data-driven tool: a bar graph whose bars are drawn in de-
Pareto Chart creasing order of frequency or relative frequency; 80/20
(often 80% of the outcome results from 20% of the causes)
data-driven tool: a vertical bar graph depicting a frequen-
Histogram
cy distribution
data-driven tool: a run chart is a line graph with data
plotted over time to identify variations (i.e. commute to
Run Charts and Control Charts
work, time taken to complete an abstract); control charts
are run charts that include control limits.
data-driven tool: a graph of plotted points that show the
relationship between two continuous variables that do not
depend on each other where the line is not connected. In-
dependent (horizontal axis) and dependent (vertical axis).
Scatter Plot Graph (i.e. ODS cont ed hours vs number of abstracts complet-
ed)
-positive correlation looks like a slash (low left, high right),
negative looks like a backward slash, and no correlation is
a jumble of dots
idea-driven tool - a diagram that relates a key perfor-
cause and ettect diagram (fishbone diagram) mance problem (head) to its potential causes (bones).
Also called Ishikawa
idea-driven tool - document occurrences of an event over
Check Sheet
time (i.e. central registry calling patients for study)
idea-driven tool - diagram of multi-step processes used
Flow Chart to identify redundancies or delays; depicts a starting and
ending point and the steps between the two
PDSA/PDCA, DMAIC, Lean
The 3 Most Common Methods for Quality Improvement Plan, Do, Study (Check), Act- rapid-cycle processes, per-
formed repetitively in a short period of time
, ODS Exam Test Questions and Answers Graded A+
Define, Measure, Analyze, Improve & Control- for larger
projects in need of careful, thorough planning
Lean-reducing/eliminating waste (7 areas)
Quality Assurance (QA) measures the accuracy of the data
examines the causes/processes behind the inaccuracies
Quality Improvement (QI) and the changes that can be implemented to reduce er-
rors
-Receive funding from and report data to either CDC
NPCR, NCI SEER or both
-A registry is never required to enter into a data use
Central Registries - Flow
agreement to share de-identified data, but the registry
may require the recipient to enter one to access files with
disclosure risk
-CA program administrator (admin & budget)
-Oncology nurse
Cancer Committee Required Non-Physician Members
-Social worker
-CTR/ODS
Cancer Committee Chair
CoC liaison physician & at least one physician representing
each of the dx & tx services:
pathology
Cancer Committee Required Physician Members
diagnostic radiology
surgery
oncology
rad onc (if on statt)
Cancer Conference Coordinator
Role of ODS in Cancer Committee
Cancer Registry Quality Coordinator
data collection began 1973; geographic areas are selected
for inclusion in the SEER program based on their ability to