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Cancer System Quality Index (CSQI) 2015

Safe null Good. Many processes for a safe cancer system are in place. However, more system supports for patients are required, especially during the active treatment phase, as shown by the use of emergency room visits. 
Effective null Good. More cancer patients are receiving care based on the best available evidence. Guidelines selected for CSQI are system focused and require effort to achieve targets and ensure consistency across regions. 
Accessible null Good. More Ontarians are accessing the services they need within the appropriate timeframe. Wait times for services such as testing and supportive care are being measured so that areas for improvements can be identified.   
Responsive null Fair. More emphasis is needed on the quality of life of patients during and after active treatment. Patient care should be structured so that it aims to improve the overall health and wellbeing of the cancer patient.
Equitable null Fair. Inequity exists, however, for some measures in the cancer system, equitable care is being realized. More work is needed using a holistic approach across the system to ensure equal health status is achieved across Ontario.
Integrated null Fair. More efforts are required to increase the level of coordination within Ontario’s cancer system to support seamless, effective and person-centred care transitions regardless of location or provider. 
Efficient null Incomplete Data. There is a lack of meaningful measures to determine value for money for all services, while maintaining good health outcomes and seamless patient care. Currently only radiation equipment utilization is measured and the results are moving in the right direction.  
* These symbols provide an overall assessment for each dimension of quality in an effort to track Ontario’s progress towards better outcomes in cancer care and highlight where cancer service providers can advance the quality and performance of care. The ratings include at an aggregate level, an assessment of each measure’s performance over time, performance against annual programmatic targets, jurisdictional comparisons and/or clinical aims for those measures available in the index. Breadth and depth of indicators across the patient continuum and type of indicator (i.e., structural vs. process vs. outcome) are taken into account in the assessment.

In my words

I have hope that one day the vast majority of patients and family members will actively participate in their own care, whether cancer or another health issue. We can’t expect to have the best cancer system in the world if we leave the work to others.

Patricia P.
Patient and Family Advisor
CSQI 2015 Launch:  Building on Ontario's Success to Improve Person-Centred Wait Times View the webcast video of our
May 20, 2015 launch

The first of its kind in North America, the CSQI:
  • Tracks Ontario’s progress against cancer
  • Shows where quality and performance improvements are needed
  • Reports on 34 evidence-based quality measures covering every aspect of cancer control, from cancer prevention to survivorship and end-of-life care

Go to CCO’s website to find out about changes to the Ontario Cancer Registry counting rules.