APEx consists of a series of standards and measures relating
to the performance of a radiation oncology practice. APEx
evaluates the clinical programs provided by radiation
oncology practices, focusing on quality and safety of radiation
It is expected applicants comply with all applicable
local, state and federal regulatory requirements. In addition,
all professional staff must adhere to the ethical and professional
standards of their respective professional associations.
The APEx standards identify systematic quality and
safety approaches that build on the regulatory framework
to add value for practitioners and health care consumers.
ASTRO reviews all treatment modalities in operation at
the time of the accreditation application and survey facility
visit. Practices may not imply or state that equipment or
facilities not reviewed by ASTRO are accredited.
The base fee for practice accreditation is $14,000. An
additional $4,000 is required for each additional facility.
If your practice has more than 10 facilities, please contact APExSupport@astro.org for pricing information.
Radiation oncology practices based in the United States may apply for APEx accreditation. Practices may be either a single facility or multi-facility practice. Practices that operate multiple facilities under a standardized set of operating procedures and a single corporate designation may apply for multi-facility accreditation.
For multi-facility practices, APEx will review corporate level operating procedures and will carry out facility-specific verification of compliance for each facility included in the accreditation application.
For purposes of the program, a radiation oncology practice (ROP) is defined as a medical practice offering radiation therapy services, utilizing the services of intradisciplinary professionals under the direction of a board certified radiation oncologist. An ROP may be a multi-facility practice (e.g., a ‘main facility’ with satellites). All of the following criteria will be used to determine if a multi-facility practice can apply for all facilities to be covered by the same accreditation application:
For questions regarding the eligibility of multi-facility practices, contact APExSupport@astro.org.