Program Accreditation Standards Questions
With Complete Solutions Comprehensive
Examination Commission on Cancer (CoC) Accreditation
Standards, Cancer Program Categories, Quality Improvement,
and Registry Compliance Requirements for Oncology Data
Specialists
Instructions
This examination consists of 150 multiple-choice questions designed to assess
comprehensive knowledge of Core Competency 5: Cancer Program Accreditation
Standards. Questions are drawn from the CoC Optimal Resources for Cancer Care (2020
Standards), SEER*Educate training materials, and NCRA Core Competency requirements.
Each question has one correct answer. Select the best answer and review the rationale
provided.
Section 1: Cancer Program Categories and Classification
(Questions 1-15)
1. Which cancer program category represents the largest proportion of CoC-
accredited programs in the United States?
A. Academic Comprehensive Cancer Program (ACAD)
B. Comprehensive Community Cancer Program (CCCP)
C. Community Cancer Program (CCP)
D. Integrated Network Cancer Program (INCP)
Correct Answer: B
,Rationale: Comprehensive Community Cancer Programs (CCCP) represent
approximately 38% of all CoC-approved programs, making them the largest cancer
program category. CCCPs accession 500 or more newly diagnosed cancer cases each
year and provide a full range of diagnostic and treatment services either on-site or by
referral.
2. What is the minimum annual caseload requirement for a Comprehensive
Community Cancer Program (CCCP)?
A. 100 or more newly diagnosed cancer cases
B. 500 or more newly diagnosed cancer cases
C. 1,000 or more newly diagnosed cancer cases
D. No minimum caseload requirement
Correct Answer: B
Rationale: CCCPs must accession 500 or more newly diagnosed cancer cases each year.
This distinguishes them from Community Cancer Programs (CCPs), which have lower
caseload requirements.
3. Which of the following is a requirement for an Integrated Network Cancer
Program (INCP)?
A. A single facility operating independently
B. A centralized governance structure and CEO
C. At least three freestanding cancer centers
D. Academic affiliation with a medical school
Correct Answer: B
Rationale: An INCP must be overseen by a centralized governance structure/board and
CEO. At least one facility in the network must be a hospital and CoC-accredited cancer
program.
,4. An INCP organization owns, operates, leases, or is part of a joint venture with
multiple facilities. Which statement about INCP accreditation is correct?
A. Each facility within the INCP is evaluated independently for EPRs
B. Only the flagship facility must meet expected EPRs
C. INCPs are exempt from individual facility performance measurement
D. Performance is evaluated only at the network level
Correct Answer: A
Rationale: Each facility that is part of an INCP is required to individually meet all
expected Estimated Performance Rates (EPRs), and the INCP as an entire program is also
required to meet all expected EPRs.
5. How many Cancer Liaison Physicians (CLPs) are appointed for an Integrated
Network Cancer Program (INCP)?
A. One CLP per facility within the network
B. One CLP who represents all facilities within the network
C. A CLP is not required for INCPs
D. Two CLPs must be appointed
Correct Answer: B
Rationale: One Cancer Liaison Physician is appointed who represents all of the facilities
within the network.
6. Which program category is exempt from Standard 7.1 (Accountability and
Quality Improvement Measures)?
A. Comprehensive Community Cancer Programs (CCCP)
B. Academic Comprehensive Cancer Programs (ACAD)
C. Programs undergoing initial survey for accreditation
D. Integrated Network Cancer Programs (INCP)
Correct Answer: C
, Rationale: Programs in all categories undergoing initial survey for accreditation and
PCP facilities are exempt from Standard 7.1.
7. A facility that accessions more than 100 but less than 500 new analytic cases
yearly falls into which CoC program category?
A. Comprehensive Community Cancer Program (CCCP)
B. Community Cancer Program (CCP)
C. Academic Comprehensive Cancer Program (ACAD)
D. Freestanding Cancer Center Program (FCCP)
Correct Answer: B
Rationale: Community Cancer Programs (CCP) accession more than 100 but less than
500 new analytic cases yearly. CCCPs require 500+ cases, and ACADs have additional
academic/research requirements.
8. What is the required follow-up rate for all eligible analytic cases in a standard
CoC-accredited program?
A. 60%
B. 70%
C. 80%
D. 90%
Correct Answer: C
Rationale: An 80% follow-up rate must be maintained for all eligible analytic cases from
the cancer registry reference date.
9. For Pediatric Cancer Program (PCP) facilities, what follow-up rate must be
maintained for all eligible analytic cases?