The Georgia Tumor Registrar's Association is holding their bi-annual
CTR Workshop in McDonough Georgia February 22 & 23rd.  For more
information email me or go to www.gatraweb.org.  My email is
lorilindsey@....

I think this is a great idea - however, will there be a way to determine which
answer is the most accurate with a final stamp of approval on the answer. I am
sure there may be several ways to code a particular example and there may be
more than 1 correct answer but having a definitive answer is always a good
thing. Thank you all.


Nancy Kawesch, MS, CTR
Manager, Cancer Database

Memorial Sloan-Kettering Cancer Center
633 Third Avenue, 18th Floor
New York, New York 10017
Phone:              646-227-2031; Mondays: 914-738-0561
Fax:                   212-557-0314
E-mail:              Kaweschn@...





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--- In cancerregistrargroup@yahoogroups.com, loril_ga <no_reply@...>
wrote:
>
> Here's the first question/case.
>
> Pathology report reads:  Right breast mass excision, high grade
ductal
> carcinoma in situ, solid and cribriform types, w/cancerization of
> lobules and associated calcifications. No invasive carcinoma.
> (Comment:  DCIS presenting very focally and spreads only several
> millimeters in size.)
>
> What would be the histology code?  8523/2


>

Rule H6 in the Multiple Primary & Histology manual would apply to this
case:  Code 8523/2 (intraductal carcinoma mixed with other types of in
situ carcinoma) when there is a combination of intraductal carcinoma
and one or more specific intraductal types


--- In cancerregistrargroup@yahoogroups.com, loril_ga <no_reply@...>
wrote:
>
> Here's the first question/case.
>
> Pathology report reads:  Right breast mass excision, high grade
ductal
> carcinoma in situ, solid and cribriform types, w/cancerization of
> lobules and associated calcifications. No invasive carcinoma.
> (Comment:  DCIS presenting very focally and spreads only several
> millimeters in size.)
>
> What would be the histology code?
>

I will be out of the office starting  01/23/2008 and will not return until
01/30/2008.

Please feel free to leave me an e-mail message or a message on my voice
mail. 580-249-3812 thanks  April





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original message.

82012

Tracy L. Parsons, CTR
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loril_ga <no_reply@yahoogroups.com>
Sent by: cancerregistrargroup@yahoogroups.com
01/23/2008 12:20 PM
Please respond to
cancerregistrargroup@yahoogroups.com


To
cancerregistrargroup@yahoogroups.com
cc

Subject
[Cancer Registrar Group] Question 1






Here's the first question/case.

Pathology report reads: Right breast mass excision, high grade ductal
carcinoma in situ, solid and cribriform types, w/cancerization of
lobules and associated calcifications. No invasive carcinoma.
(Comment: DCIS presenting very focally and spreads only several
millimeters in size.)

What would be the histology code?




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

Here's the first question/case.

Pathology report reads:  Right breast mass excision, high grade ductal
carcinoma in situ, solid and cribriform types, w/cancerization of
lobules and associated calcifications. No invasive carcinoma.
(Comment:  DCIS presenting very focally and spreads only several
millimeters in size.)

What would be the histology code?

As the founder of this group I hope to start posting coding/staging
questions on a regular (every couple days) basis so that we can
all "chime" in and give our own ideas on how the situation should be
coded/staged.  Maybe we can start using this as a learning tool
since the group is not getting much use lately.

For any of you out there that has a question they'd like asked,
simply post it.  Make sure to be as detailed as possible so that you
will recieve the right answers.  It doesn't matter how simple the
question seems or how difficult.  If you know the answer but it is
an interesting or unusual case, post a question to see how others
would handle it.

If you post a response, be sure to put the question in your response
so that we will know which question you are referring to....if there
are multiple questions floating around out there.  Also, please try
to refer to the source from which you found the answer.

If you are not set up to receive notices from the group by email,
you may want to change it so that you can be included in the
questions and answers.  You can set it up where you will received
one email a day with all the posts from that day so that you will
not be inundated with emails - assuming we have a lot of response
from this!!!

Thank you so much for sharing.

Linda Boire LPN, CTR
Data Specialist
CVPH Oncology Data Center
75 Beekman Street
Plattsburgh, New York 12901
518-562-7149
fax 518-562-7198
"lboire@..."

--------------------------------------------------------------------
STATEMENT OF CONFIDENTIALITY
This message and any included attachments are from CVPH Medical Center
and are intended only for the addressee(s). If you receive this message
in error, or have reason to believe you are not authorized to receive
it, please promptly delete this message and advise the sender.

I found the National Plan and Provider Enumeration System (NPPES) for
the NPIs, it allows you to find both organizational numbers and MD's.
Here is the link.

https://nppes.cms.hhs.gov/NPPES/NPIRegistryHome.do

NCRA is hosting their annual CTR Exam Prep Workshop on August 25 and
26.
The registration includes access to an exclusive yahoo group where
students can share information and have their questions answered by the
instructors - this group will be open from the time of the workshop
until the CTR exam.  The registration also includes a follow-up webinar
the week before the exam to discuss tips on taking the computer based
exam and follow-up to topics covered during the 2 day workshop.

Georgia will be holding its annual CTR workshop August 24th and 25th.
The cost is $40 for GATRA members and $55 for non-GATRA members.  If
you would like more information, please email me at
lorilindsey@....

Lori L

I recently got approval from my administration to hire a consultant
prior to my CoC survey.  I need to know what is the standard fee for
abstracting that fellows registars are charging currently.

I will be out of the office starting  06/28/2007 and will not return until
07/03/2007.

Please feel free to leave me an e-mail message or a message on my voice
mail. 580-249-3812 thanks  April





UHS Confidentiality Notice:  This e-mail message, including any attachments, is
for the sole use of the intended recipient (s) and may contain confidential and
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error, please notify the sender by reply e-mail and destroy all copies of the
original message.

It was pretty short sited not to have anticipated the interest in this
presentation.

I have heard that the July web conference will have unlimited logins to
both see and hear the presentation.

However, if it consists of reading the slides and manual...of well, I'll
still log on in July to get the exposure I need to do 2007 cases.

See you at the webconference...!

Nancyctr


--- In cancerregistrargroup@yahoogroups.com, robokatie1 <no_reply@...>
wrote:
>
> Did anyone attend this webconference? I was unable to get the audio
> portion of it.
>
> What did you think of it?
>
> Regards
> Paulette
>




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

I heard that there were over 300 registrars logged on, so the great
majority did not have audio.  A registrar that I know said that a lot
of people did not mute their phones so you could hear a lot of
conversations going on.

Also the audio portion consisted of reading what ever was on the
slide and the pertinent page from FORDS, with no further explanation
or enhancement.

Although I appreciate the effort at education, frankly I agree with
Linda.  My time would have been better utilized just reading the
information for myself.


Regards
Paulette


--- In cancerregistrargroup@yahoogroups.com, Lisa Taylor
<josephine20@...> wrote:
>
> I wasn't able to access anything, just got the "closed" message. I
called in at least 20 minutes prior to the start time - it seems that
evryone else did too. WIll anyone will attempting to access the July
webinar?
>
> "Linda C." <linda@...> wrote:          Paulette,
>
> Like you, I was not able to get the audio. Personally, I think it
was very poor planning to host a webinar with a vendor that only
permits 75 phone connections when the topic was something that ALL of
us need to learn in order to do our jobs accurately. I was
disappointed. When we advised to follow along without the video, I
tried. I found it to be a total waste of time, which most of us can
hardly afford.
>
> Linda
>
> ----- Original Message -----
> From: robokatie1
> To: cancerregistrargroup@yahoogroups.com
> Sent: Wednesday, June 27, 2007 1:56 PM
> Subject: [Cancer Registrar Group] Implementing Fords Web conference
>
> Did anyone attend this webconference? I was unable to get the audio
> portion of it.
>
> What did you think of it?
>
> Regards
> Paulette
>
> [Non-text portions of this message have been removed]
>
>
>
>
>
>
> [Non-text portions of this message have been removed]
>

I wasn't able to access anything, just got the "closed" message. I called in at
least 20 minutes prior to the start time - it seems that evryone else did too.
WIll anyone will attempting to access the July webinar?

"Linda C." <linda@...> wrote:          Paulette,

Like you, I was not able to get the audio. Personally, I think it was very poor
planning to host a webinar with a vendor that only permits 75 phone connections
when the topic was something that ALL of us need to learn in order to do our
jobs accurately. I was disappointed. When we advised to follow along without the
video, I tried. I found it to be a total waste of time, which most of us can
hardly afford.

Linda

----- Original Message -----
From: robokatie1
To: cancerregistrargroup@yahoogroups.com
Sent: Wednesday, June 27, 2007 1:56 PM
Subject: [Cancer Registrar Group] Implementing Fords Web conference

Did anyone attend this webconference? I was unable to get the audio
portion of it.

What did you think of it?

Regards
Paulette

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






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

Paulette,

Like you, I was not able to get the audio.  Personally, I think it was very poor
planning to host a webinar with a vendor that only permits 75 phone connections
when the topic was something that ALL of us need to learn in order to do our
jobs accurately.  I was disappointed.  When we advised to follow along without
the video, I tried.  I found it to be a total waste of time, which most of us
can hardly afford.

Linda

   ----- Original Message -----
   From: robokatie1
   To: cancerregistrargroup@yahoogroups.com
   Sent: Wednesday, June 27, 2007 1:56 PM
   Subject: [Cancer Registrar Group] Implementing Fords Web conference


   Did anyone attend this webconference? I was unable to get the audio
   portion of it.

   What did you think of it?

   Regards
   Paulette





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

Did anyone attend this webconference?  I was unable to get the audio
portion of it.

What did you think of it?

Regards
Paulette

I will be out of the office starting  06/07/2007 and will not return until
06/19/2007.

I will respond to your message when I return.

Can anyone who reads this please fax me a copy of a good job description for a
registrar/program coordinator?  I am in the process of updating mine and the one
I have is pretty old.

Any help you can offer will be appreciated

Lana Benedict, BS, RHIT, CTR
Oncology Data Coordinator
College Station Medical Center
fax:  979-541-5838



________________________________________________________________________________\
____
Yahoo! oneSearch: Finally, mobile search
that gives answers, not web links.
http://mobile.yahoo.com/mobileweb/onesearch?refer=1ONXIC

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

I will be out of the office starting  04/20/2007 and will not return until
04/30/2007.

If you need immediate assistance, please call my manager, Toni Bausch at
513-624-3223.



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 will be out of the office starting  04/20/2007 and will not return until
04/30/2007.

Please feel free to leave me an e-mail message or a message on my voice
mail. 580-249-3812 thanks  April





UHS Confidentiality Notice:  This e-mail message, including any attachments, is
for the sole use of the intended recipient (s) and may contain confidential and
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error, please notify the sender by reply e-mail and destroy all copies of the
original message.

This is not reportable unless the pt. had a bx. in the hospital or had
treatment.


	 -----Original Message-----
	 From: cancerregistrargroup@yahoogroups.com on behalf of loril_ga
	 Sent: Thu 4/19/2007 2:19 PM
	 To: cancerregistrargroup@yahoogroups.com
	 Cc:
	 Subject: [Cancer Registrar Group] Reportabilibty Question



	 Reportability: If a patient has a prostate bx in the physician
	 office, comes to our facility with a week or two for a staging work up
	 that doesn't show mets, then goes elsewhere to have seed implants, is
	 he considered reportable for us and if so, what class of case? As far
	 as I know, he has disease because he has not had any treatment yet.
	 What if I do not know he is going elsewhere for treatment? If the
	 physician is a staff physician, and it is unknown if he had tx then
	 would he be COC 1? And, what about staging? Will these require
	 staging?







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

Reportability:  If a patient has a prostate bx in the physician
office, comes to our facility with a week or two for a staging work up
that doesn't show mets, then goes elsewhere to have seed implants, is
he considered reportable for us and if so, what class of case?  As far
as I know, he has disease because he has not had any treatment yet.
What if I do not know he is going elsewhere for treatment? If the
physician is a staff physician, and it is unknown if he had tx then
would he be COC 1?  And, what about staging?  Will these require
staging?

Has anyone went through survey with Dr Jerry Hussong?  If so, can you
give me some insight on what to expect.  My email is
Loraine.Lindsey@....  Thanks.

We are being surveyed in June and since I have not gone through a
survey in quite some time (new here), can anyone give me some tips on
what to expect, what to concentrate on, etc.  My email is
Loraine.Lindsey@....  Thanks.

Sure, I'll be glad to help. Let me know what you need me to do.


----- Original Message ----
From: loril_ga <no_reply@yahoogroups.com>
To: cancerregistrargroup@yahoogroups.com
Sent: Tuesday, February 6, 2007 6:37:40 PM
Subject: [Cancer Registrar Group] FTE Survey

I looked at the NCRA website and printed off the Work force study but
it is almost 7 years old now and in registry terms that is
almost "obsolete"!! !

So, I was thinking.... why don't we do our own survey? I know of some
online survey sites that we can use for free though they do have
limitations. ...like the number of questions and/or the number of
participants.

I know many years ago we did a salary survey on this group but it kind
of fell short due to lack of man power to complete the study. Using
an online survey site we will get the results tabulated on the site
and not have to do any stats ourselves.

If you all would like to do this, email me or post here and we'll work
on it. Also, give me suggestions on questions. They should be
multiple choice type questions.

My email is lorilindsey@ charter.net or Loraine.Lindsey@ piedmont. org.






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Get new email alerts with the free Yahoo! Toolbar.
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[Non-text portions of this message have been removed]

I looked at the NCRA website and printed off the Work force study but
it is almost 7 years old now and in registry terms that is
almost "obsolete"!!!

So, I was thinking....why don't we do our own survey?  I know of some
online survey sites that we can use for free though they do have
limitations....like the number of questions and/or the number of
participants.

I know many years ago we did a salary survey on this group but it kind
of fell short due to lack of man power to complete the study.  Using
an online survey site we will get the results tabulated on the site
and not have to do any stats ourselves.

If you all would like to do this, email me or post here and we'll work
on it.  Also, give me suggestions on questions.  They should be
multiple choice type questions.

My email is lorilindsey@... or Loraine.Lindsey@....

Check it out.

Karen S. Smith, RHIT, CTR
Mercy Hospital Anderson
Cancer Registrar
7500 State Road
Cincinnati, Ohio 45255
(513) 624-4066
kassmith@...
Mail Drop (Anderson Cancer Registry 01120)



Lisa Taylor <josephine20@...>
Sent by: cancerregistrargroup@yahoogroups.com
02/01/2007 09:15 PM
Please respond to
cancerregistrargroup@yahoogroups.com


To
cancerregistrargroup@yahoogroups.com
cc

Subject
RE: [Cancer Registrar Group] FTE's






Good information to put before our facility administration!

"Berdan, Millie" <Millie.Berdan@...> wrote: Surveyors are not
supposed to use the number of 350. This is an old number used in 1981 and
I've heard there is a study being discussed in regards to what hospitals
are doing just state reporting or have a full blown registry doing
studies, follow-up, complete abstracting. All of this will be taken into
consideration. For example in 1981 there were 41 data items per abstract
and in 2006 we have today over 200 data items. There were 10 or less codes
to choose from for any one data item in 1981 and there are now are 50 or
more codes for each data item. Also in 1981 there were 4 areas of the
cancer program surveyed and now there are 9 areas surveyed. There were no
specific standards in 1981 and we now have 32 standards. I did not compile
this but someone else did and this person now works for the COC.

-----Original Message-----
From: cancerregistrargroup@yahoogroups.com on behalf of loril_ga
Sent: Thu 2/1/2007 1:58 PM
To: cancerregistrargroup@yahoogroups.com
Cc:
Subject: [Cancer Registrar Group] FTE's

Does anyone have any ideas on how many FTE's per amount of cases is
appropriate to run an COC approved program?

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

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


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use of the intended recipient(s) and may contain confidential and privileged
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reply e-mail and destroy all copies of the original message.


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