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NCRA Annual conference re-cap 2013. San Francisco, CA May 30-June 2, 2013 Jennifer Watkins, MN State President, CTR. Cancer Registry professional: the paradigm shift. Job Task Analysis every 5-7 years Last one 2004 Hourly wage increased from $47,968 in 2005 to $62,232 in 2012

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ncra annual conference re cap 2013

NCRA Annual conference re-cap 2013

San Francisco, CA

May 30-June 2, 2013

Jennifer Watkins, MN State President, CTR

cancer registry professional the paradigm shift
Cancer Registry professional: the paradigm shift
  • Job Task Analysis every 5-7 years
  • Last one 2004
  • Hourly wage increased from $47,968 in 2005 to $62,232 in 2012
  • 29.7% Change!
coc quality measure standards
CoC quality measure standards
  • s4.4 and 4.5
  • Measures in Development
    • GI: At least 15 RLN are pathologically examined following resection for gastric cancer.
    • Lung: LN resction in non-small cell lung ca
    • Gynecologic Oncology: Measure workgroup being formed
bridging the gap between oncology and quality programs
Bridging the gap between oncology and quality programs
  • Critical steps to Collaboration
    • Develop a common understanding of Purpose, Terminology & External Requirements
    • Routine Meetings
    • Joint participation on quality improvement initiatives.
  • Use outside tools to compare your facility with others
    • website
physician ctr collaboration and breast cancer management
Physician-CTR Collaboration and Breast Cancer Management
  • Use the NCCN Guidelines
  • We can help the clinician by;
    • Making Staging Card, laminate and give to doctors
    • When sending tx request put, “This pt is part of Clinical Study”, “1st, 2nd, 3rd Request….”
      • Essentially any cases we are doing can be considered a clinical study because data is used for statistics
  • When making presentation slide or charts for information request add the following under the title
      • “Prepared by the Tumor Registry Staff”
        • Letting them know we are THERE and this is where they can get this information!
        • “If You Prepare It. It will be Used!”
        • Share your data with Finance Department
the future of napbc an update
The future of napbc: an update
  • 476 Accredited Centers
  • 173 Centers in Process
napbc standard changes
Napbc standard changes
  • S 1.3- Evaluation and Management guidelines
  • S 2.3- Breast Conservation
  • S 2.8- Diagnostic Imaging
  • S 2.12- Radiation oncology
  • S 2.15- Support and Rehabilitation
  • S 3.2- Clinical Trail Accrual
  • S 5.1- Breast Center Staff Education
  • Required for Compliance in 2014
    • S 2.7- Pathology Reports
    • S 6.1- Quality and Outcomes
    • Still on Hold
      • S 6.2- Quality Improvement
        • Requires data collection
        • Committee met on April 10, 2013
have your cake and eat it too keeping your staff happy and your boss even happier
Have your cake and eat it too; keeping your staff happy and your boss even happier
  • Staff Retention/Recruitment
    • Financial compensation
    • Health Benefits
    • Flexible work arrangement to promote good work/life balance
    • Rewards and Recognition Programs
    • Availability to work Remotely
  • Advantages of Working Remotely
    • No commute
    • Greater work/life balance for employees
    • Less expenses required
    • Greater productivity due to less interruptions
    • Happier employees which means a greater retention of high quality staff
qopi what is it and why should ctr s care
Qopiwhat is it and why should ctr’s care?
  • QOPI: Quality Oncology Practice Initiative
  • A set of measures geared for the outpatient chemotherapy clinic or practice, designed as a tool for performance improvement
  • Important because they help with Quality and Career Development!
  • You can look online for 100+ ideas for studies, put it up at Cancer Committee and let them pick.
what does the pt do next after tx is done
What does the pt do next? After tx is done
  • Institute of Medicine recommends each cancer pt receive a tx summary and surviorship care plan (TS/SCP)
  • Colorado Central Cancer Registry did a pilot program which used cancer registry data to pre-populate TS/SCPs
  • Templates developed for breast and colorectal cancers
  • Web-based Module developed; which connects oncology providers to pre-populated, interactive templates.
  • 2015 Implementation of Treatment Summary & Survivorship Care Plan
  • WEBPLUS is a good tool
  • Purpose: Find areas of improvement for both web-based application and templates
    • 17 Plans developed---13 delivered---9 patients interviewed and 6 nurses interviewed
    • Nurses loved it!
    • 100% of Patients would recommend it!
understanding leveraging meaningful use stage 2 mu2
Understanding leveraging Meaningful Use Stage 2 (mu2)
  • Meaningful use is using certified HER technology to:
    • Improve population and public health
    • Use of certified HER technology for electronic exchange of health information to improve quality of health care, example E-prescribing
youtube com
  • CS Education website has the built in Youtube videos so you can still see them even if your place of work has strict Firewalls!
  • Stage Coach on Youtube; Canswer Forum questions, youtube style!
  • Use to find answers!!
    • Go to AJCC Channel
coc rapid quality reporting system rqrs
coc rapid quality reporting system (rqrs)
  • Benefits include:
    • Allows expedited data entry
    • Enables accredited cancer programs to report data on pt’s concurrently
    • Provides hospitals timely notification of treatment expectations
fun facts
Fun facts
  • Alexander Von Winiwarter (1848-1916)
    • Arguably the First Cancer Statistician
      • Studied records and outcomes of 548 cancer pts treated by famous German surgeon, Theodor Billroth between 1867 and 1976
      • Published “Statistics of Carcinoma in 1878.
      • Credited with idea of classifying tumors by their site of origin
      • Developed the concept cure rate by years and, indeed, that cure was possible
      • Probably responsible for establishing 5 year survival as the measure of curability
  • NCRA Annual Conference 2013 Manual
    • Conference Proceedings


I hope you enjoyed this recap of what I learned. My hope is that some of this will help you in your profession! ~Jennifer Watkins, CTR

MN State President