The National Cancer Database (NCDB), under the guidance of the Commission on Cancer (CoC) leadership and committees, develops and disseminates aggregate and individual institutional reports for CoC-accredited programs. These NCDB reports have permissible and non-permissible uses that are predicated on the methodologies employed to generate the reports. Public reporting at the present time is not supported due to the absence of rigorous risk adjustment and audit validation against original records.
This document describes guiding principles and permissible and non-permissible uses of the NCDB reports.
This document only pertains to the following NCDB reports:
Other ACS documents describe the terms and conditions specific to the use of Participant User Files.
This document does not pertain to the use of data that is generated by the institution and not analyzed or reported by the NCDB staff.
NCDB reports are primarily intended for internal use within CoC-accredited cancer programs and intended to be used for the purpose of evaluating and/or improving the cancer care that is delivered to patients at the institutional level. Individual program reports and aggregate reports and benchmarks are intended to be used for a variety of internal purposes including, but not limited to, advising improvements in practice management, multidisciplinary coordination of care and quality of care. These reports are also intended to be used as part of quality improvement, research and knowledge generation.
New knowledge that is generated as a result of quality improvement and/or research activities using NCDB reports may be considered appropriate for sharing outside the institution when it is being communicated in order to enhance the general knowledge and understanding of cancer and/or facilitate adoption of improved practices and outcomes. In such cases, it is imperative that the methodologies and specifics of the quality improvement interventions and/or research hypotheses be provided as part of the external sharing. NCDB reports are not to be publicly reported or shared outside the CoC accredited program for purposes of marketing or branding.
Permissible Use of All CoC/NCDB Reports:
Non-Permissible Use of All CoC/NCDB Tools:
Cell sizes less than 10
Not permissible
My hospital only report
Permissible
Aggregate Report
Permissible
Comparison report
Not permissible
Days to first treatment
Permissible
Report image
Permissible
Report table
Permissible
Public Reporting
Not permissible
Any part of the report
Not permissible
Cell sizes less than 10
Not permissible
Cancer Program Administrative Reports (My Program Only)
Permissible
Quality Measure Reports (My Program Only, excluding caterpillar plots)
Permissible
Volume and unadjusted 30, 90 day mortality
Not permissible
Unadjusted survival
Not permissible
Risk adjusted survival
Not permissible
Additional Reports:
- Stage distribution (My Program Only)
- In/Out migration (My Program Only)
- Insurance status (My Program Only)
- Distance traveled (My Program Only)
- First course treatment (My Program Only)
- Days to first treatment (My Program Only)
- Heat map
Permissible
Permissible
Permissible
Permissible
Permissible
Permissible
Permissible
Not permissible
Commission on Cancer background/informational slides
Permissible
Public reporting (any part of the report)
Not permissible
Cell sizes less than 10
Not permissible
Dashboard (home page):
- CoC accreditation measures for site reviewer
- Alert summary
- Notifications
- Most recent quality measure data available
Permissible
Permissible
Not permissible
Permissible
Upload
Not permissible
Submission history report
Not permissible
Submission detail report:
- Records by
- Edit summary
- Records list
Not permissible
Not permissible
Not permissible
Notifications
Not Permissible
Alerts report:
- Total alerts
- Case list
- Alert summary by primary site
- Edit errors
Permissible
Not permissible
Permissible
Not permissible
Case log report:
- Case list
- Case-level alerts
- Case-level edit errors
Not permissible
Not permissible
Not permissible
Quality Measure Report:
- Summary panel
- Details panel – case status
- Case list
Permissible
Permissible
Not permissible
Comparisons Report:
- Performance rate comparisons
- Performance rate comparison by
- Details by … with case counts
Not permissible
Not permissible
Not permissible
Report image
Not permissible
Report table
Not permissible
Public reporting (any part of the report)
Not permissible
Cell sizes less than 10
Not permissible
Counts by primary site
Permissible
Counts by primary site and stage
Permissible
Case level detail
Not permissible
Report image
Permissible
Report table
Permissible
Public reporting (any part of the report)
Not permissible
Cell sizes less than 10
Not permissible
Benchmark percent
Permissible
Hospital percent
Permissible
Report image
Permissible
Report table
Permissible
Public reporting (any part of the report)
Not permissible
Reporting Conditions:
For any questions about the reporting policies or the information above, please direct all questions to ncdb@facs.org.