Citations are not the only thing inspectors see on site.
Conducting FACT inspections opens a world of ideas for complying with FACT Standards and improving processes for inspectors. In fact, the exchange of ideas among peers is one of the founding principles of the accreditation program. To leverage the ideas our accredited organizations implement, FACT encourages inspectors to notify Accreditation Coordinators when they see a particularly commendable practice during onsite inspections.
Commendable practices could be a particularly efficient method for document control, sophisticated process flow mapping, physician and staff training programs, follow-up activities in response to audits, and more. As an inspector, if something strikes you as impressive or worth implementing in your own organization, we want to know about it!
To submit commendable practices, inspectors have several options:
- Mention the practice within the onsite inspection evaluation,
- Describe the process in the introduction of your inspection report, or
- Contact the FACT Accreditation Coordinator.
The ultimate goal will be to follow up with the applicable organization to learn more about the commendable practice and share it with the entire FACT community. When appropriate, ideas may be referred to our parent organizations, ASBMT and ISCT, to develop best practices. After all, accreditation is more than correcting deficiencies; accreditation celebrates the quality of the program.