Cancer Registry Flashcards - CTR Education
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Questions and Answers

What requirements must historic cases meet for resubmission to the NCDB?

  • Established data quality
  • Resubmission deadline
  • Both (A) and (B) (correct)
  • Neither (A) nor (B)

    • When programs receive a three-year accreditation with contingencies, they must resolve the deficiencies:

  • Within six months
  • Within three years, prior to the next survey
  • Within twelve months (correct)
  • Within two years

    • What is the minimum percentage of prospective cases presented annually at cancer conference?

  • 85%
  • 70%
  • 80% (correct)
  • 75%

    • At cancer conference, prospective case presentations include:

    <p>Both (A) and (B)</p> Signup and view all the answers

    There must be a policy and procedure for all systemic therapy that is:

    <p>Both (A) and (B)</p> Signup and view all the answers

    The Quality Improvement Coordinator:

    <p>Neither (A) nor (B)</p> Signup and view all the answers

    For which of the following assignments is the Cancer Registry Quality Coordinator responsible?

    <p>Cancer Registry Policy and Procedure eligibility requirements</p> Signup and view all the answers

    Cancer program goals:

    <p>Are established by the cancer committee</p> Signup and view all the answers

    How many goals involving the diagnosis, treatment, services, and care of the cancer program's cancer patients are required to be established each calendar year?

    <p>Neither (A) nor (B)</p> Signup and view all the answers

    How often is a clinical goal established per Standard 1.5 required to be monitored and evaluated by the cancer committee?

    <p>Twice in the same calendar year</p> Signup and view all the answers

    The cancer registry quality control plan is established by:

    <p>Neither (A) nor (B)</p> Signup and view all the answers

    Prevention or screening/early detection programs must be monitored and those activities are reported to the cancer committee:

    <p>At the end of each calendar year</p> Signup and view all the answers

    The community outreach coordinator must be a:

    <p>Person who is affiliated with or employed by the program</p> Signup and view all the answers

    The cancer registrar is required to:

    <p>None of the above</p> Signup and view all the answers

    The cancer committee is required to present one clinical educational meeting each calendar year. This meeting must focus on:

    <p>Neither (A) nor (B)</p> Signup and view all the answers

    Registrars required to attend a cancer-related educational program other than cancer conference, include:

    <p>Non-CTRs</p> Signup and view all the answers

    What does the HIPAA Privacy Rule provide?

    <p>Federal protections for individually identifiable health information held by covered entities and their business associates and gives patients rights with respect to that information.</p> Signup and view all the answers

    With the continuing development of electronic medical records (EMRs), what should the registrar do?

    <p>Ensure the registry participates in the design of the EMR.</p> Signup and view all the answers

    What procedure occurs as part of the EHR Incentive Program?

    <p>Incentive payments are given to healthcare providers to use EHR technologies in ways that positively impact patient care.</p> Signup and view all the answers

    Which non-profit organization is involved in developing international healthcare informatics interoperability standards?

    <p>Health Level Seven</p> Signup and view all the answers

    To assist in edit resolution, what should the registry do?

    <p>Identify common coding errors and provide education for staff.</p> Signup and view all the answers

    Which piece of legislation protects health insurance coverage for workers when they change or lose their jobs?

    <p>Health Insurance Portability and Accountability Act</p> Signup and view all the answers

    Which legislation assures the workforce is properly trained to use certified Electronic Health Records (EHRs)?

    <p>Health Information Technology for Economic and Clinical Health Act</p> Signup and view all the answers

    Which term refers to a systematic collection of medical terms that aids in indexing and retrieving medical data?

    <p>SNOMED</p> Signup and view all the answers

    Which program was replaced by the National Cancer Informatics Program (NCIP) in May 2012?

    <p>Cancer Bioinformatics Grid (caBIG)</p> Signup and view all the answers

    Which goal is hoped to be achieved through Meaningful Use compliance?

    <p>Both (a) and (b)</p> Signup and view all the answers

    Which statement is true regarding the National Provider Identifier (NPI)?

    <p>HIPAA covered entities must use only the NPI to identify covered health care providers in standard transactions.</p> Signup and view all the answers

    What type of HIPAA security safeguard is adhered to when a covered entity adopts a written set of privacy procedures?

    <p>Administrative</p> Signup and view all the answers

    Which rule provides federal protections for individually identifiable health information?

    <p>HIPAA Privacy Rule</p> Signup and view all the answers

    A survey extension would be granted for which circumstances?

    <p>Neither (A) nor (B)</p> Signup and view all the answers

    What requirement determines the percentage of patients enrolled in clinical trials each year?

    <p>The program category</p> Signup and view all the answers

    What is the minimum number of patients all hospitals are required to enroll in clinical trials?

    <p>None of the above</p> Signup and view all the answers

    Which of the following is an example of educational activity that cancer registry staff can use to satisfy educational standards?

    <p>Neither (a) nor (b)</p> Signup and view all the answers

    To receive commendation, the cancer committee must develop and distribute a report on what?

    <p>Either (A) or (B)</p> Signup and view all the answers

    The pathologist must use CAP protocols to report the required data items on what percentage of eligible pathology reports?

    <p>95%</p> Signup and view all the answers

    Nurses who care for cancer patients must have what?

    <p>Have specialized knowledge and skills in oncology nursing</p> Signup and view all the answers

    How often must the competency of oncology nurses be evaluated?

    <p>Year</p> Signup and view all the answers

    Which type(s) of program is exempt from RQRS participation?

    <p>Both (A) and (B)</p> Signup and view all the answers

    What do cancer conference prospective cases include?

    <p>Patients who were previously presented at a cancer conference for systemic treatment discussions and patients previously diagnosed for palliative care options.</p> Signup and view all the answers

    All states and the District of Columbia have laws requiring healthcare facilities to report cancer data to:

    <p>Neither (a) nor (b)</p> Signup and view all the answers

    The ultimate goal of analyzing cancer data is to:

    <p>Both (a) and (b)</p> Signup and view all the answers

    Professional development is:

    <p>Is self-motivated and self-directed</p> Signup and view all the answers

    A patient may recover damages from a healthcare institution when:

    <p>Both (a) and (b)</p> Signup and view all the answers

    HIPAA provides individuals with the right to review their records. State registries may:

    <p>Neither (a) nor (b)</p> Signup and view all the answers

    Security management planning involves:

    <p>Evaluating the flow of data throughout the organization</p> Signup and view all the answers

    Information technology security risks are inherent in:

    <p>Both (a) and (b)</p> Signup and view all the answers

    Disciplinary actions for breaches of confidentiality are:

    <p>Neither (a) nor (b)</p> Signup and view all the answers

    What term describes the networking capability for a group of computers in close proximity to each other such as in an office building?

    <p>LAN</p> Signup and view all the answers

    Define a firewall.

    <p>A system designed to prevent unauthorized access to or from a private network.</p> Signup and view all the answers

    What is a Virtual Private Network (VPN)?

    <p>Method employing encryption to provide secure access to a remote computer over the internet.</p> Signup and view all the answers

    Computerized edits programs were developed to promote:

    <p>Data standardization</p> Signup and view all the answers

    What are data edits?

    <p>Data edits test the data against the coding rules.</p> Signup and view all the answers

    What type of edits checks one data field at a time?

    <p>None of the above</p> Signup and view all the answers

    What are inter-field edits known as?

    <p>Multi-field edits</p> Signup and view all the answers

    What are inter-record edits also known as?

    <p>Multi-record edits</p> Signup and view all the answers

    What do edit override flags indicate?

    <p>They allow the registry staff to indicate that questionable data is actually correct.</p> Signup and view all the answers

    What are single field edits also known as?

    <p>Item Edits</p> Signup and view all the answers

    What is a server in networking?

    <p>A computer or device on a network that manages network resources.</p> Signup and view all the answers

    The role of the American National Standards Institute (ANSI) in healthcare information standards is to:

    <p>Safeguard the integrity of assessment systems</p> Signup and view all the answers

    Which term refers to the 'network of networks'?

    <p>eHealth Exchange</p> Signup and view all the answers

    When was the National Cancer Informatics Program (NCIP) created?

    <p>May 2012</p> Signup and view all the answers

    What is Health Level Seven (HL7)?

    <p>A non-profit organization involved in the development of international healthcare informatics interoperability standards.</p> Signup and view all the answers

    Which findings are necessary to provide quality patient care?

    <p>CAP</p> Signup and view all the answers

    What is the definition of Logical Observation Identifiers Names and Codes (LOINC)?

    <p>A universal code system for identifying lab and clinical observations.</p> Signup and view all the answers

    What is the Systematized Nomenclature of Medicine (SNOMED)?

    <p>A systematic, computer-processable collection of medical terms.</p> Signup and view all the answers

    Which program addresses the privacy and security challenges presented by electronic health information exchange involving multiple states?

    <p>Health Information Security and Privacy Collaboration (HISPC)</p> Signup and view all the answers

    What type of HIPAA security safeguard is being adhered to when access to hardware and software is limited to authorized individuals?

    <p>Physical</p> Signup and view all the answers

    What are administrative safeguards in HIPAA?

    <p>Practices to adopt a written set of privacy procedures.</p> Signup and view all the answers

    What are technical safeguards in HIPAA?

    <p>Procedures that control access to computer systems.</p> Signup and view all the answers

    What rule requires covered entities to provide notification after a breach of unsecured protected health information?

    <p>HIPAA Breach Notification Rule</p> Signup and view all the answers

    What does the HIPAA Patient Safety Rule entail?

    <p>Confidentiality provisions to protect identifiable information used to analyze patient safety events.</p> Signup and view all the answers

    What does the HIPAA Security Rule specify?

    <p>Administrative, physical, and technical safeguards for covered entities.</p> Signup and view all the answers

    Which hospitals are required to submit data to the state cancer registry? (Select all that apply)

    <p>Both (a) and (b)</p> Signup and view all the answers

    Which types of cancer registries can receive CoC approval for their cancer programs?

    <p>Hospital-based registries</p> Signup and view all the answers

    Specialty cancer registries may collect data from which of the following?

    <p>Neither (a) nor (b)</p> Signup and view all the answers

    Cancer registries in the United States have the reputation of being the most complete and highest quality public health surveillance systems because of?

    <p>Both (a) and (b)</p> Signup and view all the answers

    Hospital and population-based cancer registries collect cancer data to:

    <p>Be aggregated by a Federal agency</p> Signup and view all the answers

    The caBIG was sponsored by the?

    <p>National Cancer Institute (NCI)</p> Signup and view all the answers

    What term refers to an element in a document on the web that links to a whole document or to a specific element within a document?

    <p>None of the above</p> Signup and view all the answers

    Which statement regarding web applications is not true?

    <p>None of the above</p> Signup and view all the answers

    What term refers to a unique numeric identifier assigned to machines on the Internet or an intranet?

    <p>IP address</p> Signup and view all the answers

    What expression(s) is used to describe the capability of different registries being able to read, write and exchange data via a common set of exchange formats?

    <p>Neither (a) nor (b)</p> Signup and view all the answers

    What is interoperability?

    <p>The capability of different registries being able to read, write and exchange data via a common set of exchange formats.</p> Signup and view all the answers

    What is a standard data item?

    <p>A data item whose coding instructions, code values, and definitions are shared among the registry organizations.</p> Signup and view all the answers

    The hospital cancer registry data set should include?

    <p>Both (a) and (b)</p> Signup and view all the answers

    What are data submittals?

    <p>The process of extracting data from the registry database system for submission to another entity.</p> Signup and view all the answers

    A necessary element for a real-time reporting system is?

    <p>Data source streams from key departments of the facility</p> Signup and view all the answers

    Registry staffing needs can be assessed by?

    <p>Neither (a) nor (b)</p> Signup and view all the answers

    Typically, the largest line items in the registry budget are?

    <p>Salaries and benefits</p> Signup and view all the answers

    What type of budget requires that every line item of a new budget be justified?

    <p>Zero-based budget</p> Signup and view all the answers

    What do you call a government agency or court writ that has authority to compel the production of evidence?

    <p>Subpoena duces tecum</p> Signup and view all the answers

    What is a subpoena duces tecum?

    <p>An order that compels a person or organization to bring physical evidence before the ordering authority.</p> Signup and view all the answers

    What is a subpoena ad testificandum?

    <p>An order that compels a person to testify before the ordering authority.</p> Signup and view all the answers

    The laws that take precedence over all other laws are?

    <p>State laws that are more stringent than Federal laws</p> Signup and view all the answers

    It is illegal to?

    <p>Access medical records of family, friends, or celebrities to read the information</p> Signup and view all the answers

    Congress granted regulatory powers to the following agencies?

    <p>The Surveillance, Epidemiology, and End Results program (SEER) and the National Program of Cancer Registries (NPCR)</p> Signup and view all the answers

    The cancer registry must keep a record of disclosure for what period of time?

    <p>Six years</p> Signup and view all the answers

    Without administrative permission, data may not be transmitted to?

    <p>Both (a) and (b)</p> Signup and view all the answers

    Study Notes

    Cancer Registry Reporting

    • Hospitals with both CoC approved and non-approved cancer programs are mandated to submit data to state cancer registries.
    • Hospital-based cancer registries can receive CoC approval for their cancer programs.

    Specialty Cancer Registries

    • Specialty cancer registries do not collect data from specific facilities or on familial cancers.
    • They maintain data from approved facilities and specific cancer sites, like brain tumors.

    Quality of Cancer Registries

    • U.S. cancer registries are recognized for their thoroughness due to trained Certified Cancer Registrars and comprehensive case identification.

    Data Collection Purpose

    • Data gathered by hospital and population-based cancer registries is primarily for aggregation by federal agencies, not directly sent to the NCDB or solely to meet CoC standards.

    caBIG Initiative

    • The National Cancer Institute (NCI) sponsored the caBIG to create a network of tools and data for improving cancer detection and treatment.

    Web Applications

    • Web applications require an active internet or network connection, updating automatically and accessible from various devices.

    IP Address Definition

    • An IP address uniquely identifies machines on the Internet or intranet, allowing them to communicate.

    Interoperability in Registries

    • Interoperability allows registries to read, write, and exchange data using common formats, dependent on uniform coding standards.

    Registry Data Requirements

    • Hospital cancer registries must include items required by both state and hospital registries, based on registry goals and data use.

    Real-Time Reporting Needs

    • Key department data streams within a facility are critical for effective real-time reporting.

    Budgeting for Registries

    • Salaries and benefits are the largest components of a cancer registry's budget.

    Subpoena Types

    • A subpoena duces tecum compels the production of evidence, while a subpoena ad testificandum requires a person to testify.
    • State laws that are more stringent than federal laws take precedence, creating a hierarchy of legal authority.

    Patient Privacy Breaches

    • Accessing medical records without consent, including family and friends, is illegal.

    Regulatory Powers

    • The SEER program and NPCR have congressional authority to enforce cancer data-related laws and regulations.

    Disclosure Record Keeping

    • Cancer registries must maintain records of information disclosures for six years in compliance with HIPAA.

    Data Transmission Permissions

    • Without administrative permission, data cannot be transmitted to central cancer registries or NCDB.

    Cancer Data Reporting Requirements

    • All states have laws requiring cancer data reporting to state or central registries, not specifically to SEER or NPCR.

    Objectives of Cancer Data Analysis

    • The main goal of analyzing cancer data is to prevent and control cancer, influencing resource allocation and treatment evaluations.

    Professional Development in Registries

    • Continuous and self-directed professional development is essential for registrars, involving networking, volunteerism, and ongoing education.### Patient Data and Legal Liability
    • Patients can recover damages from healthcare institutions for unauthorized release of confidential data or failure to protect it effectively.
    • Both scenarios are considered liabilities under healthcare privacy laws.

    HIPAA Regulations Around Record Access

    • State registries must adhere to state laws regarding individual access to health records.
    • Registries establish procedures, formats, timelines, and associated costs for providing medical record access.

    Security Management Planning

    • Involves thorough analysis of data flow and identifying security weaknesses within healthcare organizations.
    • Management is responsible for implementing and overseeing security controls.

    Information Technology Security Risks

    • Significant security risks exist with both email and internet usage due to external network connections.

    Disciplinary Actions for Confidentiality Breaches

    • Policies and procedures determine disciplinary actions that apply uniformly across all organizational levels.

    Local Area Network (LAN) Definition

    • A LAN connects computers within close proximity, such as an office, allowing resource sharing and communication.

    Firewall Definition

    • A firewall protects networks from unauthorized access, implemented through hardware, software, or both.

    Virtual Private Network (VPN)

    • A VPN uses encryption to ensure secure access to remote computers over the internet.

    Computerized Edits Programs

    • Aimed primarily at data standardization, these programs ensure data adherence to coding rules to improve quality and clarity.

    Data Edits Explained

    • Data edits test database entries against predetermined coding criteria to ensure accuracy.

    Single Field Edits

    • Validate individual data fields based on specific criteria, but do not confirm the correctness of related fields.

    Inter-field Edits and Inter-record Edits

    • Inter-field Edits compare related data items within individual records for consistency.
    • Inter-record Edits look across multiple records to ensure uniformity in data items related to the same patient.

    Edit Over-rides Flags

    • Allow registry staff to mark questionable data as correct, thus reducing repetitive reviews for the same issue.

    American National Standards Institute (ANSI)

    • ANSI safeguards assessment systems' integrity; participation is voluntary and standards developed are not mandatory.

    eHealth Exchange

    • Known as the "network of networks," facilitating healthcare information exchange among various stakeholders.

    National Cancer Informatics Program (NCIP)

    • Established in May 2012, NCIP fosters collaboration within a multidisciplinary community focused on cancer informatics.

    Health Level Seven (HL7)

    • A non-profit organization that creates international standards for healthcare interoperability, focusing on clinical and administrative data.

    Logical Observation Identifiers Names and Codes (LOINC)

    • Universal coding system designed for lab and clinical observations, standardizing health data for better interoperability.

    Systematized Nomenclature of Medicine (SNOMED)

    • Comprehensive medical terminology system aiding in the consistent organization and retrieval of healthcare information.

    Health Information Security and Privacy Collaboration (HISPC)

    • Addresses privacy and security challenges in electronic health information exchange across state lines.

    HIPAA Compliance Categories

    • Physical Safeguards: Control physical access to protect sensitive data, includes workstation placement and monitoring.
    • Administrative Safeguards: Establish written privacy procedures as part of organizational policy.
    • Technical Safeguards: Control electronic access to systems and protect data in transit from interception.

    HIPAA Breach Notification Rule

    • Requires covered entities to notify impacted individuals following a breach of unsecured protected health information.

    EHR Incentive Program

    • Provides incentives to healthcare providers for meaningful use of electronic health record systems to enhance patient care.

    Involvement of Stakeholders in EHR Design

    • Registrars must advocate for involvement in electronic health record (EHR) design processes to meet their data needs effectively.### Edit Resolution in Health Coding
    • Edit resolution involves addressing coding errors by educating staff on common mistakes.
    • Staff should not simply override error messages; they must ensure data accuracy first.
    • Potential actions for edit errors include changing codes, setting override flags, or reporting problems with edit logic.

    Health Insurance Legislation

    • The Health Insurance Portability and Accountability Act (HIPAA) protects health insurance for workers and families when transitioning jobs.
    • Title I focuses on insurance coverage; Title II establishes regulations for electronic health care transactions and privacy of data.

    Health IT Training

    • The HITECH Act, part of the American Recovery and Reinvestment Act of 2009, supports workforce training on certified Electronic Health Records (EHRs).
    • Billions were invested to enhance health information technology adoption and improve patient care.

    Medical Terminology Standardization

    • SNOMED is a systematic, computer-processable collection of medical terms for consistent indexing and retrieval of health data.

    Oncology Informatics Program Transition

    • The Cancer Bioinformatics Grid (caBIG) was replaced by the National Cancer Informatics Program (NCIP) following concerns about its effectiveness.
    • CaBIG aimed to create an open-source network for cancer data sharing but faced budget cuts and scope reductions.

    Meaningful Use Compliance

    • Compliance aims for improved quality of care, patient empowerment, and robust health systems research.
    • Requires EHR technology to enhance safety, efficiency, and patient engagement.

    National Provider Identifier (NPI)

    • Required by HIPAA for identifying healthcare providers in electronic transactions.
    • The NPI is a unique 10-digit number replacing other identifiers but does not include a provider's DEA or state license numbers.

    HIPAA Security Safeguards

    • Administrative safeguards include written privacy procedures and vendor compliance for out-sourced business processes.

    HIPAA Privacy Rule

    • The HIPAA Privacy Rule protects individually identifiable health information and grants patient rights over their data.

    Survey Extensions and Data Submission

    • Survey extensions are not granted for unexpected staff changes or software conversions, only for natural disasters.
    • Data resubmissions must adhere to quality criteria and deadlines outlined in annual calls for data.

    Cancer Conference and Education Standards

    • Cancer registry staff must attend relevant educational activities, but patient management conferences do not count.
    • The cancer committee must report on patient or program outcomes annually to maintain commendation.

    Oncology Nursing Standards

    • Nurses caring for cancer patients must possess specialized knowledge and skills in oncology nursing.
    • Annual evaluation of oncology nurse competency is required.

    RQRS Participation

    • Programs undergoing initial accreditation or those specifically for pediatrics are exempt from RQRS participation.

    Quality Improvement Coordinator Responsibilities

    • The coordinator must report findings annually but cannot be the cancer registrar.
    • The coordinator oversees compliance with cancer registry policies and quality control plans.

    Goal-Specific Standards

    • Cancer program goals need to be established each year by the cancer committee and must be specific, measurable, achievable, realistic, and timely (SMART).
    • At least one clinical goal must be set annually related to cancer patient care.

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    Description

    This quiz focuses on key concepts related to cancer registries required by the state, including approval and submission processes. It serves as an educational tool for individuals preparing for the Certified Tumor Registrar (CTR) examination. Test your knowledge and understanding of cancer program requirements.

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