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Cancer Registry Update Cancer Registry Update

Cancer Registry Update - PowerPoint Presentation

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Cancer Registry Update - PPT Presentation

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

registry cancer icd required cancer registry required icd data registries survivorship staging patients coc discuss seer capture 2015 program

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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