Updates to 2004 ACOS Standards

1
Updates to 2004 ACOS Standards

• Pamela moats, RHIT, CTR

2
Cancer Program Standards 2004 Revised Edition

• Implementation of cancer program standards 2004
  revised edition (released march 2006) is required
  of all CoC-approved cancer programs beginning
  January 1, 2006.
• This publication has been updated to include all
  revisions made to cancer program standards 2004
  by the committee on approvals of the CoC (since
  its original release in 2004), and includes
  modified interpretations of those standards that
  apply specifically to pediatric hospitals,
  pediatric components of larger facilities,
  veterans affairs facilities, and NCI-designated
  comprehensive cancer centers.

3
Standards

• The revised edition contains 36 standards.
  Compliance with each standard is evaluated using
  a numeric system that describes compliance,
  noncompliance, or commendation. Depending on the
  category of approval, one or more of the
  standards may not apply to the facility. In this
  instance, the numeric rating "not applicable" is
  used.

4
Manual Format

• Each chapter begins with a purpose statement
  followed by the individual standards. For each
  standard the following is provided
• An explanation of the definition and
  requirement(s) of the standard
• A statement or chart of the specifications by
  category, including exceptions
• A detailed explanation of the documentation
  required to demonstrate compliance
• A definition of the rating for compliance,
  noncompliance, commendation, or not applicable

5
Complimentary Electronic Version

• Http//www.facs.Org/cancer/coc/cocprogramstandards
  .pdf

6
CoC Resources and Tools for Cancer Programs

• Http//www.facs.Org/cancer/coc/resourcetools.Html

7
Facility Oncology Registry Data Standards
10/28/05 Errata

• Http//www.facs.Org/cancer/coc/fords/errata-hlt060
  5.pdf

8
NAACCR 2006 Implementation Guidelines

• The NAACCR 2006 implementation guidelines are
  also available on the NAACCR web site
  (http//www.naaccr.org). These guidelines, based
  on the NAACCR version 11.0 record layout
  (effective with cases diagnosed January 1, 2006
  and later), contain recommendations for facility
  software provider and central registry
  implementation of new data items
  (systemic/surgery sequence, co morbidities and
  complications 710, and ICD revision co
  morbidities and complications) and one converted
  item (primary payer at diagnosis). They also
  address changes in class of case 0 requirements.

9
SAR 2006 Training Guide

• Http//www.facs.Org/cancer/coc/sar/wholesar.pdf

10
NCDB

• New changes effective 1/1/06 changes in 10/28/05
  errata
• Primary payer codes changed
• Systemic/surgery sequence
• Co morbidity complications
• Delayed first course of treatment
• Cancer status and recurrence
• NAACCR guidelines implementation
• Class of case 0
• Http//www.facs.Org/cancer/datachanges2006.pdf

11
New! Collaborative Staging Manual Update Now
Online

• Replacement pages for the collaborative staging
  manual part I, version 01.00.00, incorporating
  minor page corrections through July 15, 2005 are
  now available.
• Http//www.Cancer staging.Org/cstage/index.Html.

12
Web Conference Program Role of the Cancer Liaison
Physician

• Structure of the cancer liaison physician role
  has been revised.
• CoC Webconference program on the role of the
  cancer liaison physician (100K PDF).

13
NCDB Comparison Tip Sheet

• Http//www.facs.Org/cancer/coc/tipsheet.pdf

14
Questions?

• Whats next?