Accreditation and Designation User Manual - OECI
Accreditation and Designation User Manual - OECI
Accreditation and Designation User Manual - OECI
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3.3 Cancer institute<br />
Obviously all employees of a cancer institute are directly or indirectly involved in the accreditation <strong>and</strong> designation<br />
programme, for example during the self-assesment period delivering data <strong>and</strong> documents for filling out the<br />
questionnaires or during the peer review in the interviews, tours <strong>and</strong> presentations. It is also advised to involve<br />
the employees as much as possible to build commitment to the A&D programme <strong>and</strong> encourage them to work<br />
according to the <strong>OECI</strong> st<strong>and</strong>ards.<br />
Some staff members have a central role in the organisation of the programme which is outlined in this<br />
paragraph.<br />
The specific tasks <strong>and</strong> obligations of the cancer institute are explained step-by-step in the following chapters.<br />
3.3.1 Director cancer institute/Board of Directors<br />
The Director/ Board of Directors of the cancer institute are very important in the accreditation programme for the<br />
commitment of the cancer institute with the programme. Although the A&D Coordinator will mainly keep contact<br />
with the contact person of the cancer institute, the Director/Board of Directors shall be involved in:<br />
− Signing the application form with designation screening including the own judgement on designation type,<br />
− Discussing the preliminary designation type during the explanatory visit,<br />
− Signing the <strong>OECI</strong> A&D Programme agreement depending on the preliminary designation type (doc 6),<br />
− Approving the peer review agenda (doc 16),<br />
− Express a potential conflict of interests with the audit team members if necessary (4.2).<br />
During the accreditation process of a cancer institute the Director of the institute will receive the following<br />
notifications <strong>and</strong> documents:<br />
− Approval/disapproval of application <strong>and</strong> preliminary designation type,<br />
− ‘Go’/ ‘no go’ decision for peer review visit,<br />
− Draft peer review report,<br />
− Final peer review report including final designation type,<br />
− <strong>OECI</strong> <strong>Accreditation</strong> <strong>and</strong> <strong>Designation</strong> Certificate, with agreed final designation type.<br />
3.3.2 Contact person cancer institute<br />
During the A&D Programme the contact person of the institute communicates with people from the A&D Group<br />
concerning several issues.<br />
With the A&D Secretary with regard to:<br />
− A&D Agreement,<br />
− Planning of the explanatory visit,<br />
− Information about accommodation for peer review visit.<br />
With the A&D Coordinator with regard to:<br />
− The application <strong>and</strong> designation screening<br />
− Information about the programme,<br />
− The content of the explanatory visit,<br />
− <strong>Designation</strong> screening result <strong>and</strong> accreditation starting point,<br />
− Periodical contact during the self-assesment period,<br />
− Questions concerning the self-assesment activities or questionnaires,<br />
− Organisation of the peer review,<br />
− Peer review agenda,<br />
− Providing feedback on the draft peer review report,<br />
− Follow-up of the A&D Programme.<br />
With the Executive Manager with regard to:<br />
− Concerning payment of the A&D Programme fee in two stages.<br />
Owner: <strong>OECI</strong> Organisation of European Cancer Institutes<br />
Status: Revised - 24 th January 2011 - A&D Working Group<br />
Approved by: <strong>OECI</strong> <strong>Accreditation</strong> <strong>and</strong> <strong>Designation</strong> Board<br />
Chapter 3 People <strong>and</strong> parties involved in the A&D programme<br />
Page 8 of 8<br />
Version 16 February 2011