Where to Find the 2015 CAP Cancer Protocols
The CAP Cancer Protocols are an evidence-based best practice for pathology. As a form of synoptic reporting, the CAP templates use standardized checklists to help pathologists produce consistently complete clinical documentation. For 20 years, the CAP Cancer Protocols have been setting the bar for pathology reporting, and in 2015, CAP updated several of their cancer reporting checklists to further improve biomarker pathology reporting.
Because pathology is continually moving forward, it can be challenging to create and maintain an up-to-date database of the CAP templates. This is why the best pathology EMRs keep your lab automatically updated with the newest protocols. Pathology EMRs are also helping pathologists to achieve data interoperability, improve care team communication and streamline lab workflows.
CAP eCC Pathology Software
Electronic synoptic reporting is far more efficient and cost effective than dictated pathology reporting, so CAP adapts their expert resources to work with various forms of medical software. The electronic Cancer Checklists (eCC) are the digital versions of the CAP Cancer Protocols that enable pathologists to integrate synoptic reporting directly into their EMR and LIS workflows.
The following EMR vendors offer the CAP eCC:
- Cerner CoPathPlus
- Epic Beaker
- Psyche Systems
- Softworks Group
- Sunquest PowerPath
A pathology best practice is to implement systems that enable you to use the CAP eCC. But not all systems implement the eCC in the same way.
Optimizing the CAP Cancer Protocols
In your EMR procurement process, it’s important to consult with your team to determine which features will help your lab maximize the benefits of the CAP Cancer Protocols.
The following features can improve your use of the CAP eCC and further streamline your pathology reporting workflows:
- CAP Explanatory Notes are important supplements for continuing medical education. Some EMRs make it possible to embed within CAP templates so that you can quickly access the relevant information without losing your place in the reporting process.
- Code mapping ensures your lab implements the CAP approved connections between interoperable codes, including ICD-O-3 and SNOMED CT.
- Template design functions enable your lab to incorporate additional questions for clinical research applications, while upholding CAP best practices. Moreover, some EMRs enable you to configure alerts that embed quality assurance checks into your templates—without causing alert fatigue.
- Mobile optimization means your lab can use the CAP eCC on a range of devices—from desktop PCs to iPads and even smartphones.
- Smart branching templates automatically hide irrelevant follow-up questions, ensuring that your reporting process is both thorough and streamlined.
Smart Branching Cancer Checklists
In the image below, we can see an example of how one pathology EMR applies smart branching logic to the CAP eCC for DCIS of the Breast. The Margins section becomes progressively detailed, responding to a pathologist’s observations:
The above image comes from Softworks Group’s Synoptec™ pathology reporting software.
Rather than displaying dozens of options all at once, Synoptec™ responsively displays follow-up questions only when pathologists indicate that they are required. All of the relevant information is captured, and the reporting template remains simple to navigate.
Synoptic Reporting Software
Thanks to the CAP Cancer Protocols, synoptic reporting is widely recognized as a best practice for pathology. But many clinicians don’t realize that synoptic reporting is also an evidence-based best practice for surgery, radiology and screening. With the right synoptic reporting software, larger organizations can implement best practices throughout their departments.