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Cancer System Quality Index (CSQI) 2013

Safe Fair Fair, but more work needs to be done. Some processes for a safe cancer system are in place, and action is under way to address concerns. Better system measures are needed to understand complications of care, across all aspects of cancer treatment and from the patient’s perspective.
Effective Very Good Very good. Cancer services are generally effective and evidence based, and more Ontarians are receiving treatment based on the best available evidence. Continued effort is required to achieve targets and consistency across regions.
Accessible Very Good Very good. More Ontarians are accessing the services they need despite increases in demand. A focus on patient-centred waits is required.
Responsive Very Good Good, but the cancer system requires more focus on patients’ and survivors’ quality of life, and consideration of the whole person and family, both during and after active treatment.
Equitable Poor Poor. Cancer burden is still higher among those with lower socioeconomic status. Some variation exists in the use of guidelines for patients over 70 years old. More work needs to be done, using a whole-of-society approach to ensure equity.
Integrated Poor Poor. Services across the system need to be coordinated to support seamless and effective patient transitions regardless of location or provider.
Efficient Fair Fair. Better measures are needed to determine value for money for all services, while maintaining good health outcomes and seamless patient care. Use of acute care hospital services at the end of life remains high, suggesting patients and families may not have adequate access to appropriate resources and supports.
* Very Good Very Good Good Good Fair Fair Poor Poor Incomplete Data Incomplete Data
* These symbols provide an overall assessment of cancer system performance for each dimension of quality. They include at an aggregate level, an assessment of 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 are taken into account in the assessment.
quote A Circle of Care needs to be developed so that all community partners who will participate with these patients connect and communicate for a seamless delivery of service. 

Sandra K.
Patient and Family Advisory Council member
In My Words

Special Focus

Prostate Cancer in Ontario:
A first look
CSQI 2013 Launch:
Strengthening Integration

View the webcast video of our May, 15 2013 launch

Ontario's 9th annual update on the performance of the cancer system

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 32 evidence-based quality measures covering every aspect of cancer control, from cancer prevention to survivorship and end-of-life care