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

About Cancer Program Categories

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.

Category assignments are made by Commission on Cancer (CoC) staff at the time of initial application and are retained unless there are changes to the services provided and/or the facility caseload for three consecutive years. Category designations are reviewed annually by the CoC following the completion of the National Cancer Database (NCDB) call for data. Category adjustments apply at the beginning of the next calendar year. Programs are notified by e-mail of category changes.

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

Cancer Program Categories

Click interactive chart for detailed category information below

CoC Categories

 

Comprehensive Community Cancer Program (CCCP)

 

Community Cancer Program (CCP)

 

Integrated Network Cancer Program (INCP)

 

Academic Comprehensive Cancer Program (ACAD)

 

NCI-Designated Comprehensive Cancer Center Program (NCIP)

 

Veterans Affairs Cancer Program (VACP)

 

Hospital Associate Cancer Program (HACP)

 

Pediatric Cancer Program (PCP)

 

NCI-Designated Network Cancer Program (NCIN)

 

Free Standing Cancer Center Program (FCCP)

Integrated Network Cancer Program (INCP)

The organization 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 must be a CoC-accredited cancer program. Generally, INCP’s are 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. The INCP 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. Participation in the training of resident physicians is optional, and there is no minimum caseload requirement for this category.

Community Cancer Program (CCP)

The facility accessions more than 100 but fewer than 500 newly diagnosed cancer cases each year and provides a full range of diagnostic and treatment services, but referral for a portion of diagnosis or treatment may occur. The facility 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. Participation in the training of resident physicians is optional.

Hospital Associate Cancer Program (HACP)

The facility accessions 100 or fewer newly diagnosed cancer cases each year and has a limited range of diagnostic and treatment services available on-site. Other services are available by referral. Clinical research is not required. Participation in the training of resident physicians is optional.

Pediatric Cancer Program (PCP)

The facility provides care only to children, or the pediatric oncology program is a component within a larger CoC-accredited facility. The facility may be associated with a medical school and participate in training pediatric residents. The facility or pediatric oncology program offers the full range of diagnostic and treatment services for pediatric patients either on-site or by referral. The 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. There is no minimum caseload requirement for this category.

Free Standing Cancer Center Program (FCCP)

The facility is a nonhospital-based program and offers at least one cancer-related treatment modality. The 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. Participation in the training of resident physicians is optional. There is no minimum caseload requirement for this category.

Veterans Affairs Cancer Program (VACP)

The facility provides care to military veterans and offers the full range of diagnostic and treatment services either on-site or by referral, preferably to CoC-accredited cancer program(s). The facility 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. Participation in the training of resident physicians is optional. There is no minimum caseload requirement for this category.

Comprehensive Community Cancer Program (CCCP)

The facility accessions 500 or more newly diagnosed cancer cases each year. The facility provides a full range of diagnostic and treatment services either on-site or by referral. The facility 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. Participation in the training of resident physicians is optional.

Academic Comprehensive Cancer Program (ACAD)

The facility participates in postgraduate medical education in at least four program areas, including internal medicine and general surgery. The facility accessions more than 500 newly diagnosed cancer cases each year, and it offers the full range of diagnostic and treatment services either on-site or by referral. The facility 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.

NCI-Designated Comprehensive Cancer Center Program (NCIP)

The facility secures a National Cancer Institute (NCI) peer-reviewed Cancer Center Support Grant and is designated a Comprehensive Cancer Center by the NCI. A full range of diagnostic and treatment services and staff physicians are available. Participation in the training of resident physicians is optional, and there is no minimum caseload requirement for this category.

NCI-Designated Network Cancer Program (NCIN)

The facilities secure a National Cancer Institute (NCI) peer-reviewed Cancer Center Support Grant and are designated a Comprehensive Cancer Center Consortium by the NCI. The facilities participate in an NCI-Designated Integrated Network Cancer Program. A full range of diagnostic and treatment services and staff physicians are available. Participation in the training of resident physicians is optional, and there is no minimum caseload requirement for this category.

National Accreditation Program for Rectal Cancer (NAPRC)

The National Accreditation Program for Rectal Cancer (NAPRC) is a quality program focused on ensuring that patients with rectal cancer receive appropriate care using a multidisciplinary approach. NAPRC programs must be CoC accredited and have a Rectal Cancer Multidisciplinary Team that includes at least one surgeon, pathologist, radiologist, medical oncologist, and radiation oncologist. There is no minimum rectal cancer case load requirement.