Your facility is accredited by an agency or licensed by the state - or both.

Do some investigating
and determine what accreditation or licenses your clinical facility holds. There may be more
than one.

I reached out to a colleague from our clinic who specializes in overseeing our facility's
accreditation and certifications. Who knew this could be a full time job!
At Mayo Clinic we are accredited by:
o American College of Radiology, Radiation Oncology Practice Accreditation (AZ,
FL, RO, Albert Lea, Eau Claire, La Crosse, Mankato, Northfield are all accredited
as a single entity – one accreditation application, one site visit for all sites, with
staff participation, policy review, etc. Physics review is done for each location,
and charts from each location are reviewed.

o American College of Surgeons, Commission on Cancer (includes all aspects of

cancer care, including radiation oncology, genetics, nutrition, rehab, surgery,
palliative care and several other areas).
o State of Minnesota licensure -
Provide a short summary here of the accreditation/licenses and attach documentation. Why is
this important for the organization/facility? Discuss the impact of not attaining accreditation.

 Accreditation/certification by outside parties serve as an impartial lens to how we are

doing in terms of safety, quality (some are more focused on one or the other).
 Accreditation/certification provides an opportunity to negotiate for better prices with
external payors.
 More and more, patients are looking for sites that are accredited/certified to indicate the
facility under consideration delivers high quality care.
 At Mayo, we use the accreditation/certification standards as a means of
standardizing the practice. For example, with the ACR-ROPA, each of the regional
practice sites follows the same policies and procedures as Rochester. Many policies and
practices are also standardized between the NCI sites of AZ, FL and Rochester as well.
(There are some differences between state regulations). Another example of how we use
this is our distress screening and management process. Currently sites are using a variety
of tools and have varying levels of support for social work, financial counseling, and
other support services. The new model will use an electronic tool that will be used by all
cancer departments. The tool will direct patients who score positively in any domain
(depression, food or housing insecurity, transportation and several other areas) to a
“primary contact” which could be social work, rehabilitation, psychology/psychiatry,
nutrition, spiritual care or several other departments based on the domain and score. For
patients scoring below an intervention-required threshold, links will be provided to
services through Cancer Center Pt Education. The links will provide access to education,
webinars, videos, support groups and will be available to any Mayo Clinic patient,
regardless of location.