Daily Practice

About APEx


APEx establishes standards of performance derived from white papers and consensus practice guidance for radiation oncology and evidence indicators relating to the performance of radiation oncology practice.

ASTRO evaluates radiation oncology practices (ROPs), focusing on quality and safety of radiation oncology services, with an objective peer review. It offers transparent, measurable, evidence- and consensus-based standards that emphasize a commitment to safety and quality.

Radiation oncology practices accredited by ASTRO will have the systems, personnel, policies and procedures in place to meet APEx standards for high-quality patient care. They will have:

  • Undergone an objective, external review of radiation oncology practices, policies and processes;
  • Demonstrated respect for protecting the rights of patients and being responsive to patient needs and concerns; and
  • Adopted procedures to encourage safety and quality of care.

Applicants must also meet applicable state and federal licensure and certification requirements, including those of the Nuclear Regulatory Commission, as well as requirements of professional practice organizations. The ASTRO standards identify systematic quality and safety approaches that build on the regulatory framework to add value for practitioners and health care purchasers.

"APEx is far more comprehensive, rigorous and radiation therapy-specific than any other accreditation program out there." — Suneel Nagda, MD