Table 2. Open in new tab Summary of...

	Electronic reporting	Cost	Data quality	Timeliness	Feedback on facilitators and barriers
External factors
Legislation and regulation	X			X	Facilitator: Most registries have legislation requiring electronic reporting
Barrier: Legislation is not always enforced and does not always specify what qualifies as electronic
Interstate data exchange	X	X	X	X	Facilitator: Interstate data exchanges support completeness as registries obtain data on residents who seek care outside the registry’s geographic coverage area
Common electronic data structure and standards	X	X	X	X	Facilitator: Cancer registry-specific standards
Optimal software and support services	X	X	X	X	Barrier: Although data often come in electronically, registries may not have the software to support a fully automated electronic reporting system
Capacity and quality of reporting sources	X	X	X	X	Barrier: Smaller physician’s offices or laboratories often do not have the capacity, motivation, or resources to change to electronic reporting
Volume of cases received		X	X	X	Facilitator: Registries indicated that automation of processes was essential for efficiency
Barrier: Increased volume often increases time spent on data processing and consolidation
Funding availability	X				Facilitator: Registries blend multiple funding sources to help achieve economies of scale and implement process changes
Partnerships for capacity-building and training	X	X	X	X	Facilitator: Partnerships, collaboration, and knowledge-sharing across registries and organizations support registries with key functions and process improvements
Internal factors
Staff availability	X	X	X	X	Facilitator: Availability of staff with necessary expertise
Barrier: Staff turnover and salary concerns
Staff training and expertise	X	X	X	X	Facilitator: Online training videos are efficient
Barrier: Lack of technical skillset among staff
Management support and commitment	X		X	X	Facilitator: Guidance and long-term planning to support implementation and sustainability of processes
Registry champion	X		X	X	Facilitator: Leaders with knowledge to drive process improvements
IT systems/infrastructure	X	X	X	X	Facilitator: Systems and capabilities to receive and process electronic data

Electronic reporting

Cost

Data quality

Timeliness

Feedback on facilitators and barriers

External factors

Legislation and regulation

Facilitator: Most registries have legislation requiring electronic reporting

Barrier: Legislation is not always enforced and does not always specify what qualifies as electronic

Interstate data exchange

Facilitator: Interstate data exchanges support completeness as registries obtain data on residents who seek care outside the registry’s geographic coverage area

Common electronic data structure and standards

Facilitator: Cancer registry-specific standards

Optimal software and support services

Barrier: Although data often come in electronically, registries may not have the software to support a fully automated electronic reporting system

Capacity and quality of reporting sources

Barrier: Smaller physician’s offices or laboratories often do not have the capacity, motivation, or resources to change to electronic reporting

Volume of cases received

Facilitator: Registries indicated that automation of processes was essential for efficiency

Barrier: Increased volume often increases time spent on data processing and consolidation

Funding availability

Facilitator: Registries blend multiple funding sources to help achieve economies of scale and implement process changes

Partnerships for capacity-building and training

Facilitator: Partnerships, collaboration, and knowledge-sharing across registries and organizations support registries with key functions and process improvements

Internal factors

Staff availability

Facilitator: Availability of staff with necessary expertise

Barrier: Staff turnover and salary concerns

Staff training and expertise

Facilitator: Online training videos are efficient

Barrier: Lack of technical skillset among staff

Management support and commitment

Facilitator: Guidance and long-term planning to support implementation and sustainability of processes

Registry champion

Facilitator: Leaders with knowledge to drive process improvements

IT systems/infrastructure

Facilitator: Systems and capabilities to receive and process electronic data

	Electronic reporting	Cost	Data quality	Timeliness	Feedback on facilitators and barriers
External factors
Legislation and regulation	X			X	Facilitator: Most registries have legislation requiring electronic reporting
Barrier: Legislation is not always enforced and does not always specify what qualifies as electronic
Interstate data exchange	X	X	X	X	Facilitator: Interstate data exchanges support completeness as registries obtain data on residents who seek care outside the registry’s geographic coverage area
Common electronic data structure and standards	X	X	X	X	Facilitator: Cancer registry-specific standards
Optimal software and support services	X	X	X	X	Barrier: Although data often come in electronically, registries may not have the software to support a fully automated electronic reporting system
Capacity and quality of reporting sources	X	X	X	X	Barrier: Smaller physician’s offices or laboratories often do not have the capacity, motivation, or resources to change to electronic reporting
Volume of cases received		X	X	X	Facilitator: Registries indicated that automation of processes was essential for efficiency
Barrier: Increased volume often increases time spent on data processing and consolidation
Funding availability	X				Facilitator: Registries blend multiple funding sources to help achieve economies of scale and implement process changes
Partnerships for capacity-building and training	X	X	X	X	Facilitator: Partnerships, collaboration, and knowledge-sharing across registries and organizations support registries with key functions and process improvements
Internal factors
Staff availability	X	X	X	X	Facilitator: Availability of staff with necessary expertise
Barrier: Staff turnover and salary concerns
Staff training and expertise	X	X	X	X	Facilitator: Online training videos are efficient
Barrier: Lack of technical skillset among staff
Management support and commitment	X		X	X	Facilitator: Guidance and long-term planning to support implementation and sustainability of processes
Registry champion	X		X	X	Facilitator: Leaders with knowledge to drive process improvements
IT systems/infrastructure	X	X	X	X	Facilitator: Systems and capabilities to receive and process electronic data

Table 2.

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Summary of contextual factors related facilitators and barriers that affect registry outcomes

	Electronic reporting	Cost	Data quality	Timeliness	Feedback on facilitators and barriers
External factors
Legislation and regulation	X			X	Facilitator: Most registries have legislation requiring electronic reporting
Legislation and regulation	X			X	Barrier: Legislation is not always enforced and does not always specify what qualifies as electronic
Interstate data exchange	X	X	X	X	Facilitator: Interstate data exchanges support completeness as registries obtain data on residents who seek care outside the registry’s geographic coverage area
Common electronic data structure and standards	X	X	X	X	Facilitator: Cancer registry-specific standards
Optimal software and support services	X	X	X	X	Barrier: Although data often come in electronically, registries may not have the software to support a fully automated electronic reporting system
Capacity and quality of reporting sources	X	X	X	X	Barrier: Smaller physician’s offices or laboratories often do not have the capacity, motivation, or resources to change to electronic reporting
Volume of cases received		X	X	X	Facilitator: Registries indicated that automation of processes was essential for efficiency
Volume of cases received		X	X	X	Barrier: Increased volume often increases time spent on data processing and consolidation
Funding availability	X				Facilitator: Registries blend multiple funding sources to help achieve economies of scale and implement process changes
Partnerships for capacity-building and training	X	X	X	X	Facilitator: Partnerships, collaboration, and knowledge-sharing across registries and organizations support registries with key functions and process improvements
Internal factors
Staff availability	X	X	X	X	Facilitator: Availability of staff with necessary expertise
Staff availability	X	X	X	X	Barrier: Staff turnover and salary concerns
Staff training and expertise	X	X	X	X	Facilitator: Online training videos are efficient
Staff training and expertise	X	X	X	X	Barrier: Lack of technical skillset among staff
Management support and commitment	X		X	X	Facilitator: Guidance and long-term planning to support implementation and sustainability of processes
Registry champion	X		X	X	Facilitator: Leaders with knowledge to drive process improvements
IT systems/infrastructure	X	X	X	X	Facilitator: Systems and capabilities to receive and process electronic data

	Electronic reporting	Cost	Data quality	Timeliness	Feedback on facilitators and barriers
External factors
Legislation and regulation	X			X	Facilitator: Most registries have legislation requiring electronic reporting
Legislation and regulation	X			X	Barrier: Legislation is not always enforced and does not always specify what qualifies as electronic
Interstate data exchange	X	X	X	X	Facilitator: Interstate data exchanges support completeness as registries obtain data on residents who seek care outside the registry’s geographic coverage area
Common electronic data structure and standards	X	X	X	X	Facilitator: Cancer registry-specific standards
Optimal software and support services	X	X	X	X	Barrier: Although data often come in electronically, registries may not have the software to support a fully automated electronic reporting system
Capacity and quality of reporting sources	X	X	X	X	Barrier: Smaller physician’s offices or laboratories often do not have the capacity, motivation, or resources to change to electronic reporting
Volume of cases received		X	X	X	Facilitator: Registries indicated that automation of processes was essential for efficiency
Volume of cases received		X	X	X	Barrier: Increased volume often increases time spent on data processing and consolidation
Funding availability	X				Facilitator: Registries blend multiple funding sources to help achieve economies of scale and implement process changes
Partnerships for capacity-building and training	X	X	X	X	Facilitator: Partnerships, collaboration, and knowledge-sharing across registries and organizations support registries with key functions and process improvements
Internal factors
Staff availability	X	X	X	X	Facilitator: Availability of staff with necessary expertise
Staff availability	X	X	X	X	Barrier: Staff turnover and salary concerns
Staff training and expertise	X	X	X	X	Facilitator: Online training videos are efficient
Staff training and expertise	X	X	X	X	Barrier: Lack of technical skillset among staff
Management support and commitment	X		X	X	Facilitator: Guidance and long-term planning to support implementation and sustainability of processes
Registry champion	X		X	X	Facilitator: Leaders with knowledge to drive process improvements
IT systems/infrastructure	X	X	X	X	Facilitator: Systems and capabilities to receive and process electronic data

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