CTR EXAM CoC cancer program standards Questions and Answers 2023

CTR EXAM CoC cancer program standards A survey extension would be granted for - Correct answer-natural disasters (e.g., flood, hurricane) or other disasters (e.g. fire). Extensions are not granted for issues related to registry operations such as delayed abstracting, deficiencies in standards, software conversion, or the resignation of staff. SAR is the acronym for - Correct answer-Survey application record What requirement determines the percentage of patients enrolled in clinical trials each calendar year? - Correct answer-The program category What is the minimum number of patients all hospitals are required to enroll in clinical trials? - Correct answer-Standard 1.9 states that the required percentage of patients accrued to cancer-related clinical trials each calendar year is appropriate to the cancer program category for the facility. Which of the following is an example(s) of an educational activity that the cancer registry staff can use to satisfy the Cancer Registry Education standard? Cancer conference Tumor board Both (a) and (b) Neither (a) nor (b) - Correct answer-Neither. Standard 1.11 states that all cancer registry staff must attend one cancer-related educational activity applicable to their position every calendar year. However, attendance at any format of patient management cancer conferences and/or tumor boards does not meet the requirements for this standard. All members of the cancer registry staff are required to participate in cancer-related education applicable to their position conducted at the local, state, regional or national level each calendar year. To receive commendation, the cancer committee must develop and distribute a report on - Correct answer-patient outcomes or on program outcomes each calendar year. How often is the cancer committee required to develop and distribute a report on patient outcomes or program outcomes? - Correct answer-There is no requirement to develop and publish a report on patient or program outcomes: To receive commendation, Standard 1.12 states that the cancer committee develop and distribute an annual report on either patient outcomes or on program outcomes each calendar year. Because this standard is for commendation only, it is considered optional. Therefore, there is no requirement that this report be prepared. To receive commendation, when the cancer committee completes its report on either patient outcomes or program outcomes, it is required to distribute the report to - Correct answer-The public; For commendation, Standard 1.12 requires that the cancer committee develop and distribute a report to the public on either patient outcomes or on program outcomes. Nurses who care for cancer patients must - Correct answer-Have specialized knowledge and skills in oncology nursing. note: Standard 2.2 requires that oncology nursing care be provided by nurses with specialized knowledge and skills. Oncology nurse certification, while not required, is strongly encouraged How often must the competency of oncology nurses be evaluated? - Correct answerYear: Standard 2.2 requires that the competency of oncology nurses be evaluated each calendar year. Cancer conference prospective cases include - Correct answer-Patients who were previously presented at a cancer conference if there is a need to discuss systemic treatment for disease progression following the completion of first course of treatment and Patients who were previously diagnosed if there is a need to discuss palliative care options. Eligibility requirement ER3 states that Patients previously presented at cancer conference who completed initial therapy but now need adjuvant treatment or treatment for recurrence or progression of disease, as well as those who require supportive or palliative care. The annual call for data specifies that specific years of historic data be resubmitted to NCDB. What requirement(s) must these historic cases meet? - Correct answerEstablished data quality and Resubmission deadline. Standard 5.6 states that resubmitted data from January 1, 2003 forward must meet the established quality criteria and resubmission deadline specified in the Call for Data. When programs receive a three-year accreditation with contingencies, they must resolve the deficiencies - Correct answer-Within twelve months The percentage of cases presented annually at cancer conference are a minimum of - Correct answer-15% of analytic cases Eligibility requirement ER3 states that annually the number of case presentations at cancer conference is a minimum of 15% of annual analytic caseload at the facility. The minimum percentage of prospective cases presented annually at cancer conference is - Correct answer-80% At cancer conference, prospective case presentations include - Correct answer-Patients who completed initial treatment after diagnosis who now need some form of palliative care There must be a policy and procedure for all systemic therapy that is - Correct answerAdministered in a staff physician's office and administered at locations that contracted with the facility. Eligibility requirement ER8 states there must be a policy and procedure for systemic therapy administered in the following: On-site Locations owned by the facility Locations that contracted with the facility Locations supervised by members of the facility medical staff, including physician offices The Quality Improvement Coordinator - Correct answer-reports findings each calendar year to the cancer committee. The standard also indicates a cancer registrar cannot be selected to fulfill this coordinator role. For which of the following assignments is the Cancer Registry Quality Coordinator responsible? - Correct answer-for overseeing the facility's compliance with the: Cancer registry policy and procedure eligibility requirements (ER5) Cancer registry quality control plan (Standard 1.6) Quality Improvement Coordinator - Correct answer-is responsible for overseeing compliance with requirements associated with: Studies of quality focused on measuring the quality of care and outcomes for the patient (Standard 4.7) Implementing two cancer care improvements each calendar year (Standard 4.8) Cancer program goals - Correct answer-Are established by the cancer committee How many goals involving the diagnosis, treatment, services and care of the cancer program's cancer patients are required to be established each calendar year? - Correct answer-cancer committee must establish, implement, and monitor at least one clinical goal related to cancer care each calendar year. Clinical goals are related to the diagnosis, treatment, services and care of the cancer program's cancer patients. This standard also requires that the cancer committee establish at least one programmatic goal each calendar year. Programmatic goals are related to the scope, coordination, practices and processes of the program's cancer care. How often is a clinical goal established per Standard 1.5 required to be monitored and evaluated by the cancer committee? - Correct answer-Twice in the same calendar year Standard 1.5 requires that at least one clinical and one programmatic goal be established each calendar year by the cancer committee. These goals must be evaluated and monitored at least twice in the same calendar year during two subsequent cancer committee meetings, mid-year and at the end of the year. Cancer committee minutes should reflect what the goals are and must include documentation related to monitoring the program's progress toward meeting those goals. The cancer registry quality control plan is established by - Correct answer-the cancer committee establish and implement a plan each calendar year to evaluate the cancer registry data Prevention or screening/early detection programs must be monitored and those activities are reported to the cancer committee - Correct answer-At the end of each calendar year The community outreach coordinator must be a - Correct answer-Person who is affiliated with or employed by the program The cancer registrar is required to - Correct answer-Implement a procedure to follow-up on positive findings from screening programs Evaluate the effectiveness of access and referral processes associated with screening and early detection activities Create a community outreach activity summary report that summarizes the activities provided, the results of outreach programs and follow-up Ensure that the available prevention and screening programs reflect the needs of the community and the cancer experience at the facility's cancer program Ensure that prevention and screening activities adhere to nationally accepted, evidencebased guidelines and interventions The position of the Community Outreach Coordinator cannot be held by the cancer registrar. The cancer committee is required to present one clinical educational meeting each calendar year. This meeting must focus on - Correct answer-a particular cancer treatment including evidence-based national guidelines currently used in treatment planning. This meeting can also address the use of AJCC or other appropriate staging in the clinical setting. Registrars required to attend a cancer-related educational program other than cancer conference, include - Correct answer-all registry staff, CTRs and non-credentialed staff are required to attend a cancer-related educational program. The standard also specifies that contract CTR staff working for at least three consecutive months must attend at least one educational program. Activities that fulfill the requirements of Standard 1.11 as a cancer-related educational program include - Correct answer-requires attendance at an educational meeting other than cancer conference each calendar year. CAP protocols must be followed to report the required data elements for - Correct answer-special studies, diagnostic biopsy specimens, cytology specimens and reports of in situ tumors (except for ductal carcinoma in situ) are excluded from the College of American Pathologists (CAP) Protocol and Synoptic Reporting requirement. CAP protocols are required for resected specimens of - Correct answer-In situ ductal carcinoma Standard 2.1 states that the College of American Pathologists (CAP) Protocol and Synoptic Reporting is required for DCIS (ductal carcinoma in situ) resected specimens. Resected specimens for all other in situ tumors are excluded from this requirement. The standard also excludes all special studies, cytology and diagnostic biopsy specimens from CAP Protocol and Synoptic Reporting. To assess compliance with the standard that requires data items be reported using CAP protocols, a quality control activity is to be completed each year that consists of a - Correct answer-Random 10% of eligible pathology reports or a maximum of 300 cases What minimum percentage of eligible pathology reports with a cancer diagnosis are required to adhere to the CAP synoptic reporting format? - Correct answer-95% is it required that the patient have access to on-site? - Correct answer-Standard 2.3 states that patients must have access to cancer risk assessment, genetic counseling, and genetic testing either on-site or by referral. It is required that the patient receive genetic counseling and cancer risk assessment - Correct answer-Pre- and post-genetic testing A palliative care team may include - Correct answer-Standard 2.4 requires palliative care services be available to the patients. Services may be offered either on-site or by referral. The multidisciplinary palliative care team includes physicians and nonphysicians. A member of the facility's palliative care team is required to be a member of the cancer committee. Depending on the scope of the program, the on-site palliative care services might be offered by physicians, nurses, social workers, mental health professionals, and spiritual counselors. If needed services are not offered on-site at the facility, a formal referral to either another facility or agency is required. How often does the cancer committee conduct a community needs assessment? - Correct answer-Every three years When is the patient navigation process implemented? - Correct answer-Prior to a diagnosis of cancer and continues through all stages of the cancer experience After the Patient Navigation Process is established, the cancer committee is required to - Correct answer-Document activities and related outcomes associated with the patient navigation process The psychosocial services coordinator is required to report to the cancer committee - Correct answer-Annually summarizing information related to: Number of patients screened Number of patients referred for distress resources Whether care was provided on-site or by referral to an off-site location Which of the following is an example(s) of a "pivotal" medical visit requiring at least one psychosocial screening? - Correct answer-After chemotherapy ends but before radiation therapy begins and after all therapy ends. pivotal medical visits requiring at least one psychosocial screening as being - Correct answer-Time of diagnosis Prior to the initiation of treatment (e.g., radiation, chemo) Transitions during treatment (e.g., after radiation ends but before chemotherapy begins) Transitions off treatment A Survivorship Care Plan (SCP) must be given to the patient - Correct answer-At the completion of treatment The cancer committee is required to do a community-based cancer prevention program - Correct answer-Annually Cancer prevention programs may include - Correct answer-Establishing smoking/chewing tobacco cessation programs to reduce the risk of developing lung and other smoking related cancers. Educating the public on the dangers of UV ray exposure and tanning bed usage in developing skin cancer. Educating the public about nutrition and physical activity changes and implementing weight loss programs that can reduce one's risk of developing cancer. A prevention program is - Correct answer-Designed to reduce the incidence of a specific form of cancer The Cancer Liaison Physician (CLP) - Correct answer-Can serve an unlimited number of 3-year terms. must be an active staff member and does not specify whether the physician has to be a particular specialist (e.g., oncologist, hematology specialist, or surgeon). However, the physician cannot be an ambulatory care, consulting or coverage staff physician. How often must the Cancer Liaison Physician (CLP) report to the cancer committee? - Correct answer-A minimum of four times a year What does the Cancer Liaison Physician (CLP) use to evaluate and interpret the program's performance? - Correct answer-NCDB data to evaluate and improve the quality of care for the patient. According to the CoC, what are accredited programs to follow when treating cancer patients? - Correct answer-Accountability measures indicated in the Cancer Program Practice Profile Reports Cancer Program Practice Profile Reports (CP3R) reflect nationally accepted accountability measures required by the CoC to be used by accredited cancer programs. Documentation of a program's Estimated Performance Rates (EPR) associated with each accountability measure, any corrective action taken should the required expectations not be met and any follow-up necessary to meet the EPRs are included in the cancer committee minutes. What statement is true regarding CoC quality improvement measures? - Correct answer-Measures were developed by the CoC with the expectation that cancer registries would be used to collect the data. Cancer registry data elements are nationally standardized. Each of the CoC quality improvement measures was prepared by the CoC with the expectation that cancer registries would be used to collect the required data to assess and monitor a cancer program's ability to comply with these measures. An extensive assessment and validation of the measures was performed using cancer registry data reported to the National Cancer Data Base (NCDB). All quality improvement measures are designed to assess hospital or system-level performance and are not intended to evaluate an individual physician's performance. Compliance with the CoC quality improvement measures includes which task(s)? - Correct answer-Monitoring the program's EPR against the Cancer Program Practice Profile Reports Rationale: What type of cases can be used by a physician as part of a thorough analysis intended to monitor the cancer program's compliance with evidence-based national treatment guidelines? - Correct answer-Uncommon cases and review of a single treatment regimen for a specific site Cancer site-specific sample: All cases from the selected site, to a maximum of 300 cases; or Based on an identified issue with the selected site; or Involves uncommon cancer cases Review of a single treatment regimen for a specific cancer site: All cases who received that treatment regimen, to a maximum of 300 cases; or Based on an identified issue with the specific treatment regimen