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.

These Standards apply to all grants and cooperative agreements awarded to the American Heart Association (AHA) with an issue date of the Notice of Award on or after August 24, 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鈥� Significant Financial Interests to the Investigators鈥� 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.

AHA will make any required reports to the appropriate PHS agency regarding identified financial interests and AHA鈥檚 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鈥� completed Disclosure of Financial Interest forms and may determine whether the Investigator has a Financial Conflict of Interest.

Financial Conflict of Interest:

A Significant Financial Interest that is related to the PHS-funded research activity in which the Investigator is engaged and that could directly and significantly affect the design, 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, and is responsible for advising the AHA National Government Grants Director on the development and implementation of a management plan that shall specify the actions that have been, 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, a Significant Financial Interest exists if the value of any remuneration received from the entity in the twelve months preceding the disclosure, when aggregated, exceeds $5,000, or when the Investigator (or the Investigator鈥檚 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鈥檚 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 鈥淪ignificant Financial Interest鈥� 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 as defined by the Standards shall disclose to the AHA all Significant Financial Interests within 15 days of committing to participate in a proposed project, 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鈥檚 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鈥檚 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, are expected to comply with the policies and procedures for disclosure and review of Significant Financial Interests at the organization at which they are employed or, if their employer does not have a conflict of interest policy that complies with the DHHS regulations, with these policies and procedures. Subawards issued by the AHA will require the subrecipient organization to certify that its policy complies with DHHS conflict of interest regulations. 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鈥檚 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鈥� Significant Financial Interest disclosures, with each PHS proposal, progress report, incremental funding or extension, to determine whether there are any Significant Financial Interests that reasonably appear to be related to the PHS-funded research activity in which the Investigator is engaged. 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. If the AHA National Government Grants Director concludes that an Investigator鈥檚 Significant Financial Interest reasonably appears to directly and significantly affect the design, 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鈥檚 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鈥檚 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鈥檚 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, the AHA shall provide to the PHS awarding agency an annual Financial Conflict of Interest report that addresses the status of the conflict and any changes to the management plan, 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. The AHA must provide annual reports to the PHS awarding agency for the duration of the project period ((including extensions with or without funds). Within 60 days of determining that a Financial Conflict of Interest exists for a new Investigator who joins an ongoing PHS-funded research activity, the AHA must implement a management plan and submit a report to the PHS funding agency.

If the Department of Health and Human Services (DHHS) determines that a PHS-sponsored project of clinical research whose purpose is to evaluate the safety or effectiveness of a drug, medical device or treatment, has been designed, conducted, or reported by an Investigator with a Financial Conflict of Interest that was not managed or reported by the AHA as required by these Standards and Federal regulation, 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

Any management plan put in place by the AHA shall specify how the AHA will monitor the Investigator鈥檚 compliance with the plan until completion of the PHS-funded research project.

E. RETROSPECTIVE REVIEWS AND MITIGATION REPORTS

When, during the course on ongoing PHS-funded research project, the AHA identifies a Significant Financial Interest that was not disclosed in a timely manner by an Investigator or which was not previously reviewed, 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, the AHA must complete a retrospective review of the Investigator鈥檚 activities and the PHS-funded research within 120 days of the determination of non-compliance. 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, the AHA will promptly notify the PHS funding agency and will draft a mitigation report that at a minimum documents the key elements of the retrospective review, describes the impact of the bias on the research, and outlines the AHA鈥檚 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鈥檚 review of, or response to such disclosures, whether or not a disclosure resulted in the AHA鈥檚 determination of a Financial Conflict of Interest, and all actions under these Standards or retrospective review for at least 3 years from the date of submission of the final expenditure report or, 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

The AHA National Government Grants Director manage the receipt and response to public requests for information under the PHS regulations and these Standards, 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, and Management Plans including determinations of Financial Conflicts of Interest under these Standards are public records open to public inspection, under federal and state law.

I. SANCTIONS

The AHA may terminate Consultants for cause who either fail to file a complete disclosure or fail to comply with any conditions or restrictions imposed by AHA. 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, the AHA may seek reimbursement of any improperly disbursed funding due to any Key Personnel鈥檚 intentional or grossly negligent failure to comply with the above policy and procedures.

IV. COMPLIANCE / RESPONSIBILITIES SUMMARY

Function	Responsibilities
Investigators, as defined by these Standards	Must disclose to AHA all Significant Financial Interests (SFIs) related to the Investigator鈥檚 Institutional Responsibilities, no later than at the time of application for PHS funding. Throughout the period of the PHS research award, must disclose to the AHA their SFIs, and those of their spouse or registered domestic partner and dependent children: Within 30 days of discovering or acquiring any new SFI; and At least annually throughout the period of the award. Principal Investigators must fully identify all Investigators on the award who are required to disclose SFIs under the terms of these Standards. Investigators must complete NIH-compliant training about the AHA鈥檚 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 under these Standards. In cases where the AHA has identified a financial conflict of interest held by the Investigator and has implemented a management plan to eliminate, reduce or manage the conflict, must adhere to the terms of the management plan. Where DHHS determines that a PHS-sponsored project of clinical research whose purpose is to evaluate the safety or effectiveness of a drug, medical device or treatment has been designed, conducted, or reported by an Investigator with a Financial Conflict of Interest that was not managed or reported by the AHA as required by this policy and federal regulation, 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.
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	Must comply with the policies and procedures for disclosure and review of SFIs at the institution at which they are employed, or, if their institution does not have a conflict of interest policy that is compliant with the DHHS regulations, they must comply with these Standards and AHA procedures for disclosure and review of SFIs related to PHS-sponsored awards. Must comply with all requirements of their institution's (or this) policy that pertain to Investigators, including completing NIH-compliant training about the PHS financial conflicts of interest policy prior to engaging in research related to any PHS-funded contract and at least every 4 years thereafter, while receiving PHS research funding.
Institutions that receive subawards issued by the AHA for PHS funded research	In cases where the agreement between the AHA and the subrecipient specifies that the subrecipient鈥檚 conflict of interest policy shall apply: Must certify that the subrecipient鈥檚 conflict of interest policy complies with the requirements of the DHHS regulations Must review financial disclosures made by Investigators at the subrecipient institution and, if any Financial Conflicts of Interest are identified, send the AHA notification of the conflict and of the subrecipient institution鈥檚 plan to manage, reduce or eliminate the identified conflicts, in accordance with PHS reporting requirements. In cases where the agreement between the AHA and the subrecipient specifies that the AHA鈥檚 conflict of interest policy shall apply, must submit to the AHA, within the time period specified in its subrecipient agreement with the AHA, all disclosures by subrecipient Investigators of Significant Financial Interests, for the AHA鈥檚 review.

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