Click to begin your search
ACRO Accreditation

Please review the following information before submitting your application and fee

ACRO Accreditation reviews facilities, staffing, policies and treatment programs to confirm that accepted standards of current radiation therapy delivered in the United States are met. The review will focus on the following areas. Click on each to learn more about the procedures:

Equipment: In reviewing a practice, the quantity of equipment available must be appropriate to the patient load treated and must be appropriate for the disease entities treated. The quality of the equipment will also be reviewed in terms of machine calibration, frequency of checks, and maintenance records.

Staff: The staffing of the practice, including medical and paramedical personnel should be in accordance with currently accepted standards. The quality of the staff will also be reviewed in terms of staff certifications and continuing medical and paramedical educational credits.

Case Review: An essential part of the program will be a detailed review by your peers of cases selected randomly from provided case lists. Throughout the computerized process there will be prompts to upload documents/charts to the Web site. One of these will be a list of the last full year of treatment cases coded by ID, cancer diagnoses, and procedures. Patient names are not required; however the principal cancer diagnoses are necessary to appropriately categorize each case. From this list, a minimum of 20 cases will be quasi-randomly selected by ACRO to represent the principal practice. A minimum of 10 additional cases will be quasi-randomly selected to represent each additional practice. Each case record will be uploaded to the accreditation platform as a single PDF file.

The ACRO accreditation case review process focuses on areas such as documentation, referring physician notes, patient’s history and physical, staging, informed consent, radiotherapy prescription, pathology reports, surgical reports, imaging study reports, dosimetry, simulation, daily dose logs, physician and nursing notes, treatment summary, follow-up, peer review, quality assurance and appropriateness of patient care in each clinical situation. If questions are raised regarding compliance with accepted standards of practice in the cases reviewed, more information or additional cases will be requested and will be reviewed by other panel members.

Site Visit: After the review team has submitted a report of its findings following study of the survey documents and the clinical case records, an on-site verification visit will be made by a radiation oncology physicist and radiation oncology administrator who are part of the accreditation team. This visit serves to verify data submitted via the computerized survey documents (i.e., number and type of radiotherapy machines and ancillary equipment, staffing, etc.) and provides opportunity to clarify any issues raised by clinical case reviewers.

Accreditation: ACRO Accreditation review will result in one of three possible outcomes:

Full Accreditation - A 3-year Certificate of Accreditation will be awarded.

Provisional Accreditation - A letter will be issued specifying accreditation for a limited period of time (typically 2-6 months) to allow some issues identified by the review team to be addressed. When these issues have been addressed to the satisfaction of ACRO Accreditation the practice will be awarded Full Accreditation and a Certificate of Accreditation will be issued.

Deferred Accreditation - It is not the intent of ACRO Accreditation to deny accreditation without allowing time for issues raised by the review team to be addressed. Full details will be provided regarding significant deficiencies that must be addressed before the accreditation process can proceed.

Fees: (Initial Accreditation and Re-accreditation)

Application Fee - $1,000. Paid with application, which will be included in the final fee based on principal/additional practice combination.

Principal Practice Fee - $8,500. Practice headquarters (or main office).

Additional Practice Fee - $3,000. Additional office within the same practice. An additional practice to a principal practice is one that has a common medical director, a common physics director, a common physicians’ peer review process, common and uniform treatment methods, common and uniform charts and forms, and is located within a 50 mile radius of the principal practice. Travel fees for additional onsite reviews may apply

Submit an Application and Fee

American College of Radiation Oncology   
5272 River Road, Suite 630 | Bethesda, MD 20816   
301.718.6515 | 301.656.0989 (fax) | www.acro.org