Accreditation and Designation User Manual - OECI

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The following screen will appear. Follow step 1, 2 and 3. 1: Click to choose the kind of document you are going to add These are the options: the system will arrange the documents 3: Upload the document 2: Search for the document in your system • Step 3: Add a non-compliance/improvement point If you have scored a question with ‘partially’ or ‘no’ a red sentence appears under the question that a non-compliance point has been identified. This means that (quality) improvement can be made regarding this substandard by the institute. The institute is required to describe an improvement point by: Clicking on the red line Or by clicking on the improvement point icon 48 / OECI Accreditation and Designation / Appendix V
Click on ‘Save and new entry’ in the screen that appears and fill in the items for the improvement: Click here and a note box will appear to describe the SMART formulated actions Click here to add who is in charge for the improvement actions • Check the level of quality the institute has achieved per standard − Open the qualitative questionnaire − Open the show tree Chapter 1 Domain: click on the domain to view the graphs/scores 5 Standards in domain Mean scores for each of the 5 standards in the domain Policy and Organisation in Chapter 1 Standard ‘Cooperation with university’ needs attention Standard ‘Oncology policy plan and general report’ is >50% but also needs attentions Appendix V / OECI Accreditation and Designation / 49
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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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Print only the questions or the ful
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Workspace: Go to the questionnaires
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Page 170 and 171: 2. Preparing a peer review Open a q
Page 172: To view the remarks and the score o
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