Quality Assurance Flashcards
Free software program developed by the CDC that checks cancer registry data for accuracy.
EDITS
A set of instructions necessary to run GenEDITS; a file containing everything needed to edit a data file except the data itself.
Metafile
A single value in a computer record. Also called a data item.
Field
A computerized comparison of data fields for logic and accuracy is a(n) _____ check.
Edit
Data edits should be applied to the data as close as possible to the time of abstracting so errors can be corrected immediately.
True or False?
True
Which type of edit compares data entered into two or more fields?
A. Single-Field/Item edit.
B. Inter-field/Multi-Field edit.
C. Inter-Record/Multi-Record edit.
D. Single-Record edit.
B. Inter-Field/Multi-Field edit.
Major changes to data are implemented on a ______-year cycle.
3-year
Minor changes to data may be implemented annually.
True or False?
True.
Individual data checks that contain the logic needed to edit each field are called ____
Edits
Groups of individual edits combined for a specific purpose are called _______.
Edit sets
Data quality is important because inconsistent quality and loss of data integrity will lead to a loss of credibility and threaten the future of the cancer registry.
True or False?
True.
______ edits are the single-most important cancer registry quality assurance tools available.
Standardized
The itemized list of failed or reviewable edit checks is called the ____ report.
Edit
A type of edit that recognizes when the patient has more than one abstract in the registry, and that they’re in conflict with each other is called a(n) _____ edit.
Inter-Record
The three key components of data quality are:
Completeness, Accuracy, Timeliness.
The measurement of the number of cases missed or of missing data is called _____
Completeness
What kind of program implements the routine use of various quality control methods in an organized and planned manner?
Quality control program
An example of a “built in” quality control method is a
A. Casefinding audit.
B. Comprehensive procedure manual.
C. Clearly written data acquisition manual.
D. Both B and C
D. Both B and C
Ensuring the completeness and accuracy of casefinding, abstracting, follow-up, and reporting activities is called
_______ control.
Quality
Manually checking all aspects of the abstract, comparing codes with supporting text, and using judgment is what type of editing/review?
Visual
A code outside of an allowable range would fail what kind of edit check?
Range/allowable code check
The error of a male patient being diagnosed with a gynecological cancer would be found by what type of edit check?
Interitem edit check
A type of edit check that examines data between related records, such as demographic information, or number of primaries is called
a(n)_________ edit check.
Inter-record
A type of edit check that compares data in the abstract with other sources of information such as death certificates, or special studies is called a(n) _____ edit check.
Interdatabase
A quality control practice in which samples of abstracts are recoded and reviewed by an experienced staff member based on the text provided is called a ______ audit.
Recoding
A study that assesses the quality of collected data by having a qualified staff member reabstract a sample of cases from the original source documents is called a(n)______ study.
Reabstracting
What section of the abstract is vital to data completeness, and is used to support and explain coding choices?
Text
The degree to which various stages of the registry process occur on schedule is called ______
Timeliness
What are the five major quality attributes in a cancer registry?
- Case Completeness.
- Data Completeness.
- Accuracy.
- Coding Consistency.
- Timeliness.
The frequency rate for “unknown” codes should be monitored as part of a quality control program.
True or False?
True
What type of abstracting makes registry data available immediately?
Concurrent abstracting
What is the real-time data collection program that evaluates care in the hospital against National Quality Forum-endorsed quality of care measures?
The CoC’s Rapid Quality Reporting System (RQRS)
What concurrent abstracting system replaced the CoC’s Rapid Quality Reporting System in January 2020, and incorporates quality measures and follow-up information?
The Rapid Cancer Reporting System (RCRS)
NAACCR standards state that the central registry should contain at least _____% of expected cases of reportable cancer within 23 months of the close of the diagnosis year.
95%
SEER requires ____% complete counts of new cases for a calendar year within 22 months of the end of that calendar year.
98%
Designed studies and audits only have a direct effect on data quality if the results of the studies are acted on.
True or False?
True
The cancer registrar does not serve a major role in maintaining the quality of the cancer program.
True or False?
False.
Who works closely with the Quality Improvement Coordinator to develop and assist with quality studies?
The cancer registrar.
Who is usually responsible for documenting studies and quality improvements in the Pre Review Questionnaire (PRQ)?
A. The cancer committee.
B. The HIM supervisor.
C. The cancer registrar.
D. The quality improvement coordinator.
C. The cancer registrar.
Who is responsible for implementing a cancer registry quality control plan?
The cancer committee
Who assigns a coordinator to implement and monitor the quality control plan?
A. The cancer registrar.
B. The cancer committee.
C. The quality improvement coordinator.
D. The HIM supervisor.
B. The cancer committee.
Quality control must be documented in the registry procedure manual.
True or False?
True
What is the CoC’s established acceptable rate for unknown stage?
A. 5% of cases or less.
B. 10% of cases or less.
C. No more than 15% of cases within a 3-year period.
D. The CoC has not established a rate.
D. The CoC has not established a rate.
A rate of less than 10% is suggested by most registrars.
The ______ is responsible for quality improvement of the cancer program and monitoring the effectiveness of cancer management
activities.
A. The CoC.
B. The cancer registrar.
C. The quality improvement coordinator.
D. The cancer committee.
D. The cancer committee.
Who develops, analyzes and documents the required study that measures the quality of care and outcomes for patients with cancer?
A. SEER.
B. The quality improvement coordinator.
C. The cancer committee.
D. CoC/NCDB.
B. The quality improvement coordinator.
The acceptance or rejection of a product based on results of inspection is called ______ sampling.
Acceptance
The CoC no longer has a required timeframe for the completion of an abstract.
True or False?
True.
What timeliness monitoring method evaluates the accumulation of cases over months or years?
Accrual method
What timeliness monitoring method evaluates the length of time between critical events in the data acquisition process?
Process monitoring method
What free online application describes all standard edits with links to the item definitions and explanations for interpreting them?
Registry Plus Online Help
What do Clinical Checks evaluate?
They review breast and colon cancer cases with specific tumor characteristics to ensure the treatment given was consistent with widely recognized standards of care.
Testing and evaluating data or procedures in a registry is an example of
A. Quality assurance.
B. Quality control.
C. Process improvement.
D. None of the above
B. Quality control.
How can a registrar quickly identify whether unknown or ill-defined codes are used too frequently?
A. Implement process controls (computerized edits)
B. Perform a recoding audit
C. Perform a reabstracting study
D. Both (a) and (b)
A. Implement process controls (computerized edits)
According to the William Deming’s kp Rule, which statement(s) is true as it relates to the review and acceptance of data?
A. Inexpensive forms of review should be done on all cases.
B. Expensive forms of review should be targeted at only specific groups of cases.
C. Review of data should only be done when necessary.
D. Both (a) and (b)
D. Both A and B
What term refers to the review process of identifying incomplete or inaccurate codes and information for individual abstracts?
A. Edit review
B. Text review
C. Visual review
D. None of the above
C. Visual review
The procedures designed to improve quality are referred to as
A. Quality assurance procedures.
B. Quality control procedures.
C. Both (a) and (b)
D. Neither (a) nor (b)
B. Quality control procedures.
Historical data reviews are typically performed to assess
A. Incidence completeness.
B. Data accuracy.
C. Both (a) and (b)
D. Neither (a) nor (b)
A. Incidence completeness.
Which type of activities help make sure you are doing the right things, in the right way?
A. Quality assurance
B. Quality control
C. Process improvement
D. None of the above
A. Quality assurance
What type of audit compares the reportable cases identified during the review of pathology reports by the central registry staff against the tumors reported by the hospital registry?
A. Reabstracting audit
B. Recoding audit
C. Facility audit
D. Casefinding audit
D. Casefinding audit
What primary method(s) of quality control is required to be performed by all facilities reporting data to the National Cancer Data Base (NCDB)?
A. Physician review of the coding on a minimum of 5% of the cases submitted.
B. Registrar review of the coding on a minimum of 10% of the cases submitted.
C. Running and resolving issues identified using the current version of GenEDITS Plus software.
D. B and C
C. Running and resolving issues identified using the current version of GenEDITS Plus software.
Finding a female with a diagnosis of prostate cancer is an example of a/an
A. Single-field edit
B. Inter-record edit
C. Inter-field edit
D. Item edit
C. Inter-field edit
I’m doing an audit of the cancer cases in your hospital, it is acceptable to use
A. Analytic cases only
B. Non-analytic cases only
C. Comparison from another hospital
D. Cases currently free of disease only
A. Analytic cases only
Which NCDB quality cancer reporting tool is the quality data platform for all NCDB data submissions and quality measures for the National Cancer Database?
A. NCDB Rapid Cancer Reporting System (RCRS)
B. Data Completeness and Default Overuse Report
C. Cancer Quality Improvement Program (CQIP)
D. None of the above
A. NCDB Rapid Cancer Reporting System (RCRS)
What does the quality improvement acronym PDCA mean?
Plan, Do, Check, Act
Plan, Do, Check, Adjust
What study(ies) involves a sample of data collectors abstracting the same set of charts in order to review the range and consistency of the coding submitted?
A. Reliability study
B. Reabstracting study
C. Both (a) and (b)
D. Visual review
A. Reliability study
How can registry timeliness be evaluated?
A. Performing a reabstracting study
B. Performing a reliability study
C. Performing a recoding audit
D. Performing a monthly lag-time report
D. Performing a monthly lag-time report
The _____ is the result of the edit process on a file or on one case.
A. Edit set.
B. Edit report.
C. Data report.
D. Productivity sheet.
B. Edit report.
The ______ is the key to understanding how to correct an error.
A. Error message.
B. Edit set.
C. Edit override.
D. Data set.
B. Error message.
What is an indication that a case was reviewed by the managing physician, supervisor, or Cancer Committee, and any unusual data was determined to be correct?
A. An error report.
B. An edit override flag.
C. A record layout.
D. None of the above.
B. An edit override flag.
What is a benefit of edit override flags?
They eliminate the need to review the same case multiple times.
Standard data edits are created to test data against ______
A. Other registrars’ abstracts.
B. Current incidence rates.
C. Common coding errors.
D. Coding rules.
D. Coding rules.
The Quality activity that is proactive, preventative, and focuses on methods used to safeguard quality and prevent errors is called
Quality assurance
The Quality activity that is reactive, corrective, and focuses on identifying errors after they are made is called
Quality control
What are the three edit components?
Metafile, Edit Set, Individual edits
A named grouping and organization of fields from the Data Dictionary into a particular file format, such as the NAACCR Data Exchange Record, is called a _______
Record Layout
Reference tables within the metafile for performing lookups and for building list choices are called ______
User lookup tables
What are the three categories of quality control methods?
Acceptance sampling, Process control, Designed studies
Quality is typically defined as
Fitness for use
An annual quality control plan required by the CoC for hospital cancer registries is an example of
A. Quality assurance
B. Quality control
B. Quality control
Who develops and implements a hospital registry’s quality control plan?
A. Quality manager
B. Cancer Committee
C. Cancer registrar
B. Cancer Committee
What are the three major categories of quality that are connected through a feedback loop?
Quality of design, Quality of conformance, Quality of performance
Acceptance sampling, process control and designed studies are all _______ activities.
Quality control
Visual review, edit checks, edit rejection rates and recoding audits all measure _____
Accuracy
Casefinding audits, death certificate only percentages, historical data reviews, and independent case ascertainment measure _______
Case incidence completeness
Computer edit check data query, CoC survey review, use of “unknown,” monthly central registry reporting, and reabstracting studies measure ______
Data completeness
A reliability study is a designed study that measures ______
Data consistency
The CoC survey review and lag time in reporting measure ______
Timeliness
Recoding audit, ICA, reabstracting study, and reliability study are all examples of ________
A. Quality assurance
B. Designed studies
C. Process controls
B. Designed studies
Edit rejection rates, death certificate only percentage, historical data review, lag time in reporting, use of “unknown,” and monthly central registry reporting are all examples of
A. Acceptance sampling
B. Designed studies
C. Process controls
C. Process controls
Visual review, computer edit checks, casefinding audit, data query, and the CoC survey review are all examples of
A. Acceptance sampling
B. Process controls
C. Designed studies
A. Acceptance sampling
In a hospital casefinding audit, what percentage of radiology oncology logs and what percentage of the disease index is sampled?
100% of the radiation oncology logs
About 25% of the disease index
Casefinding audits can be performed by both hospitals and central registries.
True or False?
True
The scope and time frame for a casefinding audit done by the hospital is defined by the hospital itself.
True or False?
True
A central registry performs casefinding audits on hospitals to determine whether casefinding is complete.
True or False?
True
When a central registry does a casefinding audit of a hospital, the number of months reviewed depends on
A. The size of the hospital
B. What the hospital agrees to
C. The three most diagnosed cancers at the hospital
A. The size of the hospital
What is the most costly, and less commonly used,) method of assessing case completeness?
Independent Case Ascertainment (ICA)
What are considered the quality-control gatekeepers?
Edits
Routine and automated edit checks should be applied to ____% of a registries cases?
100%
Central registry monitoring of facility case Completeness should be performed
A. Annually
B. On an ongoing basis
C. Quarterly
B. On an ongoing basis
Who is responsible for supervising the quality control of the cancer registry data?
A. The cancer registrar
B. The Cancer Registry Quality Coordinator of the Cancer Committee
C. Quality assurance department
B. The Cancer Registry Quality Coordinator of the Cancer Committee
As part of the Quality Control Policy, what is the minimum percentage of annual analytic caseload to be reviewed each year for accuracy?
A. 10%
B. 15%
C. 20%
A. 10%
What are the three Statistical Quality Control activities of the cancer registry?
Acceptance sampling, process control, and designed studies
What type of quality control monitors trends in data, such as an increase in rejected edits?
Process control monitoring
What is an excellent way to identify areas in need of training?
Recoding audit
To easily identify potential miscount by a CTR or more broadly across the registry, what kind of report should you run?
Data Query Report
Too many unknowns in your data point to the need for what two actions?
A recoding audit and/or retraining
If you wanted to compare the accuracy of registry data to source documents, identify coding problems, and develop guidelines and rules for abstracting, what kind of study would you perform?
A reabstracting study
Visual review, edit checks, casefinding audit, data query, and the COC survey are all forms of what type of quality control method?
Acceptance sampling
Monitoring the edit rejection rate, the DCO percentage, the use of unknowns, the lag time in reporting, and performing a monthly central cancer registry report, and a historical review are all forms of what kind of quality control method?
Process control
A recoding audit, ICA study, reabstracting study, and reliability study are all forms of what kind of quality control?
Designed study
There is no designed study to measure timeliness.
True or False?
True
Data consistency cannot be measured by acceptance sampling or process control.
True or False?
True
