performance of Serbian hospitals and
the health care system

Assist in the establishment of a

sustainable IT backbone for the Serbian
health care system

Ultimately, the developed tools,

23
 procedures, mechanisms and improved
communication will lead to enhanced
patient centred care and contribute to
the individual and public health,
rational use of resources, monitoring,
evaluation and thus increased
efficiency, quality and safety.

The long-term benefits that are

expected from further improvement of
eHealth and integrated health
information system and which should
contribute to development of
healthcare and the whole society are:

Partnership between a patient and a

doctor in the healthcare process as well
as with the institutions included in the
eHealth implementation and
development.

Systematic monitoring and regulation

of the information exchange process, in
order to protect patients rights and
privacy and increase the quality and
efficiency of health services delivery.

Ensuring that the collected information

is meaningful, of high-quality and
useful. It also needs to be stored, used,
exchanged and published in a
standardized way. All this will enable
healthcare continuity and improve the
management of chronic health
conditions, hospital care outcomes, as
well as pharmaceutical management.

The possibility of secondary use of

aggregated or anonymous data in
decision making process, improving
practice and scientific research, as well
as openness and transparency of
derived information related to the
health care performance.

Using informatics technologies and

information as the catalyst and a device
for health transformation and
improvement support.

Bringing the eHealth to the level and

scope that will enable direct
involvement of patient, as well as
better healthcare availability and
equality for all categories of users.

Urgent reconstruction of 20
hospitals in Serbia

24
 Duration: 2003.god.-2008.god.

The project implemented through

the European Investment Bank with
the mediation of the Unit for the
implementation of the loan Ministry
of Health

Values project: 2 million

Reconstruction of the boiler room,

kitchen, replacing windows on the part
of hospitals, reconstruction of central
sterilization, intensive care unit and the
operating block

*Please repeat the table for each project partner

PART C Project description

C.1 Project relevance

C.1.1 Territorial challenge

- What are the common territorial challenges that will be tackled by the project?
- Please describe the relevance of your project for the programme area in terms of common challenges
and opportunities addressed.

Similar socio-economic situation, geographic location, lifestyle, nutrition and every-

day habits of inhabitants of the border region, causes similar medical problems.

Stroke (AVC) is the most important cause of mortality and long-term work incapacity in
Europe, including both Romania and Serbia. Consequently, they present a particular socio-
economic impact. 75-80% of all strokes are ischemic, consecutive focal vascular
occlusion. Determining the etiology of ischemic stroke contribute to the choice of
appropriate therapy.

Atherosclerosis is the leading cause of ischemic stroke (30%). Computer tomography

(CT) and magnetic resonance imaging (MRI) allow reliable differentiation of the bleeding in
early ischemic stroke. Vascular imaging (ultrasound Doppler Color-EDC-DSA digital
subtraction angiography, CT angiography, and / or angio-MRI) provides information about
cervical and intracranial blood vessels permeability (stenosis, occlusion).

Vascular dementia is formed of a heterogeneous group of diseases that overlap in

time. Progression / reversibility of dementia depend on many factors represented by: the
causes of the dementia, psychological support received by the patient and the treatment
used. The variety of symptoms of patients with vascular dementia reflects the
heterogeneity of pathophysiological processes, as well as the number, size and variety
of localization of lesions. It was observed that at subjects with most risk factors, the
structural brain changes visible on CT and MRI are more complex. Also, studies over time
25
 have shown that the most frequent causes of vascular dementia are: subcortical
paraventricular millimeter ischemia, increased third ventricle, atrophy of the temporal lobe,
vascular calcification, outline irregularity of the corpus callosum and cyst arachnoid sub-
occipital. A cause of vascular dementia consists of disabling the functional cortex, which
occurs when it reaches a certain number of cortical and subcortical lesions. The result of
profile disease is characterized by subcortical vascular dementia. This type of dementia is
perhaps the most common type of homogeneous vascular dementia. The development of
brain imaging is very helpful in understanding the association between dementia and
cerebral-vascular disease.
This issue was recognized by the EU health dealing bodies, and several protocols,
strategies and projects initiated and financed by the EU Commission and other EU bodies
shows necessity of joint efforts on the successful diagnostic, treatment and prevention of
Atherosclerosis and Stroke.
At the same time, initiatives for introducing of cross-border health care were present in
EU since late 90ties, and Interreg IPA CBC Programme Romania Serbia also participate in it
by developing of the Programme Priority specific objective 1.2 Health and social
infrastructure.

C.1.2 Project Approach

- How does the project tackle the identified common challenges and/or opportunities and what is new
about the approach the project takes?
- Please describe new solutions that will be developed during the project and/or existing solutions that
will be adopted and implemented during the project lifetime and in what way the approach goes beyond
existing practice in the sector/programme area/participating countries.

The cross-border project team, composed with neurology and psychiatry experts from
both countries will be involved in all stages of the project, backed by a laboratory of
cervical-cerebral Doppler ultrasonography well equipped. Through it, is done cervical and
cerebral echo-Doppler evaluation. The team also has advanced features (eg, brain CT, MRI
brain) allowing thorough investigation of ischemic stroke patients. At the existing
equipment will be added the planned achievements. This equipment was selected in order
to ensure performance improvement of the team, in the cervical and cerebral Doppler
ultrasonography field.
Cross-border approach is necessary in this phase of dealing with the presented issues,
because strong correlation between theory and research, which will be done by Romanian
partner, combining with practice which will be done in two Serbian psychiatric hospitals.
Thats way, problem which influences both countries at the same way, will be jointly
solved.

New approaches which could lead to new solutions in dealing with strokes and other
similar diseases will be:

- Demonstration of methods for reliable diagnosis, noninvasive and inexpensive, which

could be included in a battery of tests for the early screening of vascular cognitive
impairment;

26
 - Determining the stage at which patients with cognitive impairment may be included in a
therapeutic management plan;

- Usage of modern equipment for early diagnostic

- Implementing of MPD (Mobile Prevention Diagnostic) as a model of prevention,

especially in rural border areas

- development of Cooperation e-health platform

During the project life-time, our project team will study the evolution of general
cognitive function, through batteries of tests applicable to patients who have suffered
ischemic strokes. To emphasize the dynamic array elementary neurological (motor deficit,
objectives sensitivity disorders, etc.) evaluations will be performed at baseline, at 30 days,
90 days and then every 6 months, the scales: NIHSS MRS, Barthel Index, and in order to
assess cognitive deficits will use the following scale: MMSE sample Rey, Hamilton scale, scale
clinical evaluation of dementia - CDR.

Solution for the solving the problem of Stroke (AVC) as the most important cause of
mortality and long-term work incapacity will be:
combining the MPD (Mobile Prevention Diagnostic) in Serbia as a pioneering
approach
with new theories and technics developed in Romania
by using modern equipment in both countries
Cooperation e -health platform set-up
Study Methods:

The evaluation of cases which will be integrated in the study will identify the following items:

History, highlighting the risk factors;

Consideration of clinical cognitive and mental health, which must include examination of
attention and concentration, assessing the ability of orientation, memory, short and long
term, to praxia, language and executive functioning.

General clinical examination is mandatory and will focus on pathology associated with
ischemic cerebrovascular disease and mental, whichever is suggestive data as those risk
factors or to be involved in the pathogenesis of ischemic stroke or dementia.

Neurological examination is mandatory and necessary for the diagnosis orientation.

Neuropsychological examination should be part of the examination in cases of mild

dementia or probable, applying tests to assess cognitive decline and depression assessment
scales for specific, which may mimic dementia or a dementia may be associated. Of these
tests will be performed MMSE (Mini Mental State Examination), Rey test (delayed recall
test), Hamilton Depression Rating Scale and Clinical Assessment Scale of depression-CDR
(Clinical Demet Rating). Assessment of the neuropsychological tests of cognitive function is
very important for diagnosis. The neuropsychological exam, but also by a history thorough
and through a complete clinical examination, can differentiate the type of cortical dementia
(the predominant memory impairment, impaired language and praxia) the type of
subcortical dementia (characterized bradyphrenia and disorders behavior modification
27
 personality structure).

Neuroimaging investigations (brain CT, MRI brain) must be part of a full

diagnosis. Cerebral CT is useful to exclude other brain pathologies to help determine the
type of stroke and to support the diagnosis of dementia type (eg in vascular lesions and
vascular dementia highlighting their type, etc.). MRI allows differentiation of ischemic or
hemorrhagic type of stroke, the area of irreversible infarcted brain tissue, and the functional
area altered tissue, but potentially saved (ischemic penumbra area with "tissue at risk"). On
the other hand, angio-MRI examination allows highlighting a possible extra / intracranial
principal arterial trunk occlusion, that requires desobstruction through iv thrombolysis /
thrombectomy.

Cervical and cerebral Color Doppler ultrasound provides information about vessels
permeability, possible occlusion or stenosis, highlighting the cerebrovascular reserve
(microcirculation), which may be associated with cognitive impairment.

Investigation Neuropsychological:

To test the cognitive deficit in patients who met the inclusion criteria in the study will be
made following scales:
a.) MMSE (Mini-Mental State Examination): This is a short test, standardized, assessing
areas such as: orientation, short-term memory, attention, concentration, long-term
memory, receptive language, etc. Every mistake will be denoted by 0, each good
answer will receive one point.

During the project, but also in the period after the project life-time, those new
approaches and protocols, jointly with new equipment, will goes beyond existing
medical practice in the sector of neurology and psychiatry. Due to prevention and
timely reaction on Stroke, many lives could be saved, and the ability to work quickly
restored.

C.1.3 Cooperation Reason

Why is cross-border cooperation needed to achieve the projects objectives and results?
Please explain why the project objectives cannot be efficiently reached acting only on a
national/regional/local level and/or describe what benefits the project partners/target groups/ project
area/programme area gain in taking a cross-border approach.

Since 1998, the development of a legal framework to enable cross-border care for citizens
has been debated in the EU. While existing legal instruments for organizing free movement
of professionals and patients have been reviewed and modernized, the European Court of
Justice has played an important role in further extending rights to cross-border care. Cross-
border health care has become a more noticeable phenomenon in the European
Union. When we are speaking of the need of medical treatment, patients increasingly act as
informed consumers who claim the right to choose their own medical services, including
those in other countries. They are supported and encouraged in this by several factors and
actors, including the Internet, internationally trained health professionals, etc.

28
 Having in mind Serbia is not a Member State, inhabitants of Serbia does not have
opportunity to use medical services outside of their country. Similar socio-economic
situation, geographic location, lifestyle, nutrition and every-day habits of inhabitants
of the border region Romania Serbia, causes similar medical problems.
The cross-border project team, composed with neurology and psychiatry experts from
both countries will be involved in all stages of the project, backed by a laboratory of
cervical-cerebral Doppler ultrasonography well equipped. Through it, is done cervical and
cerebral echo-Doppler evaluation. The team also has advanced features (eg, brain CT, MRI
brain) allowing thorough investigation of ischemic stroke patients. At the existing
equipment will be added the planned achievements. This equipment was selected in order
to ensure performance improvement of the team, in the cervical and cerebral Doppler
ultrasonography field.
Cross-border approach is necessary in this phase of dealing with the presented issues,
because of the strong correlation between theory and research, which will be done by
Romanian partner, combining with practice which will be done in two Serbian psychiatric
hospitals. Thats way, problem which influences both countries at the same way, will be
jointly solved.
Among the others reasons for cross-border approach to this issue, there is also the fact
that Romania, as an EU country, for several years have an access to new, modern
technologies, and for Serbian medical institution sharing of know-how could be
priceless. Also, lot of young people from Serbia are studying Medicine in Romania, and
some of them will be involved in the project, and will be able to practice it in Serbia after
finishing of college.

Developing of Cooperation e-health platform will enable all project partners to cooperate
even closer, by using e-health system of telemedicine, not just during the project life-time,
but also after it.

C.1.4 Please select all cooperation criteria that apply to your project and describe how you will fulfil
them.

Cooperation criteria Description

Project partners were decide to develop this project

proposal jointly, based on location, capacities and
similar needs. The first contacts were made via emails
and the project initiative received a positive answer
from all sides. During the preparation phase partners
worked in close collaboration, on-site visits and
Joint Development
meetings were held in: Vrsac, Timisoara and
Smederevo. During the meetings the management and
discussed the needs and objectives of health
institutions. The projects objectives, expected results,
activities, budget and project team were all defined
based on joint decisions of all partners.
During the process of project preparation we jointly
decided that Special Hospital for Psychiatric diseases
29
 Dr Slavoljub Bakalovic Vrsac will be the Lead
partner for the project.
Through the analysis of the problems and needs in the
border region, we proposed appropriate set of
activities to be undertaken. On the meetings, but also
in daily e-mail and telephone communication, we
clearly describe a target group and define the action
plan. After that, we have been decided who will be the
Project Manager and the team members project role.
The next phase was to decide what kind of external
expert we should engage. Costs for each activity were
defined and budget for the action has been created.
In order to achieve as much relevant results as
possible, to exchange experience and skills among
partners, we decide to implement the project
Improved health care in neurology and psychiatry
longer life jointly. Several activities we will
implemented jointly: Project management, Team
Joint Implementation meetings, JMC meetings, Round tables, Workshops,
Seminars, Mobile Prevention Diagnostic system,
Cooperation e-health platform set-up, Visibility
actions, Awareness campaign, Opening and closing
conferences, Preparation and distribution of
promotional material, Web page design and update

During the preparatory period it is decided not to

overlap project team roles. That mean that members
of the project team will be:

1. Project Manager (Vrsac, Serbia)

2. Project Director (Timisoara, Romania)
3. Activity Coordinator (Smederevo, Serbia)
Joint Staffing
4. Project manager assistant (Vrsac, Serbia)
5. Researchers, 6 team members (Timisoara,
Romania)
6. Activity Coordinator (Smederevo, Serbia)
7. PR manager (Vrsac, Serbia)
8. Communication manager (Timisoara, Romania)
9. Investment coordinator (Smederevo, Serbia)
10. MPD coordinator (Vrsac, Serbia)

All three project partners have decided to also jointly

co - finance this project. Total project value is
Joint Financing
1.629.075,00 euros. Every partner will contribute
financially with 15% in accordance with the received
grant. That mean that Special Hospital for Psychiatric
diseases Dr Slavoljub Bakalovic, and General

30
 Hospital Sveti Luka, Psychiatry Department,
Smederevo will contribute with minimum 15% of the
project value and Victor Babes University of
Medicine and Pharmacy, Timisoara will contribute
with minimum 15%, including 13% national co
finance.

C.2 Project focus

C.2.1 Project objectives, expected results and main outputs

Programme priority specific objective Programme result

Select one programme priority specific objective Select one programme result indicator your
your project will contribute to. project will contribute to.

Programme priority specific objective 1.2:
To enhance the potential of the programme
area for an inclusive growth, based on the
improvement of quality of life to all residents
on the two sides of the border through joint
cross border actions for the access to modern
and efficient health care services, social
services, services supporting access to
primary education.
Insert one programme result indicator:
Population experiencing access to improved
basic services in health care and education.
Innovative, high quality services
permanently created and available in
marginal areas, preventive care, cultural
activities and services, sport activities

Project overall objective Project results

What is the overall objective of the project and
how does it link to the programme objective?
Specify one project main objective and describe its
contribution to the programme priority specific
objective.
What are the project results and how do they link
to the programme result indicator?
Specify one or more project result and describe
their contribution to the programme result
indicator.

Insert project overall objective Insert project results

Project overall objective: Project result 1:
Improvement quality of life in the border
Reducing the incidence, mortality and degree
region through medical prevention in
of disability, as well as shorten the time of
neurology and psychiatry.
hospitalization of patients with acute
ischemic stroke, all of which have in addition
Based on the statistic, there are 35.6 million to medical and huge socioeconomic
people with dementia in 2010 which significance
represents 0.5% of the total population of the
world. This percentage will double by 2030, Project result 2:
will triple by 2050 with 7.7 million new cases
of dementia each year, and one new case Formation a unified prevention, diagnostic
every four seconds. 7.1 years - median and therapeutic approach to patients with
survival in Alzheimer's dementia - 3.9 years - Stroke (AVC) on the border territory Romania
31
 the average survival vascular dementia - 600
billion US dollars annual costs worldwide -
budget of the 21st the global economy
between Poland and Saudi Arabia - 23 billion
UK pounds, an amount equal to the summed
cancer (12 billion pounds), cardiovascular
disease (8 billion pounds) and stroke (5
billion pounds).
On the other hand, the funds allocated for
dementia research are much lower than
those for other diseases: every million
pounds allocated costs of illness, dementia
research there are only 5000 pounds, about
130.000- Cancer 75,000 - for cardiovascular
disease 9000 - for stroke. Consequently, they
will be allocated more resources for
dementia research. Only by discovering the
pathophysiological mechanisms we have
appropriate treatment and thus we can
control this phenomenon, showing
exponential growth.
Through this project, cooperation of
medical experts in the fields of neurology
and psychiatry at the level of theory,
research e-health and practical
application, will lead to a significant
reduction in neurological diseases that
lead to stroke and thus greatly contribute
to a better and productive life in the
border region.
32
and Serbia
Project result 3:
Implementation of continuous medical
education, which will be done in accordance
with newly established approach by specialist
from both countries, for the specialist
neurologists, emergency and general
medicine and internal medicine specialists in
areas where there is no neurological services.
Project result 4:
Continuously practicing of MPD (Mobile
Prevention Diagnostic) in the border area,
with the tendency of expanding to a wider
territory of both countries.
Project result 5:
Creation of e-health communication between
medical institutions with the aim of faster
and more efficient response in emergency
neurological and psychiatric cases
Above presented Project results are directly
linked with the Programme result indicator:
(quotation, Applicants Guide, Corrigendum of
December 1, page 14):
Population experiencing access to
improved basic services in health care and
education. Innovative, high quality
services permanently created and
available in marginal areas, preventive
care, cultural activities and services, sport
activities, the part which is dedicated to the
medical and social services. Through our
project we are generating theoretical
research, with prevention and faster
reaction in situation of neurological and
psychiatric diseases, with the main accent
on Stroke, which is one of the leading
causes of mortality, both in Romania and
Serbia, but also in the whole world.
 Project specific Project main outputs
objectives

Which are the What are the project main outputs and how do they link to your specific objectives?
specific objectives
the project will be
working towards? Revitalization of the 1 health facility
Define max. 3 facilities of revitalized
project specific Neurological
objectives. Main Department of Sveti Investment in health care and
output 1 Luka Hospital social services infrastructure.

Specific Three health care

objective 1: institutions equipped 3 sets of equipment
Creating Experts involved in
conditions for Promo conferences 120 experts
timely preventive
action in Medical students
situations of involved in project
psychiatric and activities 20 students
neurological
diseases that Experts using
Cooperation e-health
cause death and /
platform 50 experts
or long-term
incapacity for Citizens participating
work in the Citizens involved in project
Main Info days 300 citizens from
border region activities in cultural, social health
output 2 rural areas
Romania Serbia care services
Citizens involved in
Awareness campaign 500 citizens from
urban areas
Specific
objective 2: Citizens included in Min 1000 citizens,
Providing quality MPD system mostly from rural
Health Care areas
through
Citizens reached by
revitalization and
communication tools 10.000 people
equipping of
Hospital facilities
in border region
Stroke (AVC) and 23.000 people
Atherosclerosis (during and after
Specific patients in border the project)
Population covered by improved
objective 3: Main region
health services
output 3 200.000 people
Establishing
Risk groups for Stroke (during and after
continuous and Atherosclerosis in the project)
cooperation border region
among Health
Care institutions
in border region

33
 People directly 1800 people
involved in activities
(MPD, Info events)
Number of participants in projects
People reached by More than 10.000
Main promoting gender equality, equal
communication tools people
output 4 opportunities and social inclusion
across borders
People which will use
health care services 200.000 people
after the projects end (during and after
project)

C.2.2 Target groups

Target groups Please further specify the target groups (e.g. Target value
bilingual elementary schools, environmental Please indicate the
experts, etc.). size of the target
group you will reach.

Target group type 1 Stroke (AVC) and Atherosclerosis patients 23.000 people
in border region
(statistical data
The main target group of our project will be provided by
Stroke and Atherosclerosis patients in the ministries of health
border region South Banat, Timis and of both countries)
Podunavski. From stroke suffer primarily the
elderly population. With each decade after 50
years life of life, the risk for stroke doubles.
Men have a significantly higher risk of
experiencing a stroke, but the total number of
women suffering from a stroke is higher,
because they live longer and thus have a
greater chance to get sick of it. The average
time of stroke for men is 70 and for women
75 years of age. In both our countries,
Romania and Serbia, a stroke occurs much
earlier, on average between 60 and 65 years
old.

Our project will contribute to the longer and

more quality life of this category of patients,
by implementing of new protocols, better
diagnostics, faster reaction and improved
communication between medical experts
through Cooperation e-health platform.

34
 Target group type 2 Risk groups for Stroke and Atherosclerosis 200.000 people
in border region
(statistical data
Socio-economic situation, geographic provided by health
location, lifestyle, nutrition and every-day institutions of both
habits of inhabitants of the border region countries
Romania Serbia, causes similar medical approximate and
problems. Stroke most commonly occurs due incomplete,
to atherosclerotic changes when blood because of rare
vessels become more elastic, hard and the preventive health
inner surface becomes uneven due to the control)
accumulation of grease and other particles,
forming plaques. Far ahead of their negative
impact on the blood vessels are elevated
blood pressure, especially when it does not
control and is not treated, then the active and
passive smoking, elevated blood lipids,
diabetes and excessive alcohol consumption.
Adverse effects on brain blood vessels have
obesity, physical inactivity and unhealthy
diet. By the stroke can occur in the presence
of heart disease such as heart arrhythmias,
valvular heart disease, weakness of one part
of the heart wall or the global weakness of
the heart muscle when the heart within the
cavity forming blood clots which parts go
down the circulation and lead to embolic
occlusion of brain blood vessels.

The cause of stroke, especially among young

people can be certain disturbances in the
composition of the blood in the form of
congenital and acquired disorders of blood
clotting or the influence of some drugs,
metabolic disorders, infections, etc.

Our project will contribute to the longer and

more quality life of this category of potential
patients, by implementing of new protocols,
of Mobile Preventive Diagnostic (MPD) and
improved communication between medical
experts through Cooperation e-health
platform.

Target group type 3 Medical experts and medical workers in 1.200 people
border region
(statistical data
New protocols, technics and approaches provided by
developed during implementation of the ministries of health
35
 project Improved health care in neurology of both countries)
and psychiatry longer life will be used
after the life-time of the project in all three
involved institutions. However, one of the
project activities will be promotion of the
project results to the other similar
institutions, not just in the border area, but
wide across Romania and Serbia. By using of
Cooperation e-health platform, even more
health experts could be involved in the
project.

Target group type 4 Medical students in both countries 2.200 people

Among the others reasons for cross-border (statistical data

approach to this issues of this kind og provided by
neurological diseases, there is also the fact medical faculties of
that Romania, as an EU country, for several both countries)
years have an access to new, modern
technologies, and for Serbian medical
institution sharing of know-how could be
priceless. Students from both countries will
be involved in the project, in order to gain
new knowledges, experiences and practice,
they will actively participate in some of
project activities.

C.2.3 Durability of project outputs and results

How will the project ensure that project outputs and results have a lasting effect beyond project
duration?
Please describe concrete measures (including institutional structures, financial resources etc.) taken
during and after project implementation to ensure and/or strengthen the durability of the project
outputs and results. If relevant, explain who will be responsible and/or who will be the owner of results
and outputs.

Neurophysiological tests are tools to assess the clinical outcome associated with cognitive
impairment and vascular dementia (ie.- the greater is the number of risk factors, the MMSE
score is lower). The likelihood of developing the next 5 years vascular dementia is directly
proportional to the score obtained on the proposed test for patients. Suspicion of vascular
dementia diagnosis can probably justify a CT / MRI brain investigation, even if the patient
does not exhibit measurable cognitive decline using the usual neuropsychological tests
(MMSE sample Rey, Hamilton scale, etc). Vascular dementia is a form of dementia which can
sometimes be prevented. Early stages of the disease (mild cognitive impairment, cognitive
impairment, MCI) offer the opportunity to prevent, if possible, the development of dementia
in various risk groups. Significant risk factors include: age, hypertension, diabetes and
hyperlipidemia.

36
 In layman's terms once when we start with the use of these methods combined with new
equipment, their use will continue in a growing number of patients but also and healthy
people for preventive purposes.
New protocols, technics and approaches developed during implementation of the project
Improved health care in neurology and psychiatry longer life will be used after the life-
time of the project in all three involved institutions. However, one of the project activities
will be promotion of the project results to the other similar institutions, not just in the
border area, but wide across Romania and Serbia.
Conclusion
After the finishing of project implementation, project beneficiaries will ensure lasting effects
beyond the project duration on several ways:
- Victor Babes University of Medicine and Pharmacy, Timisoara will continue
with researches and development of new scientific documents, protocols and
technics. Results will be shared with their project partners.
- Special Hospital for Psychiatric diseases Dr Slavoljub Bakalovic Vrsac will
continue to use new equipment in every-day work, and to continue to practice MPD
(Mobile Prevention Diagnostic) in Vrsac Municipality, but also in the whole South
Banat region.
- General Hospital Sveti Luka, Psychiatry Department, Smederevo will also
continuously use newly provided equipment in the revitalized building, and continue
with MPD (Mobile Prevention Diagnostic) in the whole Podunavski region. Also, after
developing of Cooperation e-health platform, cooperation with project partners
will be continued, but also with other medical centers with the same type of software
solutions.
- All three project partners will transfer their newly gained knowledge and skills
with professional medical public (detailed under the point C.2.4)
- Financially, each partner will be responsible for continuation of the activities
that came out of the project, and they will be the owners of the achieved results
and responsible for their sustainability.

C.2.4 Transferability of project outputs and results

How will the project ensure that project outputs and results are applicable and replicable by other
organisations/regions/countries outside of the current partnership?
Please describe to what extent it will be possible to transfer the outputs and results to other
organisations/regions/countries outside of the current partnership.

Having in mind the technical aspect of the project, concretely medical expertise, the project
team opted for a dual approach of promoting the project activities and results. The
project will be presented in one way to the professional public outside of the current
partnership (medical professionals, medical professors and students, neurologists,
psychiatrists, etc.), and a completely different type of promotion will be organized for the
general public, in order to transfer outputs and results and to enable replication.
Approach 1:
In order to enable usage of results achieved through our project, as a part of our projects

37
 activities, we will organize several scientific meetings (round tables, seminars,
discussions, etc) which will be intended for the professional public. It will be the
opportunity to inform our colleagues from other institutions, in and/or outside border
region about the achievement of our project team, so as to offer the possibilities of
delivering, replication and continuing of activities started through the project in their
environments. That will be also the opportunity for new partnership and new projects,
in other regions and countries. However, by using of Cooperation e-health platform, we
could transfer results of our works, but also to involve other medical and research
institutions into a direct cooperation with our project team.
Approach 2:
By organizing promotion through mass media, we will try to inform, but also to warn
wider public about the risks of the Stroke and similar neurological diseases. Flyers,
brochures, info movie, awareness campaign, lectures organized especially in rural areas,
will be the tools for spreading out necessary information, clear and understandably to a
wider public. In cooperation with our colleagues from other health institutions, we will
share our practice and present the results to the patients, members of the risk groups,
but also to healthy citizens outside the area covered by our project, in order to inform
them about new approaches in the Stroke management, but also necessity of prevention.

C.3 Project context

C.3.1 How does the project contribute to the wider strategies and policies?
Please describe the projects contribution to relevant strategies and policies; in particular, those
concerning the project or programme area.

Our project is in line with several relevant strategies and policies. One of these is
European Commission CORDIS Programes project EUSTROKE (European Stroke Research
Network) http://cordis.europa.eu/result/rcn/146141_en.html
Quotation:
A milestone in reinforcing synergies to build a strong base for scientific excellence in stroke
research was the formation of the European Stroke Network (ESN) - a unique collaboration
and merge of EUSTROKE with the EU-funded consortium ARISE (grant agreement n
201024). The two consortia became a united force with a combined consortium agreement,
shared meetings, joint preclinical and clinical trials, mutual dissemination activities, shared
management, and a joint scientific advisory board. The powerful depth of multidisciplinary
knowledge, the merging of resources and training activities, the development of mutual
research platforms for brain imaging, regeneration after stroke, and in vitro and in vivo
modeling served to provide an unsurpassed level of added value European health research.
Thus, the European Stroke Network was a collaborative effort that brought together
researchers, government, industry, the non-profit sector, and patient group associations to
tackle the devastating burden of stroke. This network put Europe at the forefront of stroke
research through its multi-disciplinary research program, high-quality training for
European scientists and clinicians, and national and global partnerships.
(end of quotation)

38
 Developing a tool for mapping adult mental health care provision in Europe: the
REMAST research protocol and its contribution to better integrated care
http://www.ijic.org/index.php/ijic/article/view/2417
Quotation:
Introduction: Mental health care is a critical area to better understand integrated care and
to pilot the different components of the integrated care model. However, there is an urgent
need for better tools to compare and understand the context of integrated mental health
care in Europe.

Method: The REMAST tool (REFINEMENT MApping Services Tool) combines a series of
standardised health service research instruments and geographical information systems
(GIS) to develop local atlases of mental health care from the perspective of horizontal and
vertical integrated care. It contains five main sections: (a) Population Data; (b) the Verona
Socio-economic Status (SES) Index; (c) the Mental Health System Checklist; (d) the Mental
Health Services Inventory using the DESDE-LTC instrument; and (e) Geographical Data.
(end of quotation)

The importance of the diagnostic and healing of Stroke was recognized by Ministry of
Health of Government of Republic of Serbia also developed Guide for the diagnosis
and treatment of ischemic stroke
http://www.zdravlje.gov.rs/downloads/2011/Decembar/Vodici/Vodic%20za%20dijagno
stikovanje%20i%20lecenje%20ishemijskog%20mozdanog%20udara.pdf
Quotation:
Acute stroke is a disease that is the third cause of death in the world and the first in our
midst. Besides the high mortality, it is the disease with the highest level of disability in
relation to all other neurological diseases, and therefore represents not only medical but
also socio-economic problem. Also, vascular disease of the brain is the second cause of
dementia by frequency, just behind Alzheimer's disease.
AMU may be ischemic (in the 75-80%), or hemorrhagic (in 20-25% cases).
This handbook is an acute ischemic stroke (acute ischemic stroke) due to:
- the high incidence and etiological diversity,
- very diverse and unbalanced therapeutic approach, which as a result may have a
different mortality and disability;
- new doctrinal attitude that, thanks to the introduction of new therapeutic
recanalization techniques (thrombolysis) which is an important determinant of
determining time of acute ischemic stroke is treated as a medical emergency, the
same as acute myocardial infarction and trauma
(end of quotation)

Through project activities developed under our project, cooperation of medical

experts in the fields of neurology and psychiatry at the level of theory, research e-
health and practical application, will lead to a significant reduction in neurological
diseases that lead to stroke and thus greatly contribute to a better and productive
life in the border region, which significantly contribute to above presented policies.

39
 Indicate if the project contributes to the following strategies and describe in what way.

EU 2020 Strategy Europe can succeed if it acts collectively, as a

Union. EU 2020 strategy is a document
which should help us to come out stronger
from the crisis and turn the EU into a smart,
sustainable and inclusive economy delivering
high levels of employment, productivity and
social cohesion. Europe 2020 sets out a vision
of Europe's social market economy for the
21st century.
Quotations:
At EU level, the Commission will work:
To complete the European Research Area,
to develop a strategic research agenda
focused on challenges such as energy
security, transport, climate change and
resource efficiency, health and ageing,
environmentally friendly production
methods and land management, and to
enhance joint programming with Member
States and regions;
A major effort will be needed to combat
poverty and social exclusion and reduce
Yes
health inequalities to ensure that
everybody can benefit from growth.
Equally important will be our ability to meet
the challenge of promoting a healthy and
active ageing population to allow for
social cohesion and higher productivity.
Fiscal consolidation and long-term financial
sustainability will need to go hand in hand
with important structural reforms, in
particular of pension, health care, social
protection and education systems. Public
administration should use the situation as an
opportunity to enhance efficiency and the
quality of service. Public procurement policy
must ensure the most efficient use of public
funds and procurement markets must be kept
open EU-wide (end of quotation)

Through development of new protocols

and technics for dealing with the Stroke,
their involvement in the medical practice,
so as using new equipment in joint cross-
border health activities, our project
40
 directly contributes to the EU 2020
Strategy.
EU Strategy for the Danube Region The EU Strategy for the Danube Region
(EUSDR) is a macro-regional strategy
adopted by the European Commission in
December 2010 and endorsed by the
European Council in 2011. The Strategy was
jointly developed by the Commission,
together with the Danube Region countries
and stakeholders, in order to address
common challenges together. The Strategy
seeks to create synergies and coordination
between existing policies and initiatives
taking place across the Danube Region.
Regardless EU Strategy for Danube region
does not dealing with health as a main
topic, several parts of this document are
tackling the subjects introduced in our
project Improved health care in neurology
and psychiatry longer life.
Quotations:
Cross-sector policy coordination between
relevant government departments, education
Yes authorities, social services, healthcare
services, cultural policy authorities, housing
and spatial planning authorities as well as
asylum and immigration services at local,
regional and national level, as well as
dialogue with civil society are essential to
ensure an adequate level of support.
In addition, a healthy population is a
critical factor behind sustainable
economic development, and severe
disparities in health conditions still prevail in
the Region.
Action - To use e-content and e-services to
improve the efficiency and effectiveness of
public and private services. Information and
Communication Technologies in general, and
more specifically e-government, e-education,
e-culture, e-health, e-business and e-
inclusion, addressing active and healthy
aging as well as independent living, can
make public services faster, more effective,
more efficient and more accessible thus
saving resources on the side of the provider

41
 and user. (end of quotation)

Our project, with its results, directly

contributes to the goals of EU Strategy for
the Danube Region. Through joint
cooperation of Romanian and Serbian
medical experts, especially buy
introducing of e-health through
Cooperation e-health platform setting-up,
we are in line with the goals of this
Strategy.
Other EU/national/regional/local Our project is in line with the following
programmes/strategies/initiatives
European, Serbian, Romanian, regional and
local strategies:

EU level strategic initiative:

European Commission CORDIS Programes
project EUSTROKE (European Stroke
Research Network)
http://cordis.europa.eu/result/rcn/146141_
en.html

A milestone in reinforcing synergies to build

a strong base for scientific excellence in
stroke research was the formation of the
European Stroke Network (ESN) - a unique
collaboration and merge of EUSTROKE with
the EU-funded consortium ARISE (grant
agreement n 201024). The two consortia
became a united force with a combined
consortium agreement, shared meetings,
joint preclinical and clinical trials, mutual
dissemination activities, shared management,
and a joint scientific advisory board. The
powerful depth of multidisciplinary
knowledge, the merging of resources and
training activities, the development of mutual
research platforms for brain imaging,
regeneration after stroke, and in vitro and in
vivo modeling served to provide an
unsurpassed level of added value European
health research.
Thus, the European Stroke Network was a
collaborative effort that brought together
researchers, government, industry, the non-
profit sector, and patient group associations
to tackle the devastating burden of stroke.
42
 This network put Europe at the forefront of
stroke research through its multi-disciplinary
research program, high-quality training for
European scientists and clinicians, and
national and global partnerships.

National level strategic initiative:

Serbian Government Policy of Public
Health
http://www.gs.gov.rs/english/strategije-
vs.html :
Strategic directions of public health, in
addition to a focus on health promotion, are
directed to the organization with
management, continuous quality
improvement and measurement of outcomes
of all activities related to the conservation
and improvement health of the population, as
well as on the functioning of social systems
associated with health.
Public health promotes accountability of state
and society in ensuring the welfare of all
citizens by improving the health and
preservation of a healthy environment. Based
on health promotion and primary prevention,
and implementation through team work and
interdisciplinary, multi-sectoral cooperation,
as well as all forms of partnership.
The period of the last decade of the twentieth
century was marked by stagnation or
deterioration of most health indicators, as
well as the most important factors that
determine health. The above mentioned
indicators of health status and determinants
of health suggests the following conclusions:
- A large number of Serbian population
suffers, dies prematurely or becomes
disabled due to illness and injuries that have
a substantial share of preventable;
- The leading diseases and injuries share
common risk factors such as smoking,
unhealthy diet, alcohol abuse, physical
inactivity, obesity, stress;

Strategy on Development of Mental Health

Protection of Republic of Serbia
43
 http://www.gs.gov.rs/english/strategije-
vs.html
Our project is in line with the following
Action plan strategies of this document:
- Prevention of mental disorders and
mental health promotion (Universal
prevention aimed at the general
population, assessment of the needs of
specific risk groups, development of
programs aimed at the prevention of
mental disorders within the risk
groups, selective prevention focusing
on groups at risk for developing
mental/neurological disorders,
indicated prevention for persons at
high risk, campaigns to improve
health)
- Human resources, education and
research (Review of existing training
programs for professionals in the field
of mental health and their adaptation
to the requirements of mental health
care community, development of
programs for continuous education of
general practitioners in the field of
mental health, with particular
emphasis on mental health in the
community, continuous education of
mental health professionals and their
associates, to support research in the
field of mental health, the adoption
and implementation of codes of ethics
in research in the field of mental
health, improving working conditions
in psychiatric services)
- Informational systems (Development
of procedures and software
applications for the registration of
users, for the diagnosis and
monitoring and for epidemiological
research)
National Sustainable Development
Strategy, ROMANIA 2013-2020-2030
http://www.un.org/esa/dsd/dsd_aofw_ni/ni
_pdfs/NationalReports/romania/Romania.pd
f
Public health was officially recognized as an

44
 area falling within the competence of the
European Union, with due respect for the
principle of subsidiarity, following the
adoption of the Maastricht Treaty (1992).
The Treaty of Amsterdam (1997) stated that
all Community policies in key areas had to
consider the requirement to protect human
health. The legal instruments, directives and
decisions that the EU institutions adopted
along the way are part of the Community
acquis and are mandatory for all Member
States.
Much like some other European countries,
Romania shows a deterioration of the state of
mental and emotional health (slightly
higher than the European average), a rise in
the abuse of, and dependence on psycho-
active substances and in the instances of
aggressive and violent behaviour, also among
minors. The general ageing of the population
adds to the pressures on the already fragile
health system

Regional level strategic initiative:

Action plan for realization of Development
Programs AP Vojvodina 2014 2020
An integral part of the Development
Programme of AP Vojvodina 2014-2020.
represent the priorities and measures of the
development policy of Vojvodina, the
fulfillment of which aims to reduce regional
disparities in Vojvodina in the economic,
social and environmental dimensions.
Accordingly, the priorities are formulated as:
Priority 1: Human Resource Development,
Priority 2: Infrastructure development and
the conditions for a decent life and work,
Priority 3: Sustainable economic growth,
Priority 4: Development of institutional
infrastructure.
Based on defined priorities and measures, the
provincial secretariats of the Government of
AP Vojvodina, Regional Development Agency
Srem, Banat and Backa, as well as relevant
institutions of AP Vojvodina, proposed
projects contained in the Action Plan for
45
 implementation Priorities in the
Development Programme of AP Vojvodina
2014-2020 year.
The Action Plan defines the projects,
responsibilities, deadlines and financial
framework defined projects. The realization
of projects defined in the Action Plan aims to
reduce the existing regional disparities at the
provincial level, hence their proper planning,
implementation and evaluation of crucial
importance for the implementation of the
Programme of AP Vojvodina 2014-2020 and
contributes to the realization of its main
objective:
Creation and implementation of sports
and youth policies in order to
improve public health and quality of
life, especially among youth
Public health, healthy lifestyles and
leisure, especially young

Local level strategy initiative:

Vrsac Municipality Development strategy
Vrac health has a long tradition. The first
hospital appears mid-eighteenth century. The
former medical center "Anda Rankovic"
which was formed in 1967. consolidating
health services Vrsac, Plandiste and health
stations Uljma, 2008. transformed into a
health center and general hospital Vrsac. In
1952, open depandanse psychiatric hospital
in Belgrade, which is already the following
year became an independent
Neuropsychiatric hospital "Dr. Slavoljub
Bakalovi".
The most common cause of death in the
municipality are diseases of the
circulatory system with 59,39%, which is
higher compared to the level of South
Banat districts (54.65%) and the average
level of AP Vojvodina (53.48%), and in
particular of the republic average (53.21%).
Then, as the cause of death are tumors with
21.69%, which is slightly more than the
national average (21.58%), but it is lower
than in the District (22.65%), especially in

46
 relation to APV level (23.14%).

C.3.2 What are the synergies with past or current EU and other projects or initiatives the project makes
use of?

Project Improved health care in neurology and psychiatry longer life tried to establish
synergy and to use experiences gained through previously implemented EU project, dealing
with similar topics: prevention and management of Stroke, introduction of e-health,
cross-border health cooperation. Our project team focused on few project which fits to
these parameters.

1. European Commission Community Research: Stroke research in the European

Union
Project was focused on Stroke Research workshops, dealing with Cerebral reperfusion,
Brain protection, Recovery after Stroke, and, what was the most interesting for our
project Stroke prevention.
Part of the project summary: About one million strokes occur each year in the European
Union 1. Indeed, about 25% of men and 20% of women can expect to suffer a stroke if they
live to be 85 years old. As a cause of death worldwide, stroke is second only to coronary
heart disease 2 . Although stroke is a major cause of death, mortality data underestimate the
true burden of stroke. This is chronic disability. Since stroke causes disability more often
than death, stroke patients frequently require long hospital stays followed by ongoing
support in the community, or nursing-home care. Stroke is consequently a major drain on
health-care funding. The number one cause of disability in the European Union is stroke.
Several of the key topics, particularly those in basic science stroke research and imaging,
span prevention, therapy and recovery, thus conceivably making contributions to
multiple areas of stroke management.

2. IPA CBC Romania Serbia: Health without borders

Project was dealing with equipping and revitalization of the health center building, so as
introduction of e-health system, telemedicine.
Part of the project summary: Reconstruction of Poarevac Health Centre building, equipping
General Hospital Resita with high quality Medical CT Scanner, establishing cooperation
among partners in the field of telemedicine and tele-diagnostic, development and
installation of software needed for telemedicine system functioning, education of
employees.
General Objective: Improvement of Health Care in border region through linkages,
Poarevac-Resita;

Specific Objective 1: Providing quality Health Care through revitalization and equipping of
Hospital facilities in border region;

Specific Objective 2: Establishing continuous cooperation among Health Care institutions in

border region

47
 Project results: Improved level of health care in the border region, Established cross-border
tele-diagnostic and teleconsultation network, Institutional cross-border cooperation in the
field of health care, Modernized health units within the network

3. IPA ADRIATIC CBC Programme: Love Your Heart

Part of the project results:
a) the creation of a joint CVD prevention model was ensure a systematic CVD prevention
approach, better integration of existing services, increased guarantee of expertise and
improvement of CB networking by the end of the project.
b) the skill certification system was tested on at least 30 health workers; 235 health
workers, non-medical professionals and NGO members was trained.
c) creation of the precondition for the improvement of CVD prevention and diagnostic
services; the use of ICT will be enhanced in the health sector (the software will be used by at
least 80 physitians).
d) 700 adults and 5000 children were educated; 120 post stroke/heart attack patients will
attend clubs programs; the number of several CVD diagnostic exams will increase by 100%.
e) printed educative and awareness materials for citizens and professionals will be
distributed; that the web site was visited from at least
50.000 users; and that at least 220 professionals will attend the meetings

C.3.3 How does the project build on available knowledge?

Please describe the experiences/lessons learned the project draws on, and other available knowledge
the project capitalises on.

Project Improved health care in neurology and psychiatry longer life will be
implemented in the border region Romania- Serbia. Through all phases of the project,
starting with the project preparation, besides the achieving of the projects objectives and
results, we are aware of the fact that this project could significantly affect on gaining new
knowledges and experiences, not just for the target group, but also to all members of the
project team, so as our potential stakeholders. Good cooperation with partner
organization and active involvement of all participants will ensure the smooth running of
the project and will guarantee its sustainability in the future. Through partnership
agreements the partners commitment will have solid basis. Joint team will help to better
distribute responsibilities, tasks, duties among the team players; this will facilitate internal
evaluation; cooperation between team members is a prerequisite for multilateral view and
successful performance. Training methods are compliant with the adults training
approach, which takes into account the specific character of the target groups. Aiding
trainings materials will be produced and provided to trainees, together with the necessary
technical means. A balance between theory and practical examples will be a leading
principle, together with immediate communication, sharing of personal experience and
knowledge. Involvement of the target groups through active participation in the project will
allow a greater accessibility and more comprehensive dissemination of the project results, as
well as reaching a greater number of direct beneficiaries. PR tools and visibility of project:
Using various information channels to present the information will popularize the work under
the project, the actions, the partners, the goals, the results, the EU as a donor. At the same time,
48
 this will ensure the project transparency, sustainability and local ownership. The overall
methodology leans on the partners experience and skills and will build on their capacity. It is
implied by the need of successful and effective implementation of the project.
C.4 Horizontal principles
Please indicate which type of contribution to horizontal principles applies to the project, and justify
the choice.
Horizontal principles
Sustainable development
49
Type of contribution
Positive effects
Description of the contribution
The Millennium Goals recognize
that principle of environmental
sustainability is part of global
economic and social well-being.
Project Improved health care in
neurology and psychiatry
longer life does not threaten the
environment (detailed under the
point Environmental monitoring
indicators) and is fully in
accordance with the principles
of environmental sustainability.
As a contribution to the
preservation of the environment
we will try to ensure that all
printed material is prepared in
accordance with environmental
norms: two-sided printing, use
recycled paper, etc. Green public
procurement approach will be
used in the project (detailed under
the point Environmental
monitoring indicators)
Sustainable development will be
guaranteed by the fact that the
projects activities will continue
to generate results even after
the project had been concluded.
Once the cross-border network
and partnerships are established,
they can live on, continue to
include new members and extend
the range of effectiveness of the
network, the project will only
serve as an actuator in the process.
(detailed under point C.2.3 and
 C.2.4)

Considering all these factors, the

project concept will guarantee a
sustainable and long-term growth
and development for the border
area as well as possibilities for
coming up with new ideas and
projects that can build on the
projects results. It should also be
mentioned that it also represents
an important factor when it comes
to promoting and establishing EU
standards in underdeveloped
areas. All regions and health
institutions covered by this project
are aiming to reach EU standards
in their health care system, and the
network established through this
initiative will properly assist this
ambition.

The successful implementation of

the projects goals will result in a
system that will provide higher
quality health care for population
living in remote areas, and for
those for whom mobility presents
a problem; people living with
handicap and disabilities, children,
elderly and even Roma population
who tend to use the services of
health care providers less often
because of the travel costs.
Equal opportunities and non- Distance-diagnosis will have a
discrimination
Positive effects
highly valuable effect on these
segments of the population,
considering the fact that it can be
difficult to travel and visit different
health care providers for various
reasons: Physical limitations /
handicap, cost, lack of supervision,
time, etc. System of Mobile
Preventive Diagnostic (MPD)
will directly contribute to the
solving of these issues. Instead of
sending the patient together with
all the images and their medical

50
 history to the regional health care
center (which is the current
practice in the existing health care
system), the primary provider can
send this information to a chosen
health care center of a higher level
for interpretation and
consultation, by using of
Cooperation e-health platform.
Besides that, we will organize all
our public events in the
premises adapted to a people
with the special needs, with the
while chair ramps, engaging
translators to a language of deaf
persons and hearing impaired
persons. Also, part of the promo
material for the wider public
will be published on Braille.
Equality between women and
men is a fundamental right, a
common value of the EU, and a
necessary condition for the
achievement of the EU objectives
of growth, employment and social
cohesion. Although inequalities
still exist, especially in
underdeveloped regions. Serbia
and Romania has made significant
progress over the last decades in
achieving equality between women
and men. This is mainly thanks to
Equality between men and equal treatment legislation, gender
women
Positive effects mainstreaming and specific
measures for the advancement of
women.

Qualified human resources,

regardless gender, in the border
area could be a milestone for
achieving the goals of economic
and social development. The
project provides approach in a
equality for both genders, opening
up the possibility for further
professional development and
career advancement. By receiving
a unique knowledge and
51
 learning the skills of operating
the system during the training
sessions, men and women will gain
the key to an advanced form of
communication, as well as they will
learn how to access worldwide
information regarding medicine
and health care, which opens up
endless possibilities for continuous
growth in their profession. Maybe
even more important is the fact
that all patients, risk group
members and healthy people
involved, not just in the project,
but also in the future usage of the
projects outputs and results, will
be treated equally, respecting
gender equality EU policies.

Environmental monitoring indicators

Please indicate which type of contribution to environmental monitoring indicators applies to the
project, and justify the choice.

Environmental monitoring
indicators Type of contribution Description of the contribution

Due to the project implementation,

part of the building of General
Hospital Sveti Luka, Psychiatry
Contribution to energy
efficiency, renewable energy Department, Smederevo (B3) will
positive effects be revitalized. For the purpose of
use and reduction of
greenhouse gas (GHG) emissions energy efficiency, building will be
revitalized with the respect of
smart building principles.

As it is mentioned above, part of

the building of General Hospital
Sveti Luka, Psychiatry
Contribution to efficient water Department, Smederevo (B3) will
supply, waste-water treatment positive effects be revitalized, and it will be the
and water reuse
opportunity to resolve the issue of
efficient water supply of those
premises.

52

Application of green public
procurement in a systematic positive effects
manner
Green Public Procurement (GPP) is
defined as "a process whereby
public authorities seek to procure
goods, services and works with a
reduced environmental impact
throughout their life cycle when
compared to goods, services and
works with the same primary
function that would otherwise be
procured. The most common
misconception about GPP is that
green products cost more.
However, upon closer inspection,
this does not necessarily hold true.
Green products can have a lower
purchasing price as they have
reduced impacts on the
environment with often less
energy and raw materials
consumed and/or less waste
generated so lower associated
production costs. Our project team
will make all possible efforts to
respect green public procurement
provisions, whenever is that
possible.

neutral effects
All three partners institutions
already using waste management,
re-use and recycling, so it will just
be continued by this project.
Contribution to efficient waste Having in mind that two of three
management, re-use and partners are hospitals, we can
recycling
mention their obligation of medical
waste management, which is in
line with all national and
international standards.

positive effects
Due to the project implementation,
Contribution to the part of the building of General
development of green Hospital Sveti Luka, Psychiatry
infrastructures including sound Department, Smederevo (B3) will
management of Natura 2000 be revitalized. For the purpose of
sites on the Romanian side and
equivalent natural protected
energy efficiency, building will be
areas on the Serbian side; revitalized with the respect of
smart building principles.

53
 Contribution to sustainable neutral effects Not applicable
mobility and intermodality;

Contribution to enhanced neutral effects

awareness of adaptation to Not applicable
climate change and risk
prevention;
positive effects
Our project contributes to these
elements in several ways.

The main aim of our project is

decreasing of the mortality rate
caused by the Stroke, so as long-
term work incapability. Only
healthy person could work, learn
Contribution to more and prosper in her/his carrier.
employment opportunities,
education, training and support Also, by developing of Mobile
services in the context of Preventive Diagnostic (MPD)
environment protection, risk practice, hospitals will be in
management and sustainable
development etc.
position to create new working
places for educated medical staff
for field work.

By introducing of Cooperation e-
health platform, health institutions
will create conditions for
employing of new educated
medical, but also IT staff.

C.5 Work plan per work packages

WP Nr WP title WP start WP end month WP budget

month

0 Project preparation 09/2015 01/2016 0,00 EUR

Involved partners Lead Beneficiary/ Partner 2/ Partner 3

Summary description of activities carried out and contribution of each partner

Project partners were decide to develop this project proposal jointly, based on location,
capacities and similar needs. The first contacts were made via emails and the project
initiative received a positive answer from all sides. During the preparation phase partners
worked in close collaboration, on-site visits and meetings were held in: Vrsac, Timisoara
and Smederevo. During the meetings the management and discussed the needs and
objectives of health institutions. The projects objectives, expected results, activities,
budget and project team were all defined based on joint decisions of all partners.
During the process of project preparation we jointly decided that Special Hospital for
54
 Psychiatric diseases Dr Slavoljub Bakalovic Vrsac will be the Lead partner for the
project.
Through the analysis of the problems and needs in the border region, we proposed
appropriate set of activities to be undertaken. On the meetings, but also in daily e-mail
and telephone communication, we clearly describe a target group and define the action
plan. After that, we have been decided who will be the Project Manager and the team
members project role. The next phase was to decide what kind of external expert we
should engage. Costs for each activity were defined and budget for the action has been
created.

WP Nr WP title WP start month WP end month WP budget

1 Project management 01/2017 12/2018 184.100,00

Involved partners Lead Beneficiary/ Partner 2/ Partner 3

Describe how the management on the strategic and operational level will be carried out in the
project, specifically:
structure, responsibilities and procedures for the day-to-day management and co-ordination;
communication within the partnership;
reporting and evaluation procedures;
risk and quality management
Indicate whether the management is foreseen to be externalized

Please describe activities and deliverables within the work package.

structure, responsibilities and procedures for the day-to-day management and co-ordination;
The project management is thorough planning and organizing of material, financial and
human resources so that the project goals are accomplished. The project team will
develop the plan of project activities for every work package and every activity according
to system quality standards and requirements. This means that the plan of activities will
be the plan of quality with the quality parameters and criteria for their accomplishment.

The project team will follow the project activities and direct them in desirable direction -
towards accomplishing the goals and expected results. Also project team will regularly
communicate with Project steering committee and MA, NA, JS and JS Antenna.

Distribution of roles in project team has been done according to importance of activity,
quantity of work, required knowledge and experience.
communication within the partnership;

55
 Partnership developed through our project characterized:

The relationship between partners is characterized by mutual trust, respect,

genuineness, and commitment.
The partnership builds upon identified strengths and assets, but also addresses
areas that need improvement.
The partnership balances power among partners and enables resources among
partners to be shared.
There is clear, open, and accessible communication between partners, making it an
ongoing priority to listed to each need, develop a common language, and
validate/clarify the meaning of terms.
Roles, norms, and processes for the partnership are established with the input and
agreement of all partners.
There is feedback to, among, and from all stakeholders in the partnership, with the
goal of continuously improving the partnership and its outcomes.
Partners share the credit for the partnerships accomplishments.
Partnerships take time to develop and evolve over time.
reporting and evaluation procedures;
Project team meetings will be held on monthly bases, with the aim of regular mutual
reporting on the implementation of activities, control of expenditure of funds,
achievement of objectives and attainment of outputs. This will be also the opportunity for
monitoring of the realization of project activities and possible corrections. Project team
meetings can be held in case of urgency, outside of the predicted schedule. JSC meetings
will be held on quarterly bases, with the aim of approval of narrative and financial reports
and requests for payments. In exceptional cases, JSC will meet in order to approve
Notification letter or Addendum
risk and quality management
An organization will not be able to fully eliminate or eradicate risks. Every project
engagement will have its own set of risks to be dealt with. A certain degree of risk will be
involved when undertaking a project.

The risk management process should not be compromised at any point, if ignored can
lead to detrimental effects. The entire management team of the organization should be
aware of the project risk management methodologies and techniques.

Anticipating quality and risk issues is one of the most important elements of project
planning, as well as areas for effective monitoring and control. We will use tools to deal
proactively with quality and risk issues before they are manifested:

Evaluating risks a project in terms of urgency and potential for growth

Embedding quality into a project plan from the beginning

Dealing with quality crises after they occur

Applying various tools, such as decision analysis, diagnostics, process control charts, or
flowcharting, in a project management context

56
 Assessing project risk in terms of probability and consequence of occurrence

Interpreting risk-sensitive analysis

Choosing contingent strategies to avoid, transfer, or mitigate risk

Implementing quality cooperation among project team members

Indicate whether the management is foreseen to be externalized Not applicable

Activity title: Project team meetings Start month End month

(01.2017) (12.2018)

Activity description: Project team meetings will be held on monthly bases, with the aim of
regular mutual reporting on the implementation of activities, control of expenditure of
Activity funds, achievement of objectives and attainment of outputs. This will be also the
1.1 opportunity for monitoring of the realization of project activities and possible corrections.
Project team meetings can be held in case of urgency, outside of the of the predicted
schedule.

Indicative Budget: 3.500,00 (travel costs for all partners)

Deliverable: Minutes of the meetings, list of participants Target value Delivery

D 1.1.1 24 month
(12.2018)

Activity title: Organizing

and managing of Joint Start month End month
(01.2017) (12.2018)
Steering Committee of the project

Activity Activity description: JSC meetings will be held on quarterly bases, with the aim of approval
1.1 of narrative and financial reports and requests for payments. In exceptional cases, JSC will
meet in order to approve Notification letter or Addendum.

Indicative Budget: 3.000,00 (travel costs for all partners)

Deliverable: Minutes of the meetings, list of participants Target value Delivery

D 1.1.1 8 month
(12.2018)

Activity title: Decision

making process, monitoring Start month End month
(01.2017) (12.2018)
and evaluation, supporting activities
Activity description: Project team will work jointly on implementation of project activities,
in order to achieve project results, so as to deliver predicted outputs. Through JSC all
partners will be involved in the decision making process, by approving of Progress reports,
Activity narrative and financial. Regular communication with Programme bodies will be also part of
1.1 the process. Monitoring of project activities, evaluation of gained results and corrective
measures if it is necessary, will be the task of the project management.
Supporting activities, such as procurement and translation will be also the part of the
project management.

Indicative Budget: 177.600,00 (salaries of all project team

members)

Deliverable: Minutes of the meetings, list of participants Target value Delivery

D 1.1.1 8 month
(12.2018)
Multiply the rows to correspond the number of activities. Each activity must have at least one deliverable)

57
 WP Nr WP title WP start month WP end month WP budget

2 Communication Month 1 Month 24 59.000,00

Involved partners Lead Beneficiary/ Partner 2/ Partner 3

Summary Having in mind the technical aspect of the project, concretely

(Summary description and
objectives of the work
package including
explanation of how will
partners be involved)
medical expertise, the project team opted for a dual
approach of promoting the project activities and results.
The project will be presented in one way to the professional
public outside of the current partnership (medical
professionals, medical professors and students, neurologists,
psychiatrists, etc.), and a completely different type of
promotion will be organized for the general public, in order
to transfer outputs and results and to enable replication.
Approach 1:
In order to enable usage of results achieved through our
project, as a part of our projects activities, we will organize
several scientific meetings (round tables, seminars,
discussions, etc) which will be intended for the
professional public. It will be the opportunity to inform our
colleagues from other institutions, in and/or outside border
region about the achievement of our project team, so as to
offer the possibilities of delivering, replication and
continuing of activities started through the project in their
environments. That will be also the opportunity for new
partnership and new projects, in other regions and
countries. However, by using of Cooperation e-health
platform, we could transfer results of our works, but also to
involve other medical and research institutions into a
direct cooperation with our project team.
Approach 2:
By organizing promotion through mass media, we will try to
inform, but also to warn wider public about the risks of
the Stroke and similar neurological diseases. Flyers,
brochures, info movie, awareness campaign, info days
organized especially in rural areas, will be the tools for
spreading out necessary information, clear and
understandably to a wider public. In cooperation with our
colleagues from other health institutions, we will share
our practice and present the results to the patients,
members of the risk groups, but also to healthy citizens
outside the area covered by our project, in order to inform
them about new approaches in the Stroke management, but
also necessity of prevention.

58
 Project specific objectives Communication objectives
What can communications do to
reach a specific project
objective?
By organizing Promo
conferences, we will present
new neurological technics
and protocols to the
professional public and that
way provide them possibility
to introduce it in their
institutions.
Regular updating of the web
page will be also used as a
tool for informing of the
Specific objective 1: professional public.
Creating conditions for Info movie, awareness
campaign, info days, leaflets
timely preventive action
in situations of psychiatric and brochures will be tools
and neurological diseases for reaching of wider public.
that cause death and / or
long-term incapacity for
work in the border region
Romania Serbia
Specific objective 2: N/A
Providing quality Health
Care through
revitalization and
equipping of Hospital
facilities in border region
Specific objective 3: Beside Cooperation e-health
Establishing continuous protocol, which will be the
cooperation among Health main tool for the continuous
Care institutions in border cooperation between health
59
Approach/Tactics
How do you plan to reach your
target groups?
Medical professionals will be
invited to participate in Promo
conferences, which will be
organized in each Interreg IPA
CBC Romania Serbia
Programme eligible area:
North Banat, Middle Banat,
South Banat, Branicevski,
Borski and Podunavski region
in Serbia, so as in Timis, Caras
Severin and Mehedinty
Counties in Romania.
Web page will be developed
user-friendly, so it will be
available to every Internet
user.
Info movie will be broadcasted
on state, regional and local
level, in order to reach as
many inhabitants as possible.
Awareness campaign and info
days will be organized mostly
in rural areas, to tackle people
who are not able to
communicate as easy as
people in urban areas.
Leaflets and brochures will be
distributed through health
institutions.
Three Web pages will be
developed, one per project
partner and regularly updated
with all necessary information
 region care institutions, web pages
developed by each project
partner will be possibility
for more quality and
frequently communication.
about: project activities,
expected results, achieved
objectives and outputs. Each
web page will have the options
for interaction with the users.

Please describe activities and deliverables within the work package.

Activity title: Awareness campaign Start month End month

III period VII period

Activity description:
Due to lack of information regarding neurological diseases, especially Atherosclerosis and
Stroke, our project team will develop awareness campaign, in order to mobilize wider
public in fight against these diseases. Campaigning lowers the barriers against action and
increases the incentives to take action. Education, in contrast, is a broadening exercise. It
uses examples to reveal layers of complexity, leading to lower certainty but higher
Activity understanding. Campaigning maximizes the motivation of the audience, not their
2.1 knowledge.
Our campaign will be simple, fast, and motivational. With a wider public, we will
communicate through slogans, drawings, photos, performance. Several different designs
will communicate with different target groups, depending on age, gender, education level,
etc.
For the Awareness campaign will be in charge LB, but all three partners will be involved in
this activity (joint providing of inputs for artists, selection of best designers solutions, etc).

Indicative Budget: 5.000,00

Deliverable: Target value Delivery month

5 different slogans 41 09/2018
D 2.1.1 5 different posters designs (drawings)
30 photos
1 theater performance

Activity title: Info-days Start month End month

II period VIII period

Activity description:
By organizing promotion through info-days, we will try to inform, but also to warn wider
public about the risks of the Stroke and similar neurological diseases. Lectures organized
especially in rural areas, will be the tools for spreading out necessary information, clear
and understandably to a wider public. In cooperation with our colleagues from partners
institutions, we will share our practice and present the results to the patients, members of
Activity the risk groups, but also to healthy citizens.
2.2 Info-days will be organized in the rural areas, in villages outside of the main roads and
means of communication, with special attention to elderly population, unable to reach
health institutions on regular bases, without habit of preventive doctors check. It will be
the opportunities for interaction between wider public and health care experts.
For Info-days will be in charge B3, but all three partners will be involved in this activity (as
a guest trainers, providing of information for the lectures, for joint decisions of places
which should be included, etc).

Indicative Budget: 5.000,00

Deliverable: Target value Delivery month

D 2.n.1
10 Info-days in rural areas 10 11/2018

60
 Activity title: Creation and broadcasting of Info- Start month End month
V period VII period
movie
Activity description:
Short film, dynamic, with a clear message, with the involvement of popular media figures
will be an excellent means of communication with the general population. The broadcast of
Activity the film on local, regional, and national level, will introduce to a public level of
2.3 significance of the Stroke issue, possible consequences, but most importantly - with the
possibilities for prevention.
For this activity in charge will be LB, but both partners will be involved in the activity
(creation of leading message, providing of medical information, distribution)

Indicative Budget: 12.000,00 creation

8.000,00 broadcasting

Deliverable: Target value Delivery month

D 2.n.1 1 Info-movie 26 09/2018
25 broadcasting

Activity title: Promo conferences organization Start month End month

IV period VII period

Activity description:
This communication activity is predicted for the professional public.
In order to enable usage of results achieved through our project, as a part of our projects
activities, we will organize several scientific meetings (round tables, seminars, discussions,
etc) which will be intended for the professional public. Promo conferences, which will be
organized in each region of Programme eligible area (North Banat, Middle Banat, South
Activity Banat, Branicevski, Borski and Podunavski region in Serbia, so as Timis, Caras severin and
2.4 Mehedinty counties in Romania) will be the opportunity to inform our colleagues from other
institutions, in and/or outside border region about the achievement of our project team, so
as to offer the possibilities of delivering, replication and continuing of activities started
through the project in their environments. That will be also the opportunity for new
partnership and new projects, in other regions and countries.
All three partners are jointly responsible for this promo activity.

Indicative Budget: 4.500,00

Deliverable: Target value Delivery month

D 2.n.1
9 promo conferences 9 09/2018

Activity title: Web page development and Start month End month
I period VIII period
updating
Activity description:
Having in mind all project partners already have the web sites, for the purpose of this
project we will design one web page for each partner, which should be linked to their web
Activity sites. Web page will content information about the project, planned activities, achieved
2.5 results, and during the project implementation, it will be updated on monthly level. Each
web page will have the options for interaction with the users. Regular updating of the web
page will be also used as a tool for informing of the professional public.
All three partners are jointly responsible for this promo activity.

Indicative Budget: 9.000,00

Deliverable: Target value Delivery month

D 2.n.1
3 web pages 3 12/2018

61
 Activity title: Promo material development and Start month End month
IV period VII period
distribution
Activity description:
In order to support all above mentioned communication activities, we will develop printed
material, such as brochures and leaflets. All material will be bilingual: Serbian-English in
Serbia, Romanian-English in Romania. Material will be distributed through health
Activity institutions. Project team will prepare text for the material, but using down-to-earth
2.6 approach, in order to reach as many inhabitants as possible, to inform them about risk of
Stroke, possible but not so visible symptoms, possibilities of diagnosis, treatment, but also
prevention.
All partners will be involved in this activity, but for Serbian partners LB will be in charge
for the budgeting of this action.

Indicative Budget: 15.500,00

Deliverable: Target value Delivery month

5000 brochures (Serbia) 16.000 09/2018
D 2.n.1 5000 leaflets (Serbia)
3000 brochures (Romania)
3000 leaflets (Romania)
(Multiply the rows to correspond the number of activities. Each activity must have at least one deliverable)

WP Nr WP title WP start month WP end WP budget

month

3 Implementation 01/2017 12/2018 1.308.400,00

Involved partners Lead Beneficiary/ Partner 2/ Partner 3

Summary Through this project, cooperation of medical experts in

(Summary description and
objectives of the work
package including
explanation of how will
partners be involved)
62
the fields of neurology and psychiatry at the level of
theory, research e-health and practical application, will
lead to a significant reduction in neurological diseases
that lead to stroke and thus greatly contribute to a better
and productive life in the border region.
Pre-condition for professional health care, beside the
educated and experienced staff, is also a work in adequate
working environment, starting with facilities of health care
institutions, equipment and supplies. Based on that, our
project is starting with revitalization of the facilities of
Neurological Department of Sveti Luka Hospital in
Smederevo, and continuing with providing of necessary
equipment for diagnostic and treatment of Stroke for all
three partners. At the same time, Victor Babes
University of Medicine and Pharmacy, Timisoara will
starts with researches in order to develop new technics and
protocols regarding Stroke prevention and treatment.
Experiences and know-how between project team members
will be shared on round tables, which will be organized by
 each partner organization.
Mobile Prevention Diagnostic system will be developed by
Special Hospital for Psychiatric diseases Dr Slavoljub
Bakalovic as a system of prevention of stroke by
identification of risk group in the border region.
All activities will be implemented in close cooperation of all
project partners, with engagement of all team members, with
the main goal decreasing of fatal consequences of
Atherosclerosis and Stroke.
Please describe project main outputs that will be delivered based on the activities carried out in this
work package. For each project main output a programme output indicator should be chosen. Please
note that they need to have the same measurement unit.

Project main output Describe your project main Quantify Deliver Choose a
output your y programme output
contribution month indicator to which
the project main
output will
contribute

Revitalization of the facilities

of Neurological Department 1 facility Investment in health
of Sveti Luka Hospital care and
Output 3.1 Main output 1 03/2018
3 sets of social services
Three health care institutions equipment infrastructure.
equipped

Experts involved in Promo

120 experts
conferences

Medical students involved in

project activities 20 students

Experts using Cooperation e-

health platform 50 experts

Citizens participating Info 300 citizens

Citizens involved in
days from rural project
Output 3.2 Main output 2 areas 12/2018 activities in cultural,
Citizens involved in social health
500 citizens
Awareness campaign from urban care services
areas

Min 1000
Citizens included in MPD
citizens, mostly
system from rural
areas

Citizens reached by 10.000 people

communication tools

Stroke (AVC) and 23.000 people

(during and Population covered
Atherosclerosis patients in after the
Output 3.3 Main output 3 border region 12/2018 by improved
project)
health services
Risk groups for Stroke and 200.000 people

63
 Atherosclerosis in border (during and
after the
region project)

People directly involved in 1800 people

Number of
activities (MPD, Info events) participants in
projects
People reached by More than
10.000 people promoting gender
Output 3.4 Main output 4 communication tools 12/2018
equality, equal
People which will use health opportunities and
200.000 people
care services after the (during and social inclusion
projects end after project) across borders

Target groups involvement

Who will use the main outputs delivered in this Stroke (AVC) and Atherosclerosis patients
work package (select from the target groups
in border region
already defined)?

Risk groups for Stroke and

Atherosclerosis in border region

Medical experts and medical workers

How will you involve target groups (and other
stakeholders) in the development of the work
package main outputs?
Durability and transferability of main outputs delivered in this work package
Lack of information on new methods of
prevention and diagnostic of neurological
disorders, long waiting lists for
examinations and treatment, lack of
adequate facilities and outdated
equipment, will attract members of the
target group to participate in the project,
because in a direct way contribute to their
personal health.
On the other hand, experts we planned to
involve into the project, will gladly accept
to upgrade their knowledge and share
experiences with other colleagues.

How will the work package main output/s be All reached outputs will be further used in
further used once the project has been ended? everyday work of all three health
Please describe concrete measures (including eg institutions.
insitutional structures, financial resources,
In layman's terms once when we start
etc.) taken during and after project
with the use of these methods combined
implementation to ensure the durability of the
project main output/s.
with new equipment, their use will
If relevant, please explain who will be responsible continue in a growing number of patients
and/or the owner of the output. but also and healthy people for preventive
purposes.
New protocols, technics and approaches
developed during implementation of the
64
 project Improved health care in
neurology and psychiatry longer life
will be used after the life-time of the
project in all three involved institutions.
However, one of the project activities will
be promotion of the project results to
the other similar institutions, not just in
the border area, but wide across Romania
and Serbia.
Conclusion
After the finishing of project
implementation, project beneficiaries will
ensure lasting effects beyond the project
duration on several ways:
- Victor Babes University of
Medicine and Pharmacy,
Timisoara will continue with
researches and development of
new scientific documents,
protocols and technics. Results will
be shared with their project
partners.
- Special Hospital for Psychiatric
diseases Dr Slavoljub
Bakalovic Vrsac will continue to
use new equipment in every-day
work, and to continue to practice
MPD (Mobile Prevention
Diagnostic) in Vrsac Municipality,
but also in the whole South Banat
region.
- General Hospital Sveti Luka,
Psychiatry Department,
Smederevo will also continuously
use newly provided equipment in
the revitalized building, and
continue with MPD (Mobile
Prevention Diagnostic) in the
whole Podunavski region. Also,
after developing of Cooperation e-
health platform, cooperation with
project partners will be continued,
but also with other medical centers
with the same type of software
solutions.

65
 How will the project ensure that the work All project outputs are very easy to be
package outputs is/are applicable and replicable by applied in any other neuro-psychiatrically
other organisations/regions/countries outside of institutions, since all of it will be
the current partnership? transparent, available and replicable.
Please describe to what extent it will be possible to
transfer the outputs to other Having in mind the technical aspect of the
organisations/regions/countries outside of the project, concretely medical expertise, the
current partnership. project team opted for a dual approach
of promoting the project activities and
results. The project will be presented in
one way to the professional public
outside of the current partnership
(medical professionals, medical
professors and students, neurologists,
psychiatrists, etc.), and a completely
different type of promotion will be
organized for the general public, in order
to transfer outputs and results and to
enable replication.
Approach 1:
In order to enable usage of results
achieved through our project, as a part of
our projects activities, we will organize
several scientific meetings (round
tables, seminars, discussions, etc) which
will be intended for the professional
public. It will be the opportunity to
inform our colleagues from other
institutions, in and/or outside border
region about the achievement of our
project team, so as to offer the
possibilities of delivering, replication
and continuing of activities started
through the project in their environments.
That will be also the opportunity for
new partnership and new projects, in
other regions and countries. However, by
using of Cooperation e-health platform,
we could transfer results of our works,
but also to involve other medical and
research institutions into a direct
cooperation with our project team.
Approach 2:
By organizing promotion through mass
media, we will try to inform, but also to
warn wider public about the risks of
the Stroke and similar neurological
diseases. Flyers, brochures, info movie,

66
 awareness campaign, lectures organized
especially in rural areas, will be the tools
for spreading out necessary information,
clear and understandably to a wider
public. In cooperation with our
colleagues from other health
institutions, we will share our practice
and present the results to the patients,
members of the risk groups, but also to
healthy citizens outside the area
covered by our project, in order to
inform them about new approaches in the
Stroke management, but also necessity of
prevention.
Please describe activities and deliverables within the work package.

Activity title: Round table organization Start month End month

01/2017 12/2018

Activity description:
During the project, we will organize 12 Round tables, 6 in Romania, 6 in Serbia. It will be
the opportunity for shearing of experience and new gained knowledge of all experts
involved in the project team.
Topics covered in the Round tables planned to be organized in Romania will be: Preparation
of documentation for obtaining the ethical, Elaboration of clinical investigation guide,
Neurologic rating scales NIHSS, MRC, Barthl Index, Neuropsychological assessment in
dementia evaluation, Statistical analysis of the study and correlation to the data from
literature, Presentation of the preliminary and final results.
Activity
3.1 Another 6 Round tables will be organized in Serbia, with the following topics: Cognitive
impairment and quality of life after stroke, Diagnostic procedures in patients with acute
stroke, An early measures and treatment of stroke and the organization of stroke unit in
general hospital, Post-stroke depression and correlates with neurological deficits and
cognitive impairment, Neuropsychological characteristics of dementia after stroke,
Rehabilitation process and the functional outcome in people with post-stroke deficits. The
exact order of the topics will be agreed after the project starts.

Each Round table will last 3 days, with participation of 30 experts.

All partners are involved in this action.

Indicative Budget: 12x4.400,00

Deliverable: 12 Round table implemented in Timisoara, Target Delivery month

D 3.1.1 Vrsac and Smederevo value 12/2018
12

Activity title: Preparation of book Vascular Start month End month

07/2018 09/2018
cognitive impairment
Activity description:
Activity
3.2 Vascular cognitive impairment (VCI) is if a form of dementia that is believed to be caused
by damaged blood vessels in the brain, or cerebrovascular disease. When blood vessels lose
their effectiveness, either because of age or other factors, such as high blood pressure or
smoking, the brain can suffer reduction of blood flow.
A variety of definitions have been employed in the study of vascular cognitive impairment.
67
 Some have limited the term to include only cognitive impairment that is the result of
ischemic stroke (a stroke caused by a blood clot). Others have broadened the term to
include cognitive and behavioral changes that follow bleeding in the brain (intracerebral
hemorrhage, subarachnoid hemorrhage or intraventricular hemorrhage). Some authors have
sought a more restrictive definition, including only those patients who have microvascular
ischemic stroke on MRI and excluding those with clinical strokes that occurred because of a
blockage in a large artery.

B2 is responsible for this action. However, joint efforts of neurological experts will resulted
with publishing of the book which will dealing with this topic, based on research of the
project team members.

Indicative Budget: 5.000,00

Deliverable: 500 copies of book Target Delivery month

D 3.n.1 value 09/2018
500

Activity Activity title: Development and usage of Start month End month
3.3 Cooperation e-health platform 08/2017 12/2018

Activity description:
In order to meet the projects objectives, it is necessary to develop multilingual software
(English, Romanian and Serbian) for Cooperation e-health platform. It will be specialized
software for image/data transfer. Initially the software will be installed in General Hospital
Sveti Luka, Psychiatry Department, Smederevo. A multilingual manual will be created for
system operation and workshops for software usage will be organized for the same purpose.
The software enables the following activities within the cross-border network/min. 10
health units by the end of the project: e-diagnostics, e-consultation, e-consilium, e-
education and e-training. That way it will be enabled communication with all health care
institutions across Europe which already using e-health platforms. Preventive measures,
better diagnostic, faster reaction and consultations with experts all over the world, will be
enabled though such platform.

The software development will be a joint activity of colleagues from both sides of the
border, who will participate in medical aspect of development of e-health platform.
External expertize will be used for the technical development of the software.

Indicative Budget: 250.000,00

Deliverable: 1 Cooperation e-health platform Target Delivery month

D 3.n.1 value 12/2017
1

Activity Activity title: Equipping of health care institutions Start month End month
3.4 involved in the project 10/2017 03/2018

Activity description:
Neurology and psychiatry care unit have no more time for improvisation and they must be
equipped with the latest medical equipment. Especially if this is the neurology research
institution, or emergency intensive care units where inadequate treatment caused with
lack of equipment, could threatened the lives of very heavy patients, risking mortality
and/or long term disability.

Ultrasound equipment, CT scanners, EMG, EEG, equipment and supply for Mobile

68
 Prevention Diagnostic, equipment for isolation of premises for specialist examinations,
passenger car and IT equipment will be purchased within the project with the aim of
improvement of health care in the border region.

All project partners will be involved in this activity.

Indicative Budget: 481.800,00 + 124.000,00 + 501.800,00

Deliverable: Target Delivery month

1 CT scanner value (MM.YYYY)
1 Set of material for isolation 13
1 Passenger car
D 3.n.1 2 sets of MPD equipment
3 Ultrasound system sets
1 EMG
1 EEG
3 sets of IT equipment

Activity Activity title: Mobile Prevention Diagnostic Start month End month
3.5 04/2017 12/2018

Activity description:
The successful implementation of the projects goals will result in a system that will
provide higher quality health care for population living in remote areas, and for those for
whom mobility presents a problem; people living with handicap and disabilities, children,
elderly and Roma population who tend to use the services of health care providers less
often because of the travel costs. Distance-diagnosis will have a highly valuable effect on
these segments of the population, considering the fact that it can be difficult to travel and
visit different health care providers for various reasons: Physical limitations / handicap,
cost, lack of supervision, time, etc. System of Mobile Preventive Diagnostic (MPD) will
directly contribute to the solving of these issues.
Around 1000 people will be visited by Mobile Prevention Diagnostic teams, in rural areas in
South Banat and Podunavski region. Measuring of height, weight, blood pressure and blood
sampling will be part of the medical examination, organized on the field, in the premises of
village ambulance or local community centers. These bases checks will be indicators of
potential Stroke risk. Our teams will create database and risk group will be sent for further
tests and diagnostics.

Indicative Budget: 24.000,00

Deliverable: Target Delivery month

D 3.n.1 1000 mobile teams visits value 12/2018
1000

Activity Activity title: Neurological Researching Start month End month

3.6 01/2017 12/2018

Activity description:
Clinical research into stroke takes place at every stage along the stroke patient pathway
from prevention, to treatment and rehabilitation. Clinical studies also take place in diverse
settings from specialist hospital units, to community rehabilitation centers and in patients
homes.
Our team of researchers will support a wide range of research including:
Studies looking at the causes of strokes and medical interventions to prevent

69
 secondary strokes
Studies looking at the prevention of cognitive decline and research into the
different types of strokes
Studies involving devices to help increase blood flow, removes clots, stimulate
nerves and rehabilitation tools
Studies into the rehabilitation and ongoing care for patients
Statistical analysis of the patients enrolled in the study
Report on results of patients' follow-up
Monitoring ethical issues in the project
Periodic reports on project progress
Supporting all participants to overcome scientific difficulties

B2 is responsible for this action. However, all results achieved through researches will be
presented and consulted with other project team members, during Round tables, but also
due regular project team meetings.

Indicative Budget: 36.000,00 (salaries of B2 project team

members 5 Researchers)

Deliverable: min 5 scientific articles, 5 protocols Target Delivery month

D 3.n.1 value 12/2018
5

(Multiply the rows to correspond the number of activities. Each activity must have at least one deliverable)

WP Nr Investment title WP start month WP end month WP budget

Revitalization of health
4 09/2017 03/2018 280.000,00
facilities in Smederevo

Involved partners Lead Beneficiary/ Partner 1/ Partner x

Summary The facilities of the old building of psychiatric ward of the

Summary description and
objectives of the work
package including explanation
of how will partners be
involved.
hospital in Smederevo has monumental characteristics, rope
previous protection and is covered by the Plan of protection
of immovable cultural property. Given the duration and
purpose of the object, the original visual art and architecture
of the building were preserved to a large extent. For many
years, it is thoroughly invested in the protection of the
building in terms of moisture protection and maintenance.
For the functioning of the General Hospital Sveti Luka,
Psychiatry Department with a completely new concept of
the organization, it is necessary to define the organizational
space in accordance with the requirements of the service. The
object should be recovered from the harmful effects of
moisture and consolidate the structural system in its entirety.
Therefore, it should be necessary to reparation and
revitalization of the facades in accordance with their original

70
 properties and architectural values.
On the property, in its entirety, notice the effects of the
harmful effects of moisture on the facade and partition walls.
The mortar was fallen in parts of the plinth from the outside
of the building, and in parts of the interior walls, observes the
penetration of moisture to and in some walls up to 1.5m in
height. In one wing of the building recently was performed
routine maintenance, so there was no noticeable influence of
moisture, which is only camouflaged.
The existing floors are made of ceramic, most damaged and
must be replaced with ceramics of good quality, including
compliance with regulations for energy efficiency for the
building.
External joinery is largely outdated and should be replaced
with new PVC windows with blinds against the sun. The
position, dimensions and geometric layout window cannot be
changed.
The interior woodwork is also worn out and need to be
replaced by wood and dividing elements that were great
height, should be shortened to the height of the ceiling to be
defined in accordance with the possibility of space.
The roof is designed as a polygonal roof structure of a chair
and is in good condition, so you should plan only partial
replacement of wooden structural elements. The roof is made
double plain roof tiles, to be entirely changed.
Anticipate making plaster suspended ceilings to hide the new
heating and electrical installations. Improved thermal
insulation in construction should be done in accordance with
the Energy Efficiency.

Justification
Explain the need for investment to achieve project objectives and results.
Describe clearly the cross-border relevance of the investment.
Describe who is benefiting (e.g. partners, regions, end-users etc.) from this investment and in what
way.
In case of pilot investment, please clarify which problem it tackles, which findings you expect from
it, how it can be replicated and how the experience coming from it will be used for the benefit of the
programme area.

Every citizen has the right to health care worthy of man. The basic condition for this
is the provision of health services in the appropriate space. If the conditions in a
medical institution such that further jeopardize the health of patients, it is clear that
such a situation must be changed.

The project is in line with Programme priority specific objective 1.2: To enhance the
potential of the programme area for an inclusive growth, based on the improvement of
71
 quality of life to all residents on the two sides of the border through joint cross border
actions for the access to modern and efficient health care services, social services,
services supporting access to primary education.
Our project is directly linked with the Programme result indicator: (quotation, Applicants
Guide, Corrigendum of December 1, page 14):
Population experiencing access to improved basic services in health care and
education. Innovative, high quality services permanently created and available in
marginal areas, preventive care, cultural activities and services, sport activities, the
part which is dedicated to the medical and social services.

Through our project we are generating theoretical research, with prevention and
faster reaction in situation of Stroke, for which is necessary to have adequate working
space, and modern equipment. Both issues we are solving through this project, which is in
line with Programme output indicator: Investment in health care and social services
infrastructure.

At least 200.000 people from border region will benefited from this activity, by
using health care services in revitalized health facility.

Location of the investment

Location of the physical investment; if possible a concrete District/ County
address where the investment will take place
Podunavski District, Serbia
Smederevo, Kneza Mihajla Street, number
51
Risks associated with the investment
Description of the risks associated with the investment, go/no-go decisions, etc. (if any)

n/a

Investment documentation
Please list all technical requirements and permissions (e.g. building permits) required for the
investment according to the respective national legislation. In case they are already available attach
them to this application form, otherwise indicate when do you expect them to be available.

At this moment, we possess Main project design. All necessary permits we could provide
as soon as we get confirmation of the financing of the project.

Ownership/ right under the real property law

Who owns/ has a right under the real property law the site where the investment is located?
Who will retain ownership/ the right under the real property law of the investment at the end of the
project?
Who will take care of maintenance of the investment? How will this be done?

General Hospital Sveti Luka is the owner of the property.

Please describe project main outputs that will be delivered based on the activities carried out in this
work package. For each project main output a programme output indicator should be chosen. Please
note that they need to have the same measurement unit.

72
 Project main output Describe your project Quantify Deliver Choose a
main output your y programme output
contribution month indicator to which
(Number) the project main
output will
contribute

Revitalization Investment in
of the facilities
health care and
of Through the investment in health 07/2017
Output 1 Neurological care infrastructure, health facility 1 social services
Department of in Smederevo will be revitalized 07/2018 infrastructure.
Sveti Luka
Hospital

Three health Through the investment in health Investment in

care care infrastructure, 3 health care
Output 2 institutions will be equipped with 3 01/2018
health care and
institutions the modern equipment for
equipped prevention, diagnostic and
social services
treatment of Stroke infrastructure.
Target groups involvement

Who will use the main outputs delivered in this Direct beneficiaries:
work package (select from the target groups
already defined)?
Stroke (AVC) and Atherosclerosis
patients in border region
(23.000 people)

Risk groups for Stroke and

Atherosclerosis in border region
(200.000 people)

Indirect beneficiaries:

Medical experts and medical workers

in border region
(1.200 people)

Medical students in both countries

(2.200 people)

How will you involve target groups (and other Lack of information on new methods of
stakeholders) in the development of the project
prevention and diagnostic of neurological
main outputs?
disorders, long waiting lists for
examinations and treatment, lack of
adequate facilities and outdated
equipment, will attract members of the
target group to participate in the project,
because in a direct way contribute to their
personal health.
On the other hand, experts we planned to
73
 involve into the project, will gladly accept
to upgrade their knowledge and share
experiences with other colleagues.

Local authorities will gladly support this

kind of the project, as the stakeholders.

Durability and transferability of main outputs delivered in this work package

How will the project main outputs be further used After the finishing of project
once the project has been finalised?
implementation, project beneficiaries will
Please describe concrete measures (including e.g. ensure lasting effects beyond the project
institutional structures, financial sources etc) taken
during and after project implementation to ensure duration on several ways:
the durability of the project main outputs. - Victor Babes University of
If relevant, please explain who will be responsible Medicine and Pharmacy,
and/or the owner of the output. Timisoara will continue with
NB. Take note of rules governing ownership of researches and development of
outputs linked to investments (items of new scientific documents,
infrastructure) in line with Art 71 CPR.
protocols and technics. Results will
be shared with their project
partners.
- Special Hospital for Psychiatric
diseases Dr Slavoljub
Bakalovic Vrsac will continue to
use new equipment in every-day
work, and to continue to practice
MPD (Mobile Prevention
Diagnostic) in Vrsac Municipality,
but also in the whole South Banat
region.
- General Hospital Sveti Luka,
Psychiatry Department,
Smederevo will also continuously
use newly provided equipment in
the revitalized building, and
continue with MPD (Mobile
Prevention Diagnostic) in the
whole Podunavski region. Also,
after developing of Cooperation e-
health platform, cooperation with
project partners will be continued,
but also with other medical centers
with the same type of software
solutions.
- All three project partners will
transfer their newly gained
knowledge and skills with
professional medical public

74

How will the project ensure that the project
outputs are applicable and replicable by other
organisations/regions/countries outside of the
current partnership?
Please describe to what extent it will be possible to
transfer the outputs to other
organisations/regions/countries outside of the current
partnership.
75
(detailed under the point C.2.4)
Financially, each partner will be
responsible for continuation of the
activities that came out of the project,
and they will be the owners of the
achieved results and responsible for
their sustainability.
Having in mind the technical aspect of the
project, concretely medical expertise, the
project team opted for a dual approach
of promoting the project activities and
results. The project will be presented in
one way to the professional public
outside of the current partnership
(medical professionals, medical
professors and students, neurologists,
psychiatrists, etc.), and a completely
different type of promotion will be
organized for the general public, in order
to transfer outputs and results and to
enable replication.
Approach 1:
In order to enable usage of results
achieved through our project, as a part of
our projects activities, we will organize
several scientific meetings (round
tables, seminars, discussions, etc) which
will be intended for the professional
public. It will be the opportunity to
inform our colleagues from other
institutions, in and/or outside border
region about the achievement of our
project team, so as to offer the
possibilities of delivering, replication
and continuing of activities started
through the project in their environments.
That will be also the opportunity for
new partnership and new projects, in
other regions and countries. However, by
using of Cooperation e-health platform,
we could transfer results of our works,
but also to involve other medical and
research institutions into a direct
cooperation with our project team.
Approach 2:
By organizing promotion through mass
 media, we will try to inform, but also to
warn wider public about the risks of
the Stroke and similar neurological
diseases. Flyers, brochures, info movie,
awareness campaign, lectures organized
especially in rural areas, will be the tools
for spreading out necessary information,
clear and understandably to a wider
public. In cooperation with our
colleagues from other health
institutions, we will share our practice
and present the results to the patients,
members of the risk groups, but also to
healthy citizens outside the area
covered by our project, in order to
inform them about new approaches in the
Stroke management, but also necessity of
prevention.

Please describe activities and deliverables within the work package.

Activity title: Revitalization of health facilities in Start month End month

09/2017 03/2018
Smederevo
Activity description:
he existing condition of the building:
The building has monumental characteristics, rope previous protection and is covered by
the Protection plan of immovable cultural property. Given the duration and purpose of the
object, original visual art and architecture of the building were preserved to a large
extent. For many years, it invested in a constructive care facility in terms of protection
from moisture so that in terms of static stability support structure should make certain
Activity expert scrutiny.
8.1 The concept of adaptation and restoration:
The object should be recovered from the harmful effects of moisture and consolidate
structural system in its entirety. Therefore, it should be necessary to repair and
revitalization the facades in accordance with their original properties and architectural
values.
It is necessary to do the following: revitalization of the facade and protection from
moisture; works on lowering the ceiling; work on floor coverings; works on the walls of the
processing; replacement joinery; roof repairs; heating equipment; plumbing and sewage;
protection from weather conditions; energy efficiency

Indicative Budget: 280.000,00

Deliverable: 1 health care facility revitalized Target value Delivery

D 8.1.1 month 03/2018

76
 C.6 Activities outside the programme area1

If applicable, please list activities to be carried out outside the programme area. Describe how these
activities will benefit the programme area.

N/A

Total budget of activities to be carried out outside the programme area EUR

IPA outside the programme area EUR

% of total IPA Max. 20% at project and

programme level

C.7 Indicative time plan

Period 1 Period 2 Period Period 4 Period 5 Period 6 Period 7 Period 8

3

Work
packa
M M M M M M M M M M M M M M M
ges M M M M M M M M M
1 1 1 1 1 1 1 1 1 1 2 2 2 2 2
and 1 2 3 4 5 6 7 8 9
0 1 2 3 4 5 6 7 8 9 0 1 2 3 4
activi
ties

WP 1
Proje
ct
Mana
geme
nt

A 1.1
Proje
ct
team
meeti
ngs

A 1.2
JSC
meeti
ngs

A1.3
Decisi

1
All activities to be carried out outside eligible area should be described. In line with Art 44, para. 2 of Regulation 447/2014, the
benefits of any activity carried out outside the programme area need to be justified.

77
on
makin
g,
monit
orin,
evalu
ation,
suppo
rting
act.

WP 2
Com
munic
ation

A 2.1
Awar
eness
camp
aign

A 2.2
Info
days

A 2.3
Creati
on
and
broad
castin
g of
info
movie

A 2.4
Prom
o
confe
rence
s

A 2.5
Web
page

A 2.6
Prom
o
mater
ial

WP 3
Imple
ment
ation

A 3.1
Round

78
tables

A 3.2
Book
Vasc
ular
cognit
ive
impai
rment

A 3.3
Coope
ration
e-
healt
h
platfo
rm

A3.4
Equip
ping
of
healt
h
care
Instit
utions

A 3.5
MPD

A 3.6
Neuro
logica
l
resea
rch

WP 4
Invest
ment

A 4.1
Revit
alizat
ion of
healt
h
facilit
ies in
Smed
erevo

79