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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