How Are We Doing? – Results of a Satisfaction SurveySue Vest, CTR – Missouri Cancer Registry

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.

Background Short survey Irrelevant survey Comments from registrars Need to know

Survey Experience 17 questions + comments Expectations Response rate Free manual Reminders

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%

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%

How would you rate the responses you receive when calling the 1-800 lineExcellent 38.5%

Very good 34.6%

Good 15.4% (4/26)

Fair 0.0%

Poor 0.0%

Not applicable 11.5%

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.

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

Yes = 64% No = 36% Go on to another question depending on answer

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%

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%

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%

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%

How can we improve educational programs/services provided..? “programs…are 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..”

Do you use the MCR website? Yes = 84.0% No = 16.0% Go on to another question depending on answer

If ‘yes’ indicate areas used most ( all that apply)Abstracting Resources 61.9%

Education 47.6%

Links 42.9%

What’s New 71.4%

Hospital Reporting (manuals, forms, etc)

61.9%

Web Plus Uploading 47.6%

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%

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!

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%

Don’t receive 0.0%

Seldom/never read 0.0%

How can we improve our Newsletters and Mini-updates? “Check facts…” “Enjoy getting the updates…helps me keep aware

of changes…” …newsletters and mini-updates are great..” “most helpful” “maybe remind us when ‘something new’ “ “they are fine”

..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%

>1500 12.0%

Conclusions Need to work harder

Manual Website Mini-updates/newsletters FEEDBACK

Doing okay overall

Low-volume Facilities

Description of facilities # of facilities Why do the survey?

What staff position does the casefinding…( all that apply) Clerk 7.7%

Coder 53.8%

HIM Director 69.2%

Does the same individual do the casefinding…each time? Yes = 76.9% No = 23.1% If NO, explain:

Limited staff/limited time 2 coders Casefinding is performed at time of coding

How are cancer cases…identified? ( all that apply)MRDI 46.2%

Coder(s) 61.5%

Path report review 46.2%

Surgery schedule 15.4%

Other (please specify) 7.7%

If MRDI not used…explain 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 don’t think I need a MRDI 50.0%

IT dept cannot take time to create/run a MRDI

25.0%

N/A 25.0%

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%

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%

…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%

> 5 days 0.0%

Do not keep track 50.0%

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%

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 dept…file clerk and coder Many other duties and responsibilities… …dept of 6…finding time to work on cancer registry is

difficult Short staffing and time spent away from coding and other

duties

…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

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

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

Thank You from all of us!!!

Sue Vest, CTRPrioject ManagerMissouri Cancer Registryvests@health.missouri.edu