Cervical-cancer-screening-QIP - Health Quality Ontario (HQO)

Field Definitions Add to compare

INDICATOR NAME

Name

Percentage of screening eligible patients up-to-date with cervical cancer screening QIP (Retired)

Alternate Name

Percentage of screening eligible patients up-to-date with cervical cancer screening QIP

INDICATOR DESCRIPTION

Description

Percentage of women aged 21-69 who had a Papanicolaou (Pap) smear within the past three years.

Indicator Status

Retired

HQO Reporting tool/product

Quality Improvement Plans (QIPs)

Dimension

Effective

Type

Outcome

DEFINITION AND SOURCE INFORMATION

Unit of Measurement

Percentage

Calculation Methods

The percentage is calculated as: numerator divided denominator times 100.

Numerator including inclusion/exclusion

Number of screen-eligible women aged 21-69 years who had a Pap smear within the past three years.

Inclusions:

Index date was defined as the first screen date per person by date of specimen collection in CytoBase or by service date in OHIP in a three year period
Pap tests in CytoBase - note all Pap tests in CytoBase were counted, including those with inadequate specimens
Identifying Pap tests using fee codes in OHIP (E430: G365: G394: L713; L733; L812, Q678A)

Denominator including inclusion/exclusion

Total number of Ontario screen-eligible women aged 21-69 years, in a given three-year period.

Exclusions:

Women with a missing or invalid health card number, date of birth, LHIN or postal code
Women with invasive cervical cancer before the index date
Women with a hysterectomy before the index date Target populations comply with the existing cancer screening guidelines in Ontario

Target populations comply with the existing cancer screening guidelines in Ontario.

Data Source

Client Agency Program Data (CAPE), Corporate Provider Database (CPDB), Ontario Cancer Registry (OCR), Ontario Health Insurance Plan (OHIP) Claims History Database, Pathology Information Management System (PIMS), Registered Persons Database (RPDB)

Data provided to HQO by

In-house data collection

Reported Levels of comparability /stratifications (defined)

Institution, Region, Time

OTHER RELEVANT INFORMATION

Caveats and Limitations

A small proportion of Pap tests performed as a diagnostic test could not be excluded from the analysis. The indicator does not capture test done in hospital laboratories or paid through alternate payment plans such as out-of-pocket.

Comments Detailed

This is an additional QIP indicator for 2017/18. Current performance reporting period: annually. Primary Care Group Practice reports are available to family health teams and CHCs that register. For more information visit www.hqontario.ca/pcreport. Primary care organizations not registered to receive group practice reports will be required to extract data from EMRs. Alternate source is Cancer Care Ontario’s Screening Activity Report (family health teams) and EMRs (all models). For 2017/18, two cervical cancer screening indicators are included as additional indicators. This indicator is consistent with Cancer Care Ontario’s cervical cancer screening indicator. Primary care organizations that have access to Cancer Care Ontario’s Screening Activity Reports (SAR) are encouraged to use this indicator. Health Quality Ontario recommends that primary care organizations select ONE of the cervical cancer screening indicators for their QIP (e.g., either the “up to date” or “completed a Pap in the last 42 months” (CCO) indicator.).