CENTRAL REGISTRY UPDATE

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1 Alabama Department of Public Health Alabama Statewide Cancer Registry ASCR NEWS Volume 9 Issue 2 Summer 2012 Program Director Xuejun Shen xuejun.shen@adph.state.al.us Data Completeness Manager Diane Hadley diane.hadley@adph.state.al.us Assistant Director/Epidemiologist Justin George justin.george@adph.state.al.us South Region /Quality Assurance Coordinator Mark Jackson mark.jackson2@adph.state.al.us Non Hospital Reporting Coordinator Teisha Robertson teisha.robertson@adph.state.al.us Death Clearance Coordinator Ashley Grunewald ashley.grunewald@adph.state.al.us Information System Coordinator Vacant Casefinding Auditor Shirley Williams shirley.williams@adph.state.al.us Casefinding Auditor Bobbie Bailey bobbie.bailey@adph.state.al.us Path Report Coordinator Crystal Morton crystal.morton@adph.state.al.us Data/Education Manager Tara Freeman tara.freeman@adph.state.al.us TABLE OF CONTENTS Central Registry Update 1 National Death Index (NDI) 2 National Blood Cancer Awareness Education Corner 3 ICD 10 CM/PCS 3 ASCR Online Revision Form 4 Are high protein diets safe for weight loss? 5 CTR Exam Schedule 5 ASCR Completeness Schedule ACRA Conference 5 ACCCC membership 5 2 CENTRAL REGISTRY UPDATE The ASCR had completed the updates for Abs Plus and Web Plus for 2012 data collection. All Abs Plus users should update their Abs Plus to version even though you may still be abstracting pre 2012 cases; this will make our support much easier. If you need a new installation CD, please let us know. Also, please save your installation CD for future use; the ASCR is short-staffed, and it is difficult to address repetitive requests. It is also very important to keep a backup database for Abs Plus. We are pleased that our 2009 data met every criterion in NAACCR and NPCR call for data. Thank you all for another successful year data has been a challenge and still remains so. Our 2010 data submitted to NPCR this March did not meet the 90% completeness rate. As of today, we still have not made it to 95% completeness which is required to obtain the Gold certificate for both NAACCR and NPCR data submissions data is at 70% completeness right now. We have until next January to bring it up to 90%, but NPCR has been encouraging states to submit it along with 2010 and previous years data in November. The ASCR understands many facilities continue to experience tough financial pressure and that this affects our registrars too. We appreciate your working diligently on current data submissions every month. However, we need you assist us with path report and death clearance follow-back also. Please respond to our inquiries in a timely manner. Both processes also help us to keep rates on unknown race, county and DCO cases down in order to meet NAACCR/NPCR data submissions requirements. Please check your web plus account regularly so you will not miss the reports sent from your regional coordinator, path report coordinator, and death clearance coordinator. The ASCR Cancer Fact and Figures is available on our website. We will distribute printed copies at the ACRA annual meeting in October. We will be more than happy to mail you one or a few copies if you cannot attend the meeting or if you would like to give a copy to your physicians. With the release of stage two of the Meaningful Use rules, the ASCR has started to work with the Bureau of Information Technology on cancer reporting for Meaningful Use. We would like to get help from you. Please let Ashley know who is the contact person for your facility. For small hospitals, physician offices, and laboratories, we would like to know your EHR vendor, the contact person for your vendor, and contact person in your facility if there is one. As always, please help the ASCR reach out to physician offices. In the last page of this newsletter, there is information about ACCCC membership. Please feel free to contact ACCCC if you are interesting in its activities. We work together closely to reduce the cancer burden in the state of Alabama. 1 Volume 9 Issue 2, Summer 2012 ASCR ADPH

2 National Death Index (NDI) The National Death Index (NDI) is a central computerized index of each state s death record information. Working with state offices, the National Center for Health Statistics (NCHS) established the NDI as a resource to aid epidemiologists and other health and medical investigators with their mortality ascertainment activities. The NDI linkage is used to identify deceased subjects. Subjects are linked to a database that includes 65 million records compiled from computer files submitted by vital statistics offices from all 50 states, District of Columbia, NYC, Puerto Rico, and the Virgin Islands. The NDI records include identifying death record information of all deaths that occurred from 1979 through Death records are added to the NDI file annually, approximately 12 months after the end of a particular calendar year. The ASCR participates in the NDI linkage once a year. The recommended time to conduct the NDI search is after the state death clearance has been conducted for the latest year of deaths available from NDI and if possible in conjunction with annual Calls for Data. We submit cases in our database of subjects with vital status of alive or missing, and subjects with vital status dead where the cause of death is unknown. The data items we submit are as follows: complete name, maiden name, social security number, date of birth, sex, race, marital status, state of residence, and birthplace. Once NDI receives our data, they will link the subjects we submitted to the subjects in their database to determine if there is a match. Once they have determined which subjects are actually matches, we then receive our match results. Of those results, some will need to be manually reviewed by us to determine if they are truly a match for the given result from NDI. NDI provides us with dates of death, states of death, and the death certificate number of the subjects we submitted that matched the subjects in their database. We then use this information to update our Central Registry database. We are only allowed to share vital status and date of death with the reporting facilities. This information is uploaded to the Web Plus account for each reporting facility to use to update their database. National Blood Cancer Awareness Month Alabama Facts Hematopoetic Cancer Incidence Rates and Counts in Alabama by Race and Gender White Males White Females Black Males Black Females Rate Count Rate Count Rate Count Rate Count Hodgkin Lymphoma Non-Hodgkin Lymphoma , , Myeloma All Leukemias , Acute Lymphocytic Leukemia Chronic Lymphocytic Leukemia Acute Myeloid Leukemia Chronic Myeloid Leukemia Rates are per 100,000 and age-adjusted to the 2000 U.S. (19 age groups) standard. 2 Volume 9 Issue 2, Summer 2012 ASCR ADPH

3 EDUCATION CORNER Training Opportunities Webinars for the Montgomery area are held at the RSA Tower 201 Monroe St. Montgomery, AL on the 13 th floor at 1:00 pm on the dates listed below. For more information please contact Tara Freeman at (334) October 4, 2012, Stomach and Esophagus November 01, 2012, Uterus December 6, 2012, Pharynx January 10, 2012, Bone and Soft Tissue A recording of these webinars can be viewed at the Cullman and Mobile County Health Departments (Date-TBA). Contact Diane Hadley (256) in Cullman County or Mark Jackson (251) in Mobile if you would like to attend meetings in those areas. If you reside in the Birmingham area, please contact Judy Lang at (205) for more information on webinars in your area. The ASCR would like to know if you will be able to attend a meeting in the Montgomery, Cullman, or Mobile office for Abstract Plus and/or Web Plus training. Please contact Tara Freeman if you would like to attend this training and indicate which location and what kind of training you would like to attend. Questions and Answers from NAACCR Webinars Q: Are blood transfusions coded as treatment for hematopoietic diseases? A: No, do not code blood transfusions as treatment. See page 13 of the manual. Ask a SEER Registrar Q: MP/H Rules/Histology--Breast: What is the histology code for the following? Left breast: infiltrating ductal carcinoma, grade 3 micropapillary type. Tumor size: 3.5 cms; deep margin negative. Skin, nipple & areola positive for invasive ductal carcinoma. Dermal lymphatic invasion by carcinoma breast. Extensive intraductal component absent. 6+/6 A: For a case diagnosed , code 8507/3 [Duct micropapillary carcinoma]. Use rule H Special Grades (2012 Fords Manual p. 10) Code all special grades that are collected as part of the Collaborative Stage Data Collection System according to the current CS coding instructions. Do NOT code the special grades in the data item Grade/Differentiation. CoC does not support converting these special codes for Grade/Differentiation. o Cancers for which special grades are used also may have a tumor differentiation or histology grade recorded in the pathology report. If a differentiation grade is available for the tumor, code it in Grade/Differentiation or in Grade Path System and Grade Path Value according to the instructions below for those items. o If a tumor differentiation grade is not available for the cancer, assign code 9 to Grade/Differentiation. Do NOT code special grades in the Grade Path System and Grade Path Value items. o If the special grades are the only grades provided, leave these items blank. Grade Path System and Grade Path Value fields Although the CoC requires these two fields, the ASCR does not require those fields yet. But the ASCR will accept the data and has edits in place to check these fields when populated. Please use 2012 FORDS Manual SECTION TWO: CODING INSTRUCTIONS / Cancer Identification (p ) to code the Grade/Differentiation field to meet ASCR requirements. 3 Volume 9 Issue 2, Summer 2012 ASCR ADPH

4 ICD-10-CM/PCS Specific CEU Requirements AHIMA Certified Professionals are required by CCHIIM to participate in a predetermined number of mandatory baseline educational experiences specific to ICD-10-CM/PCS. These ICD-10-CM/PCS specific CEUs will count as part of all AHIMA certificants total CEU requirements for the purpose of recertification. Stated differently, the following CEU requirements will be included as part of each certificants total, required CEUs, by credential, per CEU Cycle. The total number of ICD-10-CM/PCS continuing education units (CEUs) required, by AHIMA credential, is as follows: CHPS 1 CEU RHIA 6 CEUs CCS 18 CEUs CHDA 6 CEUs CDIP 12 CEUs CCA 18 CEUs RHIT 6 CEUs CCS-P 12 CEUs Certificants who hold more than one AHIMA credential will only report the highest number of CEUs from among all credentials held. For example, if a certificant has both an RHIA and CCS, the certificant would normally report 40 (30 CEUs for RHIA and an additional 10 CEUs for CCS) CEUs per recertification cycle and 18 of these CEUs will be required to cover ICD-10-CM/PCS. ASCR Online Data Revision Form Please use the Online Data Revision form to send additional information that has been added to an abstracted case that has already been transmitted to the ASCR. Remember to send your Abstract to the ASCR only once and use this form for any updates after your initial data submission. The form is located at the ASCR's Website under the Web Plus Access Page - click on Access to Web Plus. You will see the link at the log in screen.. Congratulation to DeeAnn Hennis for passing the CTR exam in March 4 Volume 9 Issue 2, Summer 2012 ASCR ADPH

5 ALABAMA DEPARTMENT OF PUBLIC HEALTH Alabama Statewide Cancer Registry The RSA Tower 201 Monroe Street, Suite 1490 Montgomery, Alabama Phone: Fax: Capturing Cancer Data in Alabama Find us at ASCR News is published for those involved in cancer data collection in Alabama. Contact us to submit articles for publication. Tara Freeman, MSM, CTR, Editor Xuejun Shen, Ph. D, Editor Editorial Reviewer: Nancy Wright, MPH CTR EXAM for 2013 March 9 23, 2013 Application due by January 31, 2013 September 7 21, 2013 Application due by July 31,2013 Download the 2012 CTR Exam Handbook & Application usa.org/handbook Current Date REPORTING SCHEDULE (2012 Cases) Level of Completeness Cases Due (Timeliness) Jul % Jan 2012 Aug % Feb 2012 Sep % Mar 2012 Oct % Apr 2012 Nov % May 2012 Dec % Jun 2012 Jan % Jul 2012 Feb % Aug 2012 Mar % Sep 2012 Apr % Oct 2012 May % Nov 2012 June % Dec 2012 Are high-protein diets safe for weight loss? Katherine Zeratsky, R.D., L.D. For most healthy people, a high-protein diet generally isn't harmful if followed for a short time, such as six months or less, and may help with weight loss. However, the risks of using a high-protein diet with carbohydrate restriction for the long term are still being studied. Several health problems may result if a high-protein diet is followed for an extended time: Some high-protein diets restrict carbohydrate intake so much that they can result in nutritional deficiencies or insufficient fiber, which can cause health problems such as constipation and diverticulitis. If you want to follow a high-protein diet, do so only as a shortterm weight-loss aid. Also, choose your protein wisely. Good choices include fish, skinless chicken, lean beef, pork, and lowfat dairy products. Choose carbs that are high in fiber, such as whole grains and nutrient-dense vegetables and fruit. It's always a good idea to talk with your doctor before starting a weight-loss diet. And that's especially important in this case if you have kidney disease, diabetes or other chronic health conditions. Finally, keep in mind that weight loss may be temporary, especially if you return to your previous way of eating. Meetings in 2012 CANCER REGISTRAR S UNITED FOR THE CAUSE ACRA Annual Meeting, Oct 11 12, 2012 Hilton Perimeter Park, Birmingham, AL ACCCC Membership The Alabama Comprehensive Cancer Control Coalition (ACCCC) is a statewide network of physicians, organizations, medical groups, cancer patients, cancer survivors and interested individuals dedicated to reducing the impact and burden of cancer on Alabama. The ACCCC fulfills its mission by improving access, reducing cancer disparities, advocating for public policy, and implementing the Alabama Comprehensive Cancer Control Plan, a five year statewide plan for cancer control. The Coalition meets four times a year in different areas of Alabama in an effort to maximize membership. It is free to join. If you are interested in becoming a member, contact Bret Stanfield at (334) or by at bret.stanfield@adph.state.al.us for more information. 5 Volume 9 Issue 2, Summer 2012 ASCR ADPH