Cancer Detection Programs: Every Woman Counts (CDP: EWC) Primary Care Providers (PCPs) are reminded that effective December 22, 2008, the following changes to the CDP: EWC Data Collection Application will affect how data is submitted online. The new data entry application, called DETEC (DETecting Early Cancer), was developed in response to changes mandated by the Centers for Disease Control and Prevention (CDC) and to improve data entry.

Note:

The last day that providers can use the current CDP: EWC online application is December 19, 2008. The online application will not be operating on December 20, 2008 or December 21, 2008 in order for DETEC to be ready on December 22, 2008.

In DETEC, breast and cervical cancers have individual one-page forms that include both screening and follow-up data. This new one-page format will make accurate and complete data entry easier.

Other changes to effective December 22, 2008 include:

• The screen form and follow-up form are combined into a “Cancer Screening Cycle Data” form. There will be one form for breast cancer screening cycle data and one for cervical cancer screening cycle data.
• Data must pass all DETEC-generated error codes and screen constraints in order for the record to meet submission and case management (CM) data requirements. In DETEC, breast and/or cervical screening cycle records marked with the (!) symbol must be corrected for the cycle to become eligible for CM.
• All screening cycles must meet new CM data requirements. The new CM data requirements are based on screening results: Normal or Abnormal.
• Normal screening cycles have no reported abnormal screening outcomes and have a clinical plan of routine re-screen or short-term follow-up. CM data requirements for a normal screening cycle include:
  • Screening procedure results and dates
  • A clinical plan of routine re-screen or short-term follow-up. A short-term follow-up is considered normal and will no longer require an additional form or data to be submitted for CM eligibility.
• Abnormal screening cycles have abnormal screening results or have a clinical plan of immediate work-up regardless of screening results. Additional CM data requirements for abnormal screening cycles include:
  • A work-up status and date
  • If work-up status is complete:
    • Additional procedures performed and the procedure dates
    • Final diagnosis and date
    • Treatment status and date if the final diagnosis is breast or cervical invasive cancer, ductal carcinoma in situ (DCIS), cervical intraepithelial neoplasia II and III (CIN II/CIN III), carcinoma in situ (CIS), adenocarcinoma in situ (AIS) or high-grade squamous intraepithelial lesions (HSIL)
• PCPs providing both breast and cervical CDP: EWC services will only be required to submit data for the services they provide (for example, if no cervical services were provided, the Cervical Cancer Screening Cycle Data form would not be required).
• Providers must print, sign and date all DETEC enrollment and screening cycle data forms as evidence of case management.

The CDP: EWC Data Collection Application should be used for data entered through December 19, 2008. Effective December 22, 2008, that data application will be replaced with DETEC. For data entered on or after December 22, 2008, use DETEC worksheets and DETEC recipient and screening cycle data forms. DETEC forms cam be accessed on the CDP: Every Woman Counts page.

Prior to December 22, 2008, the Cancer Detection Section will provide DETEC training to PCPs through Regional Contractor Clinical Coordinators, program manuals and other training materials.

Providers should contact their local Regional Contractor with any questions.