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Patient-Centered Outcomes Research
              Institute



         Board of Governors
     Teleconference and Webinar

           June 19, 2012
P A T IENT -CENTERED O U T C OM ES R ES EA R CH IN S T ITUTE




         Call to Order and Welcome

         Eugene Washington, MD, MSc, Board Chair
         Joe V. Selby, MD, MPH, Executive Director


         PCORI Board of Governors Teleconference and Webinar
         Tuesday, June 19, 2012




2
P A T IENT -CENTERED O U T C OM ES R ES EA R CH IN S T ITUTE




         Presentation of Draft Conflict of
         Interest Rules for Research Funding
         Larry Becker, Board Member
         Chair, Standing Committee on Conflict of Interest


         PCORI Board of Governors Teleconference and Webinar
         Tuesday, June 19, 2012




3
P A T IENT -CENTERED O U T C OM ES R ES EA R CH IN S T ITUTE




    Conflict of Interest Policy Goal

    • Safeguard the integrity and public trust in the process for funding
      patient-centered outcomes research




4
P A T IENT -CENTERED O U T C OM ES R ES EA R CH IN S T ITUTE




    Standing Committee on Conflict of Interest (SCCOI)

    • Will present today for the Board’s consideration specific rules to
      govern eligibility for PCORI funding.

    • Materials discussed today are available in document form on the
      PCORI website:
              www.pcori.org/meetings-events/event/special-board-meeting-webinar

    • This slide presentation is a reference for discussion and is not a
      substitute for the documents provided on the PCORI website.



5
P A T IENT -CENTERED O U T C OM ES R ES EA R CH IN S T ITUTE




    Proposed PCORI Conflict of Interest Rules for PCORI
    Research Funding

    • Members of the Board of Governors (Board) are ineligible to
      compete for PCORI research funding.

    • Close relatives of Board members, including spouses/domestic
      partners/children, are ineligible to compete for PCORI research
      funding.




6
P A T IENT -CENTERED O U T C OM ES R ES EA R CH IN S T ITUTE




        Proposed PCORI Conflict of Interest Rules for
        Research Funding
•       The Methodology Committee will be organized into two subcommittees:

         –     A Methodology Executive Sub-committee (Board liaisons and others selecting to voluntarily serve) will
               be formed to work with the Board, the Executive Director and the PCORI Staff in developing research
               priorities and a research agenda. This work will include participation in preparation of funding
               announcements, statements of work for contract solicitations, and other methodological consultation as
               needed. This subcommittee will be excluded from eligibility to compete for PCORI research funding.

         –     A Methodology Advisory Sub-committee will be formed to provide high level advice to the Board, the
               Executive Director and the PCORI Staff with respect to methodological matters (i.e., input). This group
               will be prohibited from participating in creating funding announcements, statements of work for
               prospective contracts, peer review of extramural proposals, etc. (i.e., involvement).

         –     The names of these two sub-committees, and the use of the term “sub-committee,” may subsequently be
               changed to reflect how the two groups actually function and relate to one another. The important feature
               is that there will be two distinct groups: one eligible to apply for PCORI funding and the other not eligible.
               Once established, “firewall” protections will be put into effect that prevent the eligible group from
               obtaining access to any information that would constitute an unfair advantage. Methodology Committee
               members will be permitted to change sub-committees on a permanent basis if their situation changes.
    7
P A T IENT -CENTERED O U T C OM ES R ES EA R CH IN S T ITUTE




        Proposed PCORI Conflict of Interest Rules for
        Research Funding
    •      Firewall policies and procedures will be established between the two
           subcommittees, and between the Advisory Sub-committee and other elements of
           PCORI.

    •      PCORI Staff assigned to the two sub-committees shall adhere to all firewall policies
           and procedures.

    •      Members serving on the Advisory Sub-committee will be allowed to compete for
           PCORI funding.

    •      Current and future members of the Methodology Committee will declare which
           subcommittee they will join.

    •      Advisory Sub-committee members are declared ineligible for the first full
           round/cycle of Public Funding Announcements (PFA) released in 2012.
8
P A T IENT -CENTERED O U T C OM ES R ES EA R CH IN S T ITUTE



    Proposed PCORI Conflict of Interest Rules for
    Research Funding
    • Advisory Sub-committee members are eligible for all future PFAs so
      long as they do not breach the firewalls or are deemed by the PCORI
      Board of Governors to have been involved in the activities pursuant
      to a specific PFA.

    • The Methodology Executive Sub-committee includes the Chair and
      Vice Chair of the Methodology Committee, NIH and AHRQ
      employees serving on the Methodology Committee and who at times
      stand in for their NIH and AHRQ member of the PCORI Board of
      Governors, and others on the Methodology Committee who
      voluntarily agree to serve on the Methodology Executive Sub-
      committee.
9
P A T IENT -CENTERED O U T C OM ES R ES EA R CH IN S T ITUTE




        Proposed PCORI Conflict of Interest Rules for
        Research Funding
     • Close relatives (spouses, significant others, dependents) of Board,
       Methodology Committee members, or PCORI staff are excluded
       from competing for PCORI funding to the same extent as their
       respective Board, Methodology Committee, or PCORI staff member.

     • All Board members, Methodology Committee members serving on
       either the Executive or the Advisory sub-committees, and PCORI
       staff are expected to adhere to strict confidentiality agreements,
       keeping any information obtained solely during closed meetings of
       the Board, Methodology Committee, or with PCORI staff members
       confidential at all times.


10
P A T IENT -CENTERED O U T C OM ES R ES EA R CH IN S T ITUTE




            Proposed PCORI Conflict of Interest Rules for
            Research Funding
     •      Methodology Committee members and Board members, in their roles as
            teachers and mentors, may continue to provide scientific advice in
            framing research questions, preparing research proposals, and forming
            research teams to respond to research funding opportunities, including
            PCORI funding opportunities, provided they limit their mentoring to
            publicly available information in accordance with their confidentiality
            agreement(s). Board members, members of the Methodology Executive
            subcommittee and PCORI staff may not be listed as co-investigators,
            advisors or consultants in grant applications at any time. Members of
            the Methodology Advisory subcommittee are precluded from serving in
            these roles for the first full PCORI PFA issued in 2012 as well as for any
            future PFA on which they are determined by the SCCOI and Board to be
            conflicted. Such applications shall be subject to disqualification.
11
P A T IENT -CENTERED O U T C OM ES R ES EA R CH IN S T ITUTE




            Proposed PCORI Conflict of Interest Rules for
            Research Funding
     •      If a Board member or PCORI staff member resigns from their PCORI
            role, they and their respective close relatives are ineligible to compete
            for PCORI funding for one year from the effective date of their
            resignation.

     •      If a Methodology Committee member resigns, they shall not be eligible
            any sooner than a similarly situated Methodology Committee member
            who is eligible to compete for PCORI funding.

     •      No waivers to this policy will be allowed; in the event that there are no
            qualified responses to funding announcements, the staff will take steps
            (e.g., hold educational training workshops) to increase the quality of
            future proposals.
12
P A T IENT -CENTERED O U T C OM ES R ES EA R CH IN S T ITUTE




          Board Discussion
          of Draft Conflict of Interest Rules
          for Research Funding


          PCORI Board of Governors Teleconference and Webinar
          Tuesday, June 19, 2012




13
P A T IENT -CENTERED O U T C OM ES R ES EA R CH IN S T ITUTE




            Proposed Action

       The PCORI Board of Governors adopts the rules proposed today by the
      Standing Committee on Conflict of Interest to govern eligibility for PCORI
                                                                    research funding.




14
P A T IENT -CENTERED O U T C OM ES R ES EA R CH IN S T ITUTE




          Board Vote
          on Draft Conflict of Interest Rules
          for Research Funding


          PCORI Board of Governors Teleconference and Webinar
          Tuesday, June 19, 2012




15
P A T IENT -CENTERED O U T C OM ES R ES EA R CH IN S T ITUTE




          Board Discussion of Additional
          Conflict of Interest Policy Issues



          PCORI Board of Governors Teleconference and Webinar
          Tuesday, June 19, 2012




16
P A T IENT -CENTERED O U T C OM ES R ES EA R CH IN S T ITUTE




          Wrap-Up and Adjournment

          Eugene Washington, MD, MSc, Board Chair
          Joe V. Selby, MD, MPH, Executive Director


          PCORI Board of Governors Teleconference and Webinar
          Tuesday, June 19, 2012




17

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PCORI COI Board Webinar

  • 1. Patient-Centered Outcomes Research Institute Board of Governors Teleconference and Webinar June 19, 2012
  • 2. P A T IENT -CENTERED O U T C OM ES R ES EA R CH IN S T ITUTE Call to Order and Welcome Eugene Washington, MD, MSc, Board Chair Joe V. Selby, MD, MPH, Executive Director PCORI Board of Governors Teleconference and Webinar Tuesday, June 19, 2012 2
  • 3. P A T IENT -CENTERED O U T C OM ES R ES EA R CH IN S T ITUTE Presentation of Draft Conflict of Interest Rules for Research Funding Larry Becker, Board Member Chair, Standing Committee on Conflict of Interest PCORI Board of Governors Teleconference and Webinar Tuesday, June 19, 2012 3
  • 4. P A T IENT -CENTERED O U T C OM ES R ES EA R CH IN S T ITUTE Conflict of Interest Policy Goal • Safeguard the integrity and public trust in the process for funding patient-centered outcomes research 4
  • 5. P A T IENT -CENTERED O U T C OM ES R ES EA R CH IN S T ITUTE Standing Committee on Conflict of Interest (SCCOI) • Will present today for the Board’s consideration specific rules to govern eligibility for PCORI funding. • Materials discussed today are available in document form on the PCORI website: www.pcori.org/meetings-events/event/special-board-meeting-webinar • This slide presentation is a reference for discussion and is not a substitute for the documents provided on the PCORI website. 5
  • 6. P A T IENT -CENTERED O U T C OM ES R ES EA R CH IN S T ITUTE Proposed PCORI Conflict of Interest Rules for PCORI Research Funding • Members of the Board of Governors (Board) are ineligible to compete for PCORI research funding. • Close relatives of Board members, including spouses/domestic partners/children, are ineligible to compete for PCORI research funding. 6
  • 7. P A T IENT -CENTERED O U T C OM ES R ES EA R CH IN S T ITUTE Proposed PCORI Conflict of Interest Rules for Research Funding • The Methodology Committee will be organized into two subcommittees: – A Methodology Executive Sub-committee (Board liaisons and others selecting to voluntarily serve) will be formed to work with the Board, the Executive Director and the PCORI Staff in developing research priorities and a research agenda. This work will include participation in preparation of funding announcements, statements of work for contract solicitations, and other methodological consultation as needed. This subcommittee will be excluded from eligibility to compete for PCORI research funding. – A Methodology Advisory Sub-committee will be formed to provide high level advice to the Board, the Executive Director and the PCORI Staff with respect to methodological matters (i.e., input). This group will be prohibited from participating in creating funding announcements, statements of work for prospective contracts, peer review of extramural proposals, etc. (i.e., involvement). – The names of these two sub-committees, and the use of the term “sub-committee,” may subsequently be changed to reflect how the two groups actually function and relate to one another. The important feature is that there will be two distinct groups: one eligible to apply for PCORI funding and the other not eligible. Once established, “firewall” protections will be put into effect that prevent the eligible group from obtaining access to any information that would constitute an unfair advantage. Methodology Committee members will be permitted to change sub-committees on a permanent basis if their situation changes. 7
  • 8. P A T IENT -CENTERED O U T C OM ES R ES EA R CH IN S T ITUTE Proposed PCORI Conflict of Interest Rules for Research Funding • Firewall policies and procedures will be established between the two subcommittees, and between the Advisory Sub-committee and other elements of PCORI. • PCORI Staff assigned to the two sub-committees shall adhere to all firewall policies and procedures. • Members serving on the Advisory Sub-committee will be allowed to compete for PCORI funding. • Current and future members of the Methodology Committee will declare which subcommittee they will join. • Advisory Sub-committee members are declared ineligible for the first full round/cycle of Public Funding Announcements (PFA) released in 2012. 8
  • 9. P A T IENT -CENTERED O U T C OM ES R ES EA R CH IN S T ITUTE Proposed PCORI Conflict of Interest Rules for Research Funding • Advisory Sub-committee members are eligible for all future PFAs so long as they do not breach the firewalls or are deemed by the PCORI Board of Governors to have been involved in the activities pursuant to a specific PFA. • The Methodology Executive Sub-committee includes the Chair and Vice Chair of the Methodology Committee, NIH and AHRQ employees serving on the Methodology Committee and who at times stand in for their NIH and AHRQ member of the PCORI Board of Governors, and others on the Methodology Committee who voluntarily agree to serve on the Methodology Executive Sub- committee. 9
  • 10. P A T IENT -CENTERED O U T C OM ES R ES EA R CH IN S T ITUTE Proposed PCORI Conflict of Interest Rules for Research Funding • Close relatives (spouses, significant others, dependents) of Board, Methodology Committee members, or PCORI staff are excluded from competing for PCORI funding to the same extent as their respective Board, Methodology Committee, or PCORI staff member. • All Board members, Methodology Committee members serving on either the Executive or the Advisory sub-committees, and PCORI staff are expected to adhere to strict confidentiality agreements, keeping any information obtained solely during closed meetings of the Board, Methodology Committee, or with PCORI staff members confidential at all times. 10
  • 11. P A T IENT -CENTERED O U T C OM ES R ES EA R CH IN S T ITUTE Proposed PCORI Conflict of Interest Rules for Research Funding • Methodology Committee members and Board members, in their roles as teachers and mentors, may continue to provide scientific advice in framing research questions, preparing research proposals, and forming research teams to respond to research funding opportunities, including PCORI funding opportunities, provided they limit their mentoring to publicly available information in accordance with their confidentiality agreement(s). Board members, members of the Methodology Executive subcommittee and PCORI staff may not be listed as co-investigators, advisors or consultants in grant applications at any time. Members of the Methodology Advisory subcommittee are precluded from serving in these roles for the first full PCORI PFA issued in 2012 as well as for any future PFA on which they are determined by the SCCOI and Board to be conflicted. Such applications shall be subject to disqualification. 11
  • 12. P A T IENT -CENTERED O U T C OM ES R ES EA R CH IN S T ITUTE Proposed PCORI Conflict of Interest Rules for Research Funding • If a Board member or PCORI staff member resigns from their PCORI role, they and their respective close relatives are ineligible to compete for PCORI funding for one year from the effective date of their resignation. • If a Methodology Committee member resigns, they shall not be eligible any sooner than a similarly situated Methodology Committee member who is eligible to compete for PCORI funding. • No waivers to this policy will be allowed; in the event that there are no qualified responses to funding announcements, the staff will take steps (e.g., hold educational training workshops) to increase the quality of future proposals. 12
  • 13. P A T IENT -CENTERED O U T C OM ES R ES EA R CH IN S T ITUTE Board Discussion of Draft Conflict of Interest Rules for Research Funding PCORI Board of Governors Teleconference and Webinar Tuesday, June 19, 2012 13
  • 14. P A T IENT -CENTERED O U T C OM ES R ES EA R CH IN S T ITUTE Proposed Action The PCORI Board of Governors adopts the rules proposed today by the Standing Committee on Conflict of Interest to govern eligibility for PCORI research funding. 14
  • 15. P A T IENT -CENTERED O U T C OM ES R ES EA R CH IN S T ITUTE Board Vote on Draft Conflict of Interest Rules for Research Funding PCORI Board of Governors Teleconference and Webinar Tuesday, June 19, 2012 15
  • 16. P A T IENT -CENTERED O U T C OM ES R ES EA R CH IN S T ITUTE Board Discussion of Additional Conflict of Interest Policy Issues PCORI Board of Governors Teleconference and Webinar Tuesday, June 19, 2012 16
  • 17. P A T IENT -CENTERED O U T C OM ES R ES EA R CH IN S T ITUTE Wrap-Up and Adjournment Eugene Washington, MD, MSc, Board Chair Joe V. Selby, MD, MPH, Executive Director PCORI Board of Governors Teleconference and Webinar Tuesday, June 19, 2012 17