Maricopa Community Colleges  HIM204   20066-20076 
Official Course Description: MCCCD Approval: 12/13/05
HIM204 20066-20076 L+L 4 Credit(s) 6 Period(s)
Cancer Registry
Requirements for managing a cancer registry, including comparisons of systems and data related to a hospital and central cancer registry and other registry standard-setting organizations. Organization and management of the basic functions of cancer registry operations. Analysis and presentation of cancer data and use in studies.
Prerequisites: HCC145 or permission of instructor. Corequisites: (BIO202 and HIM150) or permission of instructor.
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MCCCD Official Course Competencies:
 
HIM204   20066-20076 Cancer Registry
1. Describe the history and functions of a cancer registry. (I)
2. State the value of a cancer registry to the patient, hospital, physician, and community. (I)
3. Identify the components of and positions found in a cancer registry. (II)
4. Explain the importance of confidentiality and data security within a cancer registry. (III)
5. Describe legislative and reporting rules for Arizona. (III)
6. Identify the standard-setting organizations and describe how they impact a cancer registry. (IV)
7. Identify case ascertainment methods for hospital and central cancer registries. (V)
8. Describe the types of data collected in a cancer registry and the reason for collecting each type. (VI)
9. Describe each component of the case abstract. (VII)
10. Perform the functions of a cancer registrar, including identifying reportable cases and conducting case ascertainment; accessioning and sequencing multiple primaries; completing a case abstract, including documentation of required text and codes; determining primary site, histology, and extent of disease (stage) at diagnosis; identifying types of cancer- directed treatment; differentiating between first and subsequent treatment; and completing case follow-up using appropriate methods. (VII, VIII)
11. Explain quality control methods used within a cancer registry. (IX)
12. Describe uses of cancer registry data. (X)
13. Describe the process of completing a cancer registry data request. (X)
14. Present cancer data in narrative and graphic formats. (X)
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MCCCD Official Course Outline:
 
HIM204   20066-20076 Cancer Registry
    I. Introduction to the Cancer Registry
        A. History
        B. Roles and functions
        C. Types
        D. Value
          1. To patient
          2. To hospital
          3. To physician
          4. To community
      II. Cancer Registry Management
          A. Organization
          B. Positions in the registry
          C. Policies and procedures, budget, and staffing
          D. Reference date
          E. Software
        III. Legislation
            A. Mandates and funding
            B. Reportable list
            C. Confidentiality and data security
            D. Arizona requirements
          IV. National Standard-Setting Organizations
              A. American College of Surgeons – Commission on Cancer
              B. National Cancer Institute – Surveillance, Epidemiology, and End Results (SEER)
              C. Centers for Disease Control and Prevention – National Program of Cancer Registries
              D. North American Association of Central Cancer Registries
              E. National Cancer Registrars Association
                1. Certified tumor registrar certification
                2. Membership and benefits
            V. Case Ascertainment
                A. Hospitals
                  1. Sources of case ascertainment
                  2. Timeliness
                  3. Monitoring completeness
                  4. Suspense file
                B. Central registries
                  1. Sources of case ascertainment
                  2. Timeliness
                  3. Monitoring completeness
                  4. Suspense file
              VI. Data Set Planning
                  A. Types of data collected
                  B. Current data standards
                  C. Guidelines for choosing data set items
                  D. Cancer abstract (case report)
                VII. Components of a Case Abstract
                    A. Patient identification
                      1. Data set
                      2. Value
                    B. Cancer identification
                      1. Data set
                      2. International Classification of Diseases for Oncology nomenclature and classification system
                      3. Multiple sequence coding rules
                      4. Value
                    C. Disease staging
                      1. SEER summary stage
                      2. AJCC (American Joint Committee on Cancer)
                      3. Collaborative staging system
                    D. Treatment
                      1. Categories
                      2. Types
                      3. Courses
                      4. Clinical trials
                  VIII. Cancer Follow-Up
                      A. Purpose
                      B. Types
                      C. Process and methodology
                    IX. Quality Assurance
                        A. Purpose
                        B. Monitoring case identification
                        C. Monitoring abstracting
                          1. Visual review
                          2. Reabstracting
                        D. Editing
                        E. Statistical analysis
                      X. Data Use
                          A. Data requests
                            1. Selection
                            2. Retrieval
                            3. Analysis
                            4. Presentation
                              a. Narrative
                              b. Graphic
                          B. Studies
                            1. Research
                            2. Annual reports
                            3. National Cancer Data Base
                          C. Epidemiology and statistics
                            1. Trends
                            2. Survival analysis
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