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

Apply for NAPRC Accreditation

Thank you for your interest in accreditation by the National Accreditation Program for Rectal Cancer (NAPRC). We look forward to working with you to achieve NAPRC accreditation. The following is a step-by-step guide to the process leading up to your initial accreditation survey.

Step 1: NAPRC Standards

Download a complimentary copy of the National Accreditation Program for Rectal Cancer Standards Manual.
NOTE: A revised version was released in October 2017. Compliance will be assessed according to the October 2017 edition.

Step 2: Application Form

Complete and submit the NAPRC application to

Step 3: Business Association and Data Use Agreements (BAA/DUA)

The Business Associate and Data Use Agreements must be signed and completed before moving forward. This BAA/DUA covers all American College of Surgeons quality improvement program customers. Programs who have not achieved CoC accreditation yet will need to execute these agreements before proceeding.

Step 4: Pay Application Fee

Once the application is processed by the NAPRC, you will receive an invoice for the application fee. Please follow instructions on the invoice for how and when to pay the application fee. Access to the NAPRC Survey Application Record will not be granted until the application fee is paid.

Step 5: Survey Application Record (SAR)

Once the BAA/DUA is signed and the application fee is received, the applying program will receive access to the NAPRC SAR. The SAR will indicate what documentation/information must be provided to show compliance with the NAPRC Standards.

Step 6: Compliance with NAPRC Standards

In order to request an on-site survey date, programs must attest that they will be able to demonstrate compliance with the NAPRC Standards for a period of twelve months. During the NAPRC’s initial launch, programs will not be expected to demonstrate compliance with several standards: Standard 1.7, the Standardized Operative Report portion of Standard 2.8, Standard 3.1, or Standard 3.2.

Step 7: CoC Accreditation

Programs must be accredited by the Commission on Cancer (CoC) before applying for an on-site survey with the NAPRC. CoC accreditation status must be Three Year with Commendation Accreditation, Three Year Accreditation, or Three Year Accreditation with Contingency.

Step 8: Request an On-Site Survey

A program can request an on-site survey through the NAPRC SAR once it can attest that all required standards have been complied with for the twelve months immediately before the on-site visit. Only at the discretion of the NAPRC will on-site visits be scheduled for programs who can demonstrate compliance for a period of less than twelve months. During the initial implementation of the NAPRC, on-site visits will be scheduled based on demand and at the discretion of the NAPRC.

Approximately 60 days before the on-site visit, programs will be billed for an accreditation fee.