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

About CoC Accreditation

More than 70 percent of all newly diagnosed cancer patients are treated in the more than 1,500 Commission on Cancer (CoC)-accredited cancer programs nationwide.

The CoC Accreditation Program encourages hospitals, treatment centers, and other facilities to become CoC accredited.

Cancer Program Standards 2012: Ensuring Patient-Centered Care establishes new requirements around patient-centered needs and expands the focus on improving the quality of care and patient outcomes.

Five elements are key to the success of a CoC-accredited cancer program:

  1. The clinical services provide state-of-the-art pretreatment evaluation, staging, treatment, and clinical follow-up for cancer patients seen at the facility for primary, secondary, tertiary, or end-of-life care.
  2. The cancer committee leads the program through setting goals, monitoring activity, evaluating patient outcomes, and improving care.
  3. The cancer conferences provide a forum for patient consultation and contribute to physician education.
  4. The quality improvement program is the mechanism for evaluating and improving patient outcomes.
  5. The cancer registry and database is the basis for monitoring the quality of care.

The following eligibility requirements include basic structure and services that are required of CoC-accredited cancer programs before a survey can take place:

Facility accreditation
Cancer committee authority
Cancer conference policy
Oncology nurse leadership
Cancer registry

Diagnostic imaging
Radiation oncology services
Systemic therapy services
Clinical trial information
Psychosocial support services
Rehabilitation services
Nutritional services

Cancer Program Categories

CoC-accredited cancer programs are assigned an accreditation category that describes the services available at the facility and the number of newly diagnosed patients seen at the facility each year. Learn more about each category’s criteria with a helpful interactive chart.


The American College of Surgeons does not warrant or make any guarantees or assurances related to outcomes of treatment provided by institutions that have cancer programs accredited by the Commission on Cancer.