What is the minimum number of times the cancer committee must meet per year in an accredited cancer program?

How often are CoC accredited cancer programs surveyed?

To earn voluntary CoC accreditation, a cancer program must meet 34 CoC quality care standards, be evaluated every three years through a survey process, and maintain levels of excellence in the delivery of comprehensive patient-centered care.

What follow up rate does the CoC require accredited cancer programs to meet for all eligible analytic patients from the cancer Registry reference date?

The CoC accreditation standards require an annual 90% follow-up rate for all living, eligible, analytic patients diagnosed within the last 5 years and an 80% follow-up for all eligible analytic cases from the cancer registry’s reference date.

What is a cancer committee?

Function: The Cancer Committee is responsible and accountable for cancer program activities. The Committee is responsible for: goal setting, planning, initiating, implementing, evaluating and improving all cancer related activities for our Hospital.

What percentage of cancer conference cases must be presented prospectively?

Minimum of 15 percent of the annual analytic case load must be presented and 80 percent of these case presentations must be prospective presentations. Conference activity can be reported in any type of format as long as all required elements are included.

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How many hospitals are CoC accredited?

More than 1,500 facilities are accredited by the Commission on Cancer (CoC) of the American College of Surgeons.

What cancer cases require follow up?

SEER cancer registries must meet or exceed 95% successful follow-up. The follow-up rate is calculated on all eligible patients, both living and dead. The successful follow-up rate for eligible living patients is set by the CoC at 80 percent.

How long must a cancer registry follow a cancer patient?

A 90 percent follow up rate is maintained for all eligible analytic cases diagnosed within the last five years or from the cancer registry reference date, whichever is shorter.

When are patient’s considered lost to follow up in a registry?

Lost to follow-up refers to patients diagnosed with cancer, but the registry has not obtained vital status information for one year or longer. Patients lost to follow-up can bias results of survival and other studies.

How often does a cancer committee meet?

✓ The Cancer Committee minutes must contain the required content for the standard the subcommittee may be reporting on. At least four meetings per calendar year (recommend reporting on other tools in addition to those required under 4.4 and 4.5).

What is ACOS accreditation?

CoC accreditation encourages hospitals, treatment centers, and other facilities to improve their quality of care through various cancer-related programs and activities.

What percentage of analytic cases must be chosen randomly to review for pathology report compliance with the CAP protocols?

At a minimum, a random sample of 10 percent of pathology reports eligible for the CAP protocols or a maximum of 300 cases are reviewed each year to document compliance with this standard.

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