Web Plus Overview - FTP Directory Listing - Centers for Disease

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					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: kthoburn@cdc.gov


 Sanjeev R. Baral, CDC/NPCR Contractor
        Email: sbaral@cdc.gov
        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
        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

           Internet Information                SQL Server
External                            Internal
             Services Hosting
Firewall                            Firewall
                 Web Plus
           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
  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
   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



Data                     Link to
Item                     NAACCR
Labels                   Standards




                          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
            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
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       2. Update   3. Correct   4. Complete   5. Release
abstract        data        errors       abstract      abstract
                Web Plus Data Flow
                 Central Registry
                1. Assign
Administrator   released
                abstract

CCR             2. Accept     3. Open
Abstractor/     into Work     Abstract for
Reviewer        Queue         Review

CCR             4. Visually
                              5. Correct     6. Complete   7. Release
Abstractor/     review/up
Reviewer
                              errors         abstract      abstract
                date

                8. Export
Administrator
                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
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, kthoburn@cdc.gov
      Sanjeev Baral, sbaral@cdc.gov
         Joseph D. Rogers, jrogers@cdc.gov




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

				
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