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Cancer Registry Update St. Vincent’s 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 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, 2400099990, E8700-E8799, E9300-E9499, V0720V0739, 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, CTR Manager, Oncology Support Services [email protected] 904 308-8930
