A Clinical Consensus Approach to Developing a New Funding Model for Radiation Services in Ontario

Affiliations

¹ A lead with the Performance and Accountability team (clinical program) at Ontario Health in Toronto, ON, and has previously worked with the Radiation Treatment Program (RTP). She is also working to improve health services research and enhance communication strategies and knowledge translation for women diagnosed with ductal carcinoma in situ.
² Manager of the Performance and Accountability team (clinical programs) at Ontario Health in Toronto, ON, and has previously worked with the RTP. She is working to ensure high-quality care for all Ontarians.
³ A lead with the RTP at Ontario Health (Cancer Care Ontario) (OH [CCO]) in Toronto, ON, supporting provincial quality improvement initiatives with provincial RT stakeholders.
⁴ A team lead with the RTP at OH (CCO) specializing in healthcare quality improvement and project management for clinical programs at the provincial level in Toronto, ON. She also has a clinical background as a registered dietitian.
⁵ A medical radiation therapist with over 30 years of experience in Ontario and Quebec. In his role as a manager for the RTP at OH (CCO) in Toronto, ON, he has led countless quality improvement projects and initiatives to support improved patient care.
⁶ A radiation therapist and advisor for Radiation Therapy and Infrastructure Planning at OH (CCO) in Toronto, ON, supporting capacity planning and the provincial RTP.
⁷ A senior specialist in the Symptom Management Program at Ontario Health in Toronto, ON. She has worked in the health and mental healthcare field.
⁸ The associate head of Professional and Academic Affairs in the Department of Medical Physics at the Princess Margaret Cancer Centre in Toronto, ON. His research interests include dose reconstruction based on image guidance and image-based adaptation of therapy.
⁹ Has been a medical radiation therapist since 1994 and a clinical quality lead with the RTP at OH (CCO) in Toronto, ON.
¹⁰ A radiation oncologist and professor of Oncology at the Department of Public Health Sciences at Queen's University in Kingston, ON. His research program resides primarily within the Division of Cancer Care and Epidemiology at Queen's Cancer Research Institute.
¹¹ A professor in the Department of Radiation Oncology, University of Toronto, as well as a staff radiation oncologist at the Princess Margaret Cancer Centre in Toronto, ON. His clinical interests include locally advanced prostate cancer, testicular seminoma and clinical trials.
¹² The provincial head of the RTP at OH (CCO) and an associate professor within the Faculty of Medicine, University of Ottawa, in Ottawa, ON. He has research interests in ablative radiotherapy for chest and abdominal tumours, advanced radiotherapy techniques for moving tumours and integrated cancer delivery.

PMID: 37572070
DOI: 10.12927/hcq.2023.27146

A Clinical Consensus Approach to Developing a New Funding Model for Radiation Services in Ontario

Suzanna Apostolovski et al. Healthc Q. 2023 Jul.

. 2023 Jul;26(2):37-42.

doi: 10.12927/hcq.2023.27146.

Authors

Affiliations

¹ A lead with the Performance and Accountability team (clinical program) at Ontario Health in Toronto, ON, and has previously worked with the Radiation Treatment Program (RTP). She is also working to improve health services research and enhance communication strategies and knowledge translation for women diagnosed with ductal carcinoma in situ.
² Manager of the Performance and Accountability team (clinical programs) at Ontario Health in Toronto, ON, and has previously worked with the RTP. She is working to ensure high-quality care for all Ontarians.
³ A lead with the RTP at Ontario Health (Cancer Care Ontario) (OH [CCO]) in Toronto, ON, supporting provincial quality improvement initiatives with provincial RT stakeholders.
⁴ A team lead with the RTP at OH (CCO) specializing in healthcare quality improvement and project management for clinical programs at the provincial level in Toronto, ON. She also has a clinical background as a registered dietitian.
⁵ A medical radiation therapist with over 30 years of experience in Ontario and Quebec. In his role as a manager for the RTP at OH (CCO) in Toronto, ON, he has led countless quality improvement projects and initiatives to support improved patient care.
⁶ A radiation therapist and advisor for Radiation Therapy and Infrastructure Planning at OH (CCO) in Toronto, ON, supporting capacity planning and the provincial RTP.
⁷ A senior specialist in the Symptom Management Program at Ontario Health in Toronto, ON. She has worked in the health and mental healthcare field.
⁸ The associate head of Professional and Academic Affairs in the Department of Medical Physics at the Princess Margaret Cancer Centre in Toronto, ON. His research interests include dose reconstruction based on image guidance and image-based adaptation of therapy.
⁹ Has been a medical radiation therapist since 1994 and a clinical quality lead with the RTP at OH (CCO) in Toronto, ON.
¹⁰ A radiation oncologist and professor of Oncology at the Department of Public Health Sciences at Queen's University in Kingston, ON. His research program resides primarily within the Division of Cancer Care and Epidemiology at Queen's Cancer Research Institute.
¹¹ A professor in the Department of Radiation Oncology, University of Toronto, as well as a staff radiation oncologist at the Princess Margaret Cancer Centre in Toronto, ON. His clinical interests include locally advanced prostate cancer, testicular seminoma and clinical trials.
¹² The provincial head of the RTP at OH (CCO) and an associate professor within the Faculty of Medicine, University of Ottawa, in Ottawa, ON. He has research interests in ablative radiotherapy for chest and abdominal tumours, advanced radiotherapy techniques for moving tumours and integrated cancer delivery.

PMID: 37572070
DOI: 10.12927/hcq.2023.27146

Abstract

In 2021, Ontario Health (Cancer Care Ontario) introduced a quality-based procedure model for the funding of radiation treatment (RT) in Ontario. This model ties reimbursement to patient care activities, ensuring equity and transparency in funding. Over 200 RT interprofessionals (oncologists, therapists and physicists) participated on 22 expert panels to establish or identify 288 evidence-based RT protocols and 672 quality expectations (QEs) to optimally deliver RT, which eventually led to the micro-costing of all protocols. Iterative review is required to ensure updated techniques and identify evolving standards of care, thereby providing the highest quality of RT care to Ontarians.

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A Clinical Consensus Approach to Developing a New Funding Model for Radiation Services in Ontario

Affiliations

A Clinical Consensus Approach to Developing a New Funding Model for Radiation Services in Ontario

Authors

Affiliations

Abstract

MeSH terms

LinkOut - more resources

Full Text Sources