I. Cancer Activity Level Reporting (ALR)

Activity Level Reporting (ALR) data represents the basic set of data elements required to produce the quality, cost and performance indicators for the cancer system.  The data elements constitute patient level activity within the cancer system focused on radiation and systemic therapy services and outpatient oncology clinic visits.  This data is also a key component of the Ontario Cancer Registry (OCR), which registers every malignant neoplasm diagnosed in Ontario.

Defining the Activity for Inclusion

A Regional Cancer Program encompasses the delivery of all cancer services regardless of where that service is delivered in your facility.  We realize that this may present challenges from a data perspective, since some oncology clinical processes may not be integrated as yet.

OH-CCO requires all activity from the cancer centre and its related outreach clinics, if any.  In addition, please include all outpatient chemotherapy treatment visits that occur in the host hospitals (MIS functional centre 7134066).

It is not OH-CCO’s intent to duplicate either the existing Discharge Abstract Database (DAD) or National Ambulatory Care Reporting System (NACRS) data to CIHI.   

There may be patient circumstances that will require physicians to perform consults/follow-ups on the inpatient ward.  This inpatient activity on the ward can be submitted to ALR, in addition to, the outpatient activity that occurs in the oncolology clinic (which may include both inpatients and outpatients).

Smoking Cessation

The Smoking Cessation entity will capture and store a set of performance metrics based on the smoking status of new Ambulatory Cancer Care patients collected at the 14 RCCs and submitted to ALR Data Book. The data capture and reporting process aligns with the 3A smoking cessation model (Ask, Advise, Act). The measures utilized will identify all new ambulatory patients attending the RCCs who could benefit from tobacco cessation advice, and will match their needs to an appropriate and available service. The data will be analyzed and the aggregate findings will be disseminated to the 14 RCCs and the Ministry of Health and Long Term Care (MOHLTC).

 

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