BC CANCER AGENCY - COMMUNITIES ONCOLOGY NETWORK
Community Cancer Centres
2006-07 Outpatient Workload Report
Date Submitted: Submitted by: Name of the Hospital: Name of the City/Town:
P E R I O D INDICATORS
NON-BCCA REGISTERED PATIENTS 1. New patient coordination BCCA REGISTERED PATIENTS 1. New patient consultation 2. Parenteral chemotherapy a) First Parenteral Chemotherapy Start b) Second and Subsequent Chemotherapy Visits 3. Oral and hormonal chemotherapy a) First Treatment Visit b) Second and Subsequent Visits 4. Ambulatory Care Visits
N U M B E R 8 9 10 11 12
1
2
3
4
5
6
7
PREV. 13 TOTAL YEAR
0 0 0 0 0 0 0
Note: This form is to be used in conjunction with the 2007 - 2008 outpatient workload definitions for Community Cancer Centres