Mississippi Cancer Registry Newsletter December 2019 Volume 14 Issue 4

Angel Davis, RHIT, CTR– Data

Quality Analyst-Trainer– MCR

Angel is 45 years old and lives in Lena, MS. She handled real estate law for 15 years and then decided it was time for a change. She went to Hinds Community College and graduated from the Health Infor-mation program in 2015. She start-ed at UMMC Cancer Registry as a part time Student Researcher in April 2014. She became a full time Cancer Registrar at UMMC in November 2015. Angel became a Certified Tumor Registrar in No-vember 2016. She recently took over the position as Trainer/Educator w/Mississippi Cancer Registry. She has been married for over 22 years, with 2 children, Torri and Hunter and 6 dogs, Clary Addeboyejo, Peanut, Nala, Max and Molly.

Marlene Borja RHIT, CTR–

Memorial Gulfport

Marlene resides in Long Beach. She is the mother of two adult sons & one grandson . She has been with Memorial Hospital @ Gulfport for 17 years. She previ-ously worked in Pathology Dept. before joining the Cancer Regis-try in 2016. She obtained her CTR credential in 2017 and is honored to serve as MCRA Vice President this year.

Beth Pennington, RHIT, CTR–

Memorial Gulfport

Beth resides in Gulfport with her

husband, Jonathan and their

daughter, Lauren. She has been

with Memorial Hospital at Gulf-

port since 1992 and has been with

the registry since 2005, obtaining

her CTR credential in 2007. She

was previously Vice President for

MCRA in 2015 and President in

2016.

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President-Beth Pennington

Vice President-Marlene Borja

Secretary/Treasurer-Angel Davis

MCRA Officers 2019-2020

MCR Fall Educational Workshop

Guest Speakers:

Dacia Breeden, RD, LD

Susan Mason

Denise Harrison, BS, CTR

Kelly J. Wilkinson, MD

September 19, 2019

UMMC

Conference Center

Jackson, MS

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Upcoming NAACCR Webinars

1/9/20 -Prostate -Bobbi Matt, BS, RHIT, CTR (State Health Registry of Iowa) and Jim Hofferkamp, CTR

2/6/20 -SSDI’s: An In-Depth Look- Jennifer Ruhl, CTR, (Chair SSDI WG, Public Health Analyst NIH/

NCI SEER) and Jim Hofferkamp, CTR

3/5/20- Abstracting and Coding Boot Camp -Jim Hofferkamp, CTR

For more information contact:

Angel Davis, adavis6@umc.edu 601-815-5481

MCR welcomes Angel Davis as the new state

Data Quality Analyst– Trainer.

Please contact her for all educational questions and

assistance at:

adavis6@umc.edu

601-815-5481

Data Quality Analyst-Trainer: Angel Davis, adavis6@umc.edu Page 5

Educational Corner

AJCC 8th Edition

AJCC 8th Edition Staging Critical Clarifications for Registrars:

https://cancerstaging.org/CSE/Registrar/Pages/Staging%20Moments.aspx

In situ neoplasia change in T category assignment. The clinical T catego-

ry will now be cTis and the pathological T category will be pTis.

Node status is not required in circumstances where lymph node involve-

ment is rare. This is limited to specific chapters.

Quick 1-page resource highlighting the general rules and rationale for Chapter

1 of the AJCC Cancer Staging Manual.

SEER*Educate This comprehensive training platform is tailored specifically for cancer registry profes-

sionals to improve technical skills through applied testing on the latest coding guide-

lines and concepts.

https://educate.fredhutch.org/LandingPage.aspx

Released 145 New 2018 Histology Coding Drills in November of this year

focusing on Other Sites and Metastatic Sites.

To find: Training Menu -> CTR Prep Test -> Coding Drill –Dx 2018 Histology

(Solid Tumors) -> Scroll down to Other & Metastatic Sites.

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AJCC Cancer Staging Manual

Cases with a diagnosis date of 01/01/2018 and forward should be staged using AJCC 8th Edition Cancer Staging Man-

ual. The 3rd printing 2018 Edition is now available.

Please visit https://cancerstaging.org/references-tools/deskreferences/Pages/8EUpdates.aspx# for all 8th Edi-

tion updates and corrections. For all other information, visit https://cancerstaging.org/Pages/default.aspx.

Summary Stage 2018

The 2018 version of Summary Stage applies to every site and/or histology combination, including lymphomas and leu-

kemias. Summary Stage uses all information available in the medical record; in other words, it is a combination of the

most precise clinical and pathological documentation of the extent of disease. The Summary Stage 2018 manual is

available at https://seer.cancer.gov/tools/ssm/.

Site Specific Data Items (SSDI)

Site Specific Data Items (SSDI) are similar to the Site Specific Factors (SSF) collected with Collaborative Stage. These data items are specific to certain site/histology combinations. For example, the SSDI’s for breast will be used to collect information such as estrogen receptor status, progesterone receptor status, Her2 status, Nottingham grade, and addi-tional information related to primary tumors of the breast. The information collected in these data items are specific to breast. The SSDI manual is available at https://apps.naaccr.org/ssdi/list/.

Grade

Beginning with cases diagnosed in 2018 grade information will be collected in three fields; Clinical Grade, Pathological

Grade, and Post-Therapy Grade. Within the Grade Manual you will find definitions for the three new grade data

items, coding instructions, and the site/histology specific grade tables. The Grade manual is available at https://

www.naaccr.org/SSDI/Grade-Manual.pdf?v=1527859766.

SEER Hematopoietic and Lymphoid Neoplasm Database

This provides data collection rules for hematopoietic and lymphoid neoplasms for

2010+.The SEER Hematopoietic and Lymphoid Neoplasm manual is available at

https://seer.cancer.gov/tools/heme/Hematopoietic_Instructions_and_Rules.pdf.

2018 Solid Tumor Coding Manual

Use the 2018 Solid Tumor coding rules to determine the number of primaries to ab-

stract and the histology to code for cases diagnosed 2018 and forward. The Solid Tu-

mor coding rules replace the 2007 Multiple Primary and Histology ( MP/H) Rules. The

manual is available at https://seer.cancer.gov/tools/solidtumor/. The change log con-

tains updates made to the FINAL module sections. This does not include changes made to the drafts.

CoC 2018 STORE Manual

The STORE Manual has replaced the FORDS Manual. The STORE is now available at https://www.facs.org/quality-

programs/cancer/ncdb/registrymanuals/cocmanuals.

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SEER*Rx Interactive

Antineoplastic Drugs Database

SEER*Rx was developed as a one-step lookup for coding oncology

drug and regimen treatment categories in cancer registries. The in-

formation in this database is effective for cancer diagnoses made on

January 1, 2005 and after. Review and recoding of drugs from previ-

ous years is not required or recommended. https://seer.cancer.gov/

seertools/seerrx/

CTR EXAM

Testing Dates and Deadlines

March 6 - March 27, 2020; application deadline: January 31, 2020

June 26 - July 17, 2020; application deadline: May 29, 2020

October 16 - November 6, 2020; application deadline: September 11, 2020

CAnswer Forum The American College of Surgeons (ACS) Cancer Programs provides tools, resources, and data that enable cancer programs to deliver comprehensive, high-quality, multidisciplinary, evidence-based, patient-centered care to patients with cancer and diseases of the breast. The CAnswer Forum is a tool and resource for the American College of Surgeons (ACS) Cancer Programs con-stituents to ask questions, search topics, and connect with Cancer Program colleagues across the country. A forum for Pathology, moderated by the College of American Pathologists (CAP), is also included.

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MCR Staff Director– UMMC & MCR: Deirdre Rogers, dbrogers@umc.edu

MCR Manager: La’Tawnya Roby, ldroby@umc.edu

Clinical Systems-Application Coordinator/Analyst-Intermediate:

Tresheena Boyd, tboyd@umc.edu

Data Quality Analyst-Trainer:

Angel Davis, adavis6@umc.edu

Data Quality Analyst-Auditor:

Ashanti Greenwood, agreenwood@umc.edu

Electronic Data Source Coordinator:

Lisa Hamel, lhamel@umc.edu

Cancer Registrars:

Stacy Major, semajor@umc.edu

April Huggins, ahuggins@umc.edu

Nina Engelman, nengelman@umc.edu

Administrative Assistant III:

Ophelia Spencer, ospen-

cer@umc.edu

We acknowledge the Centers for Disease Control and Prevention and University of Mississippi Medical Center for their support of the MCR staff,

and the printing and distribution of the monograph under a cooperative agreement awarded to the MCR.

UNIVERSITY OF MISSISSIPPI

MEDICAL CENTER

2500 NORTH STATE STREET

JACKSON, MISSISSIPPI 39216

Phone: 601-815-5482

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