Cancer Registry UpdateSt. Vincent’s Clay

NEFHIMA

September 10, 2015

ObjectivesDiscuss 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 registrar

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 registrars

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 navigator

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

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 10

ICD 9 Casefinding List (example)

Comorbidities and complications COC 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 (FORDS 2015)

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 setting

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 staff

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, CTRManager, Oncology Support Services

Barbara.dearmon@stvincentshealth.com904 308-8930