{"id":41038,"date":"2025-08-01T01:00:54","date_gmt":"2025-08-01T05:00:54","guid":{"rendered":"https:\/\/www.ncqa.org\/?page_id=41038"},"modified":"2025-08-08T10:20:49","modified_gmt":"2025-08-08T14:20:49","slug":"documented-assessment-after-mammogram-dbm-e","status":"publish","type":"page","link":"https:\/\/www.ncqa.org\/report-cards\/health-plans\/state-of-health-care-quality-report\/documented-assessment-after-mammogram-dbm-e\/","title":{"rendered":"Documented Assessment After Mammogram (DBM-E)"},"content":{"rendered":"<p>The percentage of episodes of mammograms documented in the form of a BI-RADS assessment within 14 days of the mammogram for persons 40\u201374 years of age.<\/p>\n<h2>Why It Matters?<\/h2>\n<p><span data-contrast=\"none\">The measure addresses the need for timely documentation of breast cancer screening and diagnostic results that are structured so automated quality measurement queries can be consistently and reliably executed.<\/span><\/p>\n<p><span data-contrast=\"none\">Breast cancer accounts for 15% of all new cancer diagnoses in the U.S. <sup><a href=\"#ref-1\">1<\/a><\/sup>. In 2020, over 3 million women were estimated to be living with breast cancer in the U.S., and it is estimated that 13% of women will be diagnosed with breast cancer at some point during their lifetime <sup><a href=\"#ref-2\">2<\/a><\/sup>.<\/span><\/p>\n<p><span data-contrast=\"none\">Mammograms and other diagnostic procedures are performed to assess patients who present with a symptom or other sign of breast cancer. Final mammographic assessments are mandated by the Mammography Quality Standards Act (MQSA) to be reported using American College of Radiology\u2019s (ACR) BI-RADS assessment <sup><a href=\"#ref-3\">3<\/a><\/sup> <sup><a href=\"#ref-4\">4<\/a><\/sup>.<\/span><\/p>\n<p><span data-contrast=\"none\">The National Comprehensive Cancer Network (NCCN) provides breast cancer screening and diagnostic follow-up guidelines based on BI-RADS categories, which standardize reporting of findings into six assessment categories for further management <sup><a href=\"#ref-5\">5<\/a><\/sup>:<\/span><\/p>\n<ul>\n<li><span data-contrast=\"none\">BI-RADS Category 0: Need Additional Imaging Evaluation and\/or Prior Mammograms for Comparison), needs additional imaging.<\/span><\/li>\n<li><span data-contrast=\"none\">BI-RADS Category 1: Negative, and Category 2: Benign, recommended for continued routine screening.<\/span><\/li>\n<li><span data-contrast=\"none\">BI-RADS Category 3: Probably Benign, recommended for mammography surveillance or tissue biopsies.<\/span><\/li>\n<li><span data-contrast=\"none\">BI-RADS Categories 4: Suspicious, through Category 5: Highly Suggestive of Malignancy, should be managed using core needle biopsy for tissue diagnosis <sup><a href=\"#ref-6\">6<\/a><\/sup> <sup><a href=\"#ref-7\">7<\/a><\/sup>.<\/span><\/li>\n<li><span data-contrast=\"none\">BI-RADS Category 6: Known Biopsy-Proven Malignancy, is breast cancer, and treatment can vary depending on the stage and biological characteristics of the cancer, the patient\u2019s age and preferences and the risks and benefits associated with each treatment.<\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"none\"><i>This measure was supported by Cooperative Award NU380T000303 from the Centers for Disease Control and Prevention and the National Network of Public Health Institutes (NNPHI). Its contents are the sole responsibility of the authors (NCQA) and do not necessarily represent the official position of the Centers for Disease Control and Prevention, the US Department of Health and Human Services, the US government, or the NNPHI.<\/i><\/span><\/p>\n<h2>Historical Results \u2013 National Averages<\/h2>\n<h5><span class=\"TextRun SCXW263364463 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"NormalTextRun CommentHighlightClicked SCXW263364463 BCX0\">Performance results for this measure are currently unavailable.<\/span><\/span><\/h5>\n<div class=\"footnotes\"><\/p>\n<h3>References<\/h3>\n<ol>\n<li id=\"ref-1\"><span data-contrast=\"none\">Cancer Stat Facts: Female Breast Cancer. National Cancer Institute. Accessed July 14, 2023. <\/span><a href=\"https:\/\/seer.cancer.gov\/statfacts\/html\/breast.html\"><span data-contrast=\"none\"><span data-ccp-charstyle=\"Hyperlink\">https:\/\/seer.cancer.gov\/statfacts\/html\/breast.html<\/span><\/span><\/a><\/li>\n<li id=\"ref-2\"><span data-contrast=\"none\">Sickles, E.A., C.J. D\u2019Orsi, L.W. Bassett, C.M. Appleton, W.A. Berg, and E.S. Burnside. 2013. \u201cACR Bi-Rads\u00ae Mammography.\u201d ACR BI-RADS\u00ae Atlas, Breast Imaging Reporting and Data System 5 2013.<\/span><\/li>\n<li id=\"ref-3\"><span data-contrast=\"none\">Quality Mammography Standards; Correction. Fed Regist. 1997;62(217). <\/span><a href=\"https:\/\/www.federalregister.gov\/documents\/1997\/11\/10\/97-29596\/quality-mammography-standards-correction\"><span data-contrast=\"none\"><span data-ccp-charstyle=\"Hyperlink\">https:\/\/www.federalregister.gov\/documents\/1997\/11\/10\/97-29596\/quality-mammography-standards-correction<\/span><\/span><\/a><\/li>\n<li id=\"ref-4\"><span data-contrast=\"none\">Bevers, T.B., M. Helvie, E. Bonaccio, et al. 2018. \u201cBreast Cancer Screening and Diagnosis, Version 3.2018, NCCN Clinical Practice Guidelines in Oncology.\u201d J Natl Compr Canc Netw 16(11):1362\u201389. <\/span><a href=\"https:\/\/doi.org\/10.6004\/jnccn.2018.0083\"><span data-contrast=\"none\"><span data-ccp-charstyle=\"Hyperlink\">doi:10.6004\/jnccn.2018.0083<\/span><\/span><\/a><\/li>\n<li id=\"ref-5\"><span data-contrast=\"none\">Gradishar, W.J., M.S. Moran, J. Abraham et al. 2022. \u201cBreast Cancer, Version 3.2022, NCCN Clinical Practice Guidelines in Oncology.\u201d J Natl Compr Canc Netw 20(6):691\u2013722. <\/span><a href=\"https:\/\/doi.org\/10.6004\/jnccn.2022.0030\"><span data-contrast=\"none\"><span data-ccp-charstyle=\"Hyperlink\">doi:10.6004\/jnccn.2022.0030<\/span><\/span><\/a><\/li>\n<li id=\"ref-6\"><span data-contrast=\"none\">Reece, J.C., E.F.G. Neal, P. Nguyen, J.G. McIntosh, J.D. Emery. 2021. \u201cDelayed or Failure to Follow-Up Abnormal Breast Cancer Screening Mammograms in Primary Care: A Systematic Review.\u201d BMC Cancer 21(1):373. <\/span><a href=\"https:\/\/doi.org\/10.1186\/s12885-021-08100-3\"><span data-contrast=\"none\"><span data-ccp-charstyle=\"Hyperlink\">doi:10.1186\/s12885-021-08100-3<\/span><\/span><\/a><\/li>\n<li id=\"ref-7\"><span data-contrast=\"none\">Nguyen, K., R. Pasick, S. Stewart, K. Kerlikowske, L. Karliner. 2017. \u201cDisparities in Abnormal Mammogram Follow-Up Time for Asian Women Compared to non-Hispanic Whites and between Asian Ethnic Groups.\u201d Cancer 123(18):3468\u201375. <\/span><a href=\"https:\/\/doi.org\/10.1002\/cncr.30756\"><span data-contrast=\"none\"><span data-ccp-charstyle=\"Hyperlink\">doi:10.1002\/cncr.30756<\/span><\/span><\/a><\/li>\n<\/ol>\n<p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>The percentage of episodes of mammograms documented in the form of a BI-RADS assessment within 14 days of the mammogram for persons 40\u201374 years of age. Why It Matters? The measure addresses the need for timely documentation of breast cancer screening and diagnostic results that are structured so automated quality measurement queries can be consistently [&hellip;]<\/p>\n","protected":false},"author":45,"featured_media":0,"parent":733,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page.php","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-41038","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Documented Assessment After Mammogram (DBM-E) - NCQA<\/title>\n<meta name=\"description\" content=\"Assesses children who turned 15 months old during the measurement year and had 0\u20136 well-child visits with a primary care physician during their first 15 months of life.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.ncqa.org\/report-cards\/health-plans\/state-of-health-care-quality-report\/documented-assessment-after-mammogram-dbm-e\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Documented Assessment After Mammogram (DBM-E) - NCQA\" \/>\n<meta property=\"og:description\" content=\"Assesses children who turned 15 months old during the measurement year and had 0\u20136 well-child visits with a primary care physician during their first 15 months of life.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.ncqa.org\/report-cards\/health-plans\/state-of-health-care-quality-report\/documented-assessment-after-mammogram-dbm-e\/\" \/>\n<meta property=\"og:site_name\" content=\"NCQA\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/NCQA.org\" \/>\n<meta property=\"article:modified_time\" content=\"2025-08-08T14:20:49+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.ncqa.org\/wp-content\/uploads\/2021\/04\/NCQA_cmyk_tag.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"627\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:site\" content=\"@NCQA\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.ncqa.org\/report-cards\/health-plans\/state-of-health-care-quality-report\/documented-assessment-after-mammogram-dbm-e\/\",\"url\":\"https:\/\/www.ncqa.org\/report-cards\/health-plans\/state-of-health-care-quality-report\/documented-assessment-after-mammogram-dbm-e\/\",\"name\":\"Documented Assessment After Mammogram (DBM-E) - NCQA\",\"isPartOf\":{\"@id\":\"https:\/\/www.ncqa.org\/#website\"},\"datePublished\":\"2025-08-01T05:00:54+00:00\",\"dateModified\":\"2025-08-08T14:20:49+00:00\",\"description\":\"Assesses children who turned 15 months old during the measurement year and had 0\u20136 well-child visits with a primary care physician during their first 15 months of life.\",\"breadcrumb\":{\"@id\":\"https:\/\/www.ncqa.org\/report-cards\/health-plans\/state-of-health-care-quality-report\/documented-assessment-after-mammogram-dbm-e\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.ncqa.org\/report-cards\/health-plans\/state-of-health-care-quality-report\/documented-assessment-after-mammogram-dbm-e\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.ncqa.org\/report-cards\/health-plans\/state-of-health-care-quality-report\/documented-assessment-after-mammogram-dbm-e\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/www.ncqa.org\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Report Cards\",\"item\":\"https:\/\/www.ncqa.org\/report-cards\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Health Plans\",\"item\":\"https:\/\/www.ncqa.org\/report-cards\/health-plans\/\"},{\"@type\":\"ListItem\",\"position\":4,\"name\":\"State of Health Care Quality Report\",\"item\":\"https:\/\/www.ncqa.org\/report-cards\/health-plans\/state-of-health-care-quality-report\/\"},{\"@type\":\"ListItem\",\"position\":5,\"name\":\"Documented Assessment After Mammogram (DBM-E)\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/www.ncqa.org\/#website\",\"url\":\"https:\/\/www.ncqa.org\/\",\"name\":\"NCQA\",\"description\":\"Measuring quality. 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