Data Management Resource Center

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

  • Programs that are audited by CIBMTR follow these submission guidelines based on the most recent CIBMTR Data Audit Results Report. If the critical field error rate is:
    • < 2.0%:
      • Additional information is not required.
      • The Clinical Inspector will review the program's overall data management process, internal data accuracy audit reports, and assess for commendable practices.
    • ≥ 2.0% and ≤ 3.0%:
      • A satisfactory internal data accuracy audit report.
      • The Clinical Inspector will review the program's submission with suggestions from the Data Audit Committee or FACT staff.
    • > 3.0% and Milestone Reports are not required to be submitted as a result of the most recent CIBMTR Data Audit:
      • A summary report for the FACT-CIBMTR Data Audit Committee to evaluate that includes:
        1. Appendix D of the CIBMTR Audit Results Report
        2. Approved corrective action plan (CAP) submitted to CIBMTR
        3. Progress on implementation of the CAP
        4. An audit report on a recent internal audit using current data
      • The Clinical Inspector will receive recommendations from the Data Audit Committee and review these items with the program.
    • > 3.0% and Milestone Reports are required to be submitted as a result of the most recent CIBMTR Data Audit:
      • The Milestone Report will be reviewed by the Data Audit Committee in collaboration with CIBMTR. A joint response will be sent to the program
      • The Clinical Inspector will receive recommendations from the Data Audit Committee and review these items with the program.
  • Programs not audited by CIBMTR must submit a summary report to FACT every 6 months or an approved alternative.
  • Programs not submitting data to CIBMTR are encouraged to submit data and are required to submit a summary report to FACT every 6 months or an approved alternative.
  • Summary reports be submitted as singular document, using the FACT Data Management B9 Response Report Template. Summary reports must include:
    • Corrective actions the program previously implemented, related to data accuracy.
      Note: If this is the program's first internal data accuracy audit, corrective actions are not required.
    • Progress on implementation of the CAP
    • An audit report on a recent internal audit using current data
  • Programs must provide updates at the time of annual reporting, compliance application, post-inspection, and as otherwise directed by the Data Audit Committee
*PHI must be redacted prior to submission to FACT