Treatment

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Legend

Using the most recent data year, the circles represent how the LHIN is performing compared to the Ontario average. The colours represent how well the indicator is performing against the comparison data shown.

Good Good
Fair Fair
Incomplete Data No change
Red
Performance is worse compared to the previously reported data.
Amber
There is no substantial change compared to the previously reported data.
Green
Performance is better compared to the previously reported data.
Not previously reported.

Calculating At a Glance

In determining whether an indicator was the same or different from the Ontario Average or whether an indicator was the same or different from the Comparison Data, we took the following approach:

Values were considered essentially "the same" if:

  1. There was no statistically significant difference between them; OR
  2. Where there was no significance information calculated, then if there were overlapping confidence intervals; OR
  3. Where there were no confidence intervals calculated, then if the percent values were less than or equal to 2 percentage points of each other. For absolute values, we calculated the percentage difference between the values. Less than or equal to a 2% change or difference was considered the same.
TREATMENT  At a Glance  Prior Data  Most Recent Data   
Wait Times for Cancer Surgery    2009  2010  Ontario Average 
Percentage of cases completed within priority access targets 2,3 and 4, decision-to-treat to operation    72.4%   70.1%   74.9% 
Multidisciplinary Cancer Conferences    Q3 2009/10: Oct to Dec 2009  Q3 2010/11: Oct to Dec 2010  Ontario Average 
Adherence to standards criteria of reported MCCs    70.8%   70.2%   78.3% 
Wait Times for Radiation Treatment    2009  2010  Ontario Average 
Percentage of patients seen within target, referral to consult    68.5%   66.6%   70.9% 
Percentage of patients treated with radiation within targets, ready to treat to start of treatment    79.1%   69.5%   79.9% 
Radiation Treatment Utilization    FY 2008/2009  FY 2009/2010  Ontario Average 
Percent of cancer cases treated with radiotherapy at any time during the course of illness    34.8%   34.2%   36.0% 
Intensity Modulated Radiation Therapy (IMRT) Utilization    Jan-Jun 2010  Jul-Dec 2010  Ontario Average 
Percent of all radical courses delivered using IMRT, for all cancers    20.4%   22.7%   30.7% 
    2009  2010  Ontario Average 
Percent of all radical courses delivered using IMRT, for head and neck cancers    75.4%   83.1%   86.6% 
Radiation Machine Efficiency    FY 2008/09  FY 2009/10  Ontario Average 
Adjusted radiation courses per megavoltage machine    445   473   550 
Wait Times for Systemic Treatment (Chemotherapy)    2009  2010  Ontario Average 
Percentage of patients seen within target, referral to consult    53.8%   57.9%   55.9% 
Treating Lung Cancer According to Guidelines      2007 + 2008  Ontario Average 
Age adjusted percentage of Stage II or Stage IIIA resected non small cell lung cancer patients treated with guideline-recommended adjuvant chemotherapy following surgery      44.3%   51.0% 
    2007  2008  Ontario Average 
Age adjusted percentage of unresected Stage IIIA or IIIB non small cell lung cancer patients treated with guideline-recommended chemo-radiation    23.5%   23.7%   26.8% 
Emergency Department Visits after Adjuvant Chemotherapy    FY 2008/2009  FY 2009/2010  Ontario Average 
Percentage of breast cancer patients receiving NDFP drugs, who visited the emergency department or were admitted to hospital any time within 4 weeks of any cycle of adjuvant chemotherapy for Neutropenia/Fever/Infections    13.0%   9.8%   21.0% 
Systemic Treatment Safety    2007  2009  Ontario Average 
Percent of systemic treatment visits supported by Computerized Physician Order Entry     89.8%   97.3%   69.5% 
Patient Experience with Outpatient Cancer Care    2009  2010  Ontario Average 
Average cancer patient satisfaction scores for emotional support    57.4%   57.2%   53.3% 
      2010  Ontario Average 
Of those reporting that they had anxieties, patient satisfaction scores for selected questions "Were you referred to provider for anxieties and fears at diagnosis?"      40.1%   46.2%  
Of those reporting that they had anxieties, patient satisfaction scores for selected question: "Were you in touch with other providers for anxieties/fears during treatment?"      33.1%   36.4% 
Symptom Assessment    2009  2010  Ontario Average 
Percentage of lung cancer patients who were screened at least once per month for symptom severity    49.3%   54.0%   59.0% 
Percentage of cancer patients, excluding lung cancer patients, who were screened at least once per month for symptom severity    36.3%   40.2%   40.3% 
      2010  Ontario Average 
Percentage of patients who said that they somewhat agreed or strongly agreed that their health care provider took into account their ESAS score      71.7%   78.2% 
Percentage of patients who said that their symptoms were managed to a comfortable level always or most of the time      85.7%   78.2% 

Source: Cancer System Quality Index, 2011