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

2. 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)

3. 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)

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

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

6. 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.

7. 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.

8. 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.

9. Multidisciplinary Cancer Conferences
Done

10. 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

11. 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

12. 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.

13. 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%

14. Radiation Peer Review
Done

15. 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%

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

17. Symptom Management – ESAS Screening Rate
Done

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

19. 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%

20. 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.

21. Overall Provincial Rank
Done

22. Provincial Summary – Z Scores

23. 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