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Cancer System Quality Index (CSQI) 2016

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. Data shows that more cancer patients are receiving care based on the best available evidence, especially for the most common cancers. Guidelines selected for CSQI are system-focused and continue to require effort to ensure achievement of targets and consistency across regions.
Accessible null Good. The majority of Ontarians continue to access the specialist services they need within the appropriate timeframe, despite increasing demand. Wait times for other services including testing, treatments and supportive care are now being measured so improvements can be identified.  
Responsive null Good. Many patients express satisfaction with the experience however, opportunities for improvement still exist with respect to real-time measures of experience and patient outcomes. A continued focus on patients’ and survivors’ quality of life, both during and after active treatment is needed.
Equitable null Fair. Inequity exists, however, for some measures in the cancer system, equitable care is being realized. Coordinated efforts using a holistic approach across the system are needed to ensure equal health status 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 Fair. There are examples of efficient use of services in the cancer system, including radiation treatment. However, there are opportunities for improvement that could address resource pressures on the system.
* 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 2016 Launch:  Efficiency as a Quality Domain: More is not always betterView the webcast video of our
May 18, 2016 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 39 evidence-based quality measures covering every aspect of cancer control, from cancer prevention to survivorship and end-of-life care