The University of Texas of the Permian Basin Institutional Compliance Program Quarterly Report For the Quarter Ended November 30, 2008 Section I – Organizational Matters A meeting of the Institutional Compliance Committee was held November 25, 2008. There were no changes in membership on the Institutional Compliance Committee for the new fiscal year. There were no changes in the Compliance staff. Section II - Risk Assessment, Monitoring Activities and Specialized Training (Performed by Responsible Party) High-Risk Area #1: Research Responsible Party: J. Tillapaugh, Asst. Vice President for Graduate Studies and Sponsored Research Key “A” risk(s) identified: Noncompliance with Time and Effort reporting Failure to follow laws, policies and procedures related to animal and human subjects research Key Monitoring Activities: The Responsible Party reviewed the Effort Commitment & Certification reports that were completed by principal investigators of Federal grants for the 4th quarter of FY 2008. Questions related to salary payment authorized by UTPB casual appointment forms caused five exceptions. A change in the procedure for initiating such salary payments was made as a result of the exceptions. Of 94 protocols for animal and human subjects research that were reviewed, 75 were approved without revisions, 19 were approved with revisions. Specialized Training: A special presentation on Human Subjects Research was presented by Dr. Jim Plvarnik, Michigan State University, to faculty and students. Ninety-four attended. High-Risk Area #2: Intercollegiate Athletics Responsible Party: Steve Aicinena, Director of Intercollegiate Athletics Key “A” risk(s) identified: Ineligible students participating in practice and competition Lack of comprehensive training program on NCAA rules NCAA rules and regulations not disseminated to appropriate individuals Key Monitoring Activities: Daily monitoring revealed two NCAA secondary level II violations. One-on-one training was completed with the individuals who could have prevented the violations and self reports were filed with the conference and NCAA. Specialized Training: A compliance seminar was held for coaches and employees regarding changes to NCAA rules and the Departmental Compliance Plan. Eleven of the twelve employees (92%) attended. 1 High-Risk Area #3: Information Resources Responsible Party: Keith Yarbrough, Assistant Vice President and Director of Information Resources Key “A” risk(s) identified: Inadequate information security program impacting confidentiality, availability and / or integrity of data. Key Monitoring Activities: Ongoing monitoring of email for confidential content. All inbound and outbound email messages are examined. Emails containing social security numbers averaged 62 sent per month in FY 2008 compared to 21 per month to date in FY 2009. Emails containing credit card numbers averaged 19 per month in FY 2008 compared to 2 per month to date in FY 2009. Specialized Training: Annual Information Security Awareness training is required of all UTPB information resource users. An updated Information Security Awareness Training module was made available to faculty and staff during November 2008. As of the end of November, training has been completed by 214 of 611 users (35%). A weekly reminder is now being sent to all who have not completed the requirement. A report of training remaining to be completed will be provided to the Director of Information Resources. Section III – Monitoring and Assurance Activities (Performed by Compliance Office/Designate) High-Risk Area: Failure to follow financial reporting standards and UT System guidelines for budgeting and financial reporting Assessment of Control Structure: Opportunity for enhancement Monitoring/Assurance Activities Conducted: Financial audit of Fiscal Year 2008 Annual Financial Report. Significant Findings: Opportunities for improvement of controls over financial reporting were noted during the audit. Some of the recommendations were repeat recommendations from prior years. Three of the findings were considered significant deficiencies. Monitoring/Assurance Activities Conducted: Compliance Officer and Internal Auditor/Asst. Compliance Officer meet weekly with the President, Provost and Director of the Office of Accounting to review current financial position and potential actions that could impact year end results and financial rating status. Training Provided: Training for budget heads and support staff regarding proper reconciliation of statements of account was initiated during the quarter. The Internal Auditor attends each session to stress the importance of proper reconciliation procedures and to answer questions about expectations for proper documentation. High-Risk Area: Financial Aid Assessment of Control Structure: Opportunity for enhancement Monitoring/Assurance Activities Conducted: The State Auditor’s Office A133 limited scope audit of financial aid continued through the quarter. A draft report has not been provided to the university as of the end of the quarter. Preliminary verbal discussions have indicated that some findings from the audit in FY 2008 will be repeated and new findings may be added. 2 High-Risk Area: Time and Effort Reporting Assessment of Control Structure: Opportunity for enhancement Monitoring/Assurance Activities Conducted: An audit of the Joint Admissions Medical Program (JAMP) was completed during the quarter. Opportunities for improvement of control over financial documentation and monitoring were identified during the audit. None of the findings were considered significant. Section IV – General Compliance Training Activities Seven modules of General Compliance training administered through Training Post were assigned to all continuing employees. New employees were assigned twelve General Compliance modules. December 15, 2008 is the date set by the Institutional Compliance Committee for the assigned training to be completed. As of November 20, 2008, 925 of the 2,180 modules assigned or 42.4% were completed. Follow-up reminders from the appropriate executive staff will be used to remind staff to comply with the deadline. Section V – Action Plan Activities The following Action Plan items were implemented during the quarter just ended: Surveys were completed by the Committee to assess the compliance program and the compliance officers. A self-assessment survey of the program was completed by the Compliance Officer. The Compliance program, Compliance Committee, and Compliance function were assessed to ensure continual improvement. The Committee requested individual certification letters from all budget heads and responsible parties that provide assurance and/or note exceptions to compliance activities and programs within each area. The Assistant Compliance Officer participated in a meeting at U.T. System for introduction of the new system-wide compliance officer and to discuss system-wide compliance activities and expectations. Provided the annual report for FY 2008 to the U.T. System Compliance Office. Held a meeting of the Institutional Compliance Committee during the quarter. Provided articles for inclusion in the employee newsletter that highlight various compliance topics and educate the UTPB community regarding the Compliance Program. The Assistant Compliance Officer participated in training provided to Budget Heads with emphasis on general compliance issues and in training sessions provided by the university trainer on the statement of accounts reconciliation process. Received and investigated or forwarded to appropriate administrators compliance inquiries received through various means including the “888” hotline, internal phone, email and in person. Provided an update on the inquiries to the Compliance Committee in November 2008 at their regularly scheduled meeting. 3