1. Timeliness of Cancer Registry Reporting Ali Johnson, CTR Vermont Cancer Registry Vermont Explor Annual Data Meeting May 1, 2006

2. Vermont Department of Health 2 Topics What is expected? When? Are the expectations being met?

3. Vermont Department of Health 3 What is reportable to VCR? Malignancies, except non-melanoma skin cancer Benign brain tumors Diagnosed 1994 to present

4. Vermont Department of Health 4 Completeness Reporting complete on July 1 st after the close of each diagnosis year Completeness estimated based on past 3 or 5 years of reporting

5. Vermont Department of Health 5 Timeliness VCR Law 120 days after first contact American College of Surgeons 180 days after first contact VDH has been phasing in the 180 day standard since 2004

6. Vermont Department of Health 6 Is timeliness improving? December 2002 February 2004 October 2005 % of cases reported within 180 days [Goal: 90%] 5%11%49% Hospitals meeting goal (90% of cases within 180 days) [Goal: 13] 022 (Indicators exclude VA reporting.)

7. Vermont Department of Health 7 Quality Indicator Report

8. Vermont Department of Health 8 3 rd Quarter 2005 (Indicators include VA reporting.)

9. Vermont Department of Health 9 4 th Quarter 2005

10. Vermont Department of Health 10 1 st Quarter 2006

11. Vermont Department of Health 11 1 st Quarter 2006

12. obtain pathology report create suspense record (demographic info., path report date) collect clinic notes, discharge histories, operative reports, and other/subsequent pathology reports order medical record(s) abstract case & set suspense flag to 'complete' include in monthly data submission to VCR adequate patient health info.? review medical record and/or further research referring physician/hospital at radiation therapy or physician's office yes (~80% of cases) no (~20% of cases) estimated time after patient is 1 st seen 1 week 2 weeks 4 months 5 months 6-12 months

13. Vermont Department of Health 13 VCR Data Quality

14. Vermont Department of Health 14 Breast Cancer Stage

15. Vermont Department of Health 15 For More Information Ali Johnson, CTR Vermont Cancer Registry (802) 863-7644 ajohnso@vdh.state.vt.us http://healthvermont.gov