Cancer Care Ontario A

1. Cancer Care Ontario A • Organizational Overview S Orientation Workshop July 16, 2014 Sheila M Densham, BA, TEACH Health Promotion Coordinator

2. Cancer Care Ontario • Provincial government agency • Funding for all cancer services in Ontario • Cancer prevention and screening • Minimizes the effect of cancer • Ensures quality service • Saving Lives

3. CCO Vision Establish best cancer screening program in North America Increase primary care provider performance in screening Increase patient participation in screening Establishhigh-quality, integrated screening program GOALIncrease screening rates for breast, cervical and colorectal cancers and integrate into primary care

4. 15 Regional Cancer Programs (RCPs) Primary Care Providers Ontario Breast Screening Program Ontario Cervical Cancer Screening Program Colon Cancer Check Screening Program

5. Prevention: Healthy Lifestyle Gender Age Family history Genetics Physical activity Immunization (HPV) Healthy eating Alcohol Tobacco Cancer screening Non Modifiable Modifiable 5

6. Risk Factors and Cancer

7. 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 2014http://www.csqi.on.ca/

8. Strategic Directions 9

9. 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.

10. ‘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

11. 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 11

12. DiagnosticvsScreening 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 12

14. Two Screening Streams

15. Less Likely to Screen for Cancer • First nations • Low income • Newcomers/immigrants • Rural and remote areas

16. Barriers to Screening • Impact of poverty • Access to a female physician • Accessibility issues • Language & cultural appropriateness issues

17. Ontario Cancer Statistics 2013 17 17

18. Ontario Cancer Statistics 2014 18 18

19. Dr. Jones asked me to call you. He noticed that you are due for a Pap test. What CCO Is Doing PES Pilots: Promote doctor patient discussion Partnerships: Process to determine the follow-up to CARES and other projects PES Pilots: Reminder phone calls when patient is due for screening

20. What CCO is Doing • Introduces cancer screening and cancer prevention to newcomers • Available in ten languages • Links to key web sites • Posted video stories

21. What CCO is Doing • CCO 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 Coaches

22. Questions?Thank you