Colorectal cancer screening up-to-date rate
Clinical Quality & Outcomes
How this indicator is defined
Methodology version v1.0
Percentage of rostered patients eligible for colorectal cancer screening who have a documented FIT within 2 years or colonoscopy/sigmoidoscopy within 10 years.
Proportion of eligible patients (percentage)
The percentage of eligible patients (the denominator) who have at least one Colorectal screening record within the 2-year window. Each patient is counted once.
Data inputs
- Colorectal screening
Derived from
What this indicator measures— Name, alignment, goal, rationale.
- Indicator nameField 1 — Indicator name
- Colorectal cancer screening up-to-date rate
- AlignmentField 2 — Alignment
- ColonCancerCheck (Ontario Health)
- Ontario Health MyPractice Primary Care indicator catalogue
- Strategic goalField 3 — Strategic goal
- Ensure eligible patients receive colorectal cancer screening at the recommended interval.
- RationaleField 5 — Rationale
- Colorectal cancer is the second leading cause of cancer death in Canada. FIT-based screening detects early-stage cancers and precancerous polyps.
How it's computed— Scoring method, numerator, denominator, inclusions, exclusions.
- NumeratorField 6 — Numerator
- Active rostered patients in the denominator with at least one FIT result within 2 years OR one colonoscopy/flexible sigmoidoscopy within 10 years of the reporting-period end.
- DenominatorField 7 — Denominator
Active rostered patients, sex=F or M, age 50–74 at reporting-period end.
- Sex eligibility: F, M
- Age range: 50–74
- Active as of reporting-period end: yes
- ExclusionsField 9 — Exclusions
- Patients with total colectomy.
- Patients with inflammatory bowel disease (higher-risk surveillance pathway).
- Patients deceased before the reporting-period end date.
How patients are attributed— Attribution rule and risk adjustment.
- Attribution ruleField 10 — Attribution rule
- Enrolment (rostered)
- Risk-adjustment modelField 11 — Risk-adjustment model
- None
How comparison works— Peer group, reliability threshold, peer comparator.
- Reliability thresholdField 13 — Reliability threshold
- 30
Data + reporting— Data source, reporting frequency, direction of improvement, limitations.
- Reporting frequencyField 15 — Reporting frequency
- quarterly
- Direction of improvementField 16 — Direction of improvement
- Higher is better
Targets + governance— Target, justification, owner, review, approval, version, notes.
- TargetField 18 — Target
- 65.0% — the clinic's target for this indicator, set by the product owner.
- Methodology versionField 23 — Methodology version
- v1.0