project periodic report€¦ · date of latest version of annex i against which the assessment will...

PERIODIC REPORT TEMPLATE – MARCH 2008

PROJECT PERIODIC REPORT

Grant Agreement number: FP7-ICT-1-215479

Project acronym: MEDNET

Project title: Latin American Health Care Network

Funding Scheme: Small or medium scale focused resea rch project (STREP/CISCA)

Date of latest version of Annex I against which the assessment will be made: 17/12/2007

Periodic report: 1 st □ 2nd □ 3rd X 4th □

Period covered: from 01/01/2010 to 31/05/2011

Project co-ordinator name, title and organisation: Despina Rizou , Fraunhofer IGD

Tel: +49 6151 155 515

Fax: +49 6151 155 480

E-mail: [email protected]

Project website address:

www.e-mednet.com

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1. PUBLISHABLE SUMMARY

Project Objectives During the last year of the project the two final Work packages were fulfilled. The Work package 7 the system demonstration and evaluation where the main objectives, focusing on:

• Keeping the pilots on constant run and • Gathering inputs for the evaluation of the deployed platform.

The Work package 8 objectives were the promotion of the project results to both the scientific and industrial communities. More specifically the objectives of the WP8 were:

• To co-ordinate the dissemination activities of the MedNet project and

• To ensure the effective diffusion and exploitation of its results. For Brazil the objectives of Work package 7 were fulfilled. Due to the delays of the project to fulfil its objectives a 5 month extension was proposed by the European Union. During this extension the system was running and many teleconsultations were performed. The most of them were performed in Rio Grande do Sul and Balsas sites. Having the system running, its evaluation and cost effectiveness analysis, concerning Brazil, took place successfully as was initially planned. The objectives of Workpackage 8 were fulfilled by MEDNET consortium. The Brazilian partners disseminate and exploit the project in various conference’s and meetings with local authorities.

For Peru the objectives of Work package 7 were not totally fulfilled. The main reason for this was the various political problems in Peru and the rejection of the software from the users. There were some teleconsultations performed, but not the number MEDNET project was targeting. Nevertheless the doctors in the sites show their strong will to work with Telemedicine but due political instability and frequent changes of personnel they failed to keep a continuation. The objectives of Workpackage 8 were fulfilled from the Peruvian partners. A lot of dissemination and exploitation actions for the project took place in various conference’s and meetings with local authorities, but unfortunately with not a lot of success.

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Teleconsultations results Brazil

Reference hospital: Irmandade Santa Casa de Misericórdia de Porto Alegre, Porto Alegre (RS).

Remote sites: Lagoa dos Três Cantos, Alegrete, Pelotas.

In Rio Grande do Sul, MEDNet deployment started in July 2009 with the installations in Lagoa dos Três Cantos using ADSL connection. Dr. Marcus Dalsasso is using the MEDNet system from the first day and now is a routine at the healthcare center in Lagoa dos Três Cantos. Every ultrasound examination was sent to the referral hospital and stored in a DICOM compliant database for future patient control.

74

3 3

0

20

40

60

80

Rio Grande do Sul (RS)

Lagoa dos Três Cantos Alegrete Pelotas

Number of exams sent per site in RS.

City Type of Exam Teleconsulta

tions Lagoa dos Três Cantos

Abdomen, pelvic, obstetric. (U/S)

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Alegrete Abdomen. (U/S) 3 Pelotas Cranium, hips,

thorax. (CT) 3

The use of MEDNet system gave the opportunity to avoid the transportation of 22

patients from Lagoa dos Três Cantos to the reference hospital in Porto Alegre. This represents almost 30% of the second opinions requested by Dr. Marcus Dalsasso.

5

0

1

2

3

4

5

6

7

Jul

09

Okt

09

Jan

10

Apr

10

Jul

10

Okt

10

Jan

11

Exams sent from Lagoa dos Três Cantos

Lagoa dos Três Cantos

Lagoa dos Três Cantos exams per month.

Maranhão (MA) Reference hospital: Irmandade Santa Casa de Misericórdia de Porto Alegre,

Porto Alegre (RS). Remote sites: Balsas, Carolina, Fortaleza dos Nogueiras. The pilot tests in Maranhão started in December 2009 when the satellite

installations were finished. In the following figure and the table the number of exams sent by the sites in Maranhão (MA) until March 2011.

290

3 0

0

100

200

300

Maranhão (MA)

Balsas Carolina Fortaleza dos Nogueiras

Number of exams sent per site in Maranhão.

City Type of

Exam Teleconsulta

tions Balsas Abdomen,

obstetric. (U/S)

290

Carolina Abdomen. (U/S)

3

Fortaleza dos

Nogueiras

- 0

A significant discrepancy is observed when the number of exams performed in

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Lagoa dos Três Cantos (RS) is compared to the rest of sites in RS. In Balsas (MA), the same behaviour is observed.

An essential knowledge in informatics by the users (physicians) has a relevant impact in the project results. This can be seen in the number of exams sent from Lagoa dos Três Cantos (RS) and from Balsas (MA). Both sites have physicians with experience in informatics and feel comfortable using the telemedicine system. On the other hand, the other physicians involved in MEDNet showed resistance using the telemedicine application, despite of the workshops, training and constant support given.

The number of exams sent from Balsas (MA) per month from December 2009 until March 2011. From February 2010 until December 2010 there is a period that the system was not operational due to technical problems in the satellite connection. Nevertheless MEDNet activities in Balsas were going on. The physician stored the ultrasound exams in the DICOM Database and when the connection was recovered he sent them to the reference hospital, which has already answered all his requests of second opinion.

0

20

40

60

80

100

dez/09 mar/10 jun/10 set/10 dez/10 mar/11

Exams sent from Balsas (MA)

Balsas

Balsas Exams per month.

Peru

In Peru there are in total eight satellite installations including the referral hospital in Huancayo.

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Geographical position of the sites in Peru.

All the sites are located in the jungle area and are very difficult to be approached

especially under certain weather conditions.

25

22

45

0

10

20

30

40

50

60

Chongos Alto Pariahuanca Comas Rio Negro

Mazamari Pangoa Puerto Ocopa

Number of exams per site in Peru.

All the teleconsultations in Peru, are Ultrasound consultations. In the following table presents more detailed the number of exams was sent through the system to the other sites and the exams were locally consulted. The main type of exam was obstetric and abdomen.

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Work Performed from Jan/2010 until May/2011 WP7 – Pilot Execution (D7.1): activities performed during the Pilot Execution phase of MedNet project in Brazil and Peru. In this period, the system was utilized by the end users (physicians) in order to gather information for the evaluation of the deployed platform. This report also describes actions taken to keep the system running. System maintenance, training of physicians and technical staff took part.

WP7 – Cost Effectiveness Analysis (D7.2): After having the system up and running, a three level evaluation took place concerning a) Cost analysis of the system, b) User acceptance evaluation, c) Technical evaluation. The evaluation activities for Brazil were completed successfully and the results were positive. Concerning Peru, evaluation was performed under the scope of the problems described in the previous paragraph. WP8 – Dissemination & Exploitation: Sustainability and marketing analysis was performed for the case of MEDNET. Presentations in conference’s and discussions with local authorities took place focusing on the sustainability issues. Main results achieved in 2010 / 2011

1. Several corrective actions were taken in order to achieve acceptable results and to overcome technical and operational problems. Tests results demonstrated that the network topology had to be changed. The network was splitted in two. Two JABBER servers are running in two different machines in SACA’s Datacenter. One serving MA sites and the other one serving RS sites;

2. On-line mode is technically operational in RS and MA;

3. Off-line mode is technically operational in RS and MA. Physicians prefer to use off-line mode because is difficult to match their agendas;

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4. Physicians in RS and MA prefer to use Skype. They find it more user friendly and easy to install;

5. The internet connection to the satellite network is provided by SACA using a proxy server installed in MA’s JABBER server. The application was configured to enable compatibility between the remote stations and protocols such as: HTTP, SOCKS v4, SOCKS v5 and FTP;

6. Rio Grande do Sul (RS): The system is running without technical problems. The sites in RS are operative and willing to contribute in the project. Lagoa dos Três Cantos is regularly sending exams to SACA’s specialists and has fully incorporated the system in the Health Care Center routine. 80 exams were sent to Santa Casa specialists using the telemedicine network in RS;

7. Maranhão (MA): The applications were tested. Good results during the pilot tests. From January 2010 until March 2010 few exams were sent from Balsas and Carolina. Fortaleza dos Nogueiras never had a chance to use the system during this period because the satellite link in this site worked for only one day since its installation until March 2010. In the second half of October 2010 the satellite link was recovered for all sites in MA. However, in the second half of November 2010 problems with the installation did not allow the exchange of data among physicians. On November 25th, 2010, HISPAMAR solved the problem. Despite of the instability, most of the time the link is up and, since then, 293 exams were sent using the satellite network.

8. Travel to Maranhão in January 2011. Training of technical staff from Fortaleza dos Nogueiras. System maintenance (Balsas and Fortaleza dos Nogueiras). Several exams were sent from Balsas under CETA SENAI’s supervision during January 2011;

9. Attendance to International Seminar on Telecommunications Innovation (01/12/2010 and 02/12/2010), SENAI FATEC - Porto Alegre – RS.

10. Two initiatives includes the extension of telemedicine to other cities and towns using a low cost solution for telemedicine and broadband connection using fiber optics:

a. “Digitallagune”, a proposal from Lagoa dos Três Cantos which aims to transform a piece of Brazil in a national technological model of Digital City;

b. “MediCloud”, a “Telemedicine system based on software as a service (SaaS)”.

11. Medetel conference 6-8 April 2011. EU invited Bruno Hochhegger, MD, PhD from Santa Casa de Porto Alegre hospital, responsible radiologist for the teleconsultations in the hospital, to give a speech about the implementation and deployment of the project. Dr. Bruno Hochhegger presented the results of ehealth to the attendees and explains the obstacles and the success the project had in Brazil.

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12. Mr. da Silveira and Mr. Vallandro, both from SACA, were invited to make a

presentation at Ministry of Communications Broadband Department in Brasilia about Mednet project and its consequences, in particular about the business plan being developed with Lagoa dos Três Cantos region.

13. During this year, HISPASAT has performed the maintenance, trouble shooting, monitoring, and preparation of the handover for the continuity of the service for both the Brazilian and Peruvian networks.

14. Due to several technical problems occurred at the Maranao sites, it has been necessary to make an intensive investigation on the issue. It was necessary to travel to the sites several times, perform different trials and reinstall equipment. Finally it was detected that the original subcontracting company installed the wrong cables, with different impedance than the equipments, and new cables installation, recalibration and alignments were necessary. After these changes the network has worked perfectly.

15. As part of the maintenance activities, it was necessary to acquire new LNB

and BUC for the station in Porto Alegre. These equipments had been reused from a previous project called T@his, but they were not kept in good conditions and the network was having cut offs, so it was necessary to install new ones.

16. HISPASAT has been monitoring periodically the traffic associated to

MedNet project and has created traffic graphs monthly at network level (Peru and Brazil networks) and at station level. These graphs have been included in the deliverable D7.1.

17. HISPASAT has performed trouble shooting and has solved some connectivity problems within the MedNet network.

18. HISPASAT has been involved in initial communication with the main organizations of both Peruvian and Brazilian partners which could be interested on the service beyond the end of the project in order to give continuity to MedNet. Since one of the main objectives of the project is to make it self sustainable, an affordable offer was proposed to them.

19. HISPASAT made a presentation of the project on the Satellite 2010 exhibition in Washington and at the DVB World 2010 conference in Lisbon, and an article was presented in the last one.

20. HISPASAT has attended the periodic DVB-TM, DVB-SB and DVB-RCS

working groups in order to track the state of the new European standards and the update of the existing ones, special mention to Hispasat’s contributions to the DVB-RCS New Generation activities.

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21. NTUA has organised the evaluation activities for Brazil. An online evaluation tool was developed for collecting users opinions about several characteristics of the system

22. NTUA, in cooperation with the Brazilian partners, collected technical and financial data concerning the operation of the system and its costs

23. A cost analysis model was constructed and filled with the collected financial data in order to examine the financial sustainability of the system.

2. PROJECT OBJECTIVES FOR THE PERIOD

WP1: Project Management Objectives:

• To perform overall management of the administrative, technological and financial activities of the project;

• To manage the overall communication with the EC; • To preserve the Quality of the technological work and deliverables content; • To coordinate dissemination actions through creation of the required liaison

with third parties; • To assess the conformance of the final results to initial scope and goals of

the project. • To establish links and communicate the results to other on-going relevant

activities and projects (concerted actions); • To manage the overall exploitation plan; • To coordinate the organisation of workshops and standardisation activities.

WP6: Technology Adaptation Objectives:

• Deployment of the platform to Peru and Brazil. • Deployment of the satellite terminals.

. WP7: System Demonstration & evaluation Objectives: The objective of Work Package 7 was to keep the pilots on constant run, and gather inputs for the evaluation of the deployed platform. The local coordinators in Peru and Brazil will be responsible for the logistic issues related with the deployment and for the coordination of activities for the pilots. WP8: Dissemination & Exploitation Objectives:

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• Co-ordinate the dissemination activities of the MEDNet project; • To ensure the effective diffusion and exploitation of its results.

The activities of the team will then focus on the promotion of the project results to both the scientific and industrial communities. Further activities will also raise awareness of the service to relevant groups in Latin America.

3. WORK PROGRESS AND ACHIEVEMENTS DURING THE PERIOD

WP6. System deployment:

Task responsible: SENAI CETA

This Work package had to be extended in 2010.

Due to several technical problems occurred at the Maranhao sites, it has been necessary to make an intensive investigation on the issue. It was necessary to travel to the sites several times, perform different trials and reinstall equipment.

On the 7th of May two 10W BUC were replaced in Fortaleza and Carolina (the one in Carolina, although working, was replaced to ensure it would not stop working). The links still appeared to be unstable, so HISPAMAR personnel had to travel to the sites again and continue with the investigation. After performing several trials it was discovered that the cables used by the installers had 75 Ohms of impedance instead of the 50 Ohms required to work with the modems. At the beginning of August the cables and connectors were changed in Balsas and the link started working properly. Due to big arguments held with the installers, the agreement with them finished. Finally, new no-local installers were contracted and they accomplished the change for the new cables (RG11) to the two other sites (Fortalezas and Carolina) from the 14th to the 18th of October. From that moment all the sites in Maranao were working perfectly stable. WP7: System Demonstration & evaluation Task responsible: SACA The main purpose of Task 7.1, Pilot Execution, was to collect information on the treatment of patients using satellite communications. In Brazil, the link with the satellite was available for sending exams only a very small part of the total 36 months period of the Pilot Execution phase. This instability

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jeopardized the execution of Task 7.1 to the point of disruption in the initial contracted period and that was the reason of needing an extension. The problems found with the network topology adopted in Brazil were quickly solved by the allocation of extra equipment supplied by SACA, separating it in two networks. One using ADSL for Rio Grande do Sul (RS) State and one using satellite communication for Maranhão (MA) State. Given the instability of the satellite link, Brazilian partners had to cope with it and find alternatives to handle the situation. The pilots were kept running in Rio Grande do Sul (RS) network using ADSL for data exchange. In Rio Grande do Sul the project had very good results, especially in Lagoa dos Três Cantos, where the transportation of 22 patients was avoided from the remote site to the reference hospital in Porto Alegre (five hours travel in one way). The satellite connection was eventually restored and stabilized by the end of 2010. Starting on January 2011, 290 exams were sent from Balsas (MA) until the end of the project. The earlier (2010) exams were locally stored in the DICOM Database during the year, waiting reestablishment of the satellite network and an opportunity to send it to the reference hospital. This was accomplished in January 2011 thanks to the extension of the Project. To allocate extra resources to motivate the physicians at the remote sites is a very important issue that has to be taken in consideration. It would have been welcome in order to compensate the extra hours they worked on the project and perhaps giving an extra motivation to engage the project. This compensation if ever adopted should occur in a post-factum basis because of the observed turnover of physicians at the remote sites. Despite all the difficulties faced by the Consortium, a significant number (373) of first and second opinion solicitations were requested and replied following the suggested workflow. The system demonstrated to be effective for some scenarios but still need adjustments to work properly in certain places that offer resistance to use it or don’t have the appropriate infrastructure for its implementation. Upon request of the PO, in AUGUST 2010 TASE contributed to the deliverable of a report on the status of Peru in coordination with DIRESA, GEOPAC and HISPASAT. Explanations on how Amerhis NMC works, its most important System Monitoring parameters and what information they convey (e.g. number of logged terminals, number of active connections, allocated capacity, requested capacity, etc) were included by TASE, alongside examples were provided on how to interpret the accounting data generated every 15 minutes for each VSN and for each RCST deployed in MEDNET sites. For instance, ¡Error! No se encuentra el origen de la referencia. shows the status of MEDNET’s network in each of the eight sites in Peru: as of May 2010. Similar templates have been used until the end of the project to keep track of the status of MEDNET’s sites.

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Table 1. Status of MEDNET’s network (as of May 2010 )

Use of MEDNET’s features

MEDNET SITES IN PERU

Satellite Installation

s

Is satellite infrastructure operative?

Level of training Access

to internet

Video Conferences

performed

Tele Consultations

performed

Huancayo (DIRESA) Completed Yes Regular Yes 20

TC installed – 0 teleconsultations

performed

Chongos Alto Completed Yes Regular Yes 1 TC installed –

0 teleconsultations performed

Comas Completed Yes Regular Yes 15 TC installed –


Pariahuanca Completed Yes Regular Yes 2 TC installed –


Puerto Ocopa (*) Completed Yes Regular Yes 0

TC installed – 0 teleconsultations

performed

Mazamari Completed Yes Regular Yes 3 TC installed –


Rio Negro Completed Yes Regular Yes 20 TC installed –


S.M. de Pangoa Completed Yes Regular Yes 10 TC installed –


(*) Puerto Ocopa suffered losses of electrical power, which prevent the remote clinic from communicating with the other sites. To overcome this difficulty, an electric power engine has been ordered. In parallel to ¡Error! No se encuentra el origen de la referencia. above, the following figure represents the status, as of May 2010, of the satellite network infrastructure that had been deployed for the eight sites in MEDNET’s Peruvian network after completion of the WIMAX installation between DIRESA and the referral hospital. It includes the gateways towards the Internet, the addressing plan at each site and the most important routing information at each of the nodes:

15

Figure 1. Satellite Network Infrastructure (as of M ay 2010)

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“Pilot Execution Report D7.1” was released with contributions from all members. TASE ensured the analysis of the accounting data provided by Amerhis satellite system correlated with the logs kept locally at every health center, in the sense that logs and accounting data were aligned on the number of accesses to internet performed, number of teleconsultations reported by doctors, number of netmeeting videoconferences, shutdowns of terminals (due to natural causes such as a storm or due to local decisions), etc. TASE coordinated the audio conference held in June 2010 by all partners, in which partners analyzed the work progress and requested actions were noted. By this time, all connections in Peru were completed and sites were up and running. DIRESA had entered referral hospital remotely (via UltraVCN) and had run tests between Huancayo’s referral hospital, DIRESA Junin and other sites, successfully. Discussion over how the issue and relevance of the "evaluation criteria" was another subject in the audio conference

During WP7 HISPASAT has monitored the traffic associated to MedNet project and provide technical support to the remote sites during this year. HISPASAT has created traffic monitoring graphs monthly at network level (Peru and Brazil networks) and at location level. These graphs have been included in the deliverable D7.1 and have been used for the statistic studies performed in the project by other partners. As part of the maintenance of the satellite network, HISPASAT has performed trouble shooting and has solved some connectivity problems that there have been in some terminals of the Peruvian network during this year, mainly due to adverse meteorological conditions. HISPASAT was informed that there were some cut offs of the satellite link in Porto Alegre, it seems that some equipment were rusted (they were used from a previous project called T@his, except for the modem which was changed initially in this project). The equipment was cleaned by personnel of SENAI-CETA and the link was established. In order to prevent from future problems in the earth station, by the 22nd of November the LNB and BUC in Porto Alegre were replaced with new ones by HISPAMAR personnel and went on working nominally.

HISPASAT has been involved in initial communication with the main organizations of both Peruvian and Brazilian partners which could be interested on the service beyond the end of the project in order to give continuity to MedNet. Since one of the main objectives of the project is to make it self-sustainable, an affordable offer was proposed to them and the continuity of the service is under negotiations. The second important part of the activities of WP7 was the preparation of a cost effectiveness analysis report for MedNet. Concerning Brazil, NTUA, in cooperation with the local partners (SENAI-CETA and SACA) performed this work, on the basis of the framework described in the relevant deliverable of the project. The evaluation framework which has been initially developed in WP2, was improved and expanded further in order to fit best to the outcomes of the project. The relevant work performed, was not limited in examining financial indexes and costs incurred or avoided only, but included evaluation of the impact of the project, of important qualitative aspects and finally of the user acceptance towards MedNet since it has been

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proved that this is the most crucial factor in order any telemedicine/telehealth network to become sustainable. As a conclusion of the analysis of the MEDNET data in Brazil it can be supported with certainty that a telemedicine network like MEDNET is a real need for rural and underserved areas in the country. It’s efficient and very useful for people living far from central hospitals, improving the public health situation in the remote areas. Concerning the cost of the network, the most important cost is the operational cost for the satellite communications. The fact that half of the sites do have ADSL connections, so satellite link is only needed for rest of the sites (in MA), reduces the cost of the network significantly and makes it even more sustainable. Given the fact that it is expected soon to have broadband Internet connection covering the whole country, the costs of the network in the near future are expected to fall dramatically. A conclusion, by examining the cost analysis performed by NTUA for Brazil, is that especially in the case that in the near future there will be no need for satellite communications, the total network costs are easily covered by the costs avoided thanks to the existence of the network. Additionally this could offer the opportunity to spend an amount in yearly basis in order to motivate doctors in the remote sites to increase the usage of the system. Since doctor’s motivation is clearly among the most crucial preconditions for achieving sustainability, and given that the cost analysis results will be even better than those presented when the satellite cost will be gone, it’s up to the Brazilian administration to decide in what way the physicians located at the remote sites can be motivated to use the system more and more, and how this can be achieved by using mainly the money which will be saved by turning off the satellite link. A relevant work was performed by Geopak for Peru, although the available data were fewer and the acceptance of the system due to political changes was not as high as expected. In Peru in April 2010, the full technical deployment of MEDNET was completed. Ultrasound machines are being used frequently at all seven sites (~2500+ examinations performed to date) and in some cases have been critical to effective treatment. At Centro Salud Comas, health professionals detected a foetal death, and the patient benefited from timely intervention. Local ultrasound skills are still developing with continuing training. Medical specialists have not issued advice or opinion using MEDNET because of insufficient patient and medical image information on which to base their opinion. Originally, the specialists expected Teleconsult’s online consultation to provide them with live examination results. In Peru, Teleconsult is classified as a store and forward platform. The image transfers before collaboration, requiring doctors and obstetricians to have specific telemedicine skills, which are not available yet.

Since April 2010, several issues are impeding full MEDNET utilisation. Due to logistical and administration limitations, DIRESA Junín designated a technical staff member to each site, with responsibility for:

• Coordinating with the central department at DIRESA • Coordinating hospital and remote site collaboration and videoconference • Monitoring equipment use • Equipment maintenance and use • Image storage and transfer

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• The current regional government’s decision to stop participation in MEDNET.

Due to doctors’ daily workloads and other time commitments, using MEDNET for communication with the MEDNET deployment team was infrequent. The time allocated to technical issues and preparations was also limited. Designating a technical assistant relieves pressure on the doctors, enabling them to focus solely on clinical issues. Extended connectivity at the remote sites enabled a direct connection with the technical assistant. Internet is now available for participating technicians.

Training in imaging diagnostics is continuing. DIRESA Junín provides expert-led sessions. Participating professionals pay for their own training in Lima, a weekend journey from the remote sites.

The new regional government’s decision to disengage from the MEDNET project resulted in a lower priority for resources for the initiative. Technical problems not addressed locally resulted in two months downtime. This adversely affects the benefits and the net benefit. The regional government’s decision not to continue also restricts any MEDNET medium-term potential.

WP8: Dissemination & Exploitation Task responsible: GEOPAC Main objective of the WP8 was the dissemination activities for MEDNet project and to ensure the effective diffusion and exploitation of its results. Inside the D8.1,D8.2 and D8.3 the actions of the consortium are detailed described. Mednet impact in Brazilian rural areas (cities in agricultural regions with population under 20.000 inhabitants) was very important in the sense that it opened everybody’s mind to the staggering possibilities unveiled by technology and the rearrangement of existing processes. Small cities are getting together, clustered in Consortiums, in order to accreditate and hire health services in a agile, faster and cheaper way. This is also applicable to telemedicine. Thus, in regions with a chronic difficulty to hire qualified physicians, a new model of health service is potentially available, at least for those with a minimum connectivity level. The PNBL (Brazilian Broadband National Plan) goals for 2014, although impressive are quite feasible given the rapid development of communications and IT infrastructure in the country. This leads to a major reduction in connectivity prices, allowing the planning of internet based services, including SaaS applications (cloud computing). The sustainability strategy then aims to keep running a service - remote readings, and will use for that whatever available means. Focus will be in the stability and quality of the

19

service, its traceability and security and, last but not least, cost-benefit ratio. Concerning the last, the cost effectiveness analysis performed by NTUA showed that the system can by financially sustainable in Brasil as long as an important number of teleconsultations take place every day. So, concerning this factor, the expansion of the network, especially in areas where broadband connection is available - so no satellite costs will be added - can guarantee a good cost-benefit ratio even in pure financial terms. The Department of Broadband of the Department of Telecommunications of the Brazilian Ministry of Communications, which is responsible for the PNBL, showed great interest in the developments between SCA and Lagoa dos Três Cantos (L3C). The municipality of L3C has an ongoing cooperation agreement signed with the Ministry and its subsidiary TELEBRAS to implement broadband access in the whole of the municipality, with a 100% coverage of all residences, schools, health facilities and enterprises. MEDNET consortium agreed from the beginning in paying attention to dissemination activities. One of the keys for the success of every project is to make it known. As more institutions initially not involved in MEDNET know about the benefits of the system, they will porbably show interest in becoming part of the telemedicine healthcare network. Thus, several conferences were identified as possible candidates to receive and publish MEDNET-related work.

The consortium has identified/targeted a wider range of related conferences, congresses and/or journals which are given in detail in the Project Management section.

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4. DELIVERABLES AND MILESTONES TABLES

TABLE 1. DELIVERABLES 1

Del. no. Deliverable name WP no. Lead participant

Nature

Dissemination level

Due delivery date from Annex I

Delivered Yes/No

Actual / Forecast delivery date

Comments

D7.1a Pilot Execution

Report for Brazil

WP7 9 R RE T0+36 Yes T0+36, T0+41 Report Available

D7.1b Pilot Execution

Report for Peru

WP7 3 R RE T0+36 Yes T0+36, T0+41 Report Available

D7.2 Cost effectiveness

analysis

WP7 6 – for Brazil

3 – for Peru

R RE T0+36 Yes T0+36, T0+41 Report Available

D8.2 Sustainability

strategy report

WP8 3 – for Peru

10 – for Brazil


D8.3 Marketing analysis WP8 3 – for Peru

10 – for Brazil


TABLE 2. MILESTONES

Milestone

no. Milestone name Due achievement

date from Annex I Achieved Yes/No

Actual / Forecast achievement date

Comments

M7.1 Continuous pilot

execution

T0+36 Yes T0+36, T0+41 Report Available

M7.2 Cost effectiveness

analysis available

T0+36 Yes T0+36, T0+41 Report Available

1 For Security Projects the template for the deliverables list in Annex A1 has to be used.

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M8.1 Disseminations

Activities

T0+36 Yes T0+36, T0+41 Presentation in the International Seminar on

Telecommunications Innovation, Porto Alegre/Brazil.

Presentation at Medetel conference 6-8 April 2011 by

Dr. Bruno Hochhegger from SACA hospital.

M8.2 Identifying key persons

and institution for

sustainable medical

network

T0+36 Yes T0+36, T0+41 Two initiatives includes the extension of telemedicine

to other cities and towns using a low cost solution for

telemedicine and broadband connection using fiber

optics

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5. PROJECT MANAGEMENT

WP1 provides guidelines for the project execution. Partners will find useful information on data work flow and communication tools. In addition, this document in itself provides a template to writing project reports and deliverables addressed to the EU. There was an amendment during the last period of the project because the objectives of the project weren’t fulfilled on time and some changes occurred. Below is the list with the amends:

� Modification of duration The duration of the project will be modified from 36 to 41 months because there was a 4 month delay in order the system to be operative. The problems caused this delay was the instability of the link in the Maranhao sites for Brazil and the bureaucratic procedures in Peru.

� Change of coordinator's name and address

Mr. Ilias Sachpazidis left the project and the Fraunhofer Institute in 2008. For internal reasons Prof. Georgios Sakas needs to be appointed as coordinator.

� Addition of a special clause

Hispamar was added in the project during the deployment process in order to take over the installations in the Maranhao. This addition considered necessary because HISPASAT is located physically in Madrid, Spain and HISPAMAR is located in Rio de Janeiro. Hispamar Satélites S.A. is a HISPASAT’s Brazilian subsidiary. For financial and for practical issues this addition was done.

� Following modifications have been done in the Annex I

o The type of examinations has been modified

During the second review meeting in Brussels 19th March 2010, it was recommended by the Project officer and the reviewers to remove the exams they are not finally used in the project from Annex I because there is no use case in the project including these exams. This happened because the doctors in the sites were not motivated to send blood test exams or pressure. They were interested in Ultrasound exams in particular because they considered the second opinion more helpful for these kinds of exams. The main exams the doctors are sending through MEDNet are ultrasound exams and CT exams.

o Change of geographical localization of the installation The geographical location in Brazil it was vital to be changed in order to ensure the success of the project. The most of the initiate sites couldn’t commit to the project and there was a big danger jeopardising the project. The locations selected after were also poor and rural areas but we ensured the commitment of the doctors. Another reason was that some of the initial locations didn’t have a stable doctor. The current sites in Brazil are: Maranhao : Balsas, Carolina, Fortaleza dos Noqueiras Rio Grande do Sul:

23

Langoa dos tres Cantos, Algrette, Pelotas o The list of deliverables and the list of milestones were modified

The deliverables with delivery date M36 was requested to be delivered M41. The reason of this change is again the delay of making the system operative. The deliverables in WP7 and WP8 with delivery date M36 will be delivered M41. The Deliverable 7.1 it separated in two parts 7.1a for Peru and 7.2b for Brazil. The Deliverable 7.2 includes two cost effectiveness analysis reports, one for Peru and one for Brazil. The following table shows the deliverables were modified:

D13 Final report WP1 1 0,3 T0+41

D71 Pilot execution report

WP7 9 68 T0+30, T0+41

D72 Cost effectiveness analysis

WP7 6 5 T0+41

D81 Dissemination report

WP8 3 6,5 T0+41

D82 Sustainability strategy report

WP8 3 7 T0+41

D83 Marketing analysis

WP8 3 7 T0+41

The following table shows the milestones were modified: M12 Yearly reports &

Costs statement available

WP1 T0+12,T0+24, T0+41

Yearly reports sent to commission

M71 Continuous pilot execution

WP7 T0+41 Report available

M72 Cost effectiveness analysis available

WP7 T0+41 Report available

M81 Dissemination activities

WP8 T0+41 Making the MedNet known in Latin America and participate to conference and publish results to journals

M82 Identifying key persons and institution for sustainable medical network

WP8 T0+41 Finding financial means to continue the running of the MedNet

o Introduction of subcontractors

24

TanJent Consultancy was created in January 2004 by Tom Jones, one of the UK’s foremost healthcare management consultants. It now works globally, including Europe, South America and Commonwealth countries.

Tom is a Regional Fellow of the Royal Society of Medicine, Fellow of the Royal Society for Arts, a Member of the Institute of Directors and a qualified accountant. His goal over many years has been to develop economic and financial techniques and methods to improve health and social care services. He has considerable experience in the strategic, economic, financial and management of eHealth across Europe and other global regions. This is a main part of his activity in applying new financial management, organisational, training and development models in healthcare. His projects include:

• Economic and financial evaluation of ehealth across the EU and for developing countries

• Developing businesscase models for investment decisions for eHealth and mHealth

• Economicevaluation of telecare and telemedicine and mHealth

• Developing and evaluating healthcare management in several EU member states

• Developing healthcare commissioning

• Training in healthcare and social services finance, investment and business cases.

All projects reflect his acknowledged expertise in ehealth finance and economics.

TanJent has the considerable experience in assessing and evaluating the feasibility of telehealth and working with African countries on a wide range of eHealth and mHealth topics. The eHealth impact (eHI) evaluation models developed originally by TanJent from 2002, are the main methodology used for 50 evaluations, including 23 for the European Commission projects on the impact of eHealth, and are currently being refined for international organisations to use for their telehealth projects. This includes timescales and risks, two factors often understated in these types of projects. The eHI model is generic and always need adapting to specific settings. For this project, the eHI model enables all the topics of the feasibility to combine into a single evaluation so that an complete view of all the success and risk factors are seen together, and alongside the range of potential impacts. Examples of the use of the model in retrospective evaluations of successful eHealth are at www.ehealth-impact.org and www.ehr-impact.eu . Other evaluations that identified poor performances are not available publicly, but reveal important information to organisations about taking corrective action. All these rely on assessments of the performance of eHealth solutions. In MedNET project Tanjent acts as a subcontractor to the beneficiary GEOPAC. The task of Tanjent is to fulfil is to prepare the interim evaluation for Peru and set the guidelines for the final evaluation.

Subcontracting of the satellite equipment installers for the installations at the remote sites. This activity has been necessary to be subcontracted in order to gain efficiency

25

and reduce the global costs of the installation budget since the remote sites are located far away from HISPAMAR headquarters.

Engsat Engenharia E Serv Em Telecomunicações Ltda Founded the 6th of July 1998, the company offers engineering services: consultancy, coordination, installation, activation and maintenance of Telecommunication systems. It is specialized in radio, satellite and maintenance services along the country. Its headquarters are in Rio de Janeiro but have offices in Belém and Manaus. Main activities and services:

• Participation in the biggest VSAT implementation projects along the country. More than 5000 VSAT have been installed by the company.

• Installation of Satellite TV stations • Technical equipment and ground stations validation

Nort Sat Telecomunicações Ltda Technical enterprise focused on the telecommunication sector, founded in 2006. Its headquarters are located in Manaus. The company is oriented to provide products and solution for satellite communications. Main activities and services:

• Internet access and voice. • Satellite private networks • Streaming and content delivering

Consultancy on satellite networks. All the deliverables were finalized and delivered to the Project Officer. There is no change in the legal status of any of the beneficiaries. For the needs of the MEDNET project a website was developed and the link is the following, www.e-mednet.com. In addition an evaluation specific website was developed by NTUA and used in order to collect data and users’ answers for supporting the evaluation of the system in Brazil. The communication between the partners was perfect and constant during the last period of the project. No conflicts and problems affected the project. The Brazilian partners communicate with local authorities in order to establish partnerships and continue the MEDNET idea.

Project Meetings:

6-7 March 2008 Germany, Darmstadt Kick-off meeting 15-16 September 2008 Brazil, Rio de Janeiro Consortium meeting 21 October 2008 Spain, San Sebastian Technical meeting 30 January 2008 Belgium, Brussels 1st Review meeting 23 -24 March 2009 Huancayo, Peru Consortium meeting 8-9 October 2009 Madrid, Spain Consortium meeting 2-4 February 2009 Madrid, Spain Workshop from TASE

26

19 March 2010 Brussels, Belgium 2d Review meeting 17-18 March 2010 Brussels, Belgium Consortium meeting 8 November 2010 Telephone conference Consortium meeting 22 September 2010 Brussels, Belgium Consortium meeting 23 September 2010 Brussels, Belgium Review meeting

Conferences and/or Workshops attended/organised/for eseen by the project

Date Title Names of persons attended + other

information

30-31/5/2008 ITAB2008&IS3BHE2008

Despoina Rizou present the paper “Satellite based health network in Brazil and Peru”

24-26/09/2008 14th Ka and Broadband Communications Conference

TAS-E will present the paper “Telemedicine over remote areas through AmerHis Regenerative DVB-RCS/S Platform”.

Aug 15-17 IV Regional ATALAAC MEETING 2008 – Panama City, Panama

Wayne Menary: networking opportunity

Aug 25-27 ISD2008 Paphos, Cyprus

Dimitris Panopoulos will present “MEDNET: Telemedicine via satellite combining improved access to health care services with enhanced social cohesion in rural Peru”

Oct 30 – 01 Nov INFOLAC 2008 Buenos Aires, Argentina

Wayne Menary to present “Telemedicine via satellite: linking eHealth and development in rural Peru and Brazil”

Nov 08 ICS2008 Tamsui, Taiwan

“Health Network in Peru and Brazil” Despoina Rizou

Nov 24 &25 TeleMed & eHealth 08 London, UK

Wayne Menary to present: MedNET: Establishing a sustainable eHealth initiative in rural Peru and Brazil

Nov 25-27 ICT 2008 Lyon, France Exhibition: eHealth via satellite in Peru and Brazil

16-18/4/2008 Med-e-Tel Jon Haitz Legarreta – Chairman of “Telehealth, Telecare and Services” – Presents last developments on Vital Sign Monitoring.

25-28/06/2008 CARS Jon Haitz Legarreta presents last developments on Vital Sign Monitoring.

23-24/9/2008 MEDNET: Intelligent satellites in the

XXIII Simposium Nacional de la Unión Científica Internacional de Radio (URSI).

27

service of Telemedicine

29-31/10/2008 MEDNET: Intelligent satellites in the service of Telemedicine

Telecom I+D Congress.

September 10-12 Eatis2008- Euro American conference on Telematics and Information Systems

“Broadband health care network in Brazil and Peru “ Despina Rizou

2-6/09/2009 EMBC 2009, Minneapolis, USA

“TraumaStation: A portable Telemedicine station”

Despina Rizou

10-11/09/2009 IWSSC 2009, International Workshop on Satellite and Space Communications (IWSSC 2009)

MedNET: TeleMedicine over AmerHis system

THALES

02/02/09-05/02/09

Workshop in Madrid • Mr. Jon Legarreta (VT)

• Mrs. Cristina Arias Perez (HISPASAT)

• Mr. Antonio Arana (HISPASAT)

• Mr. Ekaitz Gonzalez (HISPASAT)

• Mrs. Ana Solano (TASE)

• Mrs. Carla Salas (TASE)

• Mr. Juan Ramón Gonzalez (TASE)

• Mrs. Ana Yun Garcia (TASE)

• Mr. Floiran Callupe (GEOPAC)

• Mrs. Despoina Rizou (IGD)

• Mr. Luca Salvatore (MEDCOM)

• Mr. Alex Bernsts Tronchoni (CETA) 14-16/04/2010 MEDETEL,

Luxembourg “Traumastation: A telemedicine tool”

Despina Rizou 25/10/2010 Matelec exhibition MEDNET poster ,HISPASAT

• HISPASAT representatives (HISPASAT’s

president, directives, sales managers, etc)

mention MedNet project in several

European and American congresses and

events related to the Telecommunication

and Satellite sector as well as in interviews

offered in press and television.

28

2010 Satellite exhibition in Washington

MEDNET presentation , HISPASAT

6-8 April 2011 Medetel: Latin America Health Care Network under the Global eHealth Strategy Symposium

Dr. Bruno Hochhegger, Santa Casa Hospital,

Porto Alegre, Brazil

Articles Published , Press coverage, development we b sites, etc.

Date and Type Details

April – Web site development • Acquiring *.e-mednet.com domain name • Developing the first draft of www site.

May 22 – Abstract Abstract “Telemedicine over remote areas through

AmerHis Regenerative DVB-RCS/S Platform” accepted for 14th Ka and Broadband Communications Conference.

April 04 America TV Hyo brief report on MEDNET April 14 America TV focused report on MEDNET April 04 Press coverage of MEDNET in Correo (Hyo edition) June 19 E-Health in Practice – No.2 HealthConnect International http://www.ehealthnews.eu/content/view/1087/66/ April Arrangement with German-Peruvian Chamber of

Commerce for MEDNET event in Peru in September 08 February – VICOMTech Web Site

Including the project description on the Institution´s web page in three languages.

March – VICOMTech Web Site Inserting outstanding news to announce the kick-off meeting on the Institution´s web page

June 11 Prof. Carlos Eduardo Pereira, on behalf of SENAI CETA, was awarded in Rio de Janeiro as one of the Brazilian Institutions regarded by the FP7 program of the European Commission financing of MedNET project.

29

June 23 Alex Tronchoni, Wayne Menary, João Carlos Cavalcanti and Fabiane Sesti submitted an abstract to present a poster at the congress CRICS08 “MEDNET: Latin America Health Care Network”

July Article: “Para o CETA, o longe não existe” at the magazine “Revista Indústria em Ação” (Industry in Action Magazine)

July/August Editing paper for the CBIS08 Brazilian Congress NTUA, May 2010 A presentation of the Mednet project has been given in the

framework of the “Greek Interoperability Center” project demonstrations, a project coordinated by NTUA

DVB World 2010, Lisbon “DVB technologies for an improved World MedNET: Intelligent

DVB Satellite at the service of Telemedicine”,HISPASAT

30

6. EXPLANATION OF THE USE OF THE RESOURCES

31

TABLE 3.2 PERSONNEL, SUBCONTRACTING AND OTHER MAJOR COST ITEMS FOR FRAUNHOFER ADJUSTMENTS FOR THE PERIOD

Work

Package Item

description Amount Explanations

WP7,WP8 Personnel costs RTD

78274 Personnel costs for activities detailed in the WP7-8

WP7,WP8 Personnel costs Management

2258€ Preparation of the final reports and deliverables.

Subcontracting 0 0

Travels 4979€ Rizou, Despina 16.03.2010 19.03.2010 Brüssel, B MedNet Review Meeting and Consortium Meeting 395,61 € Sakas, Georgios 18.03.2010 19.03.2010 Brüssel, B MedNet Review Meeting and Consortium Meeting 734,97 €

Rizou, Despina 04.03.2010 06.03.2010 Hannover CeBIT 135,73 € Rizou, Despina 04.03.2010 06.03.2010 Hannover CeBIT 150,00 €

Rizou, Despina 13.04.2010 16.04.2010 Luxemburg Med-e-Tel 2010 228,15 €

Rizou, Despina 13.04.2010 16.04.2010 Luxemburg Med-e-Tel 2010 420,96 € Rizou, Despina 24.10.2010 26.10.2010 Hamburg Global E-Health Forum 251,26 €

Rizou, Despina 24.10.2010 26.10.2010 Hamburg Global E-Health Forum 297,68 €

Rizou, Despina 27.09.2010 29.09.2010 Brüssel, B ICT Conference 2010 1.128,38

€ Rizou, Despina 02.11.2010 06.11.2010 Korfu /Griechenland ITAB 2010 Konferenz 450,00 €

Rizou, Despina 02.11.2010 06.11.2010 Korfu /Griechenland ITAB 2010 Konferenz 785,86 € Others 1408€ 09.03.2010 60,26 € DHL, Bewirtung

15.10.2010 29,86 € DHL, Fracht

12.11.2010 42,41 € DHL, Fracht

12.11.2010 42,41 € DHL, Fracht

12.11.2010 -42,41 € DHL, Fracht

27.10.2010 525,00 € Werbefotographie, Aufnahmeserie

24.03.2010 15,00 € Weste, Elke Vermittlungsprovision

22.10.2010 69,00 € Softwarebox, Lizenz Toatal Commander

31,00 € Institutsinterne Verrechnung / Posterdruck / Großformat-Poster: ITAB 2010, Formatprobleme-svg/Inkscape 1 A0 Satin zu je 31,00 EUR, Rizou/A7

21.04.2010 363,64 € Sakas, Meeting

21.04.2010 272,72 € Sakas, MedNet Meeting Indirect Costs 79786€

TOTAL DIRECT COSTS AS CLAIMED ON FORM C

166705€

32

TABLE 3.2 PERSONNEL, SUBCONTRACTING AND OTHER MAJOR COST ITEMS FOR TASE FOR THE PERIOD 2010-2011

Work Package Item description Amount Explanations

WP1 Personnel costs 1.670,17 € Personnel costs claiming activities related to management.

Subcontracting No costs

Travels: Meetings 1163,05 € Angel Alvaro travel to Review Meeting in April 2010

WP6 Personnel costs 8.864,80 € Personnel costs claiming activities in WP6, related to the technical support given to Peruvian and Brazilian sites during 2010 and contribution to deliverables D6.1 and D6.2


Travels: Meetings No costs

WP7 Personnel costs 18.172,84 € Personnel costs claiming activities in WP7, related to the final system deployment, contributing to the systems demonstration and evaluation. Contribution to deliverable D7.1


Travels: Meetings No costs

WP8 Personnel costs 6.647,60 € Personnel costs claiming activities in WP8, related to the dissemination and exploitation activities, including the presentation of a paper in DVB World 2010 Conference

Subcontracting No costs Travels: Meetings No costs Major cost items No costs Remaining costs No costs

TOTAL DIRECT COSTS AS CLAIMED ON FORM C 36518,46 €

33

TABLE 3.6 PERSONNEL, SUBCONTRACTING AND OTHER MAJOR COST ITEMS FOR GEOPAC FOR THE PERIOD 2010-2011

Work Package Item description Amount € Explanations

WP7 & WP8 Personnel costs 43945€ Extra task the evaluation for Peru

Subcontracting 7800€ Interim evaluation for Peru (Tanjent)

Other costs 15466€

Indirect costs 5037€

TOTAL DIRECT COSTS AS CLAIMED ON FORM C 72228€

TABLE 3.1 PERSONNEL, SUBCONTRACTING AND OTHER MAJOR COST ITEMS FOR VICOMTECH FOR THE PERIOD 2010-2011

Work

Package Item description Amount € Explanations

8 Personnel costs 3.538,68€ Personnel costs claiming related to the efforts made in WP8

Subcontracting

8 Travels 1.339,85€ Name of researcher Destination From To Description Total Cost

Jon Haitz Legarreta Bruselas (Bélgica) 21/09/2011 25/09/2011 Consortium & Review

meeting 515,51€

Jon Haitz Legarreta Bruselas (Bélgica) 16/03/2010 19/03/2010 Consortium & Review

meeting 824,34€

8 Indirect costs 2.261,92€ The indirect cost amount comes from applying our 2010 overhead rate to personnel direct costs

8 Other costs 6.662,55€ Costs related to depreciation of equipments purchased during 2010 and 2011: Biosignal System & associated software library, Echograph hardware.

TOTAL DIRECT COSTS AS CLAIMED ON FORM C

13.803,00€

TABLE 3.2 PERSONNEL, SUBCONTRACTING AND OTHER MAJOR COST ITEMS FOR VICOMTECH ADJUSTMENTS FOR THE PERIOD 2010-2011


4; 8 Personnel costs, Adjustments to previous periods (DC)

206,77€ This adjustment corresponds to little deviations experienced in our accountancy due to the fact that our accountancy closure is after sending the cost claiming for 2009 period. Therefore, some changes experienced in the accountancy have affected to the personnel rates, and adjustments correct this fact.

4; 8 Indirect costs Adjustments to previous 72,31€ This adjustment corresponds to little deviations experienced in our accountancy due to the fact

34

periods (IC) that our accountancy closure is after sending the cost claiming for 2009 period. Therefore, some changes experienced in the accountancy have affected to the personnel rates, and adjustments correct this fact.

TOTAL DIRECT COSTS AS CLAIMED ON FORM C 279,08€

TABLE 3.2 PERSONNEL, SUBCONTRACTING AND OTHER MAJOR COST ITEMS FOR MEDCOM FOR THE PERIOD 2010-2011


WP8 Personnel costs 5.587,32€ 202h / Luca Salvatore

Subcontracting

Major cost item 'Travels Major Cost item Material

2.617,31€ Travels 16.03.10 L.Salvatore Brüssel, Consortium Meeting 14.04.10 L.Sesma Sanchez Luxembourg ICT 22.09.11 L.Salvatore Brüssel Review Meeting Material 29.10.10 Literature 07.12.10 Blue Phantom

- Major Cost item “indirect costs”

4922,78€ Indirect cost 60%

Remaining costs

TOTAL DIRECT COSTS AS CLAIMED ON FORM C 13127,40€ Max allowable EU Contribution = 75% = 9845,56€

TABLE 3.6 PERSONNEL, SUBCONTRACTING AND OTHER MAJOR COST ITEMS FOR NTUA FOR THE PERIOD 2010-2011


WP7 & WP8 Personnel costs 14.973,00€ WP 7: 347 m/h, WP 8: 66 m/h

Travels: Meetings 1.172,43€ D.Panopoulos, Brussels, Mar. 2010, project meeting and annual review meeting -

Travels: Meetings 554,39€ D.Panopoulos, Brussels, Sep. 2011, final project meeting and final review meeting

Consumables

35


TOTAL DIRECT COSTS AS CLAIMED ON FORM C 26719,82€

TABLE 3.6 PERSONNEL, SUBCONTRACTING AND OTHER MAJOR COST ITEMS FOR DIRESA FOR THE PERIOD 2010-2011


WP7 & WP8 Personnel costs 13340€ Personnel cost for WP7 & WP8

Subcontracting 0

Other costs 3449€



TABLE 3.6 PERSONNEL, SUBCONTRACTING AND OTHER MAJOR COST ITEMS FOR GRJ FOR THE PERIOD 2010-2011


WP7 & WP8 Personnel costs 5612€ Personnel cost for WP7 & WP8

Subcontracting 0

Other costs 7592€



TABLE 3.1 PERSONNEL, SUBCONTRACTING AND OTHER MAJOR COST ITEMS FOR SENAI CETA FOR THE PERIOD 2010-2011


WP1 Personnel costs 0 € No costs.

WP1 Travels 3.399 € Review Meeting Brussels – March 2010 and September 2011 (flight ticket, accommodations)

WP1 Consumables 20 € Costs with telephone and travel agency taxes.

WP1 Others 0 € No costs.

WP7 Personnel costs 15.635 € Technical and administrative activities.

WP7 Travels 3.723 € Travels to sites in MA and RS (transport, food, accommodation).

WP7 Consumables 151 € Parking at Santa Casa de Porto Alegre.

WP7 Others 270 € Equipment and computer hardware for maintenance in the remote sites.


36

WP8 Travels 0 € No costs.

WP8 Consumables 0 € No costs.

WP8 Others 0 € No costs.

TOTAL DIRECT COSTS AS CLAIMED ON FORM C 24.930 €

TABLE 3.1B PERSONNEL, SUBCONTRACTING AND OTHER MAJOR COST ITEMS FOR SACA FOR THE PERIOD 2010-2011


WP1 Personnel costs No costs.

WP1 Travels 9.572 € Review Meetings 2010 & 2011 (transport, accommodation, food for 2010)

WP1 Consumables No costs.

WP1 Others No costs.


WP7 Travels No costs.


WP7 Others 6.693 € Equipment, and computer hardware for the installations in the remote sites and Image Centre.


WP8 Travels 3.327 € Attendance at events in Luxembourg and Brasília, DF (2011).


WP8 Others No costs.


TOTAL DIRECT COSTS AS CLAIMED ON FORM C 101016 €

TABLE 3.1 PERSONNEL, SUBCONTRACTING AND OTHER MAJOR COST ITEMS FOR HISPASAT FOR THE PERIOD 2010-2011


Personnel costs 101.240,34€

WP8 Travels: Meetings 861,48€€ Project meeting in Brussels, 17-19th March.

37

WP8 Travels: Meetings 4.177,84€ Presentation of project at Satellite 2010, Washington.

WP8 Travels: Meetings 522,24€ Presentation of project at DVB-World 2010, Lisbon

WP8 Travels: Meetings 2.260,59€ DVB-TM and DVB-SB meetings in Geneva

Consumables 2.000€

Remaining costs

TOTAL DIRECT COSTS AS CLAIMED ON FORM C 111.062,46€

TABLE 3.2 PERSONNEL, SUBCONTRACTING AND OTHER MAJOR COST ITEMS FOR HISPAMAR FOR THE PERIOD 2010-2011

Work Package Item description Amount (€) Explanations

WP6 Installation services and eq. (subcontracting*) 2721,6€ Installation of new BUCs (Engsat)

WP6 Installation services and eq. 123,23€ Equipment transportation

WP6 Installation services and eq. 809,67€€ Equipment purchase in Brazil (new cables)

WP6 Travel to Porto Alegre 991,33€ Travel expenses

WP6 Installation services and eq. (subcontracting*) 4.458,86€ Troubleshooting and installation of new cables (Nort Sat Telecomunicacoes )

WP7 Installation services and eq. 539,79€ 1LNB and 1BUC for Porto Alegre station and cables

TOTAL DIRECT COSTS AS CLAIMED ON FORM C 9.644,48

Amendment to 2009 Form C. For 2010 reporting period Hispasat presents an amendment to 2009 cost claim, since the costs associated to Hispamar were rejected because it had not been considered as a third party. These costs included 42.179,00 € of direct costs and 13.497€ of indirect costs. In the presented amendment, Hispasat’s and Hispamar’s costs for 2009 are separated into the beneficiary and third party cost claim forms.

A modification in Hispamar direct costs is also to be noticed, since it has been necessary to include travel expenses and nationalization of equipment which were not initially considered.

In the following tables the description of Hispasat’s and Hispamar’s direct costs for 2009 is presented.

TABLE 3.1 PERSONNEL, SUBCONTRACTING AND OTHER MAJOR COST ITEMS FOR HISPASAT FOR THE PERIOD 2009


38

Personnel costs 100.865,60 €

WP8 Travels: Meetings 5.367,60 € Attendance to the periodic meeting in Huancayo (Peru).

WP8 Travels: Meetings 5.453,50 € Participation at the periodic DVB TM and SB meetings in 2009.

WP8 Travels: Meetings 3.835,40 € Washington Satellite conference.

WP6 Travels: Meetings 5.498,20 € Installation Management (Brazil).

WP8 Travel: Futurecom 5.339,10 € Congress attendance in Sao Paolo (Brazil)

Meeting expenses 793,90 € Mednet meeting in HISPASAT October 2009

WP6 Installation services and eq. 861,30 € Antnet Digital, S.L. (11 LNB)

WP6 Installation services and eq. 20.053,70 € Advantech Satellite Networks (3 BUC 8W+11 MODEM)

WP6 Installation services and eq. 2.146,00 € New Japan Radio Co, LTD (8 BUC)

WP6 Installation services and eq. 618,20 € Advantech Satellite Networks (1 IDU)

WP6 Installation services and eq. 10.552,50 € WFM Telecom S.A.C. (8 antennas 1.2m and installation in Peru)

WP6 Installation services and eq. 3.538,00 € WFM Telecom S.A.C. (nationalization of the equipment in Peru)

Consumables 2000 €

Remaining costs

TOTAL DIRECT COSTS AS CLAIMED ON FORM C 166.923,00 €

TABLE 3.1 PERSONNEL, SUBCONTRACTING AND OTHER MAJOR COST ITEMS FOR HISPAMAR FOR THE PERIOD 2009


WP6 Installation services and eq. 8.053,40 € Brasilsat (3 antennas 2.4m)

WP6 Installation services and eq.

(subcontracting) 14.658,50 € Engsat (installation in Brazil)

WP6 Installation services and eq. 19.468,00 € Nationalization of 3 BUC in Brazil

WP6 Travel to Maranao 5.048,30 € Travel expenses

WP6 Installation services and eq. 8.484,23 € Nationalization of 3 New BUCs in Brazil

WP6 Installation services and eq. 2.231,00 € Nationalization of 3 LNB and IDU in Brazil

WP6 Installation services and eq. 1.086,12 € Forwarding agent expenses

TOTAL DIRECT COSTS AS CLAIMED ON FORM C 59.029,55 €

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