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The System Performance Initiative: A Pan-Canadian Approach

The 2009 report on the Pan-Canadian Cancer System Performance Initiative, including indicator selection criteria and analysis of national data and trends.

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The System Performance Initiative: A Pan-Canadian Approach

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  1. The System Performance Initiative:A Pan-Canadian Approach NAACCR June 2010

  2. The International Landscape… European Cancer Health Indicator Project Cancer System Quality Index (CSQI) 2009

  3. First System Performance Report (2009):Process for Indicator Selection 4

  4. First System Performance Report (2009) • Thanks to the System Performance Steering Committee • Dr. Ivo Olivotto BC • Dr. Peter Craighead AB • Mr. Ivan Olfert SK • Dr. Brent Schacter MB • Ms. Helen Angus ON • Dr. Denis Roy QC • Dr. Grlica Bolesnikov NB • Dr. Margaret Fitch ON 5

  5. Examples of Indicator Selection Criteria Coverage of cancer control continuum Reflective of outcomes, not process alone Impact on total cancer population Measurable Available (combination of this and “stretch goals” for measurement) Known directionality…..

  6. Indicators First Report (2009) 7

  7. An iterative process..... • Over first year, no intention to build ‘targets.’ Goal was to develop a process of sharing that would generate hypotheses and begin to identify reporting priorities • The Report will develop further as confidence in the process and quality of information increases……. Analysis 2009: • We presented national data, provincial comparisons, and data trends over time • We also reported on SES, Education and Urban/Rural status where possible

  8. The System Performance Initiative – A First Year Report

  9. Smoking Prevalence & Smoking Quit Attempts – Canada (CCHS) 10

  10. Smoking Quit Attempts over time and by Age Group – Canada (CCHS)

  11. A pan-Canadian approach…….Using the data Example: Overweight & Obesity

  12. A pan-Canadian approach…….Using the data Example: Overweight & Obesity

  13. 2010 – Second SP Report……and beyond • Winter 09-10 Feasibility Study for new indicators • January Data ask to provinces • CurrentData analysis and refinement • July Embargoed release of “Overview” Report • Jul – Aug Feedback & Clarification • September Year 2 Report published • 2 subsequent drill-down reports expected (Fall 2010, Spring 2011) 14

  14. Pan-Canadian System Performance Working Group First conference call – November 2009 • Dr. Susan O’Reilly BC • Dr. Peter Craighead AB • Mr. Ivan Olfert SK • Dr. Eric Bow MB • Ms. Katya Duvalko ON • TBA QC • Dr. Grlica Bolesnikov NB • Mr. Gordon Walsh NS • Dr. Dagny Dryer PEI • Ms. Sharon Smith NL 15

  15. And report on: 11 Proposed New Indicators Guideline Concordance Indicators Other (Palliative) Site of Cancer Death Adjuvant chemotherapy for fully resected Stage III colon cancer Clinical Trial Participation Rates Removal & examination of 12 or more lymph nodes for colon cancer HPV Vaccination Rates (school-based programs) Adjuvant chemotherapy for fully resected Stage II & IIIA Non-Small Cell Lung Cancer Patient Reported Outcomes Adjuvant radiation therapy following breast conserving surgery for Stage I & II breast cancer Systemic Therapy Utilization Rates Wait Times, FOBT to Colonoscopy Neoadjuvant radiation therapy for Stage II and III rectum cancer 16

  16. Thank you! The 2009 Report is available online at: www.cancerview.ca For more information, please contact: Mary Spayne, Director, System Performance mary.spayne@partnershipagainstcancer.ca

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