On-Site Survey

On-Site Survey

All applicant practices are subject to an on-site survey. On-site surveys will be conducted by an experienced oncology professional. The surveyor will select and follow patients through chemotherapy administration, examining records, procedures, and tools to evaluate all Certification Standards.

Before the Visit

Your on-site survey will be scheduled following your submission of standards documentation. You will receive a notice from QOPI Certification staff which will provide you information on the on-site surveyor selected for your practice. Surveyors are chosen in compliance with ASCO and QCP's Conflict of Interest Policy; we ask that your practice confirms that there is no conflict of interest with the selected surveyor. Once this process is complete, your surveyor will contact you directly to mutually agree upon a date for your survey.

After the Visit

After your on-site survey, your surveyor will write a report which will detail your practice’s compliance with each of the QOPI Certification Standards, including any requirements for additional documentation. This report is reviewed by QCP staff and then sent to a member of the QOPI Certification Program Steering Group for final review and approval.

Your practice should receive its report 4-6 weeks following your on-site visit. Once you receive the report, you will have 10 business days to submit a compliance plan to address any deficiencies found during your survey.

Once your plan has been approved, your timeline to submit any additional documentation will depend on your practice’s Certification status. For recertifying practices, your responses will be due 4 weeks prior to your expiration date. For new practices, your responses will be due 4 weeks prior to the one-year anniversary of your Certification Pending date.

If a repeated site visit is required to demonstrate practice improvement, the practice will bear the cost of the review including travel and stipends.

QCP On-Site Review – A Day in the Life

QCP On-site Survey: What does a typical day look like?

Time Estimate


20-30 minutes

Introductions/tour of facility/overview of on-site survey activities

1-2.5 hours [depending on the flow of the chemotherapy infusion room and the timing of chemotherapy preparation]

Review of chemotherapy orders and observation of chemotherapy order checking.

Observation of chemotherapy preparation and labeling.

Observation of double check of prepared chemotherapy.

2-4 Hours

Review of chart documentation for two patients receiving IV chemotherapy and two patients receiving oral chemotherapy (on-site surveyor will select records to review). 

Review of pharmacy and nursing personnel records (licensure, orientation/training, etc.).

1.5 Hour [10-15 minutes each]

Interview of 2-3 nurses who administer chemotherapy. Additional interviews of the nurse educator and administrative staff may be requested.  Interviews will occur at a mutually convenient time in a private area away from the patient care area. One nurse is interviewed at a time.

Interview of personnel who prepare chemotherapy and/or dispense oral chemotherapy (when applicable).

1 – 1.5 Hours

Surveyor in quiet space alone to review notes.


30 minutes to 1 hour

Exit Summary and discussion (practices may invite whoever they wish to attend)

  • On-site survey observations
  • Timeline for follow up

NOTE: The on-site survey activities do not need to be performed sequentially. The on-site surveyor, in conjunction with the practice staff, will determine the best sequence of survey activities.

How Can You Help To Prepare?

  • Have a quiet, private place available for the surveyor to conduct interviews and review chart documentation, policies, etc.
  • Have current paper or electronic Policies and Procedures Binder related to the standards available and organized. If more than one site is applying for certification, these policies and procedures need to be available for review at all sites.
  • Inform the pharmacy and nursing staff of the purpose of the on-site survey and that the surveyor may be interviewing them or obtaining information from them (all staff who prepare and/or administer chemotherapy, except those in orientation, are eligible to be interviewed for the interview portion of the on-site survey).
  • Reassure the staff that the questions that will be asked, if they are selected to be interviewed, are questions about usual, everyday routines in the practice.
  • Ask infusion room nurses to request the patient’s permission to be observed if selected for observation.

    All QCP on-site surveyors are experienced oncology professionals; as such they understand the demands of clinical practice and the importance of patient safety.  Every effort will be made to ensure that neither is compromised during the on-site survey.