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

Apply for NAPRC Accreditation

Thank you for your interest in the National Accreditation Program for Rectal Cancer (NAPRC) accreditation. The NAPRC developed comprehensive standards for rectal cancer programs. Your rectal cancer program will be evaluated against these standards to demonstrate compliance and your commitment to providing high-quality rectal cancer care.

This NAPRC slide deck is intended to be used as a resource for the members of the NAPRC committees and for individuals interested in seeking NAPRC accreditation. These slides can be used in part or in whole to meet the needs of the intended audience with the goal of delivering a consistent and uniform message about the history, value, and current status of the NAPRC.

Please note: Programs should be prepared to undergo the initial on-site visit within six to nine months after the application is approved and access to the NAPRC web portal is provided. On-site visits will be scheduled based on demand and at the discretion of the NAPRC.



  • Verify your rectal cancer program is part of a Commission on Cancer (CoC)-accredited program.
    • Note: Network accreditation is not available for the NAPRC. If the affiliated CoC program has an Integrated Network Cancer Program (INCP) category, then the NAPRC program attaches at the individual hospital level. If multiple hospitals within the INCP wish to achieve NAPRC accreditation, then each hospital must apply and be reviewed separately.
  • Download and review the current version of the National Accreditation Program for Rectal Cancer Standards Manual.
  • Form a defined rectal cancer multidisciplinary team that includes one appointed physician member from surgery, pathology, radiology, medical oncology, and radiation oncology. Appoint a rectal cancer program director and coordinator.
  • Applications should not be submitted until the program has 12 months of compliance in place.



  • Complete and submit the online application.
  • Once the application is processed, the primary contact completes the site profile.
  • After the site profile is completed, the program is invoiced for the annual accreditation fee.




  • Receive full access to the web-based accreditation portal. A helpful user guide provides an overview for how to use the NAPRC Quality Portal.
  • Request a site visit date and complete the Pre-Review Questionnaire.
  • Receive formal notification of site visit date.
  • Site reviewer conducts site visit.
  • Receive site visit results/accreditation report in approximately 45 days, or as soon as practical thereafter, of the site visit.
  • Please note: Before an accreditation award is granted, corrective action must be completed for any noncompliant standards noted in the accreditation report.