Compila: APPLICATION FORM FOR THE COMPETITION “AGILE PILOTING - UNITE PROJECT” TO RESPOND TO THE NEEDS EXPRESSED BY THE “AZIENDA SOCIO SANITARIA TERRITORIALE (ASST) NORD MILANO”

COMPANY DETAILS

Company name*

Domain*

Company type*

SME ( less than 250 employees )

Startup

HQ Location (city)*

HQ Location (country)*

CONTACT DETAILS

First name and Last name*

Email*

Phone number*

Job title*

City*

Country*

SPECIFIC NEED OF THE TEST BED/LIVING LAB TO WHICH THE COMPANY RESPONDS:*

(Required field. 1 or more answer.)

- Challenge: Digital innovations to battle the health workforce crisis*

Digitize and optimize the shifts of healthcare personnel (doctors and professionals)

Digitalization of the Regional Health Service Access Process

Digitize and optimize the surgical patient journey from admission to the waiting list through to the scheduling of surgery sessions

- Challenge: Digital Innovations Advancing Personalized Remote Care*

Conduct a feasibility study for full implementation of level 1 telemonitoring using the regional telemedicine infrastructure (IRT)

DESCRIPTION OF THE PROPOSED SOLUTION

Name of the proposed solution/technology*

Brief description of the solution*

How does the solution address the hospital's needs?*

Solution development status*

TRL*

Innovative elements compared to existing alternatives*

WORKFLOW OF THE PROPOSED SOLUTION

Description of the process envisaged during the pilot*

Main activities of the startup*

Activities required at the hospital (if any)

Expected interactions with operators/patients/technical staff*

WORKFLOW OF THE PROPOSED SOLUTION

Proposed duration*

Estimated budget for the experiment*

Operational phases*

Resources made available by the startup*

RESOURCES MADE AVAILABLE BY THE STARTUP

Composition of the team dedicated to the pilot*

Relevant skills in the healthcare field*

Devices/software provided*

Technical support and assistance*

ORGANIZATIONAL REQUIREMENTS

Required spaces*

Preferred time slots*

Support requested from hospital staff*

PREVIOUS EXPERIENCES

Previous pilots for the same need*

Results achieved*

Publications, evidence or clinical validations*

DOCUMENTATION ATTACHED TO THE PROPOSAL

Pitch deck*

You may add only one attachment. If you add another, it will replace the previous one.

Attachments

No attachments selected.

Good/service subject to the direct award procedure*

The product or service to be tested within the Test bed/living lab that responds to the needs set out in Annex A

A feasibility study that responds to the needs set out in Annex A

READ AND ACCEPT THE PERSONAL DATA PROCESSING AND COOKIE POLICY*

I declare that I have read the privacy policy and consent to the processing of my personal data*

I accept

READ AND ACCEPT THE PRIVACY POLICY OF THE COMPETITION “AGILE PILOTING - UNITE PROJECT”*

I declare that I have read the privacy policy of the competition “Agile piloting - Unite project”*

I accept