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

August 2016 CoC Source

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CoC News

Preliminary 2016 Mid-Year Outstanding Achievement Award Recipients Announced

The 15 Commission on Cancer (CoC)-accredited cancer programs listed below represent the preliminary list of Outstanding Achievement Award (OAA) recipients from surveys performed January 1–June 30, 2016. This list identifies programs as earning the OAA and indicates confirmation by the CoC's Program Review Subcommittee. However, additional cancer programs may be added or facility names may be corrected.

The OAA acknowledges cancer programs that achieve excellence in providing quality care to cancer patients and demonstrate a commendation level of compliance with seven standards during their accreditation survey cycle.

We ask that all programs surveyed between January 1 and June 30, 2016, review this list and contact the CoC Accreditation Team at by Monday, August 15 if you believe that your cancer program may be eligible to earn the OAA, but was not included on the list or if your facility name is listed incorrectly.

The finalized OAA recipient list will be published online following the confirmation deadline. More details regarding accessing marketing materials and the OAA trophy will be e-mailed directly to the cancer program administrator, hospital registrar, and marketing representative at each accredited facility.

Therefore, it is essential that all contact information under the "Manage Staff Contacts" section in CoC Datalinks is up-to-date and accurate.




Northeast Alabama Regional Medical Center**



Watson Clinic Cancer and Research Center



Centegra Hospital – McHenry***



Elkhart General Hospital***



Lutheran Hospital of Indiana**

Fort Wayne


Schneck Medical Center**



Beaumont Health System

Royal Oak


Minneapolis VA Health Care System



Randolph Hospital**



ProMedica Cancer Institute, North Central Region*



Wright Patterson Medical Center

Wright-Patterson AFB


Legacy Health**



Methodist Dallas Medical Center*



Froedtert Memorial Lutheran Hospital**



Aurora Medical Centers Manitowoc & Sheboygan Network**

Two Rivers


* Indicates programs that earned the OAA at two consecutive survey cycles (2013, 2016).
** Indicates programs that earned the OAA at three consecutive survey cycles (2010, 2013, and 2016).
*** Indicates programs that earned the OAA at four consecutive survey cycles (2007, 2010, 2013, and 2016)

Any OAA questions should be sent to the CoC Accreditation and Standards team at

Updated Web-Based 'Contact CoC' Form

The CoC announces an updated web-based contact form, which allows you to select the subject based on your topic. Your question will then be sent to the appropriate staff person for response. In the near future, the CoC will discontinue the email address.

Free Breast Cancer Awareness Month Poster

October is Breast Cancer Awareness Month. The National Accreditation Program for Breast Centers (NAPBC) and the CoC encourage you to promote Breast Cancer Awareness Month and use it as an opportunity to display and publicize your program's accreditation status with the CoC and NAPBC.

The NAPBC and the CoC have created a poster to use within your program and community.

How to Access the Poster

  • Programs that are accredited solely by the NAPBC, use the Marketing Resources website link that was provided in your performance report e-mail notification.
  • Programs that are accredited solely by the CoC or both the CoC and NAPBC, go to CoC Datalinks and click on Marketing Resources.

Please let us know about your celebration by sending photos and event information to Susan Rubin, Business Development Manager, ACS Cancer Programs.

Update Your Facility's Description in CoC Datalinks

Promote the range of services your cancer program provides by updating the facility description field in CoC Datalinks.

The description entered is displayed through the Find an Accredited Cancer Program search tool. This feature is frequently used as a source of information by patients, families, and caregivers when locating cancer programs in their area. It also displays facility information including services and Annual Cancer Case Volume (if released). These fields can be updated through CoC Datalinks. Make sure that potential patients are able to learn about your program.

To update or add your facility’s description:

  1. Log onto CoC Datalinks
  2. Select Facility Information
  3. Enter description in bottom text box
  4. Save

This feature is an excellent source of information for patients seeking insight into your program.

National Cancer Database News

NCDB PUF Application Period Open Through August 25

The National Cancer Database (NCDB) announces the July 25 opening of the Participant User File (PUF) application. The NCDB is accepting applications for site-specific files, which includes cases diagnosed between 2004 and 2014. The application period will remain open through August 25.

The NCDB PUF is a Health Insurance Portability and Accountability Act (HIPAA)-compliant data file containing cases submitted to the CoC's NCDB and complies with the terms of the Business Associate Agreement between the American College of Surgeons and cancer programs accredited by the CoC (no patients or facilities can be identified). The PUF is designed to provide investigators at CoC-accredited cancer programs with a data resource they can use to review and advance the quality of care delivered to cancer patients through analyses of cases reported to the NCDB. Use of the PUF is not required to meet any CoC standards, but is an opportunity provided as a benefit of accreditation.

Prospective applicants can find more information about the application process and data items available on the PUF page at

Additional questions regarding the NCDB PUFs may be directed to the NCDB at

Resources for Cancer Liaison Physicians

Cancer Liaison Physician Report Template

A Cancer Liaison Physician (CLP) is a leader who is responsible for the quality data analysis in a CoC-accredited cancer program. This responsibility is fulfilled through the regular use of National Cancer Database (NCDB) Quality Cancer Tools to interpret, and evaluate program performance. Reports are generated at least each calendar quarter (four times a year) per CoC Standard 4.3 and are presented to the cancer committee to stimulate discussion and plan performance improvements when needed.

To provide meaningful reports that can be used to improve program performance and quality care, we will be providing a CLP report template.

This template will provide guidance and details needed to meet the Standard 4.3 quarterly reporting requirement. This template will be available on the CLP website in August.

Expiring CLP Term - July 1

CLPs serve a three-year term and are eligible to serve an unlimited number of terms based on performance and evaluation data collected at the time of survey. More than 100 CLP terms expired on July 1, and each cancer committee must determine whether their current CLP is appropriately serving in this role or if another candidate would be better suited to the position.

Notification and instructions have been sent to cancer committee chairs of programs with a CLP whose term is expiring. Cancer registrars will be notified as well. The facility must either reappoint the CLP for another three-year term or recommend a replacement to fill the role.

Please update and confirm your CLP’s contact information in CoC Datalinks. If you have questions or concerns, e-mail us at

Note: If your CoC-accredited program does not have a CLP in place, you are in jeopardy of noncompliance with CoC Standards 1.3 and 4.3. It is important that you make an appointment as soon as possible and that you designate an individual as the CLP in CoC Datalinks. If a CLP is not appointed for your program and recorded in CoC Datalinks, the CoC recommends that the cancer committee chair be listed as the interim CLP until an official appointment is made.

NewsCLiPs Newsletter

NewsCLiPs, a bi-annual newsletter created for CLPs, provides helpful resources for CLPs and celebrates the outstanding performance of CLPs across the country. Since this is a newsletter specifically for you, we would love to hear from you. If you have a best practice using the NCDB tools or you would like to share your experience attending your survey or how you assisted your program in being accredited, please submit an article to The 2016 summer edition is available online and will also be distributed with a personal note from your State Chair. Check it out.

Educational Programs and Resources

Register for the Next Accreditation 101 Workshop

Registration is now open for the fall 2016 CoC workshop, Accreditation 101: Learning the Basics of CoC Accreditation and Standards. This one-day workshop, held in Chicago, IL on September 9, 2016, is designed for new audiences interested in learning more about CoC accreditation through a basic overview of the CoC Standards. If you are on staff of a cancer program seeking more information on CoC accreditation, or a new staff member of a CoC-accredited cancer program not yet accredited by the CoC, then this course is for you.

For more information and to register, visit the Accreditation 101 website.

News from ACoS Cancer Programs


AJCC Disease-Site Webinars Based on AJCC 7th Edition 

The American Joint Committee on Cancer (AJCC) has five disease-site webinars scheduled for summer and early fall. The free webinars  will provide highlights of the five most common site chapters for the AJCC 7th edition staging and include: Melanoma, Lung, Breast, Colorectum, and Prostate. There will be pre- and post-education quizzes to serve as a self-assessment for the information learned. The webinars will provide information on the uniqueness, differences, exceptions, or special concerns for the disease sites.

Each lecture will contain the following topics:

  • Overview and Learning Objectives
  • Anatomy Affecting Stage
  • Classification Issues
  • Assigning T, N, M, Stage Group
  • Information & Questions on AJCC Staging and Summary

The first webinar recording on Melanoma is available now on the AJCC website. Lung, the second webinar, is now open for registration. Register now. Mark your calendars for August 31st for the third webinar, Breast. Registration will be on the AJCC website. All the webinars will be recorded for those who are not able to attend the live session.

You can visit the AJCC website to learn more about the Disease-Site Webinars and stay informed.

News from the Oncology Community


Submit an Abstract for NCRA 2017 Annual Conference by August 19
Share your expertise with the cancer registry community! The call for abstracts for National Cancer Registrars Association (NCRA) 2017 Annual Educational Conference is now open. The conference is April 5–8, 2017, at the Gaylord National Resort & Convention Center in Washington, DC. Oral presentation and poster abstracts will be accepted through an online collection system. The deadline is August 19. Learn more at

Register for NCRA’s Online CTR Prep Webinar Series by August 31 and Access the Online Practice Test for FREE!
Registration for the Fall 2016 NCRA Online CTR Exam Prep Webinar Series is now open. The nine instructor-led sessions begin September 13. Register for the series by August 31 and receive access to the online CTR Exam Prep Practice test for FREE. Learn more and register at