Accreditation and Designation User Manual - OECI

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Go to the qualitative and quantitative questionnaire Or use this link for the same Useful documents If you go to the questionnaires the following screen appears. Questionnaires Click to open the questionnaire 44 / OECI Accreditation and Designation / Appendix V
2. Three steps to fill out the qualitative questionnaire • Step 1: Give a score to all items in the questionnaire The quality questionnaire consists of: Chapters Domains Standards Sub standards/questions, Total 264 (100%) Chapter 1 General standards, strategic plan and 26 121 (47%) general management 1.1 Policy and organisation 5 22 1.3 Resources and materials 2 8 1.4 Process control 12 54 1.5 Safeguarding the quality system 7 37 Chapter 2 Screening and primary prevention and 5 19 (7%) health education 2.4 Process control 5 19 Chapter 3 Care 10 30 (11%) 3.4 Process control 10 30 Chapter 4 Research innovation and developments 14 45 (17%) 4.1 Policy and organisation 7 25 4.3 Resources and materials 3 12 4.4 Process control 3 4 4.5 Safeguarding the quality system 1 4 Chapter 5 Education and teaching 4 19 (7%) 5.1 Policy and organisation 1 7 5.4 Process control 3 12 Chapter 6 Patient related 6 30 (11%) 6.4 Process control 4 21 6.5 Safeguarding the quality system 2 9 Standard Standard translated in a question Sub standard Possible scores The score is an indicator for the stage of implementation of each item of the standard. The scoring system is based on the Plan-Do-Check-Act-circle or Deming-circle. These four stages of implementation are translated in the following possible answers: • Yes means that the indicator of the standard has been implemented on a wide scale in the cancer institute and the Deming-cycle is completed at least twice (> in third cycle), • Mostly means that the indicator has been implemented in most of the critical places in the cancer institute and the Deming-cycle is completed at least once (> in second cycle), • Partially means that the indicator is implemented on project bases or on a modest scale in the cancer institute or the Deming-cycle has not been completed, • No means that the indicator does not get attention or there are plans to start working on the indicator, • Not applicable means that the indicator is not applicable in the cancer institute. Appendix V / OECI Accreditation and Designation / 45
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ORGANISATION OF EUROPEAN CANCER INS
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OECI Accreditation and Designation
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THE OECI Accreditation and Designat
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Owner: OECI Organisation of Europea
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The keyword in the designation of E
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2.1.1 General explanation of the te
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OECI General Assembly Member Instit
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− Organizing the auditors’ meet
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3.2 Audit team and auditors 3.2.1 O
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3.3 Cancer institute Obviously all
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5.1.1 Step 1: activities and respon
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Designation questionnaire Executor:
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Send signed accreditation and desig
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5.3 Step 3: Explanatory visit and p
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Finishing self-assesment Executor:
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5.6 Step 6: Payment stage 2 fee If
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Preparation of the auditors’ team
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Performing the peer review Executor
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5.8.1 Week 1-6: Reporting by the au
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5.9 Step 9: Formulate improvement p
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5.10.1 Evaluation of the A&D Progra
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Intermediate self-assessment (optio
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2 / OECI Accreditation and Designat
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Qualitative Questionnaire 1. Genera
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1.3.2. Administration of cytostatic
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1.4.6. Roles and tasks of the membe
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1.4.12. Registration and evaluation
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1.5.5. Quality assurance in all are
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2.4.5. Smoking control in the cance
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3.4.4. Palliative and terminal care
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4. Research, innovation and develop
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4.3. Resources and materials 4.3.1.
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5. Teaching and continuing educatio
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6. Patient related 6.4. Process con
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6.5. Safeguarding the quality syste
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1.4.7. at national level at regiona
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2.3. Infrastructures with a focus o
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2.9. Radiology 2.9.1. Number of CT
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2.15. Facilities 2.15.1. On site Ac
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3.4. Human resources (4) 3.4.1. Pat
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4.3. Structures 4.3.1. Yes No not a
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5. Education 5.1. Education 5.1.1.
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Planning of the project Start Expla
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Go to the qualitative and quantitat
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3. Before moving to the next item p
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The following screen will appear. F
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• Close the questionnaire if you
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