Serves as a Certified Tumor Registrar (CTR) in the Data Quality Branch, Cancer Data Management (Tumor Registry) Service, Department of Surgery, Brooke Army Medical Center (BAMC). The database is a requirement for establishing and maintaining an American College of Surgeons Commission on Cancer (CoC) accredited cancer program. This position is responsible for assuring data quality is compliant with cancer program standards.
Performs a wide variety of technical functions necessary for the development and analysis of diagnostic and therapeutic cancer data to function as a Certified Tumor Registrar. Independently plans, resolves problems, adjusts, and carries out assignments as defined by the overall objectives, priorities, and deadlines set forth by the supervisor. Performs and ensures uniform and consistent coding and reporting of all diagnoses according to program and regulatory requirements and guidelines. Electronically abstracts and codes core information from the patient medical records (both hard copy and electronic as needed) to include demographic data, social history, history of cancer, diagnostic work-up, diagnosis, stage, extent of disease, and treatment procedures using current required references. Codes topography and morphology of registered tumor cases. Ensures proper sequencing of primary tumors, assures accurate documentation of procedures, and provides sufficient text documentation to support the National Cancer Data Base (NCDB), Cancer Program Practice Profile Reports (CP3R), and Rapid Quality Reporting System (RQRS). Responsible for identifying areas for coding/documentation improvement in all areas to enhance data quality and minimize patient risk. Provides feedback to the Case Ascertainment Branch to improve case reporting from all facilities within Brooke Army Medical Center and Wilford Hall Ambulatory Surgical Center. Responsible for assisting with the implementation, training, and sustainment of new/changed cancer program/legislative reporting requirements for all Cancer Data Management
Service personnel. Works with the Texas Cancer Registry and other standard setters to improve business processes and data quality, and evaluates feedback from review organizations and uses results as a basis for training.
Conducts workload accuracy audits ensuring compliance that may result in substantial changes to coding practices with broad potential mission impact. Assists in development of policy to improve accuracy, completeness, flow and collectability of cancer data. Facilitates coding timeliness and accuracy resulting in opportunities for clean audits and data submissions. Recommends changes to Cancer Data Management Quality Control Plan, Cancer Data Management Policy and Procedure Manual, processes, and procedures as required to meet goals and objectives. Prepares submissions to supervisor on coding and audit activities pending or completed. Provides in-house training to physicians, medical records technicians, and administrative personnel on issues concerning legislative requirements for cancer reporting, cancer program accreditation, AJCC staging, and cancer research opportunities. Prepares reports and research data, workload statistics and projects.
Serves on the Cancer Committee and assists with the preparation of, and participation in, the cancer program accreditation survey. Briefs the Cancer Committee, service chiefs and other interested parties as necessary. Interfaces with other areas of the hospital and outside organizations to obtain the proper information needed to accomplish tasks (i.e., information management for computer support or questions, physicians to clarify patient care issues, congressional representatives to encourage passage of new legislatives, the CoC to discuss discrepancies in cancer program requirements, etc.). Serves as a member/chair of the multispecialty
Cancer Data Quality or Tumor Board subcommittee with specific metrics reported to the Cancer Committee quarterly. Maintains detailed records on all subcommittee meetings, attendance, compliance rates, and other information relating to accreditation. Assists in planning and organization of the subcommittee meetings to include scheduling meetings, reviewing site setup, notifying participants, and taking committee minutes. Tabulates review data and enters into the Commission on Cancer (CoC) Program Activity Report (PAR) or Survey Activity Report (SAR) databases for reporting to the Cancer Committee and other elements.
Performs other duties as assigned.
- NCRA Certification as a Certified Tumor Registrar
- Knowledge of current cancer program accreditation standards as established by the Commission on Cancer to include quality control planning of cancer registry data; the role of the coordinator in the management of cancer data quality; confidentiality of cancer data; the objectives, methodology, the effectiveness of in-service education programs, and Tumor Board requirements.
- Knowledge of the organizational characteristics of cancer registries to include the organizational processes for planning, organizing, and operating a registry for the purposes of data collection, patient follow-up, survival analyses, report preparation, and special studies.
- Knowledge of the legal and regulatory requirements (state and federal) rela ting to cancer reporting, HIPAA, Privacy Act, release of information, and cancer research requirements.
- Knowledge of all recognized reference material (current and historical) to adequately perform abstracting or reabstracting duties. These references include, but are not limited to, International Classification of Diseases for Oncology (ICD-O-3), Multiple Primary and Histology (MP/H), Facility Oncology and Registry Standards, , American Joint Committee on Cancer (AJCC) Cancer Staging Manual, , Summary Staging, SEER Rx, Hematopoetic Database, and the Texas Cancer Reporting Handbook.
- Knowledge of medical terminology, human anatomy and physiology in order to identify the organs and structures of the body affected by cancer and the systems and routes of cancer spread.
-Knowledge of cancer, the disease and its management, to encompass the definition, etiology , and treatment, differences between benign and malignant disease, differentiation (grading), specific diagnosis and treatment for each type of reportable diagnosis and the spread of malignant disease.
-Knowledge of basic statistics.