Cancer Care Ontario A Organizational Overview S Orientation Workshop July 16, 2014 Sheila M Densham,...

Cancer Care Ontario AOrganizational Overview

S Orientation WorkshopJuly 16, 2014

Sheila M Densham, BA, TEACHHealth Promotion Coordinator

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• Provincial government agency

• Funding for all cancer services in Ontario

• Cancer prevention and screening

• Minimizes the effect of cancer

• Ensures quality service

• Saving Lives

Cancer Care Ontario

GOALIncrease screening rates for breast, cervical and colorectal cancers and

integrate into primary care

Increase patient participation in

screening

Increase primary care provider

performance in screening

Establishhigh-quality, integrated

screening program

CCO VisionEstablish best cancer screening program

in North America

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Ontario Breast

Screening Program

Ontario Cervical Cancer

Screening Program

Colon Cancer Check

Screening Program

15 Regional Cancer Programs (RCPs)

Primary Care Providers

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Prevention: Healthy Lifestyle

GenderAgeFamily historyGenetics

Physical activityImmunization (HPV)Healthy eatingAlcohol Tobacco Cancer screening

Non Modifiable Modifiable

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Risk Factors and Cancer

Breast Cervix Colorectal

Tobacco

Physical Inactivity

Obesity

Poor Nutrition

Alcohol Consumption

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Cancer System Quality Index

• Web-based public reporting tool

• Tracks quality and consistency of key cancer services delivered across Ontario's cancer system

• Statistics provided by the Cancer System Quality Index

• Snapshot of cancer trends by region

• CSQI 2014 http://www.csqi.on.ca/ 7

Strategic Directions

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Appropriately

screened Ontario

population

Grow

SustainHealth Equity

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Cancer Screening

The application of a test, examination or other procedure for asymptomatic target population to distinguish between:

Those who may have the disease and

Those who probably do not.

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‘Organized’ Screening

• Invites individuals to participate

• Reminds individuals to be re-screened at the appropriate interval

• Tracks participants throughout screening and diagnostic process

• Continually evaluates program quality and performance 10

Types of Screening

• Population-Based Screening

• Opportunistic • Case-Finding

Offered systematically to all individuals in a defined target group within a framework of agreed policy, protocols, quality management, monitoring and evaluation

Offered to an individual without symptoms of the disease when he/she presents to a healthcare provider for reasons unrelated to that disease

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Diagnostic vs Screening Tests

Diagnostic Screening

Provided to patients who present with symptoms or those who are at high risk and fall outside screening eligibility criteria

Offered at consistent intervals to average risk, asymptomatic individuals, who meet defined eligibility criteria

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Screening Eligibility

Average Risk

High Risk

Two Screening Streams

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• First nations

• Low income

• Newcomers/immigrants

• Rural and remote areas

Less Likely to Screen for Cancer

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• Impact of poverty

• Access to a female physician

• Accessibility issues

• Language & cultural appropriateness issues

Barriers to Screening

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Ontario Cancer Statistics 2013

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Cancer Type

# New Cases

# Deaths

Breast 9,300 (F) 1,950 (F)

Cervical 610 (F) 150 (F)

Colorectal 4,800 (M)3,900 (F)

(8,700)

1,850 (M) 1,500(F) (3,350) 17

Ontario Cancer Statistics 2014

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Cancer Type

# New Cases

# Deaths

Breast 8,900 (F) 1,900 (F)

Cervical 580 (F) 140 (F)

Colorectal 4,000(M)3,600 (F)

(7,600)

1,650 (M) 1,450(F) (3,100)

18http://www.cancer.ca/~/media/cancer.ca/CW/cancer%20information/cancer%20101/Canadian%20cancer%20statistics/canadian-cancer-statistics-2013-EN.pdf

What CCO Is Doing

Partnerships: Process to determine the follow-up to CARES and other projects

PES Pilots: Promote doctor patient discussion

Dr. Jones asked me to call you. He noticed that you are due for a Pap test.

PES Pilots: Reminder phone calls when patient is due for screening

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What CCO is Doing

• Introduces cancer screening and cancer prevention to newcomers

• Available in ten languages

• Links to key web sites

• Posted video stories 22

What CCO is DoingCCO Correspondence Program - letters sent to all eligible men and women: • Invitation to be screened• Test Results • Reminder to be screened again

Health Promotion & Education

Aboriginal and Other Special UNS Strategies & Projects

Primary Care Initiatives

Mobile Coaches23

Questions?

Thank you

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