European Quality Assurance Scheme for Breast Cancer Services

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European Quality Assurance Scheme for Breast Cancer Services Francesco Sardanelli (vice-chair) For the Joint Research Centre Institute for Health and Consumer Protection Public Health Policy Support Disclaimer: The contents of this presentation are the views of the author and do not necessarily represent an official position of the European Commission. European Union, 2013

OUTLINE 1. THE QUALITY ASSURANCE TEAM 2. WORKING MODALITY 3. EUROPEAN QA SCHEME STRUCTURE 4. WORKING ORGANIZATION 5. NEXT STEPS 2 ECIBC Plenary 9-11 December 2015 Baveno (ITALY)

1. THE QUALITY ASSURANCE TEAM I. ECIBC Coordination Team II. Secretariat III. Quality assurance scheme development group (QASDG) Chair: Robert Mansel Vice-Chair: Francesco Sardanelli Steering group Subgroups coordinators: Luigi Cataliotti, Simone Wesselmann, Charles Shaw, Chantal Van Ongeval, Giorgio Stanta, Antonio Ponti, Sabine Siesling Remainder QASDG members QASDG associated members IV. Non-QASDG members contributing to the QASDG work European Cooperation for Accreditation Systematic review team 'Scientific advisors' and 'external experts National contacts Stakeholders: individual stakeholders and stakeholder organisations External reviewers External editor 3 ECIBC Plenary 9-11 December 2015 Baveno (ITALY)

CLINICAL Radiology Radiography Genetics Pathology Breast surgery Professionals - Fields of competence covered Reconstructive breast surgery Medical Oncology Radiotherapy Medical Physics HORIZONTAL Breast cancer QA schemes Healthcare accreditation systems Healthcare systems administration Hospital management Information technology Management of BC screening programmes Policymaking Cancer registries and databases Communication in cancer Pharmacy Conformity assessment /inspection / certification bodies Nursing Nutrition Palliative Care Evidence-based complementary and alternative medicine Psycho-oncology General practice Patient safety Public Health QA schemes for chronic diseases Cancer epidemiology Patient-centered care Development of quality indicators 4 ECIBC Plenary 9-11 December 2015 Baveno (ITALY)

2. WORKING MODALITY Agreed rules of procedure already approved European QA scheme built on the basis of best available evidence and best professional practicing, taking into account the legal and policy context Evidence gathered from the European Guidelines for Breast Cancer Screening and Diagnosis and the platform of guidelines for processes of care other than screening and diagnosis Requirements will be established using the methodology of Delphi rounds, after a call for existing requirements and reference documents Call for feedback on the scope of the scheme and on the requirements for piloting Pilot run as a feasibility test 5 ECIBC Plenary 9-11 December 2015 Baveno (ITALY)

3. EUROPEAN QA SCHEME STRUCTURE ISO Standards and the Accreditation Framework NAB CB BCS1 BCS2 BCS3 Med. Lab. Imaging Pathology ISO 17065:2012 ISO 15189:2012 6 ECIBC Plenary 9-11 December 2015 Baveno (ITALY)

QASDG: Draft QA scheme scope ISO 17065 ISO 15189 for the testing activities QASDG & JRC decide the scheme owner requirements (audits frequency, specific requirements, etc.) EA (and NABs to run it at National level) 7 ECIBC Plenary 9-11 December 2015 Baveno (ITALY) Call for feed-back Jan/Feb 2016

8 ECIBC Plenary 9-11 December 2015 Baveno (ITALY) Manual Structure

4. QASDG WORKING ORGANIZATION q TESTING (MEDICAL IMAGING, PATHOLOGY, MEDICAL PHYSICS, MOLECULAR / GENETIC TESTING) q OMPETENCE (TRAINING, CONTINUOUS EDUCATION, ETC.) QUALITY CONCEPTS AND KEYWORDS (GLOSSARY) ORGANISATION, SCOPE AND MODULES (INCL. ELIGIBILITY/GATE REQUIREMENTS) q INDICATORS CERTIFICATION PROCESSES QUALITY DIMENSIONS 1. Structure, Resources and Workforce 2. Person's experience 3. Safety 4. Effectiveness 9 ECIBC Plenary 9-11 December 2015 Baveno (ITALY)

5. NEXT STEPS Public call on feedback on the European QA scheme scope to be published in January 2016 (three weeks) Contacts with existing schemes and entities ongoing First Delphi round in March 2016 Publication of call for standard operating procedures, technical protocols and reference methods in first half of 2016 10 ECIBC Plenary 9-11 December 2015 Baveno (ITALY)

Thank you for your attention Disclaimer: The contents of this presentation are the views of the author and do not necessarily represent an official position of the European Commission. European Union, 2013