Download Cancer Registry Specialty Track HIM Curriculum

Cancer Registry Specialty Track HIM Curriculum Competencies
Concepts to be interwoven throughout all levels of the curricula include:
 CRITICAL THINKING: For example the ability to work independently, use judgment skills effectively, be innovative by thinking outside of the box
 PERSONAL BRANDING: For example personal accountability, reliability, self-sufficiency
Specialty Track Student Learning Outcomes and curricular considerations are derived from the NCRA website and staff. They are generally at a
higher taxonomic level than similar learning outcomes from the associate level curriculum competencies as the intent of the specialty track is to build
on the HIM academic foundation.
AHIMA and NCRA have collaborated together on this effort to provide a best practice approach in offering a track for individuals to obtain
their CTR credential.
See current CTR eligibility requirements for additional information.
NCRA Student Learning Outcomes
Cancer Registry Structure and Management
Legal and Ethical Issues and Standards
1. Interpret and comply with legal and regulatory
standards applicable to healthcare data and cancer
data management
Bloom’s
Level
5
Curricular Considerations
--Cancer Registry Management Principles & Practices for
rd
Hospitals & Central Registries, 3 Edition, Chapter 4, Legal and
Ethical Aspects of Cancer Data, page 41.
-- Cancer Registry Management Principles & Practices for
rd
Hospitals & Central Registries, 3 Edition, Chapter 9, The
Electronic Health Records Environment, page 93.
--North American Association of Central Cancer Registries, Inc.
-- Cancer Registry Management Principles & Practices for
rd
Hospitals & Central Registries, 3 Edition, Chapter 6: Health
Information Privacy and Security, page 59.
--(NAACCR): Frequently Asked Questions and Answers About
Cancer Reporting and the HIPAA Privacy Rule
--Centers for Disease Control (CDC): Data Security Guideline for
Cancer Registries
--Department of Health & Human Services (HHS): The Common
Rule
--Safeguarding protected health Information: HHS: Incidental Uses
1
1
This is the curriculum content floor, but not the ceiling.
Final Date: June 11, 2014
Rev. March 2, 2015
and Disclosure
--Administrative Simplification provisions of HIPAA:
http://www.cms.hhs.gov/HIPAAGenInfo/
--HIPAA Legislation Information and Updates:
http://naaccr.org/Research/HIPAA.aspx
Registry Organization
1. Oversee registry organization and structure
5
-- Cancer Registry Management Principles & Practices for
rd
Hospitals & Central Registries, 3 Edition, Section 3:
Operations, Chapters 11-17, page 118.
---Cancer Registry Management: Principles and Practice, for
rd
Hospitals & Central Registries, 3 Edition, Chapter 3, Staffing,
Office Space, Equipment and Budgets, page 33-40.
Types of Registries
1. Compare and contrast the types of registries.
5
-- Cancer Registry Management Principles & Practices for
rd
Hospitals & Central Registries, 3 Edition, Chapter 1,
Introduction to Cancer Registries, pages 3-21.
5
--Cancer Registry Management Principles & Practices for
rd
Hospitals & Central Registries, 3 Edition, Chapter 28, North
American Association of Central Cancer Registries (NAACCR),
pages 293 – 299.
-- Facility Oncology Registry Data Standards (FORDS),
Revised for 2013. American College of Surgeons (ACoS),
Commission on Cancer (CoC).
--Uniform Data Standards Committee:
http://training.seer.cancer.gov/operations/standards/setters/udsc.h
tml
4
--Cancer Registry Management Principles & Practices for
rd
Hospitals & Central Registries, 3 Edition, Chapter 17, Data
Linkage and Record Consolidation, pages 193 – 198.
Data Standards and Organizations
1. Compare and differentiate between and among the
organizations involved in creating the data
standards utilized in cancer data management.
Cancer Registry Operations
File Management
1. Take part in and perform file blocking and file
preparation in record linkage.
Abstracting and Data set identification
2
1
This is the curriculum content floor, but not the ceiling.
Final Date: June 11, 2014
Rev. March 2, 2015
1. Evaluate data and perform data abstraction.
5
--Cancer Registry Management Principles & Practices for
rd
Hospitals & Central Registries, 3 Edition, Uses of Registry
Data, Section 4, Chapters 22-27, pages 233 - 290. (Especially
Statistics and Epidemiology, Chapter 24).
--Registry Data Analysis and Presentation, NCRA Self-Study
Course
--NCRA Learning Module: CTR Exam Prep Series: Part VI: Data
Analysis and Data Usage (need hyperlink)
--Cancer Registry Management: Principles and Practices for
Hospitals & Central Registries, 3rd Edition , Chapter 36: Central
Cancer Registries, pages 375–385 (“Data Set Planning
Standards” through “Monitoring of Status of Facilities and
Completeness of Reporting”).
--Guidebook on Informatics 2nd edition (May 2012). Menck,
Herman; Gray, Laurel; Scharber, Wendy. NCRA
5
--Cancer Registry Management Principles & Practices
rd
for Hospitals & Central Registries, 3 Edition, Standard
Setters and Professional Organizations, Chapters 28 – 35,
page 291.
--Public Law 102-515 (Cancer Registries Amendment Act)
established the National Program of Cancer Registries:
http://www.cdc.gov/cancer/npcr/npcrpdfs/publaw.pdf
4
-- Cancer Registry Management Principles & Practices for
rd
Hospitals & Central Registries, 3 Edition, Section 5, Standard
Setters and Professional Organizations, Chapter 30, American
College of Surgeons Commission on Cancer, page 309.
--Cancer Program Standards 2012: Ensuring Patient-Centered
Care, V1.2.1
http://www.facs.org/cancer/coc/programstandards2012.html
Registry Standards and Networking Organizations
1. Compare and differentiate between and among the
organizations that network in establishing the
standards for cancer data management. programs.
Registry Standards for Approved Cancer Programs
1. Analyze the registry standards required for approved
cancer programs.
3
1
This is the curriculum content floor, but not the ceiling.
Final Date: June 11, 2014
Rev. March 2, 2015
Cancer Disease, Coding and Staging
Cancer and its Natural Disease Course
1. Differentiate between various cancers and their
disease course.
5
--American Cancer Society (ACS): History of Cancer:
http://www.cancer.org/cancer/cancerbasics/thehistoryofcancer/ind
ex
--Cancer & Medical Terminology
http://training.seer.cancer.gov/terminology/
--Glossary of Terms for Breast Cancer, Lung Cancer, Colon
and Rectum Cancer, and Prostate Cancer
http://www.cancer.org/Cancer/CancerGlossary/index
-- Self-Instructional Manual for Cancer Registrars – Human
Anatomy as Related to Tumor Formation, SEER Program: Book
4, Second Edition.
--American Cancer Society. Cancer Facts & Figures, 2013.
Atlanta: American Cancer Society; 2013.
--SEER Training Modules, Book 2, Cancer Characteristics and
Selection of Cases: http://seer.cancer.gov/training/manuals/
ICD-O-3 Coding System
1. Interpret cancer cases applying the correct ICD-O-3
codes.
5
--Cancer Registry Management Principles & Practices for
rd
Hospitals & Central Registries, 3 Edition, Chapter 13, ICD-O
and MP/H Rules, Pages 152 - 158.
--World Health Organization (WHO). International Classification of
Diseases for Oncology, 3rd Edition (ICD-O-3) + errata, WHO,
2000
Coding Diagnosis and Sequencing, Evaluating Extent of
Disease
1. Interpret cancer cases to appropriately apply
diagnosis codes, sequence codes appropriately and
evaluate the extent of the disease.
5
--Cancer Registry Management Principles & Practices for
rd
Hospitals & Central Registries, 3 Edition, General Principles of
Abstracting, Chapter 12, page 135.
-- Cancer Registry Management Principles & Practices for
rd
Hospitals & Central Registries, 3 Edition, Chapter 14, Cancer
Staging, pages 159 – 172.
--SEER Training Modules: Extent of Disease Coding ;
http://training.seer.cancer.gov/staging/systems/eod.html
4
1
This is the curriculum content floor, but not the ceiling.
Final Date: June 11, 2014
Rev. March 2, 2015
--SEER Summary Staging Manual 2000, National Cancer
Institute, National Institutes of Health, pages 2 – 15.
--Requirements for staging for CoC Cancer Program Accreditation:
Cancer Program Standards 2012, Version 1.2.1: Ensuring
Patient-Centered Care, Standard1.7.
--NCRA Center for Cancer Registry Education (CCRE) narrated
presentation: Abstracting
Cancer Staging Summary add Collaborative Staging
1. Evaluate cancer staging summaries; facilitate
completion of documentation and collaborative
staging.
5
--Cancer Registry Management Principles & Practices for
rd
Hospitals & Central Registries, 3 Edition, Chapter 14, Cancer
Staging, Pages 159 – 172.
--Collaborative Stage Data Collection System Coding
Instructions, version 02.04 Part I, Section 1 & 2; Part II.
SPECIFIC SITES: Bladder, Breast, Colon, Lung & Prostate.
--Workbook for the Staging of Cancer: A Companion to the
AJCC Cancer Staging Manual, Seventh Edition.
--Collaborative Stage Data Collection System Coding
Instructions, version 02.04 Part I, Section 1 & 2; Part II.
SPECIFIC SITES: Bladder, Breast, Colon, Lung & Prostate.
Facility Oncology Registry Data Standards (FORDS): Revised for
2013: Collaborative Stage, pages 17-19.
TNM: Our Language of Cancer, Frederick L. Greene, MD in CA:
A Cancer Journal for Clinicians, vol 54, issue 3, 2008.
The AJCC, 7th Edition of the AJCC Cancer Staging Manual
and the Future of TNM, Stephen B. Edge, MD and Carolyn C.
Compton, MD PhD, Annals of Surgical Oncology 2010
Oncology Treatment and Coding
Coding surgery, radiation, chemotherapy, immunotherapy, and hormones, and other treatment coding
1. Evaluate treatment records and apply appropriate
5
--Cancer Registry Management Principles & Practices
rd
for Hospitals & Central Registries, 3 Edition, Chapter
codes for all aspects of cancer coding.
15, Treatment, pages 173 – 179.
--American Joint Commission on Cancer, Cancer Staging
Manual, Seventh Edition.
--Workbook for the Staging of Cancer: A Companion to the
AJCC Cancer Staging Manual, Seventh Edition.
5
1
This is the curriculum content floor, but not the ceiling.
Final Date: June 11, 2014
Rev. March 2, 2015
--2013 SEER Program Coding and Staging Manual. National
Cancer Institute, NIH Publication.
--NCRA Center for Cancer Registry Education (CCRE) narrated
presentation: Coding
Alternative, palliative and experimental treatments
1. Evaluate treatment records and apply appropriate
codes for all aspects of cancer coding.
5
--Cancer Registry Management Principles & Practices
rd
for Hospitals & Central Registries, 3 Edition, Chapter
15, Treatment, pages 179 - 181.
Cancer Program Standards 2012, Version 1.2.1:
Ensuring Patient-Centered Care, Standard 2.4
5
--Cancer Registry Management Principles & Practices for
rd
Hospitals & Central Registries, 3 Edition, Chapter 40, Clinical
Trials, pages 449 – 454.
--Cancer Program Standards 2012, Version 1.2.1: Ensuring
Patient-Centered Care, Standard 1.9.
Clinical Trails
1. Evaluate treatment records and apply appropriate
codes for all aspects of cancer coding.
Coding and monitoring
1. Perform coding and case finding audits for
verification of follow up and accuracy.
Abstracting Methods
Structure and content of source documents
1. Differentiate between the type and format of source
documents
Abstracting principles and process
1. Evaluate abstracting principles and processes and
demonstrate competency in abstracting. (Training
software in classroom and during clinical
practicum).
6
1
This is the curriculum content floor, but not the ceiling.
4
--Cancer Registry Management Principles & Practices for
rd
Hospitals & Central Registries, 3 Edition, Chapter 18, Quality
Control, pages 183 – 191.
--Cancer Registry Management Principles & Practices for
rd
Hospitals & Central Registries, 3 Edition, Monitoring Patient
Outcome: Follow-Up, Chapter 16, pages 183 – 192.
5
--Cancer Registry Management Principles & Practices for
rd
Hospitals & Central Registries, 3 Edition, Chapter 12, General
Principles of Abstracting, pages 135-144.
--SEER Self-Instructional Manuals for Tumor Registrars, Book 5:
Abstracting Medical Record: Patient Identification, History,
and Examinations, http://seer.cancer.gov/training/manuals/
5
--Cancer Registry Management Principles & Practices for
rd
Hospitals & Central Registries, 3 Edition, Chapter 12, General
Principles of Abstracting, pages 135-144.
Final Date: June 11, 2014
Rev. March 2, 2015
Follow Up, Data Quality and Utilization
Policies and Procedures
1. Evaluate and comply with policies and procedures
5
--Cancer Registry Management Principles & Practices for
rd
Hospitals & Central Registries, 3 Edition, Chapter 16,
Monitoring Patient Outcome: Follow-Up, pages 183 – 191.
--Cancer Program Standards 2012, Version 1.2.1: Ensuring
Patient-Centered Care, Eligibility Requirement E5.
Follow Up Process and file maintenance
1. Perform follow up tasks and file maintenance tasks.
4
--Cancer Registry Management Principles & Practices for
rd
Hospitals & Central Registries, 3 Edition, Chapter 16,
Monitoring Patient Outcome: Follow-Up, pages 183 – 191.
--NCRA Center for Cancer Registry Education (CCRE) narrated
presentation: Patient Follow-Up.
Statistics and Epidemiology
1. Create statistical reports specific to cancer rates
6
--Cancer Registry Management Principles & Practices for
rd
Hospitals & Central Registries, 3 Edition, Section 4, Uses of
Registry Data, Chapters 22-27, pages 233 - 290. (Especially
Statistics and Epidemiology, Chapter 24)
--Guidebook on Informatics, 2nd edition (May 2012), NCRA.
-- Vol. II Data Standards and Data Dictionary, NAACCR.
--NCRA Learning Module: CTR Exam Readiness Series: Statistics
and Epidemiology.
--Registry Data Analysis and Presentation, NCRA Self-Study
Course
5
--Cancer Registry Management Principles & Practices for
rd
Hospitals & Central Registries, 3 Edition, Chapter 2,
Standardized Data sets, pages 23 – 31.
--Cancer Registry Management Principles & Practices for
rd
Hospitals & Central Registries, 3 Edition, Section 4: Uses of
Registry Data, pages 233 – 290.
Database Management, gathering, manipulating, storing,
retrieving and classifying recorded information.
1. Manage data gathering, data storage, data
retrieving and data classifying.
Multiple Primary Histology
Multiple Primary Histology Coding Rules
7
1
This is the curriculum content floor, but not the ceiling.
Final Date: June 11, 2014
Rev. March 2, 2015
1. Analyze and take part in the coding rules for
multiple primary histology coding.
Hematopoietic Project
Hematopoietic and lymphoid neoplasm database
management and coding
1. Analyze and take part in the coding rules for
hematopoietic and lymphoid neoplasm coding and
database management.
5
-Cancer Registry Management Principles & Practices for
rd
Hospitals & Central Registries, 3 Edition, Chapter 13, ICD-O
and MP/H Rules, Pages 152 - 158.
-- Multiple Primary and Histology Coding Rules Revised
August 2014: http://seer.cancer.gov/tools/mphrules/.
5
--SEER The Hematopoietic and Lymphoid Neoplasm Database
(effective for cases diagnosed 1/1/2010+).
--SEER Introduction and Case Eligibility Instructions: The
Hematopoietic and Lymphoid Neoplasm Manual (effective for
cases diagnosed 1/1/2010+).
--Presentations: Background; Disease Presentations and
Diagnostic Process; Lineages Part I; Lineages Part II
http://www.seer.cancer.gov/tools/heme/training/
--SEER*Rx - Interactive Antineoplastic Drugs Database,
Version 2.2.0, National Cancer Institute.
--Leukemia:
http://www.cancer.org/Cancer/LeukemiaAcuteMyeloidAML/DetailedGuide/leukemia-acute-myeloidmyelogenous-what-is-cancer
--Lymphoma, Non-Hodgkin Type:
http://www.cancer.org/Cancer/NonHodgkinLymphoma/DetailedGuide/non-hodgkin-lymphoma-whatis-non-hodgkin-lymphoma?sitearea
--Hodgkin Disease:
http://www.cancer.org/Cancer/HodgkinDisease/OverviewGuide/ho
dgkin-disease-overview-what-is-hodgkin-disease
Supporting Body of Knowledge (Pre-requisite or Evidence of Knowledge)
Pathophysiology and Pharmacology
Gould, Barbara E., Pathophysiology for the Health
th
Professions, 4 Edition, May 13, 2010, Saunders,
ISBN: 1455736872.
Asperheim, Mary Kay, et.al, Introduction to Pharmacology, 12th
Edition, October 11, 2011, Saunders, ISBN: 1437717063.
8
1
This is the curriculum content floor, but not the ceiling.
Final Date: June 11, 2014
Rev. March 2, 2015
Anatomy and Physiology
Medical Terminology
Computer Concepts and Applications
9
1
This is the curriculum content floor, but not the ceiling.
Porter, Robert S, The Merck Manual of Diagnosis and Therapy,
19th Edition, July , 2011, Merck & Co, ISBN: 0911910190.
Ankney, Jeff J. and Colbert, Bruce J. Anatomy and Physiology
nd
for Health Professions, An Interactive Journey, 2 Edition.
January 2010, ISBN: 9780135060773.
th
Shiland, Betsy J., Mastering Medical Terminology, 4 Edition,
March 2012, ISBN: 978-0323080323
Sayles, Nanette B., Introduction to Computer Systems for HIT,
January 2010, ISBN: 978-1584262206
Final Date: June 11, 2014
Rev. March 2, 2015
BLOOM’S TAXONOMY – REVISED FOR AHIMA CURRICULA MAPPING
Taxonomy
Category
Definition
Level
1
Remember
Recall facts, terms, basic concepts of
previously learned material
2
Understand
Determine meaning and demonstrate
clarity of facts and ideas
3
Apply
Use differing methods, techniques and
information to acquire knowledge and/or
solve problems
4
Analyze
Contribute to the examination of
information in part or aggregate to
identify motives and causes
5
Evaluate
Make judgments in support of
established criteria and/or standards
6
Create
Generate new knowledge through
innovation and assimilation of data and
information
Verbs
Choose, Define, Find
Collect, Depict, Describe, Explain, Illustrate, Recognize, Summarize
Adhere to, Apply, Demonstrate, Discover, Educate, Identify, Implement,
Model, Organize, Plan, Promote, Protect, Report, Utilize, Validate
Analyze, Benchmark, Collaborate, Examine, Facilitate, Format, Map,
Perform, Take part in, Verify
Advocate, Appraise, Assess, Compare, Comply, Contrast, Determine,
Differentiate, Engage, Ensure, Evaluate, Interpret, Leverage, Manage,
Mitigate, Oversee, Recommend
Build, Compile, Conduct, Construct, Create, Design, Develop, Forecast,
Formulate, Govern, Integrate, Lead, Master, Propose
The layout for the levels and categories was adapted from Lorin W. Anderson and David R. Krathwohl’s A Taxonomy For Learning, Teaching, and Assessing, Abridged
edition, Allyn and Bacon, Boston, MA 2001.
10
1
This is the curriculum content floor, but not the ceiling.
Final Date: June 11, 2014
Rev. March 2, 2015
Editorial Revision made on 3.2.15

Changed title to Cancer Registry Specialty Track Competencies
11
1
This is the curriculum content floor, but not the ceiling.
Final Date: June 11, 2014
Rev. March 2, 2015