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As of May 12, 2021, everyone in Washington state age 12 and over is eligible to get the COVID-19 vaccine. Please visit our vaccine page for information on how to schedule an appointment.


Federalwide Assurance

What is Federalwide Assurance?

Under the Department of Health and Human Services (DHHS) human subjects protection regulations (at 45 C.F.R. 46.103), every institution engaged in human subjects research must obtain an Assurance Of Compliance approved by the Office for Human Research Protections (OHRP). This Assurance of Compliance is called a Federalwide Assurance (FWA). MultiCare Health System's FWA number is FWA00003267.

The "awardee" is responsible for ensuring that all collaborating institutions engaged in the research hold an OHRP approved Assurance prior to their initiation of the research. Please send a message to the IRB office at [email protected] for more information.

Most studies have an annual review requirement in order to maintain active status. A continuing review notice is sent to investigators several months before the study is due for continuing review; it is the responsibility of the investigator to assure his/her study receives continuing review. If the annual review submission is not submitted it could result in a finding of non-compliance, suspension, or termination of the study. Any of these actions are reported to the MHS Quality Committee of the Executive Board, and when applicable Office of Human Research Protection (OHRP) and the Federal Drug Administration (if the study involves a drug under an IND application or an unapproved device). Any of these actions means that no subjects can be enrolled and no data can be collected on enrolled subjects. At the next convened meeting of the IRB the board will decide what actions must be taken by the investigator to reinstate his/her study. If those actions are not taken in a pre-determined amount of time the study will be terminated and the board will report the termination to the appropriate institutional and federal officials as well as the study sponsor.

When a study is suspended an investigator has the right to petition the IRB chairs to allow data to be collected on enrolled subjects until continuing review can be reviewed by the convened board.

Studies can also be suspended or terminated for non-compliance, unanticipated risks to subjects or others, continuing non-compliance with IRB or regulatory requirements.


The MultiCare IRB has the right to audit investigator records to assure research is being conducted as approved. Investigators will be notified when selected for an onsite audit. The audit will be scheduled within 30 business days of receipt of the notice. Audit findings will be presented to the board where a decision will be made for corrective actions if necessary. Audits are conducted for both cause and at random.