cancer care ontario a
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Cancer Care Ontario A. O rganizational Overview. S Orientation Workshop July 16, 2014 Sheila M Densham , BA, TEACH Health Promotion Coordinator. Cancer Care Ontario. Provincial g overnment agency Funding for all cancer services in Ontario Cancer prevention and screening - PowerPoint PPT PresentationTRANSCRIPT
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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