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izv.prof.dr.sc. Nataša izv.prof.dr.sc. Nataša

izv.prof.dr.sc. Nataša - PowerPoint Presentation

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izv.prof.dr.sc. Nataša - PPT Presentation

Antoljak Common indicators related to organization and invitation Quality and performance indicators Targeted Eligible Invited Screenedtested at first screening and at subsequent screening episodes ID: 596234

colonoscopy procedures positive screening procedures colonoscopy screening positive indicators detected test invitation follow letter internal reading monitoring fobt assessment

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Slide1
Slide2

izv.prof.dr.sc. Nataša Antoljak

Common indicators related to organization and invitationSlide3

Quality and performance

indicators

Targeted

Eligible

Invited

Screened/tested at first screening and at subsequent screening episodes

Inadequate tests

(

samples

)

Waiting

times

between

procedures

Positive test or screening

Follow-up colonoscopy examination attended (diagnostic assessment and/or treatment)

Negative follow-up colonoscopy examination (diagnostic assessment and/or treatment)

Positive follow-up colonoscopy examination (diagnostic assessment and/or treatment)

Lesion detected (at least one)

Adenoma detected (at least one)

Non-advanced adenoma detected (at least one)

Advanced/high-risk adenoma detected (at least one)

Cancer detected by stageSlide4

Aim of organization

and

invitation

indicators

local

and

national

coordinators

must take a care for

optimal

procedures

must

understand

each

detail

of

such

complicated

program (

depends

on

communication

between

many

people

and

machines

!)

each

must

resolve

problems

on same

way

, but

still

there

are

many

specific

situations

in

counties

coordinators

must

know

everything

about

other

specialist

indicators

and

understand

of

their

meaning

and

consequences

other

specialist

must

also

be

well

informed

and

aware

of

all

procedures

and

other

coleagues

part

in

this

system

anyway

must

be

aware

that

this

is

system

different

of

daily

routine

job

Slide5

Performance indicators

monotoring

mean

time of each procedure:

invitation

letter

,

sending

test,

returned

tests

with

aplied

specimens

,

reading

test

results

,

invitation

of

positives

assurance

and

monitoring waiting time to

colonoscopy-less

than

6

weeks

(

currently

no problem but

if

response

rate

arise-than

it

can

be

problem!)

monitoring

of

writing

data

in

IT

aplication

(

screening

register

)-

individualy

and

in

reports

which

immediately

calculate

responses

or

findings

monitoring

internal

procedures

within

their

institutions

internal

protocols

must

be

in

line

with

recommended

protocols

and

also

IT must

follow

these

procedures

and

indicatorsSlide6

Public health

institute

level

external

control

of

FOBT

reading

epidemiologic

control

of

storage

conditions

for FOBT

internal

procedures

for

quality

assurance

of

each

phase

conditions

for FOBT

reading

staff

and

daily

engagement

on

screening

(

other

job

)

working

conditions

, IT

equipement

,

function

of

screening

web

aplication

/

registry

coordination

with

GP-s

and

field

nurses

do

they

inform

patients

about

positive

test

personaly

/

by

letter

do

they

inform

GP

about

positive

patient

personaly

/

by

letter

any

other

problems

or

objections

IT

reports

about

response

to

invitation

letter

and

on test,

number

of

positive

,

number

of

colonoscopy

appointments

,

cause

of

nonresponse

(

according

to post

office

stamp

,

or

personal

answer

etc

.)

need

to

upgrade

IT for monitoring waiting time

between

procedures

and

also

different

schedule

for

persons

detected

polyps

(

guidelines

)Slide7

internal

control

of

reading

and

also

must

understand

that

it

depend

on

timely

recording

data

in

aplication

Slide8

FOBT

positive

invited

to

colonoscopy

colonoscopies

doneSlide9

Reasons

for

non-participation

/

nonresponse