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Institutional Review Board (IRB)

bullet General Information
bullet Meeting Schedules and Submission Deadlines
bullet Initial Submission Documents
bullet Guidelines
bullet Renewal Submission Forms
bullet IRB Fees
bullet HIPAA Policy
bullet Education Requirements
bullet HIPAA Appendices
bullet Guidance and Regulatory Links

IRB

The LifeBridge Health Institutional Review Board (IRB) ensures that the rights and welfare of human subjects participating in research are adequately protected, the risks to subjects are outweighed by the potential benefits of the research, the selection of subjects is not coercive or biased, informed consent will be obtained and documented where appropriate, and there is scientific merit to the proposal.

IRB Information

Federal-Wide Assurance Number - FWA00003667
FWA Expiration Date is 6/6/2017

Policies and Standard Operating Procedures
LBH Conflict of Interest Policy
LifeBridge Health Research Policy
Misconduct-in-Research Policy
IRB (A) Membership Roster
IRB (B) Membership Roster

Meeting Schedules and Submission Deadlines

2012 Deadlines and Meeting Dates for IRB A
2013 Deadlines and Meeting Dates for IRB A

2012 Deadlines and Meeting Dates for IRB B
2013 Deadlines and Meeting Dates for IRB B

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Initial Submission Documents:

Expedited and Full Board Reviews:

Studies involving human research subjects may qualify for expedited review. The application documents for expedited and full board review are the same. However, studies that qualify for expedited review may be reviewed by the Chairman or his designee rather than by the full IRB board. Please review the Application for New Research to determine how many copies are needed.

When submitting an application for Medical Records Review the investigator must submit a Data Collection Form (created by the investigator) stating exactly what will be extracted from the medical record.

Application Checklist
Application for New Research
Co-Investigator Signature Form
Investigator Delegation Form
Financial Interest Disclosure
Study Summary
Consent Form Template
HIPAA Text for Use in Consent Form
HIPAA Authorization Form- Outside Sponsored Research
HIPAA Authorization Form- Investigator Sponsored Research
De-Identified Data Form

Exempt and NCI CIRB Initial Reviews:

Minimal risk research studies may qualify as exempt from full LBH IRB review. The Exemption Screening Questions Form will assist you in determining whether your study qualifies as exempt.

The LBH IRB is a participant in the National Cancer Institute (NCI) Central Institutional Review Board (CIRB initiative. Any study that has been reviewed by the NCI CIRB may be submitted to the LBH IRB for a facilitated review. The LBH IRB requires a letter requesting a Facilitated Review of the NCI CIRB protocol, the protocol and all documentation from the Participants Area downloaded from the CIRB website, and the documents listed below.

Exempt Submission: NCI CIRB Submission:
Exemption Screening Questions NCI CIRB Application Checklist
Claim of Exemption Form NCI CIRB Facilitated Application for New Research
Waiver of Disclosure for PHI LBH IRB - CIRB Authorization Agreement
De-Identified Data Form Co-Investigator Signature Form
Informed Consent Exception Request                 Financial Interest Disclosure  
  Investigator Delegation Form
  Consent Form Template
  HIPAA Text for Use in Consent Form
  HIPAA Authorization Form- Outside Sponsored Research
   

Humanitarian Use Device (HUD) Reviews:

A Humanitarian use Device (HUD) is a device that is intended to benefit patients by treating or diagnosing a disease or condition that affects fewer than 4,000 individuals per year in the United States. An investigator, or sponsor may submit a request for HUD designation to the FDA, and must include the following information: A statement that the applicant is requesting HUD designation for a rare disease or condition, the name and address of the applicant, a description of the rare disease or condition for which the device is to be used, a description of the device, and documentation with authoritative reference appended, to demonstrate that the device is designed to treat or diagnose a disease or condition that affects or is manifested in fewer than 4,000 people in the United States per year. Once approved, this device must be stored separately from all other devices. Please review the Humanitarian Use Devices Guideline and the Humanitarian Use Devices (HUD) FDA Training Module.

Humanitarian Use Device (HUD) Submission:
Humanitarian Use Device Application and Instructions
Humanitarian Use Devices (HUD) Information & Signature Form
Human Gene Transfer/Recombinant DNA Research
Humanitarian Device Consent to Undergo Treatment
Humanitarian Device Consent and Privacy Authorization Form
LBH IRB - CIRB Authorization Agreement

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Renewal Submission Documents:

All research studies require a continuing renewal (either annually or semi-annually depending on the level of risk to the subject). Studies that have been identified as exempt do not require a continuing renewal. As with initial reviews continuing renewals may be completed either by full board or in an expedited manner. The form to be used for these submissions is the Renewal Application. This form is used for all studies except the Humanitarian Use Device (HUD) and the National Cancer Institute Central Institutional Review Board (NCI CIRB) reviews. The HUD Renewal Application requires different information than that of the Renewal Application and therefore is a separate form. The HUD Renewal Application may be reviewed in an expedited manner. There isn't a Renewal Application for the NCI CIRB studies as the information is obtained through the NCI CIRB. All that the LBH IRB requires is a cover letter explaining what has occurred at a LifeBridge Health facility. All Renewal Submissions require that the SAE & SRs Annual Report (Serious Adverse Events and Safety Reports) be submitted at the time of the continuing renewal (annually or semi-annually) if any have been reported.

If there are any Adverse Events that occurred at a LifeBridge Health facility the Adverse Events Form is required to be completed at the time of the event and resubmitted when the continuing renewal is submitted.

Renewal Submission Forms    Other Forms
Renewal Application Adverse Events

HUD Renewal Application

SAE & SRs Annual Report
  Translation Certification Form 

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Guidelines

Adverse Events
Adverse Event and Safety Report Continuing Review Reporting
Case Reports and Chart Review
De-Identified Data
Humanitarian Use Devices
Humanitarian Use Devices (HUD) FDA Training Module
NCI CIRB
Policy of Conflict of Interest in Research
Conflict of Interest Guidelines for Clinical Research
Defining Community Outreach Research and Non-Research Projects
IRB Review Fees
Evaluating and Monitoring Risk in Human Subjects Research
Exemption for Human Subjects Research Training
Human Gene Transfer/Recombinant DNA Research
Emergency and Compassionate Use of an Unapproved Drug, Device, or Biologic
Expanded Access For An Unapproved Drug, Biologic, or Device
Questionnaires by Telephone or Mail
Independent Central Institutional Review Board Evaluation and Facilitated Review
Federalwide Assurance of Protection for Human Subjects
Department Residency Research Programs
Retrospective Research
Study Closure
Translation of Foreign Language Document
Evaluating Significant Risk and Non-Significant Risk Device Studies

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IRB Fees

Initial Review, Full Board $2,000
Initial Review, Expedited $1,000
Continuing Review $   500
Review for Exempt Status $   500
Review of Amendments, Revisions, or Modifications: $   500
Payable to: LifeBridge Health IRB


HIPAA Policy

LifeBridge Health HIPAA Policy #4 - Use of Protected Health Information for Research (PDF)

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Education Requirements

To ensure that clinical research within the LifeBridge Health system adheres to the highest ethical standards and is in full compliance with applicable regulations, the following educational requirements must be followed:

a. All Clinical Investigators and Staff who participate in clinical research within LifeBridge Health for:
i. certification of clinical competence to perform research studies, and
ii. continuing education to keep pace with changing requirements.

b. All Institutional Review Board members, designated alternates and staff, for
i. education in the requirements of review of research studies, and
ii.

continuing education to keep pace with changing requirements.


This policy applies to all members of the medical staff, medical residents and fellows in training who are responsible for recruitment, enrollment, treatment and/or follow-up of subjects in clinical research within the institution. This includes research projects deemed "exempt" from LBH IRB oversight. Department Chiefs, administrators and others who oversee staff who conduct clinical research studies within the institution are also encouraged to avail themselves of the resources detailed herein.

The Collaborative IRB Training Initiative (CITI)

The CITI human subjects research educational program consists of a basic course of 17 training modules for Biomedical investigators and a similar number of modules specifically prepared for investigators conducting Social/Behavioral research. Each module was developed by experts in the "IRB community", focuses on different aspects of bio-ethics and human subjects research, and has an associated quiz. Software maintained at the University of Miami compiles the quiz scores. When the user completes the required materials (which takes ~20 minutes/module), the learner can print/download a Completion Report that details the learner's accomplishments. A copy of the report is e-mailed to the institutional LBH IRB administrator. Click here for more detailed instructions.

Requirements:

a.  Principal Investigators and Clinical Research Coordinators
i. Individuals involved in biomedical research are required to complete the CITI Program "Group 1" training
  consisting of 12 modules prior to initiating any research activity.
ii.

Individuals involved in Social and Behavioral Research training are required to complete The CITI Program "Group 3"

  consisting of 12 modules prior to initiating any research activity.

b. Co-Investigators and Research Staff
i. Individuals involved in biomedical research are required to complete The CITI Program "Group 2" training consisting of 8  
  modules prior to initiating any research activity.
ii. Individuals involved in Social and Behavioral Research training are required to complete The CITI Program "Group 4"
  consisting of 8 modules prior to initiating any research activity.

c. LBH IRB Members, Designated Alternates, and IRB Staff
i. For new appointments
  The CITI Program "Group 1" training consisting of 12 modules is required within 120 days of appointment
ii. For current appointments
  The CITI Program "Group 1" training is required to be maintained by completing The CITI Program
  within three (3) years of their last completed training session.

Alternatives and Additional Resources:

For "Group 1 and Group 3 Training Requirements"

The CITI Program completed at another institution may satisfy LBH IRB training requirements within three (3) years from the date of the documented completed training session. Alternate coursework provided by appropriately certified educational, regulatory or governmental entities or professional societies may be substituted for The CITI Program, subject to approval by the Research Office.

Failure to complete required certification as outlined above by the indicated dates will result in the following actions:

Consequences for Failure to Comply with the Education and Training Policy

 i.

Refusal to accept new research applications from the non-compliant Investigator and staff by the LBH IRB office, and

 ii. Suspension of the non-compliant Investigator and staff from participation in further research until the requirements are met.
 iii.

LBH IRB Members who do not comply with deadlines imposed will have their status changed to a non-voting member with a

  one-(1) month extension to fulfill the requirements unless the LBH IRB chairperson allows the member additional time
  to complete training.If the requirements are not met, the member will be removed from the LBH IRB committee.

 

HIPAA Appendices

Instructions for Individual Authorization Form for Use or Disclosure of Protected Health Information (PHI) for Research Purposes (Word format)

Application for Waiver of Individual Authorization for Use or Disclosure of Protected Health Information (PHI) in a Research Study
(Word format)

Request for Use or Disclosure of Protected Health Information (PHI) Preparatory to Research
(Word format)

Request for Use or Disclosure of Protected Health Information (PHI) of Decedents
(Word format)


Guidance and Regulatory Links

The Belmont Report
IRB Guidebook
45 CFR 46: DHHS-Protection of Human Subjects
FDA 21 CFR 50 Protection of Human Subjects FDA 21 CFR 56 Institutional Review Boards
FDA Information Sheets: Guidance for IRBs and Clinical Investigators
US Department of Health and Human Services
Federal Drug Administration
National Institutes of Health

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