American College of Surgeons Commission on Cancer Network Accreditation
Penrose Cancer Center is part of the Centura Health Cancer Network, delivering integrated, advanced care across Colorado and western Kansas. As one of the few accredited cancer networks in the country and the only accredited cancer network in Colorado, we are recognized as leaders in prevention, screening, early diagnosis, staging, rehabilitation, support services and more.
The Commission on Cancer (CoC) of the American College of Surgeons (ACoS) is a group of professional organizations dedicated to reducing the morbidity and mortality of cancer through education, standard setting and the monitoring of quality care.
Receiving care at a CoC Approved Cancer Program ensures that you will receive:
- Quality care close to home.
- Comprehensive care offering a range of state-of-the-art services and equipment.
- A multi-specialty, team approach to coordinate the best treatment options available to cancer patients.
- Access to cancer-related information, education and support.
- A Cancer Registry that collects data on type and stage of cancers and treatment results, and offers lifelong patient follow-up.
- Ongoing monitoring and improvement of care
- Information about ongoing clinical trials and new treatment options.
Our network of experts deliver some of the most advanced treatment options available for fighting cancer.
American College of Radiology (ACR) Accreditation
Leading the field since becoming the first ACR-accredited program in Colorado in 2003.
Penrose Cancer Center has again earned a 3-year accreditation in radiation oncology following a review by the American College of Radiology (ACR) in March 2017. The ACR seal of accreditation represents the highest level of quality and patient safety and is awarded only to facilities meeting specific Practice Guidelines and Technical Standards developed by ACR after a peer-review evaluation by board-certified radiation oncologists and medical physicists who are experts in the field.
During the accreditation process, patient care and treatment, patient safety, personnel qualifications, adequacy of facility equipment, quality control procedures, and quality assurance programs are assessed. The findings are reported to the ACR Committee on Radiation Oncology Accreditation, which subsequently provides the practice with a comprehensive report they can use for continuous practice improvement.
The ACR is the nation's oldest and most widely accepted radiation oncology accrediting body, with over 500 accredited sites, and 25 years of accreditation experience. It is a national professional organization serving more than 36,000 diagnostic/interventional radiologists, radiation oncologists, nuclear medicine physicians, and medical physicists with programs focusing on the practice of medical imaging and radiation oncology and the delivery of comprehensive health care services.
This honor complements Penrose Cancer Center's comprehensive cancer program, which includes traditional oncology services along with nurse navigation, research and clinical trials, genetic counseling, nutrition and fitness programs, multidisciplinary conferences and more.
National Accreditation Program for Breast Centers (NAPBC)
Penrose Cancer Center/Penrose St. Francis Breast Care Center has remained accredited by the National Accreditation Program for Breast Centers (NAPBC) for 6 consecutive years. This program looks at the continuum of patient care and standards of care set forth by the NAPBC as part of the American College of Surgeons.
Accreditation by the NAPBC is given only to centers that have demonstrated their commitment to providing the highest level of quality breast care and that undergo a rigorous evaluation of their performance by the independent organization.
This commitment includes providing quality standards in:
- Needle biopsy
- Interdisciplinary conference
- Patient navigation
- Genetic evaluation and management
- Surgical care
- Plastic surgery consultation/treatment
- Medical oncology consultation/treatment
- Radiation oncology consultation/treatment
- Data management
- Education, support and rehabilitation
- Outreach and education
- Quality improvement
- Survivorship program
As an accredited NAPBC center, the Breast Care Center provides or has referred services for:
- Board-certified breast surgeons
- Board-certified breast radiologists
- Certified radiology equipment
- Certified breast diagnostic radiographers (technicians)
- Board-certified breast pathologists
- Board-certified medical oncologists
- Board-certified radiation oncologists
- Board-certified plastic reconstructive surgical services
- Patient navigators
- Board-certified genetic counselors
- Board-certified psychosocial support professionals
- Interdisciplinary breast conferences
- Patient education and support
- Quality improvement programs
- Palliative care
- Survivorship programs
- High-risk clinics
NAPBC accredited centers provide patients with the following:
- Comprehensive care including a complete range of state-of-the-art services and equipment
- A multidisciplinary team approach to coordinate the best available treatment options
- Information about ongoing cancer clinical trials and new treatment options
- Access to prevention and early-detection programs, cancer education and support services
- Ongoing monitoring and improvements in cancer care
National Quality Measures for Breast Centers (NQMBC)
Penrose Cancer Center/Penrose St. Francis Breast Care Center is certified by the National Quality Measures for Breast Centers (NQMBC) as a Certified Quality Breast Center. The NQMBC program offers breast centers the opportunity to evaluate their performance by assessing 36 measure of quality along the continuum of care. Our continuous program improvement has yielded the following results:
- In 2015 PSFBCC was recognized as a Certified Participant which required meeting a minimum of 40% of the measures two consecutive 6-month periods.
- In 2016 PSFBCC earned the Certified Quality Breast Center designation. This required 75% of the measure targets to be met. Notably, 14 of those measures were rated at 100%.
- For 2017 PSFBCC is on track to be honored as a Certified Qualified Breast Center of Excellence. This requires 90% of the measure targets to be met.
Women’s Wellness Connection (Shirley Hass Schuett Quality Award)
Since 2014, Penrose Cancer Center, through Women’s Wellness Connection, has provided free breast and cervical screenings to over 230 qualified women.
The Shirley Hass Schuett Quality Award is presented annually to the Women’s Wellness Connection (WWC) Clinical Services agency that provided the highest quality care to women demonstrated by meeting program performance indicators and improving performance.
Shirley Hass was a nurse practitioner who served as the nurse consultant for the Women’s Wellness Connection program and was instrumental in the program's success in achieving positive clinical outcomes for women and helping the program to meet all core performance indicators.
The FY 2017 regional award winners were selected by WWC staff based on FY 2016 performance indicators. The staff selected agencies that were top performers in performance indicators and agencies that demonstrated the most improvement in these measures. The statewide winner, chosen from the regional award winners, was selected by the Breast and Cervical Cancer Screening Program Advisory Board at their April 2017 meeting. The Regional and Statewide awards were recently presented at the Women’s Health Conference in Keystone.
Penrose-St Francis Health is a top performer in six (6) program performance indicators:
- Rarely or never screened at initial Pap test
- Abnormal Breast Screenings with Complete Follow-up
- Time from screening to diagnosis for abnormal breast screening results
- Abnormal Cervical Screenings with Complete Follow-up
- Time from screening to diagnosis for abnormal cervical screening results
- Time from cancer diagnosis to enrollment into BCCP Medicaid
The agency was also most improved in the following program performance indicator:
- Rarely or never screened at initial Pap test
US News & World Report Rankings
Cancer Specialty Rankings: Highest in Southern Colorado
U.S. News evaluates how well hospitals perform in cancer surgery using data on patient survival, nurse staffing, volume and more. Hospitals receive one of three ratings – high performing, average or below average – unless they treated an insufficient number of patients to be rated.
Colon Cancer: High Performing
Lung Cancer: Average