Accreditation and Designation User Manual - OECI

7 Overview of obligations and tasks of a cancer institute
General obligations:
− Membership of the OECI,
− Strong commitment to quality improvement (signature of Director/ Board of Directors),
− Dedicated staff (contact person, project group, all involved employees),
− Stable management structure (no interim management),
− No major changes/problems (expected management change, merger, housing movements, financial crisis),
− Following the steps of the A&D programme with care and within the required timeline,
− Involvement in oncology research and education programmes.
− Cancer care is performed on an identifiable unit with an identifiable budget, management and organisational
structure,
− The institute has a preliminary designation as: cancer unit, cancer research centre, clinical cancer centre or
Comprehensive Cancer Centre,
− There is an agreement on the designation type between the OECI A&D board and the cancer institute.
Before the explanatory visit
• Signing the A&D agreement,
• Paying accreditation fee stage one (€ 5000 for all types of institute).
Before the beginning of the self-assessment period:
• Organising an internal accreditation project planning and project team.
Before peer review:
• Completed self-assesment questionnaires; results of self-assesment,
• Delivering of requested documents,
• Go-decision of OECI A&D Board,
• Paying A&D fee stage two, The remaining A&D fee for Cancer Units is € 15.000 (total amount € 20.000)
and the remaining fee for Clinical Cancer Centres or Comprehensive Cancer Centres is € 25.000 (total
amount € 30.000)
• Completing the peer review agenda.
During peer review:
• Facilitating the maintenance of the audit team as agreed in the audit programme,
• Providing permission to observe activities or procedures in the cancer institute during on-site peer review,
• On request of the OECI auditors team, the institute shall provide access to all relevant locations, files and
documents needed for assessment during the on-site peer review,
• The participants in the peer review from the institute understand and speak English,
• During tour on departments and wards an independent translator needs to be available to translate the
questions of auditors and answers of staff.
After peer review:
• Providing feedback on the peer review report,
• Delivering an improvement plan,
• Delivering a report with the progress and results of the goals set in the improvement plan,
• Optional: Intermediate self-assesment after two years.
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 7 Overview of obligations and tasks of a cancer institute
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Version 16 February 2011