Inspector Insights

Leonor Fernando, MD

December 14, 2012

       

I first became interested in becoming a FACT inspector in anticipation of my program, UC Davis Medical Center, applying to seek FACT accreditation. After visiting several stem cell transplant centers, I started to realize the value of having a broad exposure to different yet effective ways to achieve quality patient care in our field. My program has benefited from several ideas I learned from programs that I inspected, such as pediatric assent forms, WBCD-34 validation assays, and standardization of collection centers in cord blood banks.

Inspectors should remember that programs go through a lot of work to be ready for the FACT inspection. Prepare yourself for the inspection by getting to know the program and the people by reviewing the vast amount of information supplied by the FACT office. At the site, be cordial, organized, and make notes on your checklist if you need more detail. It is okay to compare notes regarding your program and the one you are inspecting, but never give the impression that you think your method is better than theirs. Complement anything you truly find superior, but be sincere. Remember that we all have the same goal: improve the standard of care in our specialty.

I suggest to programs seeking and maintaining FACT accreditation to keep a FACT file, where needed changes or additions to current practices can be noted for future updates. Also, remember that quality plans can be part of the institution’s overall quality plan, rather than stand-alone plans in your respective sections.