Development of Network to Improve Health Status of Population (DENIM)

Programme 2021 - 2027 Interreg VI-A Romania-Hungary

Date of latest update: 2025-09-24

Description

Description (EN):

As a cross-border initiative implemented by RO and HU partner organizations, DENIM in the long term aims to improve the quality of life of the population in the cross-border area, strengthen synergies between RO and HU healthcare systems and in the long term support territorial cohesion. The project will focus on developing a territorial health evidence base, collaboration and sharing of data, and approaches to data-driven decision-making which can facilitate future planning for healthcare systems in the crossborder region. It will draw on practice associated with the development of multilevel collaboration spaces in border regions which are focused on resilient crossborder healthcare systems. It will be guided by the priorities set out in the State of Health in the EU report, 2023 (ADD reference) which include earlier intervention and health improvement, improved access and more resilient healthcare systems. In the post COVID era both RO and HU are facing challenges that need to be addressed with complex tools. Although life expectancy in both countries have improved slightly, the health status of the population is deteriorating. Additionally Békés and Arad counties are both characterized by long-term negative demographic tendencies caused by migration and low birth rates. With aging population pressure on the healthcare systems becomes permanent. In the meantime analysis show that access to services and especially healthcare services – a major aspect of territorial competitiveness – in Arad and Békés county are issues which need to be equally addressed on both sides of the border. Joint development of the infrastructure of local services is of key importance to slow depopulation of the region and in the meantime improve quality of life of the population. In preliminary preparatory meetings specific needs addressed by the project have been identified. The project partners have agreed that greater sharing of services and resources (such as data) in the cross-border region and to intensify the cooperation between citizens and institutions are crucial for improving the efficiency of health systems. Also the fact that that people living in remote border areas and in places further away from dense population centres in RO and HU have limited access to high level health care services, has been identified as major problem. Further to this the need to investigate the possibilities of different aspects of integration between healthcare systems has also been formulated. Additionally – on the basis of statistical data available –need for improvement of population’s awareness has been identified as key problem. The partnership implementing the project was formed in such a way that appropriate competences are available to solve the problems presented above. Partners have relevant organizational experience to tackle the issues raised from both administrative and legislative perspective (Arad County Council and Békés County Council) as well as professional aspect (Békés County Central Hospital, Dr. László Elek Hospital and Medical Centre). As it will be presented in the AF, the organizations involved also have the necessary human capacities to achieve the project’s overall objective. Focusing on the improvement of quality of life of local population and the development of the health service available in the region, the project partners will implement a diverse range of joint interventions. The overall objective –„Identification and exploitation of possible synergies of the healthcare systems in the cross-border region through the implementation of complex set of tools”– shall be achieved through a diverse set of interventions designed in the framework of 5 WPs: earlier intervention and prevention for key patient groups (WP3); delivering improved healthcare infrastructure in the cross border region (WP2); quality improvement of clinical care based on exchange of best practice across the border region; creation of cross-border healthcare co-operation networks to sustain and promote resilience of the region’s healthcare system on a middle and longer-term basis (WP1) and identification of new ways of integration of the HU and RO health care systems through pilot actions (WP4). During project implementation these activities will be supported by complex management activity (WP5). Although focusing on the population of the cross-border area with its activities (general improvement of health care infrastructure), primary target groups of the project include age group between 40-65 years (people with high risk of cancer), youth age group (prevention activities) and other groups of population with high risk of diabetes and cardiovascular diseases (awareness raising activities). Beside NGOs, educational institutions, decision makers, hospitals, clinical experts and public authorities may also be identified as target groups (exchange of best practice across the border; creation of cross-border healthcare co-operation networks).

Expected Achievements (EN):

The WP focuses on the communication & dissemination of the project's activities & achieved results, including means of internal & external communication. The SO also aims to deepen the partnership and expand it with new partners through the application of a complex set of tools. A Comm. and Dissemination Strategy (CDS) is developed that outlines the objectives, key messages, communication channels, target audiences, timelines and mechanisms for evaluating the effectiveness of channels and activities. Online comm. materials, short videos, workshops & seminars are kept will share best practices with other stakeholders which will contribute to the wide transfer of project results. Networking activities aim to gather stakeholders & sharing info with communities in the CB area as well as sharing best practices & knowledge with stakeholders in different levels of the health care system. Primary target groups of the SO are management members, groups of stakeholders, external experts. Currently the building infrastructure and the quality of the equipments fail to fully meet today's regulations and standards. In order to ensure equal access to quality health services, and improve in the long-term the health status of the population, the infrastructural background of the healthcare provider institutions must also be developed. The SO of the WP focuses on the development of the infrustructure of the cross-border patient care system to improve patients’ access to quality healthcare services. Activities supporting the SO include procurement of equipments, devices in Arad, Romania (PP4) and Hungary (Orosháza, Békéscsaba, Gyula: PP2 and PP3) as well as development of building infrastructure required to improve the efficiency of health service available in the cross-border area with a special focus on the treatment of cancer, and chronic and internal medicine care primary causes of death in the region (PP2 and PP3). The WP also focuses on sharing best practises by partners. In the long term the SO aims to contribute to the improvement of the health status of the cross-border regional patient population through health promotion and strengthening health prevention. The WP’s awareness raising activities could contribute to earlier intervention and prevention for key patient groups (with focus on 40-65 age group, and young people); By highlighting health issues such as the importance of healthy nutrition, health risks related to consumption of alcohol, smoking, bad eating habits, etc. the WP supports health awareness. The novelty of the project is the cross-border health network we aim at creating, as the project envisions the development of a robust one that can serve as a model for future and initiatives in the broader EU context. Activities of the WP include awareness raising campaigns designed for specific target groups (women, youth, children, romas etc) of the public, as well as workshops and communication activities targeting experts in the field. The SO’s focus is on the innovative aspect of the development of health services in the cross-border area with strong contribution to the development of innovative approaches based on the 9 Pillars of Integrated Care. The WP seeks to explore potentials in the application of AI in data management and management of integrated care sytems. Through joint development of community focused integrated care models and telemedicina services as pilot action(s) the activities support equal access of patients to quality health care. Aiming to improve efficiency and long term sustainability, the WP supports high-level integrated co-operation among OSIs with a focus on the development of a co-operation framework. Special focus is sentenced to the identification of new ways of integration of the HU and RO health care systems. Target groups of the WP include project partner organizations, experts of these organizations, other institutions joining the test phase of the pilot action(s) and other OSIs. The WP aims to develop and maintain a comprehensive management structure capable of the effective implementation of the project. Activities foreseen in the WP include definition of workflow, build up of the three-level joint project team (as described as Activity 5.1.) and continuous monitoring of project activities, besides reporting. Staff members assigned by all partners will include internal and external experts responsible for the effective implementation of professional activities, coordination of the partnership, implementation of communication activities and preparation of financial documents. External experts supporting efficiant operative work of management, including public procurements will be involved. Primary target groups of the activities supporting the SO are members of management, external experts and representatives of JS. Communication activities also focus on the needs of patients.

Project outputs: Participations in joint actions(EN)
Strategies and action plans(EN)
Organizations sharing best practise and experience(EN)
Participations in community planning event(EN)
Participations in community planning event(EN)
Documents supporting common understanding of integration of healthcare systems(EN)
Digital solutions to improve cross-border regional health and population health(EN)
Participations in joint actions(EN)

Thematic information

Health and social services Institutional cooperation and cooperation networks Knowledge and technology transfer

Priority: (VI-A_RO-HU_P2) Cooperation for a more social and cohesive PA between Romania and Hungary

Priority specific objective: RSO4.5. Ensuring equal access to health care and fostering resilience of health systems, including primary care, and promoting the transition from institutional to family-based and community-based care

Priority policy objective (Interreg specific objective): PO4 A more social and inclusive Europe implementing the European Pillar of Social Rights

Type of intervention: 128 Health infrastructure

Partners (4)

Lead Partner: Békés Vármegye Önkormányzata

PIC (Participant Identification Code): 931259850

Partner’s ID if not PIC: 15725053-1-04

Address: Árpád sor, 5600 Békéscsaba, Hungary

Department address: Árpád sor, 5600 Békéscsaba, Hungary

Legal status: public

Organisation type: Regional public authority

Website: http://www.bekesmegye.hu

Total budget: EUR 934 399.62

Partner’s programme co-financing: EUR 747 519.69

Partner’s programme co-financing rate: 80.00%

Partner contribution: EUR 186 879.93

Contractors:

Name: DA Environ, ANALOG Consultants
VAT registration or tax identification number: 22399834-1-06, 22159999-1-06

Unitatea Administrativ Teritorială Judeţul Arad

Name: Unitatea Administrativ Teritorială Judeţul Arad

PIC (Participant Identification Code): 891497319

Partner’s ID if not PIC: 3519941 | 3519941 | Fiscal Identification Code (EN)

Address: Corneliu Coposu, 310003 Arad, Romania

Department address: Corneliu Coposu, 310003 Arad, Romania

Legal status: public

Organisation type: Local public authority

Website: http://www.cjarad.ro

Total budget: EUR 950 000.00

Partner’s programme co-financing: EUR 760 000.00

Partner’s programme co-financing rate: 80.00%

Partner contribution: EUR 190 000.00

Békés Vármegyei Központi Kórház

Name: Békés Vármegyei Központi Kórház

Partner’s ID if not PIC: 15833954-2-04

Address: Semmelweis, 5700 Gyula, Hungary

Department address: Semmelweis, 5700 Gyula, Hungary

Legal status: public

Organisation type: Hospitals and medical centres

Website: http://www.bmkk.eu

Total budget: EUR 4 926 552.29

Partner’s programme co-financing: EUR 3 941 241.83

Partner’s programme co-financing rate: 80.00%

Partner contribution: EUR 985 310.46

Contractors:

Name: Dr. Stumpf-Csapó Ágnes
VAT registration or tax identification number: 44735698-2-24
Name: ALL-READY Kft.
VAT registration or tax identification number: 14233911-2-04
Name: Építészeti és Mérnöki Kft.
VAT registration or tax identification number: 13224082-2-04

Dr. László Elek Kórház és Rendelőintézet, Orosháza

Name: Dr. László Elek Kórház és Rendelőintézet, Orosháza

Partner’s ID if not PIC: 15346487-2-04

Address: Könd , 5900 Orosháza, Hungary

Department address: Könd , 5900 Orosháza, Hungary

Legal status: public

Organisation type: Hospitals and medical centres

Website: http://www.oroshazikorhaz.hu

Total budget: EUR 2 202 273.71

Partner’s programme co-financing: EUR 1 761 818.96

Partner’s programme co-financing rate: 80.00%

Partner contribution: EUR 440 454.75

Contractors:

Name: Építészeti és Mérnöki Mű. Kft.
VAT registration or tax identification number: 13224082-2-04
Name: ALL-READY Kft.
VAT registration or tax identification number: 14233911-2-04
Name: Dr. Stumpf-Csapó Ágnes
VAT registration or tax identification number: 44735698-2-25

Partners map

Partners and Projects info

Arad County Council

Development of Network to Improve Health Status of Population (DENIM)

Partners and Projects info

Békés County Central Hospital

Development of Network to Improve Health Status of Population (DENIM)

Partners and Projects info

Dr. László Elek Hospital and Medical Center, Orosháza

Development of Network to Improve Health Status of Population (DENIM)

Partners and Projects info

Békés County Council

Development of Network to Improve Health Status of Population (DENIM)

Lead partner

Project partner

Summary

Operation of strategic importance (OSI) or above EUR 5 million

Project name (EN): Development of Network to Improve Health Status of Population (DENIM)

Project acronym: DENIM

Project ID: ROHU00621

Project start date: 2024-12-23

Project end date: 2027-12-22

Project status: ongoing

Relevant linked projects:

European Health Union initiative (EHUi) (EN) | European Health Union initiative (EHUi) is also supported by the project’s overall objective as the initiative helps better protecting the health of EU citizens, while European Health Data Space – one of the central building blocks of EHUi – aims to improve improve healthcare delivery across the EU, by empowering people to control their health data in their home country or in other EU countries. (EN), EU strategic framework on health and safety at work 2021-2027 (EN) | As the EU strategic framework on health and safety at work 2021-2027 puts it, „globalised world, health and safety threats do not stop at borders. Countries around the world benefit from exchanging best practices and learning from each other’s experiences”. In line with this, our project includes activities aiming to improve communication between clinical institutions in the cross-border area, as well as supporting exchange of experience and best practises and also develop new forms of cooperation. (EN), EU Directive on the Rights of Patients in Cross-border Healthcare (EN) | Article 20 of the EU Directive on the Rights of Patients in Cross-border Healthcare places a legal requirement on Member States to report data to the European Commission for the purpose of monitoring cross-border patient mobility. Our project contributes to the development of monitoring tools through its pilot actions in the cross-border area to support equal access to innovative health care services. (EN), EU4Health programme (EN) | With a focus on identifying possible synergies of the healthcare systems in the cross-border region, the project’s overall objective is in line with the EU4Health programme adopted as a response to the COVID-19 pandemic reinforcing crisis preparedness in the EU, and focusing on supporting prevention, preparedness and response to cross-border health threats and reinforcing health data, digital tools and services, digital transformation of healthcare. (EN), Inter-institutional agreement by the European Parliament on establishing a European Health Data Space (EHDS) (EN) | The EHDS when in operation will empower patients to access their health data in an electronic format, including from a different member state to the one in which they live, and allow health professionals to consult their patients’ files with their consent (so-called primary use), also from other EU countries. These electronic health records (EHR) would include patient summaries, electronic prescriptions, medical imagery and laboratory results. The law will make it possible to transfer health data safely to health professionals in other EU countries (based on MyHealth@EU infrastructure), for example when citizens move to another state. It will be possible to download the health record free of charge.
Through its overall objective to strengthen synergies between the RO and HU healthcare systems DENIM project will support the development of tools and tecniques of effective datamanagement and datasharing. Our project will also contribute to the evaluation of possibilities of the integration of national healthcare systems to support equal access to healthcare services. (EN)

Total budget/expenditure: EUR 9 013 225.62

Total EU funding (amount): EUR 7 210 580.48

Total EU funding (co-financing rate): 80.00%

Co-financing sources:

ERDF: Amount, EUR 7 210 580.48. Co-financing rate, 80.00%.

Investments, deliverables, policy contributions

(bullets are inserted automatically and may be incorrectly placed)

Infrastructure investments:

I2.1 - Development of building infrastructure by PP2 - EUR 1 214 381.58 - country: Magyarország (HU), town: Orosháza, street: Könd , 59, postal_code: 5900, Dél-Alföld (HU33), Békés (HU332)
I2.2 - Development of building infrastructure by PP3 - EUR 3 270 238.82 - country: Magyarország (HU), town: Gyula, street: Semmelweis, 1., postal_code: 5700, Dél-Alföld (HU33), Békés (HU332)

Deliverables:

Project Communication and Dissemination Strategy is prepared
Project webpage and purchase of mandatory & necessary communication packages is completed (LP&PP4)
Social media platforms of the project created & operated through the whole project (Fb/Ig/X/Tik-Tok)
Opening conference in Arad is held
Closing conference in Békéscsaba is held
Prof. Networking Events for developing & expanding the partnership & transfer of good practices
Workshops supporting effective transfer of best practise (for decision makers, NGOs, etc.)
Workshops on the international best practises for the practical implementation of Integrated Care
Case study on the international best practises for the practical implementation of Integrated Care
Study tour aiming to evaluate the international best practise on Integrated Care
Development of equipments to improve the quality of healthcare services in Orosháza
Development of equipments to improve the quality of healthcare services in Békéscsaba and Gyula
Development of equipments to improve the quality of healthcare services in Arad
Preparation of technical documentation for investment activities in Orosháza
Public procurement
Refurbishment and expansion of building infrastructure in Orosháza
Preparation of technical documentation for investment activities in Gyula
Public procurement
Refurbishment and expansion of building infrastructure in PP3's site in Gyula
Development of data collection template
Territorial data analysis surveying health status
Community planning workshop with different stakeholders (NGOs, decisionmakers, clinical experts etc)
Campaign videos with local celebrities
Community events with presentations supporting change of lifestyle
Awareness raising programmes w. focus on elderly people stressing signific. of regular screenings
Prevention events focusing on elderly people
Prevention events for 2 age groups focusing on potential patients w. chronic cardiovascular diseases
Analysis of common challenges, bottlenecks and possible forms of integration of healthcare systems
Community planning workshop
Integrated care model for different target groups
Analysis of financing mechanisms for the support of the implementation of integrated care models
Analysis of limits and possibilities of application of digital solutions in the cross-border area
Development of a high-end digital solutions (eg. telemedicina) based on the findings of the analysis
Testing of the operation of the digital solutions, documentation of test results
Preparation of collaborative healthcare and population health statistical data sharing agreement
Creation of a cross-border regional health and population health improvement dashboard
Development of a cross-border multi-stakeholder population health improvement strategy
Development of a cross-border Memorandum of Understanding
Strategic papers highlighting unmet population health needs in the cross-border area
Cross-border Project implementation
forums are created and operated
Project Plans prepared, Project Management
support is externalized
Project management meeting documentations are prepared (meeting reports, presence sheets, photos)
PM and Financial reports, Progress Interim and Final Reports towards the JS/FLC are submitted
Procurement activities and infrastructural
components of the project are prepared and
started
Purchase of equipment supporting
operation of Project Implementation
Forums (LP, PP4) is acquired
Purchase of a rear wheel drive electric car
Networking and Dissemination Workshops
Project preparation activities involving
an external expertise consultancy firm

Contribution to wider strategies and policies:

TerritorialAgenda2030 The project contributes to the Territorial Agenda 2030 which addresses inequalities between places and people and advocates for a future for all places. The action aims to create a better understanding on how the policy impacts territories to design better policies that are place-sensitive and addresses the needs of communities and citizens. The project contributes to the Agenda 2030 for sustainable development with the global objectives "Health and well-being – Ensuring healthy living and promoting wellbeing for all ages".
Recognizing the need for future integration of the health systems in the cross-border region our project also supports the idea of functional regions introduced in the Agenda. In line with the overall objective aiming to support the creation of the necessary conditions for a community-based care system, the Agenda highlights the role of local and regional decision makers to strengthen cooperation on long-term place-based strategies and address sustainable functional links between neighbouring areas.
EUStrategyDanubeRegion Priority Area 10 (PA 10) of the EU Strategy for the Danube Region (EUSDR) aims at stepping up institutional capacity and cooperation. As detailed in the EUSDR Action Plan, activities of PA10 aim to facilitating the administrative cooperation of communities living in border regions. This is in line with the overall objective of our project supporting community driven planning and development of healthcare services.
Other The Regional Strategy for Development 2021-2027- West Region: The project contributes to The Regional Strategy for Development 2021-2027- West Region, Priority 2. "Inclusive access to efficient, innovative, medical patient oriented services", Specific objective "Improving the health of the population and increasing lifespan through development of an efficient and accessible medical system". This strategy notes the precarious state of healthcare units in the Romanian eligible area that concerns infrastructure, endowments and equipments.
Other Development Strategy of Arad County for 2021-2027: The project contributes to the Development Strategy of Arad County for 2021-2027, Priority Axis "Increasing the quality of current and emergency medical services, especially in areas with reduced access".
Other Healthy Hungary – Health Sector Strategy 2021-2027: Hungary’s „Healthy Hungary – Health Sector Strategy 2021-2027” aims to improve the overall health status of the Hungarian population. It also aims to improve the quality of the service sin the clinical institutions and strengthen digitalization in the public service sector. These objectives are in line with our project’s overall objective aiming to provide equal opportunity to the access of the healthcare system for the populítion of the cross-border region.
Other Spatial Development Programme of Békés County 2021-2027: Specific objective 2 of the spatial development program focuses on the improvement of accessibility of quality public services. Highlighting the need to improve health services, the program’s intervention logic is supported by the overall objective of our project, focusing on the development of healthcare services.
Other Masterplan for health services in the West Region: According to the regional Masterplan for health services in the West Region, the lack of regulations regarding the provision of high-performance equipment in hospitals, the lack of current and comparable data at national and European level for all hospitals (public and private), makes it difficult to set regional/county targets. In this context, the recommendation is that the planning of measures to establish the regional, county or unit-level need for the main high-tech equipment, until 2030.
Other National Health Strategy "Together for health 2022-2030: The current National Health Strategy "Together for health 2022-2030", continues the objectives of the previous strategy and responds to the needs of structural reforms of the health sector. Within it, OS4.3. Increasing performance and streamlining the capacity for diagnosis, treatment and monitoring in ambulatory care aims to ensure the necessary services in a fast, accessible and quality manner.

Programme Common Output Indicator:

RCO 116 - Jointly developed solutions, Measurement unit:
RCO 081 - Participations in joint actions across borders, Measurement unit:
RCO 083 - Strategies and action plans jointly developed, Measurement unit:
RCO 087 - Organisations cooperating across borders, Measurement unit:

Programme Common Result Indicator:

RCR 084 - Organisations cooperating across borders after project completion, Measurement unit:
RCR 073 - Annual users of new or modernised health care facilities, Measurement unit:
RCR 085 - Participations in joint actions across borders after project completion, Measurement unit:
RCR 079 - Joint strategies and action plans taken up by organisations, Measurement unit:

Project part of European Union Macro-Regional or Sea Basin Strategy: EUSDR

Information regarding the data in keep.eu on the programme financing this project

Financing programme

2021 - 2027 Interreg VI-A Romania-Hungary

Last month that data in keep.eu was retrieved from the Programme's website or received from the Programme

2025-09-24

No. of projects in keep.eu / Total no. of projects (% of projects in keep.eu)

84 / 84 (100%)

No. of project partnerships in keep.eu / Total no. of project partnerships (% of project partnerships in keep.eu)

223 / 223 (100%)

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Development of Network to Improve Health Status of Population (DENIM)

Description

Thematic information

Partners (4)

Partners map

Summary

Investments, deliverables, policy contributions

Information regarding the data in keep.eu on the programme financing this project

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