CTR, CTR Exam Prep (CRM P&P), CTR Exam Blue Book, CTR Organizations, CTR seer educate, CTR EXAM, Cancer Registry general info, Registry Organization and Operations, Questions from Cancer Management Book, CRM P&P Study Guide 2023

CTR, CTR Exam Prep (CRM P&P), CTR Exam Blue Book, CTR Organizations, CTR seer educate, CTR EXAM, Cancer Registry general info, Registry Organization and Operations, Questions from Cancer Management Book, CRM P&P Study Guide 2023 Specialty Cancer Registry can collect data on - Correct answer-Specific Facilities on a particular type of cancer site Hospital and Pop based cancer reg collect cancer data to - Correct answer-Be aggregated by federal agencies; combined NPCR and SEER data is the official source of federal government cancer statistics caBIG - Correct answer-Cancer Biomedical Informatics Grid that is sponsored by NCI; network that allows constituents in cancer industry to share data and knowledge NCRA - Correct answer-Award CTR Majority of registries use what kind of budget? - Correct answer-top down budget; A topdown budget is prepared by top management, passed down to primary departments and then sub departments Hyperlink - Correct answer-causes the browser to open another web page Real time reporting - Correct answer-Automatic identification of case information through electronic transmission to the central registry as it is entered/digitzed in the originating facility. Zero based budget - Correct answer-This method calls for each department or subdepartment to look at all expenses and justify them at each budgeting cycle. Congress granted regulatory powers to - Correct answer-SEER and NPCR Cancer registry must keep a record of disclosure for - Correct answer-Six years Professional Development is - Correct answer-Self-motivated and self-directed Professional development - Correct answer-Networking, volunteerism, mentoring, professionalism Security management planning involves - Correct answer-Evaluating the flow of data through the organization Disciplinary actions for breaches of confidentiality are - Correct answer-Defined in policies and procedures LAN - Correct answer-Group of comp in close proximity Probabilistic linkage application - Correct answer-Takes into account a wide range of potential identifiers to link data sets in a statistically justifiable way; most often used by central reg Deterministic linkage application - Correct answer-Generates link based on the number of individual identifiers that match amount data sets; simple Worm - Correct answer-Travels comp to comp Virus - Correct answer-Code loaded onto a comp without ur knowledge Trojan horse - Correct answer-Hides as benign application; do not replicate themselves Record Linkage - Correct answer-Linking info from external data sources, such as death certificates, with existing records Record Consolidation - Correct answer-Linking multiple records for same primary cancer Semantic Interoperability - Correct answer-Data having common meaning Syntactic Interoperability - Correct answer-Same coding system across organizations Edit programs promote - Correct answer-Data standardization Single field edit - Correct answer-One data field at a time Inter-field edits - Correct answer-Compare code for one data item with codes recorded for other data items Inter-record Edit - Correct answer-Compare data on more than one record ANIS - Correct answer-American National Standards Institute; safeguards the integrity of assessment systems for health information standard HISPC - Correct answer-Health Information Security and Privacy; privacy and security challenges with electronic health exchange; multistate HIPPA Physical Safegaurd - Correct answer-Controlling physical access HIPPA Administrative Safegaurds - Correct answer-Written set of policies HIPPA Technical safegaurds - Correct answer-Control access to computer systems HIPPA Breach notification rule - Correct answer-Entities and business associates must provide Notification after breach HIPPA Patient Safety Rule - Correct answer-Protection of PHI being used to analyze patient safety events and improve patient safety HIPPA Security Rule - Correct answer-Safegaurds to ensure confidentiality HIPPA Privacy Rule - Correct answer-Federal protection for PHI HL7 - Correct answer-Healthcare informatics Interoperability standards HITECH - Correct answer-Grants and funds for health organizations that successfully demonstrate meaningful use NPI - Correct answer-National Provider Identifier; must use only NPI to identify covered providers in standard transaction Meaningful Use - Correct answer-More robust research and empowered individuals All population based registries are required to identify cancer patients who - Correct answer-Reside in their catchment area at time of diagnosis who were dx or tx either inside or outside their catchment area Pop based central registries can give hospital registries - Correct answer-Information on Follow up, death clearance and tx received at another fac Address Standardization - Correct answer-Modifying an address to conform to conventions of format as defined by postal service Cancer Control PLANET - Correct answer-Potential partners, information regarding cancer/risk factors within a state Record Identification - Correct answer-Those fields used to recognize layout and content of the record being transmitted (ex: patient ID number, tumor record number, coding standards) Continuity of Data - Correct answer-A mapping can be done between the historic data and the new data items Real time reporting - Correct answer-Increase reg ability to capture, diagnosis, treatment and survival data NCRA Ethics committee - Correct answer-Unethical behavior Conflict of Interest/Duality of Interest - Correct answer-Cancer reg exploits the relationship between their hospital and an outside consulting company Benign Brain Tumor Cancer Reg Amendment - Correct answer-Brain, meninges, spinal cord, cause equine, cranial nerve, pituitary gland, pineal gland, and craniopharyngeal duct A registry must enter into a data use agreement when - Correct answer-There is access to a file with known disclosure risks The most critical area needing physical barriers to protect confidential information is - Correct answer-The network administration control room What is the most popular structure of a central registry database model? - Correct answer-Relational Record Layout - Correct answer-Organizes fields from data dictionary into a particular file format Population Based Registries - Correct answer-NPCR, SEER, state central reg NCDB - Correct answer-Large diverse Hospital based reg C-Change - Correct answer-Members from federal and state governments, the motion picture industry, private businesses and non profit groups; elimination of cancer as a major healthcare problem IACR - Correct answer-International Association of Cancer Reg; published cancer incidence in 5 continents Data Set Reliabilty - Correct answer-How likely diff people will use the same code for a data item when reviewing the same source documents The best way to determine how much time to allocate reg staff is - Correct answerConduct a step assessment and time motion study Four section of budget - Correct answer-Capital expenditures, salaries, supplies, fixed costs Tort - Correct answer-Breach of confidentiality (by CTR) The single most important quality assurance tool - Correct answer-Standardized Edits American National Standards Institute - Correct answer-Oversees the development of voluntary consensus standards for products, services, processes, systems and personnel in US Institute of Medicine - Correct answer-8 core capabilities of an EHR to promote greater safety, quality and efficiency In healthcare delivery As soon as a path report is signed, it can be sent - Correct answer-To the state, hospital and central registry How many stages in Meaningful use program - Correct answer-3 Patient Safety and Quality Improvement Act - Correct answer-Voluntary reporting system to enhance the data available to asses and resolve patient safety and health care quality assurance e Medicaid - Correct answer-Every state runs its own program Which organization established the first cancer reg? - Correct answer-SEER Organizations involved in developing uniform data standards for hospital and pop based registries - Correct answer-NAACCR, COC, ACS, IARC, NCRA, NPCR, SEER CoC patient studies - Correct answer-Are performed by a voluntary network and merged with NCDB when it was established Surveillance Informatics - Correct answer-Capturing and transferring data through comp programs NAACCR administrative items - Correct answer-Edit Over rides Budget Fiscal year - Correct answer-For any 12 months Statutes are passed by - Correct answer-State and Federal American Recovery and Reinvestment act 2009 - Correct answer-HITECH, promote adoption and meaningful use of health information technology HIPPA was enacted to - Correct answer-Reduce healthcare cost and standardize coding/transmission of healthcare data If patient requests record change then the state registry must - Correct answer-At least document the request Open source programming - Correct answer-Mozilla firefox; source code is available to public Closed source programming - Correct answer-SQL; source code not available to public Hospital Cancer reg Data Management Systems support - Correct answer-Reporting cases to ACoS NCDB Metadata includes - Correct answer-Data dictionary, record layouts, edit sets, user look up tables, location, time and date of creation, purpose of data NAACCR Standards Implementation task force determined major changes to database will happen - Correct answer-On a 3 year cycle Which organization provides guidelines used by central reg to determin residence at dx? - Correct answer-US Census Bureau Updating case finding programs should be annually during which month? - Correct answer-Oct Casefinding timeliness is determined by - Correct answer-Planned use of data and agency to which central reg reports Pre abstracting activities - Correct answer-Identify potentially reportable case, gather source documents, determine whether new or separate primary What resource is used by COC programs as the basis for data collection - Correct answer-FORDS How many stage groups exist in Summary Stage - Correct answer-5 Tumor Marker Colorectal - Correct answer-KRAS, Tumor Marker for cutaneous melanoma and colorectal - Correct answer-BRAF Radio frequency ablation uses - Correct answer-Heat Energy Interferons are coded as - Correct answer-Biological response modifiers Death clearance - Correct answer-Done every year Active Follow Up - Correct answer-Contacting physicians or patients directly Which Rule is used in record consolidation? - Correct answer-Time submitted rule and known over unknown rule Quality Control - Correct answer-Set of activities designed to evaluate registry data; feedback loop and involves finding mistakes Quality assurance - Correct answer-Set of activities designed to ensure process is adequate; preventing mistakes and no feedback loop Process of improvement - Correct answer-Action taken to meet new goal and objective KP Rule - Correct answer-Inexpensive forms of review should be done on all cases, expensive form of review should be done on specific groups only How is registry data used? - Correct answer-Research, quality management, facility planning and marketing Continuing education for CTR - Correct answer-20 hours every 2 years Benchmarking - Correct answer-Comparing your registry's practice and performance to other registries What must be included in hospital reportable list? - Correct answer-The COC reportable list, reportable by agreement list and state reportability list What percent of cancer cases are histologically confirmed - Correct answer-95 Passive Casefinding - Correct answer-Performed by other healthcare professionals who the registry relies on; self reporting Reportable dx made in utero - Correct answer-Pregnancy results in live birth, and dx confirmed prior to birth and the disease is not evident due to regression Active case finding - Correct answer-Performed by registry personnel Beta-hCG - Correct answer-Tumor Marker for choriosarcoma and testicular Tumor Marker for multiple myeloma - Correct answer-Immunoglobulin Ancillary drugs - Correct answer-Used to enhance effects of cancer directed tx but do not affect the cance r Deterministic patient matching - Correct answer-Identical identifiers Probabilistic patient matching - Correct answer-Key fields are given a weight and comp algorithm determines if they match Source Record - Correct answer-Record received at the central registry from a reporting facility Visual review - Correct answer-Process of identifying incomplete or inaccurate information for individual abstracts To which agency do central registry report their data to - Correct answer-NPCR AND SEER BCR-ABL fusion gene - Correct answer-1. Chronic myeloid leukemia analyze blood and bone marrow Herceptin - Correct answer-Immunotherapy Follow up letter are approved by - Correct answer-Cancer committee, hospital admin, or governing agency Historical data reviews are performed to asses - Correct answer-Incidence completeness How can registry timeliness be evaluated - Correct answer-Lag time reports NCRA Program Recognition Committee - Correct answer-Reviews and determines activity that meets CTR continuing education activities A recording audit will asses - Correct answer-Training needs NCDB collects what percentage of newly diagnosed cases in US? - Correct answer70% What are the two most important casefinding sources for central reg? - Correct answerPathology reports and disease indicies NPRC requires central registries to do hospital audits on each hospital - Correct answer-Every 5 years Recurrence: - Correct answer-Reappearance of disease that was though to be cured OR a new occurrence of cancer not related to earlier cancer AFP (alpha fetoprotein) - Correct answer-Liver tumor Marker CD20 - Correct answer-Non Hodgkin lymphoma tumor Marker Antiabdrogens - Correct answer-Metastatic prostate cancer Type 1 error hypothesis testing - Correct answer-When null hypothesis is mistakenly rejected Observed survival - Correct answer-Estimate of probability of survival for all cancer deaths Net survival - Correct answer-The hypothetical probability of surviving cancer in absence of all other causes of cancer Clinical Practice Guidelines - Correct answer-New treatment recommendations and procedures Hospital Quality Alliance - Correct answer-Promotes public access to hospital performance data Cancer Control - Correct answer-The reduction of cancer incidence, mortality and morbidity through an orderly sequence from research on interventions and their impact in defined populations to the broad systematic application of the research results Primary prevention - Correct answer-Prevent disease form occuring Secondary prevention - Correct answer-After disease has occurred, but before patient notices anything wrong Tertiary prevention - Correct answer-Preventing pain, slowing disease progression, preventing complications, etc. Which type of program is exempt from RQRS - Correct answer-Programs undergoing initial survey and pediatric programs Cancer Registrar can not fulfill which role? - Correct answer-Quality improvement coordinator, Community outreach coordinator, clinical research coordinator, or psychosocial services coordinator CAP protocol for in situ specimens - Correct answer-DCIS only When is patient navigation process implemented - Correct answer-Prior to diagnosis of cancer What roles can CTR hold? - Correct answer-Cancer conference coordinator, cancer registry quality coordinator The purpose of follow up is - Correct answer-To evaluate cancer care outcomes and to compare cancer program data with other sources At what age are pediatric patients excluded from follow up? - Correct answer-26 Submissions to the NCDB will be - Correct answer-Specified in the call for data What type of database is NCDB - Correct answer-Nationwide outcomes database Rejected NCDB cases are monitored by - Correct answer-Cancer Committee Accuracy standards for NCDB must be met for cases diagnosed - Correct answerHospital Based registries - Correct answer-Hospital, network, free standing, military, veterans administration Population Based central registries - Correct answer-State or National; NPCR and SEER; catchment area Non pop based central registries - Correct answer-Dept of defense (ACTUR); Dept of veterans affairs, NCDB Specialty registries - Correct answer-Familia and site specific ACoS - Correct answer-CoC, NCDB, AJCC CDC programs - Correct answer-NPCR, IARC (international agency for research on cancer), IACR (international association of cancer registrars) NCI programs - Correct answer-SEER (28% of pop) NCRA - Correct answer-Education and certification NAACCR - Correct answer-Est consensus on standards, promote use of data, aggregate data (us and Canada), train cancer reg professionals SEER - Correct answer-Surveillance, Epidemiology and End Results Operating expenses - Correct answer-Salaries, benefits, supplies, fixed cost Capital expense - Correct answer-Major equipment and long term investments Time motion study - Correct answer-Work flow charts and daily productivity sheets Aggregate data - Correct answer-Non confidential