Has anyone been surveyed by this surveyor: William Siegel
Any information will be helpful.
Lizzette Rodriguez, RHIA
EHMC

--- In cancerregistrargroup@yahoogroups.com, aahurlbut
<no_reply@y...> wrote:
>
> Good day fellow registrars! I am preparing my talk for this year's
> NCRA annual meeting. My talk is on the data collection of
> comorbidities and complications (newly required in 2003).
>
> Registrars as innovative as we are may be using this data in unique
> and useful ways - especially now that we have more than a year's
> worth of data!
>
> I'd like to use some examples, and would be glad to give you credit
> in my talk (hope to see you all at NCRA!) What do you think?
>
> Any ideas,any input,appreciated...but most of all - if you are
using
> c/c data - please may I share in your studies?
>
> I look forward to hearing from you!
> Annette

Good day fellow registrars! I am preparing my talk for this year's
NCRA annual meeting. My talk is on the data collection of
comorbidities and complications (newly required in 2003).

Registrars as innovative as we are may be using this data in unique
and useful ways - especially now that we have more than a year's
worth of data!

I'd like to use some examples, and would be glad to give you credit
in my talk (hope to see you all at NCRA!) What do you think?

Any ideas,any input,appreciated...but most of all - if you are using
c/c data - please may I share in your studies?

I look forward to hearing from you!
Annette

Good day fellow registrars! I am preparing my talk for this year's
NCRA annual meeting. My talk is on the data collection of
comorbidities and complications (newly required in 2003).

Registrars as innovative as we are may be using this data in unique
and useful ways - especially now that we have more than a year's
worth of data!

I'd like to use some examples, and would be glad to give you credit
in my talk (hope to see you all at NCRA!) What do you think?

Any ideas,any input,appreciated...but most of all - if you are using
c/c data - please may I share in your studies?

I look forward to hearing from you!
Annette

Helen was a CTR/consultant 10 yrs ago. Anyone know where she is?

CTR with 11 years experience new to Colorado.  Looking for contract
work at your site or on-line.  Will consider nearby states.
970-532-3515.

You can order the "Cancer Registry Management: Principles and
Practice 2nd Edition" from NCRA.  This is the textbook used for the
college classes in cancer registry.  There are also online cancer
registry classes through several colleges.  You can get more
information from the NCRA website  www.ncra-usa.org

--- In cancerregistrargroup@yahoogroups.com, "an_gieng"
<an_gieng@y...> wrote:
>
> Hi!
>
> I'm new here in this group. I have not been in this line but will
be
> soon. I don't have any experience and not trained yet. We don't
have
> a cancer registrar here in Singapore, I need advise on the
> expectations as well as some information as to how to start from
> scratch a cancer registry. I think I have to work and learn from
the
> job first before I am sent for the 1 week intensive training in
> States.Thank you for any good advise.
>
>
> Angie

Hi!

I'm new here in this group. I have not been in this line but will be
soon. I don't have any experience and not trained yet. We don't have
a cancer registrar here in Singapore, I need advise on the
expectations as well as some information as to how to start from
scratch a cancer registry. I think I have to work and learn from the
job first before I am sent for the 1 week intensive training in
States.Thank you for any good advise.


Angie

I posted this in the NCRA group shortly after the FORDS revisions
were sent out and the age-old questioned was asked again.  Here is
the information that I found on the I&R most recently.
Hope it helps.

Question 12835: Our physicians say the excision of the lymph node
is for diagnostic and staging not a surgically directed surgery so
it should be coded 02 not 25. They said most lymphoma unless
extranodal are not surgically resected.

In Reply:
We agree with your physicians that most lymphoma lymph node
excisions are for diagnosis and staging and should be coded as a
Surgical Diagnostic and Staging Procedure rather than a Surgical
Procedure of the Primary Site. The latter code is provided for
recording the less common situation when the procedure meets the
definition of an excisional biopsy.

Sincerely yours,

I & R System
American College of Surgeons
Fax: 312-202-5009
E-mail: inquiry@f...


--- In cancerregistrargroup@yahoogroups.com, towellde
<no_reply@y...> wrote:
>
> Back in August I sent out the message below regarding how to code
> cases that are Lymphoma primaries with a lymph node excision.  I
> noticed in the FORDS replacement pages that there is finally a
> definitive answer.  We would use surgery code 25 because it is now
> defined as: Less than a full chain, includes an excisional bx of a
> single lymph node.
> I just wanted to share as this question received many different
> responses.
>
>
>
>
> --- In cancerregistrargroup@yahoogroups.com, towellde
<no_reply@y...>
> wrote:
> > I have a coding question.  We have received 2 very different
> answers
> > regarding this question from ACOS I&R, so I thought I'd like to
get
> > some feedback regarding this topic from those of you out in the
> > workforce.
> >
> > Using FORDS:
> > When the primary site is coded as Lymph nodes and the histology
is
> a
> > lymphoma, how is an excisional bx of the LN coded? Do you use
> surgery
> > code 25 or code it in the "surgical, diagnostic, and staging"
field
> > as an 01 or 02?
> >
> >
> > thanks for your input!
> > Deborah Towell, CTR
> > Oregon State Cancer Registry
> > deborah.j.towell@s...

Back in August I sent out the message below regarding how to code
cases that are Lymphoma primaries with a lymph node excision.  I
noticed in the FORDS replacement pages that there is finally a
definitive answer.  We would use surgery code 25 because it is now
defined as: Less than a full chain, includes an excisional bx of a
single lymph node.
I just wanted to share as this question received many different
responses.




--- In cancerregistrargroup@yahoogroups.com, towellde <no_reply@y...>
wrote:
> I have a coding question.  We have received 2 very different
answers
> regarding this question from ACOS I&R, so I thought I'd like to get
> some feedback regarding this topic from those of you out in the
> workforce.
>
> Using FORDS:
> When the primary site is coded as Lymph nodes and the histology is
a
> lymphoma, how is an excisional bx of the LN coded? Do you use
surgery
> code 25 or code it in the "surgical, diagnostic, and staging" field
> as an 01 or 02?
>
>
> thanks for your input!
> Deborah Towell, CTR
> Oregon State Cancer Registry
> deborah.j.towell@s...

Hello,

This email message is a notification to let you know that
a file has been uploaded to the Files area of the cancerregistrargroup
group.

   File        : /best green dating for you and your friends
   Uploaded by : jasmine166nn
   Description : This is a place that is for all vegan & vegetarian friends to
meet other vegan & vegetarian friends and start friendships that will last
forever!!!!

You can access this file at the URL:
http://groups.yahoo.com/group/cancerregistrargroup/files/best%20green%20dating%2\
0for%20you%20and%20your%20friends

To learn more about file sharing for your group, please visit:
http://help.yahoo.com/help/us/groups/files

Regards,

jasmine166nn

They were replying to the direct question about when to use the code
25 and when to use 02 for an excisional lymph node biopsy of
lymphomas.  The reason the page number was probably not included is
because they have already relayed that information to us in the past
and that the decision to choose a code higher than 02 is going to be
in a rare instance for nodal lymphomas.  Although many may disagree
with this and say that the standards are what we all need to follow,
you can easily see proof in the NCDB data base when you select
cancer directed surgery codes for NHL cases.  We were told that the
diagnostic and staging procedure codes were developed to be used in
case such as this.  If I can go back and find any more details on
page number in FORDS to find the answer, etc, I'll be more than
happy to send it in.  Refer to question #12835 in the I&R in the
meantime.

Thanks,
Charla

-- In cancerregistrargroup@yahoogroups.com, robokatie1
<no_reply@y...> wrote:
>
> >
> > Thought you'd like to see the latest.
> >
> > Question 12835:  Our physicians say the excision of the lymph
node
> > is for diagnostic and staging not a surgically directed surgery
so
> > it should be coded 02 not 25.  They said most lymphoma unless
> > extranodal are not surgically resected
> >
> > In Reply:
> > We agree with your physicians that most lymphoma lymph node
> > excisions are for diagnosis and staging and should be coded as a
> > Surgical Diagnostic and Staging Procedure rather than a Surgical
> > Procedure of the Primary Site. The latter code is provided for
> > recording the less common situation when the procedure meets the
> > definition of an excisional biopsy.
> >
> > Sincerely yours,
> >
> > I & R System
> > American College of Surgeons
> > Fax:  312-202-5009
> > E-mail:  inquiry@f...
>
>
> I noticed that  I&R didn't specify who's definition of an
excisional
> biopsy we are supposed to use.
>
> Maybe they should have said "when the procedure meets the FORDS
> definition of an excisional bx" and then refer us to the
appropriate
> page number.
>
> Regards
> Robo

On the question of what sort of PCE's we're doing . . . here's a
snapshot of what's on the SAR I'm completing for a survey happening
next month:
2004: Trends & patterns in HSCT outcomes 7/99-6/04 presented to
cancer comm
2004: Sarcoma incidence, treatment, protocols & outcomes presented
to cancer committee
2003: Mgt & outcomes of cancer pts w/ c difficile infections - to
hsp physicians & staff
2003: Concurrent chemo & low dose craniospinal RT followed by
conformal PF boost for avg risk medulloblastoma: Efficacy & patterns
of failure - To cancer committee & posted on external website
2003: VAD QI project (prospective registry) - To cancer committee &
hsp physicians & staff.
2002: Infection control trends & outcomes among hem/onc & BMT pts -
to cancer committee.
2002: Annual report w/ article on parameningeal rhabdomyosarcoma
presented to cancer committee, posted on external web site
2001: Dietary study of pts who become malnourished while on therapy -
  presented to cancer program clinical staff & cancer committee.
2001: Annual report with article on treatment outcomes for recurrent
ALL patients presented to cancer committee & to hsp physicians &
staff.

The second question I'm responding to is about use of staging forms
in electronic records.  The remainder of this posting is pasted
directly from the October issue of the CoC Flash & eases the
challenge of having a boatload of staging forms turned into
electronic forms that docs are expected to use (correctly).
--  Theresa Hayden  :-)

CoC Executive Committee Modifies Standard 4.3
In response to a variety of concerns from CoC-approved cancer
programs, the Executive Committee of the CoC has reviewed and
decided to modify Standard 4.3.
Currently, Standard 4.3 reads-AJCC staging is assigned by the
managing physician and recorded on a staging form in the medical
record on 90 percent of eligible analytic cases.
Problem: The requirement for staging to appear on a form in the
medical record was established to assist the physician with
correctly assigning stage by providing staging details for each site
and to standardize the location for staging within the medical
record; thereby simplifying the monitoring of compliance with the
standard by both programs and cancer program surveyors. Not
considered at the time Standard 4.3 was established was the impact
of requiring a staging form in many facilities.
Action: The CoC Executive Committee voted to modify Standard 4.3 as
follows: AJCC staging (T, N, M elements and Stage Group) is assigned
by the managing physician and recorded in a standardized location(s)
in the medical record on 90 percent of eligible analytic cases.
The definition and requirement for the standard will now include the
following statement: "The cancer committee develops a staging policy
and procedure and works cooperatively with other facility committees
or departments to establish a standardized location(s) for staging
to be recorded in the facility's medical record. The standardized
location(s) is documented in the facility's AJCC Staging Policy and
Procedure."
There is no change to the statement currently in Cancer Program
Standards 2004, "Use of the AJCC staging forms is highly
recommended."
This change enables facility-based flexibility, but still achieves
the overall goal which is to standardize the location(s) for staging
information. The change in this standard will be effective
January 1, 2005, to allow programs adequate time to modify their
AJCC Staging Policy and Procedure.

Hi everyone,

Our hospital is transitioning to the Electronic Medical Record within
the next 6 months.  For those of you already using EMR, how do you
incorporate the staging form as part of the record? Does your
physician complete it on line? Do they complete it on paper and then
scan it in to be part of the medical record? Any input is appreciated.

Hello all—

For those of you working in ACOS approved cancer programs, I'm
wondering how you're fulfilling the updated requirements for patient
care improvement and quality/outcomes improvement studies.  It can
be more challenging to come up with topics for studies since the
ACOS is no longer regularly supplying topics and datasets.  Would
anyone care to share examples of the studies they are doing?

Thank you!

Lisa Geisinger
San Francisco

>
> Thought you'd like to see the latest.
>
> Question 12835:  Our physicians say the excision of the lymph node
> is for diagnostic and staging not a surgically directed surgery so
> it should be coded 02 not 25.  They said most lymphoma unless
> extranodal are not surgically resected.
>
> In Reply:
> We agree with your physicians that most lymphoma lymph node
> excisions are for diagnosis and staging and should be coded as a
> Surgical Diagnostic and Staging Procedure rather than a Surgical
> Procedure of the Primary Site. The latter code is provided for
> recording the less common situation when the procedure meets the
> definition of an excisional biopsy.
>
> Sincerely yours,
>
> I & R System
> American College of Surgeons
> Fax:  312-202-5009
> E-mail:  inquiry@f...


I noticed that  I&R didn't specify who's definition of an excisional
biopsy we are supposed to use.

Maybe they should have said "when the procedure meets the FORDS
definition of an excisional bx" and then refer us to the appropriate
page number.

Regards
Robo

I will be out of the office starting  09/23/2004 and will not return until
10/05/2004.

I am on vacation.  If you need immediate assistance, please call my
manager, Mat Goodridge at 624-3223

CONFIDENTIALITY NOTICE: This message, including any attachments, is for the sole
use of the intended recipient(s) and may contain confidential and privileged
information.  Any unauthorized review, use, disclosure or distribution is
prohibited.  If you are not the intended recipient, please contact the sender by
reply e-mail and destroy all copies of the original message.

Thought you'd like to see the latest.

Question 12835:  Our physicians say the excision of the lymph node
is for diagnostic and staging not a surgically directed surgery so
it should be coded 02 not 25.  They said most lymphoma unless
extranodal are not surgically resected.

In Reply:
We agree with your physicians that most lymphoma lymph node
excisions are for diagnosis and staging and should be coded as a
Surgical Diagnostic and Staging Procedure rather than a Surgical
Procedure of the Primary Site. The latter code is provided for
recording the less common situation when the procedure meets the
definition of an excisional biopsy.

Sincerely yours,

I & R System
American College of Surgeons
Fax:  312-202-5009
E-mail:  inquiry@...

--- In cancerregistrargroup@yahoogroups.com, "catknitter"
<egsharkey@a...> wrote:
> Does anyone know of any tapes or CDs -- anything in a non-printed
> format -- to help people become familiar with the cancer registry
> field and/or prep for the exam?
>
> Thanks!
>
> Eileen

Hi Eileen,
NCRA has a CTR Prep exam on CD-ROM.  I'm not sure they have updated
it with the current changes yet, though.
AJCC has a free video about the changes from 5th edition to 6th.  I
have it but I haven't seen it yet but I thought I'd let you know.
Are these the kinds of things you are looking for? Or are you looking
for general info about the registry field?  I'd be interested in that
myself.
Maryann

Does anyone know of any tapes or CDs -- anything in a non-printed
format -- to help people become familiar with the cancer registry
field and/or prep for the exam?

Thanks!

Eileen

When our network of hospitals had the 5 registrars reporting to the
same manager, we performed peer review quarterly on abstracts
selected randomly that would total at the end of the year to be 10%
of the annual analytic caseload.  We reviewed the demographic info,
diagnosis info (text and codes), treatment info, follow-up and text
fields that substantiated the codes.  The registrars were required
to maintain a 90% or better accuracy rate.

Now that we're separate facilities with different managers, we only
perform peer review for our non-CTR's in the group of hospitals.
Those registrars have every case reviewed versus the 10% that we
reviewed for our registries.

We still are expected to have a 90% or better accuracy rate for the
abstracts reviewed by our physicians.  This rate seemed to be one
that was acceptable by our Quality Management department as well as
accuracy rates set by the ACOS for various standards.

Hope this helps.
Charla Carter, CTR
Cincinnati, OH

We do several things.
1.  When abstracting, each abstractor is expected to run global edit
checks on the case before proceeding to the next case.
2.  If the abstractor is either a non-CTR or is a CTR inexperienced
with our caseload, their cases are all visually reviewed by a CTR
who IS experienced with our caseload (many times, this catches
things global edits wouldn't, such as text fields not proving what
was coded or otherwise not meeting text field standards defined in
our abstracting procedure).
3.  Our cases are submitted to our regional SEER registry (who in
turn will submit them to the state).  There are two reports they
provide back to us which are useful (when we actually have time to
process them, that is).  The first is a new cases listing.  It shows
how they chose to code their data items - we usually focus on a few
fields rather than trying to verify each and every item, taking into
account that there are still a few little rule differences for SEER
and hospital registries.  The second report is a correction report.
Whenever they change a data field on one of our cases, that will
appear in this report.
4.  There are several fields I have found over the years are easy to
make mistakes in, and may not be checked with global edits.  So I
have made a report to list those fields for groups of cases so I can
review them en mass.  This is a fast and easy way to spot common
errors and patterns of errors (sometimes it may even be something
that autocodes but has an imperfect algorhithm - say an unusual
leukemia not getting grouped correctly for SSS grouping or
something).
We haven't set explicit rates, but do submit data to NCDB (and oh
how I wish their genedits program were more user friendly!).  Also
the SEER registry in our area HAS set minimum error rates, so that
also is a help to us.

--- In cancerregistrargroup@yahoogroups.com, "corolla_046"
<decoeb@t...> wrote:
> I would like information about the types of quality checks done on
> registry data within your departments and if you have an
established
> error rate that must not be exceeded?

Dear Group Members,

My name is John Rowe, and I just became a member of your group.  I am
writing to you today to introduce myself and our company: Timeless
Medical Systems.

Timeless Medical Systems is a provider of advanced IT systems and
applications to the Healthcare Industry.  Among our medical
technology products is the Timeless Cancer Registry System (TCRS).
TCRS contains many innovative components including a fast reporting
engine, automated data validation/back-up, Collaborative Staging,
EDI, Case Closure/Records matching, linkages to
Clinical/Radiotherapy/Treatment data, import/export to industry
standard formats and much more.  You may find detailed information
online here:

http://www.TimelessMedical.com

We have extensive experience in data management applications and have
developed the majority of our technologies ourselves throughout our
10 year history.  If we may be of assistance to group members in any
way please let me know.  I look forward to becoming a regular
contributor to this group.  Thank you for your time.

Best regards,

John

------------------------
John Rowe, VP of Sales
Timeless Medical Systems
800-630-3730 (ph)
902-892-2457 (fax)
www.timelessmedical.com
john@...

I would like information about the types of quality checks done on
registry data within your departments and if you have an established
error rate that must not be exceeded?

An excisional biopsy means that the entire node was taken out so therefore this
is more than an 01 or 02.  We would code this to a 25-excisional biopsy.  We
would only use 01 or 02 if they removed a piece of the lymph node or just tissue
from the lymph node.  I hardly ever see this done.  In my experience the surgeon
usually removes the entire lymph node.

Pamela Tillman, CTR
Mobile Infirmary Medical Center Cancer Registry
Mobile, Alabama


towellde <no_reply@yahoogroups.com> wrote:
I have a coding question.  We have received 2 very different answers
regarding this question from ACOS I&R, so I thought I'd like to get
some feedback regarding this topic from those of you out in the
workforce.

Using FORDS:
When the primary site is coded as Lymph nodes and the histology is a
lymphoma, how is an excisional bx of the LN coded? Do you use surgery
code 25 or code it in the "surgical, diagnostic, and staging" field
as an 01 or 02?


thanks for your input!
Deborah Towell, CTR
Oregon State Cancer Registry
deborah.j.towell@...



Yahoo! Groups SponsorADVERTISEMENT


---------------------------------
Yahoo! Groups Links

    To visit your group on the web, go to:
http://groups.yahoo.com/group/cancerregistrargroup/

    To unsubscribe from this group, send an email to:
cancerregistrargroup-unsubscribe@yahoogroups.com

    Your use of Yahoo! Groups is subject to the Yahoo! Terms of Service.





---------------------------------
Do you Yahoo!?
Yahoo! Mail - 50x more storage than other providers!

[Non-text portions of this message have been removed]

I will be out of the office starting  08/06/2004 and will not return until
12/31/2004.

I am now PRN if you need Clermont Registry issues call Deb Vickers 732-8547
pager 660-0670, for Codiing issues call Mat Goodridge  624-3223.

CONFIDENTIALITY NOTICE: This message, including any attachments, is for the sole
use of the intended recipient(s) and may contain confidential and privileged
information.  Any unauthorized review, use, disclosure or distribution is
prohibited.  If you are not the intended recipient, please contact the sender by
reply e-mail and destroy all copies of the original message.

I was taught to code this as 02 when it is not meant to diagnose or
stage but not considered cancer-directed surgery.  I sought
clarification from the I&R as well and the answer is dependent on
the goal of the procedure.  In most instances, I would think that
you would be coding the lymph node biopsy as an 02 since excisional
biopsies of lymph nodes for lymphoma are usually not geared toward
excising the cancer but to provide a diagnosis.

You may find this discussion in past messages in this group and in
the NCRA Yahoo group.

Charla Carter, CTR
Cincinnati OH

--- In cancerregistrargroup@yahoogroups.com, towellde
<no_reply@y...> wrote:
> I have a coding question.  We have received 2 very different
answers
> regarding this question from ACOS I&R, so I thought I'd like to
get
> some feedback regarding this topic from those of you out in the
> workforce.
>
> Using FORDS:
> When the primary site is coded as Lymph nodes and the histology is
a
> lymphoma, how is an excisional bx of the LN coded? Do you use
surgery
> code 25 or code it in the "surgical, diagnostic, and staging"
field
> as an 01 or 02?
>
>
> thanks for your input!
> Deborah Towell, CTR
> Oregon State Cancer Registry
> deborah.j.towell@s...

I have a coding question.  We have received 2 very different answers
regarding this question from ACOS I&R, so I thought I'd like to get
some feedback regarding this topic from those of you out in the
workforce.

Using FORDS:
When the primary site is coded as Lymph nodes and the histology is a
lymphoma, how is an excisional bx of the LN coded? Do you use surgery
code 25 or code it in the "surgical, diagnostic, and staging" field
as an 01 or 02?


thanks for your input!
Deborah Towell, CTR
Oregon State Cancer Registry
deborah.j.towell@...

--- In cancerregistrargroup@yahoogroups.com, donna_cal
<no_reply@y...> wrote:
> Yes, the educational requirements are the biggest problem.  You do
> NOT even need to graduate from high school to sit for our exam.
>
> The lack of education requirements keeps your salary down.
>
> The NCRA Council on Certification is currently reviewing the
> eligibility requirements to sit for the exam, so this may change.
>
> --- In cancerregistrargroup@yahoogroups.com, c_carter_ctr
> <no_reply@y...> wrote:
> > I'm in the process of trying to identify a title for the Cancer
> > Registry and the positions held within it that is in line with
the
> > national trend.
> >
> > I think that we're all in the same boat when it comes to not
being
> > able to compare one facility or registry to the next because our
> > titles differ nationwide.
> >
> > The definition of a registrar from the American Heritage
Dictionary
> > is:
> >
> > NOUN: 1. One who is in charge of official records. 2. An officer
in
> > a college or university who keeps the records of enrollment and
> > academic standing. 3. An officer of a corporation responsible for
> > maintaining records of ownership of its securities. 4. An
admitting
> > officer in a hospital.
> >
> > I think that our role is so much more than this definition but
will
> > have difficulty in convincing our HR department in changing the
> > titles if I can't provide any backing on the local, state or
> > national level.
> >
> > Our Health Record Services department just changed their name to
> > Health Information Management.  I think that Cancer Data
Management
> > or Cancer Information Management would be more appropriate with
our
> > role but having the title of Cancer Registrar changed to Cancer
> Data
> > Manager becomes a problem because HR relates the word "manager"
> with
> > somebody who supervises employees and not just data.
> >
> > I'm sure that other registrars would benefit from a discussion
> about
> > this particular issue.  The educational requirements necessary to
> be
> > a CTR also hinders some of the changes that we need in our
registry
> > to be able to compete with other positions in the hospital that
> > require so much less than what we're responsible for.  Any help
> that
> > you all can offer would be so appreciated!!!
> >
> > Thank you in advance for sharing!
> > Charla Carter, CTR
> > Cincinnat, OH







I have a CTR position avail in Vail paying between $55 and $75K

--- In cancerregistrargroup@yahoogroups.com, donna_cal
<no_reply@y...> wrote:
> Yes, the educational requirements are the biggest problem.  You do
> NOT even need to graduate from high school to sit for our exam.
>
> The lack of education requirements keeps your salary down.
>
> The NCRA Council on Certification is currently reviewing the
> eligibility requirements to sit for the exam, so this may change.
>
> --- In cancerregistrargroup@yahoogroups.com, c_carter_ctr
> <no_reply@y...> wrote:
> > I'm in the process of trying to identify a title for the Cancer
> > Registry and the positions held within it that is in line with
the
> > national trend.
> >
> > I think that we're all in the same boat when it comes to not
being
> > able to compare one facility or registry to the next because our
> > titles differ nationwide.
> >
> > The definition of a registrar from the American Heritage
Dictionary
> > is:
> >
> > NOUN: 1. One who is in charge of official records. 2. An officer
in
> > a college or university who keeps the records of enrollment and
> > academic standing. 3. An officer of a corporation responsible for
> > maintaining records of ownership of its securities. 4. An
admitting
> > officer in a hospital.
> >
> > I think that our role is so much more than this definition but
will
> > have difficulty in convincing our HR department in changing the
> > titles if I can't provide any backing on the local, state or
> > national level.
> >
> > Our Health Record Services department just changed their name to
> > Health Information Management.  I think that Cancer Data
Management
> > or Cancer Information Management would be more appropriate with
our
> > role but having the title of Cancer Registrar changed to Cancer
> Data
> > Manager becomes a problem because HR relates the word "manager"
> with
> > somebody who supervises employees and not just data.
> >
> > I'm sure that other registrars would benefit from a discussion
> about
> > this particular issue.  The educational requirements necessary to
> be
> > a CTR also hinders some of the changes that we need in our
registry
> > to be able to compete with other positions in the hospital that
> > require so much less than what we're responsible for.  Any help
> that
> > you all can offer would be so appreciated!!!
> >
> > Thank you in advance for sharing!
> > Charla Carter, CTR
> > Cincinnat, OH







I have a CTR position avail in Vail paying between $55 and $75K