Enabling clinicians to use evidence to inform patient care

National reporting standards for surgeons

Since 2007, the Canadian Partnership Against Cancer (the Partnership) has been collaborating with surgeons across the country to establish pan-Canadian evidence-based standards, and transform the capture of operative reports from narrative to electronic for eight cancer sites:

  • breast
  • colon
  • rectal
  • thyroid
  • lung
  • prostate
  • ovarian
  • endometrial

Standardized electronic reporting, referred to as synoptic surgery reporting, promotes consistent standards of care, regardless of the province or region patients live in. Learn about how standards are used to improve patient care in Canada from our pan-Canadian synoptic surgery reporting standards infographic.

The pan-Canadian synoptic surgery reporting standards are developed by 70+ Canadian surgeons. The national standards consist of the core elements of the operative report as well as derivable 69 clinical indicators. Seven Canadian medical societies have endorsed these standards for use by surgeons at the point of care.

Implementation of synoptic reporting standards

Alberta, Saskatchewan, Manitoba, Ontario, Quebec, Nova Scotia, Newfoundland and Labrador have implemented the pan-Canadian standards on a small scale. Initial lessons about the small scale implementation are captured in the Benefits Evaluation conducted in 2014 by Intelligent Improvement Consultants. This report demonstrated the accountability of investments made by the Partnership, Canada Health Infoway and provincial partners and highlighted the value for expanding electronic synoptic surgical reporting.

Synoptic Surgery Reporting Initiative Benefits Evaluation: Final Report

Synoptic Surgery Reporting Initiative Benefits Evaluation report cover

Since implementation of the standards, over 250 surgeons have transitioned to synoptic surgery reporting.  Eighty+ surgeons are leading the path to standardize surgical oncology care by using and discussing feedback reports at communities of practice. Learn more in the infographic: A Path to Standardize Surgical Oncology Care.

Opportunity for system-wide standardization

Efforts to date have laid the foundation to evolve the implementation of national standards on a system-wide basis.  A readiness assessment, commissioned by the Partnership in 2016 (conducted by Bell Browne Molnar and Delicate Consulting), provides a summary of lessons captured from the implementation efforts over the past 10 years and identifies opportunities for key parties to scale up the implementation of standards by showcasing the benefits of synoptic reporting for patients, clinicians and health system in 2017-2020. Understanding of these benefits will enable prospective surgeons to join the initiative and jurisdictions to implement the standards on a larger scale. Results of this Readiness Assessment will available in summer 2017.

The focus in 2017-2020 will center on enabling clinicians to embed evidence at the point of care. Clinicians and e-health leaders are committed to showcase the value and benefits of synoptic surgical reporting.

Last updated: March 29, 2017