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Methodology 4.5.c

Access to Psychosocial Oncology Services Methodology
Short description of Indicator Percentage of cancer patients seen within 14 days for social worker services in Regional Cancer Centres in Ontario
Rationale for measurement

The Psychosocial Oncology program has been collecting date of referral data through ALR since 2013 to report wait times.

OCP III and OCP IV highlight the need for cancer patients to have timely access to psychosocial services. “By 2019... Patients will have timely access to psychosocial and palliative care as appropriate”.

Regional Cancer Centres report that frequently patient need exceeds resources and that patient access to specialized psychosocial services can be impacted as a result. In measuring PSO visit volume and wait times, the program aims to measure patient access to PSO services.

Evidence/references for rationale N/A
Calculations for the indicator Total number of cancer patients who had their first consult with a social worker within target (14 days)/Total Number of New patients with valid referral and consult dates for a social worker X 100
Standardized Rate Calculation

Total Province

Regional Cancer Centre

Unit N/A
Data sources Activity Level Reporting (ALR)
Time Frame Social work consults between October 1, 2016 to September 30, 2017
Geographic Scale N/A
Denominator description

Total Number of New patients with valid referral and consult dates to a social worker

Inclusions:

  • Patients that had a first consult visit with a social worker within the specified time period
  • Patients that are being seen at a Regional Cancer Centre

Exclusions:

  • Non cancers
  • Cases with a Missing Date of referral to a social worker
  • Date of referral is after the consult date (Negative wait times)
  • Patients with Invalid Patient Health Card Number (ie. i.e. 0, 1, 9999999999, 0000000000, 0000000001)
  • Out of Province Patients
  • Patient with Registration Key of Inpatient type
  • Aboriginal Navigator visits (HCP Number ='999123','99912301')
Numerator description

Subset of Denominator: Total number of cancer patients who had their first consult with a social worker within target (14 days)

Inclusions:
Patients that have a first consult with a social worker within 14 days of their referral date to a social worker

Considerations 

The referral to consult activity for this indicator is limited to referral received in Regional Cancer Centres and consult activity provided within the Regional Cancer Centres. Visits to social workers outside of the cancer centre or at other hospitals are not included.

Only one record per calendar month per XXX PSO service provider at an RCC and patient health card number is considered. In cases with multiple consult records in a single month for a specific XXX PSO service provider at an RCC, the earliest consult date is used and the wait time is computed as the gap time between the first consult date and its associated referral date.

Data availability & limitations Availability of referral date for all new first consults to a social worker
CSQI Year 2018