By Laura
Vondenhuevel, BS, RHIT, CTR
There are so many new things coming at the
cancer registry profession in 2018. In my last blog post preparing cancer registry professionals for these changes, I talked about NAACCR’s website
for 2018 Implementation
Information and how it is a great resource to help us keep up with
everything.
Now that we are at the beginning of the age of
concurrent abstracting in the cancer registry, some of us are starting to get a
little worried. Sure we’ve had the AJCC
8th edition for a year now, but as of this blog posting the new cancer
registry coding manual will not be available until November or December of 2017.
How long might it take our cancer registry software vendors from the time of
the manual’s release to update their software to reflect those changes? The not
knowing can be enough to cause angst amongst even the most flexible of cancer
registrars.
I’m a big proponent of the “don’t worry about
what you can’t control” approach to life. So I like to plan for what I CAN
control. I’ve learned a lot since we cancer registrars were faced with our last
big change in 2010 and I’ve adapted these lessons to help me stay on top of my
concurrent abstracting amidst the changes coming in 2018:
Read Those Manuals | As soon as the
manuals become available, read them and become acquainted with any potential
data collection issues you foresee.
Check in with Your Software Vendor | After the manuals
are released, check in with your software vendor for their implementation plan
and timetable.
Check in with Your State Registry | Pay attention to
emails or newsletters from your state’s central registry so you can be ready
with 2018 cases when your registry is ready to accept them.
Text, Text, Text | If there is a data
element that is not in your registry software yet, decide on a standardized
location where your team will text the pertinent information as they abstract
the case.
User Defined Fields are Your Friend | Create a user
defined field for 2018 cases to flag them for easy retrieval later and define
these for your team in a central location.
Clearly Define Your Process | Document what your
concurrent abstracting process is and place it in a central location for your
entire team to reference.
Example: Complete the
abstract with the information available at two months from date of first
contact, the state flag is set to “not ready,” and select the appropriate 2018
Case UDF option.
Detailed notes and
appropriate codes are used for anticipated treatments. Text the information for
new 2018 data elements in the “comments” text box.
Cases will be returned
to the abstractor at six months to add any additional treatment information and
marked as “ready to submit."
Cases are submitted to
the state cancer registry when they are ready to receive 2018 cases.
Keep your Hospital Partners Informed | If a change will
effect data requests or reports you run on a regular basis, let the
administrators or clinicians you work with know in advance.
Most Importantly – Communicate | Watch for 2018
implementation updates from standard setters, software vendors and your state
cancer registry. Make sure to communicate with your team regarding any changes
to processes you have defined.
Change is coming. There is no doubt our
concurrent abstracting processes will be effected, so it’s always best to be as
prepared as possible.
What are you doing to stay on top of your
concurrent abstracting amidst the changes coming in 2018?
This article was originally featured on the
CHAMPS Oncology Outlook blog on October 11, 2017
and reprinted with permission.
https://champsoncology.com/blog/concurrent-abstracting-in-a-time-of-change
https://champsoncology.com/blog/concurrent-abstracting-in-a-time-of-change
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