Summer 2022
Welcome to NCRA’s
Strategic Alliances & Advocacy News

Recognizing NCRA’s work with its strategic partners requires timely communications with members, NCRA has established the e-brief to highlight key updates and news from its work with industry partners.

The content covered will be from NCRA’s formal liaisons to partner organizations and Adam Ebbin, NCRA’s Public Policy and Strategy Consultant. NCRA may also include information from its federal partners at the CDC and NCI on occasion.

If you have any questions or need additional information about issues outlined in this issue of the Strategic Alliances & Advocacy News, email policystaff@ncra-usa.org.
NCRA Strategic Alliances
American College of Surgeons Commission on Cancer (CoC)
NCRA’s CoC Liaison: Cheryl Sheridan, RHIT, CTR

HIGHLIGHT - Cancer Liaison Physician (CLP) 
The Commission on Cancer (CoC) Cancer Liaison Physician (CLP) is an integral and required member of a CoC-accredited cancer program’s cancer committee.
I encourage you take the time to engage with your CLP. Provide training and education on the role of the CLP. 

The CLP:
  • Is selected and appointed by the cancer committee.
  • Can be a physician of any specialty who is an active member of the medical staff.
  • Fulfills the role of physician quality leader of the cancer committee.
  • Serves as the alternate for the cancer committee chair and oversees cancer committee meetings if the chair is not in attendance.
  • When choosing a CLP, the selection of women, minorities, and those of diverse backgrounds are encouraged.

There are numerous documents and training tools available by clicking this link for the CoC Cancer Liaison Physician (CLP) program.

The American College of Surgeons has a new website. I encourage you to click on this link to the American College of Surgeons homepage and explore!

For the latest on events and education from the Commission on Cancer visit the Cancer Events and Education page at this link.

If you don’t receive the email Cancer Program News please join our mailing list (facs.org).

Save the date for these important events and deadlines:

June 9, 2022 
Just ASK Webinar: The Ins and Outs of Just Ask

June 15, 2022
PROMPT Webinar

June 30, 2022
Submission Deadline for 2022 CoC Research Paper Competition

July 5, 2022
Access ACS Cancer Accreditation Programs: Continually Advancing Quality Cancer Care Conference Virtual Content

July 15-18, 2022
ACS Quality and Safety Conference

October 16-20, 2022
ACS Clinical Congress 2022
North American Association of Central Cancer Registries (NAACCR)
NCRA’s NAACCR Liaison: Heather Stabinsky, MS. Ed, CTR

NAACCR Implementation Guidelines Task Force 
The NAACCR Implementation Guidelines Task Force has reconvened to develop the NAACCR 2023 Implementation Guidelines and Recommendations. This document provides an overview of the requirements for cancer reporting for diagnosis year 2023. The task force members are currently preparing information for registrars on:

  • New, Changed, and Retired Data Items
  • XML exchange Standard
  • Edits metafile
  • Standard Setter Reporting Requirements for 2023
  • Summaries for Central Registries, Hospital Registries, and Software Developers/Vendors 

The NAACCR 2023 Implementation Guidelines and Recommendations is scheduled to be available on the NAACCR website in August 2022. Registrars are encouraged to review the document. 

NAACCR Uniform Data Standards (UDS) Workgroup
The NAACCR Uniform Data Standards (UDS) Workgroup is currently discussing the issues surrounding additions and changes to data fields for 2023 and 2024. Work continues on a major overhaul of surgery codes starting with primary sites- breast and melanoma. In addition, “Rx-Summ- Prim Surg Site 2023” will be added to the data set. The application of surgery codes will be based on diagnosis year and resources will be developed to assist registrars in selecting the appropriate codes. Work has also started on the development of an edit to review the compatibility of pre-2018 Radiation fields and post-2018 Radiation fields. 

NAACCR Volunteer Opportunities
Are you interested in volunteering at a national level? NAACCR continues to look for cancer registry professionals interested in making connections with other members who share the same interests. If you are a NAACCR member and interested in finding out more about NAACCR’s volunteer opportunities, please submit your information at https://www.naaccr.org/member-ambassador-program. You can also send an email to info@naaccr.org.
National Accreditation Program for Breast Centers (NAPBC)
NCRA’s NAPBC Liaison: Cynthia Boudreaux, LPN, CTR

NAPBC Standards Committee
The NAPBC standards committee is hard at work reviewing the feedback from the cancer programs concerning the draft of the revised accreditation standards. I am very excited to see that many of you took the opportunity to offer comments and ask relevant questions. I promise you; all comments and questions are being reviewed and considered. Thank you for taking the time to participate. 

The PROMPT study is also on its way with great participation from everyone.  I am hopeful that it will prove to be a worthwhile effort. 

Please visit the following link to view more information on NAPBC Standards and Resources:  NAPBC Standards and Resources
Cancer PathCHART
NCRA’s Cancer PathCHART Liaison: Janet Reynolds, CTR 

PathCHART Highlight 
Dr. Alison Van Dyke, co-chair of the project, presented information on Cancer PathCHART at the NCRA annual conference in April, from the impetus for the initiative through current status of pathologist review, mapping, and database development. Dr. Van Dyke also reviewed plans for Cancer Registrar engagement to assist with timely completion of the project, including review of updated site/histology lists and eventual testing of the planned webtool. The Cancer PathCHART core management team will coordinate with NCRA to identify volunteers for this process. An informational webpage on the SEER website will be coming this summer, so stay tuned!
Public Policy and Strategy
NCRA’s Executive Director; Lori Swain, MS 

Update
In April NCRA hosted two advocacy activities: Our traditional Walk on the Hill and the new Advocacy Now Letter writing campaign. Both campaigns focused on NCRA’s funding and policy priorities which included:

  1. For Fiscal Year 2023, funding the Center for Disease Control and Prevention (CDC) Cancer Programs at $472 million, which includes $76 million for the National Program of Cancer Registries (NPCR) to fully implement the cloud registry program.
  2. Supporting the forthcoming Counting Veterans Cancer Act.
  3. For Fiscal Year 2023, funding the National Cancer Institute (NCI) at $7.766 billion.

For Walk on the Hill 44 of our 2022 NCRA Annual Conference attendees held 67 meetings which represented 19 states. These meetings were evenly split between the House and Senate. Immediately following this DC area event, NCRA opened up the opportunity for the full membership to get engaged through our April 18-29 Advocacy Now campaign. This was a first for NCRA where we developed an easy process for our members to send specific letters to their members of Congress. For this event 419 NCRA members participated which resulted in nearly 1200 letters sent to Congress in support of NCRA’s funding and policy priorities!

In the coming weeks we expect to see the Counting Veterans Cancer Act introduced in the Senate. At that time, we will again be engaging our members to help us with this final, and most important, step to assure that this legislation moves successfully through Congress; all the way to the White House for President Biden’s signature into law! 

As a reminder, here is some background on the forthcoming Counting Veterans Cancer Act: According to 2017 data from the CDC’s National Program of Cancer Registries (NPCR), approximately 26,500 cancer cases among veterans were not reported to state cancer registries funded through NPCR. Federal law requires CDC and NCI to collect cancer data for all newly diagnosed cancer cases, but that cannot be achieved due to frequent lack of reporting by the Department of Veterans’ Affairs medical facilities.
The Counting Veterans’ Cancer Act will require all data on veterans diagnosed with cancer to be reported by the Department of Veterans’ Affairs to central cancer registries.

The Counting Veterans’ Cancer Act will improve veteran care by:
  • Identifying cancer-related disparities in the veteran’s community;
  • Improving understanding of the cancer related needs of veterans;
  • Increasing opportunities for veterans with cancer to be included in clinical trials, cancer-related research, and analysis. 

Further, releasing all data from VA medical facilities to State cancer registries will provide more complete data for health care providers, public health officials, and researchers to:
  • Measure cancer occurrence and trends at the local and national levels
  • Inform and prioritize cancer education and screening programs
  • Evaluate efficacy of prevention efforts and treatments
  • Determine survival rates
  • Conduct research on causes, diagnoses, and treatments
  • Ensure quality and equity in cancer care
  • Plan for health services

Bottom line - The Counting Veterans’ Cancer Act will help ensure all veterans receive the highest quality cancer care they need and deserve! Look for more information in your “inbox” soon to get involved. 
Stay up to date with all NCRA advocacy activities at www.ncra-usa.org/advocacy