NCCN Report: Opportunities for Improvement in Breast Cancer

Clear evidence is available regarding the wide variation in the quality of cancer care delivered in the United States. These findings led the Institute of Medicine (IOM) in 1999 to call for major changes in cancer care delivery to improve quality and enhance the patient experience. Key domains for the recommendations included steps to define appropriate quality care, identify appropriate measures of care, establish mechanisms to collect and analyze cancer treatment information, and assure that care addresses overall needs of patients beyond the core processes of treatment. Despite major changes in medicine, and with the continued and rapid increase in the cost of cancer care, the IOM reiterated their findings in 2013, stating that there exists a crisis in quality, appropriateness, and access to cancer care.

The articles in this supplement provide insights into the collective wisdom at the participating NCCN centers regarding the best target areas for improving care and the patient experience. These efforts may help other programs define targets for practice evaluation and continuous quality improvement. These key efforts are necessary to improve cancer outcomes and experiences, and will be necessary in the coming era of public quality reporting and value-based reimbursement.

Target Audience

This activity has been designated to meet the educational needs of physicians, nurses, and pharmacists involved in the management of patients with cancer.

Learning Objectives

Upon completion of this activity, participants will be able to:

  • Describe the process of utilizing practice data to identify and reconcile non-concordant and untimely care
  • Discuss the importance of quality improvement initiatives in the context of healthcare reform
  • Consider a variety of methods for implementing change in quality improvement at the institutional and individual level
  • Identify institutional resources to obtain data for use in detecting opportunities for improvement
  • Consider institutional stakeholders and identify ways to cultivate quality improvement champions
Additional information

The distribution of this report is supported by an educational grant from Pfizer.




View recorded presentations from the educational summit NCCN Quality Improvement in Breast Cancer: Practicing What We Preach™ held October 2, 2013, in Ann Arbor, Michigan.

Course summary
Available credit: 
  • 2.25 Participation
  • 2.25 Nurse
  • 2.25 Pharmacist
  • 2.25 Physician
Course opens: 
Course expires: 

Available Credit

  • 2.25 Participation
  • 2.25 Nurse
  • 2.25 Pharmacist
  • 2.25 Physician


Please login or register to take this course.

Required Hardware/software

To access this activity, users will need:

  • A device with an Internet connection
  • Adobe Reader or other PDF reader software for article and certificate viewing/printing