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

Standard 4.1: Education, Prevention, and Early Detection Programs

Each year, two or more breast disease education, prevention, and/or early detection programs are provided or coordinated with other facilities or local agencies targeted to the community. For early detection programs, follow-up is provided to patients with positive findings.

Definition and Requirements

Prevention programs identify risk factors and use strategies to modify attitudes and behaviors to reduce the chance of developing breast cancer. Early detection programs apply screening guidelines to detect cancers at an early stage, which improves the likelihood of increased survival and decreased morbidity.

Education, prevention, and early detection programs are provided or coordinated with other facilities and/or local agencies (for example, the American Cancer Society).

Education, prevention, and/or early detection programs include, but are not limited to:

  • Risk reduction through lifestyle modification or chemoprevention
  • Breast cancer awareness
  • Breast care education
  • Genetic counseling to high-risk population
  • Screening mammography and clinical examination

Process Requirements

Each year, the center offers two or more education, prevention, and/or early detection programs, on-site or coordinated with other facilities and/or local agencies (for example, the American Cancer Society), at scheduled intervals as defined by the BPLC.

The BPLC defines and implements a process for follow-up with patients with positive findings from early detection programs.

Documentation

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

Complete and upload the Education, Prevention, and Early Detection Program template.

Upload/describe the process used to follow up with patients found to have positive findings as a result of participation in early detection programs.

Evaluation

The surveyor will review and discuss the annual breast disease education, prevention, and/or early detection programs, and the process for follow-up, during the site visit.

Rating Compliance

Compliance

  1. Each year, two or more breast disease education, prevention, and/or early detection programs are provided or coordinated with other facilities or local agencies targeted to the community.
  2. For early detection programs, follow-up is provided to patients with positive findings.

Noncompliance

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