Common indicators related to organization and invitation izv.prof.dr.sc. Nataša Antoljak

Quality and performance indicators Targeted Eligible Invited Screened/tested at first screening and at subsequent screening episodes Inadequate tests (samples) Waiting times between procedures Positive test or screening Follow-up colonoscopy examination attended (diagnostic assessment and/or treatment) Negative follow-up colonoscopy examination (diagnostic assessment and/or treatment) Positive follow-up colonoscopy examination (diagnostic assessment and/or treatment) Lesion detected (at least one) Adenoma detected (at least one) Non-advanced adenoma detected (at least one) Advanced/high-risk adenoma detected (at least one) Cancer detected by stage

Aim of organization and invitation indicators local and national coordinators must take a care for optimal procedures must understand each detail of such complicated program (depends on communication between many people and machines!) each must resolve problems on same way, but still there are many specific situations in counties coordinators must know everything about other specialist indicators and understand of their meaning and consequences other specialist must also be well informed and aware of all procedures and other coleagues part in this system anyway must be aware that this is system different of daily routine job

Performance indicators monotoring mean time of each procedure: invitation letter, sending test, returned tests with aplied specimens, reading test results, invitation of positives assurance and monitoring waiting time to colonoscopy-less than 6 weeks (currently no problem but if response rate arise-than it can be problem!) monitoring of writing data in IT aplication (screening register)-individualy and in reports which immediately calculate responses or findings monitoring internal procedures within their institutions internal protocols must be in line with recommended protocols and also IT must follow these procedures and indicators

Public health institute level external control of FOBT reading epidemiologic control of storage conditions for FOBT internal procedures for quality assurance of each phase conditions for FOBT reading staff and daily engagement on screening (other job) working conditions, IT equipement, function of screening web aplication/registry coordination with GP-s and field nurses do they inform patients about positive test personaly/by letter do they inform GP about positive patient personaly/by letter any other problems or objections IT reports about response to invitation letter and on test, number of positive, number of colonoscopy appointments, cause of nonresponse (according to post office stamp, or personal answer etc.) need to upgrade IT for monitoring waiting time between procedures and also different schedule for persons detected polyps (guidelines)

internal control of reading and also must understand that it depend on timely recording data in aplication

invited to colonoscopy FOBT positive colonoscopies done

Reasons for non-participation/nonresponse