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Newsletter Summer 2021
Mississippi Cancer Registry
June 2021 | Volume 16 Issue 2
2021 MCR Virtual Fall Educational Workshop
Educational Corner
Abstracting Resources
Upcoming Webinars | CTR Exam Dates
MCR Staff
MCR 2021 Virtual Fall Educational Workshop
September 16, 2021
PREPARE. SUCCEED.
Presentations:
Efficient Abstracting
- Identify areas that adversely affect productivity
- Discover how to achieve maximum productivity with minimum wasted effort
- Learn tips that can be utilized to ensure you are being as efficient as possible
Abstracting Head & Neck: A CTR's Perspective
- Recognize the complexity of Head & Neck cases
- Identify effective ways to use manuals in abstracting Head & Neck, specifically Solid Tumor Manual & AJCC Staging Manual 8th Edition
- Learn how to assign a primary site & AJCC Stage to a Head & Neck case
SSDIs: Breaking Down the Rules
- Understand the general rules for coding lab values & basic measurements
- Understand the SSDI description & rational for data collection
- Utilize the SSDI coding guidelines & site-specific notes to guide accurate coding
- Accurately assign SSDIs through case examples
Quality Initiatives – What's Changed?
- Discuss the changes in the CoC Quality Standards
- Discuss how to identify an area of improvement
- Discuss Quality Improvement Tools & implementation
Registration Information Coming Soon
Educational Corner
Head & Neck: Coding Primary Site When There is Conflicting Information
Use the following priority order:
Tumor Board
- Specialty
- General
Tissue/path from tumor resection or biopsy
- Op report
- Addendum/comments on path
- Final dx on path
- CAP protocol/summary
Scans
- CT > MRI > PET
Physician documentation of site
- Physician reference to primary site from original path/cytol/scans
- Physician reference to site in medical record
Tables 1-9 (Solid Tumor Rules for Head & Neck) when SINGLE lesion overlaps 2 or more sites
- Compare histology in tables for each involved site
- When histology listed in only one of the tables, code that primary site
Resource: Solid Tumor Rules
For questions, contact: Angel Davis, CTR - adavis6@umc.edu
Abstracting Resources
AJCC Cancer Staging Manual
Cases with a diagnosis date of 01/01/2018 and forward should be staged using the AJCC 8th Edition Cancer Staging Manual. The 3rd printing 2018 Edition is now available.
Please visit https://cancerstaging.org/references-tools/deskreferences/Pages/8EUpdates.aspx# for all 8th Edition updates and corrections. For all other information, visit https://cancerstaging.org/Pages/default.aspx.
Summary Stage 2018
The 2018 version of Summary Stage applies to every site and/or histology combination, including lymphomas and leukemias. Summary Stage uses all information available in the medical record; in other words, it is a combination of the most precise clinical and pathological documentation of the extent of disease. The Summary Stage 2018 manual is available at https://seer.cancer.gov/tools/ssm/.
Site Specific Data Items (SSDI)
Site Specific Data Items (SSDI) are similar to the Site Specific Factors (SSF) collected with Collaborative Stage. These data items are specific to certain site/histology combinations. For example, the SSDIs for breast will be used to collect information such as estrogen receptor status, progesterone receptor status, Her2 status, Nottingham grade, and additional information related to primary tumors of the breast. The information collected in these data items are specific to breast. The SSDI manual is available at https://apps.naaccr.org/ssdi/list/.
Grade
Beginning with cases diagnosed in 2018, grade information will be collected in three fields: Clinical Grade, Pathological Grade, and Post-Therapy Grade. Within the Grade Manual, you will find definitions for the three new grade data items, coding instructions, and the site/histology specific grade tables. The Grade manual is available at https://www.naaccr.org/SSDI/Grade-Manual.pdf?v=1527859766.
SEER Hematopoietic and Lymphoid Neoplasm Database
This provides data collection rules for hematopoietic and lymphoid neoplasms for 2010+. The SEER Hematopoietic and Lymphoid Neoplasm manual is available at https://seer.cancer.gov/tools/heme/Hematopoietic_Instructions_and_Rules.pdf.
2018 Solid Tumor Coding Manual
Use the 2018 Solid Tumor coding rules to determine the number of primaries to abstract and the histology to code for cases diagnosed 2018 and forward. The Solid Tumor coding rules replace the 2007 Multiple Primary and Histology (MP/H) Rules. The manual is available at https://seer.cancer.gov/tools/solidtumor/. The change log contains updates made to the FINAL module sections. This does not include changes made to the drafts.
CoC 2018 STORE Manual
The STORE Manual has replaced the FORDS Manual. The STORE is now available at https://www.facs.org/quality-programs/cancer/ncdb/registrymanuals/cocmanuals.
FLccSC
Fundamental Learning Collaborative for the Cancer Surveillance Community:
The FlccSC site is up and running. If you have not yet registered, you can do so at the link below. The MS FLccSC site will stay updated with current news, webinars and educational opportunities. You do not want to miss out!
For more information, contact Angel Davis, adavis6@umc.edu
Upcoming Webinars
NAACCR
7/8/21 Quality in CoC Accreditation
- Courtney B Jagneaux, CTR
- Erin Weber, CTR
8/5/21 Breast 2021
- Vicki Hawhee, M.Ed, CTR
CTR Exams
2021 Testing Dates and Deadlines
October 15– November 6, 2021; application deadline: October 1
For more information, visit: www.ncra-usa.org/CTR
MCR Staff
Director UMMC & MCR: Deirdre Rogers, dbrogers@umc.edu
MCR Manager: La'Tawnya Roby, ldroby@umc.edu
Clinical Systems Analyst-Intermediate: Tresheena Boyd, tboyd@umc.edu
Data Quality Analyst-Trainer: Angel Davis, adavis6@umc.edu
Data Quality Analyst-Auditor: April Huggins, ahuggins@umc.edu
Electronic Data Source Coordinator: Lisa Hamel, lhamel@umc.edu
Cancer Registrars:
- Stacy Major, semajor@umc.edu
- Stephanie N. Engelman, nengelman@umc.edu
- LaToya Bogan, lbogan@umc.edu
- Cameron Proctor, cproctor@umc.edu
Administrative Assistant: Ophelia Spencer, ospencer@umc.edu