Financial Conflict of Interest Training

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Financial Conflict of Interest Training This module is required for all Vanderbilt Faculty and Staff who receive support through the Public Health Service (PHS). Training provided by: VU Office of Conflict of Interest and Commitment Management 2012 Vanderbilt University Slide 1 of 25

Upon completion of this training module, you will be able to: Identify key changes to the Federal regulations involving the reporting of Financial Conflicts of Interest related to: Definitions PHS Investigator Disclosure Responsibilities (e.g., what must be disclosed) Institutional Role for Review and Reporting Understand the process by which your financial relationships must be disclosed and reviewed prior to expenditure of federal funds. 2012 Vanderbilt University Slide 2 of 25

Outline Historical reference Purpose of the regulations Key changes Definitions Requirements for disclosure Requirements for review Responsibilities Investigator Responsibilities Institution Examples Reference and Contact Information 2012 Vanderbilt University Slide 3 of 25

Historical Reference Vanderbilt University has had a Conflict of Interest disclosure and review process for many years, meeting compliance with the initial federal regulations issued in 1995. In August 2011, the Department of Health and Human Services, acting through the Public Health Service (PHS), issued its final rule amending the regulations on Responsibility of Applicants for Promoting Objectivity in Research for which PHS Funding is Sought (42 CFR 50, Subpart F) and Responsible Prospective Contractors (45 CFR 94). All changes were implemented before the August 24, 2012 deadline and applied to all Notice of Grant Awards issued after this date. 2012 Vanderbilt University Slide 4 of 25

Purpose of the PHS Regulation The purpose of the regulation is to promote objectivity in research by establishing standards that provide a reasonable expectation that the design, conduct, and reporting of research will be free from bias resulting from Investigator financial conflicts of interest. 2012 Vanderbilt University Slide 5 of 25

Key Changes to the PHS Regulation The Significant Financial Interest (SFI) threshold was reduced from $10,000 to $5,000 annually and/or any equity holding in a non-publically traded company. All reimbursed or sponsored travel related to institutional responsibilities* must be disclosed to Vanderbilt regardless of the amount. All federally funded investigators and key study personnel must complete training initially upon submission of a grant application, and every four years following. This module meets the requirement for your initial and renewal training. *See definitions on slides 9-12 2012 Vanderbilt University Slide 6 of 25

Key Changes to the PHS Regulation Vanderbilt is required to complete a scientific review for any award in which an investigator has an SFI. The scientific review will determine whether any such SFI constitutes a Financial Conflict of Interest (FCOI), and if so, how this will be managed or eliminated. When it is determined that an FCOI exists, management plans must be reported back to the awarding agency before grant funds are spent, and updated at least annually. 2012 Vanderbilt University Slide 7 of 25

Key Changes to the PHS Regulation Vanderbilt is required to respond to requests for information from the public to include: The conflicted investigator/key study personnel s name Title Entity in which there is an SFI Nature of the financial interest (e.g., consulting, board service) Value of the interest 2012 Vanderbilt University Slide 8 of 25

PHS Definitions Investigator the Project Director (PD) or Principal Investigator (PI) and any other person, regardless of title or position, who is responsible for the design, conduct, or reporting of research, including sponsored research or proposed sponsored research. Senior/Key Personnel any Member of the University Community named as the Principal Investigator, project director, or otherwise identified as senior/key personnel by the University in a grant application, progress report, or any other report submitted to the PHS by the University. Institutional Responsibilities a Member of the University Community s activities and duties on behalf of the University or which fall within the scope of employment by the University (e.g., such as research, consultation, teaching, professional practice, institutional committee memberships, and service on panels such as the Vanderbilt University IRB or the IACUC). 2012 Vanderbilt University Slide 9 of 25

PHS Definition: SFI Significant Financial Interest (SFI) A financial interest consisting of one or more of the following (also included is the financial interest of your spouse or dependent children): The value of any remuneration and/or equity interest exceeds $5,000 [when received in the twelve months preceding, and in aggregate]. Any equity interests in a non-publically traded company. Intellectual property rights and interests (e.g., patents, copyrights), upon receipt of income related to such rights and interests. Any reimbursed or sponsored travel related to activities deemed to be part of your institutional responsibilities. 2012 Vanderbilt University Slide 10 of 25

Exclusions from the SFI Definition: Salary, royalties or other remuneration paid by Vanderbilt. IP income paid through Vanderbilt s Center for Technology Transfer & Commercialization. Income from mutual funds and/or retirement accounts so long as you do not have direct control over investment decisions. Income from seminars, lectures, teaching, service on advisory committees or review panels, for a federal, state or local governmental agency, an institution of higher education (as defined by 20 USC 1001(a)), an academic teaching hospital, a medical center, or a research institute affiliated with an institution of higher education. 2012 Vanderbilt University Slide 11 of 25

PHS Definition: Financial Conflict of Interest (FCOI) A Financial Conflict of Interest (FCOI) is significant financial interest (see definition on previous slide) that could directly and significantly affect the design, conduct, or reporting of research. 2012 Vanderbilt University Slide 12 of 25

Responsibilities PHS Investigator Faculty & Staff must disclose all outside business and other relationships to Vanderbilt at least annually. Disclosures must be updated within 30 days of the acquisition of a new financial interest. Investigators must verify the completeness of their disclosure upon submission of a new federally funded grant or contract. Investigators must affirm at least annually and upon each submission of a federal grant, their understanding of and agreement to follow Vanderbilt's Conflict of Interest and Commitment policy. Investigators must complete training on the topic of Conflicts of Interest, initially upon submission of a federal grant, when indicated for re-training (e.g., change in Vanderbilt COI policy or Investigator non-compliance with management plan), and every four years. 2012 Vanderbilt University Slide 13 of 25

Responsibilities PHS Investigator Please note that all faculty and staff (and family members) must disclose Board memberships, which may include being an officer or director of a business, whether or not the position is compensated, as part of the requirements for disclosure under the Vanderbilt Conflict of Interest and Commitment Policy. Disclosure is also required if the individual or family member is an employee, consultant, faculty member, or advisor for the business. 2012 Vanderbilt University Slide 14 of 25

Responsibilities Vanderbilt Maintain a Conflict of Interest Policy that is in compliance with the federal regulations and publically available for review via the VU and VUMC Compliance Office websites. Maintain records of all COI documentation of review and actions related to conflicts of interest for at least three years from the date of submission of the final expenditures report. 2012 Vanderbilt University Slide 15 of 25

Responsibilities Vanderbilt Review all disclosures and determine whether relationships reaching the level of a significant financial interest constitute a Financial Conflict of Interest (FCOI), and if so: Develop a management plan. Provide management plans to the PHS awarding agent prior to the expenditure of funds, within 60 days of identifying a new FCOI, and annually. Make available at the public s request the following: Investigator s name and title Role within the funded project(s) (e.g., PI) Name of entity in which there is an SFI Nature of SFI (e.g., payments for consulting) Approximate dollar value of the SFI in ranges (e.g., $0-$4,999), or a statement that the value cannot be readily determined. 2012 Vanderbilt University Slide 16 of 25

Example Dr. Smith has a consulting relationship with Company Alpha in which he is paid as a consultant. As part of this agreement, he was paid for his services, $12,000 in the 12 months prior, and was reimbursed travel expenses on three trips with a value of $3,000 per trip. Dr. Smith is the PI on a study being submitted to the NIH for funding. The AIMS of this study overlap with the consulting work he is doing with Company Alpha. Under Vanderbilt s Conflict of Interest and Commitment Policy, what must Dr. Smith do? 2012 Vanderbilt University Slide 17 of 25

Answer Dr. Smith must disclose this business on his annual Conflict of Interest Disclosure Form, including travel reimbursements. When submitting the grant to the NIH, Dr. Smith must verify that he disclosed this relationship in his annual form and make any additional disclosures in an updated disclosure, as needed. Upon receipt of the Just-in-Time (JIT) Notice or Notice of Grant Award (NOGA), Dr. Smith must verify that the COI review has been completed and a management plan established PRIOR to expending funds from the grant. It will be Dr. Smith s responsibility to follow all safeguards that are included in the management plan. Penalties for deliberate violations of this policy will be adjudicated in accordance with applicable disciplinary policies and procedures of the Human Resources Staff Guidelines or the Faculty Manual, as applicable. 2012 Vanderbilt University Slide 18 of 25

Example Timeline (disclosure to reporting) *All relationships must be in compliance with the University and VUMC COI Policies. Investigator Action Consulting contract signed by faculty or staff * Annual Disclosure Process Faculty discloses consulting agreement Submit Grant Application & Complete PEER COI Disclosure JIT Notice or NOGA Received **Other processes, such as required IRB approval for human subjects research, are not included on this timeline, but may be required for final approval. Grant funds may be dispersed COI Eliminated or Managed** Review Process - Departments Review Process COI Office Institutional Response Review Process Scientific Review Review Process COI Office and/or UCC (If required) Management Plan reported to NIH Annual report to NIH (Submitted with Progress Report) 2012 Vanderbilt University Slide 19 of 25

Example Timeline (disclosure to reporting) Investigator Action Annual Disclosure Process Faculty discloses consulting agreement Submit Grant Application & Complete PEER COI Disclosure JIT Notice or NOGA Received Grant funds may be dispersed Consulting contract signed by faculty/staff * *All relationships must be in compliance with the University and VUMC COI Policies. **Other processes, such as required IRB approval for human subjects research, are not included on this timeline, but may be required for final approval. COI Eliminated or Managed** Review Process - Departments Review Process COI Office Institutional Response Review Process Scientific Review Review Process COI Office and/or UCC (If required) Management Plan reported to NIH Annual report to NIH (Submitted with Progress Report) 2012 Vanderbilt University Slide 20 of 25

Key Take-Away Points! The threshold for SFI is now $5,000 and includes any interest in a non-publically traded company. Investigators must disclose relationships to Vanderbilt. Vanderbilt must determine whether the SFI is a Financial Conflict of Interest (FCOI) and if so, take steps to eliminate or manage the FCOI. Management plans must be reported to NIH upon initial NOGA, before expenditure of funds. Updates will be required annually to the NIH. If you have a new potential COI develop, you must disclose this to Vanderbilt within 30 days. All FCOIs may be made public through an online inquiry system. 2012 Vanderbilt University Slide 21 of 25

Online Resources at Vanderbilt COI Disclosure Systems: COI Disclosure System for University Faculty and All Staff https://webapp.mis.vanderbilt.edu/coi/ COI Disclosure System for VUMC Faculty https://medapps.mc.vanderbilt.edu/coi COI Policy: Vanderbilt University COI Policy http://www.vanderbilt.edu/compliance/includes/currentcoipolicy.pdf 2012 Vanderbilt University Slide 22 of 25

Online Resources from PHS & NIH NIH Grants Policy http://grants.nih.gov/grants/policy/coi/ COI Final Rule issued August 25, 2011 http://grants.nih.gov/grants/policy/coi/fcoi_final_rule.pdf Summary of Major Changes to COI Policy http://grants.nih.gov/grants/policy/coi/summary_of_major_changes.doc PHS Tutorial http://grants.nih.gov/grants/policy/coi/tutorial2011/fcoi.htm 2012 Vanderbilt University Slide 23 of 25

Contact Information VUMC Faculty Shannon Ontiveros, MS Director, Faculty Training and Compliance Programs VUMC Office of Faculty Affairs 615.322.8384 shannon.ontiveros@vanderbilt.edu University Faculty & Staff Christy Hooper, CPA Administrator VU Office of Conflict of Interest and Commitment Management 615.322.2401 christy.reid.hooper@vanderbilt.edu VUMC Staff Julia Hamilton Director, Conflict of Interest/Protection of Minors VUMC Office of Legal Affairs 615.875.7593 julia.a.hamilton@vanderbilt.edu Alison R. Cooper, JD Manager VU Office of Conflict of Interest and Commitment Management 615.322.8363 alison.r.cooper@vanderbilt.edu Submit your questions: VU: coi@vanderbilt.edu VUMC: coi.vumc@vanderbilt.edu 2012 Vanderbilt University Slide 24 of 25

The End You have reached the end of this training module. Please close this window. 2012 Vanderbilt University Slide 25 of 25