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Help Is On The Way: Computer-based Training (CBT) for Non-registry Hospitals

This project aims to improve cancer reporting in low-volume hospitals through computer-based training (CBT). Challenges like staff turnover and time constraints prompted the development of an accessible, cost-effective CBT module. Surveys showed positive feedback, leading to a plan of action supported by the CDC and Missouri Health Department. The secure web-based training platform allows for efficient tracking and completion certification. Lessons learned highlight the importance of adaptability in healthcare training. The project includes modules on various reporting aspects and plans for future expansions. Contact the Missouri Cancer Registry for more information.

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Help Is On The Way: Computer-based Training (CBT) for Non-registry Hospitals

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  1. Help Is On The Way:Computer-based Training (CBT) for Non-registry Hospitals Brenda L. Lee, CTR Missouri Cancer Registry University of Missouri-Columbia This project was supported in part by a cooperative agreement between the Centers for Disease Control and Prevention (CDC) and the Missouri Department of Health and Senior Services (DHSS) (#U55/CCU721904-05) and a Surveillance Contract between DHSS and the University of Missouri.

  2. Acknowledgements • Nancy Cole,BS,CTR, Assistant Project Manager, MCR • Sue Vest, BS, CTR, Project Manager, MCR • Jeannette Jackson-Thompson, MSPH, PhD, Operations Director, MCR and Associate Research Professor, Health Management & Informatics • Patricia Alafaireet, MHA HMI Faculty

  3. Background • Circuit-riding/Low-volume facilities (less than 75 cancer cases diagnosed per year) • Copy pertinent records for Missouri Cancer Registry (MCR) • Submit records quarterly

  4. Challenges • Persistent turnover of hospital employees assigned to cancer reporting • Time management of hospital staff (other medical records duties)

  5. Training Issues • During case-finding audits determined “circuit-riding/low volume” facilities are underreporting • Underreporting may be due to current training not meeting reporters’ training needs

  6. Thinking Outside the Box • Time constraints of MCR Staff • What kind of training currently available • Interest of Circuit-riding/low volume facilities • Ease of use • Accessibility • Cost

  7. Solution: Computer-based Training • Adapt training -permit delivery through web access. • This CBT module is expected to -lower MCR training costs -increase registry efficiency -and, by extension, increase reporting of cancer cases to MCR

  8. Survey • Surveys sent to Circuit-riding facilities to assess need and interest in training and • to assess potential for a CBT module

  9. Survey Questions

  10. Results of Survey • 50% response rate • Results were positive for computer-based training • Staff would have time and computer accessibility for a 45-60 minute training session • Liked the idea of a certificate of completion • Liked that the training module could be accessed any time from almost any computer

  11. Plan of Action • CDC/NPCR unobligated funds • Faculty member at UMC Health Informatics worked with MCR staff to develop a CBT module that included a post-test • Based on basic cancer registry training case-finding module • Alpha testing in-house and at 3 sites • Accessible through MCR’s website

  12. Technical Aspects • UMC’s Department of Health Management and Informatics’ (HMI) DcomplX (Dx) (web-based information portal) • Secure access to training materials provided on the Dx site

  13. The secure logon permits tracking of end users’ utilization for evaluation of the CBT It also permits tracking of the training materials in order to generate a Certificate of Completion Continued…

  14. Continued… • This project is designed to meet current MCR training needs and provide a template and system by which future needs can be rapidly met

  15. Continued… Will include • CBT to view • CBT to download and print for future reference • Test with certificate of completion • FAQ about topic • Links to manuals, etc. • List of completed modules (user history)

  16. Web Site Dx: Dcomplex

  17. Evaluations filled out • Excellent evaluations returned to Missouri Cancer Registry

  18. Lessons learned • With just a little willingness to change and to think outside the box, we can work smarter not harder

  19. More lessons learned MCR has completed other modules: • Missouri Cancer Registry (Information about MCR) • Web Plus Web-based training (for non-hospital reporters) And is preparing other modules: • Melanoma reporting (for physician offices) • Cancer reporting for long-term care facilities

  20. Contact Information Missouri Cancer Registry PO Box 718 Columbia, MO 65201 1-800-392-2829 MCR website: http://mcr.umh.edu/ Dcomplex website: http://dcomplx.umh.edu Brenda’s e-mail address: leebr@health.missouri.edu

  21. Thank you, to everyone at the Missouri Cancer Registry for being so supportive! Thank you

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