American College Of Surgeons - Inspiring Quality: Highest Standards, Better Outcomes

NCDB: The Corner STORE

NCDB: 2019 Call for Data Announcement

We appreciate your facility's participation in the Commission on Cancer (CoC) accreditation program and your cancer program's contribution of data to the National Cancer Database (NCDB). Data submissions are essential for assessing and improving the quality of cancer patient care. The data reported to the NCDB serves as a national resource and provides opportunities for CoC partners and researchers across the country to assess the quality of cancer care. Most importantly, these data are used to provide your cancer program with a wide variety of reporting tools to assist you in evaluating the quality of your cancer care. These data driven tools include comparative benchmark, quality measurement, unadjusted survival, data quality, and the Cancer Quality Improvement Program (CQIP) each of which combines a wealth of data about your cancer program that can proactively be used to improve the delivery and quality of cancer care for cancer patients in your program.

This year the NCDB will be transitioning to a new system and database vendor, IQVIA. Once launched, the new Rapid Cancer Reporting System (RCRS) will merge the current Rapid Quality Reporting System (RQRS) and the Cancer Program Practice Profile Reports (CP3R) functionalities into a single, user-friendly application. Cancer programs will no longer be required to submit data to two separate data submission portals, and all case updates will occur via resubmission of cases through this single submission portal. Cancer programs will eventually be submitting new and/or updated cases on a frequent basis (potentially aligning with submissions to state cancer registries), and the annual Call for Data will be phased out.

This year, the 2019 Call for Data submission window will run from April 1, 2019 through June 30, 2019. Edit corrections are also due by June 30, 2019. A general overview is provided below. Please see our Information for Registrars page for specific details.

The 2019 Call for Data will include all cancer cases diagnosed in 2017 and all analytic cases added or changed since December 1, 2017 for cases diagnosed between the cancer program's Reference Year (or 1985 if the Reference Year is earlier than 1985) and 2016. Submissions in the NAACCR Version 16.0 and/or 18.0 record layout will be accepted. Registry software will have built-in procedures to assist registrars with case selection. Cancer programs are strongly encouraged to submit their data early during the data submission window rather than waiting until the deadline to enable smoother processing and allow for time to address any issues that may arise.

Compliance with CoC Standard 5.5 (Timeliness and Completeness) applies to all cases collected by the NCDB in 2019. Initial submission of all required cases is due by 11:59 pm (CDT), June 30, 2019. Cases from any diagnosis year that are "rejected" have technically not been submitted, and must be corrected and resubmitted by June 30, 2019 for compliance with Standard 5.5.

For the Call for Data 2019, CoC Standard 5.6 (Accuracy of Data), programs will not be evaluated for compliance or commendation for calendar year 2019 Call for Data. All programs will receive a rating of 8, Not Applicable. We encourage all programs to submit data until all edit errors are addressed. The quality of the data you submit will directly affect the quality of your NCDB reporting tools. All resubmission of errors or rejected cases must be completed by June 30, 2019.

The NCDB provides many mechanisms for cancer programs to track their submissions. Cancer registrars are required to review the status of their data submissions on CoC Datalinks using the NCDB: Data Submission History and Edits link to ensure that all cases submitted are successfully received and processed. A courtesy email is sent acknowledging the receipt of data submissions, followed by a second email notification that lists the number of cases submitted by diagnosis year and whether there are any rejected cases or cases with edit errors that need to be corrected and resubmitted. The NCDB recommends that programs retain copies of all notifications related to data submission through their next CoC survey.

Everything necessary to prepare for the NCDB Call for Data can be found online. If you or a member of your cancer program team has any questions regarding the NCDB Call for Data, please contact the NCDB User Support Specialist Staff at NCDB@facs.org.

Cancer Quality Improvement Program (CQIP 2018) Released

The National Cancer Database (NCDB) is pleased to announce the release of the 2018 Cancer Quality Improvement Program (CQIP) report, CQIP 2018. CQIP is a data-driven, process and outcomes-based cancer quality improvement initiative. CQIP 2018 has been updated with new cases from diagnosis year 2016 and updated cases from prior years from 1,500 Commission on Cancer (CoC)-accredited programs.

This annual report is unique in providing short-term quality and outcome data and long-term outcome data, including five-year survival rates for commonly treated malignancies stratified by stage. CQIP allows programs to assess their quality and outcomes based on the data submitted to the NCDB. CQIP provides CoC-accredited facilities with data on:

  • Compliance with CoC-adopted quality measures
  • Volume data for complex surgical oncology operations with 30-day and 90-day mortality
  • Unadjusted and risk-adjusted survival data for selected cancer sites
  • A variety of clinical and administrative data

CoC recommendations on the use of the CQIP Report:

  • The CQIP report should be presented and discussed at the Cancer Committee meeting
    • Major findings relevant to the cancer program should be listed
    • Interventions for improvement of quality of cancer care should be identified and can be used toward compliance of standard 4.7 – Studies of Quality
  • Cancer Committee Leadership should present the report, major findings and recommendations to hospital leadership, including, but not limited to, CEO, COO, CMO, CNO, and bodies such as the Medical Staff Executive Committee, the hospital Quality Committee, etc. 
  • Your CQIP Report is one of the resources the NCDB provides the Cancer Liaison Physician to support compliance with CoC Standard 4.3 – Cancer Liaison Physician Responsibilities.

The 2018 CQIP report includes slides on:

  • Cancer Program Volume
  • Cancer Program In/Out Migration
  • CoC Quality Measure Reports
  • Volume of Selected Complex Cancer Operations
  • 30- and 90-Day Mortality after selected cancer operations
  • Unadjusted Survival Reports by stage for breast, colon and non-small cell lung cancer (NCSCLC)
  • Risk Adjusted Survival hazards ratios by stage for breast, colon, and NSCLC
  • Site-specific reports for breast, colon, NSCLC, prostate and melanoma of the skin cancers
  • Twenty-three quality measure reports for 10 disease sites: Bladder(3), Breast(6), Cervix(3), Colon(2), Endometrium (2), Gastric(1), Kidney(1), Non-Small Cell Lung(3), Ovary(1), and Rectum(1).

A complete CQIP Slide Directory is located in the "About CQIP" tab of the CQIP reporting application.

CoC-accredited programs are now able to access their customized report through CoC Datalinks.

NCDB Survival Reports Released

The National Cancer Database (NCDB) is pleased to announce the release of the NCDB Survival Report, which includes five years of follow up data through 2011 for cancer cases submitted during the 2018 Call for Data.

This reporting tool enables programs to benchmark their survival outcomes by disease site and AJCC stage for internal quality improvement. Aggregate results are available for cases diagnosed between 1994–1997 (AJCC 4th ed.), 1998–2002 (AJCC 5th ed.), and 2003–2009 (AJCC 6th ed.). Additional case selections may be made for cancer sequence and reference date, with stratifications that include sex, age group, or comorbidity score. To facilitate local use, users may download reports to their computers in any one of the following file formats: Adobe Acrobat, PDF, Microsoft PowerPoint, Chart, and Word.

The Diagnosis Years selection dropdown now includes cases diagnosed 2010–2011 for 7th Edition AJCC Staging.

CoC-accredited programs are now able to access this updated report through CoC Datalinks

If you have any questions regarding the NCDB Reporting Tools, please contact ncdb@facs.org.