Hospitals
General, Critical Access and Specialty/Surgery Hospitals must report all required inpatient and outpatient cancer
cases. This includes:
§ Analytic cases
§ Non-analytic cases
Hospitals With a Cancer Registry
Hospitals with computerized registries will be required
to submit reportable cases abstracted by certified tumor registrars (CTR’s)
following Facility Oncology Registry Data Standards (FORDS) and NAACCR Volume
II, Data Standards and Data Dictionaryfor
detailed specification and coding guidelines to create the data exchange record
file layout. Data must be submitted within six-month from the date of first
contact. The preferred method of data submission is electronic transmission
over the Internet to the NCCR Web-based application Web Plus in NAACCR file
format.
Hospitals Without a Cancer Registry
Hospitals that
currently do not have computerized registries will be required to submit
reportable cases abstracted by a CTR or hospital staff within six-month from the
date of first contact. Hospitals with CTR support must follow the same data
standards as a hospital with a cancer registry. Hospitals without CTR support
must perform case finding procedures to identify all reportable cancer cases
and abstract each case using the “NCCR’s Cancer Reporting Form” or the NCCR’s
Web Plus system.
Registrar Resources
Electronic Manuals Resource Library
Abstracting Tools
Non-Hospitals
Physicians
Physicians in private or group practice must report all
required cancer cases that are not referred to a hospital for further diagnosis
or treatment. This includes:
§ Patients who are clinically diagnosed and receive no further
work-up or treatment
§ Patients who are newly diagnosed in the physician’s own
laboratory or by sending a specimen from the office to an outside laboratory,
whether hospital or independent
§
Patients whose
first course of treatment is initiated in the physician’s office or clinic.
This includes cancer treatment by surgery, radiation, chemotherapy,
immunotherapy, or hormones.
If the hospital reports cancer cases
diagnosed in a staff physician’s office, the physician need not to report to
the NCCR.
Dentists must report all required cancer cases that are not
referred to a hospital for further diagnosis or treatment. This includes:
Patients who are diagnosed or treated by a
dentist who performs a biopsy and/or receives a pathology report of a
reportable case.
Dermatologists
Dermatologists must report all
required cancer cases that are not referred to a hospital for further diagnosis
or treatment. This includes:
§ Patients who are diagnosed or treated by
a dermatologist who performs a biopsy and/or receives a pathology report of a
reportable case.
Freestanding Radiation and Medical Oncology
Freestanding Radiation or Medical
Oncology Clinics must report any patient initially diagnosed with a reportable
cancer or when first course of treatment is initiated at the non-hospital based
facility. This includes cancer treatment by surgery, radiation, chemotherapy,
immunotherapy, or hormones.
Surgery Centers
Surgery Centers – Freestanding surgery
centers-includes plastic reconstructive, oral and maxillofacial surgery centers
(independent centers not affiliated with any hospital) must report any patient
undergoing a biopsy or other surgical procedure at the facility for a newly
diagnosed reportable cancer. This includes cases
also reported by either a hospital based or a private/independent medical laboratory.
Surgery centers affiliated with a
hospital must report any patient undergoing a biopsy or other surgical
procedure at the facility for a newly diagnosed reportable cancer if the
patient was not referred to the hospital for further diagnosis or treatment.
This includes cases also reported by either hospital-based or
private/independent medical laboratories.
Other Facilities that provide screening, diagnostic, or therapeutic services
Other Facilities that provide cancer
screening services, diagnostic services, or therapeutic cancer services must
report confirmed cancer cases which are subject to reporting. This includes
facilities that provide mammography or radiology services, palliative,
prophylactic, or adjuvant therapy for reportable cases.
Long-Term Acute Care Hospitals, Hospice, and Skilled Nursing Facilities
Long-Term Acute Care Hospitals, Hospices and Skilled
Nursing Facilities must report the following types of diagnosed reportable cancer
cases:
§ Cases clinically diagnosed but not confirmed through
biopsy, cytology, or other microscopic methods.
§ Cases for whom the first course of cancer treatment is
initiated at the facility. Treatment may include chemotherapy, immunotherapy,
or hormone therapy.
§ Cases admitted with active cancer for the purpose
of receiving supportive care, palliative care, pain management and/or hospice
services.