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Structure & Management Flashcards

1
Q

Themainpurposeofacancerregistryisto:

A

provideinformationtopreventandcontrolcancerandimprovecare

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2
Q

Requiresthatacancerregistrybeamandatorycomponentoftheiraccreditedprogram

A

Commission on Cancer (CoC)

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3
Q

Collectsdatafromselectedstatesandgeographicalareas

A

SEER - surveillance, epidemiology, and end results program

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4
Q

Chargedwithestablishingcentralcancerregistriesinstateswheretheydidnotpreviouslyexist

A

NPCR - National Program of Cancer Registries

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5
Q

Membershiporganizationrepresentingcancerregistryprofessionals

A

NCRA - National Cancer Registrars Association

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6
Q

OverseestheUniformDataStandardsCommitteethatpromotesstandardizeddatatransmission

A

NAACCR - North American Association of Central Cancer Registries

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7
Q

TheNCISEERProgramreceivespopulation-basedcancerdatafrom:

A

selectedgeographicalareas

*TheNCISEERProgramisanationalpopulation-basedcancerregistrythatmonitorsarepresentativesamplingofcertaingeographic
areasorabout26%oftheUSpopulation.SomeentirestatesreportcancerdatatoSEER,whilesomestatesonlyhavecertain
metropolitanareas,suchasDetroitandAtlantathatreportdatatoSEER.

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8
Q

Participation in a specialty cancer registry is:

A

Voluntary.

Participationinaspecialtycancerregistyrisvoluntary.WhileCoCaccreditedcancerprogramsmustreporttheirdatatotheNCDB,
decidingtobeaCoCaccreditedcancerprogramisvoluntary.Therefore,datathatisreceivedbytheNCDBcomesfromthese
programsthathavevoluntarilysoughtCoCaccreditation.

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9
Q

TheAmericanCancerSocietyestimatesthatoneofevery_____deathsinAmericaisfromcancer.

A

Four

4

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10
Q

Hospitalcancerregistrarsobtaininformationaboutacaseforthecancerregistryabstractfrom:

A

thehospital’smedicalrecord
thefreestandingradiationcenteracrosstown
staffandnon-staffphysicianoffices

*Registrarsbridgetheinformationgapandcollectalloftheinformationfrommultiplesourcestocapturecompletecancerinformation
onalloftheirpatients

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11
Q

Eachstandardsettingorganizationrepresentsvaryingregistryinterests.TheCoCrepresents:

A

Hospital Registries

*TheAmericanCollegeofSurgeonsCommissiononCancerisconcernedwithhospitalbasedregistries.Hospitalregistriessendtheir
datatotheCoC’sNationalCancerDataBase.

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12
Q

Whichorganizationactsastheclearinghouseforchangestodatastandardsandstandardizestherequirementsforallstandard
settingorganizations?

A

NAACCR

*ProposedchangestodatastandardsaresenttotheNAACCRUniformDataStandardsCommittee.Thiscommitteeiscomposedof membersfromallofthestandardsettingorganizations.

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13
Q

ThePolicyandProcedureManual:

A

promotesconsistency

servesasatrainingtool
containsthereportablelist

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14
Q

Somevariablesthatmayeffectregistrystaffinginclude:

A

ACoS/CoCaccreditationstatus
completenessofthemedicalrecords
amountofdatatobecollected

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15
Q

TheAmericanCancerSocietyestimatesthatabout_____________________newcasesofcancerwillbediagnosedin2014.

A

1.66million

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16
Q

A Time-andMotionStudycanhelpdetermine:

A

staffingneedsandproductivityrequirements

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17
Q

Themaincomponentsofaregistrybudgetare:

A

Capitalexpenses
Salariesandbenefits
Supplies

Fixedcosts

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18
Q

Cancerregistrarswhoarecertifiedarerequiredtoacquire_______continuingeducation(CE)hoursevery_____year(s).

A

20, 2

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19
Q

TheNationalCancerActof1971,oftenreferredtoasthe”WaronCancer,”establishedthe:

A

NationalCancerInstitute’sSurveillance,EpidemiologyandEndResultsProgram

NCI SEER

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20
Q

Themonitoringcomponentforthehealthfacility’scancerprogramisthe:

A

cancerregistry

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21
Q

Thecancerregistrars’certificationcredentialiscalledthe:

A

CertifiedTumorRegistrar

CTR

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22
Q

Does a Central Cancer Registry use datatosupporttherequirementsoftheCommissiononCancer?

A

NO.

*HospitalregistriesusetheircancerregistrydatatosupporttherequirementsoftheCommissiononCancer.

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23
Q

Thefirststepindeterminingstaffing,officespaceandequipmentneedsisto:

A

Establish the caseload.

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24
Q

Nationalreportingrulesandrequirementsensurethatthedatacollected,regardlessofwhereitiscollected,is:

A

Standardized
*Thestandardsettingagenciesprovidesreportingrequirementstocancerregistries.Theserequirementsensure
thatwhatonecancerregistrarinonefacilitycollectsiscollectedthesamewayasanothercancerregistrarinanotherfacility-
whetheritbeinthesamecity,stateorontheothersideofthecountry.Thisiscriticalinbeingabletocombinedata
intolargerdatabasesandtobeabletocomparedatacollectedfrommanysources.Itiswhatmakesthedatameaningfultotheusers
ofthedata.

25
Q

UndertheHIPAArules,canonehospitalcancerregistryprovidefollow-upandtreatmentinformationtoadifferenthospitalcancer
registry?

A

Yes,aslongasbothhospitalshavehadarelationshipwiththepatient

26
Q

UndertheHIPAArules,canthe
hospitalregistryreportcasesof
cancertothecentralcancer
registry?

A

Yes,abusinessagreementof
patientauthorizationisnot
required.

27
Q

Individuallyidentifiable
informationincludesallofthe
following:

A

Theabilitytodeductthepatient’sidentity

patient’saddress

patient’streatment

*Individuallyidentifiablehealthinformation
referstoinformationrelatedtothepatient.

28
Q

Thecancerregistryshoulddo whichstepswhenevaluating
confidentiality& security
procedures:
AIdentifytherisksofdisclosureofconfidentialinformation
BCreateandimplementaplantoreducetheriskofreleasingconfidentialinformation
CTrainalldepartmentstaffontheprivacyandsecurityofconfidentialinformation
DMonitortheimplementationandcorrectanybreachesofpolicyandprocedure

A

All of the above

29
Q

Why does TheHIPAAPrivacyRulerequiresaBusinessAgreementfor business:

BetweenahospitalandtheAmericanCollegeofSurgeons

Betweenahospitalandregistrarsunder
contractfromavendor

A

abusiness agreementisnecessaryforACoS/CoCAccreditedCancerProgramstoprovideinformationforaccreditation
purposes.
ThePrivacy
Rulerequiresbusinessagreementswith
entitiesthatcarryouthealthcarefunctionsonbehalfofcoveredentities(vendorsfor
contractservices)whilestateandregional
cancerregistriesareactingonbehalfofthe
state,notthecoveredentity.

30
Q

T or F

Everyonewhoworksin
department,includingunpaid
volunteers,contractemployees,and
casuallaborers,mustbetrainedonHIPAA

31
Q

T or F

TheHIPAAPrivacyRule allowssharinginformation
betweenfacilitiesifbothhadarelationship
withthepatient;statelawallows
forstate
registrystafftoauditcancerinformationby
viewingpatientrecords.

32
Q

Registrarshaveaprofessional

codeofethicspublishedbywhich organization?

A

NCRA

National Cancer Registrars Association

33
Q

Whenwerecoveredentities,otherthansmallhealthplans,required
tofullycomplywiththeHIPAA
rules?

34
Q

Confidentialitypoliciesandproceduresshouldprotecttheprivacyof:

A

Patients

Physicians

Healthcarefacilities

35
Q

TheHIPAAPrivacyRulegivesan
individualarighttoanaccountingofdisclosuresoftheirhealth
information

except:

A

Disclosuresnecessarytocarryouttreatment

Disclosuresnecessarytofilefor
billingreimbursement

36
Q

Thecancerregistry’s
confidentialitypoliciesand
proceduresforthereleaseof
cancerregistrydatashould…

  • Beapprovedbytheinstitutionandthecancer
    committee.
    -Clearlydefinecircumstancesunderwhichthe
    registrycanreleaseinformation.
    -Includeemployeeconfidentialitypledges.
    -Alloftheabove
A

All of the Above

37
Q

AreturnaddressusingthewordsCancerRegistry,orothersimilartermsshouldnotbeusedonenvelopescontainingmaterialsor
requestsforinformationthataresenttopatientsprimarilybecause:

A

It violates the patients privacy

38
Q

T or F

Hospitalcancerregistry
employeeswithcomputeraccesstothe
facility’selectronicmedicalrecordareallowed
tolookupinformation ontheirown
noncancerrelatedhospitaladmissionswithouthavingtogothroughtheformalreleaseof
informationprocess.

A

False

*Cancerregistrarshavealotof
informationattheirfingertips,evenmoresoif
thefacilityhasanelectronicmedicalrecord.
Thecancer registryshouldonlybeaccessinginformation
thatisnecessarytocompleteassignedjob
duties.

39
Q

Administrativelawsorrulesdefinewhichofthefollowingfor
reportingcancerinformationto
Statecancerregistries?

  • Whoisrequiredbylawtoreportcancercases
    -Howtoreportcancercases
  • Whichcasesmustbereported
  • Penaltiesfornoncompliance
    -Alloftheabove

Why?

A

All of the Above

Because:

Statutorylawisthelegislationthatrequires
statecancerreportingwhiletheadministrativelawshouldclearlydelineatewho,what,
whenandhowofcancerreporting.The
administrativelawprovidestheinformationto
complywiththestatuteforreporting.

40
Q

Acommunitygroupwantsto
investigateaveryraretypeof
cancer.Thecancerregistry
providesareportwiththesurvivalrates
groupedbythetypeofsurgeryandtheprimarysurgeon.Isthisviolatingconfidentiality?

Why?

A

Yes

Confidentialityproceduresshouldalsoprotecthealthcareproviders
inadditiontothepatient.

41
Q

Whenthedataiscombined,whichtwo agenciesareabletoprovidedatacovering100%oftheU.S.population?

A

NPCR and SEER

Approximately96%ofallcasesofcancerdiagnosedeachyeararereportedto
NPCR.Thisisduetothefactthatthefocusis
coveringthepopulation.SEERandNPCRwork
incooperationwitheachother.Whenthe
NPCRdataiscombinedwiththeSEER
data,100%ofpopulationisincluded.

National Program of Cancer Registries
Surv, Epidemiology, and End Results

42
Q

Theprocessofconvertingthe
medicalrecordinformationinto
standardizedcodeswithina
uniformdatasetiscalled:

A

Abstracting

43
Q

ThegeographicareasselectedforinclusionintheSEERProgram
wasbasedontheir:

A

Epidemiologically
significantpopulationsubgroups.Thesegeographicareaswere
selectedforinclusionintheSEERProgram
basedontheirabilitytooperate
andmaintainahighqualitypopulation-basedcancerreportingsystem. ThepopulationcoveredbySEERiscomparabletothegeneralUSpopulationwith
regardtomeasuresofpovertyandeducation.TheSEERpopulationtendstobesomewhatmoreurbanandhasahigherproportion
offoreignbornpersonsthanthegeneralUS
population.

44
Q

Thecentralcancerregistrystrivesfortheprimarysourceofcancer
casestobefrom:

A

Reportingofcasesbythefacility
thatdiagnosedand/ortreatthepatient.

Othermethodsidentifymissing
casesandhelptoimprovecasefinding
processessothattheidentificationofcasesistakingplacewhereitshouldbe-atthefacility
thatdiagnosedortreatedthepatient.

45
Q

TheprimaryfoundationofdatacollectionforcancerregistrationintheUSis?

A

ACS - American Cancer Society

**Theprimaryfoundationforcancerdataishospitalregistry.

46
Q

Mostcentralcancerregistries
requirethat_____________be
abstractedandreported.

A

Both analytic and non-analytic cases

*Rememberthatthecentralregistryistryingtoidentifyallcasesofcancerwithinadefined
population.Whileitisimportant,forcase
ascertainmentpurposesthereislessfocusonwhythepatientwasseenatthereporting
facilityandmoreonensuringthatallpatients
withadiagnosisofcancerareincluded.

47
Q

Whichcancerregistriescan
calculateincidenceandmortality
rates?

A

Statepopulation-basedcancerregistry

*Ratesarecalculatedusingthenumberof
newcancercasesdividedbythepopulationatrisk.Thestateregistryhasalloftheknown
cancercaseswithinthestate’sboundaries.

***Onlypopulation-basedregistriescancalculaterates.

48
Q 
Comparingtheoriginalsource
documenttothecodeddata
submittedtothecentralcancer
registrytoidentifyerrorsisa
quality controlactivitycalled:
A

Re-abstracting Audit

49
Q

DescribetheNationalCancerDataBase?

A

It is a Multi-hospital central cancer registry.

50
Q

Inapopulation-basedcentralcancerregistry,

whatoccursinthepatientmergeprocess?

A

Alistofpatientsthatsharesomeofthesamepatientidentifiersisgenerated

Alistofpossiblepatientmatchesisgenerated

51
Q

What are the reporting requirementsforthestatecentralcancerregistry?

A

Statereportingrequirementsare
definedbylegislationandshould
includewhichcasestoreport(thereportablelist),startingwith
January1ofagivenyear(thereferencedate)
andanyambiguousterminologythat
constitutesadiagnosisofcancer.Ofcourse,
otherissuesareaddressedaswell.

52
Q

Caseconsolidationisamajorresponsibilityof:

A

Central Registries

53
Q

Thecommitteeresponsiblefor
providingaformalmechanismforreviewingandrecommending
proposedchangesindatacodes
and/ortheadditionofnewitemstoensurethatdataremaincomparableamongcentralregistriesisthe:

A

Uniform Data Standards Committee

54
Q

Thetwomainfundingsourcesin

theUnitedStatesforpopulation-basedcancerregistriesare:

A

NCIandCDC

*TheNCIfundstheSEERCancerRegistriesandtheCDCfundstheNPCR
CancerRegistries.TheNCDBisnota
population-based
centralcancerregistryandisfundedbythe
ACoSandtheAmericanCancerSociety.

55
Q

Inadditiontoreceivingcasesof
cancerfromhospitalregistries
andphysicianoffices,thecentralcancerregistryalsoidentifies
eligiblecasesthrough

A

Exchangingdatawithotherstate
centralcancerregistries

Matchingdeathcertificateswiththecentral
cancerregistrydatabase

Matchingpathologyandcytologyreportswith
reportsfrompathologylaboratories

56
Q

Inapopulation-basedcentralcancerregistry,
whatoccurs inthecancercasereconciliation
process?

A

Multiplecancerrecordsforthe
samepatientthathavebeen
reportedbyseveralfacilitiesare
reviewed.Thesearemerged(or
reconciled)intoonecancerrecordwiththebestinformationfromallfacilities.

57
Q 
Statecentralcancerregistries
requirethepatient'sstreet
address,countyandzipcode
primarilyforwhichofthe
following?
A

Thepatient’saddress(street,
county,zip)isusedtogeocode
recordstoinferageographic
locationthatisusedtoaidinthe
investigationofsuspectedcancerclusters.

58
Q

TheJanuary1referencedatefor

thestartdateofdatacollectionbytheregistryisusedby:

A

Both Hospital and Central Registries

Cancer Registry (1 decks)

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