A monthly news service for Constituents of the Commission on Cancer.
Rapid Quality Reporting System (RQRS): Open For Enrollment
The CoC released the Rapid Quality Reporting System, a tool to facilitate the delivery of quality cancer care for all CoC-accredited cancer programs, on September 19. Enrollment is open, and use of RQRS is voluntary.
RQRS is a proactive tool that works to keep patients visible in what can sometimes be a large and complicated cancer care treatment network. RQRS is the first national system for any disease that tracks care over time, thus ensuring that patients can get the required care they need, when they need it. RQRS operates in “real clinical time,” enabling cancer centers and their physicians to get feedback from the NCDB on cases while they are actively under treatment. Previously such reporting and feedback tools have required up to two years before information could be delivered to a cancer patient's interdisciplinary cancer team.
Read the full article in the National Cancer Data Base (NCDB) section.
Initial 2012 National Cancer Data Base (NCDB) data submissions are due in January. There are three aspects of that submission that programs need to know.
1. Cases to be reported and timing. The NCDB submission cycle is undergoing major changes. The 2011 cycle was transitional as NCDB moved from a five-year submission cycle to annual collection of newly abstracted and updated cases. Submissions were spread throughout 2011 on a bimonthly basis to “catch up” with the new cycle. See http://www.facs.org/cancer/ncdb/registrars.html for a description of the submission cycle changes.
Beginning in 2012, the NCDB submission cycle will move into its “new normal.” All Call for Data submissions are due during January and edit corrections for cases diagnosed in 2003 and subsequently will be due April 1.
All analytic cases diagnosed in 2010 and cases diagnosed since 1985 or the registry’s Reference Date—whichever is later—that were updated by the registry since the previous time the case was required for a Call for Data must be submitted during January 2012. The full schedule, including the “changed since” dates, can be viewed and printed at http://www.facs.org/cancer/ncdb/callfordataschedule.pdf. Use your registry software for the applicable case-selection procedure as the selections for 2012 will be fairly complex due to the varied Call for Data dates in the recent past.
All cases diagnosed in 2003-2010 will be subject to the data accuracy standard (Standard 5.6 in the new Cancer Program Standards 2012: Ensuring Patient-Centered Care). Cases diagnosed in 2003 or later must pass the NCDB submission edits when the case is first submitted for commendation or by April 1, 2012, and cases with edit errors must be corrected and resubmitted by April 1 regardless of diagnosis date.
Registries are encouraged to use the most current North American Association of Central Cancer Registries (NAACCR) edit set for hospitals available in their registry software to begin cleaning the data. These are the same edits that are required to stamp cases diagnosed in 2010 or more recently with the Date Case Completed – CoC date. Edits to be used for 2012 NCDB submissions will be posted December 1. Do not create submission files for January until December.
2. Data versions. Seventeen percent of Commission on Cancer (CoC)-accredited programs submitted data to NCDB using the NAACCR layout 12.0 (CS version 02.02) during September. These programs will need to upgrade their registry software very soon for the following reasons. (See the July 2012 CoC Flash for information about updating the edits software when the registry upgrades at http://newsmanager.commpartners.com/acscoc/issues/2011-07-29/16.html.)
Cases diagnosed in 2011 must be coded in CS version 02.03 or higher. Therefore, this version must be available to registrars in order to comply with the abstracting standard (Standard 3.2 in 2011). CoC announced in June that cases first seen in January through March of 2011 will not be taken into account for this standard (http://www.facs.org/cancer/cocflash/2011/timeliness.html). However, cases first seen in April are rapidly closing in on the timeline.
Submissions made in 2012 must be made using the NAACCR layout 12.1 (CS version 02.03) or the forthcoming layout 12.2 (CS version 02.04). Layout 12.0 (CS version 02.02) will not be accepted in 2012. CS version 02.03 and the conversion from layout 12.0 to 12.1 has been available in the field for many months, and submission deadline extensions for failure to upgrade to layout 12.1 will not be given in 2012.
It is necessary to upgrade to layout 12.1 (CS version 02.03) before upgrading again to the forthcoming layout 12.2 (CS version 02.04). All CS version 02.04 material will be available to registry software providers on October 11 for testing their systems, and the final versions will be available to them in December. The Collaborative Stage work groups have been diligent in meeting their time schedule for this release so that the upgrades can be made available to hospital registries early in 2012. Cases diagnosed in 2012 must be abstracted using CS version 02.04 or higher, and earlier diagnoses also may be abstracted using that version.
3. Rules for submission deadline extensions. Rules for the timeliness of NCDB submission were relaxed in 2011 because of the bimonthly submission cycle. Submissions made in 2012 will be subject to the standard deadline extension rules:
Call for Data deadline extensions must be granted in advance of the deadline. Extensions to the Standard 5.5 submission deadline will be given only in highly unusual situations, and no extensions will be given to programs that received extensions in either of the previous two years (in 2012 this will apply only to 2011 submissions, because there was no Call for Data submission deadline in 2010). No extensions for the data correction deadline will be granted.
Extensions to the data submission deadline to comply with Standard 5.5 will affect the program's compliance with Standard 5.6. Initial submissions made after the Standard 5.5 submission deadline will not be eligible for the 5.6 commendation rating even if the initial submission of the data was error free and made by the extended deadline.