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

Requesting a Cancer Program Category Change

Each cancer program is designated a specific category based on the type of facility, program structure, services provided, and the number of cases accessioned each year.  The Commission on Cancer’s policy for requesting a cancer program category requires that programs accession the required number of newly diagnosed analytic cancer cases submitted to the National Cancer Data Base for a specific category each calendar year for three consecutive years.

For example, in order for a Community Cancer Program (CCP) to be eligible for a category change to Comprehensive Community Cancer Program (CCCP), the program must have accessioned 500 or more new analytic cases for the last three consecutive years.  Programs requesting a category change to the NCI-designated Comprehensive Cancer Program (NCIP) must provide documentation of an NCI peer-reviewed cancer center support grant and cover letter. Programs requesting a category change to Academic Comprehensive Cancer Program (ACAD) must document postgraduate medical education (residencies) in at least four program areas.

Category change requests must include the following:

  • Facility Identification Number (FIN)
  • Facility name, city, & state
  • Specific category requested

Please direct category change inquiries to accreditation@facs.org.

Click interactive chart for detailed category information below

Accreditation Categories chart
CCCP 41% CCP 30% ACAD 13% VACP 4% INCP 7% NCIP 2% NCIP 2% PCP 1% PCP 1% FCCP 1% FCCP 1% HACP 1% HACP 1%

 

Comprehensive Community Cancer Program (CCCP)

 

Community Cancer Program (CCP)

 

Academic Comprehensive Cancer Program (ACAD)

 

Integrated Network Cancer Program (INCP)

 

Veterans Affairs Cancer Program (VACP)

 

NCI-Designated Comprehensive Cancer Center Program (NCIP)

 

Pediatric Cancer Program (PCP)

 

Hospital Associate Cancer Program (HACP)

 

Free Standing Cancer Center Program (FCCP)

Comprehensive Community Cancer Program (CCCP)

Accessions more than 500 or more newly diagnosed cancer cases each year. Full range of diagnostic and treatment services provided either on-site or by referral. Participates in cancer-related clinical research either by enrolling patients in cancer-related clinical trials or by referring patients for enrollment at another facility or through a physician’s office. Training resident physicians is optional.

Community Cancer Program (CCP)

Accessions more than 100 but fewer than 500 newly diagnosed cancer cases each year. Full range of diagnostic and treatment services provided, but referral for a portion of diagnosis or treatment may occur. Participates in cancer-related clinical research either by enrolling patients in cancer-related clinical trials or by referring patients for enrollment at another facility or through a physician’s office. Training resident physicians is optional.

Academic Comprehensive Cancer Program (ACAD)

Provides postgraduate medical education in at least four program areas, including internal medicine and general surgery. Accessions more than 500 newly diagnosed cancer cases each year. Full range of diagnostic and treatment services either on-site or by referral. Participates in cancer-related clinical research either by enrolling patients in cancer-related clinical trials or by referring patients for enrollment at another facility or through a physician’s office.

Integrated Network Cancer Program (INCP)

Owns, operates, leases, or is part of a joint venture with multiple facilities providing integrated cancer care and offers comprehensive services. At least one facility in the category is a hospital, and all facilities that are part of the Network are CoC-accredited cancer programs. Generally, characterized by a unified cancer committee, standardized registry operations with a uniform data repository, and coordinated service locations and practitioners. Each entity meets performance expectations for the quality measures under the umbrella of the integrated program. Participates in cancer-related clinical research either by enrolling patients in cancer-related clinical trials or by referring patients for enrollment at another facility or through a physician's office. Training resident physicians is optional. No minimum caseload required for this category.

Veterans Affairs Cancer Program (VACP)

Provides care to military veterans. Full range of diagnostic and treatment services either on-site or by referral, preferably to CoC-accredited cancer program(s). Participates in cancer-related clinical research either by enrolling patients in cancer-related clinical trials or by referring patients for enrollment at another facility or through a physician’s office. Training resident physicians is optional. No minimum caseload required for this category. 

NCI-Designated Comprehensive Cancer Center Program (NCIP)

Secures a National Cancer Institute (NCI) peer-reviewed cancer center support grant and is designated a Comprehensive Cancer Center by the NCI. Full range of diagnostic and treatment services provided, and staff physicians are available. Participates in basic and clinical research. Training resident physicians is optional. No minimum caseload required for this category.

Pediatric Cancer Program (PCP)

Facility provides care only to children, or the pediatric oncology program is a component within a larger CoC-accredited facility. Facility may be associated with a medical school and participate in training pediatric residents. Facility or pediatric oncology program offers the full range of diagnostic and treatment services for pediatric patients either on-site or by referral. Facility is required to participate in cancer-related clinical research focused on pediatric patients either by enrolling patients in cancer-related clinical trials or by referring patients for enrollment at another facility or through a physician’s office. No minimum caseload requirement for this category.

Hospital Associate Cancer Program (HACP)

Accessions 100 or fewer newly diagnosed cancer cases each year. Limited range of diagnostic and treatment services available on-site. Other services are available by referral. Clinical research is not required. Training resident physicians is optional.

Free Standing Cancer Center Program (FCCP)

Facility is a non–hospital-based program and offers at least one cancer-related treatment modality. Full range of diagnostic and treatment services is available by referral. Referral to CoC-accredited cancer program(s) is preferred. Participation in cancer-related clinical research is encouraged but not required. Patients may be enrolled in cancer-related clinical trials either at the facility or by referring patients for enrollment at another facility or through a physician’s office. Training resident physicians is optional. No minimum caseload requirement for this category.