Administrative Issues in Florida Cancer Case Reporting

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Administrative Issues in Florida Cancer Case
Reporting

• FCDS 2001 Educational Telephone Conference Series
• July 25, 2001
• Steven Peace, BS, CTR

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Why Report Cancer Cases?

• To help manage local, state national healthcare
  planning for the diagnosis and treatment of
  cancer, utilizing cancer surveillance and cancer
  control programs
• To identify hot spots of cancer in our state
• As a research tool for exploring the etiology,
  diagnosis and treatment of cancer
• Its the law...

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Cancer Reporting

• Federal Legislation - Congress established the
  National Program of Cancer Registries (NPCR) in
  1992 by enacting the Cancer Registries Amendment
  Act, Public Law 102-515.
• Public Law (1998 CODE) - re-authorized the
  National Program of Cancer Registries

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The Big Picture - 2001
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Cancer Reporting

• Florida Statutes, Section 381.0031 - Report of
  diseases of public health significance
• Florida Statutes, Section 385.202 - Statewide
  Cancer Registry
• Florida Statutes, Section 405 - Medical
  Information Available for Research
• Rules of the Florida Department of Health -
  Chapter 64D-3,Florida Administrative Code

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The State Picture

• 1981
• 1981 - 1994
• 1995 - 2000
• 2001 - forward
• Florida Cancer Facts Figures

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Florida Cancer Facts Figures
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Florida Cancer Facts Figures
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Florida Cancer Facts Figures
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The State Picture - 2001

• 205 Hospitals
• 250 Ambulatory Surgical Centers
• 100 Radiation Therapy Centers
• 100 Pathology Labs
• Physician Offices
• Dermatopathologists
• Urologists 93,000
  cases/yr (unduplicated incident cases)

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The State Picture - 2001

• AHCA In-Patient
• AHCA Out-Patient
• AHCA Ambulatory Patient Care Centers
• Vital Statistics
• Interstate Data Exchange
• FAPTP Matching
• FCDS Quality Control Program

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Cancer Reporting Requirements

• Florida follows the National Standards
• All Malignant Cancers
• Minimum Data Set
• All Hospitals
• All Ambulatory Care Centers
• All Pathology Labs
• All Physician Offices
• Confidentiality - HIPAA Florida

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Cancer Reporting Requirements

• Size Type of Facility
• Less than 35 cancer cases per year
• Psychiatric Care Facilities
• Military VA Facilities
• Administrative Decisions
• Minimum Requirements
• Dedicated Cancer Program

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What is a Cancer Registry?

• Healthcare Information System
• designed
• to collect, manage and analyze data
• on persons with the diagnosis of a malignant
• or neoplastic disease
• (cancer)

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What is a Cancer Registry?

• Types of Cancer Registries
• Incidence End-Results
• Hospital Central
• Specialty

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What is a Cancer Program?

• American College of Surgeons / Commission on
  Cancer Approvals Program
• Standards of the Commission on Cancer
• Survey Requirements - 10 Component Areas
• Voluntary Program
• National Cancer Data Base (NCDB)
• www.facs.org (cancer department)
• e-mail coc_at_facs.org or phone [phone]

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What is a Cancer Program?
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What is a Cancer Program?
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Whats the difference?
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Cancer Reporting Options

• Professional Cancer Registrar
• Individual Contract Abstractor
• Interim/Per Diem Abstractors
• Outside Companies
• Internet Data Submission Privacy Issues
• Reporting Deadlines

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Staffing

• Qualifications - What is a cancer registrar?
• Cancer Data/Information Management Expert
  Cancer Program Specialist
• Professionally Certified (C. T. R.) by the
  National Board for Certification of Registrars
• Qualifications - Use of non-certified staff

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Staffing

• Basis for Staffing Decisions
• Caseload
• Assigned Duties
• Salaries - Staffing Compensation Manual
• Finding trained people
• Support
• New Requirements for 2001

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Costs

• Vary dependent upon cancer reporting option
  chosen at your facility
• Cost of FTEs
• Cost of Contractor
• Cost of Per Diem to catch up
• Costs associated with full Cancer Program
• Associated Costs

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Quick Review

• Cancer is a reportable disease in Florida
• FCDS administers Florida cancer reporting
• Florida follows the National Standards
• Minimum requirements MUST be met
• Qualified personnel are difficult to find
• Call FCDS with questions 1-800-906-3034

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FCDS Administrative Reports

• FCDS Quarterly Activity Report
• FCDS Annual Monograph
• DOH/FCDS Annual Report
• CINA
• FCDS Quarterly Newsletter
• Florida Cancer Facts and Figures

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Information Resources

• FCDS - http//www.fcds.med.miami.edu
• Florida DOH - http//www.doh.state.fl.us
• CDC/NPCR - http//www.cdc.gov/cancer/npcr
• CoC/ACoS - http//www.facs.org (click on cancer
  department)
• SEER - http//www-seer.ims.nci.nih.gov
• NAACCR - http//www.naaccr.org