www.jrc.ec.europa.eu

Presentation of comparison of quality assurance schemes

for breast cancer services in Europe

WorkshopIspra, 13-14 March, 2013

Silvia Deandrea

Public Health Policy Support Unit

Disclaimer: The contents of this presentation are the views of the author and do not necessarily represent an official position of the European Commission

SEARCHING FOR EXISTING QUALITY ASSURANCE SCHEMES

21 SCHEMES

IN EU

Disclaimer: The contents of this presentation are the views of the author and do not necessarily represent an official position of the European Commission

Actors and models

BREAST CANCER SPECIFIC STANDARDS•

by professional bodies (nationally and internationally based)

•

by national authorities

CANCER STANDARDS•

by international quality assurance organisations

•

by national authorities

QUALITY & SAFETY STANDARDS•

by international quality assurance organisations

•

by national authorities

Disclaimer: The contents of this presentation are the views of the author and do not necessarily represent an official position of the European Commission

ACTORS –

PROFESSIONAL BODIES AND INTERNATIONAL SOCIETIES

Organisation of European Cancer Institutes

Senology

Swiss Society

Breast Centres Network (EUSOMA + ESO)

European Cancer Care Certification (EUSOMA)

German Cancer Society German Society of Senology

Joint Commission International

Senology

Spanish Society EUREF

Canada Accreditation International

Disclaimer: The contents of this presentation are the views of the author and do not necessarily represent an official position of the European Commission

5

ACTORS –

NATIONAL PUBLIC INITIATIVES

National System

in place

Pilot and/or local

system

No evidence of a

system

No data available

Disclaimer: The contents of this presentation are the views of the author and do not necessarily represent an official position of the European Commission

NATIONAL AUTHORIZATION STANDARDS

NATIONAL CANCER -

TARGETED STANDARDS

ISO AND/OR INTERNATIONAL QUALITY STANDARDS

BREAST CANCER CARE STANDARDS by PROFESSIONAL BODIES

French M

odelDKG/DGS

Disclaimer: The contents of this presentation are the views of the author and do not necessarily represent an official position of the European Commission

EU –

at least 1 scheme

7

Disclaimer: The contents of this presentation are the views of the author and do not necessarily represent an official position of the European Commission

8

EU –

at least 2 schemes

Disclaimer: The contents of this presentation are the views of the author and do not necessarily represent an official position of the European Commission

9

EU –

at least 3 schemes

Disclaimer: The contents of this presentation are the views of the author and do not necessarily represent an official position of the European Commission

10

EU –

at least 4 schemes

Disclaimer: The contents of this presentation are the views of the author and do not necessarily represent an official position of the European Commission

Classification of domains adapted from Shaw et al.,

2010

NATIONAL CANCER

TARGETED

STANDARDS

INTERNATIONAL

QUALITY STANDARDS

BREAST CANCER

STANDARDS by

PROFESSIONAL

BODIES

MANAGEMENT + / - +++ +

PATIENTS RIGHTS + / - ++ +

PATIENT SAFETY + / - +++ -

CLINICAL

ORGANIZATION+ / - ++ ++

BREAST CANCER

CLINICAL PRACTICE+ / - - +++

ENVIRONMENT+ / -

++ +

DIFFERENT BOOKS, DIFFERENT STORIES?

Disclaimer: The contents of this presentation are the views of the author and do not necessarily represent an official position of the European Commission

Classification of domains adapted from Shaw et al.,

2010

NATIONAL CANCER

TARGETED

STANDARDS

INTERNATIONAL

QUALITY STANDARDS

BREAST CANCER

STANDARDS by

PROFESSIONAL

BODIES

MANAGEMENT + / - +++ +

PATIENTS RIGHTS + / - ++ +

PATIENT SAFETY + / - +++ -

CLINICAL

ORGANIZATION+ / - ++ ++

BREAST CANCER

CLINICAL PRACTICE+ / - - +++

ENVIRONMENT+ / -

++ +

DIFFERENT BOOKS, DIFFERENT STORIES? - 2

Disclaimer: The contents of this presentation are the views of the author and do not necessarily represent an official position of the European Commission

Classification of domains adapted from Shaw et al.,

2010

NATIONAL CANCER

TARGETED

STANDARDS

INTERNATIONAL QUALITY STANDARDS

AND

BREAST CANCER STANDARDS by

PROFESSIONAL BODIES

MANAGEMENT + / - +++

PATIENTS RIGHTS + / - +++

PATIENT SAFETY + / - +++

CLINICAL

ORGANIZATION+ / - +++

BREAST CANCER

CLINICAL PRACTICE+ / - +++

ENVIRONMENT+ / -

+++

DIFFERENT BOOKS, DIFFERENT STORIES? - 3

Disclaimer: The contents of this presentation are the views of the author and do not necessarily represent an official position of the European Commission

Many differences

PROJECT STAGE Pilot Many rounds

COUNTRIES 1 23

NR CENTRES 2 Hundreds

NR REQUIREMENTS 25 Hundreds

NR LEVELS 1 4

EVIDENCE REVIEW Experts Systematic

ASSESSMENT TYPE Self Many days site visit

NR OF AUDITORS 3 8

Disclaimer: The contents of this presentation are the views of the author and do not necessarily represent an official position of the European Commission

BREAST CANCER STAGE ADDRESSED

Disclaimer: The contents of this presentation are the views of the author and do not necessarily represent an official position of the European Commission

Conclusions

•

Many different quality assurance schemes are present in EU at the moment

•

In some cases, an overlap and redundancy of schemes is present

•

In other cases, important figures of the quality of care for breast cancer patients are missing

•

A more sustainable approach is needed, shifting from a mainly national to a more integrated supranational perspective

Disclaimer: The contents of this presentation are the views of the author and do not necessarily represent an official position of the European Commission

17

Thank you for your attention

Joint Research Centre (JRC)

The European Commission’s in-house science service

www.jrc.ec.europa.euServing society -

Stimulating innovation -

Supporting legislation