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Course Description
Course Objectives
Target Audience
Course Faculty

Course description:
This course will provide the fundamental knowledge and toolkits to either launch a cancer system performance measurement program or expand/enhance an existing program to improve impact.

The course will outline strategies to develop a successful performance measurement program. This program would leverage and build on existing data and knowledge resources in a jurisdiction to develop and make available high value metrics, analyses, and reporting tools such as dashboards and indicator reports. The course will also focus on knowledge mobilization strategies to ensure that the measurement work directly informs improved clinical practice as well as policy, planning, and management decisions in cancer control.

Teaching methods:
Participants will be provided with the following materials:

• A reading list that will provide an overview of performance measurement and its application in cancer control
• A survey to identify participants’ learning objectives and level of performance measurement knowledge/experience, and the state of performance measurement in cancer control in their country
• An exercise to identify priority areas or areas for improvement in participants’ jurisdiction and indicators that are most valuable to their work

The survey and exercise will be used to inform the development of the workshop to best meet the needs and learning objectives of participants.

The Master Course’s one-day workshop will consist of presentations and small-group exercises.
Presentations will provide participants with an overview of system performance measurement, the application of performance measurement in cancer control, strategies for developing a successful performance measurement program and strategies for mobilizing knowledge to action. The interactive, small-group exercises will actively engage participants by providing hands-on experience with indicator development and prioritization, target setting to improve performance, and knowledge translation and exchange strategies to increase uptake of information with target audiences and influencers.

Reading list:
1. Canadian Partnership Against Cancer. The 2015 Cancer System Performance Report. Toronto (ON): Canadian Partnership Against Cancer; 2015 Jun.
2. Canadian Partnership Against Cancer. Prostate Cancer Control in Canada: A System Performance Spotlight Report. Toronto (ON): Canadian Partnership Against Cancer; 2015 Nov.
3. Canadian Partnership Against Cancer. Quality and Sustainability in Cancer Control: A System Performance Spotlight Report. Toronto (ON): Canadian Partnership Against Cancer; 2016 Mar.
4. Canadian Partnership Against Cancer. Approaches to High-Risk, Resource Intensive Cancer Surgical Care in Canada. Toronto (ON): Canadian Partnership Against Cancer; 2015 Nov.
5. Cancer Society’s Advisory Committee on Cancer Statistics. Canadian Cancer Statistics 2015. Toronto (ON): Canadian Cancer Society; 2015.
6. Canadian Institute for Health Information. A Performance Measurement Framework for the Canadian Health System. Ottawa (ON): CIHI; 2013.
7. New Brunswick Cancer Network. Cancer System Performance 2012. Fredericton (NB): New Brunswick Cancer Network; 2014 Jan.
8. Smith PC, Mossialos E, Papanicolas I, Leatherman S. Performance measurement for health system improvement, Part I: Principles of performance measurement. New York (US): Cambridge University Press; 2009.

Course objectives:
Participants completing the course will be equipped with foundation knowledge that can be used
towards accomplishing the following:

1. Identification of program strategy: Applying the course tools to develop a conceptual framework assessing the current state and priority needs of performance measurement and reporting of their jurisdiction, and mapping key knowledge gaps on the system’s performance. This framework will also be the organizing logic model to guide future performance measurement efforts.
2. Preparing a proposal: Producing an evidence-based business case and feasibility study for the development and/or enhancement of a jurisdiction-wide system performance measurement and reporting program.
3. Implementation plan: Developing a detailed implementation or enhancement plan that will encompass the management and advisory infrastructure as well as the technical and data collection and analysis strategy. The plan would be informed the logic model, the feasibility study, and a focused environmental scan and literature review.
4. Indicator development plan: Conducting an indicator identification, prioritization, and selection session/process using modified-Delphi methods and which includes balanced geographical, multi-sectoral and multi-disciplinary representation of leaders from the clinical, policy, administrative, research, patient/survivor, and technical/methodological perspectives.
5. Data collection & analysis plan: Leveraging and building on existing data and information sources to support early or advanced performance indicators. This will be relevant to the full range of jurisdictional data capabilities and resources from very rudimentary to advanced.
6. Knowledge transfer & exchange strategies: Publishing and disseminating system performance data and results to maximize relevance and impact for users. This includes tips for presenting performance data using various platforms and data visualization tools, use of targets and benchmarks, and interpreting patterns and variations.
7. Evaluation & methodological review: Developing a process for conducting continual methodological review to refine existing indicators to ensure alignment with reporting in other jurisdictions and supporting evidence from current literature.
8. For more advanced jurisdictions with a strong foundation in performance indicator development and reporting, the course will focus on strategies for implementing special studies and analysis that can help explain factors contributing to the variations and patterns in the results to make them more relevant and meaningful for clinicians and decision makers.

Target audience:
• Cancer epidemiologists, biostatisticians, registry leaders, and evaluation specialists
• Health services researchers with an interest in performance measurement
• Program planners and decision makers in government, cancer centres, and health care facilities
• Developers of national cancer plans
• Cancer clinicians with an interest in quality measurement

Course leaders:

Mr. Rami Rahal, Director, System Performance & Surveillance, Canadian Partnership Against Cancer

Other faculty:
Dr. Heather Bryant, Vice-President, Cancer Control, Canadian Partnership Against Cancer

Ms. Kim Tran, Specialist, System Performance, Canadian Partnership Against Cancer

Dr. Margaret Fitch, Expert Lead, Person Centred Perspective, Canadian Partnership Against Cancer

Ms. Candice Anderson, Program Manager, Screening and Early Detection, Canadian Partnership Against Cancer

Rami Rahal
Director, System Performance & Surveillance, Canadian Partnership Against Cancer

Rami Rahal has well over 20 years of experience helping healthcare organizations and governments make better informed decisions in management, policy, and planning. He combines expertise in healthcare management information and evidence-based decision support with a broad knowledge of the Canadian healthcare system.

Rami has been leading efforts in cancer system performance measurement for over 9 years and is currently the Director of System Performance and Surveillance at the Canadian Partnership Against Cancer. He leads the team that is responsible for researching, developing, analyzing and reporting on a broad range of system performance indicators and the production of a series of national reports and studies. He has authored several articles on the topic of cancer system performance measurement and has presented at a number of international conferences. He has also led a number of workshops and courses on system performance measurement and evidence-based policy at both the national and international levels.

Rami holds a Bachelor of Science in Molecular Biology and Genetics from the University of Toronto, and a Master of Business Administration in Health Services Management from McMaster University.

Heather Bryant
Vice-President, Cancer Control, Canadian Partnership Against Cancer

Heather Bryant joined the Partnership in January 2008, and as Vice President, Cancer Control leads a portfolio of pan-Canadian cancer control programs throughout the cancer continuum, and has led in the development of cancer system performance reporting in Canada.

Dr. Bryant has chaired many national cancer or research committees and currently chairs the Pan-Canadian Lung Cancer Network. She was the inaugural chair of the Institute of Cancer Research’s Advisory Board (Canadian Institutes for Health Research) and the National Colorectal Cancer Screening Network. She currently serves as a Board Member for BioCanRx a Canadian Network Centre of Excellence.

Dr. Bryant was elected to the Union for International Cancer Control (UICC) Board of Directors in 2012 and re-elected in 2014. She co-chaired the scientific program committee for the UICC’s World Cancer Congress held in Montreal in 2012 and in Melbourne, Australia in 2014. She is also the chair of the International Cancer Benchmarking Program, an international comparison of cancer survival and its antecedents carried out by Cancer Research UK.

Dr. Bryant studied medicine at the University of Calgary, followed by a fellowship in community medicine and a PhD in epidemiology. She is a Clinical Professor in the departments of Community Health Sciences and Oncology at the University of Calgary. In 2015, she was named one of the 100 Most Powerful Women in Canada by the Women’s Executive Network.

Kim Tran
Specialist, System Performance, Canadian Partnership Against Cancer

Kim Tran is a Specialist with the System Performance Initiative at the Canadian Partnership Against Cancer. In this role, she has led and contributed to several national reports, publications and presentations on the topic of cancer system performance measurement. In addition, Kim has led numerous applied health research and quality improvement projects aimed at improving the processes and quality of care, with experience in both quantitative and qualitative research methods.

Kim holds a Bachelor of Science in Biology from the University of Waterloo and is currently pursuing a Master of Science in Health Policy, Management and Evaluation with a focus on Health Services Research from the University of Toronto.

Dr. Margaret Fitch
Expert Lead, Person Centred Perspective, Canadian Partnership Against Cancer

Dr. Margaret Fitch was Head, Oncology Nursing at the Odette Cancer Centre of Sunnybrook and Women’s Health Science Centre in Toronto and Director of the Patient and Family Support Program there. She also holds appointments as an associate professor in the Faculty of Nursing, University of Toronto and as a professor in the School of Graduate Studies, University of Toronto. Dr. Fitch served as Chair of the Partnership’s Cancer Journey Advisory Group from 2007 to 2012.

Dr. Fitch received her Bachelor of Nursing from Dalhousie University in Halifax and her Master of Science in nursing and doctorate from the University of Toronto.

Dr. Fitch has held a variety of roles from staff nurse to lecturer and author, also pursuing research in the areas of coping and adaptation to illness, focusing on patients’ experiences. She was founding President of the Canadian Association of Nurses in Oncology and President of the International Society of Nurses in Cancer Care and has served on many boards. For her leadership and contribution, she has received a number of awards, including the Award of Excellence in Medical Research and Education from the Canadian Cancer Society in 2011 and a Lifetime Achievement Award from Dalhousie University in 2013.

Candice Anderson
Program Manager, Screening and Early Detection, Canadian Partnership Against Cancer 

With over a decade of experience in cancer control, Candice Anderson is Program Manager of the Screening and Early Detection portfolio at the Canadian Partnership Against Cancer. In this role, Candice works directly with each of the 13 Canadian jurisdictions to facilitate quality improvement in cancer screening across Canada. One of the key foundations of this work includes the biennial reporting of cancer screening quality indicators for organized programs. This collaborative reporting effort, involves the coordination and analysis of data from multiple sources to understand overall Canadian progress and allow jurisdictions to assess individual approaches. Candice hold a Masters of Environmental Studies with a focus on program implementation and evaluation from York University. 


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Needs Assessment, Reading Material, and Assignments
Webinar 1: July
Webinar 2: September
Results and Certificate: November
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