Tumor Registrar

Consistent with the mission, philosophy, and policies of Mercy Hospital and Medical Center, the Tumor Registrar collects, manages and analyzes cancer data according to Illinois State Cancer Reporting regulations and standards of the American College of Surgeons (ACoS), Commission on Cancer (CoC). Maintains the Mercy Hospital & Medical Center Cancer Program in accordance with the requirements of the Facility Oncology Registry Data Systems (FORDS), Collaborative Stage Data System for the collection of site-specific factors; continued use of the AJCC Cancer Staging Manual, the most current multiple primary, histological and hematopoietic rules, and the Surveillance, Epidemiology, and End Results (SEER) systemic therapy applications. Meeting compliance of the commission on cancer standards, participates with cancer program goals, projects, clinical research and other activities. Direct involvement with the cancer committee, multidisciplinary tumor boards, QA/QI initiatives, and survival and outcome data. The Cancer Registrar reports directly to the HIM Operations Manager and the HIM Supervisor serves as a backup to the Manager.

  • Contributes to the maintenance and oversight of the CoC accreditation process of the Mercy Hospital and Medical Center Cancer Program.
  • Responsible for accurate and complete case ascertainment, abstracting, medical surveillance, timely data submissions to Illinois State Cancer Registry (ISCR), National Cancer Database (NCDB),data submissions using the Rapid Quality Reporting System and monitoring the need for evidence-based measures for quality and remediation through Cancer Programs Profile Reports (CP3R).
  • Conducts quarterly oncology data QA reviews and assists with coordination and monitoring of physician QA review.
  • Develops and implements policies, procedures and protocols. Provides data analysis and statistical reports, disseminates information and assists clinicians, researchers and administrators in improving oncology patients' outcomes.
  • Perform data entry utilizing specialized software.
  • Initiates and supports quality improvement efforts and special projects through data management and analysis. Acts as a liaison with the community and other physicians throughout the Mercy system as it relates to clinical staging, quality review, and registry data management and retrieval.      
  • Perform analysis of work processes to identify reasonable and efficient measurement of the quality of the work and to identify areas of possible improvement. Prepare routine and special statistical reports, narratives and graphic representations requiring use of registry data. Conduct special studies and surveys for identifying opportunities to improve patient care.
  • Daily communication with patient navigators to assure patients are identified and referred to the appropriate navigator.
  • Assist the Cancer Committee Chairman, Cancer Liaison Physician and Cancer Committee Coordinators in Cancer Program duties and activities.
  • Perform data collection and analysis for completion of the Cancer Program Annual report and monitoring compliance with evidence-based NCCN Guidelines.
  • Schedule, prepare, attend and generate minutes of the quarterly Cancer Committee meetings.
  • Coordinate case selection, prepare format and attend weekly Cancer Conference and bi-weekly Breast Oncology Conferences. 
  • Perform Quality review of pathology reports for CAP protocol compliance.
  • Assist with clinical trial accrual / completion.
  • Updates and maintains the Survey Application Record (SAR).
  • Perform CME duties to assure Illinois State Medical Society regulatory requirements are followed to maintain physician CME category 1 status.  Attend quarterly CME Committee Meeting.  Report Cancer Conference and Breast Oncology activities to Cancer Conference Coordinator and CME Committee.