Data Management Resource Center

The FACT-CIBMTR Data Audit Committee reviews implementation, adequacy, and effectiveness of corrective action plans with the goal of providing education and assistance to programs throughout the accreditation cycle to achieve quality improvement in data management. At the time of accreditation renewal, the FACT Accreditation Committee will assess the completeness and accuracy of a program’s data management based on the clinical inspector’s report and the report of the FACT-CIBMTR Data Audit Committee.

Guidelines for Data Management Submissions

Include the following in a report for the FACT-CIBMTR Data Audit Committee to evaluate:

  • Most recent CIBMTR Audit Results report, including Appendix D
  • The Corrective Action Plan (CAP) submitted to CIBMTR
  • Progress on implementation of the CAP
  • An audit report on a recent internal audit using current data
  • CPI letters from the past three trimesters
  • Programs not audited by CIBMTR must submit CAP related to past B9 citations, implementation progress of the CAP, and a recent audit report
  • Programs must provide updates at the time of annual reporting, renewal reporting, compliance application, and as otherwise directed by the committee
  • *PHI must be redacted prior to submission to FACT

    Examples

    FACT Data Management, B9: Response Report Template

    Submission Examples

    Program Audit Reports


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    Accreditation Success Story

    Hoxworth Blood Center Apheresis Collection Facility and its Cellular Therapies Division have been accredited by FACT since 2003. The program values their FACT accreditation and the impact it has had on their program’s continuous quality improvement objectives. Read more