HIT Statistics
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| Birth certificate-Hospital | enters info, gets dr. signature; files with local registrar within 5 days
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| Birth certificate-Physician | Supplies med info and signs within 72 hrs.
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| Birth Certificate-Local Registrar | Checks for accuracy, affixes identfication, gives it a local file number, retains a copy, sends original to state registrar
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| Birth Certificate-State Registrar and Center for Health Statistics | Checks for missing info, numbers the record, microfilms and codes, incorporate into state vital statistics records system
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| Death Certificate-Certifying Physician | Completes and signs within 48 hrs after death,gives certificate to funeral director
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| Death Certificate-Hospital Authorities | May initiate cert., enters full name, sex, date and place of death; makes sure drs. signature is present; gives partially completed certificate to funeral director
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| Death Certificate-Funeral Director | Completes death certificate; files with local registrar of district in which death occurred and obtains burial-transit permit
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| Death Certificate-Local Registrar | Checks for accuracy; affixes his/her identification to the record; records date; gives it a local file number; retains a copy; sends original to state registrar by the fourth of following month
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| Death Certificate-State Registrar and Center for Health Statistics | Checks for inaccuracy; numbers the record; microfilms and codes; incorporate into the vital records system
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| Fetal Death Report-Hospital and Physician | Prepares report; sends to state registrar within 5 days of delivery
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| Fetal Death Report-Office of the State Registrar and Center for Health Statistics | Reviews; numbers it; not incorporated into vital records sytem
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| Burial Transit Permit for Adult | Presents evidence to local registrar; issues permit to his/her self if office is closed during 72 hrs. following death; mailed to local registrar
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| Burial Transit Permit-Local Registrar | Issues permit upon evidence that death occured in their district
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| Burial Transit Permit for Disposition of a Dead Fetus-Hospital, Funeral Director, or facility accepting the fetus | complete permit prior to final disposition; parent signature required; retains permit for 7 years; permit is not filed with local or state registrar
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| What are pie charts used for? | Displaying percentage distributions
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| Where does the biggest section of the pie go? | Upper right hand quadrant
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| What is discrete data? | numbers are whole
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| What is continuous data? | numbers can be decimals
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| What kind of numbers are discrete? | nominal and ordinal
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| What numbers are continuous? | Interval and ratio
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| Nominal measurements | no relationship between values
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| Ordinal measurements | show order of a relationship but does not give the exact size difference
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| Interval measures | indicate size of difference between values
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| Ratio measures | same as interval but has an exact zero
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| What numbers are used for bar graphs? | Nominal and ordinal
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| What numbers are used for line graphs? | Interval and Ratio
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| Does the independent variable ever change? | No
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| Does the dependent variable ever change? | Yes
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| Where does the x-axis go? | On the horizontal
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| Where does the y-axis go? | On the vertical
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| What do you include on the graph? | Title,caption for x and y axis, time period of data, total number of observations, keys or legends
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| What do you use Histograms for? | Interval data that is discrete or continuous variables which have been grouped
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| Do pie charts have to equal an amount? | Yes, 100%
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| What do line graphs show? | Patterns over time
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| With line graphs, what do the variables on each axis have to be? | Continuous
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| AJCC | American Joint Committee On Cancer
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| Accession Number | # given to each patient entered into a cancer registry data base
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| Analytic | Cancer cases initially diagnosed and treated at a facility
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| Nonanalytic | Cancer cases diagnosed at another facility and are not included in registry of current facility
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| Cancer Committee | Group that directs cancer services in a facility
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| Cancer Conference | Tumor board; discuss dx and treatment of cancer patients
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| COC | Commission on Cancer
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| What is the COC? | division of the ASC, oversees cancer control
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| What is the target rate for follow-up cases? | at least 90%
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| Within what time period do registries have to perform follow-ups? | within 15 months
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| What is used to code cancer? | ICD -O-2, 3
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| What is ICD -O - 2 based on? | ICD - 10 - CM
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| Morphology? | Describes type of tumor
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| Staging? | Conveys the extent of cancer
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| SEER | Surveillance, Epidemiology, and End Results Program
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| TNM | type of staging classification: tumor, lymph node involvement, and metastisis
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| What are cancer Registries used for? | To care for cancer patients, improve the dx and treatment of cancer
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| National Cancer Act of 1971 | mandated the collection, analysis, and treatment of cancer
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| Who do Hospital-Based Cancer Registries get approved from? | ACS
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| What did the ASC set the stanard for? | Medical Records
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| Who is the forerunner of JCAHO? | ACS
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| Patient Index of database development | name,sex, ACCESSION NUMBER
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| Cancer casefinding | develop procedures to id every reportable case of cancer
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| Multiple sources of casefinding? | HIM - disease index or flag, pathology reports
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| How does HIM know to flag certain cases? | Dx code
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| Accession register | Annual listing of all cancer cases entered into database; when entered is given number
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| What else does the accession register help with? | determines workload
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| When must abstracting be done? | within 6 months from date of initial discharge
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| Topograhy | anatomical site
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| How long are patients followed up when in a registry? | entire life
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| How often does a facility have to follow-up cancer patients? | annually
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| Methods of follow - up? | letters to physician, patient, families
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| What is grading? | looks at tumor; grades as to differentiation
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| Is it good to have a poorly differentiated tumor? | no
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| Show successful do follow-up have to be? | 90%
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| What is the Cancer Committee responsible for? | overviews the medical review of registry
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| ACS recommends random reviews of accessioned cases. What kind? | A smattering of all
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| When does the annual report of the cancer registry have to be done? | November 1 of following year
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| What needs to be included in the annual report? | in-depth report on at least one major site, with survival analysis
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| Can Cancer Committees hire/fire? | No
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| What credential can a HIM person get for cancer registries | CTR - Certified Tumor Registrar
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| Who sets the standards for cancer registries? | COC
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| Who oversees Trauma Registries? | ASC
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| AIS | Abbreviated Injury Scale
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| What does the AIS do? | gives a # assignment for nature of injury
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| Injury Severity Score | overall measurement score for the 3 most severe injuries of patient
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| Laterality | what side or both sides
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| Confirmation of cancer? | histology, cytology, radiology
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