333-010-0040 Cancer Reporting Regulations: Quality Standards The usefulness of OSCaR data is directly dependent upon the accuracy, completeness, and timeliness of the data available in its database. ORS 432.510 directs the Oregon Health Authority to establish a quality control system for the data reported to the state registry. In order to assess these aspects of quality for cancer reporting, the central cancer registry will institute a program of continuous quality improvement. (1) The continuous quality control system must include, but is not limited to, assessing coding edits, completeness audits or checks, reabstracting audits, and data analysis techniques to estimate data accuracy, validity, and reliability. OSCaR may provide training and corrective measures to improve data accuracy, validity, and reliability. (2) For the purpose of assuring the accuracy and completeness of reported data: (a) OSCaR shall have the right to periodically review all records that would identify cases of reportable cancer and reportable non-malignant conditions or would establish characteristics of the cancer, treatment of the cancer or the medical status of any identified cancer patient. OSCaR will provide advance notification of a minimum of 30 days, to allow time for the reporting sources to prepare records for review. (b) When a patient has been seen for care or diagnosis by multiple reporting facilities, practitioners, or clinical laboratories, OSCaR may communicate with the reporting facilities, providers and laboratories to evaluate the accuracy of data reported. OSCaR may disclose confidential cancer data to a health care facility, practitioner, or laboratory to correct, complete, or improve the accuracy of the reported data. (3) The collection of cancer data from health care facilities, including data collection performed by OSCaR staff, must be performed either by certified tumor registrars or by staff knowledgeable about the following, as recommended by the American College of Surgeons, Commission on Cancer: (a) Cancer as a disease process; (b) General anatomy and physiology; (c) Cancer epidemiology and statistics; (d) Casefinding procedures; and (e) Basic coding and staging schemes. (4) A health care facility must report a minimum of 98 percent of the cases reportable by that facility for any calendar year in order to meet the requirement of these rules. (5) The item-specific agreement rate of reported data from a health care facility with the information in the facility's medical record must not be less than 95 percent for those data items identified in the OSCaR Reportable Data Items list as quality control items. (6) A health care facility must submit 98 percent of reportable cases to the central cancer registry within 180 days of either: (a) The date of diagnosis; or (b) The date of admission for receipt of any part of the first course of treatment provided in that facility, whichever is later. (7) A practitioner must submit a minimum of 95 percent of reportable cases to the central cancer registry within 180 days of the date of diagnosis. Statutory/Other Authority: ORS 432.510 & 432.520 Statutes/Other Implemented: ORS 432.510 & 432.520 History: PH 20-2017, amend filed 12/21/2017, effective 01/01/2018 PH 13-2011, f. 12-28-11, cert. ef. 1-1-12 HD 2-1996, f. & cert. ef. 2-29-96