1. 2016/17 Q1 Performance Scorecard - DRAFT
* Generated from iPort Scorecard
September 6, 2016

2. How To Read This Package
Unless otherwise noted, all data in this report refers to the period July to June 30, 2016 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)

3. 2016/17 CCO Priority Indicators & Targets
2016/17 Improvement Target
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%
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%
Percentage of Ontario screen-eligible individuals (50–74 years old) who were overdue for colorectal screening at the end of the reporting quarter
<40%
Percentage of OBSP clients diagnosed within 7 weeks of an abnormal screen for cases with a tissue biopsy
90%
Referral to a lung Diagnostic Assessment Program (DAP) to Diagnosis or Rule Out: percentage of patients diagnosed or ruled out within 28 days
65%
Percentage of new ambulatory cancer cases that were screened for tobacco use in the past 6 months (RCC only)
70%
Percentage adherence to the minimum MCCs standards criteria (non-RCCs only)
80%
Surgical Oncology Referral to Consult: Percentage of patients seen within target for all priority categories (all reporting facilities)
Surgical Oncology Decision to Treat to Treatment: Percentage of patients treated within target for all priority categories (all reporting facilities)
Pathology post-surgical turn-around time for all disease sites: percentage of reports received within 14 days (all reporting facilities)
85%
Radiation Treatment: Percentage of Radical Courses Peer Reviewed (includes all radiation facilities)
Systemic Treatment Referral to Consult: percentage of patients seen within 14 days (RCC only)
Systemic Treatment Consult to Treatment: percentage of patients treated within 28 days (RCC only)
Percentage of cancer patients in the Regional Cancer Centre who were screened at least once per month for symptom severity using ESAS
Palliative Care Referral to Consult: percentage of patients seen within 14 days (RCC only)

4. Patient Experience – Emotional Support
Latest four quarters refers to the period April 1, 2015 to March 31, 2016.
Done

5. Patient Experience – Coordination and Continuity of Care
Latest four quarters refers to the period April 1, 2015 to March 31, 2016.

6. 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.

7. OBSP Wait Times – With Tissue Biopsy
Data for this indicator has been removed due to data quality concerns. A detailed methodology and code review is currently in progress.
Done

8. DAP – Referral to Diagnosis or Rule Out Wait Time
Done
DQ Note:
Toronto Central South: Please note that due to delayed data submission from Toronto General Hospital (UHN), Q1 reporting for this region will only include data from July 2015 – March 2016.

9. Smoking Cessation – Tobacco Use Screening Rate (RCC)
New for 2016/17
DQ Note:
Central East: Please note that due to a delayed data submission from Lakeridge Health, Q1 reporting for this region will only include data from July 2015 – May 2016.
TC North: Please note that no data is available prior to April Q1 reporting for this region will only include data from April 2016 – June 2016.

10. Multidisciplinary Cancer Conferences (non-RCC)
Done
DQ Note:
North West: Please note that there are no non RCC sites submitting information for this region.

11. Cancer Surgery – Referral to Consult Wait Time

12. Cancer Surgery – Decision to Treat to Treatment Wait Time

13. Pathology Report Turn Around Time – All Disease Sites
Done
DQ Note:

14. Radiation Peer Review
Done

15. Systemic Treatment – Referral to Consult Wait Time (RCC)
Done
DQ Note:
TC North performance for this indicator may not be accurately represented due to data quality.

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

17. Symptom Management – ESAS Screening Rate
Done

18. Palliative Care – Referral to Consult Wait Time (RCC)

19. Provincial Summary (Data as of September 2016)
Please note:
The summary matrix was refreshed after the September ALR data load. As such, the data may differ slightly from the individual indicators due to resubmissions.
The Radiation Referral to Consult Wait Time, MCC Standards for RCCs, and PRFS Screening Rate indicators have been removed since the last scorecard, and the Tobacco Use Screening Rate indicator has been added.
The targets for Systemic Referral to Consult Wait Time, Surgical Oncology Referral to Consult Wait Time, OBSP wait time to diagnosis with tissue biopsy, and Palliative Care Referral to Consult Wait Time indicators have been increased since the last scorecard.

20. Overall Provincial Rank
Done

21. Provincial Summary – Z Scores
Region
Radical Peer Review
Systemic referral to consult
Systemic consult to treatment
Surgery - Referral to Consult
Surgery - DTT
Colonoscopy Overdue for Screening
OBSP 7 weeks
Symptom Management
DAP
MCCs
Continuity of Care
Emotional Support
Pathology
Palliative Referral to Consult
Smoking Cessation
AVG
Avg Rank
Central
1.41
0.86
-1.26
1.59
1.65
1.32
0.77
-0.46
-1.07
-0.02
0.34
1.37
0.4
-0.29
0.44 1
Central East
-0.77
0.45
0.64
0.53
0.66
1.42
-0.36
0.67
-0.62
-0.93
1.26
0.83
0.43 2
Champlain
-1.06
0.75
0.16
-0.19
0.8
0.73
-0.28
1.53
1.11
-0.47
0.42
-0.12
0.96
-0.14
0.28 3
Erie St. Clair
0.6
0.54
1.06
0.11
0.13
0.29 -1
0.72
-2.31
0.63
1.92 4
North East
0.7
-0.97
1.43
-1.21
1.12
0.2
1.7
0.49
0.99
0.25
-0.18
-1.52 5
Waterloo Wellington
-0.57
-0.5
1.17
0.07
-0.54
0.65
0.14
-0.13
0.81
2.65
-1.61
0.19
0.27
0.22 6
North Simcoe Muskoka
1.52
0.1
-1.03
-0.67
2.03
-0.87
-2.72
1.46
1.13
1.49
-0.65 7
Central West & Mississauga Halton
1.78
0.85
0.46
-0.2
-0.6
0.78
0.09
-0.41
-0.64
0.3 8
Toronto Central North
-0.94
0.69
-1.01
0.89
0.38
-0.58
-0.99
0.12
1.47
0.08 9
North West
1.45
-1.48
-1.54
-0.25
-0.07
-1.13
-0.45
1.24
-0.16 10
South East
1.08
-0.9
-0.09
-1.17
-1.81
-1.42 11
South West
-0.21
-1.36
-0.85
0.37
-0.34
0.31
-0.26
0.48
-1.35
1.16 12
Toronto Central South
0.52
-1.32
-1.99
0.35
0.68
-0.23
-0.08
-1.53
-0.68
-0.89
-1.51
-0.51 13
Hamilton Niagara Haldimand Brant
-0.79
0.56
-0.59
-1.79
-1.18
0.58
-1.76 14

22. Legend Region Names Summary Matrix Legend CCC = ColonCancerCheck
DAP = Diagnostic Assessment Program
ESAS = Edmonton Symptom Assessment System
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