2016 Estimated US Cancer Cases Women 843820 Source American Cancer Society Facts and Figures 2016 Newly Diagnosed Estimated New Female Breast Cancer Cases and Deaths by Age US 2015 ID: 694490
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Slide1
NAPBC History and Program Update Slide2
2016 Estimated US Cancer Cases
Women
843,820
Source
: American Cancer Society Facts and Figures,
2016.Slide3
Newly Diagnosed
Estimated New Female Breast Cancer Cases and Deaths by Age, US, 2015*
Age
In Situ Cases
Invasive CasesDeaths<4040-4950-5960-6970-7980+All Ages1,65012,31016,97015,8509,6503,86060,29010,50035,85054,06059,99042,480
28,960231,8401,0103,6907,6009,0908,04010,86040,290*Rounded to the nearest 10. American Cancer Society, Inc., Surveillance Research, 2015Slide4
History of U.S. Breast CentersBefore breast center development, patient evaluation and management was fragmented.
Excessive waiting times between encountersLittle or no navigation of patients through a complex environmentSilverstein recognized these deficiencies and pioneered the first free-standing breast center in the U.S. in 1979
.*
*Silverstein
MJ, Surgical Oncology Clinics of North American, 2003; 9(2):159-176Slide5
Breast Center Concept
The response of the United States health care system has been a proliferation of breast centers to conduct multidisciplinary evaluation and management of patients with breast disease (malignant and benign).Slide6
Continuum of Care for Breast Abnormalities
Prevention
Treatment Planning
Diagnosis
Screening
TreatmentSurvivorshipsurgerysystemic therapyradiation therapyancillarySlide7
2006
Consortium of organizations initial meeting
2008
Program officially launched/ first center accredited
2014
International Pilot Survey
2009-2015
Over 600 centers accredited/
reaccreditation cycle begins
2007
Site Pilot Tests
2005
ACoS
approves/ funds breast accreditation concept
NAPBC Development TimelineSlide8
Why NAPBC?Accreditation and quality
reporting becoming the normTeam of multidisciplinary, breast disease experts should take the lead in this effort not government, payers or othersSlide9
NAPBC Mission StatementThe
NAPBC is a consortium of national, professional organizations focused on breast health and dedicated to the improvement of quality care and outcomes of patients with diseases of the breast through evidence-based
standards
and patient and professional education.Slide10
Structure of NAPBC
Board of Directors Representatives from 19 national professional organizations
5 working committees
Advocacy and Outreach
EducationInternationalQuality Improvement and Information TechnologyStandards and AccreditationSlide11
Professional Organizations
American Board of SurgeryAmerican Cancer SocietyAmerican College of Surgeons
American College of Radiology Commission on Breast Screening
American College of Radiology Imaging Network
American Institute of Radiologic PathologyAmerican Society of Breast SurgeonsAmerican Society of Clinical OncologyAmerican Society of Plastic SurgeonsSlide12
Professional Organizations
American Society for Radiation OncologyAssociation for Cancer ExecutivesAssociation of Oncology Social Work
College of American Pathologists
National Cancer Registrars Association
National Consortium of Breast CentersNational Society of Genetic CounselorsOncology Nursing SocietySociety of Breast ImagingSociety of Surgical OncologySlide13
Survey Process
17 components of care29 standardsMedical Record reviewTriennial surveySlide14
NAPBC Standards
ChapterChapter Title#
of Standards
1
Center Leadership32Clinical Management19
3Research24Community Outreach15Professional Education16Quality Improvement2Slide15
Critical Standards
(required)Chapter 1 – Center LeadershipStandard 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.Slide16
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.*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.Slide17
Total Responses = 100
70%
30%Slide18
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.Slide19
Total Responses = 101
88%
12%Slide20
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.Slide21
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.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.Slide22
COC & NAPBC: A Working Partnership
Cancer
Program
Breast Center Program
Committed to Quality Care
Accreditation in Both Cancer Programs!92% of NAPBC accredited centers are also 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 http://www.facs.org/cancer/coc/collab.html). Slide23
NAPBC Accredited Breast Center Marketing Website
Marketing Resources Include
:
NAPBC Certificate with Mahogany
Frame
Promotional Items: Accredited Breast Center Vinyl BannerAccredited PinAccredited Center BalloonPatient BrochureLogo UsagePress ReleasesApproved StatementsNAPBC Breast Center Locator Link Slide24
WorkshopsSlide25Slide26Slide27Slide28
Date: September 28, 2015483
RegistrantsSpeakers: J. Leonard Lichtenfeld, MD, MACP – Deputy Chief Medical Officer, American Cancer Society
Scott M.
Weissman
, MS, CGC – National Society of Genetic Counselors Webinar Topics:Genetic risk factors: What to look for in a family historyTypes of genetic tests and what they showUnderstanding genetic test results and what actions can be takenWho should be tested?How do patients get tested? Slide29
Date: October 15, 2015255 Registrants
Speakers: Colleen Doyle, MS, RD – Managing Director of Nutrition and Physical Activity, American Cancer Society Colette Salm-Schmid, MD, FACS – Vice-Chair, NAPBC Education and Dissemination Committee
Webinar Topics:
Modifiable risk factors for breast cancer including weight, nutrition, exercise and alcohol consumption
American Cancer Society nutrition and physical activity guidelines Resources for physicians and patientsSlide30
State Law in Ohio – March 20, 2014
Introduced
House 4/3/2013
Senate 6/6/2013
Governor Signed 12/19/2013Effective 3/20/2014Slide31Slide32
NAPBC International AccreditationSlide33
International Accreditation The first international center accredited in 2014 is
Tawam Hospital in Abu Dhabi9-12 month preparation periodOn-site surveySlide34
Plans for 2016Surveys pending include:
Canada United KingdomSouth AfricaSlide35
THE FUTUREExplore opportunities to reduce survey costs by combining surveys at several centers in one trip, and/or including international meetings and seminars with a survey trip.
Anticipated that interest will grow over time as regional competition increases, and medical tourism stimulates centers to gain international recognition.