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Cancer registry supervisory responsibilities vary depending
on the size of the registry. In large registries, supervisors
may spend more time monitoring and coordinating cancer program
activities and staff. Supervisors in smaller registries may
spend most of their time overseeing and performing registry
functions.
The department responsible for overseeing the cancer registry
varies by institution. For example, the registry may be a
part of medical oncology, radiation oncology, pathology, quality
improvement services, health information management (HIM),
or another appropriate department. In most instances, the
registry supervisor reports to the director, assistant director,
or administrator of the department. Inevitably, cancer registry
operations are affected by the goals of the department overseeing
it. For example, registry staff within the health information
management (HIM) department may be used for coding, chart
analysis, or chart retrieval when HIM backlogs or staffing
shortages occur. Therefore, the administrator responsible
for the cancer registry must be knowledgeable regarding registry
purposes and functions. This is vital to ensure that adequate
staffing and time are devoted to registry operations. The
cancer committee is ultimately responsible for overseeing
cancer registry operations. Educating cancer committee members
regarding the functions of the registry is essential to ensure
their support and guidance.
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