Accreditation and Designation User Manual - OECI

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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 8 Register Page 2 of 2 Version 16 February 2011
Appendix I. Designation Decision Schedule (Not for public release). Designation Decision Schedule Nr of beds: < 20, Nr of specialists: 0 and Nr of patients: 0 and Nr of scientific papers: > 40 and Budget research: > 500 ke and Budget care: < 500 ke If no If yes Cancer research Centre Cancer unit or clinical cancer centre or CCC Nr of beds and ambulatory day care beds: < 50; Or Nr of patients: < 500; Or Nr of specialists: < 30: Or Nr of scientific publications < 10 And Centre covered radiotherapy and medical oncology or surgical oncology If yes Cancer unit If no Clinical cancer centre or CCC Budget for care: > 5000 ke Budget for research: > 3000 ke Nr of beds and ambulatory day care beds: > 100 Active clinical trials: > 50 Nr of scientific papers > 30 Nr of scientific papers with impact factor > 17 If yes First selection Comprehensive Cancer Centre If no Clinical cancer centre or Comprehensive Cancer Crnter Appendix I / OECI Accreditation and Designation / 1
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ORGANISATION OF EUROPEAN CANCER INS
Page 4 and 5:
OECI Accreditation and Designation
Page 6 and 7: THE OECI Accreditation and Designat
Page 8 and 9: Owner: OECI Organisation of Europea
Page 10 and 11: The keyword in the designation of E
Page 12 and 13: 2.1.1 General explanation of the te
Page 14 and 15: OECI General Assembly Member Instit
Page 16 and 17: − Organizing the auditors’ meet
Page 18 and 19: 3.2 Audit team and auditors 3.2.1 O
Page 20 and 21: 3.3 Cancer institute Obviously all
Page 24 and 25: 5.1.1 Step 1: activities and respon
Page 26 and 27: Designation questionnaire Executor:
Page 28 and 29: Send signed accreditation and desig
Page 30 and 31: 5.3 Step 3: Explanatory visit and p
Page 34 and 35: Finishing self-assesment Executor:
Page 36 and 37: 5.6 Step 6: Payment stage 2 fee If
Page 38 and 39: Preparation of the auditors’ team
Page 40 and 41: Performing the peer review Executor
Page 42 and 43: 5.8.1 Week 1-6: Reporting by the au
Page 46 and 47: 5.9 Step 9: Formulate improvement p
Page 48 and 49: 5.10.1 Evaluation of the A&D Progra
Page 50 and 51: Intermediate self-assessment (optio
Page 58 and 59: 2 / OECI Accreditation and Designat
Page 60 and 61: Qualitative Questionnaire 1. Genera
Page 62 and 63: 1.3.2. Administration of cytostatic
Page 64 and 65: 1.4.6. Roles and tasks of the membe
Page 66 and 67: 1.4.12. Registration and evaluation
Page 68 and 69: 1.5.5. Quality assurance in all are
Page 70 and 71: 2.4.5. Smoking control in the cance
Page 72 and 73: 3.4.4. Palliative and terminal care
Page 74 and 75: 4. Research, innovation and develop
Page 76 and 77: 4.3. Resources and materials 4.3.1.
Page 78 and 79: 5. Teaching and continuing educatio
Page 80 and 81: 6. Patient related 6.4. Process con
Page 82 and 83: 6.5. Safeguarding the quality syste
Page 84 and 85: 1.4.7. at national level at regiona
Page 86 and 87: 2.3. Infrastructures with a focus o
Page 88 and 89: 2.9. Radiology 2.9.1. Number of CT
Page 90 and 91: 2.15. Facilities 2.15.1. On site Ac
Page 92 and 93: 3.4. Human resources (4) 3.4.1. Pat
Page 94 and 95: 4.3. Structures 4.3.1. Yes No not a
Page 96 and 97: 5. Education 5.1. Education 5.1.1.
Page 98 and 99: Planning of the project Start Expla
Page 100 and 101: Go to the qualitative and quantitat
Page 102 and 103: 3. Before moving to the next item p
Page 104 and 105: 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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4. Research, innovation and develop
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4.3. Resources and materials 4.3.1.
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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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1.4.7. at national level at regiona
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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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