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

Standard 2.10: Ultrasonography

Diagnostic ultrasound and/or ultrasound-guided needle biopsy are performed at an American College of Radiology (ACR) ultrasound-accredited facility or by an American Society of Breast Surgeons (ASBrS) breast ultrasound-certified surgeon.

Definition and Requirements

The National Accreditation Program for Breast Centers (NAPBC) requires radiologists who perform breast ultrasound and/or ultrasound-guided breast biopsy in a hospital setting or breast center setting to provide confirmation that their facility is accredited through the ACR Breast Ultrasound Accreditation Program.

Radiologists in facilities performing breast ultrasound and/or ultrasound-guided breast biopsy need to provide documentation of ACR accreditation or verification of application at the time of the site visit.

The NAPBC requires surgeons who perform breast diagnostic ultrasound and/or ultrasound-guided breast biopsy in a hospital setting, breast center setting, or private practice office to be certified in these procedures through the ASBrS Breast Ultrasound Certification Program. Surgeons performing breast diagnostic ultrasound and/or ultrasound-guided breast biopsy will need to provide documentation of ASBrS certification or verification of application at the time of the site visit.

An ACR Breast Imaging Centers of Excellence (BICOE) designation will meet requirements for radiology, but not surgeons.

Process Requirements

The facility where breast ultrasound and/or ultrasound-guided breast biopsy is performed, and the radiologists performing the breast ultrasound and/or ultrasound-guided breast biopsy, are accredited through the ACR Breast Ultrasound Accreditation Program.

Surgeons performing breast diagnostic ultrasound and/or ultrasound-guided breast biopsy in a hospital, breast center, or private practice office are certified through the ASBrS Breast Ultrasound Certification Program.

Documentation

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

Provide documentation of ACR breast ultrasound accreditation for the facility where breast ultrasound and/or ultrasound-guided breast biopsy is performed and the radiologists performing the breast ultrasound and/or ultrasound-guided breast biopsy.

Provide documentation of ASBrS Breast Ultrasound Certification for surgeons performing breast diagnostic ultrasound and/or ultrasound-guided breast biopsy in a hospital, breast center, or private practice office.

Evaluation

The surveyor will review documentation confirming accreditation/certification during the site visit.

Rating Compliance

Compliance

  1. Diagnostic ultrasound and/or ultrasound-guided needle biopsy are performed at an ACR ultrasound-accredited facility by accredited radiologists.
  2. Surgeons performing diagnostic ultrasound and/or ultrasound-guided needle biopsy in hospitals, breast centers, and private practice offices are certified through the ASBrS Breast Ultrasound Certification Program.

Noncompliance

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

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