Alabama Department of Public Health
Alabama Statewide Cancer Registry
ASCR NEWS
Volume 9 Issue 2 Summer 2012
Program Director Xuejun Shen 334‐206‐5557
Data Completeness Manager Diane Hadley 256‐775‐8970 [email protected] Assistant Director/Epidemiologist Justin George 334‐206‐3962 [email protected]
South Region /Quality Assurance Coordinator Mark Jackson 251‐433‐7809
Non‐Hospital Reporting Coordinator Teisha Robertson 334‐206‐7068
Death Clearance Coordinator Ashley Grunewald 334‐206‐2088
Information System Coordinator Vacant Casefinding Auditor Shirley Williams 334‐206‐7072 [email protected] Casefinding Auditor Bobbie Bailey 205‐554‐4516 [email protected]
Path Report Coordinator Crystal Morton 334‐206‐5430 [email protected] Data/Education Manager Tara Freeman 334‐206‐7035 [email protected]
Central Registry Update 1
National Death Index (NDI) 2
National Blood Cancer
Awareness 2
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 5
2012 ACRA Conference 5
ACCCC membership 5
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 3.2.1.0 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 our2009 data met every criterion in NAACCR and NPCR call for data. Thank you all for another successful year.
2010 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. 2011 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 ASCRhasstarted 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.
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 2010. 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 2006-2010 by Race and Gender
White Males White Females Black Males Black Females Rate Count Rate Count Rate Count Rate Count Hodgkin Lymphoma 3.0 244 2.2 191 2.5 68 1.9 63 Non-Hodgkin Lymphoma 20.5 1,822 14.1 1,569 13.9 324 9.7 307 Myeloma 5.9 533 3.6 404 12.7 273 8.3 259 All Leukemias 14.8 1,290 9.3 975 12 271 6.4 202 Acute Lymphocytic Leukemia 1.6 128 1.2 98 1.2 37 0.6 19 Chronic Lymphocytic Leukemia 5.0 449 2.8 328 4.2 85 1.5 47 Acute Myeloid Leukemia 4.3 379 3.0 303 3.4 75 2.4 75 Chronic Myeloid Leukemia 1.7 145 1.0 104 1.3 31 0.8 24 Rates are per 100,000 and age-adjusted to the 2000 U.S. (19 age groups) standard.
EDUCATION CORNER
Training
Opportunities
Webinars for the Montgomery area are held at the RSA Tower 201 Monroe St. Montgomery, AL on the 13th floor at 1:00 pm on the dates listed below. For more information please contact Tara Freeman at (334)
206-7035.
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) 775-8790 in Cullman County or Mark Jackson (251) 433‐7809
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) 783-7222 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 2007-2013, code 8507/3 [Duct micropapillary carcinoma]. Use rule H12.
2012
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.
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.
http://www.ahima.org/downloads/pdfs/certification/ICD10_CEU_FAQs.pdf
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.
.
ALABAMA DEPARTMENT OF
PUBLIC HEALTH
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 short-term weight-loss aid. Also, choose your protein wisely. Good choices include fish, skinless chicken, lean beef, pork, and low-fat 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.
Alabama Statewide Cancer Registry The RSA Tower
201 Monroe Street, Suite 1490 Montgomery, Alabama 36130-3017 Phone: 334-206-5557
Fax: 334-206-3757
Capturing Cancer Data in Alabama
Find us at http://www.adph.org/cancer_registry
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
http://www.ncra‐usa.org/handbook
Meetings
in
2012
“CANCER REGISTRAR’S UNITED FOR THE CAUSE”
ACRA Annual Meeting, Oct 11‐12, 2012
Hilton Perimeter Park, Birmingham, AL
REPORTING SCHEDULE
(2012 Cases)
Current Date Level of Completeness Cases Due
(Timeliness) Jul 2012 8% Jan 2012 Aug 2012 17% Feb 2012 Sep 2012 25% Mar 2012 Oct 2012 33% Apr 2012 Nov 2012 42% May 2012 Dec 2012 50% Jun 2012 Jan 2013 58% Jul 2012 Feb 2013 67% Aug 2012 Mar 2013 75% Sep 2012 Apr 2013 83% Oct 2012 May 2013 92% Nov 2012 June 2013 100% Dec 2012
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) 206‐5537 or by email at
