Together we can beat cancer

The project ensures the improvement of health-care services for early diagnosis of cancer and innovative treatment in four hospitals in Timișoara, Drobeta-Turnu Severin, Kladovo and Veliko Gradište for the benefit of the population in the Timiș -Mehedinți - Bor - Braničevo - South Banat area in an integrated and inclusive approach. The specific objective of the project: 1.- Improving the health-care infrastructure for cancer diagnosis and treatment of the Emergency Municipal Clinical Hospital Timișoara, County Emergency Hospital Drobeta Turnu Severin, Kladovo Health Care Center and Veliko Gradište Health Center. 2.- Improving the access of the population in the Romanian-Serbian border region to quality medical services for early diagnosis of cancer and to innovative methods of treating cancerous diseases. More specifically, the project aims to equip four hospitals from Romania and Serbia with state-of-the-art medical equipment and specific consumables to better detect and treat cancer, with focus on ovarian cancer, other genito-breast and uro-genital cancers, colorectal cancer, appendix cancer, gastric cancer. Also, 2 oncological centres will be set up in Timișoara-LP1 and Kladovo-PP2 and the patients will be treated through innovative methods. Also, an e-learning and telemedicine system will be set up to connect the project partners and improve the quality of the medical act, workshops and forums and a study on the frequency of cancer in the area of the project. The activities of the project will contribute to the creation of a medical community of support and exchange of experience between the professionals of the hospitals from the border region that will continue to function even after the implementation of this project. The results of the project lead to the improvement of the medical act in the partner hospitals, which in the long run will lead to the decrease of the cancer mortality rate in the region targeted by the project.

In this reporting period, we carried out the following activities: - an announcement was posted on the website of the partner hospitals: LP1: https://www.spitalul-municipal-timisoara.ro/public/data_files/media/Proiecte%20Europene/2023/202312061501-proiect%20romania%20%20serbia-2023-12-6.pdf; - news and information about the project financing contract signing event were posted on the hospital's website. Links about the project posted on the hospital website: https://www.spitalul-municipal-timisoara.ro/proiecte-europene/together-we-beat-cancer-impreuna-putem-invingem-cancerul-rors00009-programul-interreg-ipa-romania-serbia Links with news about the financing contract signing event: https://www.doctorulzilei.ro/doua-spitale-din-romania-vor-primi-aparatura-de-ultima-generatie-pentru-tratarea-cancerului/ https://restartnews.ro/2023/10/24/nou-contract-pentru-dotarea-spitalului-judetean-de-urgenta-drobeta-turnu-severin-cu-echipamente-medicale/ https://www.fonduri-structurale.ro/stiri/32509/mdlpa-contract-semnat-pentru-imbunatatirea-accesului-populatiei-din-regiunea-de-frontiera-romano-sarba-la-servicii-medicale-de-calitate-pentru-diagnosticul-precoce-al-cancerului https://www.spitalul-municipal-timisoara.ro/birou-presa/cariere-proiecte-europene/anunt-recrutare-si-selectie-personal-proiect-rors-onco-team-responsabil-achizitii-2023-11-20 PP2: http://www.zckladovo.co.rs/preuzimanje/upustva/Magnet%20Rumuni%20-%20Misa.docx PP3- an announcement announcing the start of the project was posted on the website;http://dzvg.rs/ - news and information about the project financing contract signing event were posted on the website;http://dzvg.rs/informacije/u-bukureshtu-potpisan-ugovor-o-finansiranu-prekogranichnog-projekta-zajedno-mozhemo-pobediti-rak/ PP4: - https://spitjudseverin.ro/wp-content/uploads/2024/01/Proiect-RORS00009.pdf - https://www.doctorulzilei.ro/doua-spitale-din-romania-vor-primi-aparatura-de-ultima-generatie-pentru-tratarea-cancerului/ - https://restartnews.ro/2023/10/24/nou-contract-pentru-dotarea-spitalului-judetean-de-urgenta-drobeta-turnu-severin-cu-echipamente-medicale/ - https://www.fonduri-structurale.ro/stiri/32509/mdlpa-contract-semnat-pentru-imbunatatirea-accesului-populatiei-din-regiunea-de-frontiera-romano-sarba-la-servicii-medicale-de-calitate-pentru-diagnosticul-precoce-al-cancerului -the project manager and the medical coordinator nominated by the decision were employed in the project with an addendum to the individual employment contract; - communicated with the partners for the project employment of team members for each partner: partner coordinator, financial manager and procurement manager. The medical experts will be hired after the purchase of the medical equipment is completed; - because the procurement responsible appointed by the decision is involved in other activities, a competition was organized to occupy this position; -the financial officer checked the accounts of the partners and sent the amounts for the advance and the preparation expenses of the project; - the financial officer (PP3) checked the account of the project for the advance; -making the need report and sending it to the hospital management for the purchase of IT equipment provided in the project budget: laptops and multifunctional printer; -making the need report and sending it to the hospital management for the purchase of medical equipment provided in the project budget: laparoscopy tower and equipment for the detection of the sentinel lymph node, heating device for cytostatics - HIPEC, ligasure, mobil equipment for the detection of genito-breast cancer; - realization of the specifications for the medical equipment: LP1-laparoscopy tower and equipment for the detection of the sentinel lymph node, heating device for cytostatics - HIPEC, ligasure; - realization of the specifications for the procurement of mammogram -PP3; -in accordance with Article 8 of the Partnership agreement, concluded between the partners involved in the project implementation, for the project „Together we can beat cancer”, the project leader established the Joint Steering Committee.The following persons are part of the Joint Steering Committee: 1. Dr. Mihai Băcilă - Emergency Municipal Clinical Hospital Timisoara –LP /Project manager 2. Dr. Maria-Olimpia Oprea - Emergency Municipal Clinical Hospital Timisoara-LP /Project medical coordinator 3. Dr. Dejan Čučulanović, Director - Kladovo Health Care Center- PP2/Partner coordinator PP2 4. Dr. Ljiljana Stevanovic, Director - Veliko Gradište Health Care Center-PP3 /Partner coordinator PP3 5. Elena Bololoi, Director of care - County Emergency Hospital Drobeta Turnu Severin-PP4 /Partner coordinator PP4. The Joint Steering Committee of the Project, is made up of representatives of all partners, shall supervise the proper implementation of the project and perform any other tasks stipulated in the rules of procedure for this committee. As part of the project's information and communication activity, the project's opening conference was organized by the project leader. At the launch conference organized by the external services on April 18, 2024 in Timisoara, the following were ensured: -renting a conference room for 50 people - 4 hours -supply of water, coffee and pastries upon registration to the conference -providing a food buffet at the end of the conference -translation services. 60 people participated in the conference. The following visibility materials were purchased: - flyers = 2.000 pcs - roll-up = 2 pcs - A3 posters = 20 pcs - sets of A4 folders = 275 sets - laptop bags=75 pcs - promotional bags=200 pcs - memory stick - 275 pcs - portable battery=75 pcs - umbrella=275 pcs - press release = 1 pc - press article = 1 pc Informative materials on the project, its objectives and expected results were developed and disseminated. Some of these materials were disseminated at the project launch conference. There was information for the general public about the project on the websites of the partner hospitals, news published in the press about the signing of the financing contract. The population of the border region and beyond was informed of the benefits that this project will bring. A press conference was organized and several press articles were written about the project. On 18.04.2024, a meeting of the project team took place in Timisoara. Representatives of all project partners participated.Topics discussed during the meeting: -the achieved indicators were analyzed and discussions took place regarding the involvement of the project team in carrying out the activities and the fulfillment of the indicators according to the Application Form; -there were discussions regarding the modification of some medical equipment provided in the project budget. An Addendum to the project will be made. The procurement procedure for the following medical equipment has been started: laparoscopy system, heating device for cytostatics (HIPEC equipment), ligasure. The technical specifications for the Mobil equipment for the detection of genito-breast cancer mobile unit were made. IT equipment was purchased (laptop- 7 pieces, 1 multifunctional printer). The Notification no. 1 by which the change of the person appointed by the decision for the function of Radiology and medical imaging expert in the team of the project leader was requested. It was also requested to establish a position of Target group responsible for LP1. PP2 During this period, the legal representative and some team members participated in the project launch conference in Timisoara. Documents were prepared for making purchases. PP3 During this reporting period, the partner prepared a public procurement plan and prepared procurements, with a special emphasis on the procurement of mammograms. Preparations have been made for procurement and procurement of mammograms, whose expectations will be announced in the first week of June. Members of the project team were often at the Open Conference in Timisoara. Material is also being prepared for the purposes of preparing promotional material, constant consultation with partners is carried out. PP4 During the reporting period, Drobeta Turnu Severin County Emergency Hospital prepared part of the documentation necessary to launch the procedure for purchasing medical equipment and participated in the Conference dedicated to the launch of the project. Also during this period, the representatives of the Hospital participated in a meeting where several aspects regarding the development of the project were analyzed and discussed, after which the Minute dated 18.04.2024 was concluded. LP: During the reporting period, the contact with the project partners was permanently maintained, in order to prepare the reports and specifications for the start of the purchases. The reports for starting the acquisitions for the organization of workshops and forums were elaborated. It was also discussed with the partners about the submission of an additional act to modify the financing request, with the aim of purchasing new equipment that is much more useful in carrying out the activities within the project. In this sense, a new list of equipment was established, both from the LP side and from the partners side. During the reporting period, the recruitment and selection procedure was organized for the positions of assistant project manager, reporting manager, target group manager, communication manager and financial manager, and starting on June 21, 2024, the LP project team expanded with new colleagues. The position of communication manager remained vacant following the recruitment and selection procedure. During the reporting period, the purchase procedure for the Ultra HD 3D / 4K laparoscopy system and Medical equipment for cytostatic heating was completed and these were delivered to the LP headquarters. During the reporting period, the project and its medical activities were promoted, leaflets/flyers with information about the project being distributed in the obstetrics-gynecology clinic and in the medical caravans organized in Timis County by the medical coordinator of the project. On 18.07.2024, the project manager, the medical coordinator, the financial manager and the procurement manager participated in a meeting organized within the BRCT in order to discuss the payment situation within the project and the estimated payment periods. Two meetings of the project team were held. The first meeting took place on 07/08/2024 and had as its main purpose the discussion of the activities within the project considering the expansion of the project team. The second meeting of the project team took place on 19.07.2024 and had the purpose of unblocking the purchases within the project, considering the need to purchase new equipment that is much more necessary in the development of the project's activities, the submission of an additional act of the modification of the financing request and the commissioning and payment of the equipment at the end of the period 5. P1: During the reporting period, we maintained contact with the project leader and project partners in order to organize the activities within the project. Also, there were constant discussions regarding the submission of the additional act no. 1 and the necessary documents. There were discussions related to the acquisition of information and communication services. The activities for the development of the Regional Oncological center are underway, and an additional act will be submitted for the purchase of new equipment for the center's equipment. There were discussions regarding the start of the preparation of the necessary documents for the purchase of the services necessary for the organization of the workshops and forums provided for in the project. P2: During this reporting period, the project team prepared descriptions for the needs of procurement and implemented the public procurement procedure for the procurement of mammograms. He was in regular communication with other partners and prepared data for upcoming activities: preparation of promotional material, organization of events, updating the database of mapped patients, etc. P3: During this period, Drobeta Turnu Severin County Emergency Hospital completed the procurement procedure and the contracts were also signed for LOT 1 - 4K 3D SYSTEM FOR LAPAROSCOPIC SURGERY, LOT - 2 ULTRASOUND DEVICE (USCOGRAPH), as well as for VISIBILITY SERVICES / PROJECT ADVERTISING. For Lot 1, the equipment was delivered, installed and the related invoice was issued, which will be paid in the next period. PP4 SJUDTS initiated and completed during the previous reporting periods the procurement procedure for 3D / 4K laparoscopy system and ultrasound machine (ultrasound), these being delivered to the hospital headquarters and put into operation. For the 3D / 4K laparoscopy system, the commissioning and training of the staff was carried out and the equipment was paid to the supplier. The new equipment contributes to the modernization of some key health care departments within the hospital, namely the oncology surgery department. This equipment is extremely important for the diagnosis and surgical treatment of cancers. This equipment is very important for oncology patients in the border region who are part of the target group. During the reporting period, PP4 was permanently maintained the contact with the project partners , in order to organize the following events and discuss the situations that arose during the implementation of the project. During the reporting period, the project and its medical activities were promoted by PP4 within the project. During this period, based on the service contract and the issued invoice, the ultrasound machine purchased through the project was received and put into operation. It is used in the current medical activity of the hospital, being of real use to the population served in the County Emergency Hospital Drobeta Turnu Severin. During the reporting period, the equipment was paid for. Also, based on the service contract and the invoice issued by the supplier, the services of creating/editing/printing visibility materials were received and paid for. LP 1- During the reporting period, constant contact was maintained with the project partners, in order to prepare reports and specifications for the start of the acquisitions. During this period for LP1, training was carried out for the cytostatic heating device, in which doctors from the obstetrics-gynecology and oncology departments participated. During the period , there were discussions with the doctors of the P4 partner about the eligibility of the patients under observation for the HIPEC intervention. During this period, the laparoscopy tower purchased within the project was also used in the current activity, performing over 30 laparoscopic interventions. On 11.09. 2024, the Radio Romania radio station broadcasted information regarding the project, with an emphasis on the HIPEC equipment, in the program Actualități The program "Bună dimineața, România!" The broadcast highlighted the importance of treating oncological patients with a high-performance cytostatic heating equipment, the only one of its kind in a public hospital in Romania. On 17.09.2024, a project meeting was held to discuss aspects related to the development of the e- Learning platform. The objective of the platform, its functions, its users and the access method were discussed. On 01.10.2024, the LP project team traveled to Kladovo for a meeting with the P3 partner. During the management meeting, discussions took place about the additional act amending the submitted funding application, the changes made by it, the equipment to be purchased after the approval of the additional act and their specifications. The need to expedite the acquisition of HIPEC equipment and the submission of partner reports was also discussed. The partner PP2 ZCK during the reported period have made the aquisition plan actualized. The partner PP3 DZVG during the fourth reporting period, work was carried out on the implementation of the contract for the procurement of mammograms, as well as on the preparation of other procurements and the preparation of activities for the organization of the forum. Activities were also initiated to prepare for preventive mammography examinations. During the reporting period, constant contact was maintained with the project partners, in order to prepare reports and specifications for the start of the acquisitions. In this period the procurement of event organization services was launched and finalized. The project report 4.1 was submited . LP -On 6.11.2024 a working meeting was held with TEAMDEV DIGITAL IDEA SRL, the winner of the eLearning and telemedicine platform.They discussed the architecture and the current status of the design and development of the eLearning platform, the functioning of the authentication mode, the management module, the access to images and the access to the hospital server. On 7.11.2024 was uploaded notification no.4 for updating the structure of human resources and composition of the management team for PP4. On 8.11.2024 a meeting of the project team members took place with the hospital manager and the medical director to discuss the status of the project and its implementation and to find solutions regarding procurement, the upcoming work and the involvement of medical experts in HIPEC interventions. On 15.11.2024 a management team meeting was held with PP2 partners from Kladovo and PP3 Veliko Gradiste. Representatives of the e-Learning platform company as well as colleagues from the IT department attended the meeting, where they discussed the project activities as well as the joint development of the IT and telemedicine platform. Following the purchase of the HIPEC equipment, on 23.01.2025 the first intervention with this device took place, with the medical experts from the project team participating. PP3 DZVG -During this reporting period, the activity of purchasing mammograms was implemented, thus implementing the activity of purchasing medical equipment. According to the plan and program, the activity was implemented on time. In addition to this activity, other procurements were prepared and preparations for organizing events within the project began. PP4 SJUDTS -In this period the procurement of event organization services was launched and finalized. In this period the documents for the notification no 4 was made and sent to the LP.In 7.11.2024 was uploaded notification no.4 for updating the structure of human resources an composition of the management team . During the reporting period, constant contact was maintained with the project partners, in order to prepare reports and specifications for the start of the acquisitions. During the reporting period, Notifications no. 5 and 6 were submitted, as well as all the steps were taken for the submission and signing of the addendum no. 2 to the financing contract, in order to modify the budget by removing the MRI and replacing it with other equipment. During this period the partner report no. 5. Consolidated reports no 5 and no. 6 were also submitted. Procurement for medical equipment and medical instruments has been launched. The contract for the acquisition of event organization was signed and in 13 March was organized the first workshop from project. On March 13th a meeting of the project partners took place to discuss the state of implementation of the project, the status of procurement and the situation of payments at the mid-term of the implementation period.