Identify trends and root causes of low survival to take corrective and preventative action
FACT requires transplant programs to submit a corrective action plan when expected 1-year survival is not met.
Comparative Data Sources
The following are acceptable data sources for benchmarking 1-year survival.
US Allogeneic Programs, such as: CIBMTR Transplant Center-Specific Survival Report
Autologous Programs and Non-US Programs, such as: Stem Cell Therapeutic Outcomes Database HCT Trends and Survival Data
Country or region-specific registries
Peer-reviewed medical literature
Guidelines for Corrective Action Plans
The FACT Clinical Outcomes Improvement Committee reviews corrective action plans using specific criteria.
Corrective action plans must:
Identify specific causes of death
State current 100-day and 1-year overall and treatment-related mortality based on internal outcome analysis
Provide quantitative data
Identify reasonable causes of the low 1-year survival rate
Address the identified causes
Training Manual and Competency Checklist Example
Updates to corrective action plans must be submitted at the time of inspection, at the time of annual reporting, or as otherwise directed by the committee. These subsequent submissions must:
Update quantitative data provided in the initial CAP
Provide any additional information requested by the Clinical Outcomes Improvement Committee
Include a timeline of implementation of corrective actions
Include an assessment of the corrective actions’ effectiveness, including measurable outcome improvement, or, if outcomes do not improve, a reassessment of root causes and appropriate corrective actions based on the reassessment
Example Corrective Action Plans
The following are examples of successful allogeneic and autologous corrective action plans that you can use as a guide.
Downloadable tools
Use these downloadable tools to help evaluate your survival rates:
