The OECI certification/designation program: the Genoa experience.

Accreditation and designation procedures by the Organisation of European Cancer Institutes (OECI) have represented a considerable challenge for most of the Italian cancer centers. We summarize the experience of the San Martino-IST in Genoa, which, on the whole, was satisfactory, albeit demanding for the staff. The reorganization of most oncology/hematology operations within the disease management teams was probably the key point that allowed us to obtain approval as it brought about the possibility of bringing in uniform methods of diagnosis/treatment, increasing patient recruitment in clinical trials, and fostering translational research by promoting collaboration between clinicians and laboratory investigators. The creation of a more cohesive supportive and terminal care team facilitated both the OECI procedures as well as the operations within the institution. Finally, some considerations are added to the doctor and nurse management roles in Italian hospitals characterized by noticeable differences from northern Europe. These differences may represent an extra challenge for hospital management and evaluator teams more used to the northern European type of organization.