Elaine Warren, Program Director, Cancer Care the dedicated efforts of the members of the System Program, Eastern Health Performance Steering Committee and Technical Working Group (see list at the end of this section) and the data Expert Advisors: collection and analysis efforts of staff from the provincial Dr. [...] The concept of value is especially important given that the growing and aging population, along with the rising costs of cancer therapies, is putting increasing pressure on the sustainability of the health care system. [...] It also summarizes the impact of • More than half of patients in most of the the indicator findings on patients and the health reporting provinces received multiple fractions care system. [...] Substantial variations exist across the country • Approximately 9,000 cancer patients near the end of life were admitted to an ICU, a setting There was at least a 20 percentage point that is not optimal for addressing the palliative difference between the provinces with the care needs of patients at the end of life. [...] It is important to understand the current state of these cancer care practices so that the cancer control community can identify opportunities to optimize quality of care while ensuring the future sustainability of the system through the efficient allocation of health care resources.