NCRA Study Guide CTR 2023 : Follow Up, Case-Finding, Abstracting/Coding Q&A

NCRA Study Guide CTR 2023 : FollowUp, Case-Finding, Abstracting/Coding What is the primary purpose of performing follow-up? - Correct answer-Ensure continued medical surveillance to evaluate success of therapy The two most important case-finding sources for central registries are - Correct answerPathology reports and disease indices Disease index - Correct answer-List of diseases and conditions diagnosed in identified patients that are coded by using a standard classification system (such as ICD and CPT codes) Freestanding pathology laboratories may be a case-finding source for a - Correct answer-State central cancer registry When abstracting a case, the first step is to - Correct answer-Determine the primary site(s) by reading the medical record. In the U.S., follow-up is required for hospitals to receive accreditation for cancer programs by the - Correct answer-ACoS (American College Surgeons) CoC These case are EXCLUDED in CoC follow-up calculations: - Correct answer-1. Nonanalytic cases 2. Foreign residents 3. Reportable by agreement 4. Squamous Cell Skin Cancers 5. Class of Case 0 diagnosed after 01/10/2006 6. Diagnosed after 01/01/2003 7. Patients w/ no follow-up > 12 months 8. Age exceeds 100 yrs How can follow-up be obtained? - Correct answer-Through re-admission to a hospital, outpatient visits, or from patient's present Dr. in response to follow-up letters. ACoS CoC requires follow-up information be obtained at least __________________ for all living analytic patients included in cancer registry database. - Correct answerannually (yearly) Active follow-up - Correct answer-Direct contact w/ Dr's or patients, or letters to other facilities Sending follow-up letters to Dr. to obtain info. on a patient as well as through telephone What follow-up refers to someone initiating direct contact with patients? From a central registry perspective, it may also include contacts made by hospital registrars with physician's offices. - Correct answer-Active follow-up Passive follow-up - Correct answer-Does not require direct contact; Determines patient's vital status, current date last known to be alive, and date/cause of patient's death _______________ is primarily used to determine the patient's status, and if dead, the cause of death. This usually involves computerized searches of nonregistry files. This is the primary method of follow-up used by central registries. - Correct answer-Passive follow-up What follow-up refers to methods that do not require registry contact with hospitals, physicians, or individual cancer patients. These methods usually involve computerized searches of existing non-registry files that may contain the cancer patient's name, and follow-up status can be inferred. - Correct answer-Passive follow-up Which of the following are considered "passive" follow-up linkage sources for central registry? - Correct answer-Motor vehicle/driver license files Centers for Medicare and Medicaid Services Stage voter registration files Death indexes or obituaries Core Data Items needed for Successful Follow-up - Correct answer-Name, DOB, SSN, Dx Date, Primary site, Cancer Tx, Cancer status, Autopsy, Recurrence date Last contact date, Place/Cause of Death Cancer committee monitors follow-up rate for ALL analytic patients. - Correct answerTrue Case is considered delinquent if the date of last contact exceed how many months? - Correct answer-15 months What type of follow-up letter is necessary? - Correct answer-Physician When a follow-up letter is returned, what date do you use to update your database as the date of last contact? - Correct answer-The date patient or representative signed and completed the letter Follow-up can be done by checking the hospital records to determine whether the patient has been seen in the facility. - Correct answer-True During which process(es) is selected information reported shortly after initial diagnosis? - Correct answer-Rapid Case Ascertainment (RCA) Commission on Cancer's (CoC) Rapid Quality Reporting System (RQRS) What manual is currently used to code causes of death on the death certificates? - Correct answer-ICD-10 Hospital registry report all updated follow-up info. to the central registry and Coc's NCDB. True or False - Correct answer-True Living w/ Cancer - Correct answer-Being diagnosed and treated Living through Cancer - Correct answer-Time following Tx when recurrence risk is high. Living beyond Cancer - Correct answer-Refers to being past Tx and long-term survivor ship Approximately what percentage of cancer cases is histologically confirmed? - Correct answer-95% Case-finding - Correct answer-System of identifying all potentially eligible cases that are to be included in the registry database; System of locating every patient whos diagnosed and/or treated w/ reportable cancer at facility What are the primary case-finding source used by central registries to identify incident cases? - Correct answer-Pathology reports. Can be used to identify potentially reportable cases for hospital and nonhospital facilities Central registry should report the following when case-finding: - Correct answer1.Reference 2.Diagnoses 3.Residency 4.Diagnostic confirmation 5.Class of case Analytic Cases - Correct answer-Patients who were diagnosed or who received any part of first course of treatment at the hospital Non-analytic Cases - Correct answer-1. Patient receives non-first course treatment 2. Patient pursue 2nd opinion of 1st course Tx, but receives Tx at another facility 3. Patient w/ cancer Hx but being seen at hospital for another condition. _____________________ for a facility are defined as cases who were diagnosed and received all of first course therapy elsewhere prior to the date of referral to the facility. - Correct answer-Non-analytic cases __________________________ for a facility are defined as patients who were diagnosed and/or received all or part of the first course of therapy at the facility. - Correct answer-Analytic cases Examples of non-analytic cases for a typical hospital registry include - Correct answerAutopsy only cases "Residency at diagnosis" refers to the usual residence of the patient at the time of diagnosis of a reportable cancer. Which entity provides the rules and guidelines used by central registries to determine residency at diagnosis? - Correct answer-U.S. Census Bureau Currently in the United States, which governing agencies set reporting standards for hospital and population-based registries? - Correct answer-American College of Surgeons (ACoS) Commission on Cancer (CoC) National Program of Cancer Registrars (NPCR) Surveillance, Epidemiology, and End Results (SEER) Reference date - Correct answer-Effective date on or after which all reportable cases should be registered in a registry database; Jan. 1st of a yr (central registry) The hospital disease index identifies - Correct answer-Clinically & Histologically diagnosed reportable cases. Which data format(s) are recommended by NAACCR to laboratories for reporting pathology report text information electronically to central registries? - Correct answerHL7 and Pipe-delimited A case remains on the _____________ until the person responsible for reporting it to the registry has completed and submitted an abstract (case report). - Correct answerSuspense list A temporary storage space for potential cases that contain minimal information and were identified through the case ascertainment process is a(n) - Correct answerSuspense system _____________ is the practice involving one or more parties' willingness to provide confidential information under carefully controlled circumstances for the purposes of research or follow-up. - Correct answer-Case-sharing A case is included on a _______________ during the case-finding process until the appropriate hospital or physician officially reports the case - Correct answer-Suspense list Rapid case ascertainment - Correct answer-Type of casefinding procedure that targets selected case types for early reporting to researchers who conduct studies Process of identifying cases quickly for epidemiologic protocols. What expression or term refers to the systematic method of identifying all (inpatient & outpatient) potentially eligible cases to be included in the registry database? - Correct answer-Casefinding ______________ refers to the systematic processing of sources (e.g., pathology reports, disease indices, etc.) in order to identify all potentially eligible cases to be included in the registry database. - Correct answer-Casefinding _______________ is a practice that occurs during the casefinding process after one determines a case is reportable. - Correct answer-Suspense list inclusion What's the name of the system in place to monitor patients identified for inclusion into the registry? - Correct answer-Suspense file ___________________ is a type of casefinding procedure that targets selected case types for early reporting to researchers who conduct studies for which prompt identification of study subjects is necessary. - Correct answer-Rapid case ascertainment Who provide to hospitals a list of the mandatory and optional ICD-9-CM codes that should be included for case-finding purposes per the reporting rules of the state or region? - Correct answer-Central registries Active Casefinding - Correct answer-Registry personnel retrieving source documents (pathology/ radiation oncology/HIM reports) Performed by registry personnel who screen the source documents themselves Passive Casefinding - Correct answer-Departments notify registrar of potentially reportable cases, Self-reporting by health care providers Performed by other health care professionals whom the registry relies on to inform the registrar of potentially reportable cases. Casefinding timeliness in a central registry is determined by the - Correct answerPlanned use of the data. Agency(ies) to which the central registry reports. The purpose of central registry death clearance activities is - Correct answer-To update mortality and other information on cases that exist in the registry database. To be used as a casefinding source. __________________is referred to as the use of mortality (death certificate) files to update death and other missing information on cases that exist in the registry database and to increase incidence reporting completeness by using these files as a case-finding source. - Correct answer-Death clearance What is an example of active follow-up? - Correct answer-Registrars sending follow-up letters to the physician to obtain information on an individual patient. What is the primary reason central registries should pursue receipt of pathology reports from all laboratories when state reporting rules support this activity? - Correct answerReceipt of pathology reports will improve outpatient case ascertainment activities. Generally, abstracted data is classified into five groups. In which group would each of the following be classified: 1) accession number, 2) cancer status, and 3) sequence number? - Correct answer-1) Patient identification, 2) outcomes and 3) patient identification Patient identification fields include: - Correct sion number 2. sequence number 3. social security number 4. race 5. sex 6. date of birth 7. geographic location 8. physicians and institutions Cancer identification fields include: - Correct answer-1. class of case 2. date of initial diagnosis 3. primary site 4. histology 5. behavior code 6. grade 7. diagnostic confirmation Stage of disease at diagnosis fields include: - Correct answer-AJCC clinical and pathologic TNM elements, SEER Summary Stage 2018 and Collaborative Stage (CS) data elements Outcome data items include: - Correct answer-1. date of last contact or death 2. vital status