ANNEX IX
CHECKLIST ON SELECTION CRITERIA OF POINT 17.3. TECHNICAL
AND PROFESSIONAL CAPACITY
The objective of the checklist is to help tenderers to check if their offer complies with the
selection criteria, as described under 17.3 TECHNICAL AND PROFESSIONAL CAPACITY.
Please fill and sign this checklist as mandatory part of evidence (see 17.3.2 of the tender
specifications).
Name of the tenderer: ………………………………………………………………………….
Tenderer's organisation:
1.1 Development of external evaluation manuals
including quality standards and criteria for the
assessment
and
evaluation
of
healthcare
organisations and providers.
Name of the organisation:
How many years of professional experience?
The tenderer has annexed a list with references of 5
annual reports, publications, or other documents
confirming the tenderer’s required experience in the
above mentioned field.
1.2 External evaluation and audits in health care
organisations and implementation of quality
improvement projects in multiple centres and/or
networks
Name of the organisation:
How many years of professional experience?
The tenderer has annexed a list with references of 5
annual reports, publications, or other documents
confirming the tenderer’s required experience over time
in the above mentioned field.
1.3 Experience in projects and activities involving
healthcare stakeholders (public authorities, experts'
panels, healthcare professionals, scientific societies,
patients associations etc.)
Name of the organisation:
How many years of professional experience?
The tenderer has annexed a list with references of 5
annual reports, publications, or other documents
confirming the tenderer’s required experience in the
above mentioned field.
1
YES / NO
…
… years
Yes / No
YES / NO
…
… years
Yes / No
YES / NO
…
… years
Yes / No
1.4 Management or design or capacity for the
development and use of IT applications related with:
auditing and assessment procedures, virtual working
spaces and consultation tools and website content
Name of the organisation:
How many years of professional experience?
The tenderer has annexed a list with references of 5
annual reports, publications, or other documents
confirming the tenderer’s required experience over time
in the above mentioned field.
1.5 Knowledge and experience of healthcare systems
at national level
Name of the organisation:
How many years of professional experience?
The tenderer has annexed a list with references of 5
annual reports, publications, or other documents
confirming the tenderer’s required experience in the
above mentioned field.
YES / NO
…
… years
Yes / No
YES / NO
…
… years
Yes / No
Team Leader:
2.1. The tenderer has a team leader that fulfils the
following:
- has a university degree in medicine, specialised in
the area of healthcare, public health administration,
or healthcare management (specialisation in the area
of healthcare quality assessment would be an asset).
- has at least 10 years of relevant professional
experience in the field of health, and/or other related
fields, with relevance to healthcare quality
assessment, quality standards development, clinical
guidelines development and clinical performance
and healthcare providers' assessment or evaluation).
- has at least 5 year experience in managing
multidisciplinary teams and working in liaison with
healthcare professionals, healthcare managers, highranking governmental officials and other related
stakeholders
- has at least 5 year experience in the coordination or
participation in national or EU or International
projects related to the field of quality of care or
healthcare providers assessment.
Name of the team leader:
How many years of professional experience?
The team leader has annexed a CV in EUROPASS
format (cf. specifications 17.3.2.).
Team leader has English knowledge at "C2" level
2
YES / NO
…
… years
Yes / No
Yes / No
Team members:
2.5. One senior member with a university degree in
medicine specialised in the area of healthcare or
public health with at least 10 years of relevant
professional experience in the field of healthcare
quality and in particular in the development of
external assessment or evaluation manuals for
external
evaluation;
experience
in
the
implementation or management of quality
assurance/improvement
plans
or
programs,
assessment of quality of healthcare and experience in
national or EU financed projects in the area of
healthcare quality
Name of the team member:
How many years of professional experience?
The team member has annexed a CV in EUROPASS
format (cf. specifications 17.3.2.).
2.6. One member with a university qualification with
at least 5 years of relevant professional experience in
liaising with technical and policy-making bodies and
agencies dealing with healthcare, healthcare
management, standards and guidelines development
and professional experience in the use of qualitative
technics for the management of experts groups and
panels.
Name of the team member:
How many years of professional experience?
The team member has annexed a CV in EUROPASS
format (cf. specifications 17.3.2.).
2.7. One member with university health professional
qualification with at least 5 years of experience in
performing quality assurance reviews or audits ,
evaluation
of
clinical
information
and
documentation including medical record reviews or
peer review reports and writing of clinical and
quality performance reports.
Name of the team member:
How many years of professional experience?
The team member has annexed a CV in EUROPASS
format (cf. specifications 17.3.2.).
2.8. One member with a university degree in
medicine, with specialisation and at least 5 years
professional experience in the clinical field
particularly in the development of clinical quality
and performance research and its assessment,
strategic search of scientific and clinical evidence,
3
YES / NO
… years
Yes / No
YES / NO
….
… years
Yes / No
YES / NO
… years
Yes / No
YES / NO
and production and publication of scientific and
methodological articles or documents.
Name of the team member:
How many years of professional experience?
The team member has annexed a CV in EUROPASS
format (cf. specifications 17.3.2.).
2.9. One member with relevant university degree
with at least 5 years’ experience as project manager
at national or EU/International level (conduction
and
management
of
projects
including
administrative, legal and financial matters) ensuring
the content, format, and professional appearance of
the reports and deliverables of a project.
Name of the team member:
How many years of professional experience?
The team member has annexed a CV in EUROPASS
format (cf. specifications 17.3.2.).
2.10. One member with at least 5 years of relevant
professional experience in information technologies
and communication activities including designing
websites and IT applications acquired after relevant
university qualifications.
Name of the team member:
How many years of professional experience?
The team member has annexed a CV in EUROPASS
format (cf. specifications 17.3.2.).
3.1. All team members have a proven adequate
working knowledge of English with excellent writing
skills (C1 or higher);
The Europass Language Passport template is filled in
for the team leader and all team members
3.2. The tenderer has appropriate administrative
and logistic support for the development of the
project.
3.3. The tenderer has the capacity for the
management and maintenance of the databases or
IT tools related to the service
….
… years
Yes / No
YES / NO
….
… years
Yes / No
YES / NO
….
… years
Yes / No
YES / NO
Yes / No
YES / NO
YES / NO
* include more lines as desired
Date
………………………………
Signature
4