The University of Toledo Finance and Audit Committee Meeting “Internal Audit and Compliance Update” September 21, 2015.

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The University of Toledo Finance and Audit Committee Meeting “Internal Audit and Compliance Update” September 21, 2015

2 FY2016 Proposed Internal Audit Plan * Projects in progress indicated in red Academic Enterprise Department of Music Research & Sponsored Programs Student Financial Aid Revenues/Expenses (Athletics) Academic Accommodations (ADA) Main Campus (ADA) Campus Security Authorities Clery Act Compliance Emergency Preparedness Ethics Program Institutional Compliance IT Risk Assessment Paying Employees Payment Card Industry (PCI) Academic Enterprise (cont’d) Research Compliance Software Change Control State Authorization Requirements Supply Chain Operations Title IX Coaches Compensation (Athletics) Compliance (Athletics) Football Attendance (Athletics) Operating Income (Athletics) Outside Income (Athletics) Student Aid (Athletics) Student Fees (Athletics) Compliance (ADA) Clinical Enterprise Access to Medical Records Addiction Recovery Program Cardiovascular Unit Dana Cancer Center Discharge Summary Endoscopy Department Horizon Patient Portal Meaningful Use Pain Management Department Pharmacy Logs Health Science Campus (ADA) Healthcare Compliance Healthcare Informatics

3 Institutional Compliance Program A common, flexible, framework for assessing institutional compliance will be formulated A network of compliance officers from across campus will be assembled and organize their activities within this framework provisions of relevant laws and regulations map to UT policies and procedures identify gaps in UT policies and procedures with respect to the laws test compliance with procedures identify compliance gaps develop and implement action plans to address the above gaps monitor progress and re-test, if necessary Quarterly status reporting to University leadership from this Program Annual reporting to the Board by major compliance area from this Program We will report high risk compliance issues to the Board as we become aware of them

4 Document that is used in most companies to establish the purpose, scope, and authority of the company’s internal audit function The current UT Internal Audit Charter was adopted/approved by the Board Of Trustees in June, 2008 Summary of proposed changes … Changes to department name (“Internal Audit and Compliance”) Changes to the name of the Committee where the department reports (“Finance and Audit”) Guidance on the handling of significant internal control breakdowns discovered by management Guidance on the handling of audits/reviews of UT by third- party auditors and regulators Internal Audit and Compliance Charter

5 Approval of the FY2016 University of Toledo Internal Audit and Compliance Plan Formal endorsement of the University of Toledo Institutional Compliance Program Approval of the Updated University of Toledo Internal Audit and Compliance Charter Actions Requested of the Committee