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

Standards Revision and IQVIA Announcement

Cancer Programs of the American College of Surgeons is excited to announce two projects focused on improving the Commission on Cancer (CoC) accreditation standards and the National Cancer Database (NCDB) data collection processes.

CoC Standards Revision Project

The CoC has launched a project to review, analyze, and improve the standards that CoC accredited programs must meet each year. This project aims to ensure that the CoC’s standards result in the improvement of patient care, are clearly interpretable, and are accurately measuring the quality of a cancer program.  It is anticipated that the revised CoC standards manual will be published in Fall 2019. Accredited programs will be expected to implement the revised standards on January 1, 2020.

Importantly, no changes are being made to the standards in 2019. Programs should proceed with meeting the standards as outlined in the 2016 Cancer Program Standards for the 2019 calendar year.

Because this project is in its infancy, we do not have concrete details to share at this time regarding what the revisions may be. We are excited to share progress as decisions are finalized. Please watch for official announcements in the CoC Brief and on the CoC News page.

NCDB Improvements

The American College of Surgeons is undergoing a substantial infrastructure project to provide a standardized technology platform for the databases throughout its quality programs, including the NCDB. This will result in a better user experience, more agile data collection, and reduction of redundancy. Coinciding with these significant enhancements are the implementation delays in NAACCR v18 software, resulting in an adjustment to the schedule for the NCDB 2019 Call for Data (see below).

The CoC and the NCDB recognize the effect these changes will have on hospital cancer registries throughout 2018 and 2019. Standards 5.5 (Data Submission) and 5.6 (Accuracy of Data) will not be affected.  However, Standard 5.2 (RQRS participation) ratings will be impacted for 2019 surveys (which cover activity from 2016, 2017 and 2018).

Summary of Standard 5.2 requirements for programs surveyed in 2019

Compliance

For calendar years 2017 and 2018, compliance will be measured according to the requirements detailed in the Cancer Program Standards: Ensuring Patient-Centered Care Manual (2016 edition)

Commendation

For calendar year 2016, commendation will be measured according to the requirements detailed in Cancer Program Standards 2012: Version 1.2.1: Ensuring Patient-Centered Care Manual

For calendar years 2017 and 2018, commendation will be measured according to the requirements detailed in in the Cancer Program Standards: Ensuring Patient-Centered Care Manual (2016 edition) except the following will not be evaluated:

  • 25% of 2017 RQRS Measure Eligible cases are submitted within 3 months of date of first contact
  • 50% of 2018 RQRS Measure Eligible cases are submitted within 3 months of date of first contact

2019 NCDB Call for Data

  • The submission window will open April 1, 2019 with final date for submission and corrections June 30, 2019 (12:00 midnight CST)
  •  Submission specifications: Submit all analytic cases diagnosed in 2017 plus all analytic cases added or updated on or after December 1, 2017 (excluding diagnosis dating prior to program’s Reference Date and not earlier than 1985).
  • NCDB will be accepting both NAACCR v16 and v18 layouts for this submission.
  • New program’s submitting their first Call for Data submission must submit all analytic cases diagnosed on or after the program’s Reference Date (and not earlier than 1985) through diagnosis year 2017. 

Please submit any questions to the appropriate section on the CAnswer Forum or via the Contact CoC web page.