Transcript Web_Plus_Overview_2012_05_22.ppt

Web Plus Overview
Kathleen Thoburn and Sanjeev Baral
CDC/NPCR Contractors
Joseph D. Rogers
Team Lead, Data Analysis and Support Team, NPCR, CDC
CDC Registry Plus Training
May, 2012
National Center for Chronic Disease Prevention and Health Promotion
Division of Cancer Prevention and Control
CDC–NPCR Web Plus Contacts
Kathleen K. Thoburn, CDC/NPCR Contractor
E-mail: [email protected]
Sanjeev R. Baral, CDC/NPCR Contractor
Email: [email protected]
General Overview
• Web-based application used to collect cancer
data securely over the public Internet
• Ideal for use by central registries for reporting
from physicians’ offices, low volume facilities,
hospital and non-hospital reporting sources,
and for follow-back efforts
• Allows data sets and edit sets to be
customized by central registry
General Overview
• Data entered are validated by the CDC EDITS
Engine running on a web server
• Records are saved in a database at the
hosting central registry and cases entered by
one facility or office are not visible to other
facilities
• Hosted on a secure web server that has a
digital certificate installed
– communication between client and server is
encrypted with Secure Socket Layer (SSL)
technology
Web Plus System Architecture
Web Plus User
Demilitarized zone
Web Plus
Database
External
Firewall
Internet Information
Services Hosting
Web Plus
SQL Server
Internal
Firewall
Web Plus Security
•
•
•
•
•
Form-based authentication (UserID, password)
Role-based access to functions
User actions are logged and are available for audit
Facilities can only view their own abstracts
System security is the responsibility of the central
registry:
– securing network infrastructure
– configuring web server for security
– installing digital certificates on web server and optionally
on client’s for SSL encryption/server validation
– fault tolerance, backup plans, etc.
Web Plus Main Functions
• Online Abstraction
• File Uploading/Downloading
• Data Editing
• DCO and Path Lab Follow-back
• Supporting Functions
– E-mail
– Reports
Capabilities - Abstraction
• Lookup assisted data entry with advanced
search feature
• Link for each data item to the NAACCR
Standards for Cancer Registries Volume II:
Data Standards and Data Dictionary for
information about the data item
• Code selection from drop-down lists
• Calculation of Age at Diagnosis
• Supports Collaborative Staging calculation
Capabilities – Data Editing
• Display types are configured by central registry
– Ordered subsets of standard NAACCR and local data
items collected by the central registry
– Critical fields
• Allows assignment of different display types and edits
for different facilities and types of cancer reporters
• Abstracts are entered and edited using the display
type and edit set assigned to the facility
• Edits are re-run each time an abstract is saved, and
remaining errors displayed for correction
Display Type
Section
Headers
Critical
Field
Link to
NAACCR
Standards
Data
Item
Labels
Drop
Down
List
Special
Lookup
Web Plus Roles
• Role-based access to functions
– File Uploader
– Facility Abstractor
– Local Administrator
– Central Registry Abstractor/Reviewer
– Central Registry Administrator
– Follow-back Supervisor
– Follow-back Monitor
– File Upload Supervisor
File Uploader
– Facilities can submit bundles of abstracts in the
NAACCR format
– Files run through Edits validation upon submission
– Error report available after upload
– Can also download files posted by the central
registry
File Uploader
• Supports automated rule for file acceptance
– Accept if less than n% of records have errors
• Administrator can override automated rules
– Accept or Reject
• Option for offline, batch running of edits on
large files and under heavy load conditions
available
Central Registry
Administrator
• Manages facilities and users at both central registry and
facilities
• Configures display types, edit sets and system preferences
• Manages assignment of abstracts to central registry staff
• Exports data and views reports
Central Registry Administrator
Generating Display Types
Local Administrator
• Manages local users of a facility
• Views reports
Facility Abstractor
• Enters abstracts and corrects errors until
abstract is complete (no errors remain)
• Releases abstracts to central registry
• Views reports
Central Registry Abstractor
• Reviews abstracts released to the central
registry, verifying submitted codes with
submitted text
• Re-releases abstracts for export into the
central registry
• Enters new abstracts
Web Plus Data Flow
Facility
Facility Abstractor
1. Create
abstract
2. Update
data
3. Correct
errors
4. Complete
abstract
5. Release
abstract
Web Plus Data Flow
Central Registry
Administrator
1. Assign
released
abstract
CCR
Abstractor/
Reviewer
2. Accept
into Work
Queue
3. Open
Abstract for
Review
CCR
Abstractor/
Reviewer
4. Visually
review/up
date
5. Correct
errors
Administrator
8. Export
abstract
6. Complete
abstract
7. Release
abstract
Facility Online Abstracting
Facility Completed Abstract Release
Administrator Assign Released Abstract
CCR Abstractor/Reviewer Accept Abstract
CCR Abstractor/Reviewer Find/Open Abstract
CCR Abstractor/Reviewer Re-release Abstract
Web Plus Administrator –
Exporting Released Abstracts
File Upload
• Facilities can submit bundles of abstracts in the
NAACCR format, or other files in any format
• NAACCR files run through Edits validation upon
submission
– Error report available after upload
• Supports automated rule for file acceptance
– Accept if less than n% of records have errors
• Option for offline, batch running of edits on large files
and under heavy load conditions available
New Upload
Previous Uploads
Web Plus Administrator –
Exporting File Uploads
File Download
• Central Registries can post files for secure download
by facilities
• Different files can be posted for different facilities
• Downloaded by the File Uploader at the facility
• Administrators can:
• Manage the files posted for download
• Download the files as well
Web Plus File Download
Reports
Central Registry Reports
• System Log-ins
• Abstract Updates
• Abstract Searches
• Abstract Deletions
• Abstract Exports
• Abstract Releases
Reports
Facility Reports
• Abstracts Submitted Sorted by Abstractor
•
Abstracts Accessed Sorted by Patient Name
•
Descriptive Statistics on Released Abstracts
•
Activity Report
•
HIPAA Accounting of Disclosure Report
Web Plus Follow-back
• Follow-back Supervisor loads files of partially-filled abstracts
generated from death certificate files
• Notification to physicians to log in and update the abstracts
sent via e-mail upon upload of file
– Follow-back records in the NAACCR layout for import into
Web Plus
• Once posted, abstracts are processed via the regular Web Plus
record flow
– Can be rejected back to central registry for re-routing
– Are released to central registry for review by Central Registry
Abstractor/reviewer upon completion
• Follow-back Supervisor and Monitors track follow-back
abstracts to ensure their resolution
Follow-back Supervisor Home Page
• Uploads files of partially-filled follow-back abstracts
• Manually adds follow-back abstracts online
• Tracks follow-back abstracts by uploaded file or by
facility
• Generates and views Web Plus follow-back reports
Load Follow-back File
Send E-mail Notice
Track Follow-back Requests by File
Track Individual Abstracts
Track Follow-back Requests by Facility
Track Individual Abstracts by Facility
Central Registry Follow-back Reports
Web Plus
Facility Abstractor Homepage
Facility Abstractor
Update Follow-back Abstract
Facility Follow-back Reports
Thank You!
Kathleen K. Thoburn, [email protected]
Sanjeev Baral, [email protected]
Joseph D. Rogers, [email protected]
The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of
the Centers for Disease Control and Prevention.
National Center for Chronic Disease Prevention and Health Promotion
Division of Cancer Prevention and Control