St Vincents Clay NEFHIMA September 10 2015 Objectives Discuss changes effecting cancer registry operations Role with implementation of Survivorship Program Discuss conversion from ICD 9 to ICD10 and impact on Cancer Registry Operations ID: 584013
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Slide1
Cancer Registry Update
St. Vincent’s Clay
NEFHIMA
September 10, 2015Slide2
Objectives
Discuss changes effecting cancer registry operations
Role with implementation of Survivorship Program
Discuss conversion from ICD 9 to ICD10 and impact on Cancer Registry Operations
Discuss career paths as a cancer registrarSlide3
Upcoming Changes
Data is becoming more transparent
Now required to track 15 national treatment measures covering 5 sites based on registry data collection
Collaborative Staging Transition
Cancer Registry required to capture AJCC Staging, Collaborative Staging and SEER Summary Staging 2000
Central Registries and SEER registries will now be required to capture AJCC Staging
COC, AJCC, FCDS and SEER are providing education free of charge to registrarsSlide4
Survivorship Program
Accredited cancer programs required to provide survivorship care plans (SCP) to patients effective 2015
Provided to patients at completion of treatment
10% of patients is required by COC
50% of all breast patients required by NAPBC
The Nurse Navigator contacts patients by phone to schedule appoint to discuss
A copy of SCP is provided to patient, PCP and copy is retain by nurse navigatorSlide5
Cancer Registry’s Role in Survivorship Program
The Registry assisted with implementation and serves on Survivorship Committee
The Registry data is utilized to determine eligible cases
The Registry data is utilized to complete all SCP’s and is interfaced into Journey Forward templates
The Registry completes JF template on data the does not interface
The Registry works closely with nurse navigator on SCP Slide6
ICD 9 to IC10 Conversion
Cancer Registry utilizes ICD-0 for coding for neoplasms
Requires alpha coding
Casefinding
and Disease Index must be converted
Registries need to provide IT department with list of required codes to capture
Assists IT with converting ICD 9 codes to ICD 10
Registry also required to capture comorbidity codes and convert from ICD 9 to 1CD 10Slide7
ICD 9 Casefinding List (example)Slide8
Comorbidities and complicationsCOC requires cancer registries to record up to 10 comorbid conditions, factors influencing the health status of the patient, and treatment complications, to be copied from the patient record.
Allowable Values: 00000, 00100-13980, 24000-99990, E8700-E8799, E9300-E9499, V0720-V0739, V1000-V1590, V2220-V2310,
etc
Reference Facility Oncology Registry Data Standards (
F
ORDS 2015)Slide9
Cancer Registry Career Paths
Abstracting/leadership role
Vendor support representative
Contractor/self employment
Remote opportunities
Central Registries (State, SEER)
Regulatory agencies CDC, NCI, ACOS, ACCC
Research
Hospitals, free standing facilities, radiation oncology or university settingSlide10
Cancer Registrar Credentials Effective 2015
All cancer registry staff who perform abstracting at a COC accredited program must be hold CTR
(Certified Tumor Registrar credential
Anyone hired after 2012 must pass CTR exam within 3 years from date of hire
Registries must have a plan to supervise non credentialed staffSlide11
References
National Cancer Registrars Association
http://
www.ncra-usa.org/i4a/pages/index.cfm?pageid=3865
ACOS Commission on Cancer
https://
www.facs.org/quality-programs/cancer/coc/standards
Florida Cancer Data Systems
http://
fcds.med.miami.edu/inc/welcome.shtml
CDC Cyber
Cancer
Registry
http
://
www.cdc.gov/cancer/npcr/training/ccr.htm
SEER
Educate
https
://
educate.fhcrc.org/LandingPage.aspx
Barbara Dearmon, BS,
CTR
Manager, Oncology Support Services
Barbara.dearmon@stvincentshealth.com
904 308-8930