Next up in our Get to Know series we would like to introduce a valuable member of our Professional Services Team, Trisha Troiano.
We sat down with Trisha to discuss her experience, and her individual role within the company as part of the ONCO Team.
We value our employees highly at ONCO. Join us as we continue to share our employees experiences through our Get to Know series.

Trisha Troiano, CTR, Abstracting Services Manager
Q: Tell us about your role(s) at ONCO and what is different from when you started in 2018?
TT: Tremendous growth – personal and companywide. When I started at ONCO in 2018 (as an abstractor), our Abstracting Services team consisted of four cancer registrars under the management of Sheryl Daugherty. One year later, Sheryl moved to VP of Client services, Brad Kirby hired as VP of Professional Services, and I was promoted to Manager of Abstracting Services. Our team of four increased to approximately 30 employees with an additional manager added. ONCO Professional Services has realized a 600% growth rate since 2019.
Q: Can you discuss your experience and how it helped prepare you for the different duties you support in your Professional Services role?
TT: Longevity in the cancer registry has allowed me an opportunity to grow and experience various positions as a manager and in a consultant role. I’ve worked as a manager and/or consultant for most of my cancer registry profession with oversight of all registry activities. I started my career in a small community hospital in Ohio as the cancer registry coordinator where I performed all activities from case-finding, abstraction, and follow-up. Furthermore, I coordinated cancer conference and prepared all aspects of cancer committee and assisted with their initial CoC accreditation. From that experience I branched out to a nationwide cancer program consultant and managed the cancer registry of a large multi-facility hospital system in Ohio in addition to various single facilities varying in caseload and accreditation level. Additionally, I worked in hospitals from the east to the west coast while learning all the different state reporting requirements. All the various opportunities provided an opportunity to learn many different eMR and work with various cancer registry software programs. I believe all the experience from previous roles prepared me for my current role working with hospitals in multiple states, varying in caseload and accreditation level. In addition, management of all cancer registry activities equipped me with the skills necessary to thrive as the manager of abstracting services at ONCO.
Q: You’ve been very active as a volunteer in the registry community over the years and now also are teaching at the University of Cincinnati – can you talk a little bit about what’s drawn you to these roles on top of a full-time job in the registry?
TT: Cancer Registry has blessed my life for over 20 years. My roles as a volunteer and teacher allow me an opportunity to give back to others what I have freely received. I hope to help others grow and succeed as strong cancer registry professionals who are passionate about high-quality data.
Q: You’ve played a part in a lot of Commission on Cancer accreditations – what interests you about this type of work? What do you find challenging?
TT: CoC accreditation reveals a cancer program’s commitment to provide quality cancer care. CoC accreditation has always been my favorite opportunity as a cancer registrar as it allows me to advocate for the cancer patient. However, documentation for accreditation has always been the determining factor and the most challenging activity in the process. If documentation isn’t reviewed by the entire cancer committee, one crucial piece of missing information may result in an unnecessary inconsistency for the facility. CoC accreditation requires a team effort.
Q: What is something you’ve accomplished within Professional Services that you’re especially proud of?
TT: Training new CTR’s to become successful, highly skilled cancer registry professionals.
Q: Rumor has it that you’re a gardener. What kind of things do you grow and what do you like most about planting a garden each year?
TT: Guilty (ha-ha). Typically, I grow tomatoes, variety of different kinds of peppers, zucchini, cucumbers, broccoli, lettuce, onions, melons, and strawberries. Eating the produce is the best part of a garden!