quality cancer data saves lives

70
Quality Cancer Data Saves Lives The Vital Role of Cancer Registrars in the Fight against Cancer

Upload: edith

Post on 11-Feb-2016

34 views

Category:

Documents


0 download

DESCRIPTION

Quality Cancer Data Saves Lives. The Vital Role of Cancer Registrars in the Fight against Cancer. 18 Million. 1.5 million. 67%. Cancer Registries. Statistics Treatment strategies Public health initiatives. Goal. - PowerPoint PPT Presentation

TRANSCRIPT

Page 1: Quality  Cancer Data Saves Lives

Quality Cancer Data Saves LivesThe Vital Role of Cancer Registrars in the Fight against Cancer

Page 2: Quality  Cancer Data Saves Lives

18 Million

Page 3: Quality  Cancer Data Saves Lives

1.5 million

Page 4: Quality  Cancer Data Saves Lives
Page 5: Quality  Cancer Data Saves Lives

67%

Page 6: Quality  Cancer Data Saves Lives

Cancer Registriesn Statisticsn Treatment strategiesn Public health initiatives

Page 7: Quality  Cancer Data Saves Lives

GoalThe ultimate goal of collecting cancer information is to prevent and control cancer and improve patient care

Page 8: Quality  Cancer Data Saves Lives

ResultAssist physicians in assessing the efficacy of diagnostic and therapeutic methods

Page 9: Quality  Cancer Data Saves Lives

ResultAid in the decision making about unmet needs, physician recruitment, space needs, resource allocation, and health planning

Page 10: Quality  Cancer Data Saves Lives

ResultRespond to local needs through an assessment of referral patterns, cancer trends, and development opportunities

Page 11: Quality  Cancer Data Saves Lives

Cancer-related Informationn Medical historyn Diagnosis and prognosis indicatorsn Treatment patterns

n Cancer recurrencen Survival ratesn Health care coveragen Patient eligibility

Page 12: Quality  Cancer Data Saves Lives

Different Kinds of Cancer Registries

Page 13: Quality  Cancer Data Saves Lives

Hospital Cancer Registry

Page 14: Quality  Cancer Data Saves Lives

State Cancer Registry

Page 15: Quality  Cancer Data Saves Lives

Surveillance Epidemiology and End Results Program (SEER)

http://seer.cancer.gov/

Page 16: Quality  Cancer Data Saves Lives

National Program of Cancer Registries

Page 17: Quality  Cancer Data Saves Lives

Today, NPCR and SEER registries work collaboratively to collect and report cancer statistics on the entire U.S. population.http://www.cdc.gov/cancer/npcr/uscs/

Page 18: Quality  Cancer Data Saves Lives

NPCR provides national leadership to Cancer Registries

NAACCR Certified State Registries 2011• Gold• Silver• Black- did not meet

certification requirements

Page 19: Quality  Cancer Data Saves Lives

CDC: National Standardsn CDC has

established national standards to ensure the completeness, timeliness, and quality of Cancer Registry data

Page 20: Quality  Cancer Data Saves Lives

National Cancer Data Base

http://www.facs.org/cancer/ncdb/index.html

Page 21: Quality  Cancer Data Saves Lives

How Registries Collect Cancer Data

Page 22: Quality  Cancer Data Saves Lives

The techniques used by Cancer Registrars allow for uniform data collection

http://www.naaccr.org/

Page 23: Quality  Cancer Data Saves Lives

Abstracting

Abstracting is converting a patient’s medical information to uniform cancer data

Page 24: Quality  Cancer Data Saves Lives

Last Name: Doe First Name: Jane Middle Name: Sue Facility ID#: 4749421Place of Birth: 25 Date of Birth: 4111946 Age: 58 Med Rec #: 3344221

Soc Sec #: 123-45-6789 Sex: 2 Race: 1 Date Last Contact: 11152004Span/Hisp Orig: 0 County (Dx): 21 Primary Payer: 10 Cancer Status: 1

Address at Diagnosis: Comorb/Comp 1: 42790Comorb/Comp 2:Comorb/Comp 3:

Physicians: Jones Comorb/Comp 4:Johnson Comorb/Comp 5:

Comorb/Comp 6:Class of Case: 1 Date Init Dx: 5012004 Primary Site Text: R Breast UOQ

Seq No: Accn #: Prim Site Code: C50.4 Laterality: 1Date 1st Contact: 4282004

Year 1st Seen: 2004 AJCC STAGE Histology Text:Infiltrating Duct CarcinomaFac Ref From: Clin: T1N1M0 Hist/Behav Code: 85003 Grade: 2

Fac Ref To: IIA Dx Conf: 1Reg LN Exam: 6 Path: T1N0M0 Tumor Size: 9 SS2000: 1

Reg LN Pos: 0 IA

Physical Exam: Surg Diag/Stag Proc: 2 Date Surg Diag/Stag: 5012004

Date 1st Crs Rx: 5042001 Date 1st Surg Proc: 5012004Lab Tests: Surg Prim Site: 23 Date Most Defin Surg: 5042001

Surg Marg: 0 Scope Reg LN Surg: 6Pathology: Surg Proc Other Site: 0 Reason No Surg: 0

Date RT Started: 6152004 Date RT Ended: 7302004Scopes: Reg RT Tx Modality: 27 Reg RT Dose cGy: 6500

Rad/Surg Seq: 3 Reason No RT: 0

Op Proc: Date Sys Tx Started: 8052004 Date Oth Ther Started:Palliative Proc: 0

Staging:

Place of Dx: Surgery:

X-Rays/Scans: Radiation:

Chemotherapy:

Remarks: Hormone/Steroid:Immunotherapy:Transplant/Endocrine:Other Therapy:

Papable mass in right breast and suspicous r axillary lymph node on exam. Patient scheduled for biopsy

ERA/PRA positive

Approx. 1.5 cm mass that is mostly intraductal carcinoma with an area 9mm of invasive infiltrating duct carcinoma. Two sentinel nodes and four axillary nodes

are negative for carcinoma.

CANCER INFORMATION & DIAGNOSIS

PATIENT INFORMATION

TEXT TREATMENT

58

SmithJonesKing Other: ___________________

, intraductal carcinoma, 05/04/2004 reexcision intraductal and a foci of invasive infiltrating duct. Right axillary lymph node dissection

Path 9mm invasion, no positive nodes, localized TREATMENT TEXT

Memorial Hospital

04/28/2004 new spiculated mass

Lumpectomy with node dissection

post op rads

none recommendedTamoxifen

Electronic Medical Records

Page 25: Quality  Cancer Data Saves Lives

Cancer Registries have embraced technology

Page 26: Quality  Cancer Data Saves Lives

The Flow of Cancer Information: A Case Study

Page 27: Quality  Cancer Data Saves Lives

Diagnosis to treatmentn Jane Smith learns

from her internist that she likely has breast cancer

Page 28: Quality  Cancer Data Saves Lives

Diagnosis to treatmentn Further tests

are completed at the hospital

Page 29: Quality  Cancer Data Saves Lives

Diagnosis to treatmentn Jane’s doctor

proposes a course of treatment

Page 30: Quality  Cancer Data Saves Lives

Diagnosis to treatmentn Follow-up tests

show Jane to be cancer free

Page 31: Quality  Cancer Data Saves Lives

Diagnosis to treatmentn Jane’s data is added to

other SEER and Michigan central Cancer Registry data, and the National Cancer Data Base, where it will go through more quality processes and refinement

Page 32: Quality  Cancer Data Saves Lives

Diagnosis to treatmentn The Cancer

Registrar will regularly follow-up

Page 33: Quality  Cancer Data Saves Lives

Cancer Information is Used to Improve Prevention, Research, and Care

Page 34: Quality  Cancer Data Saves Lives

Evaluate patient outcome, quality of life, and

satisfaction issues and implement procedures for

improvement

Cancer information is used in thousands of ways, including —

Page 35: Quality  Cancer Data Saves Lives

Provide outcome information for cancer surveillance

http://www.cdc.gov/cancer/npcr/uscs/

Page 36: Quality  Cancer Data Saves Lives

Provide information for cancer prevention activities

Page 37: Quality  Cancer Data Saves Lives

Allocate resources at local, state, and national levels

Page 38: Quality  Cancer Data Saves Lives

Develop educational programs for health care providers, patients, and the general public

Page 39: Quality  Cancer Data Saves Lives

Cancer data form much of the body of knowledge used by medical professionals, epidemiologists, policymakers, and public health officials

Page 40: Quality  Cancer Data Saves Lives

Minnesota

In Minnesota, a rare type cancer caused by asbestos exposure was identified, leading the state to look for increased state funding for occupational-related disease

Page 41: Quality  Cancer Data Saves Lives

New York

Cancer registry data are now used to educate New Yorkers about cancer risk factors

Page 42: Quality  Cancer Data Saves Lives

Cancer Registrars Ensure Accuracy and Privacy

Page 43: Quality  Cancer Data Saves Lives

Inaccurate data is useless, expensive, and often harmful

Page 44: Quality  Cancer Data Saves Lives

National data is only as good as state and local data

Health care providers record patient information and diagnosis

Hospital-based cancer registrar abstracts patient information into

uniform data sets and checks for an existing record for each patient

Patient data is aggregated on a state level, and then sent to national

registries (SEER or NPCR)

Page 45: Quality  Cancer Data Saves Lives

Privacy concerns are paramount to Cancer Registrars

Page 46: Quality  Cancer Data Saves Lives

Cancer Registrars: A challenging career requires quality education, and certification

Page 47: Quality  Cancer Data Saves Lives

High quality data results from trained specialists: Cancer Registrars

Page 48: Quality  Cancer Data Saves Lives

The Cancer Registrar musthave comprehensiveknowledge about cancerdiagnoses, treatment, andinformation management

Page 49: Quality  Cancer Data Saves Lives

Education for Health Information Management Professionals and Cancer Registrars are similar

Page 50: Quality  Cancer Data Saves Lives

Hospital-based Registrar’s Role Goes Beyond Data Collectionn Cancer Program Managementn Cancer Committee Membern Monitor quality of Cancer Program

Managementn Provide benchmarks for quality

comparison

Page 51: Quality  Cancer Data Saves Lives

n Data Analysis for Studiesn Compiling Cancer Program Annual

Reportn Assess referral patterns

Hospital-based Registrar’s Role Goes Beyond Data Collection

Page 52: Quality  Cancer Data Saves Lives

n Participate in cancer preventionn Present information to cancer

committee, physicians, administration

Hospital-based Registrar’s Role Goes Beyond Data Collection

Page 53: Quality  Cancer Data Saves Lives

n Edit the data from all facilitiesn Query the database for data quality

reportsn Merge duplicate recordsn Audit healthcare facilities to insure

accurate, timely, complete data

Registrars in Central Cancer Registries are Key Players in Insuring Quality Health Care

Page 54: Quality  Cancer Data Saves Lives

n Work with researchersn Contribute to data analysis for

cancer program planningn Present data to the local

community, schools, and othersn Provide education and training for

registrars

Registrars in Central Cancer Registries are Key Players in Ensuring Quality Health Care

Page 55: Quality  Cancer Data Saves Lives

How Does One Become a Cancer Registrar?

Page 56: Quality  Cancer Data Saves Lives

Formal Education Programs Produce Excellent Cancer Registrars

Page 57: Quality  Cancer Data Saves Lives

CTRs have pursued higher education

PhD orMasters

Some college, associates, bachelors

Page 58: Quality  Cancer Data Saves Lives

Certification of Cancer Registrars

Page 59: Quality  Cancer Data Saves Lives

Certification ensures quality results

Page 60: Quality  Cancer Data Saves Lives

In 1983, the National Tumor Registrars Association (now NCRA) administered the first certification examination for tumor registry professionals.

NCRA’s Certification Examination

Page 61: Quality  Cancer Data Saves Lives

NCRA: Resources for Registrars

Page 62: Quality  Cancer Data Saves Lives

NCRA represents Cancer Registry professionals and CTRs

Page 63: Quality  Cancer Data Saves Lives

NCRA offers:n Multiple educational

and networking opportunitiesn Annual national conference to build

knowledge and expertise n Promotion of professional standards

and ethics

Page 64: Quality  Cancer Data Saves Lives

NCRA offers:n Management of the CTR

process and NCRA’s Council on Certification

n Publication of a peer-reviewed scientific journal and a quarterly newsletter

Page 65: Quality  Cancer Data Saves Lives

NCRA offers:n A Web site

offering a wide range of publications and information about educational opportunities

n http://www.ncra-usa.org*

Page 66: Quality  Cancer Data Saves Lives

Cancer Registry is a Dynamic Profession

Page 67: Quality  Cancer Data Saves Lives

n Registrars are dedicated, enthusiastic, and self motivated professionals

n Registrars work closely with physicians and administrators

Cancer Registry is a dynamic profession

Page 68: Quality  Cancer Data Saves Lives

Cancer Registry careers are rewarding

Associates Degree

Masters Degree

$39,000

$55,000

Page 69: Quality  Cancer Data Saves Lives

Cancer Registrars Have Many Career Opportunitiesn Hospitals and Health Care Facilitiesn Software Vendorsn Government Agenciesn Pharmaceutical Companiesn Outsourcing or Contract services

Page 70: Quality  Cancer Data Saves Lives

You and Cancer Registries:

A Smart Choice for a Bright Future