1. Cancer Registry Update St. Vincent’s Clay NEFHIMA September 10, 2015

2. Objectives  Discuss changes effecting cancer registry operations  Role with implementation of Survivorship Program  Discuss conversion from ICD 9 to ICD10 and impact on Cancer Registry Operations  Discuss career paths as a cancer registrar

3. Upcoming Changes  Data is becoming more transparent  Now required to track 15 national treatment measures covering 5 sites based on registry data collection  Collaborative Staging Transition  Cancer Registry required to capture AJCC Staging, Collaborative Staging and SEER Summary Staging 2000  Central Registries and SEER registries will now be required to capture AJCC Staging  COC, AJCC, FCDS and SEER are providing education free of charge to registrars

4. Survivorship Program  Accredited cancer programs required to provide survivorship care plans (SCP) to patients effective 2015  Provided to patients at completion of treatment  10% of patients is required by COC  50% of all breast patients required by NAPBC  The Nurse Navigator contacts patients by phone to schedule appoint to discuss  A copy of SCP is provided to patient, PCP and copy is retain by nurse navigator

5. Cancer Registry’s Role in Survivorship Program  The Registry assisted with implementation and serves on Survivorship Committee  The Registry data is utilized to determine eligible cases  The Registry data is utilized to complete all SCP’s and is interfaced into Journey Forward templates  The Registry completes JF template on data the does not interface  The Registry works closely with nurse navigator on SCP

6. ICD 9 to IC10 Conversion  Cancer Registry utilizes ICD-0 for coding for neoplasms  Requires alpha coding  Casefinding and Disease Index must be converted  Registries need to provide IT department with list of required codes to capture  Assists IT with converting ICD 9 codes to ICD 10  Registry also required to capture comorbidity codes and convert from ICD 9 to 1CD 10

7. ICD 9 Casefinding List (example)

8. Comorbidities and complications  COC requires cancer registries to record up to 10 comorbid conditions, factors influencing the health status of the patient, and treatment complications, to be copied from the patient record.  Allowable Values: 00000, 00100-13980, 24000- 99990, E8700-E8799, E9300-E9499, V0720- V0739, V1000-V1590, V2220-V2310, etc  Reference Facility Oncology Registry Data Standards (FORDS 2015)

9. Cancer Registry Career Paths  Abstracting/leadership role  Vendor support representative  Contractor/self employment  Remote opportunities  Central Registries (State, SEER)  Regulatory agencies CDC, NCI, ACOS, ACCC  Research  Hospitals, free standing facilities, radiation oncology or university setting

10. Cancer Registrar Credentials  Effective 2015  All cancer registry staff who perform abstracting at a COC accredited program must be hold CTR (Certified Tumor Registrar credential  Anyone hired after 2012 must pass CTR exam within 3 years from date of hire  Registries must have a plan to supervise non credentialed staff

11. References  National Cancer Registrars Association  http://www.ncra-usa.org/i4a/pages/index.cfm?pageid=3865 http://www.ncra-usa.org/i4a/pages/index.cfm?pageid=3865  ACOS Commission on Cancer  https://www.facs.org/quality-programs/cancer/coc/standards https://www.facs.org/quality-programs/cancer/coc/standards  Florida Cancer Data Systems  http://fcds.med.miami.edu/inc/welcome.shtml http://fcds.med.miami.edu/inc/welcome.shtml  CDC Cyber Cancer Registry  http://www.cdc.gov/cancer/npcr/training/ccr.htm http://www.cdc.gov/cancer/npcr/training/ccr.htm  SEER Educate  https://educate.fhcrc.org/LandingPage.aspx https://educate.fhcrc.org/LandingPage.aspx Barbara Dearmon, BS, CTR Manager, Oncology Support Services Barbara.dearmon@stvincentshealth.com 904 308-8930