How Are We Doing?

1
How Are We Doing? Results of a Satisfaction
Survey

• Sue Vest, CTR Missouri Cancer Registry

2

• This project was supported in part by a
  cooperative agreement between the Centers for
  Disease Control and Prevention (CDC) and the
  Missouri Department of Health and Senior Services
  (DHSS) (U58/DP000820-01) and a Surveillance
  Contract between DHSS and the University of
  Missouri.

3
Background

• Short survey
• Irrelevant survey
• Comments from registrars
• Need to know

4
Survey Experience

• 17 questions comments
• Expectations
• Response rate
• Free manual
• Reminders

5
Why do you call the 1-800 line? ( all that
apply)
Abstng coding assistance 63.0
Reportability questions 63.0
Database inquiry 29.6
Education/Training 22.2
Abstract Plus assistance 25.9
Not applicable 11.1
Other 11.1
6
How often do you call the 1-800 line?
Daily 0.0
More than once per week 11.1
Weekly 3.7
More than once per month 25.9
Monthly 11.1
Less than once per month 29.6
Never 18.5
7
How would you rate the responses you receive when
calling the 1-800 line
Excellent 38.5
Very good 34.6
Good 15.4 (4/26)
Fair 0.0
Poor 0.0
Not applicable 11.5
8
How can we improve the 1-800 line response?

• ..working well...questions quickly correctly
  answered
• RESPONSE IS GREAT
• beats me!
• You are doing a good job. Keep up the good work.

9
Do you use the MCR Abstract Code Manual As An
Abstracting Resource?

• Yes 64
• No 36
• Go on to another question depending on answer

10
If Yes how often..?
Once a day 6.3
Several times per week 6.3
Weekly 0.0
Several times per month 31.3
Monthly 18.8
Less than once per month 37.5
11
If No indicate the reason(s).
Use sources from other standard setters 50.0
Manual not user friendly 8.3 !!!!!!
Manual does not include info needed 0.0
No need to use manuals 16.7
Not applicable to my work 33.3
12
What educational programs have you/staff
attended? ( all that apply)
Basic Registry Training 63.2
Computer-based training (CBT) 15.8
CTR Exam prep (MoSTRA/MCR) 36.8
Have not participated 21.1
13
How satisfied are you with the educational
programs?
Very satisfied 41.7
Satisfied 29.2
No opinion 8.3
Dissatisfied 0.0
Very dissatisfied 0.0
Have not participated 20.8
14
How can we improve educational programs/services
provided..?

• programsare great. Keep up the good work
• DO NOT TRY TO GET SO MUCH DATA IN SO LITTLE TIME
  OR AHEAD OF WHEN USING IT
• seminars on advanced abstracting skills
• regional workshops are excellent
• ..nice to have workshops in various parts of
  state
• Thanks for sponsoring webinars
• have someone visit low-volume hospitals just to
  go over our practices..

15
Do you use the MCR website?

• Yes 84.0
• No 16.0
• Go on to another question depending on answer

16
If yes indicate areas used most ( all that
apply)
Abstracting Resources 61.9
Education 47.6
Links 42.9
Whats New 71.4
Hospital Reporting (manuals, forms, etc) 61.9
Web Plus Uploading 47.6
17
If No indicate reason ( all that apply)
Limited access to the internet 0.0
Internet connection too slow at this facility 50.0
Information on website not useful 0.0
Not applicable 50.0
18
What additional features would you like to see(
all that apply)

• Webcasts 76.5
• More training resources 64.7
• Help for abstractors 58.8
• Comments
• More user friendly
• Webinars
• Webinars for low-volume
• TAKES TOO LONG TO FIND WHAT I WANT!

19
How satisfied are you with Newsletters
Mini-updates?
Very satisfied 44.0
Satisfied 52.0
No opinion 4.0
Dissatisfied 0.0
Very dissatisfied 0.0
Dont receive 0.0
Seldom/never read 0.0
20
How can we improve our Newsletters and
Mini-updates?

• Check facts
• Enjoy getting the updateshelps me keep aware of
  changes
• newsletters and mini-updates are great..
• most helpful
• maybe remind us when something new
• they are fine

21
..indicate the approx. number of cases your
facility submits..
75 or fewer 16.0
75-149 8.0
150-299 4.0
300-499 16.0
500-1199 36.0
1200-1499 8.0
gt1500 12.0
22
Conclusions

• Need to work harder
• Manual
• Website
• Mini-updates/newsletters
• FEEDBACK
• Doing okay overall

23
Low-volume Facilities

• Description of facilities
• of facilities
• Why do the survey?

24
What staff position does the casefinding( all
that apply)
Clerk 7.7
Coder 53.8
HIM Director 69.2
25
Does the same individual do the casefindingeach
time?

• Yes 76.9
• No 23.1
• If NO, explain
• Limited staff/limited time
• 2 coders
• Casefinding is performed at time of coding

26
How are cancer casesidentified? ( all that
apply)
MRDI 46.2
Coder(s) 61.5
Path report review 46.2
Surgery schedule 15.4
Other (please specify) 7.7
27
If MRDI not usedexplain why ( all that apply)
I do not know what a MRDI is 12.5
I do not know where to get a MRDI 12.5
I dont think I need a MRDI 50.0
IT dept cannot take time to create/run a MRDI 25.0
N/A 25.0
28
Do you use the MCR casefinding list?

• Yes 76.9
• No 23.1
• If no indicate reason

Think it is confusing 33.3
Do not know where to find a copy 33.3
Do not have time 0.0
Do not think I need to use it. 33.3
29
How often do you do casefinding at your hospital?
At least weekly 30.8
At least monthly 0.0
At least quarterly 30.8
I do not do casefinding on a regular basis 23.1
I do casefinding when I have time 15.4
30
how much time does it take?
1-4 hours 25.0
5-8 hours 16.7
9-16 hours 8.3
3-5 days 0.0
gt 5 days 0.0
Do not keep track 50.0
31
Have you used the CBT module on casefinding?

• Yes 7.7
• No 92.3
• Explain

No internet access 14.3
I do not have time 71.4
I do not think it will help me 14.3
32
What is the biggest barrier to timeliness of
reporting?

• ..very few cases...thought we were getting them
  to you in a timely manner
• Finding time to copy the charts
• Only two employees in MR deptfile clerk and
  coder
• Many other duties and responsibilities
• dept of 6finding time to work on cancer
  registry is difficult
• Short staffing and time spent away from coding
  and other duties

33
any suggestions that would simplify/improve
ability to report in timely fashion?

• Already compliant
• Not really
• If what is required would quit changing
• I need to work on it more often instead of
  putting it off until last minute

34
Conclusions

• Smaller hospitals do not have staff or time
• On-going training is needed
• Do not understand process or significance
• MOST WANT TO DO A GOOD JOB

35
Lessons Learned

• Surveys are hard to develop!!!
• Should be beta tested
• Define expectations

36
Thank You from all of us!!!

• Sue Vest, CTR
• Prioject Manager
• Missouri Cancer Registry
• vests_at_health.missouri.edu