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.

CIBMTR Resources

CIBMTR has many Training and Reference materials, including the following:

Educational Resources


Training Document Examples
Program Audit Reports

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 (CER) 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 and compliance with the standards. 
    • > 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 and assess compliance with the standards.
    • If Milestone Reports are required to be submitted to CIBMTR, regardless of CER:
      • 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 during the inspection
      • If your program has completed the Milestone Report requirements, depending on the program's CER and the Data Audit Committee's decision, FACT submissions may be required.
    • > 3.0% and Milestone Reports are not required:
      • Progress on implementation of the CAP submitted to CIBMTR in response to the failing CIBMTR data audit.
      • An audit report from a recent internal data accuracy audit assessing current data.
      • The Clinical Inspector will receive recommendations from the Data Audit Committee and review these items with the program during the inspection.
  • Programs must submit data specified in B9.1 for allogeneic and autologous transplants to a national or international database. [B9.1.1]
    • The Data Audit Committee recommends programs submit data to CIBMTR.
    • If an external data audit is not available from the national or international database the program is submitting to, FACT requires the program submit corrective actions, progress on corrective actions, and an internal data accuracy audit report to FACT every six months or an approved alternative as determined by the Data Audit Committee.
  • Programs must provide updates at the time of the Annual Report, Compliance Application (pre-inspection), post-inspection, and as otherwise directed by the Data Audit Committee.
*PHI must be redacted prior to submission to FACT