Standards and Conference Flashcards
Which statement is true regarding the CoC survey process?
A. The survey process is the same for all facilities.
B. Surveyors are employees of the CoC.
C. The cancer program team is allowed to respond to program deficiencies only following the conclusion of the site visit.
D. The process differs depending on the type of facility being surveyed.
D. The process differs depending on the type of facility being surveyed.
What type of Commission on Cancer (CoC) accreditation award is given to a new program rated deficient in 1 standard?
A. Three-Year Accreditation
B. Three-Year Accreditation with Contingency
C. Non-accreditation
D. None of the above
B. Three-Year Accreditation with Contingency
How long does an established cancer program have to resolve a Commission on Cancer (CoC) deficiency if it received a “Three-Year Accreditation with Contingency” award following a survey?
A. 12 months
B. 9 months
C. 6 months
D. 1 month
A. 12 months
How long is the CoC accreditation cycle?
Three years
Who assures the cancer program’s compliance with the standards and readiness for survey at any time?
A. The cancer liaison physician.
B. The cancer committee.
C. The CTR.
D. The cancer committee chair.
B. The cancer committee.
How often does the cancer committee assess the cancer program’s performance?
A. Annually.
B. Every three years.
C. Every six months.
D. Assessment is ongoing.
D. Assessment is ongoing.
Who appoints the key contact for the accreditation survey?
The cancer committee
Who coordinates the arrangements and preparations for the on-site visit?
A. The cancer program administrator
B. The key contact
C. The consultant team
D. The cancer liaison physician
B. The key contact
A CTR can be a member of the CoC-trained Cancer Program Consultant Team to help facilities establish and grow the cancer program.
True or False?
True
What should a cancer program do if there have been changes to its program or program staff during the 3-year accreditation cycle?
A. Nothing should be done as long as the program is still in compliance.
B. Contract a CoC consultant to perform a program assessment to avoid any deficiencies.
C. Apply for a postponement of their next on-site visit.
D. None of the above.
B. Contract a CoC consultant to perform a program assessment.
The CoC provides an initial survey notification to the cancer registrar at each program due for survey by what date of the year before the survey?
July 1
How much time does the on-site visit require?
A. One day (6 hours)
B. Two or more days for Network Cancer Programs.
C. Half a day (3 hours)
D. Both A and B
D. Both A and B
The on-site survey is
A. Evaluative
B. Educational
C. Both A and B
D. For information gathering only
C. Both A and B
Each year, the cancer committee reviews the performance measure data for cases of breast and colon cancer that are displayed in the CoC’s ______ report.
CP3R
Which inpatient unit must be part of the facility tour?
Medical oncology or its equivalent
To assess timeliness of abstracting, ____ abstracts in total are selected from the 3-year accreditation period and reviewed.
30
How many pathology reports are selected for review during the accreditation survey?
30
Within ___ weeks after the survey, the cancer program team meets to discuss the survey experience and complete the online post survey evaluation form.
2
To be accredited by the CoC, a program must be in compliance with at least ____% of the standards.
80%
A program surveyed by the CoC will be awarded one of three levels of accreditation. What are they?
Full Accreditation
Accreditation with Contingency
Nonaccreditation
What accreditation do established programs with fewer 1-7 deficiencies, or new programs with 1-2 deficiencies receive?
Accreditation with Contingency
What accreditation do established programs with 8 or more deficiencies, or new programs with 3 or more deficiencies receive?
Nonaccreditation
What accreditation does a program, established or new, receive when there are no deficiencies?
Full (3-year) Accreditation
How long does a cancer program have to resolve deficiencies and receive a full 3-year accreditation?
12 months