Research Billing Buzz eNewsletter - May 2019
Clinical Research Billing Compliance's (CRBC) eNewsletter helps the research community understand research billing and the importance of Epic and CRMS use. To read the May issue click here.
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Next Lecture: June 20, 2019, 10:00 AM - 11:00 AM, West Lecture Hall (Preclinical Teaching Building)
"Meeting the Demand for Transparency
through Clinicaltrials.gov Compliance"
Speakers will discuss the evolving enforcement
measures by the NIH and FDA and the new guidelines of the Common Rule.
They will also provide updates on ClinicalTrials.gov requirements for
new and existing users.
This series showcases many of the resources, programs,
educational training and other opportunities we offer. Those tools are
designed to transform the translational process so that new treatments
and cures for disease can be delivered to patients faster. On the third
Thursday of the month, speakers will present a topic that can directly
aid clinical research study team members.
We encourage all faculty, staff and students to attend. There will be a question and answer period at the close of each lecture. If you have suggestions for future topics, feel free to contact us.
Clinical trial activity continues to increase
at Johns Hopkins with impressive growth in the last year.
We are particularly pleased that the number
of research participants who just enrolled in the clinical trials has
also increased. Comparing 2017Q2 to 2018Q2 there was a 16% increase
in the number of research participants who had recently consented to
join a clinical trial.
Even with this growth, our measures of research participant satisfaction are particularly gratifying. For the past three years, every 6 months we send out surveys to 500 randomly selected individuals who have recently participated in a clinical trial as classified in CRMS. The survey was designed in partnership with our ICTR Community Research Advisory Council. The results are posted on the ICTR website for the public to review. Highlights of these results include:
There are areas where we can still improve
our performance with research participants. Research participants consistently
comment on longer than expected wait times before or between research
procedures. They also would like to learn more about the results of
the study. A small, but persistent number, of research participants
are commenting on higher out-of-pocket costs related to the usual care
component of clinical trials and delays in receiving reimbursement or
payment for their research participation.
There are many research offices than can help
research teams. Please review these annual reports to determine if you
are using all of the resources and expertise that is available. If you
have suggestions about how these programs might function better, please
send an email to email@example.com.
2018 Annual Reports
Research Participant Survey Results
The changes in IRB review fees include
Any new study submitted on or after August
1, 2018 will be subject to the new fee schedule. After reviewing fee
structures at similar institutions conducting human subjects research,
we have determined the new fees to be in line or below the national
average. For more information including a table with the new fees, visit
The Clinical and Translational Science award (CTSA) Collaborative Data and Safety Monitoring Board (DSMB) Workgroup identified a need to provide guidance, training and resources in DSMB practices for investigator-initiated research studies. To promote clinical and translational research, the CTSA Collaborative DSMB Workgroup, supported by NCATS, has produced an online DSMB Training Manual with a focus on investigator-initiated studies. This manual provides information and training for Principal Investigators, DSMB members, IRB members, biostatisticians, and research staff on how to work effectively with DSMBs. To read more about the manual and to access the manual, visit: https://ictr.johnshopkins.edu/news_announce/data-and-safety-monitoring-board-training-manual-now-available/
Good Clinical Practice or 'GCP' training for investigators
and study-team members is increasingly becoming required by institutions,
sponsors, and the NIH. This 90 minute course will explain the elements
of the International Conference for Harmonization's (ICH) principles
and specific guidelines for Good Clinical Practice. Attendees will be
introduced to the GCP Principles, and will explore investigator responsibilities
in human subject research, focusing on the areas of trial conduct (experience,
resources, and physician duties); performance (communication with the
IRB, protocol compliance, and investigational product management); ethical
research (safety oversight and informed consent); and recording/reporting
(data acquisition, progress summaries, and safety-event reporting).
These training sessions are held the fourth Friday
of each month. Register here: http://lms14.learnshare.com/l.aspx?CID=89&A=2&T=339728
Please note the following
information for clinical investigators from Dr. Daniel Ford, Vice Dean
for Clinical Investigation. You may also get more information at our
Clinical Research Revenue Cycle Resources web page: https://www.hopkinsmedicine.org/research/
Effective November 1, 2017 we are making changes to streamline the number of FWAs held by the institution and ensure that each legal entity has one FWA. This change will require closing out some existing FWAs assigned to organizations that are components under either the Johns Hopkins School of Medicine FWA number or The Johns Hopkins Health System FWA number. Functionally nothing else regarding IRB review or our human research protections program will change. However, organizational components should please take note of the new FWA that will be affiliated with each component and ensure only the two FWAs listed below are referenced moving forward.
FWA Numbers & Components:
The Johns Hopkins University School of
The Johns Hopkins Hospital and Johns
Hopkins Health Systems [FWA00006087]
The following separate FWAs should
no longer be referenced as of November 1, 2017:
For additional questions about FWAs please visit:
For questions regarding the changes to our
existing FWAs, please contact Megan Kasimatis Singleton, Assistant Dean
for Human Research Protection at firstname.lastname@example.org
or (443) 287-0204.
If you are conducting NIH-funded research that
involves human subjects, or are considering applying to NIH for support
of such research, please note important changes that may affect how
First, familiarize yourself with the new PHS
Human Subject and Clinical Trial Information form. For application
due dates of January 25, 2018, and beyond, you will be required to use
an updated application forms package (FORMS-E), which includes the new
human subject and clinical trial form. This form requests human subject
and clinical trials information at the study level using discrete form
fields, which is a change from current practice. Contract proposals
will also require this information. Learn
about the new form here.
Second, take a moment
to answer these four questions about your current or proposed research:
If the answer to all
four questions is yes, then your proposed research meets the NIH
definition of a clinical trial. Clarified and broadened in 2014,
the definition encompasses a wide range of trial types: mechanistic,
exploratory/developmental, pilot/feasibility, behavioral, and more.
NIH expanded the clinical trial definition in response to widespread
calls from diverse stakeholders for improved reporting of research milestones
and outcomes, and for assuring maximal transparency.
Need help determining
whether your study would be considered by NIH to be a clinical trial?
See the NIH webpage
on the definition that includes case studies, FAQs and other resources
that can help. Still unsure? Contact your NIH program official or the
scientific point of contact listed on the funding opportunity announcement
to which you are applying.
yourself with NIH policy changes related to enhancing stewardship of
NIH made a number of
policy changes to improve the stewardship of clinical trials across
the life cycle of the trial. Familiarize yourself with all that is changing,
Improving the design,
efficiency, and transparency of clinical trials is important because
The NIH has developed a new Clinical Trial Requirements for NIH Grantees and Contractors web page to bring together all the information you need to know.
Please review this information carefully.
Your attention to detail will be critical to ensuring successful funding
of your clinical trial awards.
A Department of Medicine faculty member is a PI
on a large NHLBI R24 "national infrastructure" grant. This
NIH grant aims to provide resources for longitudinal clinical research
studies. The following resources are freely available from the project's
Effective September 25, 2017, the NIH requires
that all grant applications for domestic, multi-site, non-exempt human
subject research studies include a proposal for the use of a single
IRB ("sIRB") to review the research for all participating
domestic sites. The JHSPH IRB, the SOM IRB, and the Homewood IRB are
working together to address the new NIH requirement for sIRB. When sIRB
services are required by a Sponsor, and a JHU PI wants JHU to serve
as the study's sIRB, the SOM IRB will review all requests for
sIRB services, and if approved, will serve as the University's sIRB
for all divisions. JHU has signed on to the SMART IRB Reliance
agreement, and investigators are urged to make sure that their collaborators
have either signed on to this form of reliance agreement, or are willing
to sign on.
All other reliance requests will be managed
by the IRB associated with the PI's division. Please contact JHMIRBreliance@jhmi.edu
with questions about the SOM IRB sIRB process.
JHM IRB is willing to review requests for reliance on an external IRB as well as requests for JHM to act as the IRB of record. Typically, requests for reliance are submitted to our IRB at two time points:
The first step in the reliance request process
is to complete a reliance
request. The JHM IRB reliance team will review the information provided
in the reliance
request and will contact you with next steps.
For more information about the JHM reliance,
please visit: http://www.hopkinsmedicine.org/institutional_review_board/about/reliance_agreement.html
A funding partnership among seven prestigious
universities - including the Johns Hopkins Institute for Clinical and
Translational Research - are awarding nearly $300,000 to scientists
working on collaborative research among their institutes that will explore
widely ranging health concerns, from creating tumor-destroying viruses
to decreasing the large numbers of mentally ill in the criminal justice
The Sharing Partnership for Innovative Research
in Translation (SPIRiT) consortium has offered this funding of research
since 2012, awarding more than $1 million to 12 collaboration projects.
The SPIRiT consortium is made up of six National
Institutes of Health (NIH) Clinical and Translational Science Awards
(CTSA) Programs, including the Johns
Hopkins University Institute for Clinical and Translational Research,
of Pennsylvania's Institute for Translational Medicine and Therapeutics,
University of Pittsburgh's Clinical and Translational Science Institute,
in St. Louis' Institute of Clinical and Translational Sciences,
Yale University's Center
for Clinical Investigation, and the
Institute for Translational Medicine (ITM), a partnership between
the University of Chicago and Rush.
For more information on the Johns Hopkins
awardee for this program as well as details on the individual projects,
visit our webpage.
The Johns Hopkins Institute for Clinical
and Translational Research (ICTR) offers many clinical resources for
faculty and student investigators, including outpatient and inpatient
space for studies in clinical research units, patient recruitment tools,
collaboration opportunities, and various tools to protect patient data.
To see all the services offered by the ICTR, visit the
The Johns Hopkins Clinical Research Network (JHCRN)
is an all-in-one resource for linking investigators to regional community-hospital
based collaborators for the success of investigator-initiated and industry
funded studies. Please visit the
JHCRN website to learn more about this network.