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

Commission on Cancer

The Commission on Cancer (CoC) is a consortium of professional organizations dedicated to improving survival and quality of life for cancer patients through standard setting, which promotes cancer prevention, research, education, and monitoring of comprehensive quality care.

The multidisciplinary CoC

  • Establishes standards to ensure quality, multidisciplinary, and comprehensive cancer care delivery in health care settings
  • Conducts surveys in health care settings to assess compliance with those standards
  • Collects standardized data from CoC-accredited health care settings to measure cancer care quality
  • Uses data to monitor treatment patterns and outcomes and enhance cancer control and clinical surveillance activities
  • Develops effective educational interventions to improve cancer prevention, early detection, cancer care delivery, and outcomes in health care settings.

Individuals and representatives of more than 50 cancer-related organizations comprise the membership of the CoC and contribute to the development of the CoC standards and accreditation program.

Today, there are more than 1,500 CoC-accredited cancer programs in the United States and Puerto Rico. CoC accreditation encourages hospitals, treatment centers, and other facilities to improve their quality of care through various cancer-related programs and activities. These programs are concerned with the full continuum of cancer—from prevention to survivorship and end-of-life-care—while addressing both survival and quality of life.

Follow CoC on Twitter at @AmColSurgCancer (use the hashtag #ACSCoC) and Facebook at @AmColSurgCancer.

Educational Videos

The CSSP’s has created brief educational videos to assist with the implementation of CoC Operative Standards 5.3 through 5.8. CLPs and State Chairs should share this resource with surgeons at their institutions and encourage program staff to check regularly for new videos.

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CAnswer Forum Live

Register now and join us for our upcoming CAnswer Forum Live webinar on Wednesday, October 13, at 12:00 noon CT. This webinar will focus on RCRS, STORE, and more. The deadline to submit questions is noon CT on October 4.

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NCRA Sessions Q&A

ACS Cancer Programs presented several sessions at the NCRA Conference. In response to participant questions at the sessions, we have provided written responses to all questions received. If you have any additional questions, please contact

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New Patient Brochure

The CoC is excited to announce the availability of a new patient information brochure. The brochure has been developed to help you educate your patients on what accreditation means and why receiving care at an accredited program is important. This brochure is one way to reinforce to patients your program's commitment to providing the best in cancer care.

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Synoptic Reporting Options

While compliance with CoC Standards 5.3–5.6 will not take effect until 2023, many programs are aware that it will take time to get electronic medical record synoptic reporting solutions in place. Programs are asking about new options available for synoptic operative reporting. We are providing the most current information about synoptic reporting solutions.

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2020 Standards Updated

An updated version of Optimal Resources for Cancer Care (2020 Standards) is now available. The February 2021 version includes the previously-announced updates to the NCDB submission standards. Also included in the updated manual are revisions to the Operative Standards (Standards 5.3-5.8).

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2021 Requirements

In an email sent September 16, the specific standards required for implementation in 2021 as described in the Optimal Resources for Cancer Care (2020 Standards) were outlined. Programs scheduled for a site visit in 2022 will be reviewed on 2020 and 2021 program activity.

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Accreditation Brochure

Learn about how ACS Cancer Programs are improving outcomes for patients with cancer in our latest brochure.

  Download the brochure