www.health-research.org
Promoting Research and Educational Activities at the LAC + USC Medical Center Since 1947


In This Issue (click titles):


Payroll Dates for HRA

Period

Timesheet

Payday

02/16-02/28

03/07

03/14

03/01-03/15

03/21

03/31

03/16-03/31

04/07

04/15



Tips for Reimbursements
contributed by Andrea Bains, HRA Budgeting

• If you’re ever unsure that the backup you send in with reimbursement requests isn’t enough, please send in as much as you can - more is better!

• For Independent Contractor invoices: We need the contractor’s address, signature, and social security # for our records. We cannot process the request until this information is provided.

• Please send in the original receipts, especially when the purchase is office equipment. HRA is responsible for the liability on those items.

• Salary or Independent Contractor invoices for Principal Investigators must be signed and approved by your Department Chair.

• Please take advantage of all available forms. We have different forms for each kind of reimbursement: Travel, Mileage, Independent Contractor, Research Subject, and Purchase Requisition for all other kinds of reimbursements. If you ever run out of forms, please don’t hesitate to call or send a quick email.

Memo to P.Is - Closing Old Accounts

• If you have too many accounts that have received their final payments, a good option is to ask us to open up a Various Account. Everything can be rolled over into that one account!

• If projects are at zero balance, please send in a quick memo asking us to close the accounts.

Andrea Bains,
HRA Budgeting

(323) 223-4091 ext 126
abains@health-research.org


Position Announcement:

President & CEO,
Health Research Association


Health Research Association (HRA) is seeking a President and CEO. HRA is a private non-profit organization founded in 1947 to conduct and manage medical, health, and scientific research. More than 80% of the research conducted by HRA is sponsored by private industry, with nearly 200 pharmaceutical company supported studies contracted annually.

The ideal candidate should have over ten years of senior management experience, preferably in non-profit and for-profit environments. Experience in a clinical research environment is preferred. A master’s degree or equivalent is desired.

A detailed position profile is available. Inquiries and résumés should be directed to:
Johnston and Company
Attn: HRA
6167 Bristol Parkway, Ste.140
Culver City, CA 90230.
Fax: 310-410-3906
E-mail johnstonco@earthlink.net

Additional information about Health Research Association can be found at: www.health-research.org


Tech Tips:
Windows Shortcuts


CTL-ESCAPE - Display the Start menu
SHIFT - TAB - tab backwards through a form
CTRL - X - Cut
CTRL - C - Copy
CTRL - V - Paste
F1 - Help menu
CTRL - Z - Undo
SHIFT & Restart - To restart just windows and not your whole computer, hold down the shift key when you click the OK button on the shutdown screen. Saves lots of time.

File & Desktop Shortcuts

Hold SHIFT while inserting a CD - Prevents the CD from "autorunning"

If an item is selected:
CTRL while dragging a file - Copies the file
CTRL - SHIFT while dragging a file - Creates a shortcut to the file
SHIFT - DELETE - Deletes an item without sending it to the recycle bin.
ALT-ENTER - Display a file's properties.
F2 - To rename the file

In Windows Explorer:

BACKSPACE - View the folder one level up
ALT- RIGHT ARROW - Move forward to a previous view
ALT- LEFT ARROW -Move backward to a previous view
LEFT ARROW - Collapse the current selection if it is expanded
NUM LOCK-MINUS SIGN (-) - Collapse the selected folder
RIGHT ARROW - Expand the current selection if it is collapsed -Or- Select the first subfolder
F6 - Switch between left and right panes


HRA Update

Jo Anne Mastrangelo, Editor
For contributions:
info@health-research.org
Ph: (323) 223-4091
Fax: (323) 342-0947



March 2003

If you would like to request a paper version of this newsletter, please send an email to: info@health-research.org. Please include your mailing address.

You may now link to the email addresses of HRA Administrative Employees! Just click on the name of the employee you wish to email. CLICK HERE for the list of names.

HIPAA Update: IRB Related Issues
Contributed by the IRB

Upcoming HIPAA Implementation Date April 14, 2003: We are required to comply with new Federal Regulations regarding the confidentiality of patient health information (HIPAA privacy regulations). The following IRB related items need to be completed to satisfy the regulations:
Need more
information?

Access online education
program, template documents,
and policies and procedures
available on the USC Office of
Compliance Web site:
www.usc.edu/compliance


Want to arrange
for a presentation
on HIPAA?

Contact the Office of
Compliance at
(213) 740-8258 or
email complian@usc.edu

Informed Consent Issue:

a) Informed Consents (without HIPAA–compliant provisions) approved prior to April 14, 2003, must attach a HIPAA authorization addendum to their Informed Consents for new subjects who will be accrued on or after April 14, 2003.

• Get the Addendum template from the Compliance Office website www.usc.edu/compliance or the IRB website http://ccnt.hsc.usc.edu/irb/irb.html

b) When you submit Informed Consent(s) [either new submission or revision] to the IRB on or after April 1, 2003, you need to add the required language (HIPAA-compliant provisions) in your Informed Consent(s).

• Get the language from the Informed Consent template on the IRB website http://ccnt.hsc.usc.edu/irb/irb.html.

• The text is inserted just before the California Patient Bill of Rights in the Informed Consent template.

• Submit the revised Informed Consent (one clean and one marked copy) to the IRB for approval.

You cannot accrue new patients after 4/14/2003 if you do not have either the HIPAA Authorization Addendum, or IRB approved revised Informed Consents that include the HIPAA provisions.
Click here for continuation of HIPAA information below....


Spotlight on Project Employees: Jose Goico
"Making a Difference"

Contributed by Kimberley Mooney of HRA’s Human Resources department

Congratulations to Jose Goico, our Project Employee of the Month!

For those of you who don’t know Jose Goico’s name, you would probably recognize him as the man who, while he hurries past you in a flurry of activity, slows down to flash a smile at you. In June, Jose will celebrate nine years with HRA as a Clinical Research Associate for Dr. Thomas Buchanan. In 1985 Jose received a Doctorate of Medicine in the Dominican Republic and has been in the healthcare industry for over 20 years. His passion for helping people has always led him to work closely with patients, an area in which he excels.

The most exciting and fulfilling event of Jose’s career thus far was helping to complete a five-and-a-half-year Tripod study with LAC + USC’s Diabetes Research Study Phase III & IV. The sense of achievement he experienced strongly reinforced his devotion to the work. Dr. Buchanan recognizes this; “Jose is the driving force behind the diabetes prevention studies. He is extremely dedicated to his work, very knowledgeable, and wonderful with our patients.” Click here for continuation of Jose Goico feature below....



Grants & Contracts Update:
Setting Up a Successful Project Closing

Contributed by Kathi Biem of HRA's Grants & Contracts Department

As studies near their end date, there are some ways to have a successful close out phase. These steps are just as important as those at the onset of contract negotiations.

To maintain efficiency in the close out phase of a study project, the first thing required is an accurate enrollment list to include on/off study dates and completed cycle data, if applicable, as soon as practical. This allows HRA sufficient time to calculate and collect any payments still due from the sponsor. Most contracts have a definite time period to submit this information to them, as well as to make adjustments in the final payment. We are also obligated to return any unused or unearned monies to them, unless the PI can provide a written justification of expenses for the sponsor’s approval.

As all payments are collected, you can submit requisitions for your final expenses. We can only close out the study when projects are at a zero balance. However, the last remaining requirement is to have the PI submit a written authorization for closure. Once projects are closed, they no longer generate PSR’s (project status reports), and this will cut down on the amount of mail you receive!

As always, please contact Kathi Biem or Denise Deack at (323) 223-4091 with your Grants & Contracts questions.
Kathi Biem: kbiem@health-research.org
Denise Deack: ddeack@health-research.org

Patient Relations
Excerpted from Clinical Trials Advisor Newsletter

Beyond securing informed consent, patient enrollment needs to result in the participant’s complete buy-in and understanding of the trial. The relationship between the patient and physician and coordinator, and especially first impressions, can be the most important aspects of patient retention.

Educating patients and building relationships are vital steps not only initially, but throughout the study as well, experts agree. Clinical Trials Advisor interviewed several industry professionals about how to make a good first impression and keep patients on board. Here’s what they recommend:

Be a Resource for Patients. “I always try to make sure that I understand the protocol so I can give them real answers,” says one industry professional. “I also make sure I understand the procedures they are facing, and hope that I can help put their mind at ease. I try to be as thorough as possible in explaining the study for them.”

Give patients the rationale for what you’re asking them to do. For example, in studies involving diabetic patients, there’s often a lot of dietary management. Tell patients why diet is important. It’s not always enough to simply tell a patient they have to do something. You can improve compliance if you tell them why.

Demonstrate a commitment to patient safety and well-being. Be a patient advocate. Let patients know that they are going to be closely monitored and cared for. Tell patients that you will monitor their health status and how. Stress that you will not let them be at risk.

Use examples and specifics when possible. For example, if the informed consent lists 50 side effects, the physician could discuss the four or five that are most likely to be experienced.

Be straightforward. You want to be sure patients are fully aware of their responsibilities and then ask for their commitment. Be sure to tell them of any study requirements they may have to do at home, such as maintaining diaries or self-administering medications. And make sure they have plenty of opportunities to voice concerns or express difficulties.

Focus your attention on them. Give patients the uninterrupted time they deserve. For example, don’t jump up and answer your pager. Sit down with them and don’t rush the process. It’s important not to rush the patient or the process. It’s better to advise them to hold off signing the consent form too early on, and make sure all their questions are answered first.

Maximize the physician-patient relationship. Encourage patients to ask questions of the physician. One physician investigator takes new patients into his office to provide a more comfortable setting for discussion, because she believes it’s much more comfortable for the patient than being in a paper gown in a treatment room, and may add to the compliance rate.

Another investigator finds that many times patients will talk at greater length to a physician. “Even when coordinators offer patients the opportunity to talk and ask questions, some people just prefer to talk with the physician.”

Communicate, communicate, communicate. Reminder calls before a visit and thank-you postcards afterwards can mean a lot to study patients. Also, tell them what to expect at each visit and review results of any tests. Offer them copies of test results. Write reminders on their appointment cards, such as medication dosage instructions.

Emphasize that the patient has the “ultimate out.” Even after patients consent to participate in a study, they can still back out. But many don’t want to “disappoint” or appear to be disagreeable. Let them know it is okay to change their minds. “I tell patients up-front that they can choose not to go forward with the study,” says an investigator. “I tell them that I know they have a lot on their plates to deal with, facing a dramatic surgical procedure, and that they can back out right then and there.”

Show empathy and compassion. A few words of understanding can go a long way. Acknowledge that they are already in a stressful situation and their anxiety level must be high - they appreciate that. A simple nod or touch on the arm can sometimes say more than words; a gentle reassuring voice can make the difference.

Express appreciation at every opportunity. Use every interaction with the patient to reinforce how much you appreciate their participation. Reinforce their contribution and their commitment.

Be sure to include family members. It’s a good idea to make eye contact with all family members, as they need to be assured that their questions and concerns are just as important as the patient’s.

Clinical Trial Opportunities from HRA

Below is a list of those studies received by HRA in February 2003. Please contact HRA immediately if you are interested in any of these opportunities.

We also have the ability to conduct a personal study search for LAC+USC investigators. Contact us at info@health-research.org for further information on a specialty-targeted study (there is no cost associated with this).
Phase I
BioCell Technology LLC
Drug Name: BioCell Collagen II
(dietary ingredient)
Specialty: Dermatology,
Musculoskeletal
Indication: Skin health
HRA Reference number: 08-03-03

Phase IV
CareStat
Drug Name: Not available
Specialty: Nephrology
Indication: Anemia with
Chronic Kidney Disease
HRA Reference number: 09-03-03

Phase III
Quintiles
Drug name: not available
Specialty: Oncology
Indication: Advanced unresectable
adenocarcinoma of the pancreas

Notes: study of new anti-cancer agent
plus gemcitabine versus gemcitabine alone
HRA Reference number: 06-02-03

Phase III
Merck and Co., Inc.
Drug Name: Not available
Specialty: Pediatrician with
vaccine trial experience
Indication: Pediatric vaccine
HRA Reference number: 07-03-03

CenterWatch: Seeking Investigators

Phase III
Eisai
Rick Smith
Email: richard_smith@eisai.com
Drug name: Not available
Specialty: Experience in
Alzheimer's Research
Indication: Severe Alzheimer's Disease

Imaging Diagnostic Systems
Gary Bishop
Email: bishop@imds.com
Device name: CTLM-Computed
Tomography, Laser Mammography
Specialty: Radiologist specializing
in mammography
Indication: Breast Cancer

Sepracor
Ann Marie Kennedy
Email:
ann.kennedy@rtp.ppdi.com
Drug name: Levalbuterol
Specialty: Pulmonology
Indication: Asthma

Phase I
Pro-Pharmaceuticals
Maureen Foley
Email: foley@pro-pharmaceuticals.com
Drug name: Not available
Specialty: Physician working with HIV and/or studying HIV, including virologists
Indication: HIV/AIDS
Notes: Active ingredients delivered by suppository. There are several purified herbal constituents as well as a non-toxic chelating agent.

Phase II
Arkos BioDevelopment International
Naomi Muha
Email: nmuha@arkios.com
Drug name: Gallium Nitrate
Specialty: Medical Oncology
Indication: Non-Hodgkin's Lymphoma

Medennium, Inc.
Natasha Behrmann
Email: nbehrmann@medennium.com
Device name: Matrix Acrylic IOL
Specialty: Cataract Surgeons
Indication: Cataracts


(HIPAA continued)
HIPAA Education Issue:


a) The PI/Co-PI(s) are responsible for ensuring that all study personnel have completed the HIPAA education certification program. All personnel who use identifiable health information (individual’s past, present or future physical or mental health condition or payment for health care) in conducting research must take the HIPAA education program. Examples of research personnel include PI, Co-PIs, Co-Investigators, and individuals authorized to obtain Informed Consent and/or involved in data collection by using identifiable health information of the research subjects. The PIs’ HIPAA education certificates should be submitted with each New Proposal IRB Application form and with each continuing review form. USC’s Web-based HIPAA education program is now available for certification.

• Go to the USC Office of Compliance website www.usc.edu/compliance. Take the education course and test. You can print out a certificate upon completing the program.

• Any questions/problems regarding this web education, call the Compliance Office at 213-740-8258.

b) IRB application Section I is now revised to add a check box for “Identifiable Health Information” under the Nature of Research section. You must mark this box if you need to access or use patient/subject identifiable health information (e.g. medical records, mental health information, lab reports, x-rays, tissue samples) for your research. If this box is checked, the PI must submit HIPAA education certificates for the PI and Co-PIs to the IRB. Page 2 of Section I is also revised to add a statement to the “PRINCIPAL INVESTIGATOR’S ASSURANCE AND SIGNATURES”: “I certify that all study personnel have completed the HIPAA education program and are certified.” The statement clarifies the PI’s responsibility.

• Get the revised Section I from the forms section of the IRB website: http://ccnt.hsc.usc.edu/irb/irb.html

After 4/14/2003, the IRB will not review your new study until the IRB receives verification of the PI/Co-PIs’ completion of the USC HIPAA educational program. As for continuing reviews, the IRB will not grant its full approval until the IRB receives verification of completion of the HIPAA education program from the researchers.

There are some exceptions - not all human subject research needs HIPAA authorization. For example: a) de-identified information; b) limited data set certified by the researcher; c) IRB waiver by meeting waiver criteria; d) preparatory to research certified by the researcher; and e) decedents research certified by the researcher. Please visit the Compliance office website or call the office for further information and clarification of these exceptions.

Jose Goico continued
Dr. Buchanan has served as Jose’s instructor and mentor. He trained Jose in all clinical aspects of the study including performing oral glucose tolerance tests, IVGTT’s and setting guidelines for the recruitment of volunteers. Jose has always enjoyed the technical aspects of his job but takes the most pleasure in helping his patients. In a large sense, Jose has become a counselor, someone who listens and empowers his patients to care for themselves and their families. He educates people to control the disease by improving their diet, lifestyle, and mental outlook. He’s helped win small and large victories with his patients and has had remarkable success in recruiting almost all of the participants from his first study for his current project.

Interestingly, Jose is an avid and extremely accomplished reader. His favorite authors range from Alexander Dumas and Moliere to Dostoievsky, Tolstoy, and Nabakov. Yes, he’s read War and Peace!

He is continuously trying to improve his life professionally and spiritually. By the end of 2003, Jose plans to earn an Associate of Research certification.

Jose Goico offers the best gift of all to patients, the power to help themselves. And, in this way, truly makes a difference.


info@health-research.org •  Health Research Association

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