FACT Cellular Therapy Applicant Workshop

Download Accreditation Workshop Agenda

24 February 2022
8:00 am - 5:00 pm

FACT Cellular Therapy Accreditation Workshop

The accreditation workshop will begin with an overview of the FACT accreditation process and continue with hands-on activities to guide the applicant through the accreditation process. Applicants will have the opportunity to view a clinical inspection tour and, using a provided inspection checklist, identify specific FACT Standards covered during the tour. Participants will also review case studies to determine compliance, correct deficiencies, and have the opportunity to listen to transplant programs' accreditation success stories. Finally, participants will learn how to improve data management through follow-up and discuss corrective action plans to improve outcome analysis.

Time	Mins	Title	Description
8:00 am	15’	Welcome
8:15 am	60’	Overview of FACT Accreditation	*Description:* Dr. Phyllis I. Warkentin, FACT Chief Medical Officer, will describe the accreditation process from application to accreditation. She will define common terminology for the accreditation process and explain the function of the accreditation coordinator. Dr. Warkentin will also summarize the inspector's role in the process of accreditation. The audience will participate in interactive knowledge checks throughout the presentation.
9:15 am	30’	The Key to Compliance Success	Description: Dr. Paul Eldridge will review the entire compliance application process and identify documents required for submission.
9:45 am	45’	Activity: Evaluating Compliance	Description: Dr. Paul Eldridge will help facilitate case studies. The audience will identify what challenges the program faces after each case. The presenter will poll the audience to determine what standards may not be in compliance. Ultimately, the presenter, with the help of the audience, will answer how the program can achieve compliance with FACT Standards and continue FACT accreditation.
10:15 am	15’	Accreditation Success Story	Virtual Inspection Experience, Medical College of Wisconsin
10:30 am	15’	BREAK
10:45 am	30’	What to Expect During the Inspection	*Description:* Dr. Kimberly Kasow, Director, Pediatric Bone Marrow Transplant Program, Marrow Collections Medical Director at UNC Bone Marrow Transplant and Cellular Therapy Program, will review clinical program requirements during a FACT inspection. She will also list tips and identify strategies to help clinical programs navigate a successful inspection process.
11:15 am	45'	Clinical Video Tour	*Description:* Dr. Kimberly Kasow will show a clinical tour video. Applicants will be provided with a tour checklist and will mark compliant or not compliant next to the Standards applicable to the tour.
12:00 pm	30’	LUNCH
12:30 pm	15’	JEOPARDY!	*Description:* Three selected players will play a rousing game of FACT Jeopardy!
12:45 pm	15'	Accreditation Success Story	Data Reporting with the Center for Bone Marrow Transplantation at Geisinger Medical Center
1:00 pm	30'	Correction of Deficiencies	*Description:* Dr. Joseph Schwartz, Professor, Pathology, Molecular and Cell-Based Medical Director, Transfusion Medicine Quality Assurance, at Mount Sinai Bone Marrow and Transplant Program, will explain the most common challenges in clinical transplant and construct a plan to correct the deficiencies.
1:30 pm	45’	Dissecting Deficiencies	*Description:* Dr. Joseph Schwartz, Professor, Pathology, Molecular and Cell-Based Medical Director, Transfusion Medicine Quality Assurance, at Mount Sinai Bone Marrow and Transplant Program, will practice evaluating deficiencies with the audience and recommend correction.
2:00 pm	15’	Accreditation Success Story	Clinical Outcomes, University of Mississippi
2:15 pm	15'	BREAK
2:30 pm	60'	Improving Data Management through Follow-Up	Description: Dr. Nancy Hardy will summarize the expectations of inspectors and applicants for data management.
3:30 pm	60'	Outcome Analysis in Transplantation and Cellular Therapy	Description: Dr. Amir Steinberg will list FACT requirements for corrective actions plans to improve clinical outcomes.
4:30 pm	30'	Maintaining FACT Readiness	Description: Federico Rodriguez Quezada, SBB, MLS(ASCP) will discuss a plan to ensure continuous accreditation readiness and will explain the self-assessment process and how to manage turnover so accreditation readiness is maintained.
5:00 pm	15'	Closing