ࡱ> \^[y 'bjbj -2{{P P 8,"<SKJ^^(aaaJJJJJJJ$MOPJnaannJ KnJnJ2bFIR.G.J#K0SK$HrCQ0rCQ\ICQI(al_aaaJJdaaaSKnnnnCQaaaaaaaaaP p: The Christ Hospital IRB Number: 3.20 Submitted By: Becky Riddell Effective Date: 06/05/09 Reviewed By: Gawne/ Strub Revised/Reviewed Date: 03/07/12 Approved By: Robert Strub, MD___________________________________ (II.1.B) STANDARD OPERATING PROCEDURE Periodic Review/Assessment of IRB Members, Chair and Staff POLICY: The President/CEO will appoint IRB members, including the Chair, in accordance with federal regulations for a non-specific termThey will serve without compensation, although the chairperson and associate chair receive compensation due to the extended duties and time requirements. The Christ Hospital IRB is directed by a Chairperson and is comprised of twelve members, (including an associate chair), with multidisciplinary expertise and backgrounds as required by federal policy and FDA regulations. In addition, the IRB office staff includes a Coordinator to review research studies that qualify for exempt or expedited (i.e., administrative) review status, and a Regulatory Specialist who assures the IRB meets federal regulations, as well as institutional policies and procedures. Attendance is recorded and if a member misses a majority of meetings without substantive cause/explanation, the Chair will discuss the advisability of resignation with the board member and report to the President/CEO of The Christ Hospital. PROCEDURE IRB CHAIR The performance of IRB Chair will be reviewed on an as is basis, but no less than every two years by the President/CEO in consultation with the Institutional Official. Should the determination be made that the IRB Chair (1) failed to act in accordance with the IRBs mission, (2) failed to follow the policies and procedures set forth herein and in the federal rules and regulations, (3) has an undue number of absences, and/ or (4) failed to fulfill the designated responsibilities of the IRB Chair, he/ she will be removed by the President/CEO. Feedback is given during a one on one performance evaluation meeting with the President/CEO or Institutional Official. IRB OFFICE STAFF The IRB Coordinator and Regulatory Specialist are appraised annually based on The Christ Hospitals ExCEL core values and job-related performance factors. (specific duties and responsibilities) for the position held by the employee. These are specified in the job description for that position. Feedback is given during a one on one performance evaluation meeting with the IRB manager. IRB BOARD MEMBERS IRB Members performance will be reviewed on an biennial basis by the IRB Chair. Performance is assessed according to the IRB mission and policies and procedures. IRB members who have an undue number of absences, will be removed. Members will be assessed on level of participation during and outside of meetings, thoroughness of reviews, maintenance of confidentiality and understanding of the regulations. When necessary, the Chair and/or Institutional Official will meet privately with a member to discuss concerns about their performance. The membership roster is reviewed at least annually by the IRB Coordinator or designee and the Chair to assure appropriate membership and diversity as outlined in 21 CFR 50 and 45 CFR 46. Attendance is recorded and if a member misses a majority of meetings without substantive cause/explanation, the Chair will discuss the advisability of resignation with the board member and report to the Institutional Official. In order to fulfill his or her duties, IRB members are expected to be knowledgeable of the regulations governing human subject protection, biomedical and behavioral research ethics, and the policies of The Christ Hospital germane to human subject protection. Feedback will be given to each member either by letter, e-mail, phone call, or in person. REVISION HISTORY: Date RevisedReason For ChangeRevised By4/13/2010Included how feedback will be delivered to members, office staff and Chairman. 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Century GothicY CG TimesTimes New Roman?= *Cx Courier New;WingdingsA$BCambria Math"Vh:f ' ' UQ UQ !V4 2qVHX ?%k2!xx POLICY AND PROCEDURES+CONFIDENTIALITY OF HOSPITAL MEDICAL RECORDS 9/15/92 LKV LISA VESSELSRiddell, Becky\               Oh+'0  8D d p | POLICY AND PROCEDURES,CONFIDENTIALITY OF HOSPITAL MEDICAL RECORDSLISA VESSELSNormalRiddell, Becky10Microsoft Office Word@NZ@sB@5@sBUQ ՜.+,0 hp|   POLICY AND PROCEDURES Title  !#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJLMNOPQRTUVWXYZ]`badefghijklmnopqrstuvwRoot Entry FF+_Data 1Table"QWordDocument-2SummaryInformation(KDocumentSummaryInformation8SCompObjrMsoDataStoreF+F+   F Microsoft Word 97-2003 Document MSWordDocWord.Document.89qDocumentLibraryFormDocumentLibraryFormDocumentLibraryForm This value indicates the number of saves or revisions. The application is responsible for updating this value after each revision.