Accreditation and Designation User Manual - OECI
Accreditation and Designation User Manual - OECI
Accreditation and Designation User Manual - OECI
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Check draft<br />
Executor: <strong>OECI</strong> Auditor<br />
The first draft of the report will be send to the audit team to analyse:<br />
− The scores of the auditors,<br />
− The proposed text per st<strong>and</strong>ard to support the audit team scores,<br />
− The list of st<strong>and</strong>ards with different findings among the auditors in the scores <strong>and</strong> notes (deviations),<br />
− The proposed designation type with the short descriptions for each item,<br />
− The proposed designation conclusion.<br />
The auditors are requested to give feedback <strong>and</strong> comments on the draft report.<br />
Discuss draft by teleconference<br />
Executor: <strong>OECI</strong> Chair audit team<br />
The A&D Coordinator will discuss the draft report <strong>and</strong> feedback of the auditors with the chair of the audit<br />
team by teleconference. The input of the teleconference is a list of deviations sent by the A&D Coordinator.<br />
Make final draft<br />
Executor: <strong>OECI</strong> A&D Coordinator<br />
The A&D Coordinator:<br />
− Processes the conclusions of the teleconference with the chair of the audit team,<br />
− Discusses the final draft with the Executive Manager,<br />
− Sends the final draft to the cancer institute with a feedback <strong>and</strong> comments form.<br />
Check final draft<br />
Executor: <strong>OECI</strong> Chair audit team<br />
The second draft of the report will be sent to the chair to check:<br />
− Final scores as discussed in the teleconference with the audit team,<br />
− Final text per st<strong>and</strong>ard that supports the audit team scores,<br />
− Final designation type with the short description for each item,<br />
− Final designation conclusion,<br />
− Editorial changes.<br />
Proceed final corrections<br />
Executor: <strong>OECI</strong> A&D Coordinator<br />
The A&D Coordinator will proceed the final corrections of the chair <strong>and</strong> send the final draft report latest in<br />
week 6 after the peer review to the Director <strong>and</strong> accreditation contact person of the cancer institute.<br />
The draft is sent together with:<br />
− Doc 41: Letter presenting the draft report,<br />
− Doc 22: Feedback <strong>and</strong> comment form.<br />
The final draft will contain:<br />
− The st<strong>and</strong>ards reviewed during the peer review visit with the scores of the cancer institute from the selfassessment,<br />
the scores of the auditors <strong>and</strong> the findings of the auditors supporting the scores,<br />
− Description of the designation check findings.<br />
The strengths <strong>and</strong> opportunities will be presented in the final report.<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 5 Ten steps A&D process in detail<br />
Page 21 of 28<br />
Version 16 February 2011