American College Of Surgeons - Inspiring Quality: Highest Standards, Better Outcomes

Apply for Accreditation

The Commission on Cancer (CoC) is launching a new application process this Fall. Accordingly, the application submission process is on hold until its release. 

Please note:

If your program has any questions, please contact Sue Rubin.

* The COVID-19 Accreditation Tracker may not be used in lieu of standard compliance.

Thank you for your interest in CoC accreditation. The CoC is a nationally recognized multidisciplinary accreditation program. By working with our national partners, the CoC has developed comprehensive, patient-centered standards for cancer programs. Your cancer program will be evaluated against these standards to demonstrate compliance and your commitment to providing high-quality cancer care.

More than 1,500 CoC-accredited cancer programs in the U.S. treat nearly 70 percent of recently diagnosed U.S. cancer patients annually. We encourage your cancer program to become part of this important network of accredited cancer programs dedicated to delivering high-quality cancer care!

What You Get

The CoC provides tools, resources, and data that enables cancer programs to deliver comprehensive, high-quality, multidisciplinary evidence-based, patient-centered care to their patients with cancer.

Access to the National Cancer Database (NCDB) and Reporting Tools

Annually, all CoC-accredited programs are required to submit data to the NCDB. The data include—but are not limited to—patient characteristics, cancer staging and tumor histological characteristics, type of first-course treatment administered, and outcomes information. CoC-accredited programs are provided with access to web-based tools to support quality improvement, community assessment, and cancer program administration. The tools can be used to:

  • Evaluate and compare the cancer care delivered to patients diagnosed and/or treated at your facility with other CoC-accredited facilities at the state, regional, and national levels
  • Identify areas for quality improvement to ensure that patients receive the right treatment at the right time
  • Compare quality-related performance measures with aggregated CoC-accredited programs, including accountability, quality improvement, and surveillance measures
  • Assess performance across multiple disease sites
  • Run benchmark reports to drive quality improvement and quality assurance activities
  • Track and analyze data on all types of cancer to: 
    • Explore trends in cancer care
    • Review regional and state benchmarks for CoC-accredited facilities
    • Serve as the basis for quality improvement
  • Access participant user files for use by investigators to advance the quality of care delivered to cancer patients

NCDB reporting tools make CoC-accredited programs better at addressing data quality issues, identifying patient care challenges, and focusing their performance improvement efforts in a way that benefits the patient.

Education and Training

We offer in-person workshops and webinars to educate you about the standards and reporting tools, best practices to support compliance with the standards, and tips and techniques for preparing for the on-site visit.

Tools and Templates

Resources are provided to assist you in recording and tracking your cancer program activity for select standards in between and in preparation for site visits. 

Program Support

Your program is given access to the CAnswer Forum online community to ask questions, search topics, and connect with cancer program colleagues across the country to share best practices. 

Marketing Resources

Promote your CoC-accreditation to your community with a variety of resources made available to accredited programs including certificates, posters, and banner stands. Your cancer program is also promoted to the public through the American College of Surgeons Find an Accredited Cancer Program tool.



  • For programs requesting to be surveyed in 2020 download Cancer Program Standards: Ensuring Patient-Centered Care (2016 Edition). For programs requesting to be surveyed in 2021 and beyond, download Optimal Resources  for Cancer Care (2020 Standards).
  • Establish a cancer registry reference date, collect one year of data, and conduct one year of patient follow-up
  • Form a cancer committee, establish a schedule, and set documentation requirements
  • Applications should not be submitted until the program has a calendar year of compliance in place.



  • Complete and e-mail an online application
  • Electronically sign the ACS Business Associate and Data Use Agreement (BAA/DUA)
    The CoC will notify the program when their application is processed and BAA is received.
  • Receive an annual accreditation fee invoice
  • Receive access to the CoC Datalinks accreditation portal upon receipt of payment
  • Provide dates for a CoC site visit that is no longer that nine months after receiving access to the CoC Datalinks accreditation portal



  • Receive notification of site visit date
  • Site visit reviewer conducts on-site review and submits report to the CoC for processing
  • Receive site visit results/performance report within 45 days of on-site visit
  • Submit data to the National Cancer Database
  • Promote your CoC accreditation