Options Following a Failure or Deficiency: Radiation Oncology (Revised 12-12-19)
Modified on: Fri, 13 Dec, 2019 at 2:34 PM
Radiation oncology facilities not granted accreditation may be either deferred or denied. In either case, the facility has 90 days to submit a Corrective Action Plan to the ACR. After the Corrective Action Plan is approved by the Committee on Radiation Oncology Practice Accreditation, the facility may proceed as follows:
Facilities whose accreditation was deferred: The facility may be required to perform a self-audit (measures for self-audit will be selected by the Committee) and submit the results no later than 6 months after receipt of a response to the corrective action. Following Committee approval of the self-audit, the facility may be granted a three-year accreditation. The Committee may request a scheduled on-site survey (SOSS) if the Corrective Action Plan is approved. Additional fees may be applied, such as On-Site Surveyors’ expenses, including travel and lodging.
Facilities whose accreditation was denied: The facility will be required to participate in a follow-up survey (6-9 months after receipt of a response to the Corrective Action Plan). A re-application fee of $5,000 must be submitted with the survey agreement. Additional fees may be applied, such as On-Site Surveyors’ expenses, including travel and lodging. The surveyors will complete a report of their findings, which will be reviewed by the Committee. Following Committee approval of this report, the facility may be granted a three-year accreditation.
An appeal process is available to a radiation oncology facility that disagrees with the accreditation report. To appeal, the chief of radiation oncology submits a written request to the Chair of the Committee within thirty days of receipt of the accreditation report.
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Article created; FAQs incorporated; No criteria changes
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