1. Help Is On The Way: Computer-based Training (CBT) for Non-registry Hospitals Brenda L. Lee, CTR Missouri Cancer Registry University of Missouri-Columbia This project was supported in part by a cooperative agreement between the Centers for Disease Control and Prevention (CDC) and the Missouri Department of Health and Senior Services (DHSS) (#U55/CCU721904-05) and a Surveillance Contract between DHSS and the University of Missouri.

2. Acknowledgements  Nancy Cole,BS,CTR, Assistant Project Manager, MCR  Sue Vest, BS, CTR, Project Manager, MCR  Jeannette Jackson-Thompson, MSPH, PhD, Operations Director, MCR and Associate Research Professor, Health Management & Informatics  Patricia Alafaireet, MHA HMI Faculty

3. Background  Circuit-riding/Low-volume facilities (less than 75 cancer cases diagnosed per year)  Copy pertinent records for Missouri Cancer Registry (MCR)  Submit records quarterly

4. Challenges  Persistent turnover of hospital employees assigned to cancer reporting  Time management of hospital staff (other medical records duties)

5. Training Issues  During case-finding audits determined “circuit-riding/low volume” facilities are underreporting  Underreporting may be due to current training not meeting reporters’ training needs

6.  Time constraints of MCR Staff  What kind of training currently available  Interest of Circuit-riding/low volume facilities  Ease of use  Accessibility  Cost Thinking Outside the Box

7. Solution: Computer-based Training  Adapt training -permit delivery through web access.  This CBT module is expected to -lower MCR training costs -increase registry efficiency -and, by extension, increase reporting of cancer cases to MCR

8. Survey  Surveys sent to Circuit-riding facilities to assess need and interest in training and  to assess potential for a CBT module

9. Survey Questions

10. Results of Survey  50% response rate  Results were positive for computer-based training  Staff would have time and computer accessibility for a 45-60 minute training session  Liked the idea of a certificate of completion  Liked that the training module could be accessed any time from almost any computer

11. Plan of Action  CDC/NPCR unobligated funds  Faculty member at UMC Health Informatics worked with MCR staff to develop a CBT module that included a post-test  Based on basic cancer registry training case-finding module  Alpha testing in-house and at 3 sites  Accessible through MCR’s website

12.  UMC’s Department of Health Management and Informatics’ (HMI) DcomplX (Dx) (web-based information portal)  Secure access to training materials provided on the Dx site Technical Aspects

13.  The secure logon permits tracking of end users’ utilization for evaluation of the CBT  It also permits tracking of the training materials in order to generate a Certificate of Completion Continued…

14.  This project is designed to meet current MCR training needs and provide a template and system by which future needs can be rapidly met

15. Will include  CBT to view  CBT to download and print for future reference  Test with certificate of completion  FAQ about topic  Links to manuals, etc.  List of completed modules (user history) Continued…

16. Web Site Dx: Dcomplex

21. Evaluations filled out  Excellent evaluations returned to Missouri Cancer Registry

22.  With just a little willingness to change and to think outside the box, we can work smarter not harder Lessons learned

23. More lessons learned MCR has completed other modules:  Missouri Cancer Registry (Information about MCR)  Web Plus Web-based training (for non- hospital reporters) And is preparing other modules:  Melanoma reporting (for physician offices)  Cancer reporting for long-term care facilities

24. Contact Information Missouri Cancer Registry PO Box 718 Columbia, MO 65201 1-800-392-2829 MCR website: http://mcr.umh.edu/http://mcr.umh.edu/ Dcomplex website: http://dcomplx.umh.edu http://dcomplx.umh.edu Brenda’s e-mail address: leebr@health.missouri.edu leebr@health.missouri.edu

25. Thank you, to everyone at the Missouri Cancer Registry for being so supportive! Thank you