Highlights: Cancer System Performance in Ontario, 2020
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 breast, colorectal, lung prostate and hematologic cancers.
This year, we focus on key hematologic cancer indicators to highlight bright spots and opportunities to improve quality of care for people with acute lymphocytic leukemia, acute myeloid leukemia, diffuse large B-cell lymphoma and multiple myeloma. Data was not updated for this reporting year for the following cancers: breast, colorectal, lung and 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 2020 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).