Accreditation and Designation User Manual - OECI
Accreditation and Designation User Manual - OECI Accreditation and Designation User Manual - OECI
1.4.6. Roles and tasks of the members of the supportive care staff Have agreements been reached concerning the roles and tasks of the supportive care staff? 1.4.6.1. 1.4.6.1.1. Roles and responsibilities for each of the paramedical disciplines are described regarding the involvement in oncology care 1.4.6.1.2. Roles and responsibilities for each of the supportive disciplines are described regarding the involvement in oncology care 1.4.6.1.3. Each of the paramedical discipline has one staff-member as contact person (referent) for oncology care 1.4.6.1.4. Each of the supportive disciplines has one staff-member as contact person (referent) for oncology care Yes Mostly Partially No not applicable 1.4.7. Communication between the members of the supportive care staff What is the focus of the communication between nursing, paramedic and supportive disciplines? 1.4.7.1. Communication amongst members of the supportive care staff (nursing, paramedical and supportive disciplines) occurs through: Yes Mostly Partially No not applicable 1.4.7.1.1. Consultation 1.4.7.1.2. Data transmission 1.4.7.1.3. Transfer of knowledge 1.4.7.1.4. Information and implementation of guidelines Have agreements been reached within the cancer centre concerning who is authorised to refer patients to paramedical and/ or support disciplines, and under what circumstances? 1.4.8.1. 1.4.8.1.1. It is made clear for which problems related to cancer and at which moment paramedical disciplines should be consulted 1.4.8.1.2. It is made clear for which problems related to cancer and at which moment supportive disciplines should be consulted 1.4.8.1.3. There are written procedures on the circumstances for calling on and referral to paramedical disciplines 1.4.8.1.4. There are written procedures on the circumstances for calling on and referral to supportive disciplines Yes Mostly Partially No not applicable 8 / OECI Accreditation and Designation / Appendix II
1.4.9. Multidisciplinary harmonisation / integrated care Have agreements been reached on the harmonisation of integrated care, between the various disciplines involved in the diagnosis, treatment and counselling of oncology patients? 1.4.9.1. 1.4.9.1.1. The responsibilities of the different disciplines involved in the diagnosis of the patient in the cancer centre are described 1.4.9.1.2. The responsibilities of the different disciplines involved in the treatment of the patient in the cancer centre are described 1.4.9.1.3. The responsibilities of the different disciplines involved in the follow-up of the patient in the cancer centre are described 1.4.9.1.4. The multidisciplinary team advises on the inclusion of patients in clinical trials 1.4.9.1.5. The name of the physician responsible for the coordination of the care of the patient is defined and communicated to the patient Yes Mostly Partially No not applicable 1.4.10. Selection criteria for the oncology team meeting Are the selection criteria concerning which patient should be discussed in the multidisciplinary setting clear and documented? 1.4.10.1. 1.4.10.1.1. Criteria are defined for the selection of patients to be discussed in the multidisciplinary team meetings 1.4.10.1.2. These selection criteria are clear, documented and based on a consensus between the different disciplines Yes Mostly Partially No not applicable 1.4.11. Procedure for the oncological multidisciplinary team meetings Is there a procedure for the oncological multidisciplinary team meetings? 1.4.11.1. There are procedures describing how the regular multidisciplinary team meetings apply following criteria: 1.4.11.1.1. One of the specialist in charge of the care of the patient is present during the discussion of the patient 1.4.11.1.2. During the presentation of patients, diagnostic results and examination results are available 1.4.11.1.3. The necessary facilities to show diagnostic and examination results are available 1.4.11.1.4. Conclusions and advice resulting from the multidisciplinary team meeting are documented in the patient’s medical record 1.4.11.1.5. There is a clear description of the way to inform all the members of the multidisciplinary team about which patients will be discussed 1.4.11.1.6. There is a clear description of the communication of the advice resulting from the discussion to all the physicians and other disciplines involved in the care of the given patients 1.4.11.1.7. There is a clear description of the communication of the advice resulting from the discussion to the concerned patients 1.4.11.1.8. Each final decision about care of the patient that differs from the advice and conclusions of the multidisciplinary team is documented and recorded in the patient’s medical record 1.4.11.1.9. There is a procedure describing how the conclusions and advice from the multidisciplinary meeting will be evaluated and by whom Yes Mostly Partially No not applicable Appendix II / OECI Accreditation and Designation / 9
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1.4.9. Multidisciplinary harmonisation / integrated care<br />
Have agreements been reached on the harmonisation of integrated care, between the various disciplines involved in the<br />
diagnosis, treatment <strong>and</strong> counselling of oncology patients?<br />
1.4.9.1.<br />
1.4.9.1.1. The responsibilities of the different disciplines<br />
involved in the diagnosis of the patient in the cancer<br />
centre are described<br />
1.4.9.1.2. The responsibilities of the different disciplines<br />
involved in the treatment of the patient in the cancer<br />
centre are described<br />
1.4.9.1.3. The responsibilities of the different disciplines<br />
involved in the follow-up of the patient in the cancer<br />
centre are described<br />
1.4.9.1.4. The multidisciplinary team advises on the inclusion<br />
of patients in clinical trials<br />
1.4.9.1.5. The name of the physician responsible for the<br />
coordination of the care of the patient is defined<br />
<strong>and</strong> communicated to the patient<br />
Yes Mostly Partially No not applicable<br />
1.4.10. Selection criteria for the oncology team meeting<br />
Are the selection criteria concerning which patient should be discussed in the multidisciplinary setting clear <strong>and</strong><br />
documented?<br />
1.4.10.1.<br />
1.4.10.1.1. Criteria are defined for the selection of patients<br />
to be discussed in the multidisciplinary team meetings<br />
1.4.10.1.2. These selection criteria are clear, documented <strong>and</strong><br />
based on a consensus between the different disciplines<br />
Yes Mostly Partially No not applicable<br />
1.4.11. Procedure for the oncological multidisciplinary team meetings<br />
Is there a procedure for the oncological multidisciplinary team meetings?<br />
1.4.11.1.<br />
There are procedures describing how the regular multidisciplinary team meetings apply following criteria:<br />
1.4.11.1.1. One of the specialist in charge of the care of the<br />
patient is present during the discussion of the patient<br />
1.4.11.1.2. During the presentation of patients, diagnostic results<br />
<strong>and</strong> examination results are available<br />
1.4.11.1.3. The necessary facilities to show diagnostic <strong>and</strong><br />
examination results are available<br />
1.4.11.1.4. Conclusions <strong>and</strong> advice resulting from the<br />
multidisciplinary team meeting are documented in<br />
the patient’s medical record<br />
1.4.11.1.5. There is a clear description of the way to inform<br />
all the members of the multidisciplinary team about<br />
which patients will be discussed<br />
1.4.11.1.6. There is a clear description of the communication<br />
of the advice resulting from the discussion to all the<br />
physicians <strong>and</strong> other disciplines involved in the care<br />
of the given patients<br />
1.4.11.1.7. There is a clear description of the communication<br />
of the advice resulting from the discussion to the<br />
concerned patients<br />
1.4.11.1.8. Each final decision about care of the patient that<br />
differs from the advice <strong>and</strong> conclusions of the<br />
multidisciplinary team is documented <strong>and</strong> recorded<br />
in the patient’s medical record<br />
1.4.11.1.9. There is a procedure describing how the conclusions<br />
<strong>and</strong> advice from the multidisciplinary meeting will be<br />
evaluated <strong>and</strong> by whom<br />
Yes Mostly Partially No not applicable<br />
Appendix II / <strong>OECI</strong> <strong>Accreditation</strong> <strong>and</strong> <strong>Designation</strong> / 9