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Highlights: Cancer System Performance in Ontario, 2019

The Cancer System Quality Index tracks Ontario’s progress towards better outcomes in cancer care by reporting on successes and areas for improvement. To provide an overall picture of how the Ontario cancer system is performing, selected indicators for each disease site were classified as either Bright Spots or Room for Improvement (see Table).

Where possible, indicators that are performing consistently or trending positively (compared with previous years, provincial targets or other jurisdictions) are characterized as Bright Spots. Room for Improvement includes other indicators (where comparators are available) that could benefit from further improvement efforts across the 4 most common cancers: breast, colorectal, lung and prostate.

Classification by Type of Cancer
Type of Cancer Bright Spots Room for Improvement
Breast
Colorectal
Lung
Prostate

Notes on the Classification Approach

Both statistical significance and clinical interpretations of performance outcomes contributed to this classification of indicators.

Indicators with provincial targets

  • Meeting or exceeding a provincial target places an indicator into Bright Spot.
  • Not yet meeting a provincial target but performing significantly better (statistically, clinically or both) than before, or compared with other jurisdictions, places an indicator into Bright Spot.
  • Not yet meeting a provincial target and performing at either the same rate or worse than before places an indicator into Room for Improvement.

Indicators without provincial targets

  • Performing better (statistically, clinically or both) than before, or compared with other jurisdictions, places an indicator into Bright Spot.
  • Performing either at the same rate or worse than before places an indicator into Room for Improvement.

Indicators without ratings

  • Several indicators were deemed to be context dependent and not appropriate for classification.
  • Other indicators were not classified in CSQI 2019 because of limitations with comparison methodology and trend data, yet are planned for future classification.
  • Future iterations of the CSQI will also include classification of indicators under development (see Indicators).