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Cancer Program Guidelines - Association of Community Cancer ...

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C. Demonstrated administrative ability and leadership<br />

skills. The medical director assumes appropriate level <strong>of</strong><br />

authority and accountability for program outcomes.<br />

Guideline II<br />

The authority <strong>of</strong> the medical director is defined and<br />

documented by the sponsoring organization <strong>of</strong> the<br />

program.<br />

Rationale<br />

The medical director must have a documented job description<br />

and/or contract that define lines <strong>of</strong> authority and responsibility.<br />

Characteristics<br />

The organization has defined the authority <strong>of</strong> the medical<br />

director in the following suggested areas:<br />

A. <strong>Program</strong> definition, vision, mission, goals, planning,<br />

implementation, and objectives<br />

B. Recruitment, appointment, evaluation, and promotion <strong>of</strong><br />

relevant personnel within the scope <strong>of</strong> the program<br />

C. Reporting structure/requirements<br />

D. Space allocation<br />

E. Interaction with other departments, organizations, and<br />

the public<br />

F. Budgetary and administrative responsibility appropriate<br />

to the structure <strong>of</strong> the organization<br />

G. Medical, scientific, research, and other program<br />

component decisions<br />

H. Fundraising<br />

I. Performance improvement and clinical pathways<br />

development<br />

J. Monitoring <strong>of</strong> quality <strong>of</strong> care.<br />

Guideline III<br />

The medical director is subject to a minimum <strong>of</strong> annual<br />

performance review.<br />

Rationale<br />

Timely evaluation <strong>of</strong> the medical director’s overall performance<br />

is the responsibility <strong>of</strong> the organization’s administrative<br />

leadership and medical staff and/or review group as<br />

defined in the job description.<br />

Characteristics<br />

The evaluation measures how well the medical director has<br />

achieved the following goals:<br />

A. Assurance that appropriate programs are in place and<br />

operating according to standards<br />

B. Ongoing program planning and implementation<br />

C. Well-developed, coordinated, and managed relationships<br />

with other organizational components, physicians, external<br />

organizations, patients, their families, and the public<br />

D. Establishment, maintenance, and documentation <strong>of</strong><br />

medical, scientific, and ethical standards<br />

E. Quality <strong>of</strong> care<br />

F. Securing and/or maintaining appropriate certifications,<br />

accreditations, and memberships<br />

G. Cost-effective operations<br />

H. Efficient and effective management <strong>of</strong> budget and<br />

personnel<br />

I. Annual, or more frequent, reporting.<br />

Compensation should be considered commensurate with<br />

expected time commitment.<br />

6 Chapter 1 Institutional and <strong>Program</strong>matic Resources ACCC <strong>Cancer</strong> <strong>Program</strong> <strong>Guidelines</strong>

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