American College Of Surgeons - Inspiring Quality: Highest Standards, Better Outcomes

The National Accreditation Program for Breast Centers Standards Manual is intended as an instructive tool to assist health care providers and institutions in improving the care of patients with breast disease. It is not intended to replace the professional judgment of the physician, health care provider, or health care administrator in individual circumstances. The American College of Surgeons and the National Accreditation Program for Breast Centers cannot accept, and expressly disclaim, liability for claims arising from the use of this work.

Acknowledgment of Contributors

The NAPBC is thankful to its Board for their efforts to improve the care and treatment of breast cancer patients both in the United States and internationally.

Specifically, the NAPBC acknowledges the many contributions of the members of the Standards and Accreditation Committee who were vital to the creation of the 2018 National Accreditation Program for Breast Centers Standards Manual.

Standards and Accreditation Committee

Terry Sarantou, MD, FACS, Chair
Barbara Rabinowitz, PhD, Vice Chair
Paul Baron, MD, FACS
Cynthia Boudreaux, LPN, CTR
Anees Chagpar, MD, FACS, FRCS(C)
James Connolly, MD, FCAP
Jill Dietz, MD, FACS
Jessica Everett, MS, CGC
Erica Fischer-Cartlidge, MSN, CNS, CBCN, AOCNS
Teresa Heckel, MBA
Scott H. Kurtzman, MD, FACS
Alison Laidley, MD, FACS
Claudia Lee, MBA
Ruth O’Regan, MD
Robert Rosenberg, MD
Dana Smetherman, MD, MPH, FACR
Scott Weissman, MS 

Staff Contributors

Steffanye Hawbaker Mack
Ashley Logan
Karen Pollitt
Karen Taubert-Boone
David Winchester, MD, FACS

Table of Contents

Accreditation Process

Accreditation Information

Chapter 1: Center Leadership

Standard 1.1: Level of Responsibility and Accountability
Standard 1.2: Multidisciplinary Breast Care Conference
Standard 1.3: Evaluation and Management Guidelines

Chapter 2: Clinical Services

Standard 2.1: Multidisciplinary Patient Management
Standard 2.2: Patient Navigation
Standard 2.3: Breast Conservation
Standard 2.4: Sentinel Node Biopsy
Standard 2.5: Breast Cancer Surveillance
Standard 2.6: Breast Cancer Staging
Standard 2.7: Pathology
Standard 2.8: Breast Imaging
Standard 2.9: Needle Biopsy
Standard 2.10: Ultrasonography
Standard 2.11: Stereotactic Core Needle Biopsy
Standard 2.12: Radiation Oncology
Standard 2.13: Medical Oncology
Standard 2.14: Nursing
Standard 2.15: Support and Rehabilitation
Standard 2.16: Genetic Evaluation and Management
Standard 2.17: Educational Resources
Standard 2.18: Reconstructive Surgery
Standard 2.19: Evaluation and Management of Non-Malignant Breast Disease
Standard 2.20: Breast Cancer Survivorship Care

Chapter 3: Research

Standard 3.1: Clinical Trial Information
Standard 3.2: Clinical Trial Accrual

Chapter 4: Community Outreach

Standard 4.1: Education, Prevention, and Early Detection Programs

Chapter 5: Professional Education

Standard 5.1: Breast Care Team Continuing Education

Chapter 6: Quality Improvement

Standard 6.1: Quality and Outcomes