question

Facility Registry

answer

xx

question

Centralized Registry

answer

xx

question

What year was the CoC established

answer

1922

question

What year was SEER established

answer

1973

question

What year was NPCR established

answer

1992 by Congress via the Cancer Registries Amendment Act

question

What year was NAACCR established

answer

1987

question

What year was NCRA established

answer

1974

question

What is the National Program of Cancer Registries (NPCR) administered by (CDC)

answer

Established by Congress through the Cancer Registries Amendment Act in 1992, and administered by the Centers for Disease Control and Prevention (CDC), the National Program of Cancer Registries (NPCR) collects data on the occurrence of cancer; the type, extent, and location of the cancer; and the type of initial treatment. These data represent 98 percent of the United States population.

question

What is Surveillance, Epidemiology and End Results (SEER) Program administered by (NCI)

answer

The Surveillance, Epidemiology and End Results (SEER) Program of the National Cancer Institute is an authoritative source of information on cancer incidence and survival in the United States. SEER collects and publishes cancer incidence and survival data from population-based cancer registries covering approximately 26 percent of the United States population.

question

What is The American College of Surgeons (ACoS) Commission on Cancer (CoC)

answer

The American College of Surgeons (ACoS) Commission on Cancer (CoC) is a consortium of professional organizations dedicated to improving survival and quality of life for cancer patients through standard setting, prevention, research, education, and monitoring quality of care. CoC receives data directly form hospitals.

question

What is The North American Association of Central Cancer Registries (NAACCR)

answer

The North American Association of Central Cancer Registries (NAACCR) is a collaborative umbrella organization for cancer registries, governmental agencies, professional organizations, and private groups in North America that are interested in enhancing the quality and use of cancer registry data.

question

What did the National Cancer Act enacted in 1971 do?

answer

Established SEER and directed NCI to collect and report CA data to congress

question

What did the Cancer Registries Amendment Act PL102-515 of October 1992 do?

answer

Established NPCR (CDC) providing funds to states to develop legislation providing financial and technical assistance to state public health departments.

question

What are the 2 main funding sources in the U.S. for population-based cancer registries?

answer

NCI and CDC

question

What best describes the NCDB (CoC)

answer

Multi-hospital central cancer registry

question

What is the primary foundation/financial underpinning of data collection for cancer registration in the US?

answer

ACoS/CoC accredited cancer program

question

What was the first federal law enacted to protect patient privacy?

answer

The Privacy Act of 1974

question

When data is combined, which 2 agencies are able to provide data covering 100% of U.S. Population

answer

Seer and NPCR

question

The NAACCR committee responsible for providing a formal mechanism for reviewing and recommending proposed changes in data codes and/or the addition of new items to ensure that data remain comparable among central registries is the:

answer

Uniform Data Standards Committee

question

The War on Cancer (Act)

answer

National Cancer Act of 1971

question

Public Law 102-515 is also the ____Act

answer

Cancer Registration Amendment Act

question

What national association for registries certifies central cancer registries

answer

NAACCR

question

Which national agency's data is used by the American Cancer Society to create statistical reports?

answer

SEER

question

Which national agency publishes cancer incidence in North America

answer

NAACCR

question

HIPAA was approved 8/14/2002. When were covered entities required to fully comply with HIPAA rules?

answer

April 14, 2003

question

All population-based central cancer registies in the U.S. and Canada are _____members

answer

NAACCR

question

______ defines the permissible means of access, use and disclosure of patient information

answer

Privacy

question

_____ governs the operational and technical mechanisms necessary to protect patient information

answer

Security

question

Standard of care for the protection of others agains unreasonable risk

answer

Duty of Care

question

HIPAA protects "individually identifieable health information", for example____

answer

any info related to the condition of the patient treatment, billing name, address, ss#, phone #

question

Tracking and maintaining disclosures is called___

answer

disclosure accounting

question

A firewall_____ controls info that comes into and exits the computer network

answer

gatekeeper

question

HIPAA (Health Insurance Portability and Accountablity Act was enacted in ____ by_____

answer

1996, by Congress

question

Patient's name and accession # are sent to ______ during national case transmittal

answer

NCDB

question

Name and social security # are sent to ______ during state case transmittal

answer

Central Cancer Registry

question

____ is an example of a multi-hospital central cancer registry

answer

non population based central e.g. NCDB

question

Central registries report to what 3 national agencies

answer

NPCR (CDC) and SEER (NCI) and NAACCR (Canada)

question

What are the 2 official sources of Federal Government Statistics and data to Congress for The Report to the Nation

answer

Combined SEER and NPCR data

question

Some Central Registries report to SEER, all others report to ________

answer

NPCR

question

The geographic areas selected for inclusion in teh SEER program was based on their_____

answer

epidemiologically signifigant population subroups.

question

Which natioanl organization contracts with non-profit, medially oriented organizations to collect and report cancer data

answer

SEER

question

IARC

answer

International Agency for Research on Cancer

question

Which agency developed the EDITS software used as part of the quality improvement process of cancer registry data

answer

CDC

question

Which best describes cancer registries in other countries

answer

Population based surveillance registries

question

A trauma registry is an example of a ____ registry.

answer

concurrent

question

Publishes systems of classification of cancer including staging (AJCC CA staging manual and the Collaborative Stage Data Collection System), end result reporting to be used by health professionals for selecting the most effective treatment, determining profnosis and continuing evaluation of cancer control.

answer

American Joint Commission on Cancer (AJCC)

question

Which standard setting organization bases its data set on the goal of cancer control and surveillance?

answer

NPCR

question

The CoC program standards 2012 contains ___ different standards.

answer

34

question

What are the CoC's reasons for changing a reference date (3)?

answer

1. high error rate or gap in data 2. high lost to follow up rate 3. hospital merger

question

What percentage of analytic case load are required to be reviewed by the cancer registry quality control coordinator annually?

answer

10%

question

Analytic cases all require follow up except for:

answer

-residents of a foreign country -case reportale by agreement -patients whose age exceeds 100 -patients diagnosed afer 01/2006 and classified as class of case 00

question

define active follow up

answer

calling or sending letters to physicans and patients

question

define passive follow up

answer

checking medical records, checking obituaries, checking death clearance

question

CoC requires ___ follow up of eligible analytic cases such as, date of last contact, first recurrence, progression of disease, cancer status, subsequent treatment

answer

annual

question

CoC requires ___ number of years of retention of cancer committee minutes and grids, quality study results, outcomes analysis and reports.

answer

5

question

A suspense file contains the following information (4)

answer

-patient name -patient identifier -date of first contact -primary site

question

There are ___categories of cancer programs at the CoC

answer

9

question

The organization that wons, operates, leases or is part of a joint vnture with multiple facilties providing integrated cancer care. There is no minimum caseload

answer

Integrated network cancer program

question

Year CoC accreditation of hospitals established

answer

1930

question

___% of hospitals in the the U.S. are CoC accredited

answer

30%

question

The facility secures a NCI peer reviewed cancer center support grant. There is no minimum caseload

answer

NCI designed comprehensive cancer center program

question

The facility provides postgrad medical education in at least 4 program areas. >500 annual caseload

answer

Academic comprehensive cancer program

question

The facility provides care to military veterans. There is no minimum caseload

answer

Veterans affairs cancer program

question

The facility accessions 500 or more cases/year

answer

Comprehensive Community Cancer Program

question

The facility accessions more than 100 but fewer than 500 per year

answer

Community Cancer program

question

The facility accessions 100 or less cases/year. limited services

answer

Hospital associate cancer program

question

Non hospital based program offering at least 1 cancer related treatment modality

answer

Freestanding cancer center program

question

The facility provides care to only children. No minimum caseload

answer

Pediatric cancer program

question

To be eligible for CoC survey, facility must have at least ___year of services and ___ years of cancer registry cases in the database with ___ year of follow-up.

answer

1 yr 2 yrs 1 yr

question

To be eligible for CoC survey, ___year of data must be sumitted to NCDB

answer

1 yr

question

Annual update to the Survey Application Record (SAR) must be done ___days prior to survey

answer

14 days

question

1-7 deficiencies at survey=

answer

Three year reaccreditation with contingency

question

0 commendations or 1 or more resolved deficiences at survey=

answer

Three year reaccreditation

question

0 deficiencies and 1 or more commendations at survey=

answer

Three year reaccreditation with commendation

question

8 or more deficiencies at survey or 3 or more at initial survey=

answer

non-accreditation

question

All commendations at survey=

answer

Outstanding Achievment Award

question

1 -2 deficiencies at the time intial accreditation=

answer

provisional accreditation

question

SNODU stands for

answer

Standard Nomenclature of Disease Operations

question

____enables accredited cancer programs to report data on patients with breast and colon cancer concurrently to facilitate quality improvement measures that will encourage good-quality, evidence-based care in a timely manner at the local level.

answer

CoC's RQRS or Rapid Quality Reporting System

question

The SEER program coding and staging manual is required to be used by_____

answer

Only facilities that report data to SEER

question

Which agency collects population data for calculating cancer rates?

answer

SEER

question

Health Information Technology for Economic and Clinical Health Act (HITECH)

answer

Published July 2009 meaningful use of a certied EHRs to quality for medicare and medicaid incentive payments stunder in 2011 under the economic stimulus law

question

The Common Rule

answer

or Case law-Made by judges when they apply previous court decision to current cases

question

Meaningful Use

answer

Objectives for the use of the EHR: improve safety/quality/reduce health disparities engage patints improve care coordinator improve population and public health ensure privacy and security protections for personal health information

question

Human papillomavirus (HPV)

answer

immunohistochemical staining -detection is favorable prognostic factor in subset of head and neck cancers-spec. oropharynx

question

KRAS

answer

An oncogne (when mutated helps turn normal cells into cancer cells) . Mutations of KRAS indicate a patient may not respond to anti-epidermal growth factor receptr drugs Cetuximab (Erbitux) or panitumaumab (Vectivix). Prognostic indicator for colorrectal cancer.

question

CD117 or KIT

answer

IHC stain detects expession of KIT gene in tumor tissue-oncogenic mutation prognostic indicator for GISTs

question

HER2 (human epidermal growth factor receptor 2)

answer

a protein on the surface of cancer cells that accepts growth signals. A lack of overexpression indicates patient may not respond to certain therapies such as Herceptin (trastuzumab), which is designed to "turn off" or deregulate the overexpression of HER2.

question

Second leading cause of death in adults and children in the US, after heart disease

answer

cancer

question

cancer is the disease of aging with majority of cases occuring in persons over the age of

answer

65

question

descriptive epidemiology

answer

patterns of disease occurrences in a population

question

analytic epidemiology

answer

explores etiologic relationships

question

Prevalence

answer

total number of people in a population with disease. Measures existence of disease

question

incidence

answer

number of new cases in the population-measures appearance of disease

question

Jewett staging

answer

bladder cancer

question

FIGO staging

answer

female reproductive sites

question

Ann Arbor staging

answer

Lymphoma

question

American Urologic Staging (AUS)

answer

Prostate cancer

question

Dukes staging

answer

colorectal carcinoma based on depth of invasion in colon wall

question

Clark Level staging

answer

Melanoma based on depth of invasion

question

Breslow depth of invasion staging

answer

Melanoma based on tumor thickness in mm

question

IARC (International Agency for Research on Cancer)

answer

est in 1965 by the WHO. Its mission is to coordinate and conduct research on the causes of cancer and develop cancer control strategies.

question

Some statistics indicate an abstractor can produce 1 case per hour, with 15 minutes additional per case for case finding, follow up and administrative tasks. T or F

answer

True.

question

technique to evalute how each task afffects the registry

answer

time motion study-

question

Four sections of a budget

answer

capital purchases salaries and benefits supplies fixed costs, ie. rent

question

5 characteristics of data quality

answer

accuracy-visual review, edit checks case completeness-casefinding audit data completeness-edit checks, COC survey timeliness-CoC survey consistency-CoC studies

question

4 types of computerized edits checks

answer

range and allowable-1-9 codes for male, female, etc. inter-item checks-male pt should not have gyn ca inter-record checks-same demographics for pt w/mult primaries/sequences inter-database checks-compares hospital abstract w/central registry database, e.g. death certs

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