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Submitted URL: https://www.facs.org/quality-programs/cancer/news/081221#nelson
Effective URL: https://www.facs.org/quality-programs/cancer/news/081221
Submission: On August 23 via manual from US
Effective URL: https://www.facs.org/quality-programs/cancer/news/081221
Submission: On August 23 via manual from US
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Fellows (U.S. and Canada)
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International Fellows
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Associate Fellows
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Resident Members
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Medical Student Members
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Affiliate Members
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Surgical Specialties
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Fees and Dues
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<a id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_1_PageTitleLink_1" class="toggleLevelFour" href="/member-services/communities" data-feathr-click-track="true">Member Communities</a>
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Leadership & Advocacy Summit
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Get Involved in ACS
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<a href="/member-services/leadership/get-involved/committee/opportunities" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_1_LevelFourRepeaterDesktop_3_PageLink_2" data-linktype="linkpage" data-feathr-click-track="true">
Committee Openings
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Surgeons as Leaders Course
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Webinars for Surgeons
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Resources
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Well-Being and COVID-19 Resources
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Managing Microaggressions Webinar Series
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Reframing Surgeon Well-Being Webinar
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ACS Task Force
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ACS Statement on Intimate Partner Violence
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ACS IPV Toolkit
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Resources
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IPV and COVID-19
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Health Policy Scholarships
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Scholarships for International Surgeons
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Research Scholarships and Fellowships
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Resident Scholarships
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Special Opportunity Scholarships and Fellowships
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Traveling Fellowships
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<a href="/ogb/award-winners/nominations" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_1_LevelFourRepeaterDesktop_6_PageLink_6" data-linktype="linkpage" data-feathr-click-track="true">
Surgical Volunteerism and Humanitarian Awards
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Jacobson Promising Investigator Award
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Find a Chapter
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Chapter Guidebook
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Chapter Meetings
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CME Procedures for Chapters
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CME State Requirements
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ACS Events for Chapters
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Chapter Advocacy
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Chapter Initiatives Fund
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Recruitment Grant Program
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International Surgeons
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International Chapter Opportunity Program
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<a href="/member-services/chapters/international-interview-process" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_1_LevelFourRepeaterDesktop_7_PageLink_11" data-feathr-click-track="true">
International Fellowship Interview Process
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Resources for Chapter Leaders
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<a href="/member-services/chapters/contact" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_1_LevelFourRepeaterDesktop_7_PageLink_13" data-feathr-click-track="true">
Contact Chapter Services
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Leadership
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Pillars and Workgroups
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I Am a Governor
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Become a Governor
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<a href="/about-acs/governance/board-of-governors/find-a-governor" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_1_LevelFourRepeaterDesktop_8_PageLink_4" data-linktype="linkpage" data-feathr-click-track="true">
Find a Governor
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<a href="/about-acs/governance/board-of-regents/nominations" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_1_LevelFourRepeaterDesktop_8_PageLink_5" data-linktype="linkpage" data-feathr-click-track="true">
Call for Nominations
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Resources
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<a href="/about-acs/governance/board-of-governors/essays" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_1_LevelFourRepeaterDesktop_8_PageLink_7" data-linktype="linkpage" data-feathr-click-track="true">
Young Surgeon Essays
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<a id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_1_PageTitleLink_10" class="toggleLevelFour" data-feathr-click-track="true"><i class="fa fa-arrow-left"></i>Young Fellows Association<i class="fa fa-angle-right"></i></a>
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<a href="/member-services/yfa/leadership" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_1_LevelFourRepeaterDesktop_10_PageLink_0" data-feathr-click-track="true">
About YFA
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<a href="/member-services/leadership/get-involved/yfa" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_1_LevelFourRepeaterDesktop_10_PageLink_1" data-linktype="linkpage" data-feathr-click-track="true">
I Want to Be a YFA Leader
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<a href="/member-services/yfa/meetings" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_1_LevelFourRepeaterDesktop_10_PageLink_2" data-feathr-click-track="true">
Meetings and Events
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<a href="/member-services/yfa/mentor" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_1_LevelFourRepeaterDesktop_10_PageLink_3" data-feathr-click-track="true">
YFA Mentor Programs
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<a href="/member-services/yfa/speakers-bureau" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_1_LevelFourRepeaterDesktop_10_PageLink_4" data-feathr-click-track="true">
YFA Speakers Bureau
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<a href="/member-services/yfa/advocacy-essays" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_1_LevelFourRepeaterDesktop_10_PageLink_5" data-feathr-click-track="true">
Advocacy Essays
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<a href="/member-services/yfa/top10" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_1_LevelFourRepeaterDesktop_10_PageLink_6" data-feathr-click-track="true">
Top 10 Reasons to Participate
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Resources
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<a href="/member-services/ras/webinars" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_1_LevelFourRepeaterDesktop_10_PageLink_8" data-linktype="linkpage" data-feathr-click-track="true">
Webinars for Young Surgeons
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YFA E-News
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<a href="/member-services/ras/leadership" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_1_LevelFourRepeaterDesktop_11_PageLink_0" data-feathr-click-track="true">
About RAS-ACS
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Meetings and Events
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Scholarships, Competitions, Awards, and Project Work
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Top 10 Reasons to Participate
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<a href="/member-services/ras/webinars" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_1_LevelFourRepeaterDesktop_11_PageLink_4" data-feathr-click-track="true">
Grand Rounds Webinar Series
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RAS-JACS Journal Club
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Hangout Discussions
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Membership
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I Want to Be a RAS-ACS Leader
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International Exchange Scholar Program
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Resources
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Associate Fellow News
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Resident Member News
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<a href="/member-services/mhsspacs/blue-book" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_1_LevelFourRepeaterDesktop_12_PageLink_0" data-feathr-click-track="true">
The Blue Book: Military-Civilian Partnerships for Trauma Training, Sustainment, and Readiness
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Excelsior Surgical Society
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Contact MHSSPACS
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About OGB
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Volunteer and Partner Portal
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Opportunities
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<a href="/ogb/award-winners" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_1_LevelFourRepeaterDesktop_15_PageLink_3" data-linktype="linkpage" data-feathr-click-track="true">
ACS/Pfizer Awards
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ACS-COSECSA Women Scholars Program
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<a href="/ogb/cosecsa-hubs" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_1_LevelFourRepeaterDesktop_15_PageLink_5" data-linktype="linkpage" data-feathr-click-track="true">
ACS-COSECSA Surgical Training Collaborative
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<a href="/international/webinar" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_1_LevelFourRepeaterDesktop_15_PageLink_6" data-linktype="linkpage" data-feathr-click-track="true">
Webinars for the Global Surgical Community
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Domestic Volunteerism Spotlight
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Resources and Toolkits
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<a href="/ogb/free-access-clinic" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_1_LevelFourRepeaterDesktop_15_PageLink_9" data-linktype="linkpage" data-feathr-click-track="true">
Domestic Surgical Free Access Clinics
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Contact Us
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<a id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_1_PageTitleLink_16" class="toggleLevelFour" data-feathr-click-track="true"><i class="fa fa-arrow-left"></i>Society of Surgical Chairs<i class="fa fa-angle-right"></i></a>
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<a href="https://web4.facs.org/ebusiness/ssc/Default.aspx" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_1_LevelFourRepeaterDesktop_16_PageLink_0" data-linktype="linkpage" data-feathr-click-track="true">
SSC Membership Directory
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<a href="/member-services/ssc/2020-meeting" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_1_LevelFourRepeaterDesktop_16_PageLink_1" data-feathr-click-track="true">
2020 Annual Meeting
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2019 Annual Meeting
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2018 Annual Meeting
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<a href="/member-services/ssc/womens-committee" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_1_LevelFourRepeaterDesktop_16_PageLink_4" data-feathr-click-track="true">
Women's Committee
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Mentorship Program
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Outside Activities
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<a href="/member-services/sjeg/pledge" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_1_LevelFourRepeaterDesktop_17_PageLink_0" data-feathr-click-track="true">
Journals That Have Agreed to the Pledge
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Quality Programs
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Setting the Quality Standard
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Optimal Resources for Surgical Quality and Safety
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Inspiring Quality Initiative
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Resources
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Continuous Quality Improvement
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ACS Clinical Scholars in Residence
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About ACS NSQIP
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<a href="/quality-programs/acs-nsqip/joinnow" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_LevelFourRepeaterDesktop_2_PageLink_1" data-feathr-click-track="true">
Join ACS NSQIP Now
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<a href="/quality-programs/acs-nsqip/collaboratives" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_LevelFourRepeaterDesktop_2_PageLink_2" data-feathr-click-track="true">
Collaboratives
</a>
</li>
<li>
<a href="/quality-programs/acs-nsqip/hospital-compare" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_LevelFourRepeaterDesktop_2_PageLink_3" data-feathr-click-track="true">
Hospital Compare
</a>
</li>
<li>
<a href="/quality-programs/quality-safety-conference" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_LevelFourRepeaterDesktop_2_PageLink_4" data-linktype="linkpage" data-feathr-click-track="true">
Quality and Safety Conference
</a>
</li>
<li>
<a href="/quality-programs/acs-nsqip/participant-use" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_LevelFourRepeaterDesktop_2_PageLink_5" data-feathr-click-track="true">
Participant Use Data File
</a>
</li>
<li>
<a href="https://riskcalculator.facs.org/" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_LevelFourRepeaterDesktop_2_PageLink_6" data-linktype="linkpage" data-feathr-click-track="true">
Surgical Risk Calculator
</a>
</li>
<li>
<a href="/quality-programs/acs-nsqip/faq" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_LevelFourRepeaterDesktop_2_PageLink_7" data-feathr-click-track="true">
Frequently Asked Questions
</a>
</li>
<li>
<a href="/quality-programs/acs-nsqip/hub" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_LevelFourRepeaterDesktop_2_PageLink_8" data-feathr-click-track="true">
Participant Hub
</a>
</li>
<li>
<a href="/quality-programs/acs-nsqip/contact-us" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_LevelFourRepeaterDesktop_2_PageLink_9" data-feathr-click-track="true">
Contact Us
</a>
</li>
</ul>
</li>
<li>
<a id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_PageTitleLink_3" class="toggleLevelFour" data-feathr-click-track="true"><i class="fa fa-arrow-left"></i>ACS Quality Verification Program<i class="fa fa-angle-right"></i></a>
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<li class="overview">
<a id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_PageOverviewMobile_3" href="/quality-programs/quality-verification" data-feathr-click-track="true">ACS Quality Verification Program</a>
</li>
</ul>
<!--DESKTOP level 4 nav-->
<ul id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_LinkListDesktop_3" class="levelFour hideMobile hideTablet">
<li class="overview">
<a id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_PageLinkDesktop_3" href="/quality-programs/quality-verification" data-feathr-click-track="true">ACS Quality Verification Program</a>
</li>
<li>
<a href="/quality-programs/quality-verification/program-standards" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_LevelFourRepeaterDesktop_3_PageLink_0" data-feathr-click-track="true">
Program Standards
</a>
</li>
<li>
<a href="/quality-programs/quality-verification/levels" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_LevelFourRepeaterDesktop_3_PageLink_1" data-feathr-click-track="true">
Levels of Participation
</a>
</li>
<li>
<a href="/quality-programs/quality-verification/application" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_LevelFourRepeaterDesktop_3_PageLink_2" data-feathr-click-track="true">
Apply
</a>
</li>
<li>
<a href="/quality-programs/quality-verification/resources" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_LevelFourRepeaterDesktop_3_PageLink_3" data-feathr-click-track="true">
Resources
</a>
</li>
<li>
<a href="/quality-programs/quality-verification/contact" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_LevelFourRepeaterDesktop_3_PageLink_4" data-feathr-click-track="true">
Contact Us
</a>
</li>
</ul>
</li>
<li>
<a id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_PageTitleLink_4" class="toggleLevelFour" data-feathr-click-track="true"><i class="fa fa-arrow-left"></i>Cancer Programs<i class="fa fa-angle-right"></i></a>
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<ul id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_LinkListMobile_4" class="levelFour hideDesktop">
<li class="overview">
<a id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_PageOverviewMobile_4" href="/quality-programs/cancer" data-feathr-click-track="true">Cancer Programs</a>
</li>
</ul>
<!--DESKTOP level 4 nav-->
<ul id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_LinkListDesktop_4" class="levelFour hideMobile hideTablet">
<li class="overview">
<a id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_PageLinkDesktop_4" href="/quality-programs/cancer" data-feathr-click-track="true">Cancer Programs</a>
</li>
<li>
<a href="/quality-programs/cancer/quality" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_LevelFourRepeaterDesktop_4_PageLink_0" data-feathr-click-track="true">
Overview of Cancer Programs
</a>
</li>
<li>
<a href="/quality-programs/cancer/ajcc" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_LevelFourRepeaterDesktop_4_PageLink_1" data-feathr-click-track="true">
American Joint Committee on Cancer
</a>
</li>
<li>
<a href="/quality-programs/cancer/acs-crp" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_LevelFourRepeaterDesktop_4_PageLink_2" data-feathr-click-track="true">
Cancer Research Program
</a>
</li>
<li>
<a href="/quality-programs/cancer/cssp" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_LevelFourRepeaterDesktop_4_PageLink_3" data-feathr-click-track="true">
Cancer Surgery Standards Program
</a>
</li>
<li>
<a href="/quality-programs/cancer/coc" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_LevelFourRepeaterDesktop_4_PageLink_4" data-feathr-click-track="true">
Commission on Cancer
</a>
</li>
<li>
<a href="/quality-programs/cancer/ncdb" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_LevelFourRepeaterDesktop_4_PageLink_5" data-feathr-click-track="true">
National Cancer Database
</a>
</li>
<li>
<a href="/quality-programs/napbc" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_LevelFourRepeaterDesktop_4_PageLink_6" data-linktype="linkpage" data-feathr-click-track="true">
National Accreditation Program for Breast Centers
</a>
</li>
<li>
<a href="/quality-programs/cancer/naprc" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_LevelFourRepeaterDesktop_4_PageLink_7" data-feathr-click-track="true">
National Accreditation Program for Rectal Cancer
</a>
</li>
<li>
<a href="/quality-programs/cancer/news" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_LevelFourRepeaterDesktop_4_PageLink_8" data-feathr-click-track="true">
Cancer Programs News
</a>
</li>
<li>
<a href="/quality-programs/cancer/events" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_LevelFourRepeaterDesktop_4_PageLink_9" data-feathr-click-track="true">
Education and Events
</a>
</li>
<li>
<a href="/quality-programs/cancer/contact" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_LevelFourRepeaterDesktop_4_PageLink_10" data-feathr-click-track="true">
Contact Cancer Programs
</a>
</li>
</ul>
</li>
<li>
<a id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_PageTitleLink_5" class="toggleLevelFour" data-feathr-click-track="true"><i class="fa fa-arrow-left"></i>Children's Surgery<i class="fa fa-angle-right"></i></a>
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<ul id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_LinkListMobile_5" class="levelFour hideDesktop">
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<a id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_PageOverviewMobile_5" href="/quality-programs/childrens-surgery" data-feathr-click-track="true">Children's Surgery</a>
</li>
</ul>
<!--DESKTOP level 4 nav-->
<ul id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_LinkListDesktop_5" class="levelFour hideMobile hideTablet">
<li class="overview">
<a id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_PageLinkDesktop_5" href="/quality-programs/childrens-surgery" data-feathr-click-track="true">Children's Surgery</a>
</li>
<li>
<a href="/quality-programs/childrens-surgery/childrens-surgery-verification" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_LevelFourRepeaterDesktop_5_PageLink_0" data-feathr-click-track="true">
Children's Surgery Verification
</a>
</li>
<li>
<a href="/quality-programs/childrens-surgery/pediatric" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_LevelFourRepeaterDesktop_5_PageLink_1" data-feathr-click-track="true">
ACS NSQIP Pediatric
</a>
</li>
<li>
<a href="https://web4.facs.org/ebusiness/login.aspx?ReturnToPage=https://qualityportal.facs.org/qport" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_LevelFourRepeaterDesktop_5_PageLink_2" data-linktype="linkpage" data-feathr-click-track="true">
ACS Quality Portal (QPort)
</a>
</li>
<li>
<a href="/quality-programs/childrens-surgery/fees" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_LevelFourRepeaterDesktop_5_PageLink_3" data-feathr-click-track="true">
Fees and Invoices
</a>
</li>
<li>
<a href="/quality-programs/quality-safety-conference" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_LevelFourRepeaterDesktop_5_PageLink_4" data-linktype="linkpage" data-feathr-click-track="true">
Quality and Safety Conference
</a>
</li>
</ul>
</li>
<li>
<a id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_PageTitleLink_6" class="toggleLevelFour" href="/quality-programs/covid19-registry" data-feathr-click-track="true">COVID-19 Registry</a>
<!--MOBILE level 4 nav-->
<ul id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_LinkListMobile_6" class="levelFour hideDesktop">
<li class="overview">
<a id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_PageOverviewMobile_6" data-feathr-click-track="true"><i class="fa fa-arrow-circle-o-right"></i></a>
</li>
</ul>
<!--DESKTOP level 4 nav-->
<ul id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_LinkListDesktop_6" class="levelFour hideMobile hideTablet">
<li class="overview">
</li>
</ul>
</li>
<li>
<a id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_PageTitleLink_7" class="toggleLevelFour" data-feathr-click-track="true"><i class="fa fa-arrow-left"></i>Bariatric Surgery<i class="fa fa-angle-right"></i></a>
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<ul id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_LinkListMobile_7" class="levelFour hideDesktop">
<li class="overview">
<a id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_PageOverviewMobile_7" href="/quality-programs/mbsaqip" data-feathr-click-track="true">Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program</a>
</li>
</ul>
<!--DESKTOP level 4 nav-->
<ul id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_LinkListDesktop_7" class="levelFour hideMobile hideTablet">
<li class="overview">
<a id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_PageLinkDesktop_7" href="/quality-programs/mbsaqip" data-feathr-click-track="true">Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program</a>
</li>
<li>
<a href="/quality-programs/mbsaqip/about" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_LevelFourRepeaterDesktop_7_PageLink_0" data-feathr-click-track="true">
About
</a>
</li>
<li>
<a href="/quality-programs/mbsaqip/apply" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_LevelFourRepeaterDesktop_7_PageLink_1" data-feathr-click-track="true">
Apply
</a>
</li>
<li>
<a href="/quality-programs/mbsaqip/ask-mbsaqip" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_LevelFourRepeaterDesktop_7_PageLink_2" data-feathr-click-track="true">
ASK MBSAQIP
</a>
</li>
<li>
<a href="/quality-programs/mbsaqip/calculator" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_LevelFourRepeaterDesktop_7_PageLink_3" data-feathr-click-track="true">
Bariatric Surgical Risk/Benefit Calculator
</a>
</li>
<li>
<a href="/search/bariatric-surgery-centers" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_LevelFourRepeaterDesktop_7_PageLink_4" data-linktype="linkpage" data-feathr-click-track="true">
Find a Bariatric Surgery Center
</a>
</li>
<li>
<a href="/quality-programs/mbsaqip/news" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_LevelFourRepeaterDesktop_7_PageLink_5" data-feathr-click-track="true">
MBSAQIP News
</a>
</li>
<li>
<a href="/quality-programs/mbsaqip/participant-use" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_LevelFourRepeaterDesktop_7_PageLink_6" data-feathr-click-track="true">
Participant Use Data File (PUF)
</a>
</li>
<li>
<a href="/quality-programs/mbsaqip/patient-reported-outcomes" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_LevelFourRepeaterDesktop_7_PageLink_7" data-feathr-click-track="true">
Patient-Reported Outcomes
</a>
</li>
<li>
<a href="/quality-programs/quality-safety-conference" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_LevelFourRepeaterDesktop_7_PageLink_8" data-linktype="linkpage" data-feathr-click-track="true">
Quality and Safety Conference
</a>
</li>
<li>
<a href="/quality-programs/mbsaqip/resources" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_LevelFourRepeaterDesktop_7_PageLink_9" data-feathr-click-track="true">
Resources
</a>
</li>
<li>
<a href="/quality-programs/mbsaqip/standards" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_LevelFourRepeaterDesktop_7_PageLink_10" data-feathr-click-track="true">
Standards Manual
</a>
</li>
<li>
<a href="/quality-programs/mbsaqip/contact" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_LevelFourRepeaterDesktop_7_PageLink_11" data-feathr-click-track="true">
Contact Us
</a>
</li>
</ul>
</li>
<li>
<a id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_PageTitleLink_8" class="toggleLevelFour" data-feathr-click-track="true"><i class="fa fa-arrow-left"></i>Breast Disease<i class="fa fa-angle-right"></i></a>
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<ul id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_LinkListMobile_8" class="levelFour hideDesktop">
<li class="overview">
<a id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_PageOverviewMobile_8" href="/quality-programs/napbc" data-feathr-click-track="true">National Accreditation Program for Breast Centers</a>
</li>
</ul>
<!--DESKTOP level 4 nav-->
<ul id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_LinkListDesktop_8" class="levelFour hideMobile hideTablet">
<li class="overview">
<a id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_PageLinkDesktop_8" href="/quality-programs/napbc" data-feathr-click-track="true">National Accreditation Program for Breast Centers</a>
</li>
<li>
<a href="/quality-programs/napbc/about" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_LevelFourRepeaterDesktop_8_PageLink_0" data-feathr-click-track="true">
About NAPBC
</a>
</li>
<li>
<a href="/quality-programs/napbc/standards" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_LevelFourRepeaterDesktop_8_PageLink_1" data-feathr-click-track="true">
NAPBC Standards and Resources
</a>
</li>
<li>
<a href="/quality-programs/napbc/accreditation" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_LevelFourRepeaterDesktop_8_PageLink_2" data-feathr-click-track="true">
Apply for Accreditation
</a>
</li>
<li>
<a href="/search/accredited-breast-centers" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_LevelFourRepeaterDesktop_8_PageLink_3" data-linktype="linkpage" data-feathr-click-track="true">
Find a NAPBC-Accredited Center
</a>
</li>
<li>
<a href="/quality-programs/napbc/become-reviewer" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_LevelFourRepeaterDesktop_8_PageLink_4" data-feathr-click-track="true">
Become a Site Reviewer
</a>
</li>
<li>
<a href="/quality-programs/napbc/site-reviewer-profiles" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_LevelFourRepeaterDesktop_8_PageLink_5" data-feathr-click-track="true">
Site Reviewer Profiles
</a>
</li>
<li>
<a href="/quality-programs/cancer/coc/resuming-care" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_LevelFourRepeaterDesktop_8_PageLink_6" data-linktype="linkpage" data-feathr-click-track="true">
Resuming Cancer Screening and Care
</a>
</li>
<li>
<a href="/quality-programs/cancer/news" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_LevelFourRepeaterDesktop_8_PageLink_7" data-linktype="linkpage" data-feathr-click-track="true">
Cancer Programs News
</a>
</li>
<li>
<a href="/quality-programs/cancer/events" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_LevelFourRepeaterDesktop_8_PageLink_8" data-linktype="linkpage" data-feathr-click-track="true">
Cancer Programs Events
</a>
</li>
<li>
<a href="/quality-programs/cancer/contact" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_LevelFourRepeaterDesktop_8_PageLink_9" data-linktype="linkpage" data-feathr-click-track="true">
Contact Cancer Programs
</a>
</li>
</ul>
</li>
<li>
<a id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_PageTitleLink_9" class="toggleLevelFour" data-feathr-click-track="true"><i class="fa fa-arrow-left"></i>Geriatric Surgery<i class="fa fa-angle-right"></i></a>
<!--MOBILE level 4 nav-->
<ul id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_LinkListMobile_9" class="levelFour hideDesktop">
<li class="overview">
<a id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_PageOverviewMobile_9" href="/quality-programs/geriatric-surgery" data-feathr-click-track="true">Geriatric Surgery Verification Program</a>
</li>
</ul>
<!--DESKTOP level 4 nav-->
<ul id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_LinkListDesktop_9" class="levelFour hideMobile hideTablet">
<li class="overview">
<a id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_PageLinkDesktop_9" href="/quality-programs/geriatric-surgery" data-feathr-click-track="true">Geriatric Surgery Verification Program</a>
</li>
<li>
<a href="/quality-programs/geriatric-surgery/about" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_LevelFourRepeaterDesktop_9_PageLink_0" data-feathr-click-track="true">
About
</a>
</li>
<li>
<a href="/quality-programs/geriatric-surgery/participation" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_LevelFourRepeaterDesktop_9_PageLink_1" data-feathr-click-track="true">
Levels of Participation
</a>
</li>
<li>
<a href="/quality-programs/geriatric-surgery/standards" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_LevelFourRepeaterDesktop_9_PageLink_2" data-feathr-click-track="true">
Program Standards
</a>
</li>
<li>
<a href="/quality-programs/geriatric-surgery/hospitals" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_LevelFourRepeaterDesktop_9_PageLink_3" data-feathr-click-track="true">
Participating GSV Hospitals
</a>
</li>
<li>
<a href="/quality-programs/geriatric-surgery/apply" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_LevelFourRepeaterDesktop_9_PageLink_4" data-feathr-click-track="true">
Apply
</a>
</li>
<li>
<a href="/quality-programs/geriatric-surgery/portal" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_LevelFourRepeaterDesktop_9_PageLink_5" data-feathr-click-track="true">
Participant Portal
</a>
</li>
<li>
<a href="/quality-programs/geriatric-surgery/implementation-course" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_LevelFourRepeaterDesktop_9_PageLink_6" data-feathr-click-track="true">
Implementation Course
</a>
</li>
<li>
<a href="/quality-programs/geriatric-surgery/resources" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_LevelFourRepeaterDesktop_9_PageLink_7" data-feathr-click-track="true">
Resources
</a>
</li>
<li>
<a href="/quality-programs/geriatric-surgery/webinar-series" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_LevelFourRepeaterDesktop_9_PageLink_8" data-feathr-click-track="true">
Webinar Series
</a>
</li>
<li>
<a href="/quality-programs/geriatric-surgery/news" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_LevelFourRepeaterDesktop_9_PageLink_9" data-feathr-click-track="true">
News
</a>
</li>
<li>
<a href="/quality-programs/quality-safety-conference" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_LevelFourRepeaterDesktop_9_PageLink_10" data-linktype="linkpage" data-feathr-click-track="true">
Quality and Safety Conference
</a>
</li>
<li>
<a href="/quality-programs/geriatric-surgery/contact" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_LevelFourRepeaterDesktop_9_PageLink_11" data-feathr-click-track="true">
Contact Us
</a>
</li>
</ul>
</li>
<li>
<a id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_PageTitleLink_10" class="toggleLevelFour" data-feathr-click-track="true"><i class="fa fa-arrow-left"></i>Strong for Surgery<i class="fa fa-angle-right"></i></a>
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About
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Access Toolkit
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For Clinicians
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For Patients
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News
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Frequently Asked Questions
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News and Updates
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SSR Registration
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SSR Tips and Tricks Webinar
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SSR Login
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Features and FAQs
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ABS Requirements
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Surgical Risk Calculator
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CMS MIPS
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Quality and Safety Conference
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About Trauma Programs
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Advanced Trauma Life Support
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Advocacy
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StopTheBleed.org
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Firearm Injury Prevention Clinical Scholar
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Mentoring for Excellence in Trauma Surgery
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Trauma Education
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Trauma Quality Programs
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Donate to Trauma Programs
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Keynote Speaker
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<a href="/-/media/files/quality-programs/conference/2021/2021_qsc_agenda.ashx" id="ctl17_ctl09_LevelOneRepeater_LevelThreeRepeater_2_LevelFourRepeaterDesktop_13_PageLink_1" data-linktype="linkpage" data-feathr-click-track="true">
Conference Agenda
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Continuing Education
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Abstracts
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Conference Objectives
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Case Studies and Highlights from Past Conferences
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ACS Education and Training
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Educational Program
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Clinical Trials and Late-Breaking Abstracts
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Speaker Resources
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Frequently Asked Questions
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Exhibitor Information
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Clinical Congress 2020
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Future Clinical Congresses
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Claim and Manage Your CME
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MyCME Instructional Videos
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CME State Requirements
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Approved ACS Educational Programs Qualify for Royal College Section 3 Credit
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ACS Accreditation/Verification Program CME Requirements
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Specialty Board CME Requirements
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COVID-19 Impact on Licensing and Certification
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States Altering Licensing Requirements at-a-Glance
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Contact
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So You Want to Be a Surgeon
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Online Guide to Choosing a Surgical Residency
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Choosing Wisely
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Surgeons and Engineers: A Dialogue on Surgical Simulation
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ACS Surgical Simulation Summit
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SRGS
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Resources in Surgical Education
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Certificate in Applied Surgical Education Leadership
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Video-Based Education Webinar Series
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ACS Fundamentals of Surgery Curriculum
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Mastery in General Surgery Program
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National Tutorial Seminars for Medical Students
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ACS/APDS Surgery Resident Skills Curriculum
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ACS/APDS/ASE Resident Prep Curriculum
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ACS/ASE Medical Student Core Curriculum
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ACS/ASE Medical Student Simulation-Based Surgical Skills Curriculum
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Quality and Safety Conference
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ACS Clinical Scholars in Residence
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Health Services Research Methods Course
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Surgeon Specific Registry
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Advanced Surgical Skills for Exposure in Trauma
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Advanced Trauma Life Support
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Advanced Trauma Operative Management
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Basic Endovascular Skills for Trauma
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Disaster Management and Emergency Preparedness
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Rural Trauma Team Development Course
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Trauma Evaluation and Management
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Partnerships in Education
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Selected Research Findings
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Communications to the Profession
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2021 Information
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2020 Information
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2019 Information
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Updated Extreme and Uncontrollable Circumstances Exceptions (EUC) for 2020 QPP Performance
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CMS to Offer MIPS Credit to Clinicians Participating in COVID-19 Clinical Trials
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Program Rules
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Surgeon Specific Registry
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Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program
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2020 Federal Legislation Wrap-Up
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COVID-19
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Health Care Reform
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Medical Liability Reform
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Medicare Physician Payment
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Opioids and Surgical Care
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Pediatric Issues
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Scope of Practice
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Surgical Workforce
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Surprise Billing
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Patient Opioid Use
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Private Payors
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Stop Overregulating My OR
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Telehealth
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Regulatory Advocacy
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State Legislation Tracked by the College
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Our Changing Health Care System
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Stop the Bleed
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Archives Catalog
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<h2><a name="nelson" data-feathr-click-track="true"></a>From the Director's Desk </h2>
<h3>Inter-Programmatic Coordination and Communication</h3>
<img alt="Heidi Nelson, MD, FACS" src="/-/media/images/quality-programs/cancer/news/heidi-nelson.ashx?h=200&w=200" style="float: right; margin-bottom: 10px; margin-left: 10px;" title="Heidi Nelson, MD, FACS">
<p><em>Heidi Nelson, MD, FACS<br> Medical Director, ACS Cancer Programs</em></p>
<p>For the past two years we have paid deliberate attention to the manner and ways in which the individual programs that comprise the American College of Surgeons (ACS) Cancer Programs are interdependent. We started by seeking to
understand, at a more granular level, how advancements in diagnostic or therapeutic best cancer practices impact all the products and services of the Cancer Programs. In this one scenario, for example, we might expect that the
National Cancer Database (NCDB) would first validate the new cancer practices by confirming the findings. From there, the American Joint Committee on Cancer (AJCC) would make adjustments to staging in order to reflect the
relative impact that the new practice would have on cancer prognosis. Once AJCC staging changes are made, downstream changes need to be made in the STORE Manual, synoptic operative reports, and affected standards and quality
measures. A similar process occurs when a cancer practice is no longer considered appropriate and needs to be removed from the content of STORE and/or AJCC materials, and likewise when new cancer types emerge, such as HIV- and
HPV-related cancers, the staging and standards often have to be adjusted. Acknowledging the interdependencies of definitions, classifications, and codes across programs affords us the opportunity to coordinate the changes that
are required across the programs and allows us to make the changes well in advance of the time when accredited programs need to implement them. It is our hope that coordinating the content from across the programs and
communicating early will help everyone—from vendors to accredited programs—plan for how they will adapt to the changes as each new year approaches. </p>
<p> With that in mind, you will notice in the content below an article devoted to communicating updates from all of the Cancer Programs that can be expected to take effect next year. The collated information helps summarize, in
one place, what accredited programs can expect to implement in 2022, including: (1) compliance expectations for Commission on Cancer (CoC) standards; (2) National Accreditation Program for Breast Centers (NAPBC) standards
revisions; (3) NCDB reporting tool and quality measure upgrades; (4) STORE Manual coding changes; (5) implementation of the Quality Portal (QPort), the new online system for managing accreditation program activities; and (6)
AJCC’s release of the new cancer surveillance staging updates in the form of the Dynamic Link Library (DLL) and Application Programming Interface (API) for vendor and electronic medical records. Further details on each item will
be forthcoming in the next several weeks leading up to 2022 implementation. Stay tuned. </p>
<h2><a name="whatsnew" data-feathr-click-track="true"></a>What’s New for Cancer Programs in 2022</h2>
<p>The ACS Cancer Programs team has been hard at work developing resources to support you and your accredited programs. We wanted to provide advance notice of some of the things to expect beginning in 2022. More details on each of
these items will be shared over the coming months, but here is a basic overview of what’s to come. Please send your comments to
<a href="mailto:acscancerprograms@facs.org" data-feathr-click-track="true">acscancerprograms@facs.org</a>. </p>
<h3>QPort</h3>
<p>The QPort was developed as a standard online system for managing all ACS accreditation/verification program activities, including the CoC, the NAPBC, and the National Accreditation Program for Rectal Cancer (NAPRC). QPort will
be released to CoC programs this fall and will include the new CoC Pre-Review Questionnaire (PRQ) for programs due for a site visit in 2022. The PRQ is the application programs will use to document standards compliance with the
2020 standards. The PRQ replaces the Survey Application Record (SAR). </p>
<h3>CoC Standards</h3>
<p>For CoC site visits being conducted in 2022, accredited programs will be expected to demonstrate a 70 percent compliance rate for CoC Operative Standards 5.7 and 5.8 (Total Mesorectal Excision and Pulmonary Resection) for 2021
cases. Programs will need to show documentation of their final plan for how they will achieve compliance with Standards 5.3, 5.4, 5.5, and 5.6 (Sentinel Node Biopsy for Breast Cancer, Axillary Lymph Node Dissection for Breast
Cancer, Wide Local Excision for Primary Cutaneous Melanoma, and Colon Resection) during 2023 site visits. The Cancer Surgery Standards Program (CSSP) continues to release
<a target="_blank" href="https://www.facs.org/quality-programs/cancer/cssp/resources/operative-standards-toolkit" data-feathr-click-track="true">resources</a> to support implementation of the operative standards. In addition, a
further adjustment to the follow-up timeline in Standard 6.5 (Follow-Up of Patients) will be communicated for implementation in 2022 to further reduce the follow-up burden for programs. Although we plan to revise and release new
quality measures in the Rapid Cancer Reporting System (RCRS) in 2022, we anticipate that the current nine required for accreditation will remain the same for compliance in 2022 for Standard 7.1 (Accountability and Quality
Improvement Measures).</p>
<h3>STORE Manual</h3>
<p>The <a target="_blank" href="https://www.facs.org/-/media/files/quality-programs/cancer/ncdb/store_manual_2022.ashx" data-feathr-click-track="true">v2022 STORE Manual</a>, effective with diagnosis year 2022, has been posted to
the NCDB Call for Data website. The 2022 Summary of Changes identifies coding clarifications, updates to cases eligible for reporting, word changes, and new data items for collection. </p>
<h3>NCDB</h3>
<p>The NCDB will soon be updating and releasing the following reporting tools with 2019 data: Hospital Comparison Benchmark Reports, Survival Reports, Cancer Quality Improvement Program (CQIP) Reports, and the Site by Stage
Distribution Report. We also will be releasing a new video on how to use the NCDB reporting tools along with a new video series for Cancer Liaison Physicians on how to use the NCDB tools to assess program performance and prepare
reports for the cancer committee. </p>
<h3>NAPBC</h3>
<p>The NAPBC is finalizing work on the new standards for accreditation and will be preparing to collect constituent feedback on the draft in the coming months prior to finalizing and determining the implementation timeline. More
details to come. </p>
<h3>AJCC</h3>
<p>The Cancer Surveillance DLL is being released in August 2021 to cancer registry vendors, so they will have the updates they need to support cancer staging data collection beginning in 2022. Cancer program registry staff are
encouraged to contact their vendors to ask for these updates to their software at the earliest possible time to support 2022 abstracting.</p>
<p> Updates to the AJCC API will be released this fall to licensed vendors. Updates provide the electronic health records (EHR) vendors with the choice of either condensed or expanded stage tables for all disease sites, and it
also will return a list of valid values for staging a disease site.</p>
<h2><a name="fee" data-feathr-click-track="true"></a>ACS Cancer Programs Releases Accreditation Fee Updates</h2>
<p>ACS Cancer Programs annual accreditation fees have been adjusted for 2022. The new fee amounts will go into effect for subscriptions beginning or renewing on or after January 1, 2022. For detailed CoC, NAPRC, and NAPBC fee
information and schedules, please review the 2022 fee chart, which is available in each program’s portal.</p>
<h2><a name="cc2021" data-feathr-click-track="true"></a>Learn More about Cancer Programs Sessions at Clinical Congress 2021</h2>
<p>Since <a target="_blank" href="https://www.facs.org/clincon2021" data-feathr-click-track="true">Clinical Congress</a> is virtual this year, you can maximize your registration fee and participate in more sessions. ACS Cancer
Programs is <a target="_blank" href="https://www.facs.org/quality-programs/cancer/events/2021-clincon" data-feathr-click-track="true">sponsoring</a> several sessions, including the following on Wednesday, October 27: </p>
<p><strong>Panel Session PS525: Operative Standards and Intraoperative Decision Making: Thyroid Cancer</strong> will take place from 10:00 to 10:55 am CT. The session will build on recent publications by the ACS Cancer Care
Standards Development Committee on operative standards for thyroidectomy. Presenters will review the most recent updates in imaging and surgical approaches and discuss the current controversies in patient care, including
observation versus lobectomy versus total thyroidectomy for early-stage thyroid cancer, as well as the indications and decision-making for lymphadenectomy. The session will be moderated by <strong>Tracy S. Wang, MD,
FACS,</strong> and co-moderated by <strong>Amy Y. Chen, MD, MPH, FACS</strong>.</p>
<p>Catch the <strong>CoC Oncology Lecture</strong> at 1:00–1:55 pm CT. <strong>ACS Cancer Programs Medical Director Heidi Nelson, MD, FACS</strong>, will introduce lecturer <strong>Lisa A. Newman, MD, MPH, FACS,</strong> from
Weill‐Cornell Medicine in New York.Dr. Newman is a surgical oncologist with a practice dedicated to breast cancer management. Her primary research has focused on race/ethnicity-related variation in breast cancer risk and
outcome, the evaluation and management of high-risk patients, broadened applications for neoadjuvant chemotherapy, and special surgical techniques such as the skin-sparing mastectomy and lymphatic mapping/sentinel lymph node
biopsy. Dr. Newman’s extensive research related to disparities in breast cancer risk and outcome has been published in numerous peer-reviewed medical journals and was featured in CNN’s documentary “Black in America 2.”</p>
<p>Finally, there is <strong>Panel Session PS563: Ten Hot Topics in Surgical Oncology</strong> from 2:00 to 2:55 pm CT. Moderated by <strong>John H. Stewart IV, MD, FACS</strong>, this panel addresses 10 of the most current and
controversial issues in surgical oncology.</p>
<p>If you can’t participate in these sessions live, you can always watch them on demand at your convenience. For more information on
<a target="_blank" href="https://www.facs.org/quality-programs/cancer/events/2021-clincon" data-feathr-click-track="true">cancer-related programming</a> at this year’s Clinical Congress, please visit our web page. Stay tuned to
this newsletter for more details on each of these sessions. </p>
<h2><a name="greene" data-feathr-click-track="true"></a>Never Too Late</h2>
<p><em>Frederick L. Greene, MD, FACS</em></p>
<p><img alt="Frederick Greene, MD, FACS" src="/-/media/images/quality-programs/cancer/news/headshots/frederick_greene.ashx?h=244&w=200" style="width: 200px; height: 244px; float: right; margin-bottom: 10px; margin-left: 10px;"
title="Frederick Greene, MD, FACS">My reverence for cancer registrars and appreciation for the role of cancer registries began well before I assumed the role of medical director of cancer data services at the Levine Cancer
Institute seven years ago, well before I began my involvement with the <em>AJCC Cancer Staging Manual</em> 25 years ago, and well before I began my association with the Commission on Cancer 35 years ago! My infatuation with all
aspects of cancer registries and the dedicated professionals who oversee them began when I was a medical student and a neophyte surgeon in training. One of the first journal articles that I ever published used registry data to
review the advances made in the treatment of Wilm’s Tumor in the pediatric population. This was in 1969! I was also fortunate to work with cancer registrars and the Connecticut State Cancer Registry as a young surgical resident
and American Cancer Society Fellow at Yale in 1972.</p>
<p> My point in relating this ancient history is that opportunities for young physicians to work with registrars and registries can lead to a lifelong understanding and appreciation for what you and your colleagues do on a daily
basis. As I relate frequently to physician groups regarding cancer staging, the TNM system is our “language of cancer,” and when do we learn a language the easiest? When we are young! Similarly, the time to acquaint physicians
with cancer registries is during medical school, residency, and fellowship experiences. This is a mission that has given me an immense amount of joy during my academic surgical career. This is a message that I have also
attempted to relate to physician audiences over the years.</p>
<p> Although many clinicians dedicated to cancer care may not have had an opportunity for association with cancer registries early in their careers, all is not lost. At the Levine Cancer Institute in Charlotte, NC, we have
developed a strategy of inviting clinicians to give a presentation at the monthly meetings of our entire registry staff. The purpose of this exercise, ostensibly, is to provide education for our registrars covering all
disciplines of cancer care. The hidden agenda, however, is to educate these clinicians as to the information that is contained in the cancer abstract and the vast amount of important material that is available to them in their
particular specialty. The overarching goal is that these individual physicians then become disciples and carry this information back to their particular specialty sections. </p>
<p> There are so many opportunities for physicians to become involved in registry activities at every level of their careers. Whether you and your registry are housed in an academic training institution or a community hospital,
remember that it is never too late to introduce clinicians to the incredible world of the cancer registry. </p>
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American College of Surgeons Quality Programs ... Cancer Programs Cancer
Programs News Cancer Programs News: August 12
* Back to Cancer Programs News
* Cancer Programs News: August 12
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CANCER PROGRAMS NEWS: AUGUST 12
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FROM THE DIRECTOR'S DESK
INTER-PROGRAMMATIC COORDINATION AND COMMUNICATION
Heidi Nelson, MD, FACS
Medical Director, ACS Cancer Programs
For the past two years we have paid deliberate attention to the manner and ways
in which the individual programs that comprise the American College of Surgeons
(ACS) Cancer Programs are interdependent. We started by seeking to understand,
at a more granular level, how advancements in diagnostic or therapeutic best
cancer practices impact all the products and services of the Cancer Programs. In
this one scenario, for example, we might expect that the National Cancer
Database (NCDB) would first validate the new cancer practices by confirming the
findings. From there, the American Joint Committee on Cancer (AJCC) would make
adjustments to staging in order to reflect the relative impact that the new
practice would have on cancer prognosis. Once AJCC staging changes are made,
downstream changes need to be made in the STORE Manual, synoptic operative
reports, and affected standards and quality measures. A similar process occurs
when a cancer practice is no longer considered appropriate and needs to be
removed from the content of STORE and/or AJCC materials, and likewise when new
cancer types emerge, such as HIV- and HPV-related cancers, the staging and
standards often have to be adjusted. Acknowledging the interdependencies of
definitions, classifications, and codes across programs affords us the
opportunity to coordinate the changes that are required across the programs and
allows us to make the changes well in advance of the time when accredited
programs need to implement them. It is our hope that coordinating the content
from across the programs and communicating early will help everyone—from vendors
to accredited programs—plan for how they will adapt to the changes as each new
year approaches.
With that in mind, you will notice in the content below an article devoted to
communicating updates from all of the Cancer Programs that can be expected to
take effect next year. The collated information helps summarize, in one place,
what accredited programs can expect to implement in 2022, including: (1)
compliance expectations for Commission on Cancer (CoC) standards; (2) National
Accreditation Program for Breast Centers (NAPBC) standards revisions; (3) NCDB
reporting tool and quality measure upgrades; (4) STORE Manual coding changes;
(5) implementation of the Quality Portal (QPort), the new online system for
managing accreditation program activities; and (6) AJCC’s release of the new
cancer surveillance staging updates in the form of the Dynamic Link Library
(DLL) and Application Programming Interface (API) for vendor and electronic
medical records. Further details on each item will be forthcoming in the next
several weeks leading up to 2022 implementation. Stay tuned.
WHAT’S NEW FOR CANCER PROGRAMS IN 2022
The ACS Cancer Programs team has been hard at work developing resources to
support you and your accredited programs. We wanted to provide advance notice of
some of the things to expect beginning in 2022. More details on each of these
items will be shared over the coming months, but here is a basic overview of
what’s to come. Please send your comments to acscancerprograms@facs.org.
QPORT
The QPort was developed as a standard online system for managing all ACS
accreditation/verification program activities, including the CoC, the NAPBC, and
the National Accreditation Program for Rectal Cancer (NAPRC). QPort will be
released to CoC programs this fall and will include the new CoC Pre-Review
Questionnaire (PRQ) for programs due for a site visit in 2022. The PRQ is the
application programs will use to document standards compliance with the 2020
standards. The PRQ replaces the Survey Application Record (SAR).
COC STANDARDS
For CoC site visits being conducted in 2022, accredited programs will be
expected to demonstrate a 70 percent compliance rate for CoC Operative Standards
5.7 and 5.8 (Total Mesorectal Excision and Pulmonary Resection) for 2021 cases.
Programs will need to show documentation of their final plan for how they will
achieve compliance with Standards 5.3, 5.4, 5.5, and 5.6 (Sentinel Node Biopsy
for Breast Cancer, Axillary Lymph Node Dissection for Breast Cancer, Wide Local
Excision for Primary Cutaneous Melanoma, and Colon Resection) during 2023 site
visits. The Cancer Surgery Standards Program (CSSP) continues to release
resources to support implementation of the operative standards. In addition, a
further adjustment to the follow-up timeline in Standard 6.5 (Follow-Up of
Patients) will be communicated for implementation in 2022 to further reduce the
follow-up burden for programs. Although we plan to revise and release new
quality measures in the Rapid Cancer Reporting System (RCRS) in 2022, we
anticipate that the current nine required for accreditation will remain the same
for compliance in 2022 for Standard 7.1 (Accountability and Quality Improvement
Measures).
STORE MANUAL
The v2022 STORE Manual, effective with diagnosis year 2022, has been posted to
the NCDB Call for Data website. The 2022 Summary of Changes identifies coding
clarifications, updates to cases eligible for reporting, word changes, and new
data items for collection.
NCDB
The NCDB will soon be updating and releasing the following reporting tools with
2019 data: Hospital Comparison Benchmark Reports, Survival Reports, Cancer
Quality Improvement Program (CQIP) Reports, and the Site by Stage Distribution
Report. We also will be releasing a new video on how to use the NCDB reporting
tools along with a new video series for Cancer Liaison Physicians on how to use
the NCDB tools to assess program performance and prepare reports for the cancer
committee.
NAPBC
The NAPBC is finalizing work on the new standards for accreditation and will be
preparing to collect constituent feedback on the draft in the coming months
prior to finalizing and determining the implementation timeline. More details to
come.
AJCC
The Cancer Surveillance DLL is being released in August 2021 to cancer registry
vendors, so they will have the updates they need to support cancer staging data
collection beginning in 2022. Cancer program registry staff are encouraged to
contact their vendors to ask for these updates to their software at the earliest
possible time to support 2022 abstracting.
Updates to the AJCC API will be released this fall to licensed vendors. Updates
provide the electronic health records (EHR) vendors with the choice of either
condensed or expanded stage tables for all disease sites, and it also will
return a list of valid values for staging a disease site.
ACS CANCER PROGRAMS RELEASES ACCREDITATION FEE UPDATES
ACS Cancer Programs annual accreditation fees have been adjusted for 2022. The
new fee amounts will go into effect for subscriptions beginning or renewing on
or after January 1, 2022. For detailed CoC, NAPRC, and NAPBC fee information and
schedules, please review the 2022 fee chart, which is available in each
program’s portal.
LEARN MORE ABOUT CANCER PROGRAMS SESSIONS AT CLINICAL CONGRESS 2021
Since Clinical Congress is virtual this year, you can maximize your registration
fee and participate in more sessions. ACS Cancer Programs is sponsoring several
sessions, including the following on Wednesday, October 27:
Panel Session PS525: Operative Standards and Intraoperative Decision Making:
Thyroid Cancer will take place from 10:00 to 10:55 am CT. The session will build
on recent publications by the ACS Cancer Care Standards Development Committee on
operative standards for thyroidectomy. Presenters will review the most recent
updates in imaging and surgical approaches and discuss the current controversies
in patient care, including observation versus lobectomy versus total
thyroidectomy for early-stage thyroid cancer, as well as the indications and
decision-making for lymphadenectomy. The session will be moderated by Tracy S.
Wang, MD, FACS, and co-moderated by Amy Y. Chen, MD, MPH, FACS.
Catch the CoC Oncology Lecture at 1:00–1:55 pm CT. ACS Cancer Programs Medical
Director Heidi Nelson, MD, FACS, will introduce lecturer Lisa A. Newman, MD,
MPH, FACS, from Weill‐Cornell Medicine in New York.Dr. Newman is a surgical
oncologist with a practice dedicated to breast cancer management. Her primary
research has focused on race/ethnicity-related variation in breast cancer risk
and outcome, the evaluation and management of high-risk patients, broadened
applications for neoadjuvant chemotherapy, and special surgical techniques such
as the skin-sparing mastectomy and lymphatic mapping/sentinel lymph node biopsy.
Dr. Newman’s extensive research related to disparities in breast cancer risk and
outcome has been published in numerous peer-reviewed medical journals and was
featured in CNN’s documentary “Black in America 2.”
Finally, there is Panel Session PS563: Ten Hot Topics in Surgical Oncology from
2:00 to 2:55 pm CT. Moderated by John H. Stewart IV, MD, FACS, this panel
addresses 10 of the most current and controversial issues in surgical oncology.
If you can’t participate in these sessions live, you can always watch them on
demand at your convenience. For more information on cancer-related programming
at this year’s Clinical Congress, please visit our web page. Stay tuned to this
newsletter for more details on each of these sessions.
NEVER TOO LATE
Frederick L. Greene, MD, FACS
My reverence for cancer registrars and appreciation for the role of cancer
registries began well before I assumed the role of medical director of cancer
data services at the Levine Cancer Institute seven years ago, well before I
began my involvement with the AJCC Cancer Staging Manual 25 years ago, and well
before I began my association with the Commission on Cancer 35 years ago! My
infatuation with all aspects of cancer registries and the dedicated
professionals who oversee them began when I was a medical student and a neophyte
surgeon in training. One of the first journal articles that I ever published
used registry data to review the advances made in the treatment of Wilm’s Tumor
in the pediatric population. This was in 1969! I was also fortunate to work with
cancer registrars and the Connecticut State Cancer Registry as a young surgical
resident and American Cancer Society Fellow at Yale in 1972.
My point in relating this ancient history is that opportunities for young
physicians to work with registrars and registries can lead to a lifelong
understanding and appreciation for what you and your colleagues do on a daily
basis. As I relate frequently to physician groups regarding cancer staging, the
TNM system is our “language of cancer,” and when do we learn a language the
easiest? When we are young! Similarly, the time to acquaint physicians with
cancer registries is during medical school, residency, and fellowship
experiences. This is a mission that has given me an immense amount of joy during
my academic surgical career. This is a message that I have also attempted to
relate to physician audiences over the years.
Although many clinicians dedicated to cancer care may not have had an
opportunity for association with cancer registries early in their careers, all
is not lost. At the Levine Cancer Institute in Charlotte, NC, we have developed
a strategy of inviting clinicians to give a presentation at the monthly meetings
of our entire registry staff. The purpose of this exercise, ostensibly, is to
provide education for our registrars covering all disciplines of cancer care.
The hidden agenda, however, is to educate these clinicians as to the information
that is contained in the cancer abstract and the vast amount of important
material that is available to them in their particular specialty. The
overarching goal is that these individual physicians then become disciples and
carry this information back to their particular specialty sections.
There are so many opportunities for physicians to become involved in registry
activities at every level of their careers. Whether you and your registry are
housed in an academic training institution or a community hospital, remember
that it is never too late to introduce clinicians to the incredible world of the
cancer registry.
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