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Psychosocial oncology quality indicators prioritization exercise.

277 Background: One of Cancer Care Ontario's (CCO) roles is to monitor and report on cancer system performance to support quality improvement. CCO's Psychosocial Oncology (PSO) program developed a measurement plan with potential indicators to evaluate patient access to and the effectiveness of PSO services across the province. The objective of this study was to conduct a modified Delphi process to build consensus and prioritize PSO indicators based on their relevance to provincial goals, ability to measure regional and provincial performance and result in tangible actions.

METHODS: Through consultations and literature reviews, 16 measurement concepts were identified as quality indicators for the PSO Program. Members of the PSO Provincial Committee (n = 32) evaluated each indicator based on set criteria: relevance, outcome-focused, directional, and actionable. Two rounds of input was gathered through a structured worksheet with a minimum response rate of 60%. Round one was based on a simple 'Yes or No' response to the indicators' ability to meet the defined criteria. Participants were encouraged to comment on each indicator and suggest new indicators. Indicators not meeting at least half of the evaluation criteria, on average, were removed from the list. Net new indicators suggested by at least 10% of respondents were included in round two. In round two, members rated each indicator on a scale of 1-5, indicating to what degree the indicator met the evaluation criteria.

RESULTS: After round one, the original list was narrowed from sixteen to nine indicators. Four new indicators were also added. After round two, three indicators were identified as meeting the evaluation criteria: 1) wait times to specialized PSO services, 2) access to registered dietitian services by the head and neck cancer population, and 3) documented follow-up with patients with anxiety and/or depression. Prioritized indicators were reviewed with the PSO Committee and CCO senior leadership to confirm direction.

CONCLUSIONS: The prioritization exercise provided consensus across divergent perspectives and identified top priorities. Work is underway to further develop/refine these indicators for provincial reporting.

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