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FastFactsFeature Presentation

October 29, 2009

We are using audio during this session, so please dial in to our conference line…

Phone number: 877-468-2134 Participant code: 182500

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Today’s TopicWe’ll be taking a look at…

Johns Hopkins MedicineJohns Hopkins Medicine

Policy on Policy on

Interaction with IndustryInteraction with Industry

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Today’s PresenterTodd Dorman, MDAssociate Dean, CMEProfessor, Anesthesiology/Critical Care Medicine

Julie Gottlieb, MAAssistant Dean, Policy Coordination

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Session Segments

PresentationDr. Dorman and Ms. Gottlieb will address the new Johns Hopkins Medicine Policy on Interaction with Industry.During the presentation, your phone will be muted.

Q&AAfter the presentation, we’ll hold a Q&A session. We’ll open up the phone lines, and you’ll be able to ask questions. Dr. Dorman and Ms. Gottlieb will answer as many of your questions as time allows.

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Contact Us

If you would like to submit a question during the presentation or if you’re having technical difficulties, you can email us at: fastfacts@jhu.eduYou can also send us an instant message!

GoogleTalk – HopkinsFastFacts@gmail.comAOL Instant Messenger – HopkinsFastFactsMSN – FastFacts@jhu.edu

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Survey

SurveyAt the end of this FastFacts session, we’ll ask you to complete a short survey. Your honest comments will help us to enhance and improve future FastFacts sessions.

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Johns Hopkins MedicineJohns Hopkins MedicinePolicy onPolicy on

Interaction with IndustryInteraction with Industry

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Agenda

Background: Why the policy was adoptedWho the policy coversWhat is coveredFocus of today’s FastFacts session:

Gifts and food

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Why adopt a policy on interaction with industry?

Goal of pharmaceutical, medical device, and healthcare product industries: principally to develop and sell new products.Goals of JHM healthcare providers:

deliver excellent patient care practice evidence-based medicinemake independent decisions

Concern that industry marketing to JHM providers skews clinical decision-making and medical educationPolicy: limit influence of industry marketing patient care decisions

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Who does the policy cover?

All faculty and staff, including physicians, nurses, administrators, etc.All students and traineesFull-time and part-timeVolunteersAll JHM organizations:

School of MedicineJohns Hopkins Hospital Johns Hopkins Bayview Medical CenterJHCPJHHCJHHCGJHM InternationalHoward County General HospitalSuburban Hospital

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What is covered?

Gifts from industryFood supplied by industryEducational support from industrySpeaking for industryContinuing medical educationAccess by industry representatives to JHM facilitiesFree pharmaceutical samplesScholarships and travelGhost-writing and ghost-authoring

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Definition of Industry

Industry - “biomedical, pharmaceutical and medical device companies and companies that make other products used in the treatment of patients or the provision of medical care”Separate Johns Hopkins policies cover relationships with other industries

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Session focus: Gifts and food

Gifts create an expectation of reciprocity – conscious or subconsciousCreate personal relationships with industry representativesReciprocity expected in the form of business, access, special treatment

“Much Obliged”

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Policy

JHM personnel may not accept gifts or food from industry. Examples:

Pens, coffee mugs, entertainment, travelMeals on site, meals off-site

Even small gifts can influence our decisionsResearch in behavioral economics and neuroscience

Free food and meals from industry are gifts

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Limited Exceptions: Gifts

GiftsCertain educational material, if given via JHMSome patient education material if:

a physician determines it is accurate and useful for patients,the majority of the content is patient information,similar material cannot readily be obtained from a non-industry source, andthe corporate logo or name and product information do not dominate the material.

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Limited exceptions: Food

Food/meals Part of formal, reported consulting for industryAt CME events (per ACCME guidelines)Meetings with sponsors regarding ongoing research projectsLarge networking events at professional society meetings

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Examples (1)

When a vendor rep comes to repair or install equipment, can he bring breakfast for the staff?

No. The food is a gift designed to develop goodwill toward the company so JHM will continue to do business with the company

Can I attend an information session about a company’s new equipment at a local restaurant?

No. The meal is a gift intended to create a sense of reciprocity so attendees will be inclined to order the new equipment. The company can send emails or printed material describing their new equipment.

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Examples (2)One of our pharmaceutical vendors leaves patient brochures at the clinic; the brochures discuss treatment options for a particular condition and have the company’s logo on the back. Can we accept these?

Yes – if an attending physician reviews the material and determines (a) the content is accurate and useful for patients, and (b) the brochures are more informational than promotional

Can a vendor sponsor continuing education for nurses?Yes – if the program fully compliant with the appropriate accreditor’s standards

A medical supply company sends a fruit basket for the clinic staff at the holidays. Can we accept the gift?

No – you should express gratitude, but explain that JHM policy does not allow you to accept gifts from industry

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Conclusion

The goal of the new policy is to shift our relationships with industry by limiting the influence of marketing activity.Culture change is difficult, but this is the right thing to do.Many other academic health centers have adopted similar policies.With less industry influence, JHM providers will be able to make more independent decisions, hopefully leading to higher quality care and lower cost for patients.

At a minimum, the perception of influence will be attenuated.

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Future FastFacts Sessions on the Industry Interaction Policy

Speaking for IndustryIndustry Representatives and Access to JHM FacilitiesIndustry Support for Education

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We’re going to open the phone lines now!

There will be a slight pause, and then a recorded voice will provide instructions on how to ask questions over this conference call line.

We’ll be answering questions in the order that we receive them.

We’ll also be answering the questions that were emailed to us during the presentation.

If there’s a question that we can’t answer, we’ll do some research after this session, and then email the answer to all participants.

Q&A

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Thank You!

Thank you for participating!We would love to hear from you.

Are there certain topics that you would like us to cover in future FastFacts sessions?Please email us at: fastfacts@jhu.edu

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Survey

Before we close, please take the time to complete a short survey.Your feedback will help us as we plan future FastFacts sessions.Click this link to access the survey… http://connect.johnshopkins.edu/fastfactssurvey/

Thanks again!