Accreditation and Designation User Manual - OECI

More documents

Recommendations

Info

5. Education 5.1. Education 5.1.1. Planned annual budget for education year x (Euros) 5.1.2. On site Access to Not available not applicable 5.1.2.1. An information centre for cancer patients 5.1.2.2. Medical library 5.1.2.3. Online access via internet 5.1.3. Yes No not applicable 5.1.3.1. Educational courses organised by the cancer centre on site 5.1.3.2. with local audience 5.1.3.3. with national audience 5.1.3.4. with international audience 5.1.4. Number of medical students per year 5.1.5. Number of graduate/postgraduate students 5.1.6. Number of physicians under specialist training per year 5.1.7. Number of nurses under specialist training per year 5.1.8. Number of nurses students per year 5.1.9. Number PhD students 5.1.10. Number of PhD theses per year (average last 5 years) 5.1.11. Number of University - Faculty associate Professors 5.1.12. Yes No 5.1.12.1. Do you have formalised exchange programmes 5.1.12.2. national 5.1.12.3. international 5.1.12.4. Do you have formalised patient education programmes 5.1.12.5. Do you have formalised education programmes for decision makers 5.1.12.6. Do you have formalised continuous medical education (CME) programme 5.2. Analysis 5.2.1. Based on the analysis, do you have an annual or multi-annual training / educational programmes for: Yes No 5.2.1.1. physicians 5.2.1.2. researchers 5.2.1.3. nurses 5.2.1.4. paramedics 5.2.1.5. supportive disciplines (psychologists etc.) 5.2.1.6. other disciplines (please specify in the note) 40 / OECI Accreditation and Designation / Appendix III
Appendix IV: Project plan Project plan (doc. 5) for cancer institute to organise self-assessment General Name of the project Institute name Place and country Division/department Owner of the project Project leader in the institute OECI Accreditation Coordinator Start date OECI accreditation What is (are) the motive(s) for starting the project? Which goal(s) would you like to achieve? (Try to define according to the SMART-method: Specific, Measurable, Achievable, Realistic, Time-related) “OECI Accreditation Programme” Name of the (cancer) institute Place and country of residence Part of the hospital that is involved or whole hospital Board of Directors of the institute: name person in specific Name of OECI contact person in the institute and position/function in the institute Femke Boomsma Date Motives/ Arguments To achieve a……. Steering committee Is there a steering committee present? Names of participants and functions Composition of the project team One/two persons from each sub project group. The sub project groups are small teams of people who are together responsible for a part of the questionnaires. One/two of the group also participate in the project team. Name Position/function Responsibilities Project leader in the institute Name + e-mail Position/function Secretary: Name + e-mail Position function Member: Name Position/function Member: Name Position/function Member: Name Position/function Member: Name Position/function Member: Name Position/function Member: Name Position/function Appendix IV / OECI Accreditation and Designation / 41
Page 1:
ORGANISATION OF EUROPEAN CANCER INS
Page 4 and 5:
OECI Accreditation and Designation
Page 6 and 7:
THE OECI Accreditation and Designat
Page 8 and 9:
Owner: OECI Organisation of Europea
Page 10 and 11:
The keyword in the designation of E
Page 12 and 13:
2.1.1 General explanation of the te
Page 14 and 15:
OECI General Assembly Member Instit
Page 16 and 17:
− Organizing the auditors’ meet
Page 18 and 19:
3.2 Audit team and auditors 3.2.1 O
Page 20 and 21:
3.3 Cancer institute Obviously all
Page 22 and 23:
Page 24 and 25:
5.1.1 Step 1: activities and respon
Page 26 and 27:
Designation questionnaire Executor:
Page 28 and 29:
Send signed accreditation and desig
Page 30 and 31:
5.3 Step 3: Explanatory visit and p
Page 32 and 33:
Page 34 and 35:
Finishing self-assesment Executor:
Page 36 and 37:
5.6 Step 6: Payment stage 2 fee If
Page 38 and 39:
Preparation of the auditors’ team
Page 40 and 41:
Performing the peer review Executor
Page 42 and 43:
5.8.1 Week 1-6: Reporting by the au
Page 44 and 45:
Page 46 and 47:
5.9 Step 9: Formulate improvement p
Page 48 and 49:
5.10.1 Evaluation of the A&D Progra
Page 50 and 51:
Intermediate self-assessment (optio
Page 52 and 53:
Page 54 and 55:
Page 56 and 57:
Page 58 and 59:
2 / OECI Accreditation and Designat
Page 60 and 61:
Qualitative Questionnaire 1. Genera
Page 62 and 63:
1.3.2. Administration of cytostatic
Page 64 and 65:
1.4.6. Roles and tasks of the membe
Page 66 and 67:
1.4.12. Registration and evaluation
Page 68 and 69:
1.5.5. Quality assurance in all are
Page 70 and 71:
2.4.5. Smoking control in the cance
Page 72 and 73:
3.4.4. Palliative and terminal care
Page 74 and 75:
4. Research, innovation and develop
Page 76 and 77:
4.3. Resources and materials 4.3.1.
Page 78 and 79:
5. Teaching and continuing educatio
Page 80 and 81:
6. Patient related 6.4. Process con
Page 82 and 83:
6.5. Safeguarding the quality syste
Page 84 and 85:
1.4.7. at national level at regiona
Page 86 and 87:
2.3. Infrastructures with a focus o
Page 88 and 89:
2.9. Radiology 2.9.1. Number of CT
Page 90 and 91:
2.15. Facilities 2.15.1. On site Ac
Page 92 and 93:
3.4. Human resources (4) 3.4.1. Pat
Page 94 and 95:
4.3. Structures 4.3.1. Yes No not a
Page 96 and 97:
5. Education 5.1. Education 5.1.1.
Page 98 and 99:
Planning of the project Start Expla
Page 100 and 101:
Go to the qualitative and quantitat
Page 102 and 103:
3. Before moving to the next item p
Page 104 and 105: The following screen will appear. F
Page 106 and 107: • Close the questionnaire if you
Page 108 and 109: Print only the questions or the ful
Page 110 and 111: Workspace: Go to the questionnaires
Page 112 and 113: 2. Preparing a peer review Open a q
Page 114 and 115: To view the remarks and the score o
Page 116 and 117: 2 / OECI Accreditation and Designat
Page 118 and 119: Qualitative Questionnaire 1. Genera
Page 120 and 121: 1.3.2. Administration of cytostatic
Page 122 and 123: 1.4.6. Roles and tasks of the membe
Page 124 and 125: 1.4.12. Registration and evaluation
Page 126 and 127: 1.5.5. Quality assurance in all are
Page 128 and 129: 2.4.5. Smoking control in the cance
Page 130 and 131: 3.4.4. Palliative and terminal care
Page 132 and 133: 4. Research, innovation and develop
Page 134 and 135: 4.3. Resources and materials 4.3.1.
Page 136 and 137: 5. Teaching and continuing educatio
Page 138 and 139: 6. Patient related 6.4. Process con
Page 140 and 141: 6.5. Safeguarding the quality syste
Page 142 and 143: 1.4.7. at national level at regiona
Page 144 and 145: 2.3. Infrastructures with a focus o
Page 146 and 147: 2.9. Radiology 2.9.1. Number of CT
Page 148 and 149: 2.15. Facilities 2.15.1. On site Ac
Page 150 and 151: 3.4. Human resources (4) 3.4.1. Pat
Page 152 and 153: 4.3. Structures 4.3.1. Yes No not a
Page 156 and 157: Planning of the project Start Expla
Page 158 and 159: Go to the qualitative and quantitat
Page 160 and 161: 3. Before moving to the next item p
Page 162 and 163: The following screen will appear. F
Page 164 and 165: • Close the questionnaire if you
Page 166 and 167: Print only the questions or the ful
Page 168 and 169: Workspace: Go to the questionnaires
Page 170 and 171: 2. Preparing a peer review Open a q
Page 172: To view the remarks and the score o
show all

Accreditation and Designation User Manual - OECI

Create successful ePaper yourself

Delete template?

Save as template?