ACRO Accreditation Application Information



To apply for initial or re-accreditation, please contact Valerie Guth at 206-956-3642, or at

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 15 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 period of 12 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 for the balance of the three years and a Certificate of Accreditation will be issued.

Denied Accreditation – A practice receiving Denied Accreditation is strongly encouraged to wait until all corrective measures have been implemented before reapplying for accreditation. Documentation of remedial actions for the required corrective actions is mandatory before reapplication.

Fees: (Initial Accreditation and Re-accreditation)

Principal Practice Fee – $8,750. Practice headquarters (or main office).

Additional Practice Fee – $3,500. 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. A maximum of two additional practices is allowed for each principal practice.

Travel Costs – As each practice location results in varying travel costs (air, car, hotel) ACRO Accreditation will submit an invoice to the practice at the conclusion of the accreditation process for the travel costs (only and as charged) for the two onsite surveyors (physics and administrative). ACRO Accreditation has strict rules of airfares, car rentals, and hotel room rates, and surveyors are expected to travel in the most cost-effective manner. Final travel costs are approved by the Executive Director and paid to the surveyor(s) when the practice visit has been completed. These costs must be paid before the final accreditation announcement is made.