Literature DB >> 15362329

Improving cancer surgery in Ontario: recommendations from a strategic planning retreat.

Anna Gagliardi1, Fredrick D Ashbury, Ralph George, Jonathan Irish, Hartley S Stern.   

Abstract

INTRODUCTION: The Ministry of Health and Long-Term Care mandated a rapid and thorough change in the delivery of cancer services in Ontario to integrate ambulatory services offered by Cancer Care Ontario (CCO) with the inpatient services of affiliated hospitals. The CCO Surgical Oncology Program held a strategic planning retreat to establish the basis upon which to implement surgery-specific changes.
METHODS: Participants completed a pre-retreat survey. Based on survey results, the retreat was organized around 4 themes: role of the Surgical Oncology Program; knowledge transfer; funding for cancer surgery; and research priorities. These topics were discussed in small breakout groups and by the entire assembly.
RESULTS: Retreat participants (n = 55) included hospital CEOs, vice-presidents of cancer services, surgeons from cancer centres and community hospitals, academic chairs of surgery, clinician researchers and managers from CCO. Responses to the pre-retreat survey (n = 38) and recommendations made by retreat participants showed strong support for the Surgical Oncology Program to take a leadership role in the development and monitoring of quality indicators, research related to cancer surgery and the creation of regional communities of practice. Funding mechanisms for cancer surgeons and hospitals performing cancer surgery were also highlighted.
CONCLUSION: The Surgical Oncology Program used the results to develop a strategic plan that was approved by retreat participants and the board of the CCO. The program has embarked on a multifaceted approach to facilitate, monitor and report on the organization and delivery of cancer surgery in Ontario.

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Mesh:

Year:  2004        PMID: 15362329      PMCID: PMC3211788     

Source DB:  PubMed          Journal:  Can J Surg        ISSN: 0008-428X            Impact factor:   2.089


  1 in total

1.  Evaluating the quality of cancer care: development of cancer quality indicators for a global quality assessment tool.

Authors:  J L Malin; S M Asch; E A Kerr; E A McGlynn
Journal:  Cancer       Date:  2000-02-01       Impact factor: 6.860

  1 in total
  4 in total

1.  Reducing variation in surgical care.

Authors:  David R Urbach; Nancy N Baxter
Journal:  BMJ       Date:  2005-06-18

2.  Piloting a regional collaborative in cancer surgery using a "community of practice" model.

Authors:  M Fung-Kee-Fung; R P Boushey; J Watters; R Morash; J Smylie; C Morash; C Degrasse; S Sundaresan
Journal:  Curr Oncol       Date:  2014-02       Impact factor: 3.677

3.  Conceptual and practical challenges for implementing the communities of practice model on a national scale--a Canadian cancer control initiative.

Authors:  Colene Bentley; George P Browman; Barbara Poole
Journal:  BMC Health Serv Res       Date:  2010-01-05       Impact factor: 2.655

4.  Diffusion of surgical innovation among patients with kidney cancer.

Authors:  David C Miller; Christopher S Saigal; Mousumi Banerjee; Jan Hanley; Mark S Litwin
Journal:  Cancer       Date:  2008-04-15       Impact factor: 6.860

  4 in total

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