Our successful applications – Program Auguszta March 28th 2007. 
The implementation of Program Auguszta of DE OEC is in dynamic progress. The expected results by 2010: the number of days on sick-allowance will decrease by 214 thousand, deceases will decrease by 12%.
The central care units (clinical sections) have been completed in the new building of Program Auguszta which has a total basic area of 13 thousand square meters (large project of Program Auguszta), where the neurological, the vascular and endovascular, the oncological and thorax surgery clinical sections (26 beds for intensive care and more than 100 beds for in-patient care) will be located. After the opening ceremony begins the logistically organized furnishing of the care units. The sick-wards with 1-4 beds will be located in the mezzanine and on the first floor. The units for administration will be placed in the basement. The building services engineering is placed in the loft. The first users of the new section will be the patients of the oncological surgery. The moving happens parallel with the furnishing of the operating-rooms, planned completion in June. To promote the unbroken medical attendance, through the media we provide information continuously for those concerned.
The foundation-stone of the building was laid on November 3rd 2005 by László Fésüs president of the Center, Etele Baráth minister without portfolio who governs EU affairs, Mária Vojnik parliamentary under-secretary, Judit Törökné Rózsa chief director of HEFOP, Lajos Kósa mayor, Katalin Juhászné Lévai president, Ferenc Debreczeni director and János Nagy rector.
The realization of Program Auguszta of DE OEC started on February 4th 2005 with signing the sponsorship agreement concluded between the Governing Authority of FMM HEFOP and the DE OEC. In the frames of central program No. 1 of project named „4.3. Developing the Health Care Infrastructure in the Underdeveloped Regions” of HEFOP, the Medical and Health Science Center creates a Cardiovascular and Oncological Complex Regional Health Center, which provides full and progressive medical attendance for the regions of Northern Plains and Northern Hungary on the areas of the vascular and cardiovascular diseases and the oncological diseases – partly directly, partly through the institutions of the two regions. It is widely known that the incidence of the vascular and cardiovascular diseases which can be considered an endemic and of the oncological diseases is very high in the Northern Plains and the Northern Hungary regions. The Program comprises the full verticum of the treating of these disease groups: prevention, screening, diagnostics, conservative and operative therapies, rehabilitation, aftercare, secondary prevention. In the frames of Program Auguszta the complex treatment of these disease groups will be managed which is unique in Hungary. We expect a significant decrease in the indices both of mortality and morbidity in the disease groups mentioned above on the attendance area of DE OEC as a result of the effectiveness of the program. In estimates, by 2010 the number of deceases due to circulatory disturbances will decrease by 12%, the early deceases of men due to malign tumors will decrease by 12%, the early deceases of women due to malign tumors will decrease by 10%. Even conservative estimates say the population of the regions concerned will have 214 thousand less days per year on sick-allowance. This means a 2,15% decrease of sick-allowance days. A reliable database will be created about chronic, non-catching diseases which will be unique in Hungary and on which further specific goals can be set for improving life quality.
Program Auguszta in numbers:
Created: 13.086 m2 of new buildings and 3.210 m2 of enlargement of buildings
Renewal: 14. 935 m2
Invested: total 12,12 billion HUF, composed of 1,32 billion HUF self-financed, 1,80 billion HUF government financed and 9,00 billion HUF financed by the EU.
Antecedents:
The principal constructor agreement for Auguszta project was concluded between DE OEC and the heads of the constructing company group on 6th September 2005. The project was granted to the consortium of Hunép Universal Co. and Magyar Építő Co. in the frames of an open public procurement process. The value of the principal constructor agreement is 11 billion 287 million HUF. (The administration and the technical inspection of the project had been granted – also in the frames of an open procurement process – to the Főber Co. in the value of 131 million HUF.)
In the frames of the principal constructor agreement, the full reconstruction of the Auguszta main building is in progress, the addition of a story to the building has been completed (8.000 m2).The reconstructed main building will be the home for the Department of Neurology, a part of the Department of Cardiology and the angiology and the immunology sections of the Department of Internal Medicine No. III.
The Department of Pulmonology which has been moved from the Auguszta main building is working in the fully renovated 6.000 m2 part of the building of the Department of Neurology and Psychiatry. A further part of the building of the Department of Neurology and Psychiatry is under renovation, that will be the home for the Department of Psychiatry. Closing date for completion: October 31st 2007.
The outpatient care unit of Department of Internal Medicine No. III has been completed with 1.100 m2 basic area, 4 specialized sections, office rooms, service units, heart unit and 2 rooms for physicotherapy. Here work the sections specialized to autoimmunology (the immune system attacks the own body), immune-haematology (tumorous diseases in connection with the immune system), rheumatology (diseases of the locomotor organs), geriatry (old age), gastroenterology (digestive system), internal medicine and cardiology, angiology (vascular system), phlebology (veins), endocrinology (hormones). The total costs of the project is 268 million HUF. The reconstruction of the cardiology ambulance has been completed; the gymnasium playing an important role in the treatments of cardiopaths has been placed in the loft of the Department of Cardiosurgery. The costs of the reconstruction of the 560 m2 area exceed 112 million HUF.
The 2100 m2 unit of the Department of Radiotherapy which has already been built on the area of DE OEC in the frames of the program serves with 20 beds the complex and effective treatment of in-patients suffering in carcinoma. We have prepared the conditions to place the equipment required to the therapies. The total costs of the project exceed 445 million HUF. Temporarily a section of the Department of Neurology works in the building. When the reconstruction of the main building of Auguszta will have been finished, where the Department of Neurology will find its final place, then the in-patient unit of the Department of Radiotherapy will receive the patients suffering in carcinoma in accordance with the original purpose of the building. Thus the radiotherapy which is important in the effective treatment will be available also in the frames of the in-patient care. The enlargement of the Oncology Section has also been completed with the reconstruction of the pavilion which formerly belonged to the Department of Obstetrics and Gynaecology. The basic area of the Department of Oncology has been enlarged by 1357 m2 on 4 floors. The ground floor in the renewed building is for the attendance of the outpatients. Four new treatment chairs have been put into the laying-room for the outpatients making cure-like attendance available; thus the capacity has increased up to 11. The further increase of the treating chairs is made possible by the so called cure-lobby in the pavilion. From the cure-lobby which is registered as an ancient monument the patients can enter and have a rest in the aesthetically designed inside park. The crowdedness is moderated by 4 up to date consulting-rooms for the outpatients. On the floor above, sick-wards with 1-4 beds are located, each room with an own heart unit. As a result of the development 20 beds serve the patients. A library, a conference room, rooms for the doctors and rooms for groups are situated in the loft. Storage rooms, dressing-rooms, physicotherapy rooms and a piety room can be found in the basement. The infusion laboratory where cytostatic mixture infusions are produced with the technology meeting the strictest demands is also located in the basement. The reconstruction works were granted to HB 2001 Építőipari Ltd. in a tender of open procurement. The constructor’s agreement was concluded on July 7th 2006. The value of the project is328 million HUF.
The North-Eastern Hungarian Health Observatory (ÉKMEO) has been created in the frames of Program Auguszta and has started to operate.
Under the co-ordination of DE OEC Public Health School, with the co-operation of the institutes of National Public Health and Medical Officer Service (ÁNTSZ) of six counties (Borsod-Abaúj-Zemplén, Hajdú-Bihar, Heves, Jász-Nagykun-Szolnok, Nógrád, Szabolcs-Szatmár-Bereg) in two regions (Northern Hungary and Northern Plains) was founded in the beginning of 2005 the first Health Observatory (North-Eastern Hungarian Health Observatory: ÉKMEO) in the East-Middle European region. Considering the fact that the population in the Nort-Eastern Hungary and North Plains regions is a community with the most unfavorable health conditions and the worst life chances, the developing of health care on epidemiological bases is indispensable to improve the health conditions of the population in the twin regions and to improve the macroeconomical indices. The task of ÉKMEO in its regular and ad hoc activity is to collect and analyze epidemiological data and then making them available in a systematized form to the researchers of the public health and the decision makers of the health policy. With the co-ordinated geospatial informatical analyzation of the data on demography, mortality, morbidity, environmental health, health behavior and the operation and the effectiveness of the health care system it would be possible to define the needs and the demands on exact grounds and to analyze the backgrounds of the problems of public health with an etiological approach. On the bases of the potentials of ÉKMEO also conducting targeted K+F projects would be possible, beyond the rationalized planning of health / public health care in the twin regions. The mortality map of the twin regions has been completed, offering an opportunity to identify the seats highly endangered by mortality and to make clear which disease groups where and to which groups of the population cause extra mortality. In the next phase the geospatial informatical analyses will deal with the characterization of the changes in the diseases and the general situation of the health care in the region.
March 28th 2007
Dr. Margit Fuxreiter
strategic deputy director
30-303-4315, 52-319-818, mfux@jaguar.dote.hu
May 27th 2006
The progress of Program HEFOP 4.3.1 in DE OEC
1st central program of HEFOP 4.3. Development of the health infrastructure in the underdeveloped regions: Creation of a model institute of regional health centers. In the frames of the program the Medical and Health Science Center of Debrecen creates a Cardiovascular and Oncological Complex Regional Health Center, which provides full and progressive medical attendance for the regions of Northern Plains and Northern Hungary on the areas of the vascular and cardiovascular diseases and the oncological diseases – partly directly, partly through the institutions of the two regions. It is widely known that the incidence of the vascular and cardiovascular diseases which can be considered an endemic and of the oncological diseases is very high in the Northern Plains and the Northern Hungary regions. The Program comprises the full verticum of the treating of these disease groups: prevention, screening, diagnostics, conservative and operative therapies, rehabilitation, aftercare, secondary prevention. In the frames of Program Auguszta the complex treatment of these disease groups will be managed which is unique in Hungary.
The program expressed in numbers:
To build: 13.086 m2 of new buildings and 3.210 m2 of building enlargement
To renovate: 14.935 m2
Expenses of the investment: total 12,12 billion HUF, composed of 1,32 billion HUF self-financed, 1,80 billion HUF government financed and 9,00 billion HUF financed by the EU.
Expected results: by 2010, sick-allowance days decrease by 214 thousand, deceases decrease by 12%.
 The sponsorship agreement signed: February, 2005 |  The new in-patient unit with 28 beds has been completed, its basic area is 2100 m2. |  We have prepared the conditions for the equipment required to the therapy. The total expenses of the project exceeded 445 million HUF. |  The outpatient care unit of Department of Medicine No. III has been completed with 1.100 m2 basic area, 4 specialized sections, office rooms, service units, heart unit and 2 rooms for physicotherapy. |  The total costs of the project is 268 million HUF. |  The picture shows the construction works in progress; since that the gymnasium in the loft of the Department of Cardiosurgery has been completed. |  The Department of Pulmonology with 105 beds has moved to a fully renovated building. Renewal of 2576 m2 has been completed, the costs exceeded about 530 million HUF. |  The new specialized departments for outpatients |  Most of the sick-wards have 1-2-4 beds. Each sick-ward has a heart unit and a washroom. Day-rooms, rooms for treating and other service rooms are on every floor. |  The preparation works to the enlarging of the Department of Oncology have been started. 4 rooms for outpatients have been moved inside the main building of the Department of Obstetrics and Gynaecology by which more space has been gained for the enlargement. The project of the Department of Oncology will be carried out in the second half of 2006. |  The mock-up of the 13 thousand m2 new building |  The main building of the Auguszta with the basic area of 8000 m2, it sill be fully reconstructed (the U-shaped part in the mock-up). |  Laying of the foundation-stone: November 3rd, 2005. |  The construction has been started. |  The building today, on May 27th 2006. The central block of operating-rooms with rooms for nerve, phlebological, oncological, thorax, one-day surgery operations and with septic operation rooms; the central anaesthesiology; and the clinical departments of the units with 26 beds for intensive care and with more than 100 clinic beds. Closing date: April 30th 2007. |  |  The opening of the enlarged, renewed Department of Oncology took place on February 17, on the DE OEC Day of Connection. The ground floor of the renewed building serves the outpatients. Four new treating chairs have been placed in the ambulant laying-room making cure-like treatments possible. The further increase of the treating chairs is made possible by the so called cure-lobby of the pavilion. | | | From the cure-lobby which is registered as an ancient monument the patients can enter and have a rest in the aesthetically designed inside park. The crowdedness is moderated by 4 up to date consulting-rooms for the outpatients. On the floor above, sick-wards with 1-4 beds are located, each room with an own heart unit. | |
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