Accreditation and Designation User Manual - OECI

3.2 Audit team and auditors
3.2.1 OECI audit team
This part gives explanations about the OECI audit team. More details about the tasks and responsibilities of
individual auditors can be find in the part ‘OECI auditor’.
Composition of the audit team
The audit team typically consists of four members:
− Chair, who is also one of the auditors,
− Three auditors,
− In case of a preliminary Cancer Unit the audit team possibly includes less than four auditors and the peer review
possible takes one day,
− In case of a preliminary CCC one person of the audit team possibly starts half a day earlier to check the
designation criteria/checklist in advance.
In an ideal situation the team consists of:
− A chair who is a director of a cancer institute,
− Auditors with different positions/ functions in different fields of oncology, like: medical oncology, care, research,
pathology, quality assurance,
− At least one auditor who understands the language of the country where the cancer institute is situated but who
is not a resident of that country,
− A mix of experienced and less experienced auditors.
Besides the audit team the OECI Accreditation Coordinator will also be present during the peer review visit to
coordinate the peer review activities.
Selecting an audit team
The Executive Manager and A&D Coordinator are responsible for selecting the chair and auditors of an audit
team.
Before the audit team members will get access to the self-assesment information of the cancer institute:
− The particular cancer institute has expressed that there is no conflict of interest with any of the audit team
members (4.1),
− Each auditor has signed a Confidentiality Agreement (doc 14) and a Conflict of Interest Form (doc 15).
3.2.2 OECI Audit team chair
The chair of the audit team has the same profile, tasks and obligations as the OECI Auditor (3.2.3). However, the
chair has some specific additional obligations and tasks.
Profile
− The chair is a Director of a cancer institute (or a position with comparable authority to be decided by the OECI
A&D Board),
− The chair has attended the auditors’ training,
− The chair has experienced at least one peer review as auditor before chairing a peer review.
Tasks
− The chair opens the peer review visit with a presentation,
− The chair has a leading role in the representation of the team,
− The chair has a leading role in a balanced division of tasks in the team,
− The chair has a leading role in meetings and interviews,
− The chair presents the preliminary results at the end of the peer review visit,
− The chair presents the preliminary designation type at the end of the peer review visit,
− The chair has a leading role in the content of the report and editorial changes.
Owner: OECI Organisation of European Cancer Institutes
Status: Revised - 24 th January 2011 - A&D Working Group
Approved by: OECI Accreditation and Designation Board
Chapter 3 People and parties involved in the A&D programme
Page 6 of 8
Version 16 February 2011