ODS- Optimal Resources for Cancer Care: 2020

What is the purpose of the Commission on Cancer (CoC)?

To improve survival and quality of life through cancer prevention, standard setting, research, education, and monitoring comprehensive, high-quality cancer care.

Which organization publishes the Optimal Resources for Cancer Care Standards?

The American College of Surgeons (ACS) Commission on Cancer (CoC).

What is the goal of CoC accreditation?

To ensure patients receive comprehensive, multidisciplinary, evidence-based cancer care.

What are the four accreditation categories?

• Academic Comprehensive Cancer Program

• Comprehensive Community Cancer Program

• Community Cancer Program

• Integrated Network Cancer Program

What is the Cancer Committee responsible for?

• Program oversight

• Quality improvement

• Cancer conferences

• Accreditation compliance

• Annual goals

How often must the Cancer Committee meet?

At least quarterly (4 times per year).

What percentage of members must attend Cancer Committee meetings?

At least 75%.

Who chairs the Cancer Committee?

Cancer Committee Chair.

Who oversees the cancer registry?

Cancer Registry Quality Coordinator (formerly Cancer Registrar Supervisor).

What is the primary responsibility of the Cancer Registry?

Collect complete, accurate, timely cancer data for patient care, research, and quality improvement.

How soon should cases be abstracted after first contact?

Within 6 months.

What follow-up rate is required?

• 80% all eligible cases

• 90% living patients diagnosed within the last five years

What is lifetime follow-up?

Annual determination of patient vital status.

What does Rapid Cancer Reporting System (RCRS) collect?

Real-time quality measure data submitted to the National Cancer Database (NCDB).

What database receives CoC registry data?

National Cancer Database (NCDB).

What is a Clinical Quality Study?

Review of patient care to improve outcomes and compliance with treatment guidelines.

What is a Quality Improvement Initiative?

A project designed to improve cancer care based on study findings.

What is the role of multidisciplinary cancer conferences?

Review diagnosis, staging, treatment planning, and outcomes.

Which specialties should be represented at cancer conferences?

• Surgery

• Medical Oncology

• Radiation Oncology

• Pathology

• Radiology

Why are cancer conferences important?

Promote multidisciplinary treatment planning and quality care.

What must every abstract include?

• Demographics

• Primary site

• Histology

• Stage

• First course treatment

• Follow-up

What manual defines abstracting rules?

STORE Manual.

What manual determines multiple primaries and histology?

Solid Tumor Rules.

What manual assigns reportability?

Reportability List.

Which staging system is used by CoC?

AJCC TNM Staging.

What is accountability in cancer care?

Measuring compliance with evidence-based treatment guidelines.

What organization develops many quality measures?

National Comprehensive Cancer Network (NCCN).

What does NCDB stand for?

National Cancer Database.

Who manages the NCDB?

American College of Surgeons and the American Cancer Society.

Approximately what percentage of newly diagnosed cancers are captured in the NCDB?

About 72% of newly diagnosed cancers in the U.S.

What is Survivorship Care?

Care addressing physical, emotional, and long-term needs after cancer treatment.

What is a Survivorship Care Plan?

A treatment summary and follow-up recommendations given to patients.

What is Patient Navigation?

Helping patients overcome barriers to timely diagnosis and treatment.

What is Psychosocial Distress Screening?

Evaluation of emotional, financial, and social concerns affecting care.

What is Genetic Risk Assessment?

Evaluation for hereditary cancer syndromes with referral when appropriate.

Required physicians for cancer committee?

cancer committee chair, cancer liaison physician, diagnostic radiologist, pathologist, surgeon, medical oncologist, radiation oncologist

Physicians who are not board certified must demonstrate ongoing cancer-related education by

earning 12 cancer-related CME hours

oncology nursing continuing education

Completion of 18 Nursing Continuing Professional

Development (NCPD) contact hours each accreditation

cycle

members of the cancer registry staff who

do not hold an ODS credential must

demonstrate completion

of three hours of cancer-related continuing education

applicable to their roles.

the cancer program must conduct an

internal audit confirming at least _______

of eligible cancer pathology reports are structured using

synoptic reporting

90%

Each year, the cancer program must present a minimum of _____ %of the annual analytic caseload to a multidisciplinary

cancer case conference.Of those presented, a minimum of ____

percent must be prospective presentations.

15%, 80%

Commission on Cancer (CoC) accreditation

reaches approximately ___ percent of patients with newly diagnosed cancer

each year.

70%

the cancer program must conduct an

internal audit confirming at least ______ of

eligible operative reports for sentinel node biopsy for breast

cancer meet the technical requirements of the standard, are

structured using synoptic format, and include all required

data elements outlined in Standard 5.3.

80%

Identifies the activities to be evaluated each year for the

accuracy of abstracted data. A review of a minimum of

___ percent of the annual analytic caseload (up to 200

cases annually) is required each year for the accuracy of

the following:

1. Class of case

2. Primary site

3. Histology

10%