An Educational Session on HSC OP 10.27, Health Care Vendor Interactions April 20, 2009

LAWMAKERS & ASSOCIATIONS Senate Activities on Capital Hill Senate Activities on Capital Hill Investigations of Industry Financing – S. Grassley Investigations of Industry Financing – S. Grassley Proposed Senate Bill: Physician Payments Sunshine Act Proposed Senate Bill: Physician Payments Sunshine Act Texas Activity Texas Activity SB 296 – Industry Disclosure Requirement SB 296 – Industry Disclosure Requirement Association Activity Association Activity 2008 AAMC Report: Industry Funding of Medical Education 2008 AAMC Report: Industry Funding of Medical Education Recommends strict limits on industry support Recommends strict limits on industry support AdvaMed Revised Code of Ethics AdvaMed Revised Code of Ethics PhRMA Revised Code, effective 1/09 PhRMA Revised Code, effective 1/09

HSC OP BASIS Federal Anti-Kickback Federal Anti-Kickback Federal Stark Laws Federal Stark Laws Texas Government Code, Section 572, Subchapter A, Section Texas Government Code, Section 572, Subchapter A, Section TTUS Regents Rule TTUS Regents Rule Ethics Policy Ethics Policy June 2008 AAMC Report on Industry Funding of Medical Education. June 2008 AAMC Report on Industry Funding of Medical Education.

GENERAL OUTLINE Provides Guidance on Allowable Interactions Provides Guidance on Allowable Interactions Faculty and Staff Faculty and Staff Health Care Vendors; Pharma, DME, Other Health Care Providers (SNF, Hospice, Home Health) Health Care Vendors; Pharma, DME, Other Health Care Providers (SNF, Hospice, Home Health) Does Not Impact Does Not Impact Continuing Education Criteria Continuing Education Criteria Research Conflict of Interest Requirements Research Conflict of Interest Requirements Non-Health Care Vendors – Those only on-site to assist in or coordinate patient care Non-Health Care Vendors – Those only on-site to assist in or coordinate patient care

GIFTS & CONFERENCES Compensation and Gifts Compensation and Gifts Bans all promotional items/gifts other than patient educational items approved by Chair/Dean Bans all promotional items/gifts other than patient educational items approved by Chair/Dean Bans all other gifts and payments not otherwise allowed Bans all other gifts and payments not otherwise allowed Travel, Lodging, Meals and Conferences Travel, Lodging, Meals and Conferences Limited to REASONABLE honoraria and travel expense reimbursement for those ACTIVELY presenting. Limited to REASONABLE honoraria and travel expense reimbursement for those ACTIVELY presenting.

HEALTH CARE VENDORS Vendor Identification: Vendor Identification: Registration, Sign-in and ID badge required Registration, Sign-in and ID badge required Appointment Appointment Requires appointments for health care vendors visiting TTUHSC facilities Requires appointments for health care vendors visiting TTUHSC facilities Acknowledgment of TTUHSC related Policies Acknowledgment of TTUHSC related Policies HSC OP HSC OP HIPAA Privacy rules HIPAA Privacy rules

MEALS Meals Meals Accredited Continuing Education Activities Accredited Continuing Education Activities Non-accredited – Approved by faculty designee Non-accredited – Approved by faculty designee Drug, Equipment & Medical Device Samples Drug, Equipment & Medical Device Samples For patient use only; secured and tracked For patient use only; secured and tracked Funding of Continuing Education only to through the Continuing Education Office Funding of Continuing Education only to through the Continuing Education Office Consulting Honoraria Consulting Honoraria

OTHER AREAS Gifts for Scholarships Gifts for Scholarships Not given directly to the student/resident Not given directly to the student/resident Dean/Department selects recipient Dean/Department selects recipient Ghostwriting Ghostwriting Prohibited Prohibited Does Not Address Speakers’ Bureaus Does Not Address Speakers’ Bureaus Under future consideration Under future consideration

WE ARE NOT ALONE! Stanford University – June 2006 Stanford University – June 2006 Yale – May 2005 Yale – May 2005 Henry Ford Health Systems – 2005/2006 Henry Ford Health Systems – 2005/2006 University of Pennsylvania – July 2006 University of Pennsylvania – July 2006 University of Michigan Hospital and Health System – January 2008 University of Michigan Hospital and Health System – January 2008 UTMB UTMB John Hopkins – December 2008 John Hopkins – December 2008 Banning Faculty Involvement in speakers’ bureau Banning Faculty Involvement in speakers’ bureau

HOPKINS “INDUSTRY CLEANING”