In my experience less is better and sticking to physician
verification of clinical data was much more successful. Here's my
two cents worth:

#2: delete verification of histology code
#4: delete class of case
#8: delete or reduce # of demographic items to verify
#10: delete or reserve this only for the pathologist to verify

I did categorize how I had my physicians review charts - in that I
had my radiation oncologist verify Rad Onc data, the pathologist
verify pathology only data, etc. It went much faster and more
efficiently that way as most MDs were not comfortable reviewing data
in another specialty. They literally shifted the big pile of charts
around the room and had fun teasing one another about who
was "holding up" the process, etc.

Also, just another suggestion ... verification of demographic data
and codes -- setup a Registry staff "roundtable" meeting, maybe even
invite your Cancer Center Administrator to participate in this, or
Rad Onc manager, to verify demographic data and codes, etc. That
way you're still having oversight but involving all parties. I
liked to make these fun sessions and limited them, always, to short
periods of time and ALWAYS provided food.

Good luck!!!!

aka RegistryRocks

--- In cancerregistrargroup@yahoogroups.com, "Lisa Hummel Geisinger"
<cdar@s...> wrote:
>
> Hello everyone!
>
> I am in the process of revamping the MD QA review process for one
of
> my hospitals and I'm wondering if you wouldn't mind sharing the
data
> elements that your physicians are reviewing for. We are currently
> asking our physicians to review the following items on 10% of our
> analytic abstracts:
>
> 1. Abstract completed <6 months after date of first contact
> 2. Histology and code
> 3. Primary site
> 4. Class of case
> 5. Method of diagnosis
> 6. First course of treatment
> 7. Margins
> 8. Demographic data
> 9. AJCC staging is complete and correct
> 10. Pathology report conforms to CAP guidelines
>
> Looking at the current Cancer Program Standards, it seems that
this
> might be a bit much.
>
> Thanks in advance for sharing your list!
>
> Lisa Geisinger
> San Francisco
>