Cancer Services Performance Indicators. Round Report
|
|
- Marcus Fowler
- 5 years ago
- Views:
Transcription
1 Cancer Services Performance Indicators Round Report
2 To receive this publication in an accessible format phone (03) , using the National Relay Service if required, or Authorised and published by the Victorian Government, 1 Treasury Place, Melbourne. State of Victoria, Department of Health and Human Services, March 2016.
3 Contents Introduction... 4 Key recommendations... 5 Performance against policy:... 5 Data quality assurance:... 5 Dissemination of findings:... 5 Overview of results Documented evidence of multidisciplinary team recommendations Documented evidence of disease staging in the multidisciplinary team recommendations Documented evidence of communication of initial treatment plan to GP Documented evidence of supportive care screening Findings Performance against policy Improvement strategies to consider: Method... 16
4 Introduction As we enter into a new phase of Victorian Government policy around cancer with the next Cancer Plan due for release October 2016, it is to be expected that improved patient outcomes can be demonstrated by a range of indicators. The cancer service performance indicators described in this report have been established to measure and monitor progress with the implementation of Victorian Government policy in the areas of multidisciplinary care (MDC), supportive care and coordination of care. These indicators are just one component of a broader number of program evaluation strategies taking place in the health environment including MDC survey evaluation, patient experience survey, indicator/activity benchmarking and local evaluation conducted by the Integrated Cancer Services (ICS). Together, these quality monitoring and evaluation initiatives underpin the model for safety and quality in Victorian cancer services as outlined in Clinical Excellence in Cancer Care (DHS, 2007). The collection of data by ICS secretariats via a medical record audit is used to inform four cancer service performance indicators, related to targets outlined in Victoria s Cancer Action Plan (VCAP) and other relevant policies. The Victorian Cancer Service Performance Indicators, Data Collection Method 2015 document describes the four cancer performance indicators including rationale, definitions and targets. The indicators include: 1. Documented evidence of multidisciplinary team recommendations. 2. Documented evidence of disease staging in the multidisciplinary team recommendations. 3. Documented evidence of communication of initial treatment plan to GP. 4. Documented evidence of supportive care screening. Indicators provide a flag rather than a definitive answer to practice issues; they can suggest potential opportunities to address identified gaps in a service. They support monitoring and evaluation to inform the continuous quality improvement cycle at the ICS level. These performance indicators have now been tracked continuously for several years providing a record of progress. This report, the findings and recommendations are intended for use at the health service level. Integrated Cancer Services as supported by their governing bodies, and Department of Health & Human Services levels to focus future cancer service improvement activities. To support this, these reports have regularly been presented at a range of departmental committees including the Cancer Quality and Outcome Committee, the Victorian ICS Governance and Network Groups meetings, and are provided de-identified to other states for benchmarking purposes. Results of the audits will continue to be presented at high level committees by the department. The Cancer Service Performance Indicator data are collected in accordance with the departmental Data Reform Program and approval for this data collection has been received. It is a requirement of all ICS to collect and report accurate data and ensure appropriate data storage as per the Financial Management Act Page 4 Cancer Services Performance Indicators Round Report
5 Key recommendations The cancer service performance indicators allow for monitoring and evaluation of relevant policy implementation and progress. The ICS secretariats are well placed to facilitate activities aimed at improving their community s experience of cancer within these four areas of focus. Performance against policy: 1. The ICS should encourage good multidisciplinary team meeting (MDM) practices including: adequate clinical governance, processes and protocols to promote recognised international best practice of prospective treatment planning for cancer patients at an MDM. 2. the inclusion of documented treatment recommendations and communication to referring doctor and/or GP in the patient s central medical record 3. The ICS should continue to promote inclusion of staging information where appropriate in case discussions and documentation of stage as part of the meeting documentation. Staging information underpins treatment decision making, risk adjustment of health outcomes and is a mandatory reporting requirement for Victorian hospitals from 1 July 2013 as defined in the Cancer (Reporting) Regulations The ICS should promote the communication of the initial treatment plan to the patient s referring doctor and/or GP as a key component of coordinated care. The increasing use of software to support MDMs provides an opportunity to streamline this process in a timely fashion. 5. The ICS should continue with effective strategies to implement systematic and sustainable screening processes to identify and manage supportive care needs and review implementation and change management processes. Persistent and significant variation between ICS suggests that collaboration between ICS to extend effective implementation strategies may improve achievement in this area. Data quality assurance: 6. Data and information submitted under this performance reporting program must be reviewed locally and be approved by the ICS program manager or director prior to submission on the provided template to eliminate ongoing data quality issues. Should the department have any queries regarding a submission they will contact the program manager. 7. All ICS should ensure the audit methods are followed as defined. For regional ICS, this requirement includes the over-sampling of patients within the main host site (at least 50% of the sample) or on relative caseloads the top two cancer service providers should account for at least 70% of the sample. Any changes from current arrangement will be discussed initially at the ICS Information Management Group and recommendations forwarded to the department. Dissemination of findings: 8. The department expects the cancer performance indicators to be a standing agenda item at each ICS governance and clinical advisory committees. Where relevant findings should be regularly presented to tumour groups and/or MDMs and to other stakeholders involved in local quality improvement activities, including health service quality units. 9. ICS secretariats are expected to provide local analyses and results directly to individual health services and MDMs to improve performance over time. Cancer Services Performance Indicators Round Report Page 5
6 10. While awaiting the final Cancer Services Performance Indicators (CSPI) state wide report to be circulated after an audit round, the department would encourage each ICS to use local data to initiate discussions with relevant parties to commence targeted strategies addressing areas of concern. Overview of Results The data presented in this report are derived from Round 1 for 2015, for indicators 1 to 4. The number of patients included in the data collection for Round is 1752 state-wide (1126 MICS, 581 RICS, 45 PICS). Table 1 provides a high-level summary of the state-wide results against the 2015 target (unchanged from the 2014 target) and against prior period results. Indicators 1 and 4 had progressive targets until 2012 and performance over time should be compared against the applicable target. Table 1: State-wide summary of results Indicators Result 2011 Result 2012 Result 2013 Result 2014 Result Rd Target Documented evidence of multidisciplinary team recommendations 2. Documented evidence of disease staging in the multidisciplinary team recommendations 3. Documented evidence of communication of initial treatment plan to GP 4. Documented evidence of supportive care screening 49% 62% 64% 70% 72% 72%# 75%# 79%# 79%# 78% N/A N/A N/A 71% 67% 18%* 31%* 36%* 37% 39% 50% Number of medical records audited Notes Indicator 3 was last collected in 2010 (result 68%) before being reintroduced again in 2014 # the state-wide results excluded Haematology and CNS data * the state-wide results to 2013 excluded PICS data. The following sections of this report present data by ICS and by tumour stream against the 2015 targets. Whilst direct comparison of results at the individual ICS level may be problematic (due to the variation in population size, geography and cancer services available) it is noted that comparison of broad trends can assist ICS for the purpose of sharing knowledge about what works well locally. Page 6 Cancer Services Performance Indicators Round Report
7 1. Documented evidence of multidisciplinary team recommendations Target: 80 per cent Performance: 72 per cent (state-wide) Definition: Numerator Denominator Total number of new cancer patients with documented evidence of multidisciplinary team recommendations Total number of new cancer patients audited per tumour stream Results: Figure 1a shows the documented evidence of multidisciplinary team recommendations for Round by ICS. Figure 1b presents pooled data showing the proportion of patient records audited which show documented evidence of multidisciplinary team recommendations by metropolitan and regional ICS groupings. Figure 1c shows the documented evidence of multidisciplinary team recommendations for 2015 by tumour stream. Figure 1a: Documented evidence of multidisciplinary team (MDT) recommendations Documented evidence of MDT recommendations Round (n=1752) 77% 82% 72% 58% 53% 51% 40% 41% 0% BSWRICS (120) GICS (122) GRICS (120) HRICS (81) LMICS (138) NEMICS (452) SMICS (327) WCMICS (347) PICS (45) Statewide (1752) Cancer Services Performance Indicators Round Report Page 7
8 Figure 1b: Documented evidence of MDT recommendations by metropolitan and regional ICS RICS: Evidence of MDT discussion, R MICS: Evidence of MDT discussion, R % 54% MDT No MDT MDT No MDT Figure 1b shows differences in achievement against this target between regional and metropolitan health services, based on pooled data. This difference persists with the gap wider than the Round results. Although this result will reflect differences in the cancer services available within each region it does flag the potential opportunity for creating MDT meeting linkages across regions. Figure 1c: Documented evidence of MDT recommendations by tumour stream 90% 70% 50% 40% 30% 10% 0% 84% 82% Documented evidence of MDT recommendations by tumour stream - Round % 62% 83% 57% 85% 72% 50% 76% Note: ` PST Paediatric Solid Tumours. Paediatric, Central Nervous System (CNS) and Haematological cancers are included within the relevant tumour streams. Page 8 Cancer Services Performance Indicators Round Report
9 2. Documented evidence of disease staging in the multidisciplinary team recommendations Target: 100 per cent Performance: 78 per cent (state-wide) Definition: Numerator Denominator Total number of new cancer patients with documented evidence of cancer staging* in the MDT recommendations Total number of new cancer patients with documented MDT recommendations per tumour stream * Staging should be recorded as per AJCC staging (TNM), SEER or other accepted staging system for the disease type as endorsed by local tumour groups or MDTs. Results: Figure 2a shows the documented evidence of disease staging in the multidisciplinary team recommendations for Round by ICS. Figure 2b shows the results by tumour stream. It should be noted that these results only include patients who have documented team meeting recommendations inclusive now of CNS and haematology (n=1270) in response to the 2014 State-wide MDM Survey. This survey identified that 87% of haematology MDMs use a staging system which is discussed as part of the treatment planning process. Consideration of results for each ICS should be within the context of their respective sample numbers. Figure 2a: Documented evidence of disease staging in the MDT recommendations by ICS Documented evidence of disease staging in the MDT recommendations by ICS - Round % 86% 96% 89% 70% 76% 87% 78% 40% 0% Cancer Services Performance Indicators Round Report Page 9
10 Figure 2b: Total numbers of new cancer patients with documented evidence of cancer staging in the MDT recommendations by tumour stream Documented evidence of disease staging in the MDT recommendations by tumour stream - Round % 70% 87% 67% 94% 61% 64% 63% 74% 78% 76% 59% 50% 40% 30% 10% 0% Note: ` PST Paediatric Solid Tumours. UGI Upper Gastrointestinal Paediatric CNS and haematological cancers are included within the relevant tumour streams. Page 10 Cancer Services Performance Indicators Round Report
11 3. Documented evidence of communication of initial treatment plan to General Practitioner (GP) Target: 100 per cent Performance: 67 per cent (state-wide) Definition: Numerator Denominator Total number of new cancer patients with evidence of communication of the treatment plan to the General Practitioner (or paediatrician) Total number of new cancer patients audited per tumour stream Results: Figure 3a shows the documented evidence of communication of the initial treatment plan to the GP for Round by ICS. Figure 3b shows the documented evidence of communication of the initial treatment plan to the GP for Round by tumour stream. Figure 3a: Evidence of communication of initial treatment plan to GP by ICS Evidence of communication of initial treatment plan to GP - Round % 95% 74% 75% 86% 84% 89% 67% 40% 54% 43% 0% Cancer Services Performance Indicators Round Report Page 11
12 Figure 3b: Evidence of communication of initial treatment plan to GP by tumour stream Evidence of communication of initial treatment plan to GP by tumour stream - Round % 75% 74% 53% 63% 89% 75% 87% 67% 78% 40% 0% Note: PST Paediatric Solid Tumours. UGI Upper Gatrointestinal Paediatric CNS and haematological cancers are included with the tumour streams. Figure 3c: Evidence of communication of initial treatment plan to GP by metropolitan and regional ICS RICS MICS No communication 55% 45% No communication Communication 81% 19% Communication This indicator was last collected in 2010 and reintroduced in In 2010 a breakdown between metropolitan and regional ICS was not provided. In percentage terms 81% of metropolitan services communicate an initial treatment plan to GPs while in regional sites it is 55% for this round 1 period. Page 12 Cancer Services Performance Indicators Round Report
13 4. Documented evidence of supportive care screening Target: 50 per cent Performance: 39 per cent (state-wide) Definition: Numerator Denominator Total number of new cancer patients with documented evidence of supportive care screening Total number of new cancer patients audited per tumour stream Results: Figure 4a shows the evidence of supportive care screening by ICS for Round Figure 4b shows the results by tumour stream. Although the overall target has not yet been achieved, some ICS have demonstrated steady progress from (see CSPI 2014 full year report). Figure 4a: Documented evidence of supportive care screening by ICS Documented evidence of supportive care screening - Round % 61% 73% 36% 39% 58% 67% 39% 50% 15% 24% 0% Note: The state-wide result includes PICS data for the first time reflecting the availability and implementation of a paediatric validated screening tool in the Australian setting. Cancer Services Performance Indicators Round Report Page 13
14 Figure 4b: Documented evidence of supportive care screening by tumour stream Documented evidence of supportive care screening by tumour stream - Round % 40% 24% 31% 24% 44% 47% 23% 43% 37% 31% 50% 6% 0% Note: PST Paediatric Solid Tumours. UGI Upper Gastrointestinal Paediatric CNS and haematological cancer results are included with the relevant tumour streams. Page 14 Cancer Services Performance Indicators Round Report
15 Overview of Findings Performance against policy Indicator 1: Documented evidence of multidisciplinary team recommendations For a number of ICS, achievement of the target has been reached with a considerable gain being made state-wide since Indicator 2: Documented evidence of disease staging in the multidisciplinary team recommendations For the majority of ICS (and at the state-wide level) achievement against this indicator is being maintained but still at levels below the target. Indicator 3: Documented evidence of communication of initial treatment plan to GP Since its reintroduction in Round there has been some meaningful improvement in this indicator for a number of ICS. Indicator 4: Documented evidence of supportive care screening The results for the Round audit round continues to suggest a general slowing of progress however some ICS have continued to exceed the 50% target. Improvement strategies to consider: In order to bridge the widening gap between regional and metropolitan services in the documentation of MDT discussions, new or different approaches may need to be employed To improve the Genitourinary stream s documentation of disease stage (when compared with other high volume tumour streams such as Breast and Colorectal), better understanding of their processes may determine improvement strategies Given the disparity between metropolitan and regional areas for communicating initial treatment plans to GPs, further investment in automated technology by regional ICS where appropriate is to be encouraged Supportive care screening data (while it represents activity undertaken more than 12 months ago) strongly suggests that some ICS will need to re-evaluate their current implementation strategies and consider alternative initiatives that have proven successful elsewhere. Cancer Services Performance Indicators Round Report Page 15
16 Method The ICS secretariats undertake the collection of data for the cancer service performance indicators, which are obtained from the patient central medical record. The method for the audit is outlined in the Victorian Cancer Service Performance Indicators, Data Collection Method Inclusion criteria: patients who are newly diagnosed and have undergone active treatment locally. All ICS conduct data collection and reporting twice a year. There is a two month minimum lag time between patient cancer diagnosis and inclusion in the audit. The audit rounds include cancer patients from all tumour streams. Adult patients are identified for audit using the Victorian Admitted Episode Dataset (VAED) and the Victorian Cancer Registry (VCR) dataset. Patients must have received their primary treatment in the ICS in which they are reported. Random sampling processes are applied to identify the sample for data collection from all treated cancer patients. Paediatric patients are identified for audit using the paediatric haematology/oncology database which contains data for most paediatric oncology patients. Table 2 outlines the audit numbers required. Table 2: 2015 Audit Requirements - record numbers by round and due dates Audit ICS Minimum Records Tumour Streams Date Due Round 1 Metro 320 All* Regional 120 All* Paediatrics 45 Paediatrics 19 Dec 2015 Round 2 Metro 320 All* Regional 120 All* Paediatrics 45 Paediatrics 30 June 2016 Notes: All* = whilst the selection of cases may aim to ensure representative data capture across the ICS and/or tumour streams it is important to avoid any obvious and/or systematic bias which would skew results. ICS may be asked to explain their case selection strategy. Record numbers are a minimum and ICS are encouraged to capture data above these numbers if considered important locally. The data collection process captures information recorded in the central medical record (or equivalent) and it is acknowledged that results may reflect inadequate documentation or filing rather than failure to deliver quality care. Documentation is however a key requirement for clinical communication, quality cancer services, and to ensure patient safety. Page 16 Cancer Services Performance Indicators Round Report
Department of Health & Human Services
Department of Health & Human Services Cancer Services Performance Indicators Round 1 2014 Report Department of Health & Human Services For further information please contact Kathryn Whitfield, Acting Manager,
More informationCancer Service Performance Indicators Round 1 Report. Integrated Cancer Services. January Department of Health
Cancer Service Performance Indicators 2013 Round 1 Report Integrated Cancer Services January 2014 Department of Health For further information please contact Kathryn Whitfield, Cancer Reform Manager Tel
More informationCancer Services Performance Indicators. Data Collection Method 2014
Cancer Services Performance Indicators Data Collection Method 2014 Contents 1. Introduction... 4 2. Data collection period... 5 3. Patient sample... 5 3.1 Identification of the patient sample... 5 3.2
More informationConsumer Participation Strategy
Consumer Participation Strategy Plan Implementation Period 2011-2013 Date: 24 December 2010 Developed by: NEMICS Directorate in consultation with Acknowledgements and thank you to: s, Dr Ian Roos (Cancer
More informationVictorian Paediatric Oncology Situational Analysis & Workforce Requirements
- Victorian Paediatric Oncology Situational Analysis & Workforce Requirements 2012-2026 SUMMARY REPORT May 2013 1 Contents Executive summary...3 1. Introduction...6 2. Project method...8 2.1 Estimating
More informationColorectal cancer care in Victoria ( )
Colorectal cancer care in Victoria (2011-2015) Mr Brian Hodgkins Please note: Some changes have been made for the purpose of publication Colorectal Cancer Summit working party Chairs: Geoff Chong Brian
More informationThe elements of cancer and palliative care reform in Victoria
The elements of cancer and palliative care reform in Victoria Dr Chris Brook Executive Director Rural and Regional Health and Aged Care Services Department of Human Services 1 Overview Rural and regional
More informationVictorian Cancer Performance Monitoring Framework (VCPMF)
Victorian Cancer Performance Monitoring Framework (VCPMF) Phase II Pilot Cancer Performance Indicator Results 2013 Data December 2016 Cancer Performance Indicator Results 2013 Data 1 Contents Invitation
More informationHead & Neck Cancer Care in Victoria
Head & Neck Cancer Care in Victoria Towards optimal care Mr Stephen Tudge Head & Neck Cancers Summit working party Chairs: Mr Stephen Tudge Members: Dr Alam (Muhammad) Alamgeer Dr Stephen Brown Mr David
More informationIntroduction. Legislation & Policy Context
Consumer Participation Plan 2017-2018 1 Introduction Barwon South Western Regional Integrated Cancer Service (BSWRICS) is committed to improving the experiences and outcomes of those affected by cancer
More informationDuring the Health Issues Centre conducted a project for the Ministerial Taskforce for Cancer. This project aimed to:
Consumer Participation Plan 2015-2016 Introduction Barwon South Western Regional Integrated Cancer Service (BSWRICS) is committed to improving the experiences and outcomes of those affected by cancer in
More informationSupportive Care Audit NEMICS Region
Supportive Care Audit 2013-2014 NEMICS Region Melissa Shand Service Improvement Facilitator NEMICS November 2015 Acknowledgments Mandy Byrne NEMICS Cancer and Data Information Analyst Page 2 of 32 Table
More informationA Framework for Optimal Cancer Care Pathways in Practice
A to Guide Care Cancer Care A for Care in Practice SUPPORTING CONTINUOUS IMPROVEMENT IN CANCER CARE Developed by the National Cancer Expert Reference Group to support the early adoption of the A to Guide
More informationSupportive Care Audit Mercy Hospital for Women - Heidelberg
Supportive Care Audit 2013-2014 Mercy Hospital for Women - Heidelberg Melissa Shand Service Improvement Facilitator NEMICS July 2015 Acknowledgments Mandy Byrne NEMICS Cancer and Data Information Analyst
More informationBSWRICS Supportive Care Strategic Plan Supporting BSWRICS Strategic Plan
BSWRICS Supportive Care Strategic Plan 2009 2012 Supporting BSWRICS Strategic Plan 2009-2012 1 Contents: Introduction 3 Background 4 Supportive Care Environment 5 Policy Environment 8 BSWRICS Supportive
More informationPrimary Health Networks
Primary Health Networks Drug and Alcohol Treatment Activity Work Plan 2016-17 to 2018-19 Drug and Alcohol Treatment Budget Gippsland When submitting this Activity Work Plan 2016-2018 to the Department
More informationPrimary Health Networks
Primary Health Networks Drug and Alcohol Treatment Activity Work Plan 2016-17 to 2018-19 Drug and Alcohol Treatment Budget Murray PHN When submitting this Activity Work Plan 2016-2018 to the Department
More informationPERFORMANCE AGAINST IMMUNISATION TIER 1 TARGETS
AGENDA ITEM 2.2 4 March 2014 PERFORMANCE AGAINST IMMUNISATION TIER 1 TARGETS Executive Lead: Executive Director of Public Health Author: Consultant in Public Health Medicine Contact Details for further
More informationActivity Report April 2012 March 2013
Colorectal Cancer Managed Clinical Network Activity Report April 2012 March 2013 Paul Horgan Professor of Surgery MCN Clinical Lead Kevin Campbell Network Manager 1 CONTENTS EXECUTIVE SUMMARY 3 1. INTRODUCTION
More informationPrimary Health Networks
Primary Health Networks Drug and Alcohol Treatment Activity Work Plan 2016-17 to 2018-19 Drug and Alcohol Treatment Budget Murray PHN When submitting this Activity Work Plan 2016-2018 to the Department
More informationUnited Kingdom and Ireland Association of Cancer Registries (UKIACR) Performance Indicators 2018 report
United Kingdom and Ireland Association of Cancer Registries (UKIACR) Performance Indicators 2018 report 20 June 2018 UKIACR Performance Indicators 2018 report 1 Contents Introduction... 3 Commentary for
More informationPrimary Health Networks
Primary Health Networks Drug and Alcohol Treatment Activity Work Plan 2016-17 to 2018-19 South Eastern Melbourne PHN When submitting this Activity Work Plan 2016-2018 to the Department of Health, the PHN
More informationRegional Strategic Plan
Regional Strategic Plan 2012-15 Vision Working collaboratively with stakeholders and the community, so that people in the Loddon Mallee Region with a progressive life-limiting illness and their families/carers,
More informationLung cancer care in Victoria
Lung cancer care in Victoria Identifying opportunities for improvement Prof David Ball In this presentation Incidence and survival The lung cancer population at presentation Care pattern and variation
More informationActivity Report March 2013 February 2014
West of Scotland Cancer Network Skin Cancer Managed Clinical Network Activity Report March 2013 February 2014 Dr Girish Gupta Consultant Dermatologist MCN Clinical Lead Tom Kane MCN Manager West of Scotland
More informationWomen s Health Association of Victoria
Women s Health Association of Victoria PO Box 1160, Melbourne Vic 3001 Submission to the Commonwealth Government on the New National Women s Health Policy 1 July, 2009. Contact person for this submission:
More informationForums. QOL in Prostate Cancer - project report. Service Improvement Grants NUMBER 23 FEBRUARY 2018
NUMBER 23 FEBRUARY 2018 Forums GRICS have recently held a number of forums in Traralgon for consumers, GPs and specialists. Presenters from Monash Health Familial Cancer Centre provided two separate open
More informationPrimary Health Networks Drug and Alcohol Treatment Services Funding. Updated Activity Work Plan : Drug and Alcohol Treatment
Primary Health Networks Drug and Alcohol Treatment Services Funding Updated Activity Work Plan 2016-2019: Drug and Alcohol Treatment Adelaide PHN This Activity Work Plan is an update to the 2016-18 Activity
More informationThe Cancer Council NSW. Submission to the Legislative Assembly Public Accounts Committee. Inquiry into NSW State Plan Reporting
The Cancer Council NSW Submission to the Legislative Assembly Public Accounts Committee Inquiry into NSW State Plan Reporting December 2007 2 Inquiry into NSW State Plan Reporting The Cancer Council NSW
More informationINFORMATION FOR RESEARCHERS REQUESTING DATA FROM THE NHVPR
INFORMATION FOR RESEARCHERS REQUESTING DATA FROM THE NHVPR What is the NHVPR? The National Human Papillomavirus Vaccination Program Register (NHVPR) is the Australian register which records HPV vaccine
More informationVictorian Ambulance Cardiac Arrest Registry (VACAR)
Victorian Ambulance Cardiac Arrest Registry (VACAR) Dr Karen Smith (PhD) VACAR Chair Manager Research and Evaluation Ambulance Victoria Smith K, Bray J, Barnes V, Lodder M, Cameron P, Bernard S and Currell
More informationCancer Screening Nottingham City Joint Strategic Needs Assessment April 2009
Cancer Screening Nottingham City Joint Strategic Needs Assessment April 2009 Introduction Cancer screening aims to detect disease at an early stage in people with no symptoms, when treatment is more likely
More informationPrimary Health Networks Greater Choice for At Home Palliative Care
Primary Health Networks Greater Choice for At Home Palliative Care Brisbane South PHN When submitting the Greater Choice for At Home Palliative Care Activity Work Plan 2017-2018 to 2019-2020 to the Department
More informationEvaluation of the Victorian Aboriginal Spectacles Subsidy Scheme
Evaluation of the Victorian Aboriginal Spectacles Subsidy Scheme A Summary Report 2016 We acknowledge Barry Atkinson, Yorta Yorta artist, for the artwork Up Stream Down Stream that is featured in this
More informationNational Prostate Cancer Audit. Bill Cross June 2015
National Prostate Cancer Audit Bill Cross June 2015 National Prostate Cancer Audit aim of assessing the process of care and its outcomes in men diagnosed with prostate cancer in England and Wales National
More informationTime for excellent palliative care in Queensland. 2018/2019 Palliative Care Queensland Pre-Budget Submission
Time for excellent palliative care in Queensland 2018/2019 Palliative Care Queensland Pre-Budget Submission Executive Summary PCQ FOCUS AREA INITIATIVE ESTIMATED COST Individuals Matter Create a Statewide
More informationPatient Pathway Mapping Project
Border/East Hume Cancer Network Patient Pathway Mapping Project Lung tumour stream: non-small cell lung cancer July 2013 Lung PPM Report Page 1 of 102 TABLE OF CONTENTS 1. EXECUTIVE SUMMARY... 6 2. AIM
More informationKEY QUESTIONS What outcome do you want to achieve for mental health in Scotland? What specific steps can be taken to achieve change?
SCOTTISH GOVERNMENT: NEXT MENTAL HEALTH STRATEGY Background The current Mental Health Strategy covers the period 2012 to 2015. We are working on the development of the next strategy for Mental Health.
More informationUnited Kingdom and Ireland Association of Cancer Registries (UKIACR) Performance Indicators 2017 report Published XX June 2017
United Kingdom and Ireland Association of Cancer Registries (UKIACR) Performance Indicators 2017 report Published XX June 2017 UKIACR Performance Indicators 2017 report 1 Contents Introduction... 3 Commentary
More informationImproving services for upper GI (OG) cancer Application template (Version 2)
Trust Clinical lead Improving services for upper GI (OG) cancer Application template (Version 2) Managerial lead Date completed 14 June 2013 Barnet & Chase Farm Hospitals NHS Trust Dr Marta Carpani Upper
More informationDorset Health and Wellbeing Board
Dorset Health and Wellbeing Board Date of Meeting 09 November 2016 Subject of Report Sustainability and Transformation Plan Refresh Update Report Author Partner Organisation Tim Goodson, Chief Officer,
More informationA situation analysis
Dietitian involvement in the care of upper gastro-intestinal cancer patients: A situation analysis Prepared by: Wendy Wild Prepared for: Athina Georgiou, General Manager Allied Health, Southern Health
More informationNational Cancer Peer Review Programme
National Cancer Peer Review Programme Julia Hill Acting Deputy National Co-ordinator What is Cancer Peer Review? A quality assurance process for cancer services. An integral part of Improving Outcomes
More informationMyocardial Ischaemia National Audit Project (MINAP): Improving data capture and use across South Wales
Myocardial Ischaemia National Audit Project (MINAP): Improving data capture and use across South Wales Author Owner Document Reference Alison Turner Cardiovascular Audit and Primary Care Nurse South Wales
More informationThe National Paediatric Diabetes Audit
Introduction The National Paediatric Diabetes Audit (NPDA) for and is commissioned by the Healthcare Quality Improvement Partnership (HQIP) as part of the National Clinical Audit and Patient Outcomes Programme
More informationChildren s Cancer Pathway Board Annual Report 2014/15. Pathway Clinical Director: Bernadette Brennan Pathway Manager: Melissa Wright
Children s Cancer Pathway Board Annual Report 2014/15 Pathway Clinical Director: Bernadette Brennan Pathway Manager: Melissa Wright Executive summary Cancer in children and young people is rare with only
More informationActivity Report April 2013 March 2014
North, South East and West of Scotland Cancer Networks HepatoPancreatoBiliary Cancers National Managed Clinical Network Activity Report April 2013 March 2014 Mr Colin McKay Consultant Surgeon NMCN Clinical
More informationPatient Pathway Mapping Project
West Hume Cancer Network Patient Pathway Mapping Project 2011-2012 Head and Neck tumour stream: Larynx, pharynx and oral cancer December 2012 Page 1 of 96 TABLE OF CONTENTS 1. EXECUTIVE SUMMARY... 7 2.
More informationPosition Description Ovarian Cancer Australia Support Coordinator, Support Programs
Position Description Ovarian Cancer Australia Support, Position Purpose The Support, is one of three roles responsible for the further development, coordination and implementation of Ovarian Cancer Australia
More informationSubmission to. MBS Review Taskforce Eating Disorders Working Group
Submission to MBS Review Taskforce Eating Disorders Working Group Contact: Dr Vida Bliokas President ACPA President@acpa.org.au Introduction The Australian Clinical Psychology Association (ACPA) represents
More informationMeasure #355: Unplanned Reoperation within the 30 Day Postoperative Period National Quality Strategy Domain: Patient Safety
Measure #355: Unplanned Reoperation within the 30 Day Postoperative Period National Quality Strategy Domain: Patient Safety 2017 OPTIONS FOR INDIVIDUAL MEASURES: REGISTRY ONLY MEASURE TYPE: Outcome DESCRIPTION:
More information2019 COLLECTION TYPE: MIPS CLINICAL QUALITY MEASURES (CQMS) MEASURE TYPE: Outcome High Priority
Quality ID #355: Unplanned Reoperation within the 30 Day Postoperative Period National Quality Strategy Domain: Patient Safety Meaningful Measure Area: Admissions and Readmissions to Hospitals 2019 COLLECTION
More informationRESEARCH BUSINESS DEVELOPMENT MANAGER OVARIAN CANCER AUSTRALIA
RESEARCH BUSINESS DEVELOPMENT MANAGER OVARIAN CANCER AUSTRALIA Work as part of a committed and passionate team Join a dynamic and growing not-for-profit organisation Location: Position Reports to: Direct
More informationRuth Howkins Deputy National Coordinator National Cancer Peer Review
Ruth Howkins Deputy National Coordinator National Cancer Peer Review Purpose of Peer Review To ensure services are as safe as possible To improve the quality and effectiveness of care To improve the patient
More informationShared Care Pathway for Soft Tissue Sarcomas Presenting to Site Specialised MDTs. Gynaecological sarcomas Version 1
Shared Care Pathway for Soft Tissue Sarcomas Presenting to Site Specialised MDTs Gynaecological sarcomas Version 1 Background This guidance is to provide direction for the management of patients with sarcomas
More informationAiming for Excellence in Stroke Care
Training Centre in Sub-acute Care (TRACS WA) Aiming for Excellence in Stroke Care A tool for quality improvement in stroke care Developed by TRAining Centre in Subacute Care (TRACS WA) February 2016 For
More informationEngaging People Strategy
Engaging People Strategy 2014-2020 Author: Rosemary Hampson, Public Partnership Co-ordinator Executive Lead Officer: Richard Norris, Director, Scottish Health Council Last updated: September 2014 Status:
More informationUpdated Activity Work Plan : Drug and Alcohol Treatment
Web Version HPRM DOC/17/1043 Updated Activity Work Plan 2016-2019: Drug and Alcohol Treatment This Drug and Alcohol Treatment Activity Work Plan template has the following parts: 1. The updated strategic
More informationHaemato-oncology Clinical Forum. 20 th June 2013
Haemato-oncology Clinical Forum 20 th June 2013 Welcome Dr Majid Kazmi, LCA Haemato-oncology Pathway Group Chair Purpose of today Provide an update on progress of the LCA to date Identify priorities for
More informationCancer and Data in the New NHS May Di Riley, Director Clinical Outcomes
Cancer and Data in the New NHS May 2011 Di Riley, Director Clinical Outcomes Overarching NHS context Financial constraints White Paper GP Commissioning/Commissioning Board Public Health England National
More informationActivity Report April 2012 March 2013
North, South East and West of Scotland Cancer Networks HepatoPancreatoBiliary Cancers National Managed Clinical Network Activity Report April 2012 March 2013 Mr Colin McKay Consultant Surgeon NMCN Clinical
More informationWell Women Workshops. Hume RICS Annual Report
Newsletter November 2014 Inside this issue: Well Women Workshops 1 Hume RICS Annual Report 1 Our mission is to guide and coordinate the development of cancer services and positively make a difference to
More informationClinical application of optimal care pathways at a regional cancer centre
Clinical application of optimal care pathways at a regional cancer centre Skye Kinder, 1 Karla Gough, 1,2 Meinir Krishnasamy, 1,3,4 1. Faculty of Medicine, Dentistry and Health Sciences, University of
More informationPhase II Malnutrition in Victorian Cancer Services: summary report
Phase II Malnutrition in Victorian Cancer Services: summary report Learnings and recommendations from the statewide and local health services projects 2013 2014 Phase II Malnutrition in Victorian Cancer
More informationMinistry of Health and Long-Term Care. Palliative Care. Follow-Up on VFM Section 3.08, 2014 Annual Report RECOMMENDATION STATUS OVERVIEW
Chapter 1 Section 1.08 Ministry of Health and Long-Term Care Palliative Care Follow-Up on VFM Section 3.08, 2014 Annual Report RECOMMENDATION STATUS OVERVIEW # of Status of Actions Recommended Actions
More informationTuberous Sclerosis Australia Strategic Plan
Tuberous Sclerosis Australia Strategic Plan Last updated 27 November 2017 1. Our vision for the lives of people affected by tuberous sclerosis (TSC) 1. The impact of a diagnosis of TSC Tuberous Sclerosis
More informationOrganizational HIV Treatment Cascade Guidance for Construction. Introduction. Background
Organizational HIV Treatment Cascade Guidance for Construction Introduction This guidance document provides organizations with the necessary tools and resources to construct their Organizational HIV Treatment
More informationThe National Framework for Gynaecological Cancer Control
The National Framework for Gynaecological Cancer Control CNSA Annual Congress 13 May 2016 Jennifer Chynoweth General Manager, Cancer Care Cancer Australia Current and emerging issues in gynaecological
More informationTen Implementation Steps for Establishing a Palliative Approach. Workbook
Ten Implementation Steps for Establishing a Palliative Approach Workbook Ten Implementation Steps for Establishing a Palliative Approach Workbook This Workbook was developed for use in workshops that were
More informationAudit Report. Lung Cancer Quality Performance Indicators. Patients diagnosed April 2014 March Published: May 2016
NORTH OF SCOTLAND PLANNING GROUP Lung Cancer Managed Clinical Network Audit Report Lung Cancer Quality Performance Indicators Patients diagnosed April 2014 March 2015 Published: May 2016 Mr Hardy Remmen
More informationPatient Outcomes in Palliative Care for Victoria
Patient Outcomes in Palliative Care for Victoria July to December 215 PCOC is a national palliative care project funded by the Australian Government Department of Health The Palliative Care Outcomes Collaboration
More informationPatient Outcomes in Palliative Care
South Australia Patient Outcomes in Palliative Care January June 2014 Report 17 September 2014 PCOC is a national palliative care project funded by the Australian Government Department of Health www.pcoc.org.au
More informationUpper GI Cancer Network Site-Specific Group. Work Programme/Service Delivery Plan 2011/14
Upper GI Cancer Network Site-Specific Group Work Programme/Service Delivery Plan 2011/14 1 UPPER GI NSSG Work Programme/Service Delivery Plan AGREEMENT COVER SHEET 2011/14 This Work Programme has been
More informationFemale Genital Mutilation (FGM) Enhanced Dataset
Female Genital Mutilation (FGM) Enhanced Dataset April 2016 to March 2017, England, experimental statistics Published 4 July 2017 The Female Genital Mutilation (FGM) Enhanced Dataset (SCCI 2026) supports
More informationRegional Follow-up Guidelines
Breast Cancer Managed Clinical Network Breast Cancer Regional Follow-up Guidelines Prepared by J McIlhenny/ I Reid Approved by Breast Cancer MCN Advisory Board/ RCCLG Issue date July 2017 Review date July
More informationHazelinks - Cancer incidence analysis (First data extraction)
Hazelinks - Cancer incidence analysis (First data extraction) Authors Prof Malcolm Sim Ms Christina Dimitriadis Dr Caroline Gao Mr Anthony Del Monaco 1 1 Contents Abbreviations... 3 Executive Summary...
More informationPrimary Health Networks
Primary Health Networks Drug and Alcohol Treatment Activity Work Plan 2016-17 to 2018-19 Hunter New England & Central Coast Please note: This Activity Work Plan was developed in response to the HNECC PHN
More informationUrology Pathway Board Meeting Minutes of the meeting held on March 15 th 2017
Greater Manchester Cancer Urology Pathway Board Urology Pathway Board Meeting Minutes of the meeting held on March 15 th 2017 Members in attendance Satish Maddineni (Chair) Pathway Director Steve Elliot
More informationReporting of Cancer Stage Information by Acute Care Hospitals in Ontario
Reporting of Cancer Stage Information by Acute Care Hospitals in Ontario Forward This document is an accompanying reference to Ontario s staging policy entitled Guidelines for Staging Patients with Cancer
More information2013 research report oncology
2013 research report oncology oncology The Eastern Health Oncology service conducts clinical research in collaboration with Monash University as part of the Eastern Clinical Research Unit (ECRU) partnership
More informationCancer Improvement Plan Update. September 2014
Cancer Improvement Plan Update September 2014 1 Contents Page 1. Introduction 3 2. Key Achievements 4-5 3. Update on Independent Review Recommendations 6-13 4. Update on IST Recommendations 14-15 5. Update
More informationCultural Diversity and Community Advisory Committee Charter
Cultural Diversity and Community Advisory Committee Charter July 2015-2016 CONTENTS SECTION A: CULTURAL DIVERSITY AND COMMUNITY ADVISORY COMMITTEE CHARTER... 3 Statement of purpose... 3 1. Background and
More informationNational Cancer Patient Experience Survey Results. University Hospitals of Leicester NHS Trust. Published July 2016
National Cancer Patient Experience Survey 2015 Results University Hospitals of Leicester NHS Trust Published July 2016 Revised 17th August 2016 The National Cancer Patient Experience Survey is undertaken
More informationAn Integrated National Strategy for Breast Cancer Audit. Martin Lee Gill Lawrence
An Integrated National Strategy for Breast Cancer Audit Martin Lee Gill Lawrence National Audit Funding DH (NCAPOP* budget) Oversight National Clinical Audit Advisory Group (NCAAG) Commissioning and Monitoring
More informationClinical Commissioning Policy: Chemotherapy Algorithms for Adults and Children. January 2013 Reference: NHS England XXX/X/X.
Clinical Commissioning Policy: Chemotherapy Algorithms for Adults and Children January 2013 Reference: NHS England XXX/X/X England 1 NHS England Clinical Commissioning Policy: Chemotherapy Algorithms for
More informationOvarian Cancer Quality Performance Indicators
Ovarian Cancer Quality Performance Indicators Patients diagnosed between October 2013 and September 2016 Publication date 20 February 2018 An Official Statistics publication for Scotland This is an Official
More informationPRESCRIBING BY RADIOGRAPHERS: A VISION PAPER
PRESCRIBING BY RADIOGRAPHERS: A VISION PAPER 1 INTRODUCTION 1.1 The Review of Prescribing, Supply & Administration of Medicines (Crown II) Final Report was submitted to The Secretary of State for Health
More informationActivity Report July 2012 June 2013
Urological Cancers Managed Clinical Network Activity Report July 2012 June 2013 Mr Seamus Teahan Consultant Urologist MCN Clinical Lead Tom Kane MCN Manager 1 CONTENTS EXECUTIVE SUMMARY 3 1. INTRODUCTION
More informationNational Cancer Patient Experience Survey Results. East Kent Hospitals University NHS Foundation Trust. Published July 2016
National Cancer Patient Experience Survey 2015 Results East Kent Hospitals University NHS Foundation Trust Published July 2016 Revised 17th August 2016 The National Cancer Patient Experience Survey is
More informationMidCentral District Health Board Rheumatic Fever Prevention Plan. October 2013
MidCentral District Health Board Rheumatic Fever Prevention Plan October 2013 Contents Section 1: Introduction... 3 1.1 Executive summary... 3 1.2 Purpose... 5 Section 2: Overview of acute rheumatic fever
More informationScottish Cancer Taskforce: National Cancer Quality Steering Group Cancer Clinical Audit
Scottish Cancer Taskforce: National Cancer Quality Steering Group Cancer Clinical Audit National Cancer Clinical Audit: Baseline Survey Report (May 09) Purpose: The purpose of this paper is to provide
More informationActivity Report March 2012 February 2013
Lung Cancer Managed Clinical Network Activity Report March 2012 February 2013 John McPhelim Lead Lung Cancer Nurse MCN Clinical Lead Kevin Campbell Network Manager CONTENTS EXECUTIVE SUMMARY 3 1. INTRODUCTION
More informationVictoria: patient outcomes in palliative care: January - June 2014: report 17
University of Wollongong Research Online Australian Health Services Research Institute Faculty of Business 2014 Victoria: patient outcomes in palliative care: January - June 2014: report 17 Alanna M. Holloway
More informationSelective Dorsal Rhizotomy (SDR) Scotland Service Pathway
Selective Dorsal Rhizotomy (SDR) Scotland Service Pathway This pathway should to be read in conjunction with the attached notes. The number in each text box refers to the note that relates to the specific
More informationPrimary Health Networks
Primary Health Networks Drug and Alcohol Treatment Activity Work Plan 2016-17 to 2018-19 Adelaide PHN This template was used to submit the Primary Health Network s (PHN s) Activity Work Plans to the Department
More informationPROPOSED WORK PROGRAMME FOR THE CLEARING-HOUSE MECHANISM IN SUPPORT OF THE STRATEGIC PLAN FOR BIODIVERSITY Note by the Executive Secretary
CBD Distr. GENERAL UNEP/CBD/COP/11/31 30 July 2012 ORIGINAL: ENGLISH CONFERENCE OF THE PARTIES TO THE CONVENTION ON BIOLOGICAL DIVERSITY Eleventh meeting Hyderabad, India, 8 19 October 2012 Item 3.2 of
More informationAPS Submission to the MBS Review: Better Access to Psychiatrists, Psychologists and General Practitioners
APS Submission to the MBS Review: Better Access to Psychiatrists, Psychologists and General Practitioners July 2018 The Australian Psychological Society Limited psychology.org.au 1 Contributors Professor
More informationFamily Violence Integration Project. Eastern Community Legal Centre
Family Violence Integration Project Eastern Community Legal Centre Mid Term Report February 2012 Prepared by Clare Keating, Effective Change Pty Ltd Introduction Commencing in February 2011, the Family
More informationAboriginal health and wellbeing strategic plan. Discussion guide
Aboriginal health and wellbeing strategic plan Discussion guide Aboriginal health and wellbeing strategic plan Discussion guide Cover image Vicki Couzens (ngootyoong ngarrakeetoong) Healthy communities
More informationPancreat ic Cancer UK. policy briefing. A cancer of unmet need: the pancreatic cancer research challenge
Pancreat ic Cancer UK policy briefing A cancer of unmet need: the pancreatic cancer research challenge Introduction Pancreatic Cancer UK s Study for Survival, launched in 2011, marked the first ever comprehensive
More information