Data Quality Assurance & Cancer Program Standards Flashcards

Which of the following is considered a 'non-analytic' case in a hospital cancer registry?

Answer: A patient diagnosed at the reporting facility but treated elsewhere

Non-analytic cases include patients for whom the facility provided only part of the diagnostic workup or treatment, not the primary managing institution.

In a reabstraction study comparing original abstractions to a gold standard, which statistic is calculated to measure inter-rater reliability for categorical data fields?

Answer: Cohen's Kappa statistic

Cohen's Kappa measures agreement between raters beyond chance for categorical variables, making it the standard inter-rater reliability statistic for registry audits.

What action is required when a cancer registrar discovers that a previously submitted case was incorrectly classified as reportable?

Answer: Delete the case from the registry and submit a correction to the state

Incorrectly reported cases must be deleted from the registry and a correction or deletion notice submitted to the state central registry to maintain data integrity.

A new cancer registrar asks why the 'date of first contact' field is important for quality assurance. The BEST answer is:

Answer: It establishes the beginning of the follow-up timeline for the patient

Date of first contact establishes when the patient first became known to the facility, which anchors the start of follow-up activity and survival calculations.

The NCDB's Rapid Quality Reporting System (RQRS) is designed to provide hospitals with:

Answer: Immediate feedback on adherence to evidence-based quality care measures

RQRS provides hospitals with near-real-time feedback on whether patients are receiving evidence-based treatment as measured by nationally recognized quality care metrics.

Which standard within CoC accreditation specifically addresses the requirement for cancer registry staff to participate in continuing education?

Answer: Standard 3.1

Standard 3.1 addresses cancer registry qualifications and continuing education requirements for registry personnel.

During a data quality review, a registrar finds that 'histologic type' and 'behavior code' in a submitted record are internally inconsistent. This type of error is detected by which quality control mechanism?

Answer: Inter-field edits

Inter-field edits check for logical consistency between related data fields, catching errors where two coded values are mutually incompatible.