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

Standard 2.1: Multidisciplinary Patient Management

Management of patients with breast disease is conducted by a multidisciplinary team.

Definition and Requirements

The National Accreditation Program for Breast Centers (NAPBC) has identified 17 Breast Center Components, required for accreditation, in the spectrum of breast disease diagnosis, treatment, surveillance, and rehabilitation/support.

Process Requirements

The center must provide the 17 NAPBC Breast Center Components either at the center (on-site) or by referral.

The Breast Program Leadership Committee (BPLC) defines and implements the standard of practice (SOP)/policy and procedure for multidisciplinary patient evaluation and management.

Documentation

Complete all required standard fields in the Survey Application Record (SAR).

Complete the Breast Center Components section of the NAPBC center portal indicating which services are provided on-site or by referral.

Upload the SOP/policy and procedure for multidisciplinary patient evaluation and management at your center.

Evaluation

The surveyor will discuss the process for multidisciplinary patient management during the site visit. Multidisciplinary care will be confirmed during the medical records review.

Rating Compliance

Compliance

  1. The center provides all of the NAPBC breast center components at the center (on-site) or by referral.
  2. Patient evaluation and management is conducted by a multidisciplinary team according to the BPLC SOP/policy and procedure.

Noncompliance

The center does not fulfill one or more of the compliance criteria.