1. Who Moved My Cheese?
Keeping up with Changes in the Cancer Registry and Life
Joyce Allan, MPh, CTR
Registry Solutions Inc.

2. A little background Who Moved My Cheese? Spencer Johnson, M.D.
A way to deal with change in your work place and in your life
Copyright 1998
The way we adapt to change and succeed in changing times

3. How do you adapt to change?
Sniff – senses the change early
Scurry – scurries into action
Hem – deny and resist, fear of something worse
Haw –learn to adapt in time, changes lead to something better

4. How do you adapt to change?
Are you flexible?
Are you afraid of change?
Is change stressful for you?
Hard to expect the unexpected
Snooze and lose?

5. The Story Two little mice, Sniff and Scurry
Two littlepeople, Hem and Haw
Their days are spent looking for and enjoying Cheese
When supplies dwindle they are forced to react
Sniff and Scratch go off in search of new cheese, they expected change and react accordingly
Hem and Haw have a hard time

6. The story continued…..
They did not accept that they would have to change
They were comfortable in the status quo denied anything was different, “getting too old for this”, resisted the new or unknown
Realization that things have and will change and it is just easier to accept at first

7. The story continues….. Fear of the unknown
Why didn’t I get up and move with the cheese sooner?
Better late than never?
More worry and stress?
Realization that change is inevitable
Think about what you can gain instead of what you are losing

8. Adjust to survive Change your attitude Find ways to address change
Release the NEGATIVE energy
Find a healthy outlet – Yoga, meditation, kick boxing, dance, punching bag, Nia, belly dancing, tennis, running, etc.
Get enough sleep

9. New Manuals, Websites Education, webinars, software changes
New rules, new codes, new data items
Mistakes, learning curve
Loss of productivity
Abstracting time
The age old question
“How long does it take to do an abstract?” !!!!
Can you answer that?

10. Remember the KISS rule The material is complex Work one site at a time
Read the site chapter, work a few cases
Repetition is a good learning tool
Read the manual – do not depend on your software to do the work for you

11. Where do we Begin in our field?
CS Staging
SSF’s
FORDS
TNM Editions
Class of Case
MPH Rules
ICD-Oncology Codes
ICD-9 to ICD-10 Codes
Hematopoietic Rules

12. CS Staging CS Staging – now you see it now you don’t!
What’s coming? Stay tuned this will be a major challenge for all of us!
What we do know is that CS staging and the SSFs are leaving
More manuals, new data fields, more training
Are you ready for this??

13. FORDS FORDS Revision Project Mechanism in place to:
Change existing data items
Add new items
Remove existing data items

14. TNM 8TH Edition
ERRATA
ERRATA

15. Are these people nuts?
Who wants to pay $120 for a book that is incorrect and has 100 plus pages of corrections?
No one answering my question about updating the publication currently for sale
Seriously…. I am waiting for the electronic version

16. In Conclusion
Change is an inevitable part of life whether personal or professional
Resist it or embrace it
What is best for your mental and physical health
Life is a journey and the glass is half full