Abstract Plus Version 3.0: Efficient, Flexible Tools for Cancer Casefinding and Reabstracting Case Completeness and Data Quality Audits NAACCR Conference June 16, 2009 Joe Rogers, CDC Denise Farmer, Northrop Grumman Division of Cancer Prevention and Control National Center for Chronic Disease Prevention and Health Promotion Coordinating Center for Health Promotion Centers for Disease Control and Prevention Atlanta, Georgia

Registry Plus Suite of publicly available, free-of-charge, Windows-based software programs for collecting and processing cancer registry data Made available by the CDC to implement NPCR –Enable central registries to meet NPCR program standards in the face of existing budgetary constraints Compliant with national standards Fully customizable for state-specific needs

Abstract Plus Abstract and code cancer cases using standard data items and codes Web Plus Abstract, code, and collect cancer data securely over the Internet eMaRC Plus (Mapper Plus) Work with path lab records in HL7/pipe-delimited format, identify cancer records and map to the NAACCR file format Data File Mapper Plus Map data elements from any fixed width or delimited data file to the NAACCR file format Prep PlusReceive and edit batches of abstracts CRS PlusLink and consolidate edited abstracts Link PlusProbabilistically link records Registry Plus Online Help User-friendly, Windows-based Help system; incorporates standard abstracting and coding manuals into one accessible, easy-to-use resource Registry Plus

4 Abstract Plus Features Electronic abstract in the format of the North American Association of Central Cancer Registries (NAACCR) data exchange layout. Data set can be customized to include locally- defined variables with a selection of NAACCR data items in an ordered display. NAACCR edits are tightly integrated, allowing standard editing and error correction online. Includes Registry Plus Online Help with Abstract Plus Users Guide. Support NPCR audit requirements.

5 What’s New in Abstract Plus v3.NET technology New, more user-friendly abstracting interface Enhanced security New Auditor role Audit features closely follow abstracting

6 Roles Abstractor - manages data entry –Available on login Administration - manages set-up –Additional admin password required –Allows all role functions Auditor – manages audit entry –Additional auditor password required

New Abstracting Screen Section Headers Easier Access to Text Fields Drop Down List Right-click any field for Help and Edit Errors Direct Grid Entry Can resize panes Custom Data Item Labels Selected NAACCR fieldname Special Lookup EDITS status Can scroll up/down separate from other pane

Right-click Menu and Function Keys F4

F1 – Field Context Help F1

F2 – Field Edit Error Information Show all errors Link to field Edit error indicator F2

Field Edit Errors - Tooltips

Field Messages

F4 - Special Lookup

F5 – CS or Age Calculation

Code Selection - Drop-down List

Abstract Plus v3 Administration Security Features Managing Abstracting Display Types Application Preferences Managing Audit Display Types Manage Audit Database

Administration Login

Application Preferences

Audit Administration Uniquely name audit databases Create Display Type Same features available as Managing Abstract Display Types Import NAACCR layout text file from any source

Audit Display Type 1. Create display type name

Audit Display Fields 2. Select fields and options

Critical Fields 3. Select critical fields

Edits Configuration 4. Select edit set options

Individual Edits 5. Select individual edit options

Collaborative Staging Calculations 6. – Select Collaborative Staging options

Manage Audit Database Name Select Import

Audit Display Type

Import Abstracts in Audit

Manage Audit Discrepancy Codes

Auditor Role

Casefinding Audit

Add Non-match

Non-match Added

Reabstraction Audit

Reabstracting Screen

Can resize panes

Audit Columns Added Upon Completion

23 Complete Status cont’d

Audit Reports Menu Casefinding Audit Reports Menu Reabstracting Audit Reports Menu Recoding Audit Reports Report Wizard Reports Text File Export: For further analysis and reporting at CCR

Casefinding Reports

Casefinding Results

Discrepant Values by Patient

Reabstracting Summary

Reabstracting Reports

Recoding Reports

Ad hoc Reports

Export Audit text file

48 Thank you Joseph Rogers Denise Farmer Sherrie Stein The findings and conclusions in this presentation are those of the author(s) and do not necessarily represent the views of the Centers for Disease Control and Prevention