Measures and Standards

Certification Standards

The QOPI Certification On-Site Survey is the second component of the QOPI Certification Program, intended to review the compliance of a practice with structural quality standards. 

The Certification Standards are adapted from the ASCO/ONS chemotherapy safety standards and are intended to reduce the risk of errors when providing cancer patients with chemotherapy, and to provide a framework for best practices in cancer care. Specifically, they can inform practice policies and procedures, internal quality assessment, and external quality monitoring.


Administration of antineoplastic agents is a complex process fraught with the potential for patient harm. Challenges to patient safety grow as the number of chemotherapeutic regimens expands and oral chemotherapy drugs become commonplace.

ASCO leaders envisioned that the ASCO/ONS safety standards would be appropriate to become the majority of the QOPI Certification site standards. When reviewing the full set of standards, those that met the following criteria were prioritized for inclusion in the QOPI Certification Program:

  • Standards that apply broadly to all types of  practices that would seek QOPI Certification
  • Standards most crucial for patient safety
  • Standards that do not duplicate QOPI medical record measures

View more information on QCP Measures

Current Certification Standards

When a practice applies for Certification, their policies and procedures will be assessed against the Certification Safety Standards. Practices will be asked to submit documentation of their compliance with the Certification Standards and required to participate in an on-site review to assess their compliance. A practice must be compliant with all of the Certification Standards before Certification can be awarded.

The Certification Safety Standards address key areas of patient care including:

  • Staffing
  • Treatment Planning & Chart Documentation
  • Informed Consent
  • Chemotherapy Orders
  • Drug Preparation
  • Chemotherapy Administration
  • Patient Monitoring and Assessment
  • Preparedness for Emergencies
  • Oral Chemotherapy
  • Patient Education