1 TOWARDS QUALITY, COMPREHENSIVENESS AND EXCELLENCE: THE ACCREDITATION PROGRAMME OF THE OECI FOR CANCER INSTITUTES Dr. Mahasti Saghatchian Chairwoman OECI Accrediation WG OECI ACCREDITATION Kick Off 16 October 2008, Paris

2 The mission of the OECI Link Coordinate Interdisciplinarity Improve the quality of cancer care

3 Cancer Care/research Professionals and Organisations (Research) Funders (Industry) The Cancer World Patients Health Authorities The Cancer Centre/institute/ Unit/department

4 FOCUS OF THE PROGRAMME Patient centered Planning and Organisation interactions among various professionals for multidisciplinary care integration and translation of research into care Search for quality improvement

5 PRINCIPLES OF THE PROGRAMME The focus is on the patient: the comments and level of satisfaction of patients Safety of care: safety is one of the major dimensions of quality of care, and one of the main expectations of patients. Continuous quality improvement: quality management system Involvement of professionals working in the health care organisation : It is essential that everyone participate in such initiatives, so that they will accept changes and adopt appropriate solutions. Continuous assessment and improvement of the assessment process: research on indicators providing proof of principle

6 The OECI Accreditation Working Group Need for Members involved in everyday specialised patient care participating in medical care and research, in healthcare institutions management researchers from national agencies involved in Healthcare assessment or insurance. involvement of patient groups Support from professional cancer societies

7 The OECI Accreditation Steering Group Integration of activities through the involvement of a common steering committee at every-decision making step Wim van Harten, Amsterdam Renée Otter, Groningen, Ulrik Ringborg, Stockholm, Mahasti Saghatchian, Chair, Villejuif, Thomas Tursz, Villejuif, Dominique de Valeriola, Brussels Angelo Paradiso, Bari Chris Harrison, Manchester

8 STEERING GROUP PATIENTS Standing Committee Collaboration with Professional Cancer Societies Research Group On Indicators Link to National Bodies Auditors Panel OECI ACCREDITATION WORKING GROUP

9 PROFESSIONAL STAFF OECI AWG Programme Manager Henk Hummel, Groningen OECI AWG e-tool designer and webmaster Bert Koot, Compusense OECI AWG coordination secretariat Cecile Tableau, France 3 years of patient, tough, amazing hard work …

10 Accreditation system : What is needed ? Standards and criteria Standards and criteria for quality multidisciplinary cancer care delivered in cancer centres throughout Europe, A process A process allowing to survey the cancer centres in order to assess compliance with those standards, A tool A tool to collect standardised and quality data from approved cancer centres, to measure treatments patterns and outcomes.

Recent Progress

12 Electronic OECI accreditation tool (Web-based) OECI Accreditation Tool now ready to use ! Standards and criteria (qualitative questionnaire) + scoring system based on compliance level + Quantitative questions Translated into an electronic manual

13 Demonstration oeci.selfassessment.nu

14 How to enter the OECI Accreditation programme ? Step 1 of the application process : “Applicant Cancer Institute” submits an application to the OECI Accreditation working group, expressing interest in the OECI Accreditation Programme (deadlines in May and November). The OECI Accreditation Steering Group will evaluate each of the expressions of interest primarily focusing on comprehensiveness Following the review of applications, the best proposals from “Applicant Cancer Institute” will be invited to join the full programme : Programme Agreement proposal with starting date proposal

15 Programme Agreement Governs the Relationship between the Cancer Institute and the OECI Accreditation group financial agreement confidentiality and intellectual property rights Rights and obligations of all parties Individual Programme Timetable with exact dates

16 Timelines of Accreditation Porgramme E:\Timelines of the Audit process.doc

17 Costs

18 Costs

19 Costs

20 Costs During the whole process, OECI Accreditation Working Group covers secretariat, administrative, coordination and management costs: € / year.

21 Further actions Support and Approval of process by Stakeholders Patients, professionals EC recognition and support : 7 FP Coherence with national programmes Tool update Designation Projects Benchmarking tool development

An Objective : Quality of cancer care A Goal : More Comprehensiveness The challenge : Assessment / Validation A project : The OECI Accreditation Project A tool : OECI Acc. Tool Validation of tool / Acceptance Dissemination to OECI Centres Definition of Catgories of Cancer Structures Designation Project Validation through quality indicators Link quality to outcome / Benchmark Link quality to outcome / Benchmark INTERNAL DEVELOPMENTS

23 Collaboration : A Necessity for improvement consumers and providers Quality standards/criteria must be approved by consumers and providers (patients and health authorities) professionals Quality standards/criteria must be approved by professionals (professional societies and peers) at national level and all over Europe The process must be disseminated in cancer structures at national level and all over Europe Harmonisation and integration is the key: overlapping and duplication should be avoided An integrated and open approach is the leading principle

EXTERNAL DEVELOPMENTS Links with Funders International Links (US, Canada) EU recognition In depth Tumour Specific Accreditation In depth Professional Accreditation National Application Patients Information Public Reporting Driving Industrial strategy OECIAccreditation inform the authorities, public and the patients facilitate the sharing of expertise

25 Long-term Impact Improved care to individuals Improved care to individuals Strengthened community confidence in the quality of continuous care in the hospital Strengthened community confidence in the quality of continuous care in the hospital Healthcare professional education on standards of high quality care Healthcare professional education on standards of high quality care Stimulation of quality improvement efforts if the accreditation recommendations are implemented after the accreditation process Stimulation of quality improvement efforts if the accreditation recommendations are implemented after the accreditation process Objective evaluation of the hospital’s quality of care Objective evaluation of the hospital’s quality of care

26 Long-term Impact Potential for improved liability insurance coverage Potential for improved liability insurance coverage Comparative assessment of care structures Comparative assessment of care structures Provision of a more coherent overall vision with a clear evidence base Provision of a more coherent overall vision with a clear evidence base Report provided to the public Report provided to the public More harmonisation and equity for patients More harmonisation and equity for patients

OECI Accreditation Programme Cancer Care / Research Professionals and Organisations (Research) Funders (Industry) Patients Health Authorities Cancer Centres A c c r e d i t a t i o n A new alliance between the Cancer Institutes and their partners in the continuous progress and search for excellence of research and care in oncology