I am a Commission on Cancer-trained cancer program consultant, oncology RN, and former cancer program manager. Currently working with client hospital to assist them in increasing accrual to cancer-related clinical trials. They are working on the screening process so as to identify candidates who are/may be eligible for accrual to specific trials. I have suggested using the cancer registry to identify patients with appropriate diagnoses, who have not had prior treatment, etc. The Quality Manager and some of the clinical staff are quite hesitant to "go looking" for candidates using the registry and cite some concerns about HIPPA. I feel that the patient is already in the system and that the information can be used in this way and is not a HIPPA violation. I would appreciate hearing from others who may have addressed this issue or who may be able to tell me if this is, indeed, a HIPPA violation. Thanks to all who can shed some light on this for me.