Domain 7 Cancer Program Accreditations

Question 1

How many times per year must RQRS data and performance be reported to the cancer committee?

Answer 1

Twice per year

Question 2

CoC accredited cancer programs cancer committees are required to provide an annual review on how many of the 2020 standards?

Answer 2

12

Question 3

As per the CoC requirement, major components of a hospital cancer program include all of the following except:

Answer 3

Human Resources Officer

Question 4

The Optimal Resources for Cancer Care: 2020 Standards has how many Phase-In Standards?

Answer 4

8

Question 5

Who must provide a letter of authority to CoC accredited cancer programs that includes program description, cancer committee
initiatives, examples of investment, and facility leadership involvement?

Answer 5

The facility leadership (CEO or equivalent) must provide a letter of authority/commitment to CoC accredited cancer
programs that includes program description, cancer committee initiatives, examples of investment, and facility leadership
involvement

Question 6

The Cancer Committee must have non-physician members such as:

Answer 6

CTR

Question 7

According to the Commission on Cancer standards, each year, the cancer program must present a minimum of what percent of the
annual analytic caseload to a multidisciplinary cancer case conference?

Answer 7

15%

Question 8

Staff of the cancer registry who do not have the CTR credential must earn how many hours of continuing education each calendar
year?

Answer 8

3 hours

Question 9

The cancer registry is the responsibility of:

Answer 9

Cancer Committee

Question 10

A ___________ follow-up rate is maintained for all analytic patients diagnosed within the last five years, or from the cancer registry
reference date whichever is shorter.

Answer 10

90%

Question 11

True or False, Non-CTR registry staff may perform casefinding, follow-up and abstracting, only under the supervision of a CTR.

Answer 11

False. Non-CTR registry staff may perform casefinding and follow-up in a CoC accredited cancer program.
Abstracting must be performed under the supervision of a CTR.

Question 12

Of all the cases presented to the Multidisciplinary Cancer Case Conference, a minimum number of _________________
percent must be prospective presentations.

Answer 12

80%

Question 13

An established CoC accredited cancer program with 1-2 deficiencies would be awarded what accreditation?

Answer 13

An established CoC accredited cancer program with 1-2 deficiencies would be awarded a three-year acccreditation
with contingency

Question 14

The frequency of the Multidisciplinary Cancer Case Conference is determined by the_____________________________.

Answer 14

Cancer Program

Question 15

Cancer Committee members or a designated alternate must attend what percent of cancer committee meetings annually?

Answer 15

75%

Question 16

True or False, There are currently nine sections of standards to the Optimal Resources for Cancer Care: 2020 Standards.

Answer 16

True

Question 17

What percentage of eligible cancer pathology reports are structured using synoptic reporting format as defined by CAP?

Answer 17

90%

Question 18

Under the guidance of the Cancer Liaison Physician, or the Quality Improvement Coordinator, at least \_\_\_\_\_\_\_\_\_ Quality
Improvement Initiative(s) take(s) place each calendar year.

Answer 18

One

Question 19

The cancer committee organizes and offers at least one cancer screening program……

Answer 19

Once per calendar year

Question 20

Cancer patients are screened for psychosocial distress at ____________________________.

Answer 20

Least once during the first course of treatment