Business Procedures Manual

Fiscal Affairs Division

16.7 Ethics and Compliance Reporting Hotlines

16.7.1 Purpose

(Last Modified on January 31, 2024)

The Ethics and Compliance Reporting Hotline (Ethics Line) was implemented in January 2008 as part of a comprehensive ethics and compliance program that was designed to promote the highest standards of ethical and professional conduct within the USG. The Ethics Line allows concerns to be reported confidentially by phone or on-line. The Ethics Line is administered by a third-party vendor that provides for confidential communication. The Ethics Line does not replace existing reporting mechanisms, including reporting concerns to an employee’s supervisor, but rather serves as an additional reporting option. Each institution has an Ethics Line web address and a telephone number assigned to it. A list of the web address and telephone number for each institution can be accessed from the following web address:

https://www.usg.edu/audit/compliance/reporting_contacts


16.7.2 Procedures

(Last Modified on August 14, 2020)

This policy sets forth the minimum requirements for the administration of each institution’s Ethics Line. Other institutional or USG policies may provide further guidance relating to allegations of specific conduct, such as sexual harassment, academic misconduct, poor work performance, and conflicts with other employees.


16.7.3 Implementation

(Last Modified on August 14, 2020)

To implement this policy, each institution shall implement procedures for receiving, investigating and resolving Ethics Line reports. The Ethics Line is an additional method of reporting concerns and wrongdoing, but does not replace existing processes for reporting, investigating and resolving reports of wrongdoing. As such, a policy for receiving and reviewing specific allegations of misconduct already may be in place at each institution. Reports received on the Ethics Line do not require institutions to establish a duplicate process for investigating such concerns or wrongdoing. The procedures established at each institution, however, must comply with the provisions of this policy.


16.7.4 Administration and Responsibility for the Ethics and Compliance Reporting Hotline

(Last Modified on August 14, 2020)

The President of each institution shall appoint an administrator who will serve as the Ethics Line Coordinator. The Ethics Line Coordinator will be responsible for the efficient and effective operation of the Ethics Line to include:

  1. Ensuring the Ethics Line is easily accessible from the institution’s webpage;
  2. Ensuring awareness of the Ethics Line at the institution by staff, faculty and students. Awareness efforts may include posters, internal communications, awareness activities, interdepartmental webpages, orientation material, social media and messaging from institutional leadership;
  3. The timely resolution of all reports received; and
  4. Ensuring access to the Ethics Line is properly restricted to those who need access and removing access from those who should no longer have access due to a change in their employment status or job duties.

Each USG institution is encouraged to establish a triage committee to review and manage reports received on the Ethics Line. Triage committee members may include representatives from internal audit, the office of legal affairs, compliance, human resources, public safety/campus police, information security or other functions at the discretion of the institutional President. However, all reports received regarding potential fraud, waste and abuse must be shared with the USG Office of Ethics and Compliance. Issues involving members of the triage committee or institutional executive management shall be referred to the USG Office of Ethics & Compliance for remediation and/or investigation.


16.7.5 Confidentiality

(Last Modified on August 14, 2020)

All employees involved in the process of receiving and investigating reports of wrongdoing must exercise due diligence and reasonable care to maintain the integrity and confidentiality of the information received. All USG employees must ensure they comply with state and federal laws regarding whistleblower protection.


16.7.6 Investigative Processes

(Last Modified on April 12, 2022)

A. Evaluation: Each institution will include in its procedures, a process for evaluating and resolving complaints received on the Ethics Line, assigning a case manager, establishing and maintaining communications with all appropriate parties, establishing an estimated timeframe for the resolution of reports received, and ensuring that cases are properly documented and closed. The evaluation process shall also include determining if the concerns raised in the report should be directed to a particular supervisor for remediation or to a department or office for investigation in accordance with previously established policies and procedures of the institution.

B. Case Manager: A case manager will be assigned to all Ethics Line reports received. The case manager will be responsible for the proper handling of the case, including determining if the case should be directed to a department or office in accordance with previously established policies and procedures, the assignment of additional investigators (if needed), conducting interviews, documenting all relevant information in the case file, ensuring that timely communication is maintained with all appropriate parties, including the reporter and the accused, ensuring that any required corrective action is taken, and closing the case in the case management system in a proper and timely manner. If a case is directed to another department or office for remediation, the case manager maintains the responsibility to ensure the case is properly resolved, that appropriate communication is maintained with all parties and for closing the case in the case management system.

C. Communication with the Reporter / Complainant: A response to the reporter / complainant shall be made within two (2) business days of the receipt of the Ethics Line report that, at a minimum, acknowledges receipt of the report. The reporter also may be asked to provide additional details to assist in evaluating and resolving the matter reported. The reporter shall be kept informed of the status of the investigation and shall be notified concerning the resolution of the case and, when appropriate, the action taken.

D. Communication with Named Persons: Named persons alleged to have committed a violation shall be notified of the allegations made and shall be kept informed of the status of the investigation. Notification shall be made at the time and to the extent that the case manager determines that it will not adversely affect the integrity of the investigation. Notifications should be coordinated with both the applicable institution’s Office of Human Resources and the named person’s supervisor or supervisory chain.

E. Corrective Action: Any recommended corrective action pertaining to USG employees will be taken by or coordinated with the institution’s human resources department. Corrective action includes, but is not limited to, recommended training, retraining, counseling, reprimands, suspensions and the termination of employment, consistent with the institution’s progressive discipline policy and other applicable policies.

F. Closing the case: Once all necessary investigative acts have been completed and properly documented, the administrative process to properly and promptly close the case must be completed. These closure processes shall minimally include: notifying the reporter/ complainant, documenting the resolution and action taken, and making the required entries in the case management system in a manner that properly documents the date on which the case is closed.

G. Case Resolution: Reports which confirm a policy violation, identify significant safety or environmental concerns, substantial inefficiencies, or the identification of significant institutional risks should be closed as “Substantiated” or “Partially Substantiated”. There can be instances when an employee is cleared of wrongdoing, but the report is closed out as “Substantiated” or “Partially Substantiated” due to the finding of significant safety or environmental concerns, substantial inefficiencies or the identification of significant institutional risks. In all cases, the report and/or the notes in the case management system should indicate if an employee was cleared of allegations of wrongdoing, policy violations or unethical behavior.


16.7.7 Tracking and Analyzing Reports

(Last Modified on January 31, 2024)

Each institution shall analyze, track and monitor reports, at a minimum annually, to identify trends, address risks and incorporate ways to increase efficiency and effectiveness. Institutions should review performance metrics, to include the average days to close cases, and compare them to industry benchmarks to ensure appropriate oversight of the Ethics Line. Of particular value would be year-over-year comparisons of key performance metrics to include number of cases received, average days to close, complaint category and substantiation rates. Updates regarding the number and types of cases shall be periodically provided by the USO to the Board of Regents.


16.7.8 Access to the Ethics and Compliance Reporting Hotline and Other Reporting Processes

(Last Modified on January 31, 2024)

A. On-Line Link to Ethics Line: Each institution shall provide an on–line link to its Ethics Line on the home page of the institution’s website.

B. Additional Reporting Contact Information: Each institution is encouraged to publish all of the reporting options pertaining to that institution’s processes and procedures on one web page. Further, each institution is encouraged to provide a listing of alternative reporting contacts for suspected wrongdoing that is widespread or concerns the USG System as a whole. The additional reporting contacts should include but are not limited to the following:

  1. The Ethics Line for the USO
  2. The USG Chief Audit Officer
  3. The USG Legal Affairs Office
  4. The USG Office of Ethics & Compliance

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