In order to understand the role of the TOC, it is important to understand the basic foundation of its business. The most simplified description of the TOC entails three basic elements:

• Get Data
• Process Data
• Display Data

The TOC team manages the process from end to end. The TOC develops processes to capture the data, manage the processing and conversion of the data, and then posts that data onto the TOC website. The TOC begins the entire process over again each day of the year on a 24X7 basis. There is only a two hour window in the afternoon, EST, where the TOC is not actively processing data.

Unlike other organizations with similar missions, the TOC has ownership of the entire end-to-end process for reporting tools. The TOC team governs the entire life cycle of its products, from requirements creation to report display. However, in an effort to describe the overarching process, the following represents the process the TOC undergoes to "Get Data."

The TOC generates its own reporting requirements, identifies the source system for the data, drafts the code necessary to extract the data, and conducts quality control processes to ensure data accuracy. The primary source of data received by the TOC is the Composite Health Care System (CHCS) and M2 to obtain access to the MDR Data. Aside from the Enrollment and Population Report, the majority of data stems from the CHCS Data Extraction processes.