Accreditation and Designation User Manual - OECI

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5.10.1 Evaluation of the A&D Programme Evaluation A&D Programme (figure 9 next page) Executor: OECI A&D Coordinator and Cancer Centre The A&D Coordinator will send an evaluation form to the institute 3 months after the final A&D Certification approval. Evaluation by teleconference Approximately five months after the final A&D Certification approval, the OECI A&D Coordinator and the Executive Manager will plan a teleconference to discuss the evaluation form. Representatives: – Cancer institute contact person, – Chair audit team, – OECI Executive Manager, – OECI A&D Coordinator. 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 26 of 28 Version 16 February 2011
5.11 Follow-up There is a period of four years from the date of issue of the certification and the expiring date. Within this period the institute will work to achieve the goals of the improvement plan. Figure 9: Follow-up of the A&D Programme Send progress report improvement plan Executor: Cancer institute One year after the peer review visit, the institute will report the progress of the goals and activities set in the improvement plan to the to the OECI A&D Board. The institute can add a column to the improvement plan: Standard Opportunity Action Goal Actions Who is Start Evaluation Dead Priority Progress (SMART) - description involved and (date) (date) line (high/ after desired responsible (date) medium/ one year result for result low) (Names and department) 1.1.1 Check implementation improvement plan The A&D Board will receive a report of the cancer institute with the progress of the implementation of the goals and activities set in the improvement 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 27 of 28 Version 16 February 2011
Page 1: ORGANISATION OF EUROPEAN CANCER INS
Page 4 and 5: OECI Accreditation and Designation
Page 6 and 7: THE OECI Accreditation and Designat
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Page 10 and 11: The keyword in the designation of E
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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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2. Preparing a peer review Open a q
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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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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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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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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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2. Preparing a peer review Open a q
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To view the remarks and the score o
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