NCRA Annual conference re-cap 2013

1. NCRA Annual conference re-cap 2013 San Francisco, CA May 30-June 2, 2013 Jennifer Watkins, MN State President, CTR

2. Cancer Registry professional: the paradigm shift • Job Task Analysis every 5-7 years • Last one 2004 • Hourly wage increased from $47,968 in 2005 to $62,232 in 2012 • 29.7% Change!

3. CoC quality measure standards • s4.4 and 4.5 • Measures in Development • GI: At least 15 RLN are pathologically examined following resection for gastric cancer. • Lung: LN resction in non-small cell lung ca • Gynecologic Oncology: Measure workgroup being formed

4. Bridging the gap between oncology and quality programs • Critical steps to Collaboration • Develop a common understanding of Purpose, Terminology & External Requirements • Routine Meetings • Joint participation on quality improvement initiatives.

5. Continued: • Use outside tools to compare your facility with others • Medicare.gov website • http://hospitalcompare.hhs.gov • DATA IS POWER!

6. Physician-CTR Collaboration and Breast Cancer Management • Use the NCCN Guidelines • We can help the clinician by; • Making Staging Card, laminate and give to doctors • When sending tx request put, “This pt is part of Clinical Study”, “1st, 2nd, 3rd Request….” • Essentially any cases we are doing can be considered a clinical study because data is used for statistics

7. Continued… • When making presentation slide or charts for information request add the following under the title • “Prepared by the Tumor Registry Staff” • Letting them know we are THERE and this is where they can get this information! • “If You Prepare It. It will be Used!” • Share your data with Finance Department

8. The future of napbc: an update • 476 Accredited Centers • 173 Centers in Process

9. Napbc standard changes • S 1.3- Evaluation and Management guidelines • S 2.3- Breast Conservation • S 2.8- Diagnostic Imaging • S 2.12- Radiation oncology

10. Continued… • S 2.15- Support and Rehabilitation • S 3.2- Clinical Trail Accrual • S 5.1- Breast Center Staff Education

11. Continued… • Required for Compliance in 2014 • S 2.7- Pathology Reports • S 6.1- Quality and Outcomes • Still on Hold • S 6.2- Quality Improvement • Requires data collection • Committee met on April 10, 2013

12. Have your cake and eat it too; keeping your staff happy and your boss even happier • Staff Retention/Recruitment • Financial compensation • Health Benefits • Flexible work arrangement to promote good work/life balance • Rewards and Recognition Programs • Availability to work Remotely

13. Continued… • Advantages of Working Remotely • No commute • Greater work/life balance for employees • Less expenses required • Greater productivity due to less interruptions • Happier employees which means a greater retention of high quality staff

14. Qopiwhat is it and why should ctr’s care? • QOPI: Quality Oncology Practice Initiative • A set of measures geared for the outpatient chemotherapy clinic or practice, designed as a tool for performance improvement • Important because they help with Quality and Career Development! • You can look online for 100+ ideas for studies, put it up at Cancer Committee and let them pick.

15. What does the pt do next? After tx is done • Institute of Medicine recommends each cancer pt receive a tx summary and surviorship care plan (TS/SCP) • Colorado Central Cancer Registry did a pilot program which used cancer registry data to pre-populate TS/SCPs

16. Continued… • Templates developed for breast and colorectal cancers • Web-based Module developed; which connects oncology providers to pre-populated, interactive templates.

17. Continued… • 2015 Implementation of Treatment Summary & Survivorship Care Plan • WEBPLUS is a good tool • Purpose: Find areas of improvement for both web-based application and templates • 17 Plans developed---13 delivered---9 patients interviewed and 6 nurses interviewed • Nurses loved it! • 100% of Patients would recommend it!

18. Understanding leveraging Meaningful Use Stage 2 (mu2) • Meaningful use is using certified HER technology to: • Improve population and public health • Use of certified HER technology for electronic exchange of health information to improve quality of health care, example E-prescribing

19. Youtube.com • CS Education website has the built in Youtube videos so you can still see them even if your place of work has strict Firewalls! • Stage Coach on Youtube; Canswer Forum questions, youtube style! • Use Youtube.com to find answers!! • Go to AJCC Channel • www.youtube.com/ajccancer

20. coc rapid quality reporting system (rqrs) • Benefits include: • Allows expedited data entry • Enables accredited cancer programs to report data on pt’s concurrently • Provides hospitals timely notification of treatment expectations

21. Fun facts • Alexander Von Winiwarter (1848-1916) • Arguably the First Cancer Statistician • Studied records and outcomes of 548 cancer pts treated by famous German surgeon, Theodor Billroth between 1867 and 1976 • Published “Statistics of Carcinoma in 1878. • Credited with idea of classifying tumors by their site of origin • Developed the concept cure rate by years and, indeed, that cure was possible • Probably responsible for establishing 5 year survival as the measure of curability

22. resources • NCRA Annual Conference 2013 Manual • Conference Proceedings THANK YOU!! I hope you enjoyed this recap of what I learned. My hope is that some of this will help you in your profession! ~Jennifer Watkins, CTR MN State President