ORGANISATION OF EUROPEAN CANCER INSTITUTES
IPO Lisboa is accredited as Clinical Cancer Center by Organisation of European Cancer Institutes (OECI), the sole European body authorized to certify the quality of cancer hospitals.
Accreditation awarded for the first time in 2011, was renewed in 2018 and guarantees that IPO complies with the quality standards set out by OECI: The final OECI report states that «The centre offers high quality care in all oncology relevant fields, including palliative and support care».
OECI is an independent entity comprising 78 European cancer institutes. Its mission is the constant improvement of the organization and quality of the care provided to cancer patients in all Europe and the promotion of equal access to the most suitable treatments.
OECI works with professionals and organizations in the fields of prevention, assistance, research, development and education and is focussed on the patients’ needs.
OECI’s accreditation is an extremely rigorous process, developed by external experts, from various European cancer institutes, who come to the facilities and assess the various management, clinical, nursing, research and training areas. The auditors examine also thoroughly a range of information about the patients treated in the various departments of IPO (per pathology or oncology treatment areas), the waiting times at each stage of the treatment and the patients and professionals’ global satisfaction.
EUROPEAN SOCIETY FOR MEDICAL ONCOLOGY
IPO is accredited by the European Society for Medical Oncology (ESMO) as Centre of Integrated Oncology and Palliative Care. The certification awarded for the first time in 2015, was renewed in 2018 and is extendable until 2021.
The certification requirements as Centre of Integrated Oncology and Palliative Care are related to the quality and philosophy of the care provided to cancer patients; palliative care should be provided in an integrated manner with the treatments addressing cancer, and be available over the course of the disease and not only at the end of life and be extendable to the families.
In IPO, palliative care is provided in an integrated manner by Serviço de Oncologia Médica (Medical Oncology Department), by Equipa Intra-Hospitalar de Suporte em Cuidados Paliativos (Intrahospital Team of Palliative Care Support) and Unidade de Assistência Domiciliária, (Home care Unit) with multidisciplinary teams (doctors, nurses, psychologists, social workers), spiritual support being also guaranteed.
Moreover, IPO has a palliative care program targeting specifically children and teenagers of the Serviço de Pediatria (Paediatric Department).
EUROPEAN CENTRES OF REFERENCE
IPO is accredited by European reference networks European Reference Networks Paediatric Cancer (PaedCan ERN), for paediatric cancer, and European Network for Rare Adult Solid Cancer (EURACAN), for cancers of the anal canal, testicles and sarcomas of tissues/soft parts and bones.
GENERAL DIRECTORATE OF HEALTH
General Directorate of Health adopted Agencia de Calidad Sanitaria de Andalucia (ACSA) model for the certification of National Health Service facilities, including clinical management units such as RC’s. The accreditation process of IPO and RC’s for cancers of the oesophagus, testicle, rectum and sarcomas of tissues/soft parts and paediatric cancer is ongoing, with already carried out audits.
NATIONAL REFERENCE CENTRE
IPO is accredited as Reference Centre (RC) for adult oncology centre in the treatment of oesophagus, testicle, rectum and sarcomas of tissues/soft parts and paediatric oncology.
Being a RC recognises that IPO gathers the highest exponent of skills in the provision of high quality healthcare in clinical situations requiring concentration of highly differentiated human, technical and technological resources, knowledge and experience due to the complexity of the diagnosis and/or treatment and/or high costs. IPO is also qualified to provide post-graduation training and scientific research in the respective medical areas (see decree-order no.194/2014, of September 30th).
The accreditation of RC is an ongoing process, and IPO meets the necessary conditions to become a RC in other oncologic pathologies. We are only awaiting the opening of the respective applications by the Ministry of Health.
INTERNATIONAL ORGANIZATION FOR STANDARDIZATION (ISO standards)
The quality management system of IPO Lisboa is implemented according to standard references ISO 9001, the international reference for the certification of quality management systems. The certification of the International Organization of Standardization (international body comprising more than one hundred standard setting institutions of different countries) requires external audits and inspections to assess procedures, processes, records, performance, risks, opportunities, users’ satisfaction, reputation and image of the different departments of IPO among the society. IPO has 24 certified Departments according to ISO 9001.
Certified and accredited departments and units:
1 - Areas of provision of differentiated healthcare regarding diagnosis and treatment of cancer disease:
Family Risk Clinic (family risk appointments).
Haematology/oncology laboratories (provision of laboratory services of diagnosis and follow-up, phenotypic and genetic characterization of haematologic cancer pathology to support social activity).
Pathological Anatomy Department (provision of diagnostic and research services in the scope of pathological anatomy).
Anaesthesiology Department (anaesthetic support provided to surgeries, complementary diagnostic tests and hospital emergency situations; anaesthetic appointments).
Imunohemotherapy Department (collection, validation and preparation of blood components for transfusion application, testing, therapeutic applications and treatment).
Nuclear Medicine Department (healthcare provision in diagnostic and therapeutic areas with radionuclides and radiopharmaceuticals).
Clinical Pathology Department (analytical services in Biochemistry, Endocrinology, Haematology, Immunology, and Virology, including pre-analytical, analytical and post-analytical phases). It is also certified by ISO 15189 standard.
Radiotherapy Department (treatment by ionizing radiation, external radiotherapy and brachytherapy).
Haematopoietic Progenitors Transplantation Department or Bone Marrow Transplantation Unit (donation, collection, processing, preservation, storage, distribution and application of human tissues and cells to be used in human beings).
Radiology Department (conventional radiology, mammography, ultrasound, CT-scan, magnetic resonance (MRI) testing and intervention radiology procedures).
Pharmaceutical Department (supply, storage, preparation and distribution of medicinal products and other pharmaceutical products to the departments, support to clinical trials and supply of medicinal products to patients of IPO Lisboa).
Occupational Health Department (hazards identification, risk assessment and control, work accidents, incidents, occupational diseases and health surveillance, health promotion, natural disease assistance and training).
Molecular Pathobiology Research Unit (laboratory diagnostic carried out in this unit).
2 - Training and Research area:
Training Centre (training services for nurses, quality and humanization of care, efficiency in the use and management of resources and implementation of new concepts of health management, specifically in the Oncology area).
Clinical Research Unit (management of clinical research projects).
Epidemiology Research Unit (preparation of epidemiology studies).
3 - Support services provision area:
Central Sterilization Unit (reception, washing, inspection, packaging, sterilization and delivery of medical devices). Also certified according to standard references NP EN ISO 13 485.
Purchase management (preparation of the annual budget of consumer goods, supplies and services; implementation of the annual and multiannual investment plans; supplier evaluation; implementation of pre-contract and purchase procedures of consumer goods, investment, services and work contracts).
Facilities and Equipment Management (management of IPO Lisboa facilities and equipment).
Human Resources Management (staff recruiting and selection, hiring, payment and IPO Lisboa’s staff’s performance assessment).
Systems and Information Technology Management (user support, networks and systems, information system and intranet support).
Hotel Management (waste cleaning and removal; disinfestation; washing, laundry care and distribution; food; patients’ home; parks and gardens).
Logistics and Distribution (stocks management; reception, warehouses and internal distribution; transports and general support).
Patients’ management (administrative management ensuring the suitable quality of reception, reception and patients’ referral in clinical secretariat areas, patients’ transport in ambulances and medical assistance abroad; clinical archive; processing of information related to clinical coding; production and invoicing systems).