2015/16 Q4 Performance Scorecard - DRAFT * Generated from iPort Scorecard June 1, 2016

How To Read This Package Unless otherwise noted, all data in this report refers to the period January 1, 2015 to December 31, 2015 as the LAST 12 MONTHS. BAR CHART: Current performance QUADRANT CHART: Comparison to previous performance Done Value & end of blue bar: performance Red line: Target Y-axis: Current performance based on the last 12 months. X-axis: Relative change in performance of the latest period vs. previous period (e.g. 12 months as of April 2014 vs. 12 months as of April 2013)

2015/16 CCO Priority Indicators & Targets 2015/16 Improvement Target Slide No. Patient Experience Emotional Support: Percentage of patients who reported being put in touch with other providers to help with their anxieties and fears in the last six months (of those who reported anxieties and fears) (includes all radiation facilities) 50% 4 Coordination and Continuity of Care: Percentage of patients who reported that they always knew the next step in their care (includes all radiation facilities) 75% 5 Ontario Breast Screening Program Percentage of OBSP clients diagnosed within 7 weeks of an abnormal screen for cases with a tissue biopsy 80% 6 ColonCancerCheck Percentage of Ontario screen-eligible individuals (50–74 years old) who were overdue for colorectal screening at the end of the reporting quarter <40%* 7 Diagnostic Assessment Program Referral to a lung DAP to Diagnosis or Rule Out: percentage of patients diagnosed or ruled out within 28 days 65% 8 Multidisciplinary Cancer Conferences Percentage adherence to the minimum MCCs standards criteria (all reporting facilities) 9 Surgical Oncology Decision to Treat to Treatment: Percentage of patients treated within target for all priority categories (all reporting facilities) 90% 11 NEW - Referral to Consult: Percentage of patients seen within target for all priority categories (all reporting facilities) 85% 10 Pathology and Laboratory Medicine Pathology post-surgical turn-around time for all disease sites: percentage of reports received within 14 days (all reporting facilities) 12 Radiation Treatment Referral to Consult: percentage of patients seen within 14 days (includes all radiation facilities) 13 Percentage of Radical Courses Peer Reviewed (includes all radiation facilities) 14 Systemic Treatment Referral to Consult: percentage of patients seen within 14 days (RCC only) 15 Consult to Treatment: percentage of patients treated within 28 days (RCC only) 16 Symptom Management Percentage of cancer patients in the Regional Cancer Centre who were screened at least once per month for symptom severity using ESAS 70% 17 NEW - Percentage of cancer patients in the Regional Cancer Centre who were screened at least once per month with the patient reported functional status (also known as ECOG-p) 18 Palliative Care NEW - Referral to Consult: percentage of patients seen within 14 days (RCC only) 19 *This is an inverse indicator (lower percentage indicative of better performance)  

Patient Experience – Emotional Support Latest four quarters refers to the period January 1, 2015 to December 31, 2015. Done

Patient Experience – Coordination and Continuity of Care Latest four quarters refers to the period January 1, 2015 to December 31, 2015.

OBSP Wait Times – With Tissue Biopsy Done Note: This indicator cannot be separated into Toronto Central South and Toronto Central North. As a result, performance for Toronto Central is shown.

CCC Overdue for Screening Rate *This is an inverse indicator, lower percentage is indicative of better performance. Done Note: This indicator is not currently separated into Toronto Central South and Toronto Central North. As a result, performance for Toronto Central is shown.

DAP – Referral to Diagnosis or Rule Out Wait Time Done DQ Note: TC North: Please note that due to delayed data submission from Toronto East General Hospital, Q4 reporting for this region will only include data from April – December 2015.

Multidisciplinary Cancer Conferences Done

Cancer Surgery – Referral to Consult Wait Time New for 2015/16 DQ Note: Groves Memorial Community Hospital (Facility Number 656): Please note that this hospital has been reported as Non-Compliant (NC) for Cancer Surgery by the Access to Care Compliance Team for the months of April to June  2015. Cancer Surgery cases were underreported for this facility. For more detailed information please contact atc@cancercare.on.ca

Cancer Surgery – Decision to Treat to Treatment Wait Time DQ Note: FY 2015/16 Q3: Groves Memorial Community Hospital (Facility Number 656): Please note that this hospital has been reported as Non-Compliant (NC) for Cancer Surgery by the Access to Care Compliance Team for Q3 FY1516. Cancer Surgery cases were underreported for this facility. For more detailed information please contact atc@cancercare.on.ca.

Pathology Report Turn Around Time – All Disease Sites (Data as of Q3*) Done DQ Note: *Due to technical issues, Q4 Data is not available. This indicator is not included in the overall ranking.

Radiation Treatment – Referral to Consult Wait Time * Done DQ Note: TC North data for this indicator is not being reported due to data quality concerns. As a result, provincial performance on this page does not match the summary matrix rating. *Adjusted provincial rate: 83.7%

Radiation Peer Review Done

Systemic Treatment – Referral to Consult Wait Time (RCC) * Done DQ Note: TC North data for this indicator is not being reported due to data quality concerns. As a result, provincial performance on this page does not match the summary matrix rating. *Adjusted provincial rate: 73.9%

Systemic Treatment – Consult to Treatment Wait Time (RCC) Done

Symptom Management – ESAS Screening Rate Done

Symptom Management – PRFS Screening Rate New for 2015/16 Done

Palliative Care – Referral to Consult Wait Time (RCC) New for 2015/16 * DQ Note: TC North data for this indicator is not being reported due to data quality concerns. As a result, provincial performance on this page does not match the summary matrix rating. *Adjusted provincial rate: 63.3%

Provincial Summary (Data as of June 2016) N/A Notes: Overall Provincial Ranking is the sum of all rankings relative to all other Regions normalized to number of measures available. Due to technical reasons, only data up to Q3 2015/16 is shown for Pathology Turn-Around-Time indicator. This indicator was not used in the ranking of the regions. TC North was not included in the ranking due to data quality concerns.

Overall Provincial Rank Done

Provincial Summary – Z Scores

Legend Region Names Summary Matrix Legend CCC = ColonCancerCheck DAP = Diagnostic Assessment Program ESAS = Edmonton Symptom Assessment System PFRS = Patient Reported Functional Status FOBT = Fecal Occult Blood Test OBSP = Ontario Breast Screening Program Region Names C = Central CE = Central East CW/MH = Central West and Mississauga Halton CH = Champlain ESC = Erie St. Clair HNHB = Hamilton Niagara Haldimand Brant NE = North East NSM = North Simcoe Muskoka NW = North West SE = South East SW = South West TC = Toronto Central WW = Waterloo Wellington Summary Matrix Legend Performance appears to be at or above target Performance appears to be below target, but is not significant (i.e. the confidence interval spans the target) Performance is significantly below the target (i.e. the confidence interval is entirely below the target) There was a statistically significant increase in performance over the previous period There was a statistically significant decrease in performance over the previous period No arrow = There was no significant increase or decrease in performance over the previous period