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INDICATOR NAME
Name
Percentage of cancer surgeries completed within target time by priority level
Alternate Name
Percentage of cancer surgeries completed within target time by priority level
 
INDICATOR DESCRIPTION
Description

This indicator measures the percentage of patients who met the access targets from when a patient and surgeon decide to proceed with cancer surgery until when the actual procedure is completed. A higher percentage is better.

HQO Reporting tool/product
Public reporting
Dimension
Timely
Type
Process
 
DEFINITION AND SOURCE INFORMATION
Unit of Measurement
Percentage
Calculation Methods
The percentage is calculated as: numerator divided by the denominator times 100
Numerator (short description i.e. not inclusions/exclusions)
Number of patients whose cancer surgery wait times is within the access targets.
Denominator (short description i.e. not inclusions/exclusions)
All cancer surgeries meeting the inclusion/exclusion criteria
Adjustment (risk, age/sex standardization)- generalized
None
Data Source
Wait Time Information System (WTIS)
Data provided to HQO by
Cancer Care Ontario (CCO)
Reported Levels of comparability /stratifications (defined)
Region, Time
 
OTHER RELEVANT INFORMATION
Caveats and Limitations
The intent of the data collection is to have the wait time for a patient undergoing an operation where cancer is a real possibility. In some cases, it is only after surgery that a negative result is known. Some reported wait time data for cancer surgery includes data for surgeries where there are benign or non Non-cancerous tumours.The Ministry of Health and Long-Term Care is working with the surgical community to have more accurate reporting of surgical treatment data involving “intentional” and “patient unavailable” wait times either by: Subtracting the "patient unavailable dates" from the overall wait time. Entering the “decision to treat date” as the date when the patient is first recovered from treatment. For detailed limitations, see: http://www.health.gov.on.ca/en/pro/programs/waittimes/surgery/data.aspx#5 Many cancer surgery procedures are the same as the procedures for benign (non-cancerous) conditions, and the same doctors perform both cancer surgery and non-cancer surgery. As a result, almost every hospital in Ontario performs at least a few cancer surgeries every year. However, the hospitals with smaller numbers of cancer procedures may not have a formal cancer program or specialize in cancer surgery. A number of these smaller hospitals do not report their wait time data to WTIS. Text adapted from the Comprehensiveness of Cancer Surgery Reporting: http://www.health.gov.on.ca/en/pro/programs/waittimes/surgery/data.aspx#4
Comments Summary
If patient unavailable dates fall outside the Decision to Treat Date up to Procedure Date, the patient unavailable dates are not deducted from the patient's wait days. These are considered data entry errors.
 
TAGS
Sector
Acute Care/Hospital
Type
Process
Topic
Access, Wait Times
Dimension
Timely
Source
Wait Time Information System (WTIS)
 
PUBLISH
Publish Datetime
13/10/2016 14:37:00