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MCC Discipline Engagement

MCC Discipline Engagement. What is this?. MCC Attendance information is collected across the province for FY 11/12 Q1 and Q3 time periods This information has been analyzed to look at discipline/provider attendance TABLE 1: Representation at MCCs , by Discipline/provider and by LHIN

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MCC Discipline Engagement

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  1. MCC Discipline Engagement

  2. What is this? • MCC Attendance information is collected across the province for FY 11/12 Q1 and Q3 time periods • This information has been analyzed to look at discipline/provider attendance • TABLE 1: Representation at MCCs, by Discipline/provider and by LHIN • Looks at MCC participation by discipline within each region for Q1 and Q3 FY 11/12 • TABLE 2:Representation at MCCs, by Discipline/provider and by Disease Site • Looks at MCC participation across the province by disease site Q1 and Q3 FY 11/12

  3. Why? • Findings: • Overall discipline/provider attendance is relatively good and has been improving. We believe there are areas for improvement. • There are extreme variations among the disciplines’ attendance, with variations occurring across the regions and disease sites (e.g 20% vs 100% in different regions). • ACTION: • We are providing this information so that you can discuss, review and share within your hospital or region.

  4. Follow Up Steps • Pathology and Radiology participation rates are a focus. Dr. Vina Alexopoulou, McMaster University (Pathologist) and Dr. Elaine Martinovic, Sunnybrook Hospital (Radiologist) were recently recruited to join the MCC Provincial Leadership Team. • A survey for Ontario radiologists will be administered to determine enablers & barriers to participation and identify best practices • ACTIONS: • We encourage you to review the data and contact your region’s MCC Coordinator if you have questions or concerns • The regional MCC coordinator can also provide more detailed information for you LHIN/hospital • Dr. Frances Wright and Amber Hunter can also be contacted for further information

  5. Representation at MCCs, by Discipline and by LHIN Timeframe: Q1 and Q3 FY 2011/2012 NR: Not reported Numerator: Discipline representation includes discipline attendance 75% of the time per MCC at the host hospital MCCs Denominator: Number of specific disease site MCCs was calculated by discipline as per the Disease Site Minimum Criteria at the host hospital MCCs Only existing MCCs were included in this calculation, including MCCs of a frequency of more than 1 at the host hospital MCCs. All MCCs that were required but not held were excluded ** Nursing participation is not a measurement requirement though participation is highly suggested

  6. Representation at MCCs, by Discipline and by Disease Site Timeframe: Q1 and Q3 FY 2011/2012 Numerator: Discipline representation includes discipline attendance 75% of the time per MCC at the host hospital MCCs Denominator: Number of specific disease site MCCs was calculated by discipline as per the Disease Site Minimum Criteria at the host hospital MCCs Only existing MCCs were included in this calculation, including MCCs of a frequency of more than 1 at the host hospital MCCs. All MCCs that were required but not held were excluded ** Nursing participation is not a measurement requirement though participation is highly suggested Note: GynaeMCCs have medical oncology preferred not required; Lymphom/Leukaemia combined MCCs have requirements combined .

  7. Discipline Engagement Methodology • Timeframe of data analysis: Q1 and Q3 FY 2011/2012 • Numerator: • Discipline representation includes discipline attendance 75% of the time per MCC at the host hospital MCCs • Denominator: • Number of specific disease site MCCs was calculated by discipline as per the Disease Site Minimum Criteria at the host hospital MCCs • Only existing MCCs were included in this calculation, including MCCs of a frequency of more than 1 at the host hospital MCCs. • All MCCs that were required but not held were excluded • ** Nursing participation is not a measurement requirement though participation is highly suggested • NOTE: The required disciplines were originally determined in 2009/10 with a multidisciplinary consult by the PEBC Disease Site Groups, we will be reviewing these requirements in the coming year.

  8. Questions? • Frances Wright, MCC Consultant: frances.wright@sunnybrook.ca • Amber Hunter, MCC Project Manager: amber.hunter@cancercare.on.ca • MCC Coordinators:

  9. Background Slides

  10. MCC Ontario 2015 Vision • By 2015, all Ontario cancer patients have access to high-quality multi-disciplinary case review • Specifically, hospitals seeing greater than 35 unique patients with a given cancer will ensure appropriate patients are discussed at a MCC meeting provincial standards. During this phase of the initiative, a focus on appropriate MCC-related documentation will be added to the existing quality criteria focus areas • (eg. MCC frequency, discipline participation and access).

  11. Total Number of pts discussed: Q1 FY 2010/2011 - 6494 Q3 FY 2010/2011 - 6311 Q1 FY 2011/20112 - 6462 Number of Patients Discussed at a MCC

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