1. CTR = Continuous Training Refinement
Louanne Currence, RHIT, CTR; Debbie Smith, CTR; Sue Vest, CTR
Missouri Cancer Registry, University of Missouri-Columbia
Objectives: To provide easy access to practical training
opportunities and recruit new registrars by identifying
sources for training modules, revising modules to meet
the needs of hospital-based registrars and developing
“real-life” exercises.
Action: To meet this objective, the Missouri Cancer
Registry hired an Educational Coordinator. The
coordinator is an experienced hospital-based registrar
with access to “real” medical records for exercise
development and to physicians and cancer
conferences for questions – sources not usually
available to central registry staff. As an MCR
employee, the coordinator combines COC and NPCR
knowledge to inform hospital registrars regarding how
their data interacts with MCR functions.
Conclusions:By providing regional workshops
developed by a hospital-based registrar (Education
Coordinator) and hosted by local hospitals, attendance
and participation are better and the information is more
applicable to the everyday processes of a cancer
registry. Training programs developed by national
standard setters, central registries and others should
be available to registrars and adaptable to local, state
or regional usage.
• More exercises based on real cases
• Fun-to-remember connections
Collaborative Stage
The problem with change
You can’t compare from “A” to “B”
The answer is easy
If you take it logically
Let’s all coll-ab-or-ate
And fix the E.O.D.
There must be
Multi ways to state your tumor!
With
apologiest
o Paul
Simon (50
Ways to
Leave
Your
Lover)
With
apologies
to Paul
Simon
Tune: 50
Ways to
Leave
Your
Lover!
• What goes to
central registry?
COC?
• MIA (missing in
action) items still
required by
Missouri.
• Presented latest
revisions from
website.
MCR/ University of MO presentation
F O R D S
Facility Oncology
Registry Data Standards
Louanne Currence, RHIT, CTR
SAMPLE MODULES SAMPLE MODULES
• Reviewed the
rules
• Expanded on
COC
information
• Exercises with
common sites
Summary Stage 20001
MCR wishes to acknowledge the
assistance of everyone who conspired
to make this presentation available.
Summary
USE THE MANUAL!!
Review before comparing data
Timing rule has changed
All sites (some types) included
Read the footnotes
Review once a year
ICD-O-3
• Reviewed Rules
• Exercises (national & local)
• Created “Coding Hints” handout
What’s really new?
What’s really new?
550 new morph terms
550 new morph terms
200 new lymph/
200 new lymph/leuk
leuk terms
terms
(w/major overhaul)
(w/major overhaul)
Terms from WHO Blue
Terms from WHO Blue
Books
Books
84 existing codes moved
84 existing codes moved
NO topography changes
NO topography changes
More new?
More new?
More acronyms
More acronyms
European spelling
European spelling
Behavior code changes
Behavior code changes
More specific NOS terms
More specific NOS terms
Cross
Cross-
-referencing
referencing
Better instructions
Better instructions
Supported by CDC/NPCR Cooperative Agreement #U55/CCU721904-03 and a contract between the University of Missouri and the Missouri Department of Health and Senior Services
