1. Developments in Belgium Milan, 6/11/2012 Liesbet Van Eycken

2. Cancer Registry data linked with administrative data bases (claims data) Health Care knowledge Center, College of Oncology, Cancer Registry Ongoing  Stomach cancer QI + individual feedback to the hospitals  Esophageal cancer Qi + individual feedback to the hospitals | 2 Quality of Care projects: pathway 1 Quality of Care projects: pathway 2 Clinical registration projects Cancer Registry and scientific organisations (physicians) Ongoing  Procare: multidisciplinary and national project on rectal cancer  Head and neck tumours: oropharynx carcinoma  RALP: robot assisted laparoscopic prostatectomy  Endometrial cancer

3.  Labour intensive  Missing data  Other objectives  Selection bias if voluntary  Risk adjustment  Timeliness: better  Feedback: more actions? Pathway 1 versus Pathway 2 (admin db) (clinical reg.)  Use of existing db  Misclassifications  Financial objectives  Population based  Risk adjustment  Timeliness +/-  Feedback: actions? Pathway 1 Pathway 2