title: The challenge of quality improvement at the system level. Whither CCO?
abstract: Cancer Care Ontario has made significant strides in the improvement of access to high-quality cancer care by putting in place the basic elements of transformation: a clear plan, reporting against this plan and clinician engagement. However, as our health system changes so must improvement efforts. Greater focus on equity and population health will require a better understanding of the people served. The increasing need for improvement will put a premium on quality improvement skills. Finally, the need to re-engineer care across the patient journey will require attention to integration; attention that will have to come from government.
authors.affiliation: Director, Institute of Health Policy, Management and Evaluation and Dalla Lana Chair and Division Head, Dalla Lana School of Public Health, University of Toronto.
authors.forename: Adalsteinn
authors.initials: A
authors.lastname: Brown
mesh_terms: D006801:Humans; D008495:Medical Oncology / Q000458:organization & administration / Q000592:standards*; D009369:Neoplasms / Q000628:therapy; D009864:Ontario; D009936:Organizational Innovation; D058996:Quality Improvement / Q000458:organization & administration* / Q000592:standards; D011787:Quality of Health Care / Q000458:organization & administration; D013597:Systems Analysis