Accreditation and Designation User Manual - OECI

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5.8.2 Step 8: activities and responsibilities of all parties (figure 6) Check draft peer review report Executor: Cancer institute − The Director and the accreditation contact person of the institute will receive the draft peer review report, − The institute will have 4 weeks to distribute the draft report within the cancer institute to whomever is concerned and to collect comments and feedbacks, − After four weeks, the contact person that will have collected the comments within the institute, will have to send the form to the OECI Coordinator. Note: All feedbacks and comments will be discussed by the audit team but the report will only be revised with reliable arguments and/or new evidence Forward comments Executor: OECI A&D Coordinator − The comments and feedbacks of the institute on the draft report will be forwarded to the audit team members, − They are requested to give their comments via e-mail, − The institutes comments and response of the audit team members will be discussed with the chair of the audit team. Discuss comments by teleconference Executor: OECI Chair audit team Discuss the feedbacks and comments of the cancer institute: − The comments and response of the auditors will be discussed in a teleconference with the chair of the audit team and the OECI A&D Coordinator, − Conclusions concerning the comments will be inserted in doc 22: Feedback and Comments form. Formulate proposal for conclusions, strengths and opportunities of the cancer institute for the final report. Process conclusions teleconference Executor: OECI A&D Coordinator The A&D Coordinator will process the conclusions of the teleconference, which will include: − Corrections to make, with regard to the comments and feedbacks of the cancer institute, − The formulated general remarks, strengths and opportunities, conclusions. The A&D Coordinator will send the third draft to the chair of the audit team for a final check. Analyse draft final report Executor: OECI A&D Committee The A&D Committee will receive the draft final report with a proposal for the conclusions, strengths and opportunities from the audit team. The A&D Committee will analyse the conclusions, strengths and opportunities that are drafted by the audit team, and give final advice to the Accreditation Board about the complete final report. If the A&D Committee makes major changes in the report, the coordinator of the A&D Committee (the Executive Manager) will send the report for a final check to the chair of the audit team. If there are only minor changes the report will be sent directly to the A&D Board for the final approval. 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 5 Ten steps A&D process in detail Page 22 of 28 Version 16 February 2011
Final check Executor: OECI Chair audit team − If the A&D Committee changes major parts in the report, the report will be sent back to the chair of the audit team, − The chair will have the opportunity to check the report, − If the chair of the audit team agrees with the major changes of the A&D Committee the draft final report will be sent to the A&D Board for approval. Approval final report Executor: OECI A&D Board In week 14 after the peer review the OECI A&D Board will have a teleconference to approve the final report including the strengths, opportunities and conclusions. Send final report to Cancer institute Executor: Chair A&D Group Within 14 to 16 weeks after the peer review the cancer institute will receive: − A letter to present the final report, − The final report including the final designation, − An explanation of the minimum criteria of an improvement action plan. 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 5 Ten steps A&D process in detail Page 23 of 28 Version 16 February 2011
Page 1: ORGANISATION OF EUROPEAN CANCER INS
Page 4 and 5: OECI Accreditation and Designation
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To view the remarks and the score o
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2 / OECI Accreditation and Designat
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Planning of the project Start Expla
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Accreditation and Designation User Manual - OECI

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