1. NAPBC History and program Update

2. 2013 Estimated US Cancer Cases*
Women 805,500
Estimated New Cases
232,340 (29%) Breast
110,110 (14%) Lung & bronchus
69,140 (9%) Colon & rectum
49,560 (6%) Uterine corpus
45,310 (6%) Thyroid
32,140 (4%) Melanoma of skin
31,630 (4%) Non-Hodgkin lymphoma
24,720 (3%) Kidney & renal pelvis
22,480 (3%) Ovary
22,240 (3%) Pancreas
Newly Diagnosed
232,340 invasive breast cancers
64,640 in-situ breast cancers
1-2 million benign breast cases
40,030 estimated breast cancer
deaths in 2013
*Excludes basal and squamous cell skin cancers and in-situ carcinomas except urinary bladder.
Source: American Cancer Society Facts and Figures, 2013.

3. NAPBC Vision & Mission Statement
National Accreditation Program for Breast Centers (NAPBC) is recognized as the comprehensive authority for multidisciplinary excellence and accreditation in breast care.
NAPBC Mission
The National Accreditation Program for Breast Centers (NAPBC) is dedicated to the improvement of quality care and outcomes of patients with disease of the breast through evidence-based standards and patient and professional education.

4. Structure of NAPBC
Board of Directors comprised of representatives from 20 national professional organizations
5 working committees
Advocacy and Outreach
Education
International
Quality Improvement and Information Technology
Standards and Accreditation
17 components of care
29 standards
Triennial survey process

5. Professional Organizations
American Board of Surgery
American Cancer Society
American College of Surgeons
American College of Radiology Commission on Breast Screening
American College of Radiology Imaging Network
American Institute of Radiologic Pathology
American Society of Breast Disease
American Society of Breast Surgeons
American Society of Clinical Oncology
American Society of Plastic Surgeons

6. Professional Organizations
American Society for Radiation Oncology
Association for Cancer Executives
Association of Oncology Social Work
College of American Pathologists
National Cancer Registrars Association
National Consortium of Breast Centers
National Society of Genetic Counselors
Oncology Nursing Society
Society of Breast Imaging
Society of Surgical Oncology
Members-at-Large

7. NAPBC Development Timeline
ACoS BOR Approves and Funds Breast Center Accreditation Concept
2005
2006
Consortium of Organizations Initial Meeting
3/07
8/07
NAPBC Pilot Tests
10/07
Program Structure Revised
9/08
Program Officially Launched
NAPBC Accredits first Center
12/08
10/09
Over 100 Centers Accredited
11/11
547 Centers Accredited*
*Stats as of February, – 177 Centers in the process of working toward accreditation or reaccreditation.
4/14
Re-accreditation cycle begins 7

8. Geographic Distribution of NAPBC Accredited Centers
For a complete listing of NAPBC accredited centers, please visit:
NAPBC accredited centers can be found in 48 states, including Alaska and Hawaii, plus Puerto Rico
547 accredited centers
April 2014 4 1

9. Critical Standards (required)
Chapter 1 – Center Leadership
Standard 1.1 – Level of Responsibility and Accountability
Standard 1.2 – Interdisciplinary Breast Cancer Conference
Chapter 2 – Clinical Management
Standard 2.1 – Interdisciplinary Patient Management
A deficiency identified in one or more of the Critical Standards will result in Accreditation Deferred status until corrected.

10. Accreditation Award Matrix Based on Compliance with 28 Standards
NAPBC Award Matrix
Accreditation Award Matrix Based on Compliance with 28 Standards
Three-Year/Full Accreditation
Three-Year Contingency Accreditation
Accreditation Deferred
Ninety percent or more [25 or more] of the eligible standards are met at the time of survey*. Three-year/Full accreditation is awarded with resolution of all deficient standard(s) required within a 12-months from the date of survey.
Less than 90 percent and greater than 75 percent [between 21 and 25] of the eligible standards are met at the time of survey. Full accreditation withheld until resolution of all deficient standards is documented within a 12-month period from the date of survey.
Less than 75 percent [less than 21] of the eligible standards are met. Full accreditation deferred until correction of deficient standards and resurvey in 12-months.
Surveyors, please remember to review their past performance report for prior deficiencies.
**Any deficiency identified in the same standard during re-accreditation will result in Accreditation Deferred status until corrected.
29 standards – 2014 Standards Manual
*A deficiency identified in one or more of the Critical Standards will result in Accreditation Deferred status until corrected.
**Any deficiency identified in the same standard during re-accreditation will result in Accreditation Deferred status until corrected.

11. 70%
30%
Total Responses = 100 11 11

12. Did you implement any program changes due to NAPBC accreditation?
Comments:
A more organized approach to breast cancer issues and compliance with standards.
Increased the number of breast conferences held monthly.
Separated our cancer conference into two different conferences.
Began documenting why an open biopsy versus an image or palpation guided biopsy was performed.
More multidisciplinary attendance at Breast Program Leader (BPL) meetings.
Invited plastic surgeon and physical therapist representatives into breast conference meetings.
Have ordered a system to include pathology slide review during the breast conference.

13. 88%
12%
Total Responses = 101 13 13

14. Did preparation for NAPBC accreditation result in enhanced organization and coordination within your “center”? If so, how?
Comments:
All of the pieces of the breast program brought into focus in a single organized fashion.
Helped promote cooperation between offices and departments.
It served to better coordinate and formalize our center, which although it was performing all the different processes of a center, was not functioning in real time efficiently as it is now.
We re-structured our program, started a steering committee and established an official patient navigator position.
It helped us to develop protocols that we hadn’t finalized.
We developed a multidisciplinary breast clinic. Monitor more quality improvements
Forming a leadership team enabled us to review organizational processes collectively and enhance areas of service.

15. Benefits of Becoming NAPBC Accredited
A model for organizing and managing a breast center to ensure multidisciplinary, integrated, and comprehensive breast care services.
Internal and external assessment of breast center performance based on recognized standards to demonstrate a commitment to quality care.
National recognition as having met performance measures for high quality breast care established by national healthcare organizations, as well as public promotion.
Participation in a national breast disease database to report patterns of care and effect quality improvement.
Access to breast center comparison benchmark reports containing national aggregate data and individual center data to assess patterns of care and outcomes relative to national norms.

16. NAPBC 2013 Annual Report NAPBC 2013 Annual Report Program Updates
NAPBC 2013 Annual Report
Program Updates
Reporting from SAR
Survey results

17. Distribution of Breast Centers by Center Type
Data reflects information gathered from centers that are accredited by the NAPBC
Timeframe: 9/1/2012-8/31/2013
n=186 programs

18. NAPBC Accredited Centers Affiliated with the Commission on Cancer (CoC)

19. COC & NAPBC: A Working Partnership
Cancer
Program
Breast Center Program
Committed to Quality Care
92% of breast cancer programs expressing interest in NAPBC accreditation are already accredited by the CoC.
Breast centers not affiliated with CoC programs are eligible for NAPBC accreditation.
Facilities can choose the option of having a “CoC/NAPBC Collaboration Survey”.
(see
The CoC and NAPBC are partners in accreditation and encourages the collaboration of cancer committees and breast cancer programs since there are overlap in staff and structure.
CoC/NAPBC Collaboration Survey means that a facility that is seeking accreditation for both CoC and NAPBC can request that their surveys be scheduled two days back-to-back for convenience purposes. This is conducted by a surveyor who is trained by both the CoC and NAPBC.
Centers may request this via to
See:
Accreditation in Both Cancer Programs!

21. Standard 2.3 Breast Conservation
Data reflects information gathered from centers that are accredited by the NAPBC
Timeframe: 9/1/2012-8/31/2013
n=178 programs
Total number treated with BCS = 20,585 or 66%
Total number treated with mastectomy = 11,646 or 34%
Total number of stage 0, 1, 2 patients reviewed = 32,231

22. NAPBC Accredited Breast Center Marketing Website
Marketing Resources Include:
NAPBC Certificate with Mahogany Frame
Promotional Items:
Accredited Breast Center Vinyl Banner
Accredited Pin
Accredited Center Balloon
Patient Brochure
Logo Usage
Press Releases
Approved Statements
NAPBC Breast Center Locator Link
NAPBC has developed materials and resources to help you promote your NAPBC-accredited center and explain what NAPBC accreditation means to your staff, patients, and community. We encourage you to use these resources to publicize your center’s accomplishment at your facility and to your community.
**Only available to

23. NAPBC International Accreditation

24. NAPBC International Interest (Abbreviated list)
Canada
Mexico
Belgium
Australia
France
United Kingdom
Japan
Istanbul
Singapore
Malaysia
Philippines
Israel
Egypt
Saudi Arabia
Brazil
Sultanate of Oman