Project Application Form Project title: Student name: Name of the team/ names of the other team members

A.
A.1 GENERAL INFORMATION

PROJECT OUTLINE

Duration of the project:: Title: Acronym/short title (max. 25 characters): Overall objectives: To contribute to reducing the no. of hospital-related deaths and complaints (1) and to fulfilling the MoH performance criteria that will assure the increase in financial MoH allocations(2) leading to solving out the hospital and target group problems (3). Improved hospital capacity to offer competitive medical services

Project goal: Coordinating institution Name and position of contact person: Address: Telephone/Fax: E-mail: Other participating institutions: Total budget: Grant requested from the funding authority: % of total budget: Target sector(s)
A.2 SUMMARY

5,000,000

4,000.000 80% Pacientii

1. Justification of the proposal State the current conditions and brag about the new proposed ones 2. Results The most important result of all, is the improvement of the health level of population 1. The health level of the population will be stable in the years to come. 1. The EU standards regarding hospital services will not increase until 2012. The surveys on all hospital- related issues that were conducted at the project beginning 3. Dissemination methods

4. Participating institutions

5. Project Management and operational timetable

B.
B.1. JUSTIFICATION OF THE PROPOSAL

PROJECT GOAL

1. Background 2. The problems addressed by the project and the means of identifying them 3. The specific activities of the project

4. The target population and eligibility criteria for participants

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5. Incentives for the target group to participate in the project

B.2.

BREAKDOWN OF RESULTS

1. General description of results 2. Breakdown of results

3. Detailed description of results 4. Delivery system

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B.3.

IMPACT

1. Impact on the primary target population

2. Project's potential transferability to other sectors and users a. Community outreach b. c.

B.4.

Systemic impact Permanence

DISSEMINATION

1. Strategies and initiatives to ensure that the project has the desired impact 2. Dissemination during the project 3. Dissemination at the end of the project

D.
D.1.

ORGANISATION AND MANAGEMENT OF THE PROJECT

WORK PACKAGES

WP1: Description Start and finish dates Activities

WP leader WP2: Description Start and finish dates Activities WP leader Activities WP leader University type I that has won the competition WP n+1: Project Management Description Start and finish dates Activities WP leader
D.2. PROJECT MANAGEMENT

1. Steering Committee 2. Organization and management structure 3. Approach and methodology 4. Conflict resolution 5. Work package leaders 6. Schedule 7. Evaluation 8. Criteria for evaluating the success of the project

9. Methods for monitoring and reporting progress

10. Project assumptions and project risks 10.1 Project assumptions 10.2 Project risks 10.3 Measures for risk management