Compliance with Federal Financial Conflicts of Interest Policy
I. FINANCIAL CONFLICT OF INTEREST STANDARDS
The federal Department of Health and Human Services (HHS) has determined that Investigators sponsored by Public Health Services (PHS) grants are subject to specific requirements regarding the disclosure and management of conflicts of interest with regard to research in order to provide a reasonable expectation that PHS-sponsored research will be conducted free of bias resulting from Investigator financial conflicts of interest.
这些标准适用于授予美国心脏协会(AHA)的所有赠款和合作协议，其颁发日期为8月24日或之后, 2012 (including noncompeting continuations), and to solicitations issued and contracts awarded after August 24, 2012, that are for research. These federal requirements are applicable to all AHA research grant proposals for extramural awards submitted to PHS.
Investigators receiving PHS research support from AHA are required to disclose Significant Financial Interests. These Investigators shall submit a disclosure of Significant Financial Interests in accordance with AHA implementation procedures.
The requirement that an Investigator disclose a Significant Financial Interest under the terms of these Standards does not in and of itself imply the existence of an actual or potential financial conflict of interest. The AHA National Government Grants Director will determine the existence of an actual financial conflict of interest, based upon the relationship of the Investigators’ Significant Financial Interests to the Investigators’ responsibilities, with input from the Investigator. If a financial conflict of interest is identified, the AHA National Government Grants Director shall recommend additional steps to manage or eliminate the conflict.
The AHA National Government Grants Director will review the Investigators’ Significant Financial Interest disclosures, with each PHS proposal, progress report, incremental funding or extension, 确定是否有任何重大经济利益合理地显示与phs资助的研究者所从事的研究活动有关. 研究者应该有机会表明他们是否认为他们报告的重大经济利益与他们的phs资助的研究活动有关.
AHA will make any required reports to the appropriate PHS agency regarding identified financial interests and AHA’s steps for managing potential financial conflicts of interest in a way that preserves the integrity of the research project.
II. DEFINITIONS
AHA National Government Grants Director:
The AHA National Government Grants Director is designated to solicit and review Investigators’ completed Disclosure of Financial Interest forms and may determine whether the Investigator has a Financial Conflict of Interest.
Financial Conflict of Interest:
与研究员参与的phs资助的研究活动相关的重大经济利益，并且可能直接和显著地影响设计, conduct and/or reporting of PHS-funded research activity.
Financial Conflict of Interest Review Team (FCOIRT):
The FCOIRT is made up of the AHA Project Manager, a representative from AHA Legal, the AHA Compliance Director and AHA Chief Science and Medical Officer, 并负责就制定和实施管理计划向美国心脏协会国家政府拨款主任提供建议，该管理计划应详细说明已采取的行动, and shall be, taken to manage such financial conflict of interest.
Investigator:
The Project Director or Principal Investigator and any other person, regardless of title or position, who is responsible for the design, conduct, or reporting of research funded by the PHS, or proposed for such funding, which may include, for example, Collaborators, Co-Investigators, Volunteers who are serving as Investigators or any other project-related capacity, or consultants.
Principal Investigator:
The person(s) identified in that role in the grant application, progress report or any other report submitted to the PHS.
Key Personnel:
The AHA Project Director, Investigator(s) and any other personnel considered essential to work performance and identified as Key Personnel in the contract proposal, grant, or contract.
Significant Financial Interest (SFI):
Consistent with federal regulations (42 CFR Part 50.603 and 45 CFR Part 94.3), Significant Financial Interest means a financial interest consisting of one or more of the following interests of the Investigator or the Investigator's spouse or registered domestic partner and dependent children for the following categories, except in the case of travel:
- With regard to any publicly-traded entity, a Significant Financial Interest exists if the value of any remuneration received from the entity in the twelve months preceding the disclosure and the value of any equity interest in the entity as of the date of disclosure, when aggregated, exceeds $5,000. Included are salary, consulting fees, honoraria, and the equity interest value at the date of disclosure as determined by public prices or other reasonable measure of fair market value.
- With regard to any non-publicly-traded entity, 如果在披露前12个月内从该实体收到的任何报酬的价值存在重大财务利益, when aggregated, exceeds $5,000, or when the Investigator (or the Investigator’s spouse, registered domestic partner, or dependent children) holds any equity interest.
- Intellectual property rights and interests, upon receipt of income, exceeding $5,000 during the twelve months preceding disclosure from such rights and interests.
- In the case of travel, sponsored travel or reimbursements made to or on behalf of, the Investigator, regardless of amount, by a for-profit or non-profit entity related to the Investigator’s Institutional Responsibilities. However, Significant Financial Interests do not include travel reimbursed or paid by a federal, state, or local government agency, a U.S. institution of higher education, or a research institute, academic medical center or hospital affiliated with an institution of higher education.
The term “Significant Financial Interest” does not include the following types of financial interests:
- Salary, royalties, or other payments made by the AHA to an AHA Investigator who is currently employed or otherwise appointed by the AHA;
- Income from seminars, lectures, teaching engagements, or service on advisory committees or review panels sponsored by a federal, state, or local government, agency, a U.S. institution of higher education, or a research institute, academic medical center or hospital affiliated with an institution of higher education.
- Income from investment vehicles, such as mutual funds and retirement funds, in which the Investigator does not directly control investment decisions.
III. IMPLEMENTATION PROCEDURES
A. DISCLOSURE OF SIGNIFICANT FINANCIAL INTERESTS
Investigators receiving PHS research support from AHA are required to disclose Significant Financial Interests. These Investigators shall submit a disclosure of Significant Financial Interests in accordance with AHA implementation procedures.
按照标准定义的研究人员应在承诺参与拟议项目后15天内向美国心脏协会披露所有重大财务利益, but no later than 5 business days prior to application submission.
This initial disclosure responsibility is separate from and in addition to an Investigator's ongoing duty throughout the period of a PHS research award to disclose to the AHA National Government Grants Director his or her Significant Financial Interests, and those of his or her spouse or registered domestic partner, and dependent children related to the Investigator’s responsibilities to the AHA:
- Within 30 days of discovering or acquiring (e.g., through purchase, marriage or inheritance) any new Significant Financial Interest (with the exception of travel disclosures, noted below); and
- At least annually throughout the period of the award.
Under the terms of these implementation procedures, Principal Investigators must identify all Investigators on the award (that is, all individuals who will have responsibility for designing, conducting, or reporting the research to be funded by PHS) who are required to disclose Significant Financial Interests.
Sponsored or reimbursed travel may be disclosed:
- Prospectively listing all anticipated travel (including information about the purpose of the trip, the identity of the sponsor/organizer, the destination and the duration of the trip, as well as any other information that may be required by the AHA) for the 12 month period following the filing of the Investigator’s annual disclosure form; or
- Within 30 days of the occurrence of travel that either was not listed on the prospective annual travel report pursuant to paragraph a) or that significantly varied in the threshold reporting details from what was listed in the prospective report.
Collaborators from other organizations who share responsibility for the design, conduct or reporting of research results, and who will conduct research under a sub-grant or subcontract from the AHA, 是否应遵守有关披露和审查其所在组织重大财务利益的政策和程序, if their employer does not have a conflict of interest policy that complies with the DHHS regulations, with these policies and procedures. 由AHA颁发的次级奖励将要求次级接受者组织证明其政策符合DHHS利益冲突法规. If so, the recipient organization is responsible for reviewing the disclosures submitted by its Investigators and, if a Financial Conflict of Interest is identified, for sending the AHA notification of the conflict and of the subrecipient organization’s actions, including its plan to manage, reduce or eliminate the identified conflicts.
Collaborators who share responsibility for the design, conduct, and reporting of research results, who are not covered by a Financial Conflict of Interest policy that complies with DHHS conflict of interest regulations and who will participate in research should be identified as Investigators by the Principal Investigator and should complete the AHA disclosure forms. If, upon review, the AHA determines that these financial interests could directly and significantly affect the design, conduct, or reporting of the research to be performed under the agreement, the AHA will require the collaborator to adhere to the plans put in place to eliminate, reduce or manage the identified conflicts of interest.
B. REVIEW OF DISCLOSURES: MANAGEMENT PLAN
The AHA National Government Grants Director will review the Investigators’ Significant Financial Interest disclosures, with each PHS proposal, progress report, incremental funding or extension, 确定是否有任何重大经济利益合理地显示与phs资助的研究者所从事的研究活动有关. Investigators shall have an opportunity to indicate whether or not they believe the Significant Financial Interest(s) they reported are related to their PHS-funded research activities. 如果美国心脏协会国家政府拨款主任得出结论，研究者的重大经济利益合理地直接和显著地影响了设计, conduct or reporting of the PHS-funded research, or is in an entity whose financial interest could be affected by the research, the AHA National Government Grants Director will send the Disclosure and appropriate documentation to the FCOIRT for consideration. The FCOIRT shall determine any conditions or restrictions should be placed on the project to eliminate or manage the Financial Conflict of Interest before the support can be accepted.
For Disclosures prior to project initiation, the AHA will implement all management plans prior to the AHA’s expenditure of PHS funds awarded for the research project, and shall specify the actions required to manage the Financial Conflict of Interest, including:
- The role and principal duties of the conflicted Investigator;
- Conditions of the management plan;
- How the plan will safeguard objectivity in the research activity;
- Confirmation of the investigator’s agreement to the plan; and
- How the plan will be monitored.
The same review process takes place when an Investigator reports a new Significant Financial Interest.
C. REPORTING TO PHS
Prior to the AHA’s expenditure of any funds provided under a PHS award, the AHA must provide to the PHS funding agency an initial report regarding Investigator Financial Conflict of Interest. If Financial Conflicts of Interest are eliminated before research funds are expended, the AHA is not required to submit a report to the PHS funding agency.
During the period of the award, the AHA shall, within 60 days of receipt of disclosure of a new or newly-discovered Significant Financial Interest, review the disclosure, determine whether it is related to PHS-funded research, determine whether it constitutes a Financial Conflict of Interest, and if so, implement a management plan and report the Financial Conflict of Interest to the PHS funding agency.
For any Financial Conflict of Interest that the AHA reports to a PHS awarding agency, 美国公共卫生协会应向小灵通奖励机构提供一份年度财务利益冲突报告，说明冲突状况和管理计划的任何变化, for the duration of the project. The annual report shall specify whether the financial conflict is still being managed or explain why it no longer exists. AHA必须在项目期间(包括有或没有资金的延期)向小灵通授奖机构提供年度报告。. 在确定新研究员加入正在进行的phs资助研究活动存在财务利益冲突后的60天内, the AHA must implement a management plan and submit a report to the PHS funding agency.
如果卫生与公众服务部(DHHS)确定，phs资助的临床研究项目，其目的是评估药物的安全性或有效性, medical device or treatment, has been designed, conducted, 或由具有财务利益冲突的研究者报告，而AHA没有按照本标准和联邦法规的要求进行管理或报告, the AHA shall require the Investigator to disclose the Financial Conflict of Interest in each public presentation of the results of the research and to request an addendum to previously published presentations.
D. MONITORING
美国心脏协会制定的任何管理计划都应规定美国心脏协会将如何监督研究者对计划的遵守情况，直到完成phs资助的研究项目.
E. RETROSPECTIVE REVIEWS AND MITIGATION REPORTS
When, during the course on ongoing PHS-funded research project, 美国心脏协会认定研究者未及时披露或先前未审查的重大经济利益, the AHA National Government Grants Director will, within 60 days, review the Significant Financial Interest to determine whether it is related to PHS funded research activity, determine whether a Financial Conflict of Interest exists, and if so, implement a management plan on at least an interim basis.
In addition, whenever (a) a Financial Conflict of Interest is not identified or managed in a timely manner, regardless of whether the Investigator did not disclose an SFI that was later determined to be a Financial Conflict of Interest, (b) the AHA did not review or manage the Financial Conflict of Interest, or (c) the Investigator failed to comply with a previously implemented management plan, 美国心脏协会必须在确定不合规后120天内完成对研究者活动和phs资助研究的回顾性审查. The purpose of this retrospective review is to determine if the ongoing PHSfunded research was biased in its design, conduct or reporting. The AHA will document the retrospective review including the project number, project title, name of Investigator with the Financial Conflict of Interest, name of the entity with which the Investigator has a Financial Conflict of Interest, the reasons for the retrospective review, detailed methodology used for the retrospective review, findings, and conclusions.
Based on the results of the retrospective review, if appropriate, the previously submitted Financial Conflict of Interest report should be updated to specify the actions that the AHA will take to manage the identified Financial Conflict of Interest going forward. If bias was found during the retrospective review, 美国卫生协会将立即通知公共卫生服务资助机构，并将起草一份缓解报告，至少记录回顾性审查的关键要素, describes the impact of the bias on the research, and outlines the AHA’s plans to eliminate or mitigate the effect of the bias.
F. RECORD RETENTION
The AHA will maintain records of financial disclosures related to any grant and the AHA’s review of, or response to such disclosures, whether or not a disclosure resulted in the AHA’s determination of a Financial Conflict of Interest, 以及根据本标准采取的所有行动，或自提交最终支出报告或报告之日起至少3年的回顾性审查, for awards that are renewed quarterly or annually, from the date of the submission of the quarterly or annual financial report for the subject award or as otherwise required under 45 CFR 74.53(b) and 92.42(b)(pertaining to pending litigation and audits), or where real property and equipment purchased under the award are retained beyond 3 years, when records are transferred to or maintained by the HHS awarding agency, or indirect cost proposals and cost allocation plans. Records relating to unfunded awards need not be retained.
G. TRAINING
Each Investigator, including collaborators, consultants or subcontractors, must complete NIHcompliant training about the PHS financial conflicts of interest policy prior to engaging in research related to any PHS-funded project and at least every 4 years thereafter, while receiving PHS research funding, and at other times as may be required by the AHA in accordance with DHHS regulations. For PHS-funded Investigators who are new to the AHA or who are joining an ongoing PHS Research Activity, the AHA should establish a reasonable, expeditious timeframe when Investigators must complete training.
H. PUBLIC ACCESS TO INFORMATION
美国公共卫生协会国家政府拨款主任根据公共卫生服务条例和本标准管理公众信息请求的接收和回应, and shall take action necessary to provide reasonable notice of those addresses to the public, including prominently posting this information on the AHA web site.
The AHA must respond within 5 business days to any request for information about Significant Financial Interests held by Key Personnel when the AHA has determined that the disclosed Significant Financial Interests are related to the PHS funded research, and constitute Financial Conflicts of Interest. The 5- day response time shall be measured from the date that the request for information is received at the AHA-designated address until the date a response is sent to the requestor.
Disclosure forms, Disclosure Update forms, 和管理计划，包括根据本标准确定的财务利益冲突，均为公开记录，供公众查阅, under federal and state law.
I. SANCTIONS
如果顾问未能提交完整的信息披露或未能遵守美国心脏协会施加的任何条件或限制，美国心脏协会可以终止顾问的合同. The AHA may remove other Key Personnel from the project and prohibit them from use of or credit in the resulting reports, data or other deliverables. In addition, federal regulations may require the AHA to report any violations of federal regulations and AHA policy to the federal sponsor of the project. Where appropriate, 由于任何关键人员故意或严重疏忽未能遵守上述政策和程序，美国心脏协会可以要求赔偿任何不当支付的资金.
IV. COMPLIANCE / RESPONSIBILITIES SUMMARY
| Function | Responsibilities |
|---|---|
|
Investigators, as defined by these Standards |
|
|
Collaborators, consultants, volunteers or subcontractors who share responsibility for the design, conduct or reporting of research results, and who will be conducting research under a subgrant or subcontract from the AHA |
|
|
Institutions that receive subawards issued by the AHA for PHS funded research |
|