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

NAPBC Components

The following is an outline of the Breast Center Components required for accreditation by the NAPBC, and the recommended breast services within each component. See specific NAPBC standards for survey purposes.

  1. Imaging
    1. Screening mammography – (digital or analog)
    2. Diagnostic mammography (additional views beyond screening mammography and workup of a clinical abnormality)
    3. Ultrasound
    4. Breast MRI
  2. Needle Biopsy (core preferred)
    1. Needle biopsy – palpation-guided
    2. Image guided – stereotactic
    3. Image guided – ultrasound
    4. Image guided – MRI
  3. Pathology
    1. Report completeness/CAP protocols
    2. Radiology-pathology correlation
    3. Prognostic and predictive indicators
    4. Gene studies (if available)
  4. Interdisciplinary Conference
    1. History and findings
    2. Imaging studies
    3. Pathology
    4. Pre- and post-treatment interdisciplinary discussion
  5. Patient Navigation
    1. Facilitates navigation through system for the patient
  6. Genetic Evaluation and Management
    1. Genetic risk assessment
    2. Genetic counseling
    3. Genetic testing
  7. Surgical Care
    1. Surgical correlation with imaging/concordance
    2. Pre-operative planning after biopsy for surgical care
    3. Breast surgery: lumpectomy or mastectomy
    4. Lymph node surgery: sentinel node/axillary dissection
    5. Post initial surgical correlation/treatment planning
  8. Plastic Surgery Consultation/Treatment
    1. Tissue expander/Implants
    2. TRAM/Latissimus flaps
    3. DIEP flap/free flaps (if available)
  9. Nursing
    1. Nurses with specialized knowledge and skills in diseases of the breast
  10. Medical Oncology Consultation/Treatment
    1. Hormone therapy
    2. Chemotherapy
    3. Biologics
    4. Chemoprevention
  11. Radiation Oncology Consultation/Treatment
    1. Whole breast irradiation with or without boost
    2. Regional nodal irradiation
    3. Partial breast irradiation treatment or protocols
    4. Palliative radiation for bone or systemic metastasis
    5. Stereotactic radiation for isolated or limited brain metastasis
  12. Data Management
    1. Data collection and submission
  13. Research
    1. Cooperative trials
    2. Institutional original research (not part of national trials)
    3. Industry-sponsored trials
  14. Education, Support, and Rehabilitation
    1. Education (nurse) along continuum of care (pre treatment, during, post-treatment)
    2. Psychosocial Support
      1. Individual support
      2. Family support
      3. Support groups
    3. Symptom Management
    4. Physical Therapy (e.g., lympedema risk reduction practices, and management, shoulder ROM)
  15. Outreach and Education
    1. Community education: at large (including low-income/medically underserved)
    2. Patient education
    3. Physician education
  16. Quality Improvement
    1. Continuous quality improvement through annual studies
  17. Survivorship Program
    1. Follow-up surveillance
    2. Rehabilitation
    3. Health promotion/risk reduction