Treatment

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

Fair

No change

	Performance is worse compared to the previously reported data.
	There is no substantial change compared to the previously reported data.
	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:

There was no statistically significant difference between them; OR
Where there was no significance information calculated, then if there were overlapping confidence intervals; OR
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	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	70.8%	71.0%	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	71.1% North	83.3% North 81.7% South	78.3%
Wait Times for Radiation Treatment	2009	2010	Ontario Average
Percentage of patients seen within target, referral to consult	72.0% Odette 73.7% UHN	75.5% Odette 72.7% UHN	70.9%
Percentage of patients treated with radiation within targets, ready to treat to start of treatment	73.5% Odette 84.8% UHN	83.8% Odette 87.1% UHN	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	34.6%	32.9%	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	32.2% Odette 58.9% UHN	35.1% Odette 59.3% UHN	30.7%
	2009	2010	Ontario Average
Percent of all radical courses delivered using IMRT, for head and neck cancers	75.0% Odette 98.6% PMH	79.5% Odette 98.9% UHN	86.6%
Radiation Machine Efficiency	FY 2008/09	FY 2009/10	Ontario Average
Adjusted radiation courses per megavoltage machine	478 Odette 749 PMH	533 Odette 841 PMH	550
Wait Times for Systemic Treatment (Chemotherapy)	2009	2010	Ontario Average
Percentage of patients seen within target, referral to consult	40.8% Odette 56.2% UHN	49.8% Odette 62.7% UHN	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		54.7%	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	31.7%	16.7%	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	20.2%	19.6%	21.0%
Systemic Treatment Safety	2007	2009	Ontario Average
Percent of systemic treatment visits supported by Computerized Physician Order Entry	75.1%	73.6%	69.5%
Patient Experience with Outpatient Cancer Care	2009	2010	Ontario Average
Average cancer patient satisfaction scores for emotional support	46.6% Odette 46.2% UHN	46.7% Odette 45.9% UHN	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?"		38.3% Odette 40.3% UHN	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?"		21.1% Odette 33.6% UHN	36.4%
Symptom Assessment	2009	2010	Ontario Average
Percentage of lung cancer patients who were screened at least once per month for symptom severity	27.7% Odette	21.3% Odette	59.0%
Percentage of cancer patients, excluding lung cancer patients, who were screened at least once per month for symptom severity	3.6% Odette 2.2% UHN	2.7% Odette 6.3% UHN	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		73.9% Odette 79.8% PMH	78.2%
Percentage of patients who said that their symptoms were managed to a comfortable level always or most of the time		64.8% Odette 70.1% PMH	78.2%

Source: Cancer System Quality Index, 2011