BOX 6.5 Association of Community Cancer Centers--Standards for Cancer Programs

Program Leadership

  • Administrative structure is in place to ensure efficient, appropriate, and effective management of the cancer program and services.

Cancer Committee

  • An interdisciplinary standing Cancer Committee provides program leadership.

Medical Director

  • The program has a designated medical director on a part or full-time basis.
  • The authority of the medical director is defined and documented by the sponsoring organization of the program.
  • The medical director is subject to a minimum of annual performance review.

Cancer Registry

  • A cancer registry will be maintained to meet and preferably exceed the minimum requirements of the Commission on Cancer of the American College of Surgeons.

Continuous Performance Improvement

  • Patient care is monitored and evaluated for the quality of services. Continuous performance improvement (CPI) plans are generated from quality review data, including attributes of timeliness, appropriateness of care, clinical outcomes of disease-free survival, and effective management of disease and treatment sequelae.

Staff Support

  • A structured program for staff support is available (e.g., educational and professional skill development opportunities).

Multimodality Treatment

  • Multimodality and interdisciplinary cancer case reviews are conducted on a regular basis to ensure patients' access to consultative services by all disciplines.
  • Tumor conference case review is prospective in nature. Prospective is defined as prior to treatment or any time a clinical treatment plan is reviewed for further evaluation.

Patient Advocacy and Survivorship

  • Information and programs specific to patients' advocacy and survivorship issues are available to cancer patients and their families.

Cancer Education and Resource Program

  • Education and resource programs are developed and provided for primary care providers, cancer patients and families, and the community.


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