University of Nebraska Medical Center - User contributions [en]

Serving Alcoholic Beverages

2026-05-05T17:53:56Z

Afaylor: update Request to Serve Alcoholic Beverages Form link

Serving Alcoholic Beverages Procedures

2026-04-24T11:30:35Z

Afaylor: Updated Request to Serve Alcoholic Beverages Form link from https://wiki.unmc.edu/images/0/0c/RequestToServeAlcoholForm.pdf to https://us.streamline.intellistack.app/start-session/9317802c-0732-4533-9e49-fd67b2e6e205?source=url

[[Human Resources]] | [[Safety/Security]] | [[Research Compliance]] | [[Compliance]] | [[Privacy/Information Security|Privacy]] | '''[[Business Operations]]''' | [[Intellectual Property]]
 
[[General Accounting]] | [[SBIR/STTR Program Participation]] | [[Supplemental Compensation Plan]] | [[Facilities Management/Planning]] | [[Purchasing]] | [[Public Affairs]] | [[Facility Identification]] | [[Serving Alcoholic Beverages]] | [[Travel and Reimbursement]] | [[State Vehicles]] | [[Reproducing Copyrighted Materials]] | [[Credit Card Processing]] | [[Student Training Agreement]] | [[Non-faculty Volunteers]] | [[Cash Handling]] | [[Fraud]] | [[Assigning Research Lab Space]] | [[Public Research Lab Space]] | [[International Health Education]] | [[Faculty Personnel Records]] | [[Cellular Phone]] | [[Off-campus Graphic Design and Related Printing]] | [[Off-campus Photography]] | [[Tax Exempt Financing and Tracking of Both Qualified Use and Non-Qualified Use of Research Space]] | [[Secondary Logos]] | [[Social Media]]
 
<big>Serving Alcoholic Beverages Procedures</big>
 

The Request to Serve Alcoholic Beverages Form must be completed and approved by the dean or director of the initiating department. Request forms can be obtained from the link below. The completed request should be forwarded to the Vice Chancellor for Business and Finance or designee for approval.

#Upon approval, the original will be maintained in office of the Vice Chancellor for Business and Finance (or designee)'s office.
#A first copy will be sent to Food and Nutrition Services, Continuing Education, or the department associated with the organization who will purchase, receive, dispense, and remove the alcohol.
#A second copy will be sent to the initiating department, who will notify Security of the event.
For further information, see the Serving Alcoholic Beverages Policy or contact the Vice Chancellor for Business and Finance.

[[Serving Alcoholic Beverages]] Policy / [https://us.streamline.intellistack.app/start-session/9317802c-0732-4533-9e49-fd67b2e6e205?source=url Request to Serve Alcoholic Beverages Form]

This page updated on 02/12/10, by [mailto:dpanowic@unmc.edu dkp].

Library: Library Use and Conduct

2025-09-29T21:46:33Z

Afaylor: /* Public Safety */ updated lost and found property link

This policy has been created to protect the rights and safety of users and staff and to preserve and protect the library's materials, equipment, facilities and grounds. This policy references University of Nebraska and University of Nebraska Medical Center policies.

McGoogan Library spaces are primarily intended for academic research collections, library services and programs, study space for the UNMC community, and library-sponsored or cosponsored events. McGoogan Library reserves the rights to cancel, interrupt, or terminate any service or event in the interest of a weather-related emergency, public safety, or noncompliance with University of Nebraska and University of Nebraska Medical Center policies.
== Library Access ==
The library’s resources and public spaces may be used by all users during regular business hours. The library is accessible after hours for UNMC faculty, staff, and students and other affiliates. A current UNMC ID or Nebraska Medicine badge is required for building access. A UNMC NetID or public access computer pass (for walkin, Nebraska Medicine, guests, and public users) is required to access the library’s electronic resources. See Library Building Access and Hours Policy.
== Library Spaces ==
The library’s public spaces are located on Level 6 and Level 7 of Wittson Hall. Level 6 is a designated collaborative learning space and a reasonable level of noise is to be expected. Level 7 is a designated quiet study space. Cell phones and other electronic devices should be set to a silent mode when entering the library. Users are encouraged to use the Level 6 entrance area for brief, quiet telephone conversations.

Library spaces are designated for use by UNMC faculty, staff, students or library partners. Study rooms and classroom spaces in the library are available for use by UNMC faculty, staff, and students. Spaces managed by library partners may have different access and use policies than the McGoogan Library and are clearly identified in the library.
== Food and Drink ==
Drinks are permitted in spill-proof containers. Food is not permitted by computers.
== Children in the Library ==
Children are welcome in the library. Children under the age of 16 must be accompanied by a parent or guardian aged 19 years or older. Children under the age of 16 are permitted in the library without a parent or guardian only if they are part of a librarysponsored tour or are enrolled in a UNMC course or outreach program.
== What to Expect from the Library ==
* Space for users that is clean, quiet, and well lit
* Tools for users to find information quickly and efficiently
* Courteous and respectful service
* Access, within specific guidelines, to the library collections
* Library user records and information requests are considered private information
== What is Expected of Library Users ==
* Users will engage in responsible behavior and treat library staff and others with courtesy and respect
* Users will comply with directions of library staff or campus notifications regarding shelter-in-place or evacuation during emergency situations
* Users will avoid disruptive behavior, which includes, but is not limited to the following:
** Assault or intimidation through language or actions
** Excessive noise or commotion that disrupts others
** Refusing to leave when a room reservation has ended
** Entering areas of the library that are restricted
** Engaging in behavior as defined by UNMC's [[Sexual Misconduct|Sexual Misconduct policy]]
** Engaging in the use of alcohol or illegal drugs as defined by the [[Drug_Free_Campus|Drug Free Campus policy]]
** Using any e-cigarette, vaping, or tobacco products per the [[Tobacco-Free Campus|Tobacco-Free Campus policy]]. This includes smokeless forms of tobacco and electronic cigarettes
== Users Respect for Library Materials, Furnishings, and Equipment ==
* Keep all areas clean and place trash in proper receptacles
* Refrain from marking library property or placing books open face down
* Check out of materials before leaving the library

Users must comply with the [[Computer Use/Electronic Information|University of Nebraska Medical Center’s Computer Use and Electronic Information Security Policy]].

Users will not make or use unauthorized copies of items obtained from library collections as described in the Acceptable Use of Electronic Resources policy.

Animals or pets are allowable only in cases of service or therapy animals per the [[Pets in the Workplace|UNMC Pets in the Workplace policy]].
== Public Safety ==
Do not leave personal items unattended anywhere in the library. All [https://www.unmc.edu/business-finance/safety/police/lost-found.html lost and found property] will be turned into Public Safety at the end of the business day. Report missing items to the UNMC Public Safety at [tel:4025595111 402-559-5111].

The library reserves the right to notify UNMC Public Safety or law enforcement regarding disruptive behavior. Anyone engaging in disruptive behavior may be banned from the McGoogan Library.

Third Party Registry

2025-09-29T21:25:45Z

Afaylor: /* Additional Information */ updated Health Insurance Portability and Accountability Act of 1996 (HIPAA) link - 2x

Disclosures of PHI as Permitted or Required by Law

2025-09-29T21:22:39Z

Afaylor: /* Additional Information */ updated Health Insurance Portability and Accountability Act of 1996 (HIPAA) link - 2x

Disclosure of PHI for Law Enforcement Purposes

2025-09-29T21:19:33Z

Afaylor: Update Health Insurance Portability and Accountability Act of 1996 (HIPAA) – appears 2x

Privacy/Confidentiality

2025-09-29T21:15:14Z

Afaylor: /* Additional Information */ updated HIPAA Security Rule link

Retention and Destruction/Disposal of Private and Confidential Information

2025-09-29T20:05:44Z

Afaylor: /* Additional Information */ updated HIPAA Security Rule link 2x

Patient Privacy Investigations and Levels of Violation

2025-09-29T19:50:43Z

Afaylor: /* Additional Information */ updated Health Insurance Portability and Accountability Act of 1996 link 2x and HIPAA Security Rule link 2x

Psychotherapy Notes

2025-09-29T19:46:37Z

Afaylor: /* Additional Information */ updated Health Insurance Portability and Accountability Act of 1996 (HIPAA) link - 2x

Accounting of PHI Disclosures

2025-09-29T19:43:57Z

Afaylor: /* Additional Information */ updated Health Insurance Portability and Accountability Act of 1996 link and HIPAA Security Rule link 2x

Access to Designated Record Set

2025-09-29T19:35:02Z

Afaylor: /* Additional Information */ updated Health Insurance Portability and Accountability Act of 1996 link 2x and HIPAA Security Rule link

Information Security Awareness and Training

2025-09-29T19:18:50Z

Afaylor: /* Additional Information */ updated HIPAA Security Rule link - 3x

Notice of Privacy Practices

2025-09-29T19:14:43Z

Afaylor: /* Additional Information */ updated Health Insurance Portability and Accountability Act of 1996 (HIPAA) link

Notice of Privacy Practices

2025-09-29T19:14:11Z

Afaylor: /* Basis for Policy */ updated Health Insurance Portability and Accountability Act of 1996 (HIPAA) link

Privacy/Confidentiality

2025-09-29T19:08:17Z

Afaylor: /* Additional Information */ updated Health Insurance Portability and Accountability Act of 1996 link and HIPAA Security Rule link

Use and Disclosure of Protected Health Information

2025-09-29T18:57:44Z

Afaylor: /* Additional Information */ updated Health Insurance Portability and Accountability Act of 1996 (HIPAA) link

<table style="background:#F8FCFF; text-align:center" width="100%" cellspacing="0" cellpadding="0" border="0">
<tr>
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF"
width="20">[[Human Resources]]</td>
<td style="border-bottom:2px solid #A3B1BF" width="3"> </td>
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF"
width="20">[[Safety/Security]] </td>
<td style="border-bottom:2px solid #A3B1BF" width="3"> </td>
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF"
width="20">[[Research Compliance]] </td>
<td style="border-bottom:2px solid #A3B1BF" width="3"> </td>
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF"
width="20">[[Compliance]]</td>
<td style="border-bottom:2px solid #A3B1BF" width="3"> </td>
<td style="padding:0.5em; background-color:white; line-height:0.95em; border:solid 2px #A3B1BF; border-bottom:0; font-weight:bold;" width="20">[[Privacy/Information Security]]</td>
<td style="border-bottom:2px solid #A3B1BF" width="3"> </td>
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF"
width="20">[[Business Operations]]</td>
<td style="border-bottom:2px solid #A3B1BF" width="3"> </td>
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF"
width="20">[[Intellectual Property]]</td>
<td style="border-bottom:2px solid #A3B1BF" width="3"> </td>
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF"
width="20">[[Faculty]]</td>
</tr>
</table>
 
[[Identification Card]] | [[Secure Area Card Access]] | [[Privacy/Confidentiality]] | [[Computer Use/Electronic Information]] | [[Retention and Destruction/Disposal of Private and Confidential Information]] | [[Use and Disclosure of Protected Health Information]] | [[Notice of Privacy Practices]] | [[Access to Designated Record Set]] | [[Accounting of PHI Disclosures]] | [[Patient/Consumer Complaints]] | [[Vendors]] | [[Fax Transmissions]] | [[Psychotherapy Notes]] | [[Facility Security]] | [[Conditions of Treatment Form]] | [[Informed Consent for UNMC Media]] | [[Transporting Protected Health Information]] | [[Honest Broker]] | [[Social Security Number]] | [[Third Party Registry]] | [[Information Security Awareness and Training]] | [[Patient Privacy Investigations and Levels of Violation]] | [[Use and Disclosure of PHI for Training Health Care Professionals]] | [[Disclosures of PHI as Permitted or Required by Law]] | [[Disclosure of PHI for Law Enforcement Purposes]]
 
Policy No.: '''6057''' 
Effective Date: '''03/17/03''' 
Revised Date: '''03/28/24''' 
Reviewed Date: ''' 04/22/24''' 

<big>'''Use and Disclosure of Protected Health Information Policy'''</big>
== Basis for Policy ==
Nebraska Medicine/UNMC implements reasonable and appropriate access controls in alignment with National Institute of Standards and Technology (NIST) standards and guidance to maintain the minimum necessary access. [https://csrc.nist.gov/publications/detail/sp/800-53/rev-5/final NIST Special Publication 800-53] and the [https://www.cdc.gov/phlp/php/resources/health-insurance-portability-and-accountability-act-of-1996-hipaa.html HIPAA Security Rule] outline considerations for the access control family of security controls.

== Policy ==
Nebraska Medicine/UNMC shall limit the use and disclosure of Protected Health Information (PHI) to the right people, for the right purposes, with the right authority, and always subject to reasonable safeguards -- all as defined by the [https://www.cdc.gov/phlp/php/resources/health-insurance-portability-and-accountability-act-of-1996-hipaa.html Health Insurance Portability and Accountability Act of 1996 (HIPAA)] and Nebraska Medicine/UNMC policies.

==Purpose==
To establish guidelines for the use and disclosure of PHI.
===General Policies Governing the Use and Disclosure of PHI===
#Each use or disclosure of PHI must be an authorized use or disclosure (either by a written patient authorization or Nebraska Medicine/UNMC policy). Some of the authorized uses and disclosures are described in this policy and associated policies.
#The use or disclosure of PHI must be in accordance with the [https://www.nebraskamed.com/patients/rights-responsibilities/notice-privacy-practices Nebraska Medicine/UNMC Notice of Privacy Practices].
#The [https://wiki.unmc.edu/index.php/Use_and_Disclosure_of_Protected_Health_Information#Workforce Workforce] member using or disclosing the PHI must do so only as necessary to perform assigned duties.
#The person or entity to which PHI is disclosed must be authorized to receive it and their identity and authority must be verified prior to such disclosure. (See Verification and Authority policy, [https://secure.compliance360.com/Today/DisplayTab?PD=Q63uFd1AsIvtLq6ToeED9rAee%2bFRP7onkvKrNNl2szKEszBO6tcvW30uMYCrLHz%2ff5qp5Jtyy5hY3Kc6FOXhopxNkewzPG2A8OEmY0FOV0gitoSsonRfDnbnEdx5nsr%2bZ%2fNk541fFQqAD7aXNL%2fG%2b316yK7R9SBhHMui6Ah%2fOCt8KE2umEvYPmNwFE8S%2bTVtIUrDO3xL6PALBlpa6juXkzyHaIo3iPkx1ovcv94m5d9qKwCgkuut5jNUR8E7XmClVNyehpOmY09Hmbo%2f0j%2bqZX7KNjSQrgbRadZXTJKSG7ASS%2b10Hee0yaZnQlMHoDejOl8M85zzTyj1snBEwZjAUF2TA8TNfAyKjkcXriXbvX6pQAM3PsgE84e2Vgv3hNMYYUjaKVvRHCC3ziIK2FeUNQOadKiFE9eSwvJcSWSscuz%2bJHSSE60mjfcSkTpFLJ1ImWtYli0yP4msuE3Nnfse1zwggz5pQCKDhf1Du7HOGykzdrq%2b7ITvzsC0AMcHy8SyoY4M6w6eNlx5E3sNIlAjIQ%3d%3d IM55] and the Nebraska Medicine Consents and Permits policy, MS14, Authorized Consenting Persons section.)
#Use and disclosure of PHI must be limited to the minimum necessary to accomplish the intended purpose of such use or disclosure. (See Minimum Necessary section below.)
#Uses and disclosures of PHI may be subject to requests for confidential communications. (See Confidential Address policy, [https://secure.compliance360.com/Today/DisplayTab?PD=Q63uFd1AsIvtLq6ToeED9rAee%2bFRP7onkvKrNNl2szKEszBO6tcvW30uMYCrLHz%2ff5qp5Jtyy5hY3Kc6FOXhopxNkewzPG2A8OEmY0FOV0gitoSsonRfDnbnEdx5nsr%2bZ%2fNk541fFQqAD7aXNL%2fG%2b316yK7R9SBhHMui6Ah%2fOCt8KE2umEvYPmNwFE8S%2bTVtIUrDO3xL6PALBlpa6juXkzyHaIo3iPkx1ovcv94m5d9qKwCgkuut5jNUR8E7XmClVNyehpOmY09Hmbo%2f0j%2bqZX7KNjSQrgbRadZXTJKSG7ASS%2b10Hee0yaZnQlMHoDejOl8M85zzTyj1snBEwZjAUF2TA8TNfAyKjkcXriXbvX6pQAM3PsgE84e2Vgv3hNMYYUjaKVvRHCC3ziIK2FeUNQOadKiFE9eSwvJcSWSscuz%2bJHSSE60mjfcSkTpFLJ1ImWtYli0yP4msuE3Nnfse1zwggz5pQCKDhf1Du7HOGykzdrq%2b7ITvzsC0AMcHy8SyoY4M6w6eNlx5E3sNIlAjIQ%3d%3d REG365].)
#If a disclosure of PHI is subject to an Individual’s right to an accounting, it must be documented per UNMC Policy No. 6061, [https://wiki.unmc.edu/index.php/Accounting_of_PHI_Disclosures Accounting of Protected Health Information Disclosures]. Also note the documentation requirements listed throughout this policy and associated policies.
#Requests for uses and disclosures of PHI that are not clearly addressed in Nebraska Medicine/UNMC policies must be considered and resolved by a designated decision-maker. The [mailto:debrbishop@nebraskamed.com Privacy Officer] is the designated decision-maker unless someone else is designated by the [mailto:privacy@nebraskamed.com Privacy Office] for a particular policy or situation. (See Nebraska Medicine Consents and Permits policy, [https://secure.compliance360.com/Today/DisplayTab?PD=Q63uFd1AsIvtLq6ToeED9rAee%2bFRP7onkvKrNNl2szKEszBO6tcvW30uMYCrLHz%2ff5qp5Jtyy5hY3Kc6FOXhopxNkewzPG2A8OEmY0FOV0gitoSsonRfDnbnEdx5nsr%2bZ%2fNk541fFQqAD7aXNL%2fG%2b316yK7R9SBhHMui6Ah%2fOCt8KE2umEvYPmNwFE8S%2bTVtIUrDO3xL6PALBlpa6juXkzyHaIo3iPkx1ovcv94m5d9qKwCgkuut5jNUR8E7XmClVNyehpOmY09Hmbo%2f0j%2bqZX7KNjSQrgbRadZXTJKSG7ASS%2b10Hee0yaZnQlMHoDejOl8M85zzTyj1snBEwZjAUF2TA8TNfAyKjkcXriXbvX6pQAM3PsgE84e2Vgv3hNMYYUjaKVvRHCC3ziIK2FeUNQOadKiFE9eSwvJcSWSscuz%2bJHSSE60mjfcSkTpFLJ1ImWtYli0yP4msuE3Nnfse1zwggz5pQCKDhf1Du7HOGykzdrq%2b7ITvzsC0AMcHy8SyoY4M6w6eNlx5E3sNIlAjIQ%3d%3d MS14].)
#All uses and disclosures of PHI should be made in accordance with safeguards adopted by Nebraska Medicine/UNMC to further protect the privacy of PHI.
#Improper uses and disclosures of PHI should be immediately brought to Privacy Office’s attention so it can consider and facilitate the implementation of any effective mitigation or remedial steps.
#All members of the Workforce are required to be familiar with the policies and procedures which affect them in their role at Nebraska Medicine/UNMC and will be held accountable for their individual compliance with such policies and procedures.
==Procedures==
Protected Health Information (PHI) may be used and disclosed within the [https://wiki.unmc.edu/index.php/Use_and_Disclosure_of_Protected_Health_Information#Affiliated_Covered_Entity_.28ACE.29 Affiliated Covered Entity (ACE)] for each member’s own treatment, [https://wiki.unmc.edu/index.php/Use_and_Disclosure_of_Protected_Health_Information#Payment_2 Payment] and [https://wiki.unmc.edu/index.php/Use_and_Disclosure_of_Protected_Health_Information#Health_Care_Operations_2 Health Care Operations] if it has or is about to have a treatment relationship with the Individual supporting its need for such use or disclosure of such information, without having to obtain the Individual’s authorization. ACE entities also may share PHI with one another without Individual authorization as permitted by HIPAA and necessary for the delivery of health care treatment, payment and operations. 

Members of the [https://wiki.unmc.edu/index.php/Use_and_Disclosure_of_Protected_Health_Information#Workforce Workforce] may access Individual information for a current, work-related purpose, and shall access only those portions of the medical record as required for the current, work-related purpose. Members of the Workforce shall not access or alter their own medical record. (See UNMC Policy No. 6045, [https://wiki.unmc.edu/index.php/Privacy/Confidentiality Privacy, Confidentiality and Security of Patient and Proprietary Information].)
===Treatment===
Nebraska Medicine/UNMC may disclose PHI to another health care provider for its treatment purposes if the requesting provider has or is about to have a treatment relationship with the Individual to be entitled to the information.
#If the requesting provider is a member of Nebraska Medicine/UNMC’s medical staff, no further verification of the relationship is needed, and the information may be shared for the requesting provider’s treatment purposes.
#If the request is from a health care provider who is not a member of Nebraska Medicine/UNMC’s medical staff, Nebraska Medicine/UNMC staff should request confirmation that there is a treatment relationship or determine, based on the medical record, that there is a treatment relationship. For example, if the record includes documentation that the Individual was brought by the local emergency squad, the treatment relationship between Nebraska Medicine/UNMC and the EMS provider is confirmed.
#Release/disclosure of Individual's information should be documented by the department/Workforce member releasing the information. Releases of information outside of the Health Information Management department (HIM) should be documented in the medical record, such as by using Epic/One Chart’s Quick Disclosure.
#The minimum necessary standard does not apply to disclosures of PHI made to another health care provider for treatment purposes involving the Individual who is the subject of such PHI.
===Payment===
Nebraska Medicine/UNMC may disclose PHI to another provider or covered entity for its [https://wiki.unmc.edu/index.php/Use_and_Disclosure_of_Protected_Health_Information#Payment_2 Payment] purposes after confirming that the other provider or covered entity has a treatment relationship that supports the request for information.
#Release/disclosure of patient information should be documented by the department/Workforce member releasing the information. Releases of information outside of HIM should be documented in the medical record, such as by using Epic/One Chart’s Quick Disclosure.
#The minimum necessary standard does apply to disclosures to another provider or covered entity for its payment purposes.
===Health Care Operations===
Nebraska Medicine/UNMC may disclose PHI to another covered entity (including members of its medical staff) for certain health care operations of the requesting covered entity if the following steps are followed. Requests of this type are expected to be infrequent.
#Nebraska Medicine/UNMC should confirm and document that the requesting covered entity: (i) is a covered entity; (ii) has a relationship with the Individual whose PHI is requested; and (iii) is requesting and will use PHI for a qualifying health care operations use.
#Only the following health care operations of the requesting covered entity support a disclosure to the covered entity for its use of PHI in health care operations:
##Quality assessment activities, utilization management activities and activities designed to measure or improve care or reduce costs.
##Peer review activities.
##Health care fraud and abuse detection or compliance efforts.
#The minimum necessary standard does apply to a disclosure of PHI to another health care provider for its health care operations purposes. Therefore, limit the information accessed or disclosed to the minimum necessary for the operational purposes of the party receiving it.
===Incidental Disclosures===
Nebraska Medicine/UNMC may use and disclose PHI for permitted purposes, even though doing so may result in incidental disclosure to third parties. In such cases, the following standards should be met:
#The unintended disclosure of PHI must be a consequence of a permitted use or disclosure.
#The permitted disclosure of PHI must have met the minimum necessary standard, as applicable.
#Workforce members must have employed reasonable safeguards to prevent the unintended disclosure of PHI:
##Use common sense and judgment--look for ways to lessen the risk and any potential impact of an incidental disclosure (e.g., signage visible outside Individual's room should not contain PHI, except information necessary for safe clinical care, such as infection control and fall precaution notices; Individuals in public areas or being transported should be draped in a manner that respects the Individual’s modesty or dignity).
##Speak in a lower voice;
##Provide more privacy through partitions and room arrangements (e.g., protect the visual privacy of Individuals receiving treatment through the use of curtains or other visual barriers whenever possible);
##Pull the dividers or partitions between the Individual and other patients or visitors; and
##Ask if the Individual would prefer to talk in a more private location.
===Disclosures to the Individual===
Nebraska Medicine/UNMC may disclose PHI to the Individual or his/her Personal Representative.
The Individual has a right to see and obtain copies of PHI maintained in the Individual’s designated record set. Information, including billing information, may be sent to a minor for treatment to which the minor appropriately consented. (See UNMC Policy No. 6059, [https://wiki.unmc.edu/index.php/Access_to_Designated_Record_Set Access and Amendment of Designated Record Set]).
#For Other Disclosures to Individual
##For disclosures in written or electronic form, staff should document the disclosure/release in one of the following ways:
###Notation in the medical, billing or other record from which the material was obtained
###Electronic notation such as Quick Disclosure (Epic) in the database from which the information was obtained
##It is not necessary to document oral disclosures to Individuals, unless required by nursing, medical staff or other policies. This policy recognizes that there is constant exchange of information between health care providers and Individuals during episodes of care.
##When disclosing to the Individual, appropriate safeguards should be taken to reduce the risk that people other than the Individual or people permitted by the Individual will hear the disclosure. Examples of such safeguards would include:
###Asking the Individual if the Individual would prefer to talk in a more private location.
###Confirming with the Individual that it is okay to proceed with the conversation while friends, relatives or others are present.
###Speaking in a lower voice.
###Pulling the dividers or partitions between the Individual and other patients or visitors.
###Providing more privacy through partitions and room arrangements.
#The minimum necessary standard does not apply to disclosures to the Individual.
===Disclosures to Family, Friends and Others===
====Facility Directory====
Nebraska Medicine/UNMC may include limited information about an Individual in the facility directory or census and may disclose that information to people who ask about the Individual by name, or to members of the clergy, in accordance with applicable policies. (See Nebraska Medicine Private Designation policy [https://secure.compliance360.com/Default.aspx RI15], for additional details.)
====Disclosures with Individual’s Permission====
#You may disclose PHI to the Individual in the presence of others if the Individual is asked and consents or is given a chance to object and does not verbally object to such disclosure and you reasonably infer from the circumstances that the Individual does not object. Disclosures of sensitive information, such as mental health or sexually transmitted disease diagnoses, should only be disclosed with the permission of the Individual.
#When relying on this authority, disclose only the minimum amount of information needed to achieve the purpose of the disclosure, unless you know that the individuals present are all involved in the Individual's care or [https://wiki.unmc.edu/index.php/Use_and_Disclosure_of_Protected_Health_Information#Payment_2 Payment] for care.
#Remember – people who are present when a disclosure of PHI is made may be mere friends, visitors or onlookers. They may have no role in the Individual’s care. They may simply be visiting the Individual. Therefore, try to give the Individual every opportunity to agree or object to a disclosure of his or her PHI when it will otherwise be made in their presence.
#Do not rely on this authority if the Individual is incapacitated or otherwise unable to agree or object to such disclosure.
====Disclosures Based on Role or Involvement in Patient Care====
Follow this policy when disclosing PHI to a person other than a Personal Representative whom you believe plays a role in the Individuals’s health care (or [https://wiki.unmc.edu/index.php/Use_and_Disclosure_of_Protected_Health_Information#Payment_2 Payment] for health care). For example, follow this policy when you:
#Talk to the Individual’s child, other relative or friend who customarily drives the Iatient to appointments to confirm the date and time of the next appointment.
#Give an involved family member the Individual’s prescription, so the family member can fill it for the Individual.
#Talk to a family member at discharge, if they play a role in post-discharge care.
#Talk to the Individual’s spouse to obtain information necessary to file a claim through the spouse’s group plan.
#Talk to a family member or friend when the Individual indicates you can or should do so, e.g., if the person accompanies the Individual for an appointment or procedure, or is invited and present at admission or discharge.
If the Individual is available prior to a disclosure and has the capacity to make health care decisions, explain the proposed disclosure and do one of the following:
#Obtain the Individual’s consent to such disclosure;
#Provide the Individual with an opportunity to object, and disclose only if the Individual does not object; or
#Reasonably infer from the circumstances, based on the exercise of professional judgment, that the Individual does not object.
If the Individual is not available prior to the disclosure, use and document professional judgment to determine whether the disclosure would be in the best interest of the Individual. If so, disclose only the PHI directly relevant to the recipient’s involvement in the Individual’s health care. A code or password should not be used as a substitute for use of professional judgement to determine an Individual’s involvement in the patient's care to disclose information relevant to the Individual’s involvement. 

'''Note:''' Nebraska Medicine/UNMC may disclose a decedent’s PHI to family members and others who were involved in the care or payment for care of the decedent prior to death, unless doing so is inconsistent with any prior expressed preference of the Individual. 

These procedures are not applicable to Personal Representatives because they generally have the same access to information as the Individual.
====Disclosure for Notification Purposes====
Nebraska Medicine/UNMC may disclose PHI about an Individual in order to notify family, friends or others of the Individual’s whereabouts, general condition or death. In these cases, Nebraska Medicine/UNMC may not know the details of the involvement of others in the patient’s care or payment for care. Therefore, in these cases, try to follow these steps:
#Ask the Individual, if possible, whether they consent to such disclosure and rely on what the patient says.
#If the Individual is not able or available, make an effort to determine from the record the identity of others who may be Personal Representatives or involved in the Individual’s care and make an effort to limit contact to them.
#If following the above steps does not work, use your best judgment in making contact with family, friends or others for notification purposes. Try asking for the person by order of priority (See Nebraska Medicine Consents and Permits policy, MS14.) Try to limit disclosures to individuals in the highest priority you can locate. In the end, use your best professional judgment in deciding how much you can say and to whom.
#When the Individual has been deemed not competent, and is not expected to regain competence, and no family or friend has been located to act on the Individual’s behalf, Care Transitions and/or Pastoral Services staff may reach out to resources, such as the Individual’s landlord or employer (if known), agencies contracted for such purposes with the assistance of Legal Services, or local enforcement. In all such cases, the disclosure of PHI shall be limited solely to the Individual’s name and date of birth unless permission has been obtained from the [mailto:privacy@nebraskamed.com Privacy Office] to disclosure additional information.
====Uses/Disclosure of PHI for Electronic Health Information Exchanges====
Nebraska Medicine/UNMC may access and disclose PHI through ACE-approved [https://wiki.unmc.edu/index.php/Use_and_Disclosure_of_Protected_Health_Information#Health_Information_Exchange_.28HIE.29 Health Information Exchanges (HIEs)]. Members of the Workforce may not access their own medical records via the HIE. Use and disclosure of PHI is restricted to the permitted uses and disclosures of the particular HIE. The Enterprise Applications Executive Director authorizes individual access to the HIE. The ACE is a member of the following HIEs:
=====CyncHealth (Previously NeHII)=====
CyncHealth participants may access CyncHealth PHI pursuant to [https://cynchealth.org/privacy-security/ CyncHealth’s Privacy and Information Security Policies and Procedures]. If unsure as to whether a particular use or disclosure is permissible, contact the [mailto:privacy@nebraskamed.com Privacy Office].
=====Epic-integrated HIE Software=====
Epic-integrated HIE Software, includes but is not limited to Care Everywhere. Use or disclosure of PHI available via Care Everywhere is generally restricted to treatment purposes only per Epic’s current Rules of the Road agreement. It generally may not be used for payment, health care operations or any other purposes, regardless if otherwise permitted under HIPAA.
=====eHealth Exchange=====
#Includes federal and non-federal organizations. Veterans Administration (VA) is a participant of this HIE. Members of the ACE access this HIE via Care Everywhere; as such, PHI obtained via the eHealth Exchange generally may only be used or disclosed for treatment purposes.
#All users of the eHealth Exchange are required to cooperate with Nebraska Medicine/UNMC on related investigations or issues; request, use and disclose eHealth Exchange message content only for treatment purposes; comply with all applicable laws and report any suspected breach of PHI to the Privacy Office immediately. Users must not disclose passwords or any other security measures to anyone.
===Business Associate Agreements/Addendums===
Nebraska Medicine/UNMC shall enter into a Business Associate Agreement with each outside entity performing services on its behalf before disclosing PHI to such entity (see UNMC Policy No. 8009, [[Contracts]] or Nebraska Medicine Contract Management policy, FN18).
===Use/Disclosure of PHI for Training Health Care Professionals ===
See UNMC Policy No. 6303, [[Use and Disclosure of PHI for Training Health Care Professionals]]
===Use/Disclosure of PHI Permitted/Required by Law===
See UNMC Policy No. 6304, [[Disclosures of PHI as Permitted or Required by Law]].
===Use/Disclosure of PHI for Law Enforcement Purposes===
See UNMC Policy No. 6305, [[Disclosure of PHI for Law Enforcement Purposes]].
===Use/Disclosure of PHI for Whistleblowing Purposes===
A Workforce member may disclose PHI for whistleblowing purposes when:
#The Workforce member believes in good faith that Nebraska Medicine/UNMC engaged in conduct that is unlawful or otherwise violates professional or clinical standards, or that the care, services or conditions provided by Nebraska Medicine/UNMC potentially endangers one or more patients, other Workforce members, or the public; and
#The disclosure is to:
##A health oversight agency or public health authority authorized by law to investigate or otherwise oversee the relevant conduct or conditions of Nebraska Medicine/UNMC or to an appropriate health care accreditation organization for the purpose of reporting the allegation of failure to meet professional standards or misconduct by Nebraska Medicine/UNMC; or
##An attorney retained by or on behalf of the Workforce member or business associate for the purpose of determining the legal options of the Workforce member or business associate with regard to the conduct described in this section.
===Use/Disclosure of PHI for Marketing ===
Refer requests for disclosures of PHI for marketing or fundraising purposes to the [mailto:privacy@nebraskamed.com Privacy Office].
===Use/Disclosure of PHI for Research===
#All research requests using PHI must be submitted to the UNMC Institutional Review Board (IRB) for review and approval. See UNMC's [https://guides.unmc.edu/books/hrpp-policies-and-procedures Human Research Protection Program (HRPP) Policies and Procedures]]. The IRB-approved consent also contains the HIPAA-compliant authorization when required under HIPAA. The UNMC IRB operates as the ACE’s Privacy Board and approves all waivers of authorization as permitted under HIPAA. To learn more about such waivers, please see UNMC Human Research Protection Program Policies and Procedures.
#For research requests involving use of a decedent's information, Nebraska Medicine/UNMC must obtain from the researcher (before making such disclosure):
##A representation that the requested use or disclosure of PHI is solely for research on the PHI of decedents;
##Documentation of the death of such Individuals; and
##A representation that the requested PHI is necessary for the research purposes.
#Review of PHI Preparatory to Research. Nebraska Medicine/UNMC staff and students who wish to review PHI to prepare a research proposal must submit a [https://unmcredcap.unmc.edu/redcap/surveys/?s=NMPNWMEA7W Electronic Health Data Request] Form to the [https://www.unmc.edu/cctr/resources/ehr/index.html Electronic Health Record Data Access Core] to obtain access to such PHI.
#Access to PHI for reviews preparatory to research requires that the researcher provide the following representations in advance of such disclosure and use:
##that the use or disclosure is sought solely to review PHI as necessary to prepare a research protocol or for similar purposes preparatory to research;
##that no PHI is to be removed from the covered entity by the researcher in the course of the review; and
##that the PHI for which disclosure and use is sought is necessary for the research purposes.
===Sale of Protected Health Information===
Selling PHI is generally prohibited unless the patient signs an authorization specifically permitting the sale. This includes any disclosure of PHI where Nebraska Medicine/UNMC directly or indirectly receives remuneration from or on behalf of the recipient of the PHI in exchange for the PHI. Sale of PHI does not include certain disclosures of PHI:
#For public health purposes;
#For research purposes where the only remuneration received by '''Organization''' is a reasonable cost-based fee to cover the cost to prepare and transmit the PHI for such purposes;
#For treatment and payment purposes;
#To a business associate for activities that the business associate undertakes on Nebraska Medicine/UNMC’s behalf (if such business associate executes a Business Associate Agreement with Nebraska Medicine/UNMC);
#To an Individual who is requesting access to their own PHI;
#As required by law; and
#For any other HIPAA permitted purpose where the only remuneration received by Organization is a reasonable, cost-based fee to cover the cost to prepare and transmit the PHI for such purpose or a fee otherwise expressly permitted by other law. The reasonable cost-based fee includes both direct and indirect costs for generating, storing, retrieving and transmitting the PHI, including labor, material and supplies.
De-identified data is not PHI and therefore is not subject to the remuneration prohibition. However, limited data sets are PHI and are subject to this provision (see the section on [https://wiki.unmc.edu/index.php/Use_and_Disclosure_of_Protected_Health_Information#Limited_Data_Set Limited Data Set]).
===Minimum Necessary===
Subject to the exceptions listed in this or any other Nebraska Medicine/UNMC policy, when using or disclosing PHI or when requesting PHI, members of the Workforce must make reasonable efforts to limit PHI used, disclosed or requested to the minimum information necessary (both type of information and quantity) to accomplish the intended purpose of such use, disclosure or request.
#The “minimum necessary” standard does not apply to the following requests, uses and disclosures of PHI:
##Uses, disclosures or requests among health care providers for treatment purposes.
##Uses or disclosures required by law, so long as the use or disclosure complies with and is limited to the relevant requirements of the law.
##Disclosures made to the Individual or pursuant to an authorization signed by the Individual.
##Disclosures made to the Secretary of Health and Human Services or their designee.
##Uses or disclosures required for compliance with the '''''Privacy Rule'''''.
#Workforce. The minimum necessary standard applies to access and use of PHI by members of the Workforce. Each member of the Workforce must avoid intentionally accessing, using or disclosing PHI except as authorized by Nebraska Medicine/UNMC’s policies.
##When using, disclosing, or requesting PHI, staff shall make reasonable efforts to limit PHI to the minimum necessary to accomplish the intended purpose of the use, disclosure or request. Disclosure of the entire medical record is prohibited unless specifically justified and documented in the medical record as the minimum necessary for the request or otherwise required by law.
##Role-based Access: access to PHI shall be based on the role performed as specified in computer security matrices maintained by electronic health record system security and other system administrators that lists staff roles, job codes/titles and associated levels of access to PHI. Reference Electronic Health Record Access Control policy.
##Individuals who are performing treatment, payment and health care operations functions on behalf of Nebraska Medicine/UNMC, or who require access as otherwise specified by the individual's position description, may access the entire medical record only as necessary to perform assigned duties.
#Departments who provide PHI in response to valid requests shall ensure that minimum necessary requirements are met.
##Routine/recurring disclosures: managers of departments who routinely release PHI on a recurring basis (e.g., HIM, Decision Support depts., etc.) shall establish minimum necessary written protocols for standard releases of PHI internally and externally.
##Non-routine disclosures: department managers shall review non-routine requests for PHI on an individual basis and verify that minimum necessary requirements are met.
#Departments that are not responsible for release of information should release records only under the limited conditions identified in UNMC Policy No. 6061, [https://wiki.unmc.edu/index.php/Accounting_of_PHI_Disclosures Accounting of Protected Health Information Disclosures]. All other requests should be sent to HIM.
===Limited Data Set===
#A limited data set of PHI that excludes certain direct identifiers of the Individual or of relatives, employers, or household members of the Individual may be used and disclosed for the purposes of research, public health or health care operations:
##Names;
##Postal address information, other than town or city, state, or zip code;
##Telephone numbers;
##Fax numbers;
##Electronic mail addresses;
##Social security numbers;
##Medical record numbers;
##Health plan beneficiary numbers;
##Account numbers;
##Certificate/license numbers;
##Vehicle identifiers and serial numbers, including license numbers;
##Device identifiers and serial numbers;
##Web Universal Resource Locators (URLs);
##Internet Protocol (IP) address numbers;
##Biometric identifiers, including finger and voice prints; and
## Full-face photographic images and any comparable images.
#The recipient of the limited data set must enter into a data use agreement. If a limited data set recipient breaches the data use agreement, Nebraska Medicine/UNMC shall take reasonable steps to cure the breach or end the violation and if such steps are unsuccessful, shall discontinue disclosure of PHI to the limited data set recipient.
===De-identification/Re-identification of PHI===
#PHI may be used to create information that is not individually identifiable health information (i.e., de-identified information). The HIPAA privacy rules do not apply to de-identified information that does not identify an Individual and cannot be used to identify an Individual. PHI is de-identified when one of the following methods is used:
##The 18 identifiers of the Individual or of the Individual’s relatives, employers, or household members are removed and Nebraska Medicine/UNMC does not have actual knowledge that the information could be used alone or in combination with other information to identify the Individual who is the subject of the information. The identifiers are:
###Names;
###All geographic subdivisions smaller than a state (including street address, city, county, precinct and zip code);
###All elements of dates except year, for dates related to Individual (e.g., birth date, admission date, discharge date, date of death);
###Telephone numbers;
###Fax numbers;
###Electronic mail addresses;
###Social Security Numbers;
###Medical record numbers;
###Health plan beneficiary numbers;
###Account numbers;
###Certificate/license numbers;
###Vehicle identifiers and serial numbers, including license plate numbers;
###Device identifiers and serial numbers;
###Web Universal Resource Locators (URLs);
###Internet Protocol (IP) address numbers;
###Biometric identifiers, including finger and voice prints;
###Full face photographic images and any comparable images; and
###Any other unique identifying number, characteristic, or code.
##A person with appropriate knowledge of and experience with generally accepted statistical and scientific principles and methods for rendering information not individually identifiable, applying such principles and methods, determines that the risk is very small that the information could be used, alone or in combination with other reasonably available information, by an anticipated recipient to identify an Individual who is a subject of the information; and documents the methods and results of the analysis that justify such determination. The [mailto:contracts@nebraskamed.com NE Med Legal Services Department] and/or [mailto:privacy@nebraskamed.com Privacy Office] must approve of the use of this de-identification method and the person who performs it.
#Re-identification of PHI. A code or other means of record identification may be assigned to allow information de-identified above to be re-identified by Organization, provided that:
##The code or other means of record identification is not derived from or related to information about the Individual and is not otherwise capable of being translated so as to identify the Individual; and
##The code or other means of record identification is not used for other purposes and the mechanism for re-identification is not disclosed.
===Disaster Relief Disclosures===
Nebraska Medicine/UNMC may disclose PHI to public or private relief organizations authorized by law or the HIPAA Privacy Rule to assist in disaster relief efforts. 

'''''Disaster relief agency''''' means a public or private agency or program which is authorized by law or its charter to assist in disaster relief efforts. Examples of private disaster relief agencies would be the American Red Cross or the Salvation Army.
#Limit releases of information to the information needed by the agencies to perform their disaster relief efforts. Often, this includes such uses as:
##Coordinating availability of care,
##Notification of family and friends, or
##Determining the identity of victims and survivors.
#The same requirements that apply to disclosures to family, friends and others, apply to disclosures to disaster relief organizations, unless Nebraska Medicine/UNMC, in the exercise of professional judgment, determines that those requirements interfere with the ability to respond to the emergency circumstances. Professional judgment under this policy may be exercised and documented by the [mailto:debrbishop@nebraskamed.com Privacy Officer] or individuals designated in Nebraska Medicine/UNMC’s Disaster Plan. '''need link(s) to plan(s}'''
#The minimum necessary standard does not apply to disclosures to disaster relief agencies.
===Authorization Generally Required for All Other Uses/Disclosures===
Unless otherwise permitted by this policy, any use or disclosure of PHI is prohibited unless the patient or the patient’s representative (see Nebraska Medicine Consents and Permits policy, MS14) signs an authorization specifically permitting the use/disclosure (e.g., Form CON-MR-0074, CON-MR-1900). Forms can be requested at [mailto:privacy@nebraskamed.com Privacy@NebraskaMed.com]]. Restrictions on the use and disclosure of psychotherapy notes are explained in UNMC Policy Nos. 6059, [https://wiki.unmc.edu/index.php/Access_to_Designated_Record_Set Access and Amendment of Designated Record Set] and 6066, [[Psychotherapy Notes]].
===Compound Authorizations===
An authorization for use or disclosure of PHI generally may not be combined with any other document to create a compound authorization, except in the following cases:
#An authorization for the use or disclosure of PHI for a research study may be combined with any other type of written permission for the same or another research study. This exception includes combining an authorization for the use or disclosure of PHI for a research study with another authorization for the same research study, with an authorization for the creation or maintenance of a research database or repository, or with a consent to participate in research. When the ACE has conditioned the provision of research-related treatment on the provision of one of the authorizations, any compound authorization must clearly differentiate between the conditioned and unconditioned components and provide the Individual with an opportunity to opt in to the research activities described in the unconditioned authorization.
#An authorization for a use or disclosure of psychotherapy notes may only be combined with another authorization for use or disclosure of psychotherapy notes.
== Definitions ==
===Affiliated Covered Entity (ACE)===
Legally separate covered entities that designate themselves as a single covered entity for the purpose of HIPAA Compliance. Current ACE members are: The Nebraska Medical Center, UNMC Physicians, UNMC, University Dental Associates, Bellevue Medical Center and Nebraska Pediatric Practice, Inc. d/b/a Children’s Specialty Physicians. ACE membership may change from time to time. The Notice of Privacy Practices lists current ACE members.
===Designated Record Set (DRS)===
Includes medical records and billing records about Individuals maintained by or for UNMC/ACE and any other record used by the ACE to make decisions about Individuals.
===Health Care Operations===
The following activities related to the Organization's functions as a health care provider and sponsor of a self-insured health plan:
#Quality assessment and improvement activities, including outcomes evaluation and development of clinical guidelines, provided that the obtaining of generalizable knowledge is not the primary purpose of any studies resulting from such activities, otherwise these activities may be classified as research if PHI is included;
#Population-based activities relating to improving health or reducing health care costs;
#Protocol development;
#Contacting health care providers and patients with information about treatment alternatives;
#Case management and care coordination;
#Patient safety activities;
#Risk assessment;
#Reviewing the competence or qualifications and accrediting/licensing of health care providers;
#Training health care professionals;
#Conducting or arranging for medical review, legal services and auditing functions (including fraud and abuse detection and compliance programs);
#Business planning and development;
#Business management activities
#General administrative and business functions;
#Insurance activities relating to the renewal of a contract of health insurance;
#Evaluating healthcare provider and plan performance;
#Resolution of internal grievances; and
#Fundraising (see [https://wiki.unmc.edu/index.php?title=Use_and_Disclosure_of_Protected_Health_Information&action=edit#Use.2FDisclosure_of_PHI_for_Marketing Use/Disclosure of PHI for Marketing]).
===Health Information Exchange (HIE)===
The electronic movement of health-related information among organizations according to nationally recognized standards. The goal of a HIE is to facilitate health care providers’ access to and retrieval of clinical data to provide safer, timelier, efficient, effective and equitable patient-centered care. Health Information exchange organizations (HIOs) provide the capability to electronically move information between disparate health care information systems.
===Individual===
The person who is the subject of the PHI. Personal representatives of the Individual have the same rights as the Individual under HIPAA (i.e., they “step into the shoes” of the Individual). Personal representatives include the legal guardian and anyone else authorized by law to act on behalf of the Individual. (See Nebraska Medicine Consents and Permits policy, MS14.)
===Payment===
Activities undertaken by a health care provider or health plan to obtain premiums, to determine or fulfill its responsibility for coverage and provision of benefits under the health plan or to obtain or provide reimbursement for the provision of health care. Some of these types of activities include determinations of eligibility or coverage (including coordination of benefits or the determination of cost sharing amounts), billing, collection activities, claims management, medical necessity determinations, utilization review activities including pre-certification and pre-authorization of services, disclosure to consumer reporting agencies related to collection of premiums or reimbursement and health care data processing related to the above-listed activities.
===Personal Representative ===
A person who, under HIPAA or State law, is empowered to act or exercise rights on behalf of an Individual. (See Nebraska Medicine Consents and Permits policy, MS14.)
===Protected Health Information (PHI)===
Individually identifiable health information including demographic information, collected from an Individual, whether oral or recorded in any medium, that:
*is created or received by UNMC/ACE; and
*relates to the past, present or future physical or mental health or condition of an Individual; the provision of health care to an Individual; or the past, present or future payment for the provision of health care to an Individual and identifies the Individual or with respect to which there is a reasonable basis to believe the information can be used to identify the Individual.
PHI includes genetic information, which includes information about the following items (and excludes information about an Individual’s sex or age):
*an Individual’s genetic tests;
*the genetic tests of an Individual’s family members; or
*the manifestation of a disease or disorder in such Individual’s family members (i.e., family medical history).
PHI excludes:
*individually identifiable health information of a person who has been deceased for more than fifty (50) years.
*education records covered by the Family Educational Rights and Privacy Act (FERPA); and
*employment records held by UNMC in its role as employer.
===Psychotherapy Notes===
Notes recorded (in any medium) by a mental health provider including psychiatrists, psychologists and other mental health professionals documenting or analyzing the contents of a conversation during a private counseling session or group, joint or family counseling session. Psychotherapy notes are kept separate from the rest of the individual’s medical record. Psychotherapy notes exclude medication prescription and monitoring, counseling session start and stop times, the modalities and frequencies of treatment furnished, results of clinical tests and any summary of the following items: diagnosis, functional status, the treatment plan, symptoms, prognosis and progress to date. Psychotherapy notes are not progress notes and are created at the discretion of the mental health care provider. (HIPAA: 45 CFR §164.501)
===Research ===
A systematic investigation, including research development, testing and evaluation, designed to develop or contribute to generalized knowledge. Generalized knowledge is knowledge that can be applied to populations outside the population served by the ACE.
===Sale of Protected Health Information ===
Disclosure of Protected Health Information by a covered entity or business associate, if applicable, where the covered entity or business associate directly or indirectly receives remuneration from or on behalf of the recipient of the PHI in exchange for the PHI.
===Treatment===
The provision, coordination or management of health care and related services by one or more health care providers including the coordination or management of health care by a health care provider with a third party, consultation between health care providers relating to a patient, or the referral of a patient for health care from one health care provider to another.
===Workforce===
Employees, medical staff, volunteers, trainees and other persons whose conduct, in the performance of work for Nebraska Medicine/UNMC, is under the direct control of Nebraska Medicine/UNMC, whether or not they are paid by Nebraska Medicine/UNMC.
==Additional Information==
*Contact the [mailto:debrbishop@nebraskamed.com Privacy Officer] or the [mailto:privacy@nebraskamed.com Privacy Office]
*NE Med Legal Services department [mailto:contracts@nebraskamed.com Contracts@NebraskaMed.com]
*Enterprise Applications Executive Director
*UNMC Policy No. 6058, [[Notice of Privacy Practices]]
*UNMC Policy No. 6059, [https://wiki.unmc.edu/index.php/Access_to_Designated_Record_Set Access and Amendment of Designated Record Set]
*UNMC Policy No. 6061, [https://wiki.unmc.edu/index.php/Accounting_of_PHI_Disclosures Accounting of Protected Health Information Disclosures]
*UNMC Policy No. 6066, [[Psychotherapy Notes]] If being kept, this should be reviewed and review date noted on policy 6066, even if not changed.'''
*UNMC Policy No. 6303, [[Use and Disclosure of PHI for Training Health Care Professionals]]
*UNMC Policy No. 6304, [[Disclosures of PHI as Permitted or Required by Law]]
*UNMC Policy No. 6305, [[Disclosure of PHI for Law Enforcement Purposes]]
*UNMC Policy No. 8009, [[Contracts]]
*UNMC [https://guides.unmc.edu/books/hrpp-policies-and-procedures Human Research Protection Program (HRPP) Policies and Procedures]
*[https://unmcredcap.unmc.edu/redcap/surveys/?s=94TLJCCAAT Request for Electronic Health Data] Form
*[https://www.nebraskamed.com/patients/rights-responsibilities/notice-privacy-practices Nebraska Medicine/UNMC Notice of Privacy Practices]
*Nebraska Medicine Verification and Authority policy, [https://secure.compliance360.com/Today/DisplayTab?PD=Q63uFd1AsIvtLq6ToeED9rAee%2bFRP7onkvKrNNl2szKEszBO6tcvW30uMYCrLHz%2ff5qp5Jtyy5hY3Kc6FOXhopxNkewzPG2A8OEmY0FOV0gitoSsonRfDnbnEdx5nsr%2bZ%2fNk541fFQqAD7aXNL%2fG%2b316yK7R9SBhHMui6Ah%2fOCt8KE2umEvYPmNwFE8S%2bTVtIUrDO3xL6PALBlpa6juXkzyHaIo3iPkx1ovcv94m5d9qKwCgkuut5jNUR8E7XmClVNyehpOmY09Hmbo%2f0j%2bqZX7KNjSQrgbRadZXTJKSG7ASS%2b10Hee0yaZnQlMHoDejOl8M85zzTyj1snBEwZjAUF2TA8TNfAyKjkcXriXbvX6pQAM3PsgE84e2Vgv3hNMYYUjaKVvRHCC3ziIK2FeUNQOadKiFE9eSwvJcSWSscuz%2bJHSSE60mjfcSkTpFLJ1ImWtYli0yP4msuE3Nnfse1zwggz5pQCKDhf1Du7HOGykzdrq%2b7ITvzsC0AMcHy8SyoY4M6w6eNlx5E3sNIlAjIQ%3d%3d IM55]
*Nebraska Medicine Consents and Permits policy, [https://secure.compliance360.com/Today/DisplayTab?PD=Q63uFd1AsIvtLq6ToeED9rAee%2bFRP7onkvKrNNl2szKEszBO6tcvW30uMYCrLHz%2ff5qp5Jtyy5hY3Kc6FOXhopxNkewzPG2A8OEmY0FOV0gitoSsonRfDnbnEdx5nsr%2bZ%2fNk541fFQqAD7aXNL%2fG%2b316yK7R9SBhHMui6Ah%2fOCt8KE2umEvYPmNwFE8S%2bTVtIUrDO3xL6PALBlpa6juXkzyHaIo3iPkx1ovcv94m5d9qKwCgkuut5jNUR8E7XmClVNyehpOmY09Hmbo%2f0j%2bqZX7KNjSQrgbRadZXTJKSG7ASS%2b10Hee0yaZnQlMHoDejOl8M85zzTyj1snBEwZjAUF2TA8TNfAyKjkcXriXbvX6pQAM3PsgE84e2Vgv3hNMYYUjaKVvRHCC3ziIK2FeUNQOadKiFE9eSwvJcSWSscuz%2bJHSSE60mjfcSkTpFLJ1ImWtYli0yP4msuE3Nnfse1zwggz5pQCKDhf1Du7HOGykzdrq%2b7ITvzsC0AMcHy8SyoY4M6w6eNlx5E3sNIlAjIQ%3d%3d MS14]
*Nebraska Medicine Confidential Address policy, [https://secure.compliance360.com/Today/DisplayTab?PD=Q63uFd1AsIvtLq6ToeED9rAee%2bFRP7onkvKrNNl2szKEszBO6tcvW30uMYCrLHz%2ff5qp5Jtyy5hY3Kc6FOXhopxNkewzPG2A8OEmY0FOV0gitoSsonRfDnbnEdx5nsr%2bZ%2fNk541fFQqAD7aXNL%2fG%2b316yK7R9SBhHMui6Ah%2fOCt8KE2umEvYPmNwFE8S%2bTVtIUrDO3xL6PALBlpa6juXkzyHaIo3iPkx1ovcv94m5d9qKwCgkuut5jNUR8E7XmClVNyehpOmY09Hmbo%2f0j%2bqZX7KNjSQrgbRadZXTJKSG7ASS%2b10Hee0yaZnQlMHoDejOl8M85zzTyj1snBEwZjAUF2TA8TNfAyKjkcXriXbvX6pQAM3PsgE84e2Vgv3hNMYYUjaKVvRHCC3ziIK2FeUNQOadKiFE9eSwvJcSWSscuz%2bJHSSE60mjfcSkTpFLJ1ImWtYli0yP4msuE3Nnfse1zwggz5pQCKDhf1Du7HOGykzdrq%2b7ITvzsC0AMcHy8SyoY4M6w6eNlx5E3sNIlAjIQ%3d%3d REG365]
*Nebraska Medicine Private Designation policy, [https://secure.compliance360.com/Today/DisplayTab?PD=Q63uFd1AsIvtLq6ToeED9rAee%2bFRP7onkvKrNNl2szKEszBO6tcvW30uMYCrLHz%2ff5qp5Jtyy5hY3Kc6FOXhopxNkewzPG2A8OEmY0FOV0gitoSsonRfDnbnEdx5nsr%2bZ%2fNk541fFQqAD7aXNL%2fG%2b316yK7R9SBhHMui6Ah%2fOCt8KE2umEvYPmNwFE8S%2bTVtIUrDO3xL6PALBlpa6juXkzyHaIo3iPkx1ovcv94m5d9qKwCgkuut5jNUR8E7XmClVNyehpOmY09Hmbo%2f0j%2bqZX7KNjSQrgbRadZXTJKSG7ASS%2b10Hee0yaZnQlMHoDejOl8M85zzTyj1snBEwZjAUF2TA8TNfAyKjkcXriXbvX6pQAM3PsgE84e2Vgv3hNMYYUjaKVvRHCC3ziIK2FeUNQOadKiFE9eSwvJcSWSscuz%2bJHSSE60mjfcSkTpFLJ1ImWtYli0yP4msuE3Nnfse1zwggz5pQCKDhf1Du7HOGykzdrq%2b7ITvzsC0AMcHy8SyoY4M6w6eNlx5E3sNIlAjIQ%3d%3d R115] for additional details.)
*Nebraska Medicine Contract Management policy, [https://secure.compliance360.com/Today/DisplayTab?PD=Q63uFd1AsIvtLq6ToeED9rAee%2bFRP7onkvKrNNl2szKEszBO6tcvW30uMYCrLHz%2ff5qp5Jtyy5hY3Kc6FOXhopxNkewzPG2A8OEmY0FOV0gitoSsonRfDnbnEdx5nsr%2bZ%2fNk541fFQqAD7aXNL%2fG%2b316yK7R9SBhHMui6Ah%2fOCt8KE2umEvYPmNwFE8S%2bTVtIUrDO3xL6PALBlpa6juXkzyHaIo3iPkx1ovcv94m5d9qKwCgkuut5jNUR8E7XmClVNyehpOmY09Hmbo%2f0j%2bqZX7KNjSQrgbRadZXTJKSG7ASS%2b10Hee0yaZnQlMHoDejOl8M85zzTyj1snBEwZjAUF2TA8TNfAyKjkcXriXbvX6pQAM3PsgE84e2Vgv3hNMYYUjaKVvRHCC3ziIK2FeUNQOadKiFE9eSwvJcSWSscuz%2bJHSSE60mjfcSkTpFLJ1ImWtYli0yP4msuE3Nnfse1zwggz5pQCKDhf1Du7HOGykzdrq%2b7ITvzsC0AMcHy8SyoY4M6w6eNlx5E3sNIlAjIQ%3d%3d FN18]
*Nebraska Medicine Form CON-MR-0074, [https://www.nebraskamed.com/patients/medical-records/your-medical-records Authorization for Release of Informatio'''n''']
*Nebraska Medicine Form CON-MR-1900, [mailto:privacy@nebraskamed.com Education Authorization]
*[https://cynchealth.org/privacy-security/ CyncHealth’s Privacy and Information Security Policies and Procedures]
*[http://www.hhs.gov/hipaa/for-professionals/privacy/guidance/disclosures-treatment-payment-health-care-operations/index.html Uses and Disclosures for Treatment, Payment and Health Care Operations]
*[https://nebraska.edu/-/media/unca/docs/offices-and-policies/policies/executive-memorandum/hipaa-compliance-policy.pdf University of Nebraska Executive Memorandum No. 27]
*[http://nehii.org/index.php?option=com_docman&Itemid=59 NeHII Privacy and Information Security Policies and Procedures]
*[https://www.cdc.gov/phlp/php/resources/health-insurance-portability-and-accountability-act-of-1996-hipaa.html Health Insurance Portability and Accountability Act of 1996 (HIPAA)]
*[https://csrc.nist.gov/publications/detail/sp/800-53/rev-5/final NIST Special Publication 800-53]
*[https://www.cdc.gov/phlp/php/resources/health-insurance-portability-and-accountability-act-of-1996-hipaa.html HIPAA Security Rule]

This page is maintained by [mailto:mhurlocker@unmc.edu mh].

Use and Disclosure of Protected Health Information

2025-09-29T18:57:06Z

Afaylor: /* Additional Information */ updated HIPAA Security Rule link

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<td style="padding:0.5em; background-color:white; line-height:0.95em; border:solid 2px #A3B1BF; border-bottom:0; font-weight:bold;" width="20">[[Privacy/Information Security]]</td>
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[[Identification Card]] | [[Secure Area Card Access]] | [[Privacy/Confidentiality]] | [[Computer Use/Electronic Information]] | [[Retention and Destruction/Disposal of Private and Confidential Information]] | [[Use and Disclosure of Protected Health Information]] | [[Notice of Privacy Practices]] | [[Access to Designated Record Set]] | [[Accounting of PHI Disclosures]] | [[Patient/Consumer Complaints]] | [[Vendors]] | [[Fax Transmissions]] | [[Psychotherapy Notes]] | [[Facility Security]] | [[Conditions of Treatment Form]] | [[Informed Consent for UNMC Media]] | [[Transporting Protected Health Information]] | [[Honest Broker]] | [[Social Security Number]] | [[Third Party Registry]] | [[Information Security Awareness and Training]] | [[Patient Privacy Investigations and Levels of Violation]] | [[Use and Disclosure of PHI for Training Health Care Professionals]] | [[Disclosures of PHI as Permitted or Required by Law]] | [[Disclosure of PHI for Law Enforcement Purposes]]
 
Policy No.: '''6057''' 
Effective Date: '''03/17/03''' 
Revised Date: '''03/28/24''' 
Reviewed Date: ''' 04/22/24''' 

<big>'''Use and Disclosure of Protected Health Information Policy'''</big>
== Basis for Policy ==
Nebraska Medicine/UNMC implements reasonable and appropriate access controls in alignment with National Institute of Standards and Technology (NIST) standards and guidance to maintain the minimum necessary access. [https://csrc.nist.gov/publications/detail/sp/800-53/rev-5/final NIST Special Publication 800-53] and the [https://www.cdc.gov/phlp/php/resources/health-insurance-portability-and-accountability-act-of-1996-hipaa.html HIPAA Security Rule] outline considerations for the access control family of security controls.

== Policy ==
Nebraska Medicine/UNMC shall limit the use and disclosure of Protected Health Information (PHI) to the right people, for the right purposes, with the right authority, and always subject to reasonable safeguards -- all as defined by the [https://www.cdc.gov/phlp/php/resources/health-insurance-portability-and-accountability-act-of-1996-hipaa.html Health Insurance Portability and Accountability Act of 1996 (HIPAA)] and Nebraska Medicine/UNMC policies.

==Purpose==
To establish guidelines for the use and disclosure of PHI.
===General Policies Governing the Use and Disclosure of PHI===
#Each use or disclosure of PHI must be an authorized use or disclosure (either by a written patient authorization or Nebraska Medicine/UNMC policy). Some of the authorized uses and disclosures are described in this policy and associated policies.
#The use or disclosure of PHI must be in accordance with the [https://www.nebraskamed.com/patients/rights-responsibilities/notice-privacy-practices Nebraska Medicine/UNMC Notice of Privacy Practices].
#The [https://wiki.unmc.edu/index.php/Use_and_Disclosure_of_Protected_Health_Information#Workforce Workforce] member using or disclosing the PHI must do so only as necessary to perform assigned duties.
#The person or entity to which PHI is disclosed must be authorized to receive it and their identity and authority must be verified prior to such disclosure. (See Verification and Authority policy, [https://secure.compliance360.com/Today/DisplayTab?PD=Q63uFd1AsIvtLq6ToeED9rAee%2bFRP7onkvKrNNl2szKEszBO6tcvW30uMYCrLHz%2ff5qp5Jtyy5hY3Kc6FOXhopxNkewzPG2A8OEmY0FOV0gitoSsonRfDnbnEdx5nsr%2bZ%2fNk541fFQqAD7aXNL%2fG%2b316yK7R9SBhHMui6Ah%2fOCt8KE2umEvYPmNwFE8S%2bTVtIUrDO3xL6PALBlpa6juXkzyHaIo3iPkx1ovcv94m5d9qKwCgkuut5jNUR8E7XmClVNyehpOmY09Hmbo%2f0j%2bqZX7KNjSQrgbRadZXTJKSG7ASS%2b10Hee0yaZnQlMHoDejOl8M85zzTyj1snBEwZjAUF2TA8TNfAyKjkcXriXbvX6pQAM3PsgE84e2Vgv3hNMYYUjaKVvRHCC3ziIK2FeUNQOadKiFE9eSwvJcSWSscuz%2bJHSSE60mjfcSkTpFLJ1ImWtYli0yP4msuE3Nnfse1zwggz5pQCKDhf1Du7HOGykzdrq%2b7ITvzsC0AMcHy8SyoY4M6w6eNlx5E3sNIlAjIQ%3d%3d IM55] and the Nebraska Medicine Consents and Permits policy, MS14, Authorized Consenting Persons section.)
#Use and disclosure of PHI must be limited to the minimum necessary to accomplish the intended purpose of such use or disclosure. (See Minimum Necessary section below.)
#Uses and disclosures of PHI may be subject to requests for confidential communications. (See Confidential Address policy, [https://secure.compliance360.com/Today/DisplayTab?PD=Q63uFd1AsIvtLq6ToeED9rAee%2bFRP7onkvKrNNl2szKEszBO6tcvW30uMYCrLHz%2ff5qp5Jtyy5hY3Kc6FOXhopxNkewzPG2A8OEmY0FOV0gitoSsonRfDnbnEdx5nsr%2bZ%2fNk541fFQqAD7aXNL%2fG%2b316yK7R9SBhHMui6Ah%2fOCt8KE2umEvYPmNwFE8S%2bTVtIUrDO3xL6PALBlpa6juXkzyHaIo3iPkx1ovcv94m5d9qKwCgkuut5jNUR8E7XmClVNyehpOmY09Hmbo%2f0j%2bqZX7KNjSQrgbRadZXTJKSG7ASS%2b10Hee0yaZnQlMHoDejOl8M85zzTyj1snBEwZjAUF2TA8TNfAyKjkcXriXbvX6pQAM3PsgE84e2Vgv3hNMYYUjaKVvRHCC3ziIK2FeUNQOadKiFE9eSwvJcSWSscuz%2bJHSSE60mjfcSkTpFLJ1ImWtYli0yP4msuE3Nnfse1zwggz5pQCKDhf1Du7HOGykzdrq%2b7ITvzsC0AMcHy8SyoY4M6w6eNlx5E3sNIlAjIQ%3d%3d REG365].)
#If a disclosure of PHI is subject to an Individual’s right to an accounting, it must be documented per UNMC Policy No. 6061, [https://wiki.unmc.edu/index.php/Accounting_of_PHI_Disclosures Accounting of Protected Health Information Disclosures]. Also note the documentation requirements listed throughout this policy and associated policies.
#Requests for uses and disclosures of PHI that are not clearly addressed in Nebraska Medicine/UNMC policies must be considered and resolved by a designated decision-maker. The [mailto:debrbishop@nebraskamed.com Privacy Officer] is the designated decision-maker unless someone else is designated by the [mailto:privacy@nebraskamed.com Privacy Office] for a particular policy or situation. (See Nebraska Medicine Consents and Permits policy, [https://secure.compliance360.com/Today/DisplayTab?PD=Q63uFd1AsIvtLq6ToeED9rAee%2bFRP7onkvKrNNl2szKEszBO6tcvW30uMYCrLHz%2ff5qp5Jtyy5hY3Kc6FOXhopxNkewzPG2A8OEmY0FOV0gitoSsonRfDnbnEdx5nsr%2bZ%2fNk541fFQqAD7aXNL%2fG%2b316yK7R9SBhHMui6Ah%2fOCt8KE2umEvYPmNwFE8S%2bTVtIUrDO3xL6PALBlpa6juXkzyHaIo3iPkx1ovcv94m5d9qKwCgkuut5jNUR8E7XmClVNyehpOmY09Hmbo%2f0j%2bqZX7KNjSQrgbRadZXTJKSG7ASS%2b10Hee0yaZnQlMHoDejOl8M85zzTyj1snBEwZjAUF2TA8TNfAyKjkcXriXbvX6pQAM3PsgE84e2Vgv3hNMYYUjaKVvRHCC3ziIK2FeUNQOadKiFE9eSwvJcSWSscuz%2bJHSSE60mjfcSkTpFLJ1ImWtYli0yP4msuE3Nnfse1zwggz5pQCKDhf1Du7HOGykzdrq%2b7ITvzsC0AMcHy8SyoY4M6w6eNlx5E3sNIlAjIQ%3d%3d MS14].)
#All uses and disclosures of PHI should be made in accordance with safeguards adopted by Nebraska Medicine/UNMC to further protect the privacy of PHI.
#Improper uses and disclosures of PHI should be immediately brought to Privacy Office’s attention so it can consider and facilitate the implementation of any effective mitigation or remedial steps.
#All members of the Workforce are required to be familiar with the policies and procedures which affect them in their role at Nebraska Medicine/UNMC and will be held accountable for their individual compliance with such policies and procedures.
==Procedures==
Protected Health Information (PHI) may be used and disclosed within the [https://wiki.unmc.edu/index.php/Use_and_Disclosure_of_Protected_Health_Information#Affiliated_Covered_Entity_.28ACE.29 Affiliated Covered Entity (ACE)] for each member’s own treatment, [https://wiki.unmc.edu/index.php/Use_and_Disclosure_of_Protected_Health_Information#Payment_2 Payment] and [https://wiki.unmc.edu/index.php/Use_and_Disclosure_of_Protected_Health_Information#Health_Care_Operations_2 Health Care Operations] if it has or is about to have a treatment relationship with the Individual supporting its need for such use or disclosure of such information, without having to obtain the Individual’s authorization. ACE entities also may share PHI with one another without Individual authorization as permitted by HIPAA and necessary for the delivery of health care treatment, payment and operations. 

Members of the [https://wiki.unmc.edu/index.php/Use_and_Disclosure_of_Protected_Health_Information#Workforce Workforce] may access Individual information for a current, work-related purpose, and shall access only those portions of the medical record as required for the current, work-related purpose. Members of the Workforce shall not access or alter their own medical record. (See UNMC Policy No. 6045, [https://wiki.unmc.edu/index.php/Privacy/Confidentiality Privacy, Confidentiality and Security of Patient and Proprietary Information].)
===Treatment===
Nebraska Medicine/UNMC may disclose PHI to another health care provider for its treatment purposes if the requesting provider has or is about to have a treatment relationship with the Individual to be entitled to the information.
#If the requesting provider is a member of Nebraska Medicine/UNMC’s medical staff, no further verification of the relationship is needed, and the information may be shared for the requesting provider’s treatment purposes.
#If the request is from a health care provider who is not a member of Nebraska Medicine/UNMC’s medical staff, Nebraska Medicine/UNMC staff should request confirmation that there is a treatment relationship or determine, based on the medical record, that there is a treatment relationship. For example, if the record includes documentation that the Individual was brought by the local emergency squad, the treatment relationship between Nebraska Medicine/UNMC and the EMS provider is confirmed.
#Release/disclosure of Individual's information should be documented by the department/Workforce member releasing the information. Releases of information outside of the Health Information Management department (HIM) should be documented in the medical record, such as by using Epic/One Chart’s Quick Disclosure.
#The minimum necessary standard does not apply to disclosures of PHI made to another health care provider for treatment purposes involving the Individual who is the subject of such PHI.
===Payment===
Nebraska Medicine/UNMC may disclose PHI to another provider or covered entity for its [https://wiki.unmc.edu/index.php/Use_and_Disclosure_of_Protected_Health_Information#Payment_2 Payment] purposes after confirming that the other provider or covered entity has a treatment relationship that supports the request for information.
#Release/disclosure of patient information should be documented by the department/Workforce member releasing the information. Releases of information outside of HIM should be documented in the medical record, such as by using Epic/One Chart’s Quick Disclosure.
#The minimum necessary standard does apply to disclosures to another provider or covered entity for its payment purposes.
===Health Care Operations===
Nebraska Medicine/UNMC may disclose PHI to another covered entity (including members of its medical staff) for certain health care operations of the requesting covered entity if the following steps are followed. Requests of this type are expected to be infrequent.
#Nebraska Medicine/UNMC should confirm and document that the requesting covered entity: (i) is a covered entity; (ii) has a relationship with the Individual whose PHI is requested; and (iii) is requesting and will use PHI for a qualifying health care operations use.
#Only the following health care operations of the requesting covered entity support a disclosure to the covered entity for its use of PHI in health care operations:
##Quality assessment activities, utilization management activities and activities designed to measure or improve care or reduce costs.
##Peer review activities.
##Health care fraud and abuse detection or compliance efforts.
#The minimum necessary standard does apply to a disclosure of PHI to another health care provider for its health care operations purposes. Therefore, limit the information accessed or disclosed to the minimum necessary for the operational purposes of the party receiving it.
===Incidental Disclosures===
Nebraska Medicine/UNMC may use and disclose PHI for permitted purposes, even though doing so may result in incidental disclosure to third parties. In such cases, the following standards should be met:
#The unintended disclosure of PHI must be a consequence of a permitted use or disclosure.
#The permitted disclosure of PHI must have met the minimum necessary standard, as applicable.
#Workforce members must have employed reasonable safeguards to prevent the unintended disclosure of PHI:
##Use common sense and judgment--look for ways to lessen the risk and any potential impact of an incidental disclosure (e.g., signage visible outside Individual's room should not contain PHI, except information necessary for safe clinical care, such as infection control and fall precaution notices; Individuals in public areas or being transported should be draped in a manner that respects the Individual’s modesty or dignity).
##Speak in a lower voice;
##Provide more privacy through partitions and room arrangements (e.g., protect the visual privacy of Individuals receiving treatment through the use of curtains or other visual barriers whenever possible);
##Pull the dividers or partitions between the Individual and other patients or visitors; and
##Ask if the Individual would prefer to talk in a more private location.
===Disclosures to the Individual===
Nebraska Medicine/UNMC may disclose PHI to the Individual or his/her Personal Representative.
The Individual has a right to see and obtain copies of PHI maintained in the Individual’s designated record set. Information, including billing information, may be sent to a minor for treatment to which the minor appropriately consented. (See UNMC Policy No. 6059, [https://wiki.unmc.edu/index.php/Access_to_Designated_Record_Set Access and Amendment of Designated Record Set]).
#For Other Disclosures to Individual
##For disclosures in written or electronic form, staff should document the disclosure/release in one of the following ways:
###Notation in the medical, billing or other record from which the material was obtained
###Electronic notation such as Quick Disclosure (Epic) in the database from which the information was obtained
##It is not necessary to document oral disclosures to Individuals, unless required by nursing, medical staff or other policies. This policy recognizes that there is constant exchange of information between health care providers and Individuals during episodes of care.
##When disclosing to the Individual, appropriate safeguards should be taken to reduce the risk that people other than the Individual or people permitted by the Individual will hear the disclosure. Examples of such safeguards would include:
###Asking the Individual if the Individual would prefer to talk in a more private location.
###Confirming with the Individual that it is okay to proceed with the conversation while friends, relatives or others are present.
###Speaking in a lower voice.
###Pulling the dividers or partitions between the Individual and other patients or visitors.
###Providing more privacy through partitions and room arrangements.
#The minimum necessary standard does not apply to disclosures to the Individual.
===Disclosures to Family, Friends and Others===
====Facility Directory====
Nebraska Medicine/UNMC may include limited information about an Individual in the facility directory or census and may disclose that information to people who ask about the Individual by name, or to members of the clergy, in accordance with applicable policies. (See Nebraska Medicine Private Designation policy [https://secure.compliance360.com/Default.aspx RI15], for additional details.)
====Disclosures with Individual’s Permission====
#You may disclose PHI to the Individual in the presence of others if the Individual is asked and consents or is given a chance to object and does not verbally object to such disclosure and you reasonably infer from the circumstances that the Individual does not object. Disclosures of sensitive information, such as mental health or sexually transmitted disease diagnoses, should only be disclosed with the permission of the Individual.
#When relying on this authority, disclose only the minimum amount of information needed to achieve the purpose of the disclosure, unless you know that the individuals present are all involved in the Individual's care or [https://wiki.unmc.edu/index.php/Use_and_Disclosure_of_Protected_Health_Information#Payment_2 Payment] for care.
#Remember – people who are present when a disclosure of PHI is made may be mere friends, visitors or onlookers. They may have no role in the Individual’s care. They may simply be visiting the Individual. Therefore, try to give the Individual every opportunity to agree or object to a disclosure of his or her PHI when it will otherwise be made in their presence.
#Do not rely on this authority if the Individual is incapacitated or otherwise unable to agree or object to such disclosure.
====Disclosures Based on Role or Involvement in Patient Care====
Follow this policy when disclosing PHI to a person other than a Personal Representative whom you believe plays a role in the Individuals’s health care (or [https://wiki.unmc.edu/index.php/Use_and_Disclosure_of_Protected_Health_Information#Payment_2 Payment] for health care). For example, follow this policy when you:
#Talk to the Individual’s child, other relative or friend who customarily drives the Iatient to appointments to confirm the date and time of the next appointment.
#Give an involved family member the Individual’s prescription, so the family member can fill it for the Individual.
#Talk to a family member at discharge, if they play a role in post-discharge care.
#Talk to the Individual’s spouse to obtain information necessary to file a claim through the spouse’s group plan.
#Talk to a family member or friend when the Individual indicates you can or should do so, e.g., if the person accompanies the Individual for an appointment or procedure, or is invited and present at admission or discharge.
If the Individual is available prior to a disclosure and has the capacity to make health care decisions, explain the proposed disclosure and do one of the following:
#Obtain the Individual’s consent to such disclosure;
#Provide the Individual with an opportunity to object, and disclose only if the Individual does not object; or
#Reasonably infer from the circumstances, based on the exercise of professional judgment, that the Individual does not object.
If the Individual is not available prior to the disclosure, use and document professional judgment to determine whether the disclosure would be in the best interest of the Individual. If so, disclose only the PHI directly relevant to the recipient’s involvement in the Individual’s health care. A code or password should not be used as a substitute for use of professional judgement to determine an Individual’s involvement in the patient's care to disclose information relevant to the Individual’s involvement. 

'''Note:''' Nebraska Medicine/UNMC may disclose a decedent’s PHI to family members and others who were involved in the care or payment for care of the decedent prior to death, unless doing so is inconsistent with any prior expressed preference of the Individual. 

These procedures are not applicable to Personal Representatives because they generally have the same access to information as the Individual.
====Disclosure for Notification Purposes====
Nebraska Medicine/UNMC may disclose PHI about an Individual in order to notify family, friends or others of the Individual’s whereabouts, general condition or death. In these cases, Nebraska Medicine/UNMC may not know the details of the involvement of others in the patient’s care or payment for care. Therefore, in these cases, try to follow these steps:
#Ask the Individual, if possible, whether they consent to such disclosure and rely on what the patient says.
#If the Individual is not able or available, make an effort to determine from the record the identity of others who may be Personal Representatives or involved in the Individual’s care and make an effort to limit contact to them.
#If following the above steps does not work, use your best judgment in making contact with family, friends or others for notification purposes. Try asking for the person by order of priority (See Nebraska Medicine Consents and Permits policy, MS14.) Try to limit disclosures to individuals in the highest priority you can locate. In the end, use your best professional judgment in deciding how much you can say and to whom.
#When the Individual has been deemed not competent, and is not expected to regain competence, and no family or friend has been located to act on the Individual’s behalf, Care Transitions and/or Pastoral Services staff may reach out to resources, such as the Individual’s landlord or employer (if known), agencies contracted for such purposes with the assistance of Legal Services, or local enforcement. In all such cases, the disclosure of PHI shall be limited solely to the Individual’s name and date of birth unless permission has been obtained from the [mailto:privacy@nebraskamed.com Privacy Office] to disclosure additional information.
====Uses/Disclosure of PHI for Electronic Health Information Exchanges====
Nebraska Medicine/UNMC may access and disclose PHI through ACE-approved [https://wiki.unmc.edu/index.php/Use_and_Disclosure_of_Protected_Health_Information#Health_Information_Exchange_.28HIE.29 Health Information Exchanges (HIEs)]. Members of the Workforce may not access their own medical records via the HIE. Use and disclosure of PHI is restricted to the permitted uses and disclosures of the particular HIE. The Enterprise Applications Executive Director authorizes individual access to the HIE. The ACE is a member of the following HIEs:
=====CyncHealth (Previously NeHII)=====
CyncHealth participants may access CyncHealth PHI pursuant to [https://cynchealth.org/privacy-security/ CyncHealth’s Privacy and Information Security Policies and Procedures]. If unsure as to whether a particular use or disclosure is permissible, contact the [mailto:privacy@nebraskamed.com Privacy Office].
=====Epic-integrated HIE Software=====
Epic-integrated HIE Software, includes but is not limited to Care Everywhere. Use or disclosure of PHI available via Care Everywhere is generally restricted to treatment purposes only per Epic’s current Rules of the Road agreement. It generally may not be used for payment, health care operations or any other purposes, regardless if otherwise permitted under HIPAA.
=====eHealth Exchange=====
#Includes federal and non-federal organizations. Veterans Administration (VA) is a participant of this HIE. Members of the ACE access this HIE via Care Everywhere; as such, PHI obtained via the eHealth Exchange generally may only be used or disclosed for treatment purposes.
#All users of the eHealth Exchange are required to cooperate with Nebraska Medicine/UNMC on related investigations or issues; request, use and disclose eHealth Exchange message content only for treatment purposes; comply with all applicable laws and report any suspected breach of PHI to the Privacy Office immediately. Users must not disclose passwords or any other security measures to anyone.
===Business Associate Agreements/Addendums===
Nebraska Medicine/UNMC shall enter into a Business Associate Agreement with each outside entity performing services on its behalf before disclosing PHI to such entity (see UNMC Policy No. 8009, [[Contracts]] or Nebraska Medicine Contract Management policy, FN18).
===Use/Disclosure of PHI for Training Health Care Professionals ===
See UNMC Policy No. 6303, [[Use and Disclosure of PHI for Training Health Care Professionals]]
===Use/Disclosure of PHI Permitted/Required by Law===
See UNMC Policy No. 6304, [[Disclosures of PHI as Permitted or Required by Law]].
===Use/Disclosure of PHI for Law Enforcement Purposes===
See UNMC Policy No. 6305, [[Disclosure of PHI for Law Enforcement Purposes]].
===Use/Disclosure of PHI for Whistleblowing Purposes===
A Workforce member may disclose PHI for whistleblowing purposes when:
#The Workforce member believes in good faith that Nebraska Medicine/UNMC engaged in conduct that is unlawful or otherwise violates professional or clinical standards, or that the care, services or conditions provided by Nebraska Medicine/UNMC potentially endangers one or more patients, other Workforce members, or the public; and
#The disclosure is to:
##A health oversight agency or public health authority authorized by law to investigate or otherwise oversee the relevant conduct or conditions of Nebraska Medicine/UNMC or to an appropriate health care accreditation organization for the purpose of reporting the allegation of failure to meet professional standards or misconduct by Nebraska Medicine/UNMC; or
##An attorney retained by or on behalf of the Workforce member or business associate for the purpose of determining the legal options of the Workforce member or business associate with regard to the conduct described in this section.
===Use/Disclosure of PHI for Marketing ===
Refer requests for disclosures of PHI for marketing or fundraising purposes to the [mailto:privacy@nebraskamed.com Privacy Office].
===Use/Disclosure of PHI for Research===
#All research requests using PHI must be submitted to the UNMC Institutional Review Board (IRB) for review and approval. See UNMC's [https://guides.unmc.edu/books/hrpp-policies-and-procedures Human Research Protection Program (HRPP) Policies and Procedures]]. The IRB-approved consent also contains the HIPAA-compliant authorization when required under HIPAA. The UNMC IRB operates as the ACE’s Privacy Board and approves all waivers of authorization as permitted under HIPAA. To learn more about such waivers, please see UNMC Human Research Protection Program Policies and Procedures.
#For research requests involving use of a decedent's information, Nebraska Medicine/UNMC must obtain from the researcher (before making such disclosure):
##A representation that the requested use or disclosure of PHI is solely for research on the PHI of decedents;
##Documentation of the death of such Individuals; and
##A representation that the requested PHI is necessary for the research purposes.
#Review of PHI Preparatory to Research. Nebraska Medicine/UNMC staff and students who wish to review PHI to prepare a research proposal must submit a [https://unmcredcap.unmc.edu/redcap/surveys/?s=NMPNWMEA7W Electronic Health Data Request] Form to the [https://www.unmc.edu/cctr/resources/ehr/index.html Electronic Health Record Data Access Core] to obtain access to such PHI.
#Access to PHI for reviews preparatory to research requires that the researcher provide the following representations in advance of such disclosure and use:
##that the use or disclosure is sought solely to review PHI as necessary to prepare a research protocol or for similar purposes preparatory to research;
##that no PHI is to be removed from the covered entity by the researcher in the course of the review; and
##that the PHI for which disclosure and use is sought is necessary for the research purposes.
===Sale of Protected Health Information===
Selling PHI is generally prohibited unless the patient signs an authorization specifically permitting the sale. This includes any disclosure of PHI where Nebraska Medicine/UNMC directly or indirectly receives remuneration from or on behalf of the recipient of the PHI in exchange for the PHI. Sale of PHI does not include certain disclosures of PHI:
#For public health purposes;
#For research purposes where the only remuneration received by '''Organization''' is a reasonable cost-based fee to cover the cost to prepare and transmit the PHI for such purposes;
#For treatment and payment purposes;
#To a business associate for activities that the business associate undertakes on Nebraska Medicine/UNMC’s behalf (if such business associate executes a Business Associate Agreement with Nebraska Medicine/UNMC);
#To an Individual who is requesting access to their own PHI;
#As required by law; and
#For any other HIPAA permitted purpose where the only remuneration received by Organization is a reasonable, cost-based fee to cover the cost to prepare and transmit the PHI for such purpose or a fee otherwise expressly permitted by other law. The reasonable cost-based fee includes both direct and indirect costs for generating, storing, retrieving and transmitting the PHI, including labor, material and supplies.
De-identified data is not PHI and therefore is not subject to the remuneration prohibition. However, limited data sets are PHI and are subject to this provision (see the section on [https://wiki.unmc.edu/index.php/Use_and_Disclosure_of_Protected_Health_Information#Limited_Data_Set Limited Data Set]).
===Minimum Necessary===
Subject to the exceptions listed in this or any other Nebraska Medicine/UNMC policy, when using or disclosing PHI or when requesting PHI, members of the Workforce must make reasonable efforts to limit PHI used, disclosed or requested to the minimum information necessary (both type of information and quantity) to accomplish the intended purpose of such use, disclosure or request.
#The “minimum necessary” standard does not apply to the following requests, uses and disclosures of PHI:
##Uses, disclosures or requests among health care providers for treatment purposes.
##Uses or disclosures required by law, so long as the use or disclosure complies with and is limited to the relevant requirements of the law.
##Disclosures made to the Individual or pursuant to an authorization signed by the Individual.
##Disclosures made to the Secretary of Health and Human Services or their designee.
##Uses or disclosures required for compliance with the '''''Privacy Rule'''''.
#Workforce. The minimum necessary standard applies to access and use of PHI by members of the Workforce. Each member of the Workforce must avoid intentionally accessing, using or disclosing PHI except as authorized by Nebraska Medicine/UNMC’s policies.
##When using, disclosing, or requesting PHI, staff shall make reasonable efforts to limit PHI to the minimum necessary to accomplish the intended purpose of the use, disclosure or request. Disclosure of the entire medical record is prohibited unless specifically justified and documented in the medical record as the minimum necessary for the request or otherwise required by law.
##Role-based Access: access to PHI shall be based on the role performed as specified in computer security matrices maintained by electronic health record system security and other system administrators that lists staff roles, job codes/titles and associated levels of access to PHI. Reference Electronic Health Record Access Control policy.
##Individuals who are performing treatment, payment and health care operations functions on behalf of Nebraska Medicine/UNMC, or who require access as otherwise specified by the individual's position description, may access the entire medical record only as necessary to perform assigned duties.
#Departments who provide PHI in response to valid requests shall ensure that minimum necessary requirements are met.
##Routine/recurring disclosures: managers of departments who routinely release PHI on a recurring basis (e.g., HIM, Decision Support depts., etc.) shall establish minimum necessary written protocols for standard releases of PHI internally and externally.
##Non-routine disclosures: department managers shall review non-routine requests for PHI on an individual basis and verify that minimum necessary requirements are met.
#Departments that are not responsible for release of information should release records only under the limited conditions identified in UNMC Policy No. 6061, [https://wiki.unmc.edu/index.php/Accounting_of_PHI_Disclosures Accounting of Protected Health Information Disclosures]. All other requests should be sent to HIM.
===Limited Data Set===
#A limited data set of PHI that excludes certain direct identifiers of the Individual or of relatives, employers, or household members of the Individual may be used and disclosed for the purposes of research, public health or health care operations:
##Names;
##Postal address information, other than town or city, state, or zip code;
##Telephone numbers;
##Fax numbers;
##Electronic mail addresses;
##Social security numbers;
##Medical record numbers;
##Health plan beneficiary numbers;
##Account numbers;
##Certificate/license numbers;
##Vehicle identifiers and serial numbers, including license numbers;
##Device identifiers and serial numbers;
##Web Universal Resource Locators (URLs);
##Internet Protocol (IP) address numbers;
##Biometric identifiers, including finger and voice prints; and
## Full-face photographic images and any comparable images.
#The recipient of the limited data set must enter into a data use agreement. If a limited data set recipient breaches the data use agreement, Nebraska Medicine/UNMC shall take reasonable steps to cure the breach or end the violation and if such steps are unsuccessful, shall discontinue disclosure of PHI to the limited data set recipient.
===De-identification/Re-identification of PHI===
#PHI may be used to create information that is not individually identifiable health information (i.e., de-identified information). The HIPAA privacy rules do not apply to de-identified information that does not identify an Individual and cannot be used to identify an Individual. PHI is de-identified when one of the following methods is used:
##The 18 identifiers of the Individual or of the Individual’s relatives, employers, or household members are removed and Nebraska Medicine/UNMC does not have actual knowledge that the information could be used alone or in combination with other information to identify the Individual who is the subject of the information. The identifiers are:
###Names;
###All geographic subdivisions smaller than a state (including street address, city, county, precinct and zip code);
###All elements of dates except year, for dates related to Individual (e.g., birth date, admission date, discharge date, date of death);
###Telephone numbers;
###Fax numbers;
###Electronic mail addresses;
###Social Security Numbers;
###Medical record numbers;
###Health plan beneficiary numbers;
###Account numbers;
###Certificate/license numbers;
###Vehicle identifiers and serial numbers, including license plate numbers;
###Device identifiers and serial numbers;
###Web Universal Resource Locators (URLs);
###Internet Protocol (IP) address numbers;
###Biometric identifiers, including finger and voice prints;
###Full face photographic images and any comparable images; and
###Any other unique identifying number, characteristic, or code.
##A person with appropriate knowledge of and experience with generally accepted statistical and scientific principles and methods for rendering information not individually identifiable, applying such principles and methods, determines that the risk is very small that the information could be used, alone or in combination with other reasonably available information, by an anticipated recipient to identify an Individual who is a subject of the information; and documents the methods and results of the analysis that justify such determination. The [mailto:contracts@nebraskamed.com NE Med Legal Services Department] and/or [mailto:privacy@nebraskamed.com Privacy Office] must approve of the use of this de-identification method and the person who performs it.
#Re-identification of PHI. A code or other means of record identification may be assigned to allow information de-identified above to be re-identified by Organization, provided that:
##The code or other means of record identification is not derived from or related to information about the Individual and is not otherwise capable of being translated so as to identify the Individual; and
##The code or other means of record identification is not used for other purposes and the mechanism for re-identification is not disclosed.
===Disaster Relief Disclosures===
Nebraska Medicine/UNMC may disclose PHI to public or private relief organizations authorized by law or the HIPAA Privacy Rule to assist in disaster relief efforts. 

'''''Disaster relief agency''''' means a public or private agency or program which is authorized by law or its charter to assist in disaster relief efforts. Examples of private disaster relief agencies would be the American Red Cross or the Salvation Army.
#Limit releases of information to the information needed by the agencies to perform their disaster relief efforts. Often, this includes such uses as:
##Coordinating availability of care,
##Notification of family and friends, or
##Determining the identity of victims and survivors.
#The same requirements that apply to disclosures to family, friends and others, apply to disclosures to disaster relief organizations, unless Nebraska Medicine/UNMC, in the exercise of professional judgment, determines that those requirements interfere with the ability to respond to the emergency circumstances. Professional judgment under this policy may be exercised and documented by the [mailto:debrbishop@nebraskamed.com Privacy Officer] or individuals designated in Nebraska Medicine/UNMC’s Disaster Plan. '''need link(s) to plan(s}'''
#The minimum necessary standard does not apply to disclosures to disaster relief agencies.
===Authorization Generally Required for All Other Uses/Disclosures===
Unless otherwise permitted by this policy, any use or disclosure of PHI is prohibited unless the patient or the patient’s representative (see Nebraska Medicine Consents and Permits policy, MS14) signs an authorization specifically permitting the use/disclosure (e.g., Form CON-MR-0074, CON-MR-1900). Forms can be requested at [mailto:privacy@nebraskamed.com Privacy@NebraskaMed.com]]. Restrictions on the use and disclosure of psychotherapy notes are explained in UNMC Policy Nos. 6059, [https://wiki.unmc.edu/index.php/Access_to_Designated_Record_Set Access and Amendment of Designated Record Set] and 6066, [[Psychotherapy Notes]].
===Compound Authorizations===
An authorization for use or disclosure of PHI generally may not be combined with any other document to create a compound authorization, except in the following cases:
#An authorization for the use or disclosure of PHI for a research study may be combined with any other type of written permission for the same or another research study. This exception includes combining an authorization for the use or disclosure of PHI for a research study with another authorization for the same research study, with an authorization for the creation or maintenance of a research database or repository, or with a consent to participate in research. When the ACE has conditioned the provision of research-related treatment on the provision of one of the authorizations, any compound authorization must clearly differentiate between the conditioned and unconditioned components and provide the Individual with an opportunity to opt in to the research activities described in the unconditioned authorization.
#An authorization for a use or disclosure of psychotherapy notes may only be combined with another authorization for use or disclosure of psychotherapy notes.
== Definitions ==
===Affiliated Covered Entity (ACE)===
Legally separate covered entities that designate themselves as a single covered entity for the purpose of HIPAA Compliance. Current ACE members are: The Nebraska Medical Center, UNMC Physicians, UNMC, University Dental Associates, Bellevue Medical Center and Nebraska Pediatric Practice, Inc. d/b/a Children’s Specialty Physicians. ACE membership may change from time to time. The Notice of Privacy Practices lists current ACE members.
===Designated Record Set (DRS)===
Includes medical records and billing records about Individuals maintained by or for UNMC/ACE and any other record used by the ACE to make decisions about Individuals.
===Health Care Operations===
The following activities related to the Organization's functions as a health care provider and sponsor of a self-insured health plan:
#Quality assessment and improvement activities, including outcomes evaluation and development of clinical guidelines, provided that the obtaining of generalizable knowledge is not the primary purpose of any studies resulting from such activities, otherwise these activities may be classified as research if PHI is included;
#Population-based activities relating to improving health or reducing health care costs;
#Protocol development;
#Contacting health care providers and patients with information about treatment alternatives;
#Case management and care coordination;
#Patient safety activities;
#Risk assessment;
#Reviewing the competence or qualifications and accrediting/licensing of health care providers;
#Training health care professionals;
#Conducting or arranging for medical review, legal services and auditing functions (including fraud and abuse detection and compliance programs);
#Business planning and development;
#Business management activities
#General administrative and business functions;
#Insurance activities relating to the renewal of a contract of health insurance;
#Evaluating healthcare provider and plan performance;
#Resolution of internal grievances; and
#Fundraising (see [https://wiki.unmc.edu/index.php?title=Use_and_Disclosure_of_Protected_Health_Information&action=edit#Use.2FDisclosure_of_PHI_for_Marketing Use/Disclosure of PHI for Marketing]).
===Health Information Exchange (HIE)===
The electronic movement of health-related information among organizations according to nationally recognized standards. The goal of a HIE is to facilitate health care providers’ access to and retrieval of clinical data to provide safer, timelier, efficient, effective and equitable patient-centered care. Health Information exchange organizations (HIOs) provide the capability to electronically move information between disparate health care information systems.
===Individual===
The person who is the subject of the PHI. Personal representatives of the Individual have the same rights as the Individual under HIPAA (i.e., they “step into the shoes” of the Individual). Personal representatives include the legal guardian and anyone else authorized by law to act on behalf of the Individual. (See Nebraska Medicine Consents and Permits policy, MS14.)
===Payment===
Activities undertaken by a health care provider or health plan to obtain premiums, to determine or fulfill its responsibility for coverage and provision of benefits under the health plan or to obtain or provide reimbursement for the provision of health care. Some of these types of activities include determinations of eligibility or coverage (including coordination of benefits or the determination of cost sharing amounts), billing, collection activities, claims management, medical necessity determinations, utilization review activities including pre-certification and pre-authorization of services, disclosure to consumer reporting agencies related to collection of premiums or reimbursement and health care data processing related to the above-listed activities.
===Personal Representative ===
A person who, under HIPAA or State law, is empowered to act or exercise rights on behalf of an Individual. (See Nebraska Medicine Consents and Permits policy, MS14.)
===Protected Health Information (PHI)===
Individually identifiable health information including demographic information, collected from an Individual, whether oral or recorded in any medium, that:
*is created or received by UNMC/ACE; and
*relates to the past, present or future physical or mental health or condition of an Individual; the provision of health care to an Individual; or the past, present or future payment for the provision of health care to an Individual and identifies the Individual or with respect to which there is a reasonable basis to believe the information can be used to identify the Individual.
PHI includes genetic information, which includes information about the following items (and excludes information about an Individual’s sex or age):
*an Individual’s genetic tests;
*the genetic tests of an Individual’s family members; or
*the manifestation of a disease or disorder in such Individual’s family members (i.e., family medical history).
PHI excludes:
*individually identifiable health information of a person who has been deceased for more than fifty (50) years.
*education records covered by the Family Educational Rights and Privacy Act (FERPA); and
*employment records held by UNMC in its role as employer.
===Psychotherapy Notes===
Notes recorded (in any medium) by a mental health provider including psychiatrists, psychologists and other mental health professionals documenting or analyzing the contents of a conversation during a private counseling session or group, joint or family counseling session. Psychotherapy notes are kept separate from the rest of the individual’s medical record. Psychotherapy notes exclude medication prescription and monitoring, counseling session start and stop times, the modalities and frequencies of treatment furnished, results of clinical tests and any summary of the following items: diagnosis, functional status, the treatment plan, symptoms, prognosis and progress to date. Psychotherapy notes are not progress notes and are created at the discretion of the mental health care provider. (HIPAA: 45 CFR §164.501)
===Research ===
A systematic investigation, including research development, testing and evaluation, designed to develop or contribute to generalized knowledge. Generalized knowledge is knowledge that can be applied to populations outside the population served by the ACE.
===Sale of Protected Health Information ===
Disclosure of Protected Health Information by a covered entity or business associate, if applicable, where the covered entity or business associate directly or indirectly receives remuneration from or on behalf of the recipient of the PHI in exchange for the PHI.
===Treatment===
The provision, coordination or management of health care and related services by one or more health care providers including the coordination or management of health care by a health care provider with a third party, consultation between health care providers relating to a patient, or the referral of a patient for health care from one health care provider to another.
===Workforce===
Employees, medical staff, volunteers, trainees and other persons whose conduct, in the performance of work for Nebraska Medicine/UNMC, is under the direct control of Nebraska Medicine/UNMC, whether or not they are paid by Nebraska Medicine/UNMC.
==Additional Information==
*Contact the [mailto:debrbishop@nebraskamed.com Privacy Officer] or the [mailto:privacy@nebraskamed.com Privacy Office]
*NE Med Legal Services department [mailto:contracts@nebraskamed.com Contracts@NebraskaMed.com]
*Enterprise Applications Executive Director
*UNMC Policy No. 6058, [[Notice of Privacy Practices]]
*UNMC Policy No. 6059, [https://wiki.unmc.edu/index.php/Access_to_Designated_Record_Set Access and Amendment of Designated Record Set]
*UNMC Policy No. 6061, [https://wiki.unmc.edu/index.php/Accounting_of_PHI_Disclosures Accounting of Protected Health Information Disclosures]
*UNMC Policy No. 6066, [[Psychotherapy Notes]] If being kept, this should be reviewed and review date noted on policy 6066, even if not changed.'''
*UNMC Policy No. 6303, [[Use and Disclosure of PHI for Training Health Care Professionals]]
*UNMC Policy No. 6304, [[Disclosures of PHI as Permitted or Required by Law]]
*UNMC Policy No. 6305, [[Disclosure of PHI for Law Enforcement Purposes]]
*UNMC Policy No. 8009, [[Contracts]]
*UNMC [https://guides.unmc.edu/books/hrpp-policies-and-procedures Human Research Protection Program (HRPP) Policies and Procedures]
*[https://unmcredcap.unmc.edu/redcap/surveys/?s=94TLJCCAAT Request for Electronic Health Data] Form
*[https://www.nebraskamed.com/patients/rights-responsibilities/notice-privacy-practices Nebraska Medicine/UNMC Notice of Privacy Practices]
*Nebraska Medicine Verification and Authority policy, [https://secure.compliance360.com/Today/DisplayTab?PD=Q63uFd1AsIvtLq6ToeED9rAee%2bFRP7onkvKrNNl2szKEszBO6tcvW30uMYCrLHz%2ff5qp5Jtyy5hY3Kc6FOXhopxNkewzPG2A8OEmY0FOV0gitoSsonRfDnbnEdx5nsr%2bZ%2fNk541fFQqAD7aXNL%2fG%2b316yK7R9SBhHMui6Ah%2fOCt8KE2umEvYPmNwFE8S%2bTVtIUrDO3xL6PALBlpa6juXkzyHaIo3iPkx1ovcv94m5d9qKwCgkuut5jNUR8E7XmClVNyehpOmY09Hmbo%2f0j%2bqZX7KNjSQrgbRadZXTJKSG7ASS%2b10Hee0yaZnQlMHoDejOl8M85zzTyj1snBEwZjAUF2TA8TNfAyKjkcXriXbvX6pQAM3PsgE84e2Vgv3hNMYYUjaKVvRHCC3ziIK2FeUNQOadKiFE9eSwvJcSWSscuz%2bJHSSE60mjfcSkTpFLJ1ImWtYli0yP4msuE3Nnfse1zwggz5pQCKDhf1Du7HOGykzdrq%2b7ITvzsC0AMcHy8SyoY4M6w6eNlx5E3sNIlAjIQ%3d%3d IM55]
*Nebraska Medicine Consents and Permits policy, [https://secure.compliance360.com/Today/DisplayTab?PD=Q63uFd1AsIvtLq6ToeED9rAee%2bFRP7onkvKrNNl2szKEszBO6tcvW30uMYCrLHz%2ff5qp5Jtyy5hY3Kc6FOXhopxNkewzPG2A8OEmY0FOV0gitoSsonRfDnbnEdx5nsr%2bZ%2fNk541fFQqAD7aXNL%2fG%2b316yK7R9SBhHMui6Ah%2fOCt8KE2umEvYPmNwFE8S%2bTVtIUrDO3xL6PALBlpa6juXkzyHaIo3iPkx1ovcv94m5d9qKwCgkuut5jNUR8E7XmClVNyehpOmY09Hmbo%2f0j%2bqZX7KNjSQrgbRadZXTJKSG7ASS%2b10Hee0yaZnQlMHoDejOl8M85zzTyj1snBEwZjAUF2TA8TNfAyKjkcXriXbvX6pQAM3PsgE84e2Vgv3hNMYYUjaKVvRHCC3ziIK2FeUNQOadKiFE9eSwvJcSWSscuz%2bJHSSE60mjfcSkTpFLJ1ImWtYli0yP4msuE3Nnfse1zwggz5pQCKDhf1Du7HOGykzdrq%2b7ITvzsC0AMcHy8SyoY4M6w6eNlx5E3sNIlAjIQ%3d%3d MS14]
*Nebraska Medicine Confidential Address policy, [https://secure.compliance360.com/Today/DisplayTab?PD=Q63uFd1AsIvtLq6ToeED9rAee%2bFRP7onkvKrNNl2szKEszBO6tcvW30uMYCrLHz%2ff5qp5Jtyy5hY3Kc6FOXhopxNkewzPG2A8OEmY0FOV0gitoSsonRfDnbnEdx5nsr%2bZ%2fNk541fFQqAD7aXNL%2fG%2b316yK7R9SBhHMui6Ah%2fOCt8KE2umEvYPmNwFE8S%2bTVtIUrDO3xL6PALBlpa6juXkzyHaIo3iPkx1ovcv94m5d9qKwCgkuut5jNUR8E7XmClVNyehpOmY09Hmbo%2f0j%2bqZX7KNjSQrgbRadZXTJKSG7ASS%2b10Hee0yaZnQlMHoDejOl8M85zzTyj1snBEwZjAUF2TA8TNfAyKjkcXriXbvX6pQAM3PsgE84e2Vgv3hNMYYUjaKVvRHCC3ziIK2FeUNQOadKiFE9eSwvJcSWSscuz%2bJHSSE60mjfcSkTpFLJ1ImWtYli0yP4msuE3Nnfse1zwggz5pQCKDhf1Du7HOGykzdrq%2b7ITvzsC0AMcHy8SyoY4M6w6eNlx5E3sNIlAjIQ%3d%3d REG365]
*Nebraska Medicine Private Designation policy, [https://secure.compliance360.com/Today/DisplayTab?PD=Q63uFd1AsIvtLq6ToeED9rAee%2bFRP7onkvKrNNl2szKEszBO6tcvW30uMYCrLHz%2ff5qp5Jtyy5hY3Kc6FOXhopxNkewzPG2A8OEmY0FOV0gitoSsonRfDnbnEdx5nsr%2bZ%2fNk541fFQqAD7aXNL%2fG%2b316yK7R9SBhHMui6Ah%2fOCt8KE2umEvYPmNwFE8S%2bTVtIUrDO3xL6PALBlpa6juXkzyHaIo3iPkx1ovcv94m5d9qKwCgkuut5jNUR8E7XmClVNyehpOmY09Hmbo%2f0j%2bqZX7KNjSQrgbRadZXTJKSG7ASS%2b10Hee0yaZnQlMHoDejOl8M85zzTyj1snBEwZjAUF2TA8TNfAyKjkcXriXbvX6pQAM3PsgE84e2Vgv3hNMYYUjaKVvRHCC3ziIK2FeUNQOadKiFE9eSwvJcSWSscuz%2bJHSSE60mjfcSkTpFLJ1ImWtYli0yP4msuE3Nnfse1zwggz5pQCKDhf1Du7HOGykzdrq%2b7ITvzsC0AMcHy8SyoY4M6w6eNlx5E3sNIlAjIQ%3d%3d R115] for additional details.)
*Nebraska Medicine Contract Management policy, [https://secure.compliance360.com/Today/DisplayTab?PD=Q63uFd1AsIvtLq6ToeED9rAee%2bFRP7onkvKrNNl2szKEszBO6tcvW30uMYCrLHz%2ff5qp5Jtyy5hY3Kc6FOXhopxNkewzPG2A8OEmY0FOV0gitoSsonRfDnbnEdx5nsr%2bZ%2fNk541fFQqAD7aXNL%2fG%2b316yK7R9SBhHMui6Ah%2fOCt8KE2umEvYPmNwFE8S%2bTVtIUrDO3xL6PALBlpa6juXkzyHaIo3iPkx1ovcv94m5d9qKwCgkuut5jNUR8E7XmClVNyehpOmY09Hmbo%2f0j%2bqZX7KNjSQrgbRadZXTJKSG7ASS%2b10Hee0yaZnQlMHoDejOl8M85zzTyj1snBEwZjAUF2TA8TNfAyKjkcXriXbvX6pQAM3PsgE84e2Vgv3hNMYYUjaKVvRHCC3ziIK2FeUNQOadKiFE9eSwvJcSWSscuz%2bJHSSE60mjfcSkTpFLJ1ImWtYli0yP4msuE3Nnfse1zwggz5pQCKDhf1Du7HOGykzdrq%2b7ITvzsC0AMcHy8SyoY4M6w6eNlx5E3sNIlAjIQ%3d%3d FN18]
*Nebraska Medicine Form CON-MR-0074, [https://www.nebraskamed.com/patients/medical-records/your-medical-records Authorization for Release of Informatio'''n''']
*Nebraska Medicine Form CON-MR-1900, [mailto:privacy@nebraskamed.com Education Authorization]
*[https://cynchealth.org/privacy-security/ CyncHealth’s Privacy and Information Security Policies and Procedures]
*[http://www.hhs.gov/hipaa/for-professionals/privacy/guidance/disclosures-treatment-payment-health-care-operations/index.html Uses and Disclosures for Treatment, Payment and Health Care Operations]
*[https://nebraska.edu/-/media/unca/docs/offices-and-policies/policies/executive-memorandum/hipaa-compliance-policy.pdf University of Nebraska Executive Memorandum No. 27]
*[http://nehii.org/index.php?option=com_docman&Itemid=59 NeHII Privacy and Information Security Policies and Procedures]
*[https://www.cdc.gov/phlp/publications/topic/hipaa.html Health Insurance Portability and Accountability Act of 1996 (HIPAA)]
*[https://csrc.nist.gov/publications/detail/sp/800-53/rev-5/final NIST Special Publication 800-53]
*[https://www.cdc.gov/phlp/php/resources/health-insurance-portability-and-accountability-act-of-1996-hipaa.html HIPAA Security Rule]

This page is maintained by [mailto:mhurlocker@unmc.edu mh].

Use and Disclosure of Protected Health Information

2025-09-29T18:52:59Z

Afaylor: /* Policy */ updated Health Insurance Portability and Accountability Act of 1996 (HIPAA) link

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<td style="padding:0.5em; background-color:white; line-height:0.95em; border:solid 2px #A3B1BF; border-bottom:0; font-weight:bold;" width="20">[[Privacy/Information Security]]</td>
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[[Identification Card]] | [[Secure Area Card Access]] | [[Privacy/Confidentiality]] | [[Computer Use/Electronic Information]] | [[Retention and Destruction/Disposal of Private and Confidential Information]] | [[Use and Disclosure of Protected Health Information]] | [[Notice of Privacy Practices]] | [[Access to Designated Record Set]] | [[Accounting of PHI Disclosures]] | [[Patient/Consumer Complaints]] | [[Vendors]] | [[Fax Transmissions]] | [[Psychotherapy Notes]] | [[Facility Security]] | [[Conditions of Treatment Form]] | [[Informed Consent for UNMC Media]] | [[Transporting Protected Health Information]] | [[Honest Broker]] | [[Social Security Number]] | [[Third Party Registry]] | [[Information Security Awareness and Training]] | [[Patient Privacy Investigations and Levels of Violation]] | [[Use and Disclosure of PHI for Training Health Care Professionals]] | [[Disclosures of PHI as Permitted or Required by Law]] | [[Disclosure of PHI for Law Enforcement Purposes]]
 
Policy No.: '''6057''' 
Effective Date: '''03/17/03''' 
Revised Date: '''03/28/24''' 
Reviewed Date: ''' 04/22/24''' 

<big>'''Use and Disclosure of Protected Health Information Policy'''</big>
== Basis for Policy ==
Nebraska Medicine/UNMC implements reasonable and appropriate access controls in alignment with National Institute of Standards and Technology (NIST) standards and guidance to maintain the minimum necessary access. [https://csrc.nist.gov/publications/detail/sp/800-53/rev-5/final NIST Special Publication 800-53] and the [https://www.cdc.gov/phlp/php/resources/health-insurance-portability-and-accountability-act-of-1996-hipaa.html HIPAA Security Rule] outline considerations for the access control family of security controls.

== Policy ==
Nebraska Medicine/UNMC shall limit the use and disclosure of Protected Health Information (PHI) to the right people, for the right purposes, with the right authority, and always subject to reasonable safeguards -- all as defined by the [https://www.cdc.gov/phlp/php/resources/health-insurance-portability-and-accountability-act-of-1996-hipaa.html Health Insurance Portability and Accountability Act of 1996 (HIPAA)] and Nebraska Medicine/UNMC policies.

==Purpose==
To establish guidelines for the use and disclosure of PHI.
===General Policies Governing the Use and Disclosure of PHI===
#Each use or disclosure of PHI must be an authorized use or disclosure (either by a written patient authorization or Nebraska Medicine/UNMC policy). Some of the authorized uses and disclosures are described in this policy and associated policies.
#The use or disclosure of PHI must be in accordance with the [https://www.nebraskamed.com/patients/rights-responsibilities/notice-privacy-practices Nebraska Medicine/UNMC Notice of Privacy Practices].
#The [https://wiki.unmc.edu/index.php/Use_and_Disclosure_of_Protected_Health_Information#Workforce Workforce] member using or disclosing the PHI must do so only as necessary to perform assigned duties.
#The person or entity to which PHI is disclosed must be authorized to receive it and their identity and authority must be verified prior to such disclosure. (See Verification and Authority policy, [https://secure.compliance360.com/Today/DisplayTab?PD=Q63uFd1AsIvtLq6ToeED9rAee%2bFRP7onkvKrNNl2szKEszBO6tcvW30uMYCrLHz%2ff5qp5Jtyy5hY3Kc6FOXhopxNkewzPG2A8OEmY0FOV0gitoSsonRfDnbnEdx5nsr%2bZ%2fNk541fFQqAD7aXNL%2fG%2b316yK7R9SBhHMui6Ah%2fOCt8KE2umEvYPmNwFE8S%2bTVtIUrDO3xL6PALBlpa6juXkzyHaIo3iPkx1ovcv94m5d9qKwCgkuut5jNUR8E7XmClVNyehpOmY09Hmbo%2f0j%2bqZX7KNjSQrgbRadZXTJKSG7ASS%2b10Hee0yaZnQlMHoDejOl8M85zzTyj1snBEwZjAUF2TA8TNfAyKjkcXriXbvX6pQAM3PsgE84e2Vgv3hNMYYUjaKVvRHCC3ziIK2FeUNQOadKiFE9eSwvJcSWSscuz%2bJHSSE60mjfcSkTpFLJ1ImWtYli0yP4msuE3Nnfse1zwggz5pQCKDhf1Du7HOGykzdrq%2b7ITvzsC0AMcHy8SyoY4M6w6eNlx5E3sNIlAjIQ%3d%3d IM55] and the Nebraska Medicine Consents and Permits policy, MS14, Authorized Consenting Persons section.)
#Use and disclosure of PHI must be limited to the minimum necessary to accomplish the intended purpose of such use or disclosure. (See Minimum Necessary section below.)
#Uses and disclosures of PHI may be subject to requests for confidential communications. (See Confidential Address policy, [https://secure.compliance360.com/Today/DisplayTab?PD=Q63uFd1AsIvtLq6ToeED9rAee%2bFRP7onkvKrNNl2szKEszBO6tcvW30uMYCrLHz%2ff5qp5Jtyy5hY3Kc6FOXhopxNkewzPG2A8OEmY0FOV0gitoSsonRfDnbnEdx5nsr%2bZ%2fNk541fFQqAD7aXNL%2fG%2b316yK7R9SBhHMui6Ah%2fOCt8KE2umEvYPmNwFE8S%2bTVtIUrDO3xL6PALBlpa6juXkzyHaIo3iPkx1ovcv94m5d9qKwCgkuut5jNUR8E7XmClVNyehpOmY09Hmbo%2f0j%2bqZX7KNjSQrgbRadZXTJKSG7ASS%2b10Hee0yaZnQlMHoDejOl8M85zzTyj1snBEwZjAUF2TA8TNfAyKjkcXriXbvX6pQAM3PsgE84e2Vgv3hNMYYUjaKVvRHCC3ziIK2FeUNQOadKiFE9eSwvJcSWSscuz%2bJHSSE60mjfcSkTpFLJ1ImWtYli0yP4msuE3Nnfse1zwggz5pQCKDhf1Du7HOGykzdrq%2b7ITvzsC0AMcHy8SyoY4M6w6eNlx5E3sNIlAjIQ%3d%3d REG365].)
#If a disclosure of PHI is subject to an Individual’s right to an accounting, it must be documented per UNMC Policy No. 6061, [https://wiki.unmc.edu/index.php/Accounting_of_PHI_Disclosures Accounting of Protected Health Information Disclosures]. Also note the documentation requirements listed throughout this policy and associated policies.
#Requests for uses and disclosures of PHI that are not clearly addressed in Nebraska Medicine/UNMC policies must be considered and resolved by a designated decision-maker. The [mailto:debrbishop@nebraskamed.com Privacy Officer] is the designated decision-maker unless someone else is designated by the [mailto:privacy@nebraskamed.com Privacy Office] for a particular policy or situation. (See Nebraska Medicine Consents and Permits policy, [https://secure.compliance360.com/Today/DisplayTab?PD=Q63uFd1AsIvtLq6ToeED9rAee%2bFRP7onkvKrNNl2szKEszBO6tcvW30uMYCrLHz%2ff5qp5Jtyy5hY3Kc6FOXhopxNkewzPG2A8OEmY0FOV0gitoSsonRfDnbnEdx5nsr%2bZ%2fNk541fFQqAD7aXNL%2fG%2b316yK7R9SBhHMui6Ah%2fOCt8KE2umEvYPmNwFE8S%2bTVtIUrDO3xL6PALBlpa6juXkzyHaIo3iPkx1ovcv94m5d9qKwCgkuut5jNUR8E7XmClVNyehpOmY09Hmbo%2f0j%2bqZX7KNjSQrgbRadZXTJKSG7ASS%2b10Hee0yaZnQlMHoDejOl8M85zzTyj1snBEwZjAUF2TA8TNfAyKjkcXriXbvX6pQAM3PsgE84e2Vgv3hNMYYUjaKVvRHCC3ziIK2FeUNQOadKiFE9eSwvJcSWSscuz%2bJHSSE60mjfcSkTpFLJ1ImWtYli0yP4msuE3Nnfse1zwggz5pQCKDhf1Du7HOGykzdrq%2b7ITvzsC0AMcHy8SyoY4M6w6eNlx5E3sNIlAjIQ%3d%3d MS14].)
#All uses and disclosures of PHI should be made in accordance with safeguards adopted by Nebraska Medicine/UNMC to further protect the privacy of PHI.
#Improper uses and disclosures of PHI should be immediately brought to Privacy Office’s attention so it can consider and facilitate the implementation of any effective mitigation or remedial steps.
#All members of the Workforce are required to be familiar with the policies and procedures which affect them in their role at Nebraska Medicine/UNMC and will be held accountable for their individual compliance with such policies and procedures.
==Procedures==
Protected Health Information (PHI) may be used and disclosed within the [https://wiki.unmc.edu/index.php/Use_and_Disclosure_of_Protected_Health_Information#Affiliated_Covered_Entity_.28ACE.29 Affiliated Covered Entity (ACE)] for each member’s own treatment, [https://wiki.unmc.edu/index.php/Use_and_Disclosure_of_Protected_Health_Information#Payment_2 Payment] and [https://wiki.unmc.edu/index.php/Use_and_Disclosure_of_Protected_Health_Information#Health_Care_Operations_2 Health Care Operations] if it has or is about to have a treatment relationship with the Individual supporting its need for such use or disclosure of such information, without having to obtain the Individual’s authorization. ACE entities also may share PHI with one another without Individual authorization as permitted by HIPAA and necessary for the delivery of health care treatment, payment and operations. 

Members of the [https://wiki.unmc.edu/index.php/Use_and_Disclosure_of_Protected_Health_Information#Workforce Workforce] may access Individual information for a current, work-related purpose, and shall access only those portions of the medical record as required for the current, work-related purpose. Members of the Workforce shall not access or alter their own medical record. (See UNMC Policy No. 6045, [https://wiki.unmc.edu/index.php/Privacy/Confidentiality Privacy, Confidentiality and Security of Patient and Proprietary Information].)
===Treatment===
Nebraska Medicine/UNMC may disclose PHI to another health care provider for its treatment purposes if the requesting provider has or is about to have a treatment relationship with the Individual to be entitled to the information.
#If the requesting provider is a member of Nebraska Medicine/UNMC’s medical staff, no further verification of the relationship is needed, and the information may be shared for the requesting provider’s treatment purposes.
#If the request is from a health care provider who is not a member of Nebraska Medicine/UNMC’s medical staff, Nebraska Medicine/UNMC staff should request confirmation that there is a treatment relationship or determine, based on the medical record, that there is a treatment relationship. For example, if the record includes documentation that the Individual was brought by the local emergency squad, the treatment relationship between Nebraska Medicine/UNMC and the EMS provider is confirmed.
#Release/disclosure of Individual's information should be documented by the department/Workforce member releasing the information. Releases of information outside of the Health Information Management department (HIM) should be documented in the medical record, such as by using Epic/One Chart’s Quick Disclosure.
#The minimum necessary standard does not apply to disclosures of PHI made to another health care provider for treatment purposes involving the Individual who is the subject of such PHI.
===Payment===
Nebraska Medicine/UNMC may disclose PHI to another provider or covered entity for its [https://wiki.unmc.edu/index.php/Use_and_Disclosure_of_Protected_Health_Information#Payment_2 Payment] purposes after confirming that the other provider or covered entity has a treatment relationship that supports the request for information.
#Release/disclosure of patient information should be documented by the department/Workforce member releasing the information. Releases of information outside of HIM should be documented in the medical record, such as by using Epic/One Chart’s Quick Disclosure.
#The minimum necessary standard does apply to disclosures to another provider or covered entity for its payment purposes.
===Health Care Operations===
Nebraska Medicine/UNMC may disclose PHI to another covered entity (including members of its medical staff) for certain health care operations of the requesting covered entity if the following steps are followed. Requests of this type are expected to be infrequent.
#Nebraska Medicine/UNMC should confirm and document that the requesting covered entity: (i) is a covered entity; (ii) has a relationship with the Individual whose PHI is requested; and (iii) is requesting and will use PHI for a qualifying health care operations use.
#Only the following health care operations of the requesting covered entity support a disclosure to the covered entity for its use of PHI in health care operations:
##Quality assessment activities, utilization management activities and activities designed to measure or improve care or reduce costs.
##Peer review activities.
##Health care fraud and abuse detection or compliance efforts.
#The minimum necessary standard does apply to a disclosure of PHI to another health care provider for its health care operations purposes. Therefore, limit the information accessed or disclosed to the minimum necessary for the operational purposes of the party receiving it.
===Incidental Disclosures===
Nebraska Medicine/UNMC may use and disclose PHI for permitted purposes, even though doing so may result in incidental disclosure to third parties. In such cases, the following standards should be met:
#The unintended disclosure of PHI must be a consequence of a permitted use or disclosure.
#The permitted disclosure of PHI must have met the minimum necessary standard, as applicable.
#Workforce members must have employed reasonable safeguards to prevent the unintended disclosure of PHI:
##Use common sense and judgment--look for ways to lessen the risk and any potential impact of an incidental disclosure (e.g., signage visible outside Individual's room should not contain PHI, except information necessary for safe clinical care, such as infection control and fall precaution notices; Individuals in public areas or being transported should be draped in a manner that respects the Individual’s modesty or dignity).
##Speak in a lower voice;
##Provide more privacy through partitions and room arrangements (e.g., protect the visual privacy of Individuals receiving treatment through the use of curtains or other visual barriers whenever possible);
##Pull the dividers or partitions between the Individual and other patients or visitors; and
##Ask if the Individual would prefer to talk in a more private location.
===Disclosures to the Individual===
Nebraska Medicine/UNMC may disclose PHI to the Individual or his/her Personal Representative.
The Individual has a right to see and obtain copies of PHI maintained in the Individual’s designated record set. Information, including billing information, may be sent to a minor for treatment to which the minor appropriately consented. (See UNMC Policy No. 6059, [https://wiki.unmc.edu/index.php/Access_to_Designated_Record_Set Access and Amendment of Designated Record Set]).
#For Other Disclosures to Individual
##For disclosures in written or electronic form, staff should document the disclosure/release in one of the following ways:
###Notation in the medical, billing or other record from which the material was obtained
###Electronic notation such as Quick Disclosure (Epic) in the database from which the information was obtained
##It is not necessary to document oral disclosures to Individuals, unless required by nursing, medical staff or other policies. This policy recognizes that there is constant exchange of information between health care providers and Individuals during episodes of care.
##When disclosing to the Individual, appropriate safeguards should be taken to reduce the risk that people other than the Individual or people permitted by the Individual will hear the disclosure. Examples of such safeguards would include:
###Asking the Individual if the Individual would prefer to talk in a more private location.
###Confirming with the Individual that it is okay to proceed with the conversation while friends, relatives or others are present.
###Speaking in a lower voice.
###Pulling the dividers or partitions between the Individual and other patients or visitors.
###Providing more privacy through partitions and room arrangements.
#The minimum necessary standard does not apply to disclosures to the Individual.
===Disclosures to Family, Friends and Others===
====Facility Directory====
Nebraska Medicine/UNMC may include limited information about an Individual in the facility directory or census and may disclose that information to people who ask about the Individual by name, or to members of the clergy, in accordance with applicable policies. (See Nebraska Medicine Private Designation policy [https://secure.compliance360.com/Default.aspx RI15], for additional details.)
====Disclosures with Individual’s Permission====
#You may disclose PHI to the Individual in the presence of others if the Individual is asked and consents or is given a chance to object and does not verbally object to such disclosure and you reasonably infer from the circumstances that the Individual does not object. Disclosures of sensitive information, such as mental health or sexually transmitted disease diagnoses, should only be disclosed with the permission of the Individual.
#When relying on this authority, disclose only the minimum amount of information needed to achieve the purpose of the disclosure, unless you know that the individuals present are all involved in the Individual's care or [https://wiki.unmc.edu/index.php/Use_and_Disclosure_of_Protected_Health_Information#Payment_2 Payment] for care.
#Remember – people who are present when a disclosure of PHI is made may be mere friends, visitors or onlookers. They may have no role in the Individual’s care. They may simply be visiting the Individual. Therefore, try to give the Individual every opportunity to agree or object to a disclosure of his or her PHI when it will otherwise be made in their presence.
#Do not rely on this authority if the Individual is incapacitated or otherwise unable to agree or object to such disclosure.
====Disclosures Based on Role or Involvement in Patient Care====
Follow this policy when disclosing PHI to a person other than a Personal Representative whom you believe plays a role in the Individuals’s health care (or [https://wiki.unmc.edu/index.php/Use_and_Disclosure_of_Protected_Health_Information#Payment_2 Payment] for health care). For example, follow this policy when you:
#Talk to the Individual’s child, other relative or friend who customarily drives the Iatient to appointments to confirm the date and time of the next appointment.
#Give an involved family member the Individual’s prescription, so the family member can fill it for the Individual.
#Talk to a family member at discharge, if they play a role in post-discharge care.
#Talk to the Individual’s spouse to obtain information necessary to file a claim through the spouse’s group plan.
#Talk to a family member or friend when the Individual indicates you can or should do so, e.g., if the person accompanies the Individual for an appointment or procedure, or is invited and present at admission or discharge.
If the Individual is available prior to a disclosure and has the capacity to make health care decisions, explain the proposed disclosure and do one of the following:
#Obtain the Individual’s consent to such disclosure;
#Provide the Individual with an opportunity to object, and disclose only if the Individual does not object; or
#Reasonably infer from the circumstances, based on the exercise of professional judgment, that the Individual does not object.
If the Individual is not available prior to the disclosure, use and document professional judgment to determine whether the disclosure would be in the best interest of the Individual. If so, disclose only the PHI directly relevant to the recipient’s involvement in the Individual’s health care. A code or password should not be used as a substitute for use of professional judgement to determine an Individual’s involvement in the patient's care to disclose information relevant to the Individual’s involvement. 

'''Note:''' Nebraska Medicine/UNMC may disclose a decedent’s PHI to family members and others who were involved in the care or payment for care of the decedent prior to death, unless doing so is inconsistent with any prior expressed preference of the Individual. 

These procedures are not applicable to Personal Representatives because they generally have the same access to information as the Individual.
====Disclosure for Notification Purposes====
Nebraska Medicine/UNMC may disclose PHI about an Individual in order to notify family, friends or others of the Individual’s whereabouts, general condition or death. In these cases, Nebraska Medicine/UNMC may not know the details of the involvement of others in the patient’s care or payment for care. Therefore, in these cases, try to follow these steps:
#Ask the Individual, if possible, whether they consent to such disclosure and rely on what the patient says.
#If the Individual is not able or available, make an effort to determine from the record the identity of others who may be Personal Representatives or involved in the Individual’s care and make an effort to limit contact to them.
#If following the above steps does not work, use your best judgment in making contact with family, friends or others for notification purposes. Try asking for the person by order of priority (See Nebraska Medicine Consents and Permits policy, MS14.) Try to limit disclosures to individuals in the highest priority you can locate. In the end, use your best professional judgment in deciding how much you can say and to whom.
#When the Individual has been deemed not competent, and is not expected to regain competence, and no family or friend has been located to act on the Individual’s behalf, Care Transitions and/or Pastoral Services staff may reach out to resources, such as the Individual’s landlord or employer (if known), agencies contracted for such purposes with the assistance of Legal Services, or local enforcement. In all such cases, the disclosure of PHI shall be limited solely to the Individual’s name and date of birth unless permission has been obtained from the [mailto:privacy@nebraskamed.com Privacy Office] to disclosure additional information.
====Uses/Disclosure of PHI for Electronic Health Information Exchanges====
Nebraska Medicine/UNMC may access and disclose PHI through ACE-approved [https://wiki.unmc.edu/index.php/Use_and_Disclosure_of_Protected_Health_Information#Health_Information_Exchange_.28HIE.29 Health Information Exchanges (HIEs)]. Members of the Workforce may not access their own medical records via the HIE. Use and disclosure of PHI is restricted to the permitted uses and disclosures of the particular HIE. The Enterprise Applications Executive Director authorizes individual access to the HIE. The ACE is a member of the following HIEs:
=====CyncHealth (Previously NeHII)=====
CyncHealth participants may access CyncHealth PHI pursuant to [https://cynchealth.org/privacy-security/ CyncHealth’s Privacy and Information Security Policies and Procedures]. If unsure as to whether a particular use or disclosure is permissible, contact the [mailto:privacy@nebraskamed.com Privacy Office].
=====Epic-integrated HIE Software=====
Epic-integrated HIE Software, includes but is not limited to Care Everywhere. Use or disclosure of PHI available via Care Everywhere is generally restricted to treatment purposes only per Epic’s current Rules of the Road agreement. It generally may not be used for payment, health care operations or any other purposes, regardless if otherwise permitted under HIPAA.
=====eHealth Exchange=====
#Includes federal and non-federal organizations. Veterans Administration (VA) is a participant of this HIE. Members of the ACE access this HIE via Care Everywhere; as such, PHI obtained via the eHealth Exchange generally may only be used or disclosed for treatment purposes.
#All users of the eHealth Exchange are required to cooperate with Nebraska Medicine/UNMC on related investigations or issues; request, use and disclose eHealth Exchange message content only for treatment purposes; comply with all applicable laws and report any suspected breach of PHI to the Privacy Office immediately. Users must not disclose passwords or any other security measures to anyone.
===Business Associate Agreements/Addendums===
Nebraska Medicine/UNMC shall enter into a Business Associate Agreement with each outside entity performing services on its behalf before disclosing PHI to such entity (see UNMC Policy No. 8009, [[Contracts]] or Nebraska Medicine Contract Management policy, FN18).
===Use/Disclosure of PHI for Training Health Care Professionals ===
See UNMC Policy No. 6303, [[Use and Disclosure of PHI for Training Health Care Professionals]]
===Use/Disclosure of PHI Permitted/Required by Law===
See UNMC Policy No. 6304, [[Disclosures of PHI as Permitted or Required by Law]].
===Use/Disclosure of PHI for Law Enforcement Purposes===
See UNMC Policy No. 6305, [[Disclosure of PHI for Law Enforcement Purposes]].
===Use/Disclosure of PHI for Whistleblowing Purposes===
A Workforce member may disclose PHI for whistleblowing purposes when:
#The Workforce member believes in good faith that Nebraska Medicine/UNMC engaged in conduct that is unlawful or otherwise violates professional or clinical standards, or that the care, services or conditions provided by Nebraska Medicine/UNMC potentially endangers one or more patients, other Workforce members, or the public; and
#The disclosure is to:
##A health oversight agency or public health authority authorized by law to investigate or otherwise oversee the relevant conduct or conditions of Nebraska Medicine/UNMC or to an appropriate health care accreditation organization for the purpose of reporting the allegation of failure to meet professional standards or misconduct by Nebraska Medicine/UNMC; or
##An attorney retained by or on behalf of the Workforce member or business associate for the purpose of determining the legal options of the Workforce member or business associate with regard to the conduct described in this section.
===Use/Disclosure of PHI for Marketing ===
Refer requests for disclosures of PHI for marketing or fundraising purposes to the [mailto:privacy@nebraskamed.com Privacy Office].
===Use/Disclosure of PHI for Research===
#All research requests using PHI must be submitted to the UNMC Institutional Review Board (IRB) for review and approval. See UNMC's [https://guides.unmc.edu/books/hrpp-policies-and-procedures Human Research Protection Program (HRPP) Policies and Procedures]]. The IRB-approved consent also contains the HIPAA-compliant authorization when required under HIPAA. The UNMC IRB operates as the ACE’s Privacy Board and approves all waivers of authorization as permitted under HIPAA. To learn more about such waivers, please see UNMC Human Research Protection Program Policies and Procedures.
#For research requests involving use of a decedent's information, Nebraska Medicine/UNMC must obtain from the researcher (before making such disclosure):
##A representation that the requested use or disclosure of PHI is solely for research on the PHI of decedents;
##Documentation of the death of such Individuals; and
##A representation that the requested PHI is necessary for the research purposes.
#Review of PHI Preparatory to Research. Nebraska Medicine/UNMC staff and students who wish to review PHI to prepare a research proposal must submit a [https://unmcredcap.unmc.edu/redcap/surveys/?s=NMPNWMEA7W Electronic Health Data Request] Form to the [https://www.unmc.edu/cctr/resources/ehr/index.html Electronic Health Record Data Access Core] to obtain access to such PHI.
#Access to PHI for reviews preparatory to research requires that the researcher provide the following representations in advance of such disclosure and use:
##that the use or disclosure is sought solely to review PHI as necessary to prepare a research protocol or for similar purposes preparatory to research;
##that no PHI is to be removed from the covered entity by the researcher in the course of the review; and
##that the PHI for which disclosure and use is sought is necessary for the research purposes.
===Sale of Protected Health Information===
Selling PHI is generally prohibited unless the patient signs an authorization specifically permitting the sale. This includes any disclosure of PHI where Nebraska Medicine/UNMC directly or indirectly receives remuneration from or on behalf of the recipient of the PHI in exchange for the PHI. Sale of PHI does not include certain disclosures of PHI:
#For public health purposes;
#For research purposes where the only remuneration received by '''Organization''' is a reasonable cost-based fee to cover the cost to prepare and transmit the PHI for such purposes;
#For treatment and payment purposes;
#To a business associate for activities that the business associate undertakes on Nebraska Medicine/UNMC’s behalf (if such business associate executes a Business Associate Agreement with Nebraska Medicine/UNMC);
#To an Individual who is requesting access to their own PHI;
#As required by law; and
#For any other HIPAA permitted purpose where the only remuneration received by Organization is a reasonable, cost-based fee to cover the cost to prepare and transmit the PHI for such purpose or a fee otherwise expressly permitted by other law. The reasonable cost-based fee includes both direct and indirect costs for generating, storing, retrieving and transmitting the PHI, including labor, material and supplies.
De-identified data is not PHI and therefore is not subject to the remuneration prohibition. However, limited data sets are PHI and are subject to this provision (see the section on [https://wiki.unmc.edu/index.php/Use_and_Disclosure_of_Protected_Health_Information#Limited_Data_Set Limited Data Set]).
===Minimum Necessary===
Subject to the exceptions listed in this or any other Nebraska Medicine/UNMC policy, when using or disclosing PHI or when requesting PHI, members of the Workforce must make reasonable efforts to limit PHI used, disclosed or requested to the minimum information necessary (both type of information and quantity) to accomplish the intended purpose of such use, disclosure or request.
#The “minimum necessary” standard does not apply to the following requests, uses and disclosures of PHI:
##Uses, disclosures or requests among health care providers for treatment purposes.
##Uses or disclosures required by law, so long as the use or disclosure complies with and is limited to the relevant requirements of the law.
##Disclosures made to the Individual or pursuant to an authorization signed by the Individual.
##Disclosures made to the Secretary of Health and Human Services or their designee.
##Uses or disclosures required for compliance with the '''''Privacy Rule'''''.
#Workforce. The minimum necessary standard applies to access and use of PHI by members of the Workforce. Each member of the Workforce must avoid intentionally accessing, using or disclosing PHI except as authorized by Nebraska Medicine/UNMC’s policies.
##When using, disclosing, or requesting PHI, staff shall make reasonable efforts to limit PHI to the minimum necessary to accomplish the intended purpose of the use, disclosure or request. Disclosure of the entire medical record is prohibited unless specifically justified and documented in the medical record as the minimum necessary for the request or otherwise required by law.
##Role-based Access: access to PHI shall be based on the role performed as specified in computer security matrices maintained by electronic health record system security and other system administrators that lists staff roles, job codes/titles and associated levels of access to PHI. Reference Electronic Health Record Access Control policy.
##Individuals who are performing treatment, payment and health care operations functions on behalf of Nebraska Medicine/UNMC, or who require access as otherwise specified by the individual's position description, may access the entire medical record only as necessary to perform assigned duties.
#Departments who provide PHI in response to valid requests shall ensure that minimum necessary requirements are met.
##Routine/recurring disclosures: managers of departments who routinely release PHI on a recurring basis (e.g., HIM, Decision Support depts., etc.) shall establish minimum necessary written protocols for standard releases of PHI internally and externally.
##Non-routine disclosures: department managers shall review non-routine requests for PHI on an individual basis and verify that minimum necessary requirements are met.
#Departments that are not responsible for release of information should release records only under the limited conditions identified in UNMC Policy No. 6061, [https://wiki.unmc.edu/index.php/Accounting_of_PHI_Disclosures Accounting of Protected Health Information Disclosures]. All other requests should be sent to HIM.
===Limited Data Set===
#A limited data set of PHI that excludes certain direct identifiers of the Individual or of relatives, employers, or household members of the Individual may be used and disclosed for the purposes of research, public health or health care operations:
##Names;
##Postal address information, other than town or city, state, or zip code;
##Telephone numbers;
##Fax numbers;
##Electronic mail addresses;
##Social security numbers;
##Medical record numbers;
##Health plan beneficiary numbers;
##Account numbers;
##Certificate/license numbers;
##Vehicle identifiers and serial numbers, including license numbers;
##Device identifiers and serial numbers;
##Web Universal Resource Locators (URLs);
##Internet Protocol (IP) address numbers;
##Biometric identifiers, including finger and voice prints; and
## Full-face photographic images and any comparable images.
#The recipient of the limited data set must enter into a data use agreement. If a limited data set recipient breaches the data use agreement, Nebraska Medicine/UNMC shall take reasonable steps to cure the breach or end the violation and if such steps are unsuccessful, shall discontinue disclosure of PHI to the limited data set recipient.
===De-identification/Re-identification of PHI===
#PHI may be used to create information that is not individually identifiable health information (i.e., de-identified information). The HIPAA privacy rules do not apply to de-identified information that does not identify an Individual and cannot be used to identify an Individual. PHI is de-identified when one of the following methods is used:
##The 18 identifiers of the Individual or of the Individual’s relatives, employers, or household members are removed and Nebraska Medicine/UNMC does not have actual knowledge that the information could be used alone or in combination with other information to identify the Individual who is the subject of the information. The identifiers are:
###Names;
###All geographic subdivisions smaller than a state (including street address, city, county, precinct and zip code);
###All elements of dates except year, for dates related to Individual (e.g., birth date, admission date, discharge date, date of death);
###Telephone numbers;
###Fax numbers;
###Electronic mail addresses;
###Social Security Numbers;
###Medical record numbers;
###Health plan beneficiary numbers;
###Account numbers;
###Certificate/license numbers;
###Vehicle identifiers and serial numbers, including license plate numbers;
###Device identifiers and serial numbers;
###Web Universal Resource Locators (URLs);
###Internet Protocol (IP) address numbers;
###Biometric identifiers, including finger and voice prints;
###Full face photographic images and any comparable images; and
###Any other unique identifying number, characteristic, or code.
##A person with appropriate knowledge of and experience with generally accepted statistical and scientific principles and methods for rendering information not individually identifiable, applying such principles and methods, determines that the risk is very small that the information could be used, alone or in combination with other reasonably available information, by an anticipated recipient to identify an Individual who is a subject of the information; and documents the methods and results of the analysis that justify such determination. The [mailto:contracts@nebraskamed.com NE Med Legal Services Department] and/or [mailto:privacy@nebraskamed.com Privacy Office] must approve of the use of this de-identification method and the person who performs it.
#Re-identification of PHI. A code or other means of record identification may be assigned to allow information de-identified above to be re-identified by Organization, provided that:
##The code or other means of record identification is not derived from or related to information about the Individual and is not otherwise capable of being translated so as to identify the Individual; and
##The code or other means of record identification is not used for other purposes and the mechanism for re-identification is not disclosed.
===Disaster Relief Disclosures===
Nebraska Medicine/UNMC may disclose PHI to public or private relief organizations authorized by law or the HIPAA Privacy Rule to assist in disaster relief efforts. 

'''''Disaster relief agency''''' means a public or private agency or program which is authorized by law or its charter to assist in disaster relief efforts. Examples of private disaster relief agencies would be the American Red Cross or the Salvation Army.
#Limit releases of information to the information needed by the agencies to perform their disaster relief efforts. Often, this includes such uses as:
##Coordinating availability of care,
##Notification of family and friends, or
##Determining the identity of victims and survivors.
#The same requirements that apply to disclosures to family, friends and others, apply to disclosures to disaster relief organizations, unless Nebraska Medicine/UNMC, in the exercise of professional judgment, determines that those requirements interfere with the ability to respond to the emergency circumstances. Professional judgment under this policy may be exercised and documented by the [mailto:debrbishop@nebraskamed.com Privacy Officer] or individuals designated in Nebraska Medicine/UNMC’s Disaster Plan. '''need link(s) to plan(s}'''
#The minimum necessary standard does not apply to disclosures to disaster relief agencies.
===Authorization Generally Required for All Other Uses/Disclosures===
Unless otherwise permitted by this policy, any use or disclosure of PHI is prohibited unless the patient or the patient’s representative (see Nebraska Medicine Consents and Permits policy, MS14) signs an authorization specifically permitting the use/disclosure (e.g., Form CON-MR-0074, CON-MR-1900). Forms can be requested at [mailto:privacy@nebraskamed.com Privacy@NebraskaMed.com]]. Restrictions on the use and disclosure of psychotherapy notes are explained in UNMC Policy Nos. 6059, [https://wiki.unmc.edu/index.php/Access_to_Designated_Record_Set Access and Amendment of Designated Record Set] and 6066, [[Psychotherapy Notes]].
===Compound Authorizations===
An authorization for use or disclosure of PHI generally may not be combined with any other document to create a compound authorization, except in the following cases:
#An authorization for the use or disclosure of PHI for a research study may be combined with any other type of written permission for the same or another research study. This exception includes combining an authorization for the use or disclosure of PHI for a research study with another authorization for the same research study, with an authorization for the creation or maintenance of a research database or repository, or with a consent to participate in research. When the ACE has conditioned the provision of research-related treatment on the provision of one of the authorizations, any compound authorization must clearly differentiate between the conditioned and unconditioned components and provide the Individual with an opportunity to opt in to the research activities described in the unconditioned authorization.
#An authorization for a use or disclosure of psychotherapy notes may only be combined with another authorization for use or disclosure of psychotherapy notes.
== Definitions ==
===Affiliated Covered Entity (ACE)===
Legally separate covered entities that designate themselves as a single covered entity for the purpose of HIPAA Compliance. Current ACE members are: The Nebraska Medical Center, UNMC Physicians, UNMC, University Dental Associates, Bellevue Medical Center and Nebraska Pediatric Practice, Inc. d/b/a Children’s Specialty Physicians. ACE membership may change from time to time. The Notice of Privacy Practices lists current ACE members.
===Designated Record Set (DRS)===
Includes medical records and billing records about Individuals maintained by or for UNMC/ACE and any other record used by the ACE to make decisions about Individuals.
===Health Care Operations===
The following activities related to the Organization's functions as a health care provider and sponsor of a self-insured health plan:
#Quality assessment and improvement activities, including outcomes evaluation and development of clinical guidelines, provided that the obtaining of generalizable knowledge is not the primary purpose of any studies resulting from such activities, otherwise these activities may be classified as research if PHI is included;
#Population-based activities relating to improving health or reducing health care costs;
#Protocol development;
#Contacting health care providers and patients with information about treatment alternatives;
#Case management and care coordination;
#Patient safety activities;
#Risk assessment;
#Reviewing the competence or qualifications and accrediting/licensing of health care providers;
#Training health care professionals;
#Conducting or arranging for medical review, legal services and auditing functions (including fraud and abuse detection and compliance programs);
#Business planning and development;
#Business management activities
#General administrative and business functions;
#Insurance activities relating to the renewal of a contract of health insurance;
#Evaluating healthcare provider and plan performance;
#Resolution of internal grievances; and
#Fundraising (see [https://wiki.unmc.edu/index.php?title=Use_and_Disclosure_of_Protected_Health_Information&action=edit#Use.2FDisclosure_of_PHI_for_Marketing Use/Disclosure of PHI for Marketing]).
===Health Information Exchange (HIE)===
The electronic movement of health-related information among organizations according to nationally recognized standards. The goal of a HIE is to facilitate health care providers’ access to and retrieval of clinical data to provide safer, timelier, efficient, effective and equitable patient-centered care. Health Information exchange organizations (HIOs) provide the capability to electronically move information between disparate health care information systems.
===Individual===
The person who is the subject of the PHI. Personal representatives of the Individual have the same rights as the Individual under HIPAA (i.e., they “step into the shoes” of the Individual). Personal representatives include the legal guardian and anyone else authorized by law to act on behalf of the Individual. (See Nebraska Medicine Consents and Permits policy, MS14.)
===Payment===
Activities undertaken by a health care provider or health plan to obtain premiums, to determine or fulfill its responsibility for coverage and provision of benefits under the health plan or to obtain or provide reimbursement for the provision of health care. Some of these types of activities include determinations of eligibility or coverage (including coordination of benefits or the determination of cost sharing amounts), billing, collection activities, claims management, medical necessity determinations, utilization review activities including pre-certification and pre-authorization of services, disclosure to consumer reporting agencies related to collection of premiums or reimbursement and health care data processing related to the above-listed activities.
===Personal Representative ===
A person who, under HIPAA or State law, is empowered to act or exercise rights on behalf of an Individual. (See Nebraska Medicine Consents and Permits policy, MS14.)
===Protected Health Information (PHI)===
Individually identifiable health information including demographic information, collected from an Individual, whether oral or recorded in any medium, that:
*is created or received by UNMC/ACE; and
*relates to the past, present or future physical or mental health or condition of an Individual; the provision of health care to an Individual; or the past, present or future payment for the provision of health care to an Individual and identifies the Individual or with respect to which there is a reasonable basis to believe the information can be used to identify the Individual.
PHI includes genetic information, which includes information about the following items (and excludes information about an Individual’s sex or age):
*an Individual’s genetic tests;
*the genetic tests of an Individual’s family members; or
*the manifestation of a disease or disorder in such Individual’s family members (i.e., family medical history).
PHI excludes:
*individually identifiable health information of a person who has been deceased for more than fifty (50) years.
*education records covered by the Family Educational Rights and Privacy Act (FERPA); and
*employment records held by UNMC in its role as employer.
===Psychotherapy Notes===
Notes recorded (in any medium) by a mental health provider including psychiatrists, psychologists and other mental health professionals documenting or analyzing the contents of a conversation during a private counseling session or group, joint or family counseling session. Psychotherapy notes are kept separate from the rest of the individual’s medical record. Psychotherapy notes exclude medication prescription and monitoring, counseling session start and stop times, the modalities and frequencies of treatment furnished, results of clinical tests and any summary of the following items: diagnosis, functional status, the treatment plan, symptoms, prognosis and progress to date. Psychotherapy notes are not progress notes and are created at the discretion of the mental health care provider. (HIPAA: 45 CFR §164.501)
===Research ===
A systematic investigation, including research development, testing and evaluation, designed to develop or contribute to generalized knowledge. Generalized knowledge is knowledge that can be applied to populations outside the population served by the ACE.
===Sale of Protected Health Information ===
Disclosure of Protected Health Information by a covered entity or business associate, if applicable, where the covered entity or business associate directly or indirectly receives remuneration from or on behalf of the recipient of the PHI in exchange for the PHI.
===Treatment===
The provision, coordination or management of health care and related services by one or more health care providers including the coordination or management of health care by a health care provider with a third party, consultation between health care providers relating to a patient, or the referral of a patient for health care from one health care provider to another.
===Workforce===
Employees, medical staff, volunteers, trainees and other persons whose conduct, in the performance of work for Nebraska Medicine/UNMC, is under the direct control of Nebraska Medicine/UNMC, whether or not they are paid by Nebraska Medicine/UNMC.
==Additional Information==
*Contact the [mailto:debrbishop@nebraskamed.com Privacy Officer] or the [mailto:privacy@nebraskamed.com Privacy Office]
*NE Med Legal Services department [mailto:contracts@nebraskamed.com Contracts@NebraskaMed.com]
*Enterprise Applications Executive Director
*UNMC Policy No. 6058, [[Notice of Privacy Practices]]
*UNMC Policy No. 6059, [https://wiki.unmc.edu/index.php/Access_to_Designated_Record_Set Access and Amendment of Designated Record Set]
*UNMC Policy No. 6061, [https://wiki.unmc.edu/index.php/Accounting_of_PHI_Disclosures Accounting of Protected Health Information Disclosures]
*UNMC Policy No. 6066, [[Psychotherapy Notes]] If being kept, this should be reviewed and review date noted on policy 6066, even if not changed.'''
*UNMC Policy No. 6303, [[Use and Disclosure of PHI for Training Health Care Professionals]]
*UNMC Policy No. 6304, [[Disclosures of PHI as Permitted or Required by Law]]
*UNMC Policy No. 6305, [[Disclosure of PHI for Law Enforcement Purposes]]
*UNMC Policy No. 8009, [[Contracts]]
*UNMC [https://guides.unmc.edu/books/hrpp-policies-and-procedures Human Research Protection Program (HRPP) Policies and Procedures]
*[https://unmcredcap.unmc.edu/redcap/surveys/?s=94TLJCCAAT Request for Electronic Health Data] Form
*[https://www.nebraskamed.com/patients/rights-responsibilities/notice-privacy-practices Nebraska Medicine/UNMC Notice of Privacy Practices]
*Nebraska Medicine Verification and Authority policy, [https://secure.compliance360.com/Today/DisplayTab?PD=Q63uFd1AsIvtLq6ToeED9rAee%2bFRP7onkvKrNNl2szKEszBO6tcvW30uMYCrLHz%2ff5qp5Jtyy5hY3Kc6FOXhopxNkewzPG2A8OEmY0FOV0gitoSsonRfDnbnEdx5nsr%2bZ%2fNk541fFQqAD7aXNL%2fG%2b316yK7R9SBhHMui6Ah%2fOCt8KE2umEvYPmNwFE8S%2bTVtIUrDO3xL6PALBlpa6juXkzyHaIo3iPkx1ovcv94m5d9qKwCgkuut5jNUR8E7XmClVNyehpOmY09Hmbo%2f0j%2bqZX7KNjSQrgbRadZXTJKSG7ASS%2b10Hee0yaZnQlMHoDejOl8M85zzTyj1snBEwZjAUF2TA8TNfAyKjkcXriXbvX6pQAM3PsgE84e2Vgv3hNMYYUjaKVvRHCC3ziIK2FeUNQOadKiFE9eSwvJcSWSscuz%2bJHSSE60mjfcSkTpFLJ1ImWtYli0yP4msuE3Nnfse1zwggz5pQCKDhf1Du7HOGykzdrq%2b7ITvzsC0AMcHy8SyoY4M6w6eNlx5E3sNIlAjIQ%3d%3d IM55]
*Nebraska Medicine Consents and Permits policy, [https://secure.compliance360.com/Today/DisplayTab?PD=Q63uFd1AsIvtLq6ToeED9rAee%2bFRP7onkvKrNNl2szKEszBO6tcvW30uMYCrLHz%2ff5qp5Jtyy5hY3Kc6FOXhopxNkewzPG2A8OEmY0FOV0gitoSsonRfDnbnEdx5nsr%2bZ%2fNk541fFQqAD7aXNL%2fG%2b316yK7R9SBhHMui6Ah%2fOCt8KE2umEvYPmNwFE8S%2bTVtIUrDO3xL6PALBlpa6juXkzyHaIo3iPkx1ovcv94m5d9qKwCgkuut5jNUR8E7XmClVNyehpOmY09Hmbo%2f0j%2bqZX7KNjSQrgbRadZXTJKSG7ASS%2b10Hee0yaZnQlMHoDejOl8M85zzTyj1snBEwZjAUF2TA8TNfAyKjkcXriXbvX6pQAM3PsgE84e2Vgv3hNMYYUjaKVvRHCC3ziIK2FeUNQOadKiFE9eSwvJcSWSscuz%2bJHSSE60mjfcSkTpFLJ1ImWtYli0yP4msuE3Nnfse1zwggz5pQCKDhf1Du7HOGykzdrq%2b7ITvzsC0AMcHy8SyoY4M6w6eNlx5E3sNIlAjIQ%3d%3d MS14]
*Nebraska Medicine Confidential Address policy, [https://secure.compliance360.com/Today/DisplayTab?PD=Q63uFd1AsIvtLq6ToeED9rAee%2bFRP7onkvKrNNl2szKEszBO6tcvW30uMYCrLHz%2ff5qp5Jtyy5hY3Kc6FOXhopxNkewzPG2A8OEmY0FOV0gitoSsonRfDnbnEdx5nsr%2bZ%2fNk541fFQqAD7aXNL%2fG%2b316yK7R9SBhHMui6Ah%2fOCt8KE2umEvYPmNwFE8S%2bTVtIUrDO3xL6PALBlpa6juXkzyHaIo3iPkx1ovcv94m5d9qKwCgkuut5jNUR8E7XmClVNyehpOmY09Hmbo%2f0j%2bqZX7KNjSQrgbRadZXTJKSG7ASS%2b10Hee0yaZnQlMHoDejOl8M85zzTyj1snBEwZjAUF2TA8TNfAyKjkcXriXbvX6pQAM3PsgE84e2Vgv3hNMYYUjaKVvRHCC3ziIK2FeUNQOadKiFE9eSwvJcSWSscuz%2bJHSSE60mjfcSkTpFLJ1ImWtYli0yP4msuE3Nnfse1zwggz5pQCKDhf1Du7HOGykzdrq%2b7ITvzsC0AMcHy8SyoY4M6w6eNlx5E3sNIlAjIQ%3d%3d REG365]
*Nebraska Medicine Private Designation policy, [https://secure.compliance360.com/Today/DisplayTab?PD=Q63uFd1AsIvtLq6ToeED9rAee%2bFRP7onkvKrNNl2szKEszBO6tcvW30uMYCrLHz%2ff5qp5Jtyy5hY3Kc6FOXhopxNkewzPG2A8OEmY0FOV0gitoSsonRfDnbnEdx5nsr%2bZ%2fNk541fFQqAD7aXNL%2fG%2b316yK7R9SBhHMui6Ah%2fOCt8KE2umEvYPmNwFE8S%2bTVtIUrDO3xL6PALBlpa6juXkzyHaIo3iPkx1ovcv94m5d9qKwCgkuut5jNUR8E7XmClVNyehpOmY09Hmbo%2f0j%2bqZX7KNjSQrgbRadZXTJKSG7ASS%2b10Hee0yaZnQlMHoDejOl8M85zzTyj1snBEwZjAUF2TA8TNfAyKjkcXriXbvX6pQAM3PsgE84e2Vgv3hNMYYUjaKVvRHCC3ziIK2FeUNQOadKiFE9eSwvJcSWSscuz%2bJHSSE60mjfcSkTpFLJ1ImWtYli0yP4msuE3Nnfse1zwggz5pQCKDhf1Du7HOGykzdrq%2b7ITvzsC0AMcHy8SyoY4M6w6eNlx5E3sNIlAjIQ%3d%3d R115] for additional details.)
*Nebraska Medicine Contract Management policy, [https://secure.compliance360.com/Today/DisplayTab?PD=Q63uFd1AsIvtLq6ToeED9rAee%2bFRP7onkvKrNNl2szKEszBO6tcvW30uMYCrLHz%2ff5qp5Jtyy5hY3Kc6FOXhopxNkewzPG2A8OEmY0FOV0gitoSsonRfDnbnEdx5nsr%2bZ%2fNk541fFQqAD7aXNL%2fG%2b316yK7R9SBhHMui6Ah%2fOCt8KE2umEvYPmNwFE8S%2bTVtIUrDO3xL6PALBlpa6juXkzyHaIo3iPkx1ovcv94m5d9qKwCgkuut5jNUR8E7XmClVNyehpOmY09Hmbo%2f0j%2bqZX7KNjSQrgbRadZXTJKSG7ASS%2b10Hee0yaZnQlMHoDejOl8M85zzTyj1snBEwZjAUF2TA8TNfAyKjkcXriXbvX6pQAM3PsgE84e2Vgv3hNMYYUjaKVvRHCC3ziIK2FeUNQOadKiFE9eSwvJcSWSscuz%2bJHSSE60mjfcSkTpFLJ1ImWtYli0yP4msuE3Nnfse1zwggz5pQCKDhf1Du7HOGykzdrq%2b7ITvzsC0AMcHy8SyoY4M6w6eNlx5E3sNIlAjIQ%3d%3d FN18]
*Nebraska Medicine Form CON-MR-0074, [https://www.nebraskamed.com/patients/medical-records/your-medical-records Authorization for Release of Informatio'''n''']
*Nebraska Medicine Form CON-MR-1900, [mailto:privacy@nebraskamed.com Education Authorization]
*[https://cynchealth.org/privacy-security/ CyncHealth’s Privacy and Information Security Policies and Procedures]
*[http://www.hhs.gov/hipaa/for-professionals/privacy/guidance/disclosures-treatment-payment-health-care-operations/index.html Uses and Disclosures for Treatment, Payment and Health Care Operations]
*[https://nebraska.edu/-/media/unca/docs/offices-and-policies/policies/executive-memorandum/hipaa-compliance-policy.pdf University of Nebraska Executive Memorandum No. 27]
*[http://nehii.org/index.php?option=com_docman&Itemid=59 NeHII Privacy and Information Security Policies and Procedures]
*[https://www.cdc.gov/phlp/publications/topic/hipaa.html Health Insurance Portability and Accountability Act of 1996 (HIPAA)]
*[https://csrc.nist.gov/publications/detail/sp/800-53/rev-5/final NIST Special Publication 800-53]
*[https://www.cdc.gov/phlp/publications/topic/hipaa.html#security-rule HIPAA Security Rule]

This page is maintained by [mailto:mhurlocker@unmc.edu mh].

Use and Disclosure of Protected Health Information

2025-09-29T18:52:05Z

Afaylor: /* Basis for Policy */ updated HIPAA Security Rule link

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width="20">[[Human Resources]]</td>
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width="20">[[Compliance]]</td>
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<td style="padding:0.5em; background-color:white; line-height:0.95em; border:solid 2px #A3B1BF; border-bottom:0; font-weight:bold;" width="20">[[Privacy/Information Security]]</td>
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width="20">[[Intellectual Property]]</td>
<td style="border-bottom:2px solid #A3B1BF" width="3"> </td>
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[[Identification Card]] | [[Secure Area Card Access]] | [[Privacy/Confidentiality]] | [[Computer Use/Electronic Information]] | [[Retention and Destruction/Disposal of Private and Confidential Information]] | [[Use and Disclosure of Protected Health Information]] | [[Notice of Privacy Practices]] | [[Access to Designated Record Set]] | [[Accounting of PHI Disclosures]] | [[Patient/Consumer Complaints]] | [[Vendors]] | [[Fax Transmissions]] | [[Psychotherapy Notes]] | [[Facility Security]] | [[Conditions of Treatment Form]] | [[Informed Consent for UNMC Media]] | [[Transporting Protected Health Information]] | [[Honest Broker]] | [[Social Security Number]] | [[Third Party Registry]] | [[Information Security Awareness and Training]] | [[Patient Privacy Investigations and Levels of Violation]] | [[Use and Disclosure of PHI for Training Health Care Professionals]] | [[Disclosures of PHI as Permitted or Required by Law]] | [[Disclosure of PHI for Law Enforcement Purposes]]
 
Policy No.: '''6057''' 
Effective Date: '''03/17/03''' 
Revised Date: '''03/28/24''' 
Reviewed Date: ''' 04/22/24''' 

<big>'''Use and Disclosure of Protected Health Information Policy'''</big>
== Basis for Policy ==
Nebraska Medicine/UNMC implements reasonable and appropriate access controls in alignment with National Institute of Standards and Technology (NIST) standards and guidance to maintain the minimum necessary access. [https://csrc.nist.gov/publications/detail/sp/800-53/rev-5/final NIST Special Publication 800-53] and the [https://www.cdc.gov/phlp/php/resources/health-insurance-portability-and-accountability-act-of-1996-hipaa.html HIPAA Security Rule] outline considerations for the access control family of security controls.

== Policy ==
Nebraska Medicine/UNMC shall limit the use and disclosure of Protected Health Information (PHI) to the right people, for the right purposes, with the right authority, and always subject to reasonable safeguards -- all as defined by the [https://www.cdc.gov/phlp/publications/topic/hipaa.html Health Insurance Portability and Accountability Act of 1996 (HIPAA)] and Nebraska Medicine/UNMC policies.
==Purpose==
To establish guidelines for the use and disclosure of PHI.
===General Policies Governing the Use and Disclosure of PHI===
#Each use or disclosure of PHI must be an authorized use or disclosure (either by a written patient authorization or Nebraska Medicine/UNMC policy). Some of the authorized uses and disclosures are described in this policy and associated policies.
#The use or disclosure of PHI must be in accordance with the [https://www.nebraskamed.com/patients/rights-responsibilities/notice-privacy-practices Nebraska Medicine/UNMC Notice of Privacy Practices].
#The [https://wiki.unmc.edu/index.php/Use_and_Disclosure_of_Protected_Health_Information#Workforce Workforce] member using or disclosing the PHI must do so only as necessary to perform assigned duties.
#The person or entity to which PHI is disclosed must be authorized to receive it and their identity and authority must be verified prior to such disclosure. (See Verification and Authority policy, [https://secure.compliance360.com/Today/DisplayTab?PD=Q63uFd1AsIvtLq6ToeED9rAee%2bFRP7onkvKrNNl2szKEszBO6tcvW30uMYCrLHz%2ff5qp5Jtyy5hY3Kc6FOXhopxNkewzPG2A8OEmY0FOV0gitoSsonRfDnbnEdx5nsr%2bZ%2fNk541fFQqAD7aXNL%2fG%2b316yK7R9SBhHMui6Ah%2fOCt8KE2umEvYPmNwFE8S%2bTVtIUrDO3xL6PALBlpa6juXkzyHaIo3iPkx1ovcv94m5d9qKwCgkuut5jNUR8E7XmClVNyehpOmY09Hmbo%2f0j%2bqZX7KNjSQrgbRadZXTJKSG7ASS%2b10Hee0yaZnQlMHoDejOl8M85zzTyj1snBEwZjAUF2TA8TNfAyKjkcXriXbvX6pQAM3PsgE84e2Vgv3hNMYYUjaKVvRHCC3ziIK2FeUNQOadKiFE9eSwvJcSWSscuz%2bJHSSE60mjfcSkTpFLJ1ImWtYli0yP4msuE3Nnfse1zwggz5pQCKDhf1Du7HOGykzdrq%2b7ITvzsC0AMcHy8SyoY4M6w6eNlx5E3sNIlAjIQ%3d%3d IM55] and the Nebraska Medicine Consents and Permits policy, MS14, Authorized Consenting Persons section.)
#Use and disclosure of PHI must be limited to the minimum necessary to accomplish the intended purpose of such use or disclosure. (See Minimum Necessary section below.)
#Uses and disclosures of PHI may be subject to requests for confidential communications. (See Confidential Address policy, [https://secure.compliance360.com/Today/DisplayTab?PD=Q63uFd1AsIvtLq6ToeED9rAee%2bFRP7onkvKrNNl2szKEszBO6tcvW30uMYCrLHz%2ff5qp5Jtyy5hY3Kc6FOXhopxNkewzPG2A8OEmY0FOV0gitoSsonRfDnbnEdx5nsr%2bZ%2fNk541fFQqAD7aXNL%2fG%2b316yK7R9SBhHMui6Ah%2fOCt8KE2umEvYPmNwFE8S%2bTVtIUrDO3xL6PALBlpa6juXkzyHaIo3iPkx1ovcv94m5d9qKwCgkuut5jNUR8E7XmClVNyehpOmY09Hmbo%2f0j%2bqZX7KNjSQrgbRadZXTJKSG7ASS%2b10Hee0yaZnQlMHoDejOl8M85zzTyj1snBEwZjAUF2TA8TNfAyKjkcXriXbvX6pQAM3PsgE84e2Vgv3hNMYYUjaKVvRHCC3ziIK2FeUNQOadKiFE9eSwvJcSWSscuz%2bJHSSE60mjfcSkTpFLJ1ImWtYli0yP4msuE3Nnfse1zwggz5pQCKDhf1Du7HOGykzdrq%2b7ITvzsC0AMcHy8SyoY4M6w6eNlx5E3sNIlAjIQ%3d%3d REG365].)
#If a disclosure of PHI is subject to an Individual’s right to an accounting, it must be documented per UNMC Policy No. 6061, [https://wiki.unmc.edu/index.php/Accounting_of_PHI_Disclosures Accounting of Protected Health Information Disclosures]. Also note the documentation requirements listed throughout this policy and associated policies.
#Requests for uses and disclosures of PHI that are not clearly addressed in Nebraska Medicine/UNMC policies must be considered and resolved by a designated decision-maker. The [mailto:debrbishop@nebraskamed.com Privacy Officer] is the designated decision-maker unless someone else is designated by the [mailto:privacy@nebraskamed.com Privacy Office] for a particular policy or situation. (See Nebraska Medicine Consents and Permits policy, [https://secure.compliance360.com/Today/DisplayTab?PD=Q63uFd1AsIvtLq6ToeED9rAee%2bFRP7onkvKrNNl2szKEszBO6tcvW30uMYCrLHz%2ff5qp5Jtyy5hY3Kc6FOXhopxNkewzPG2A8OEmY0FOV0gitoSsonRfDnbnEdx5nsr%2bZ%2fNk541fFQqAD7aXNL%2fG%2b316yK7R9SBhHMui6Ah%2fOCt8KE2umEvYPmNwFE8S%2bTVtIUrDO3xL6PALBlpa6juXkzyHaIo3iPkx1ovcv94m5d9qKwCgkuut5jNUR8E7XmClVNyehpOmY09Hmbo%2f0j%2bqZX7KNjSQrgbRadZXTJKSG7ASS%2b10Hee0yaZnQlMHoDejOl8M85zzTyj1snBEwZjAUF2TA8TNfAyKjkcXriXbvX6pQAM3PsgE84e2Vgv3hNMYYUjaKVvRHCC3ziIK2FeUNQOadKiFE9eSwvJcSWSscuz%2bJHSSE60mjfcSkTpFLJ1ImWtYli0yP4msuE3Nnfse1zwggz5pQCKDhf1Du7HOGykzdrq%2b7ITvzsC0AMcHy8SyoY4M6w6eNlx5E3sNIlAjIQ%3d%3d MS14].)
#All uses and disclosures of PHI should be made in accordance with safeguards adopted by Nebraska Medicine/UNMC to further protect the privacy of PHI.
#Improper uses and disclosures of PHI should be immediately brought to Privacy Office’s attention so it can consider and facilitate the implementation of any effective mitigation or remedial steps.
#All members of the Workforce are required to be familiar with the policies and procedures which affect them in their role at Nebraska Medicine/UNMC and will be held accountable for their individual compliance with such policies and procedures.
==Procedures==
Protected Health Information (PHI) may be used and disclosed within the [https://wiki.unmc.edu/index.php/Use_and_Disclosure_of_Protected_Health_Information#Affiliated_Covered_Entity_.28ACE.29 Affiliated Covered Entity (ACE)] for each member’s own treatment, [https://wiki.unmc.edu/index.php/Use_and_Disclosure_of_Protected_Health_Information#Payment_2 Payment] and [https://wiki.unmc.edu/index.php/Use_and_Disclosure_of_Protected_Health_Information#Health_Care_Operations_2 Health Care Operations] if it has or is about to have a treatment relationship with the Individual supporting its need for such use or disclosure of such information, without having to obtain the Individual’s authorization. ACE entities also may share PHI with one another without Individual authorization as permitted by HIPAA and necessary for the delivery of health care treatment, payment and operations. 

Members of the [https://wiki.unmc.edu/index.php/Use_and_Disclosure_of_Protected_Health_Information#Workforce Workforce] may access Individual information for a current, work-related purpose, and shall access only those portions of the medical record as required for the current, work-related purpose. Members of the Workforce shall not access or alter their own medical record. (See UNMC Policy No. 6045, [https://wiki.unmc.edu/index.php/Privacy/Confidentiality Privacy, Confidentiality and Security of Patient and Proprietary Information].)
===Treatment===
Nebraska Medicine/UNMC may disclose PHI to another health care provider for its treatment purposes if the requesting provider has or is about to have a treatment relationship with the Individual to be entitled to the information.
#If the requesting provider is a member of Nebraska Medicine/UNMC’s medical staff, no further verification of the relationship is needed, and the information may be shared for the requesting provider’s treatment purposes.
#If the request is from a health care provider who is not a member of Nebraska Medicine/UNMC’s medical staff, Nebraska Medicine/UNMC staff should request confirmation that there is a treatment relationship or determine, based on the medical record, that there is a treatment relationship. For example, if the record includes documentation that the Individual was brought by the local emergency squad, the treatment relationship between Nebraska Medicine/UNMC and the EMS provider is confirmed.
#Release/disclosure of Individual's information should be documented by the department/Workforce member releasing the information. Releases of information outside of the Health Information Management department (HIM) should be documented in the medical record, such as by using Epic/One Chart’s Quick Disclosure.
#The minimum necessary standard does not apply to disclosures of PHI made to another health care provider for treatment purposes involving the Individual who is the subject of such PHI.
===Payment===
Nebraska Medicine/UNMC may disclose PHI to another provider or covered entity for its [https://wiki.unmc.edu/index.php/Use_and_Disclosure_of_Protected_Health_Information#Payment_2 Payment] purposes after confirming that the other provider or covered entity has a treatment relationship that supports the request for information.
#Release/disclosure of patient information should be documented by the department/Workforce member releasing the information. Releases of information outside of HIM should be documented in the medical record, such as by using Epic/One Chart’s Quick Disclosure.
#The minimum necessary standard does apply to disclosures to another provider or covered entity for its payment purposes.
===Health Care Operations===
Nebraska Medicine/UNMC may disclose PHI to another covered entity (including members of its medical staff) for certain health care operations of the requesting covered entity if the following steps are followed. Requests of this type are expected to be infrequent.
#Nebraska Medicine/UNMC should confirm and document that the requesting covered entity: (i) is a covered entity; (ii) has a relationship with the Individual whose PHI is requested; and (iii) is requesting and will use PHI for a qualifying health care operations use.
#Only the following health care operations of the requesting covered entity support a disclosure to the covered entity for its use of PHI in health care operations:
##Quality assessment activities, utilization management activities and activities designed to measure or improve care or reduce costs.
##Peer review activities.
##Health care fraud and abuse detection or compliance efforts.
#The minimum necessary standard does apply to a disclosure of PHI to another health care provider for its health care operations purposes. Therefore, limit the information accessed or disclosed to the minimum necessary for the operational purposes of the party receiving it.
===Incidental Disclosures===
Nebraska Medicine/UNMC may use and disclose PHI for permitted purposes, even though doing so may result in incidental disclosure to third parties. In such cases, the following standards should be met:
#The unintended disclosure of PHI must be a consequence of a permitted use or disclosure.
#The permitted disclosure of PHI must have met the minimum necessary standard, as applicable.
#Workforce members must have employed reasonable safeguards to prevent the unintended disclosure of PHI:
##Use common sense and judgment--look for ways to lessen the risk and any potential impact of an incidental disclosure (e.g., signage visible outside Individual's room should not contain PHI, except information necessary for safe clinical care, such as infection control and fall precaution notices; Individuals in public areas or being transported should be draped in a manner that respects the Individual’s modesty or dignity).
##Speak in a lower voice;
##Provide more privacy through partitions and room arrangements (e.g., protect the visual privacy of Individuals receiving treatment through the use of curtains or other visual barriers whenever possible);
##Pull the dividers or partitions between the Individual and other patients or visitors; and
##Ask if the Individual would prefer to talk in a more private location.
===Disclosures to the Individual===
Nebraska Medicine/UNMC may disclose PHI to the Individual or his/her Personal Representative.
The Individual has a right to see and obtain copies of PHI maintained in the Individual’s designated record set. Information, including billing information, may be sent to a minor for treatment to which the minor appropriately consented. (See UNMC Policy No. 6059, [https://wiki.unmc.edu/index.php/Access_to_Designated_Record_Set Access and Amendment of Designated Record Set]).
#For Other Disclosures to Individual
##For disclosures in written or electronic form, staff should document the disclosure/release in one of the following ways:
###Notation in the medical, billing or other record from which the material was obtained
###Electronic notation such as Quick Disclosure (Epic) in the database from which the information was obtained
##It is not necessary to document oral disclosures to Individuals, unless required by nursing, medical staff or other policies. This policy recognizes that there is constant exchange of information between health care providers and Individuals during episodes of care.
##When disclosing to the Individual, appropriate safeguards should be taken to reduce the risk that people other than the Individual or people permitted by the Individual will hear the disclosure. Examples of such safeguards would include:
###Asking the Individual if the Individual would prefer to talk in a more private location.
###Confirming with the Individual that it is okay to proceed with the conversation while friends, relatives or others are present.
###Speaking in a lower voice.
###Pulling the dividers or partitions between the Individual and other patients or visitors.
###Providing more privacy through partitions and room arrangements.
#The minimum necessary standard does not apply to disclosures to the Individual.
===Disclosures to Family, Friends and Others===
====Facility Directory====
Nebraska Medicine/UNMC may include limited information about an Individual in the facility directory or census and may disclose that information to people who ask about the Individual by name, or to members of the clergy, in accordance with applicable policies. (See Nebraska Medicine Private Designation policy [https://secure.compliance360.com/Default.aspx RI15], for additional details.)
====Disclosures with Individual’s Permission====
#You may disclose PHI to the Individual in the presence of others if the Individual is asked and consents or is given a chance to object and does not verbally object to such disclosure and you reasonably infer from the circumstances that the Individual does not object. Disclosures of sensitive information, such as mental health or sexually transmitted disease diagnoses, should only be disclosed with the permission of the Individual.
#When relying on this authority, disclose only the minimum amount of information needed to achieve the purpose of the disclosure, unless you know that the individuals present are all involved in the Individual's care or [https://wiki.unmc.edu/index.php/Use_and_Disclosure_of_Protected_Health_Information#Payment_2 Payment] for care.
#Remember – people who are present when a disclosure of PHI is made may be mere friends, visitors or onlookers. They may have no role in the Individual’s care. They may simply be visiting the Individual. Therefore, try to give the Individual every opportunity to agree or object to a disclosure of his or her PHI when it will otherwise be made in their presence.
#Do not rely on this authority if the Individual is incapacitated or otherwise unable to agree or object to such disclosure.
====Disclosures Based on Role or Involvement in Patient Care====
Follow this policy when disclosing PHI to a person other than a Personal Representative whom you believe plays a role in the Individuals’s health care (or [https://wiki.unmc.edu/index.php/Use_and_Disclosure_of_Protected_Health_Information#Payment_2 Payment] for health care). For example, follow this policy when you:
#Talk to the Individual’s child, other relative or friend who customarily drives the Iatient to appointments to confirm the date and time of the next appointment.
#Give an involved family member the Individual’s prescription, so the family member can fill it for the Individual.
#Talk to a family member at discharge, if they play a role in post-discharge care.
#Talk to the Individual’s spouse to obtain information necessary to file a claim through the spouse’s group plan.
#Talk to a family member or friend when the Individual indicates you can or should do so, e.g., if the person accompanies the Individual for an appointment or procedure, or is invited and present at admission or discharge.
If the Individual is available prior to a disclosure and has the capacity to make health care decisions, explain the proposed disclosure and do one of the following:
#Obtain the Individual’s consent to such disclosure;
#Provide the Individual with an opportunity to object, and disclose only if the Individual does not object; or
#Reasonably infer from the circumstances, based on the exercise of professional judgment, that the Individual does not object.
If the Individual is not available prior to the disclosure, use and document professional judgment to determine whether the disclosure would be in the best interest of the Individual. If so, disclose only the PHI directly relevant to the recipient’s involvement in the Individual’s health care. A code or password should not be used as a substitute for use of professional judgement to determine an Individual’s involvement in the patient's care to disclose information relevant to the Individual’s involvement. 

'''Note:''' Nebraska Medicine/UNMC may disclose a decedent’s PHI to family members and others who were involved in the care or payment for care of the decedent prior to death, unless doing so is inconsistent with any prior expressed preference of the Individual. 

These procedures are not applicable to Personal Representatives because they generally have the same access to information as the Individual.
====Disclosure for Notification Purposes====
Nebraska Medicine/UNMC may disclose PHI about an Individual in order to notify family, friends or others of the Individual’s whereabouts, general condition or death. In these cases, Nebraska Medicine/UNMC may not know the details of the involvement of others in the patient’s care or payment for care. Therefore, in these cases, try to follow these steps:
#Ask the Individual, if possible, whether they consent to such disclosure and rely on what the patient says.
#If the Individual is not able or available, make an effort to determine from the record the identity of others who may be Personal Representatives or involved in the Individual’s care and make an effort to limit contact to them.
#If following the above steps does not work, use your best judgment in making contact with family, friends or others for notification purposes. Try asking for the person by order of priority (See Nebraska Medicine Consents and Permits policy, MS14.) Try to limit disclosures to individuals in the highest priority you can locate. In the end, use your best professional judgment in deciding how much you can say and to whom.
#When the Individual has been deemed not competent, and is not expected to regain competence, and no family or friend has been located to act on the Individual’s behalf, Care Transitions and/or Pastoral Services staff may reach out to resources, such as the Individual’s landlord or employer (if known), agencies contracted for such purposes with the assistance of Legal Services, or local enforcement. In all such cases, the disclosure of PHI shall be limited solely to the Individual’s name and date of birth unless permission has been obtained from the [mailto:privacy@nebraskamed.com Privacy Office] to disclosure additional information.
====Uses/Disclosure of PHI for Electronic Health Information Exchanges====
Nebraska Medicine/UNMC may access and disclose PHI through ACE-approved [https://wiki.unmc.edu/index.php/Use_and_Disclosure_of_Protected_Health_Information#Health_Information_Exchange_.28HIE.29 Health Information Exchanges (HIEs)]. Members of the Workforce may not access their own medical records via the HIE. Use and disclosure of PHI is restricted to the permitted uses and disclosures of the particular HIE. The Enterprise Applications Executive Director authorizes individual access to the HIE. The ACE is a member of the following HIEs:
=====CyncHealth (Previously NeHII)=====
CyncHealth participants may access CyncHealth PHI pursuant to [https://cynchealth.org/privacy-security/ CyncHealth’s Privacy and Information Security Policies and Procedures]. If unsure as to whether a particular use or disclosure is permissible, contact the [mailto:privacy@nebraskamed.com Privacy Office].
=====Epic-integrated HIE Software=====
Epic-integrated HIE Software, includes but is not limited to Care Everywhere. Use or disclosure of PHI available via Care Everywhere is generally restricted to treatment purposes only per Epic’s current Rules of the Road agreement. It generally may not be used for payment, health care operations or any other purposes, regardless if otherwise permitted under HIPAA.
=====eHealth Exchange=====
#Includes federal and non-federal organizations. Veterans Administration (VA) is a participant of this HIE. Members of the ACE access this HIE via Care Everywhere; as such, PHI obtained via the eHealth Exchange generally may only be used or disclosed for treatment purposes.
#All users of the eHealth Exchange are required to cooperate with Nebraska Medicine/UNMC on related investigations or issues; request, use and disclose eHealth Exchange message content only for treatment purposes; comply with all applicable laws and report any suspected breach of PHI to the Privacy Office immediately. Users must not disclose passwords or any other security measures to anyone.
===Business Associate Agreements/Addendums===
Nebraska Medicine/UNMC shall enter into a Business Associate Agreement with each outside entity performing services on its behalf before disclosing PHI to such entity (see UNMC Policy No. 8009, [[Contracts]] or Nebraska Medicine Contract Management policy, FN18).
===Use/Disclosure of PHI for Training Health Care Professionals ===
See UNMC Policy No. 6303, [[Use and Disclosure of PHI for Training Health Care Professionals]]
===Use/Disclosure of PHI Permitted/Required by Law===
See UNMC Policy No. 6304, [[Disclosures of PHI as Permitted or Required by Law]].
===Use/Disclosure of PHI for Law Enforcement Purposes===
See UNMC Policy No. 6305, [[Disclosure of PHI for Law Enforcement Purposes]].
===Use/Disclosure of PHI for Whistleblowing Purposes===
A Workforce member may disclose PHI for whistleblowing purposes when:
#The Workforce member believes in good faith that Nebraska Medicine/UNMC engaged in conduct that is unlawful or otherwise violates professional or clinical standards, or that the care, services or conditions provided by Nebraska Medicine/UNMC potentially endangers one or more patients, other Workforce members, or the public; and
#The disclosure is to:
##A health oversight agency or public health authority authorized by law to investigate or otherwise oversee the relevant conduct or conditions of Nebraska Medicine/UNMC or to an appropriate health care accreditation organization for the purpose of reporting the allegation of failure to meet professional standards or misconduct by Nebraska Medicine/UNMC; or
##An attorney retained by or on behalf of the Workforce member or business associate for the purpose of determining the legal options of the Workforce member or business associate with regard to the conduct described in this section.
===Use/Disclosure of PHI for Marketing ===
Refer requests for disclosures of PHI for marketing or fundraising purposes to the [mailto:privacy@nebraskamed.com Privacy Office].
===Use/Disclosure of PHI for Research===
#All research requests using PHI must be submitted to the UNMC Institutional Review Board (IRB) for review and approval. See UNMC's [https://guides.unmc.edu/books/hrpp-policies-and-procedures Human Research Protection Program (HRPP) Policies and Procedures]]. The IRB-approved consent also contains the HIPAA-compliant authorization when required under HIPAA. The UNMC IRB operates as the ACE’s Privacy Board and approves all waivers of authorization as permitted under HIPAA. To learn more about such waivers, please see UNMC Human Research Protection Program Policies and Procedures.
#For research requests involving use of a decedent's information, Nebraska Medicine/UNMC must obtain from the researcher (before making such disclosure):
##A representation that the requested use or disclosure of PHI is solely for research on the PHI of decedents;
##Documentation of the death of such Individuals; and
##A representation that the requested PHI is necessary for the research purposes.
#Review of PHI Preparatory to Research. Nebraska Medicine/UNMC staff and students who wish to review PHI to prepare a research proposal must submit a [https://unmcredcap.unmc.edu/redcap/surveys/?s=NMPNWMEA7W Electronic Health Data Request] Form to the [https://www.unmc.edu/cctr/resources/ehr/index.html Electronic Health Record Data Access Core] to obtain access to such PHI.
#Access to PHI for reviews preparatory to research requires that the researcher provide the following representations in advance of such disclosure and use:
##that the use or disclosure is sought solely to review PHI as necessary to prepare a research protocol or for similar purposes preparatory to research;
##that no PHI is to be removed from the covered entity by the researcher in the course of the review; and
##that the PHI for which disclosure and use is sought is necessary for the research purposes.
===Sale of Protected Health Information===
Selling PHI is generally prohibited unless the patient signs an authorization specifically permitting the sale. This includes any disclosure of PHI where Nebraska Medicine/UNMC directly or indirectly receives remuneration from or on behalf of the recipient of the PHI in exchange for the PHI. Sale of PHI does not include certain disclosures of PHI:
#For public health purposes;
#For research purposes where the only remuneration received by '''Organization''' is a reasonable cost-based fee to cover the cost to prepare and transmit the PHI for such purposes;
#For treatment and payment purposes;
#To a business associate for activities that the business associate undertakes on Nebraska Medicine/UNMC’s behalf (if such business associate executes a Business Associate Agreement with Nebraska Medicine/UNMC);
#To an Individual who is requesting access to their own PHI;
#As required by law; and
#For any other HIPAA permitted purpose where the only remuneration received by Organization is a reasonable, cost-based fee to cover the cost to prepare and transmit the PHI for such purpose or a fee otherwise expressly permitted by other law. The reasonable cost-based fee includes both direct and indirect costs for generating, storing, retrieving and transmitting the PHI, including labor, material and supplies.
De-identified data is not PHI and therefore is not subject to the remuneration prohibition. However, limited data sets are PHI and are subject to this provision (see the section on [https://wiki.unmc.edu/index.php/Use_and_Disclosure_of_Protected_Health_Information#Limited_Data_Set Limited Data Set]).
===Minimum Necessary===
Subject to the exceptions listed in this or any other Nebraska Medicine/UNMC policy, when using or disclosing PHI or when requesting PHI, members of the Workforce must make reasonable efforts to limit PHI used, disclosed or requested to the minimum information necessary (both type of information and quantity) to accomplish the intended purpose of such use, disclosure or request.
#The “minimum necessary” standard does not apply to the following requests, uses and disclosures of PHI:
##Uses, disclosures or requests among health care providers for treatment purposes.
##Uses or disclosures required by law, so long as the use or disclosure complies with and is limited to the relevant requirements of the law.
##Disclosures made to the Individual or pursuant to an authorization signed by the Individual.
##Disclosures made to the Secretary of Health and Human Services or their designee.
##Uses or disclosures required for compliance with the '''''Privacy Rule'''''.
#Workforce. The minimum necessary standard applies to access and use of PHI by members of the Workforce. Each member of the Workforce must avoid intentionally accessing, using or disclosing PHI except as authorized by Nebraska Medicine/UNMC’s policies.
##When using, disclosing, or requesting PHI, staff shall make reasonable efforts to limit PHI to the minimum necessary to accomplish the intended purpose of the use, disclosure or request. Disclosure of the entire medical record is prohibited unless specifically justified and documented in the medical record as the minimum necessary for the request or otherwise required by law.
##Role-based Access: access to PHI shall be based on the role performed as specified in computer security matrices maintained by electronic health record system security and other system administrators that lists staff roles, job codes/titles and associated levels of access to PHI. Reference Electronic Health Record Access Control policy.
##Individuals who are performing treatment, payment and health care operations functions on behalf of Nebraska Medicine/UNMC, or who require access as otherwise specified by the individual's position description, may access the entire medical record only as necessary to perform assigned duties.
#Departments who provide PHI in response to valid requests shall ensure that minimum necessary requirements are met.
##Routine/recurring disclosures: managers of departments who routinely release PHI on a recurring basis (e.g., HIM, Decision Support depts., etc.) shall establish minimum necessary written protocols for standard releases of PHI internally and externally.
##Non-routine disclosures: department managers shall review non-routine requests for PHI on an individual basis and verify that minimum necessary requirements are met.
#Departments that are not responsible for release of information should release records only under the limited conditions identified in UNMC Policy No. 6061, [https://wiki.unmc.edu/index.php/Accounting_of_PHI_Disclosures Accounting of Protected Health Information Disclosures]. All other requests should be sent to HIM.
===Limited Data Set===
#A limited data set of PHI that excludes certain direct identifiers of the Individual or of relatives, employers, or household members of the Individual may be used and disclosed for the purposes of research, public health or health care operations:
##Names;
##Postal address information, other than town or city, state, or zip code;
##Telephone numbers;
##Fax numbers;
##Electronic mail addresses;
##Social security numbers;
##Medical record numbers;
##Health plan beneficiary numbers;
##Account numbers;
##Certificate/license numbers;
##Vehicle identifiers and serial numbers, including license numbers;
##Device identifiers and serial numbers;
##Web Universal Resource Locators (URLs);
##Internet Protocol (IP) address numbers;
##Biometric identifiers, including finger and voice prints; and
## Full-face photographic images and any comparable images.
#The recipient of the limited data set must enter into a data use agreement. If a limited data set recipient breaches the data use agreement, Nebraska Medicine/UNMC shall take reasonable steps to cure the breach or end the violation and if such steps are unsuccessful, shall discontinue disclosure of PHI to the limited data set recipient.
===De-identification/Re-identification of PHI===
#PHI may be used to create information that is not individually identifiable health information (i.e., de-identified information). The HIPAA privacy rules do not apply to de-identified information that does not identify an Individual and cannot be used to identify an Individual. PHI is de-identified when one of the following methods is used:
##The 18 identifiers of the Individual or of the Individual’s relatives, employers, or household members are removed and Nebraska Medicine/UNMC does not have actual knowledge that the information could be used alone or in combination with other information to identify the Individual who is the subject of the information. The identifiers are:
###Names;
###All geographic subdivisions smaller than a state (including street address, city, county, precinct and zip code);
###All elements of dates except year, for dates related to Individual (e.g., birth date, admission date, discharge date, date of death);
###Telephone numbers;
###Fax numbers;
###Electronic mail addresses;
###Social Security Numbers;
###Medical record numbers;
###Health plan beneficiary numbers;
###Account numbers;
###Certificate/license numbers;
###Vehicle identifiers and serial numbers, including license plate numbers;
###Device identifiers and serial numbers;
###Web Universal Resource Locators (URLs);
###Internet Protocol (IP) address numbers;
###Biometric identifiers, including finger and voice prints;
###Full face photographic images and any comparable images; and
###Any other unique identifying number, characteristic, or code.
##A person with appropriate knowledge of and experience with generally accepted statistical and scientific principles and methods for rendering information not individually identifiable, applying such principles and methods, determines that the risk is very small that the information could be used, alone or in combination with other reasonably available information, by an anticipated recipient to identify an Individual who is a subject of the information; and documents the methods and results of the analysis that justify such determination. The [mailto:contracts@nebraskamed.com NE Med Legal Services Department] and/or [mailto:privacy@nebraskamed.com Privacy Office] must approve of the use of this de-identification method and the person who performs it.
#Re-identification of PHI. A code or other means of record identification may be assigned to allow information de-identified above to be re-identified by Organization, provided that:
##The code or other means of record identification is not derived from or related to information about the Individual and is not otherwise capable of being translated so as to identify the Individual; and
##The code or other means of record identification is not used for other purposes and the mechanism for re-identification is not disclosed.
===Disaster Relief Disclosures===
Nebraska Medicine/UNMC may disclose PHI to public or private relief organizations authorized by law or the HIPAA Privacy Rule to assist in disaster relief efforts. 

'''''Disaster relief agency''''' means a public or private agency or program which is authorized by law or its charter to assist in disaster relief efforts. Examples of private disaster relief agencies would be the American Red Cross or the Salvation Army.
#Limit releases of information to the information needed by the agencies to perform their disaster relief efforts. Often, this includes such uses as:
##Coordinating availability of care,
##Notification of family and friends, or
##Determining the identity of victims and survivors.
#The same requirements that apply to disclosures to family, friends and others, apply to disclosures to disaster relief organizations, unless Nebraska Medicine/UNMC, in the exercise of professional judgment, determines that those requirements interfere with the ability to respond to the emergency circumstances. Professional judgment under this policy may be exercised and documented by the [mailto:debrbishop@nebraskamed.com Privacy Officer] or individuals designated in Nebraska Medicine/UNMC’s Disaster Plan. '''need link(s) to plan(s}'''
#The minimum necessary standard does not apply to disclosures to disaster relief agencies.
===Authorization Generally Required for All Other Uses/Disclosures===
Unless otherwise permitted by this policy, any use or disclosure of PHI is prohibited unless the patient or the patient’s representative (see Nebraska Medicine Consents and Permits policy, MS14) signs an authorization specifically permitting the use/disclosure (e.g., Form CON-MR-0074, CON-MR-1900). Forms can be requested at [mailto:privacy@nebraskamed.com Privacy@NebraskaMed.com]]. Restrictions on the use and disclosure of psychotherapy notes are explained in UNMC Policy Nos. 6059, [https://wiki.unmc.edu/index.php/Access_to_Designated_Record_Set Access and Amendment of Designated Record Set] and 6066, [[Psychotherapy Notes]].
===Compound Authorizations===
An authorization for use or disclosure of PHI generally may not be combined with any other document to create a compound authorization, except in the following cases:
#An authorization for the use or disclosure of PHI for a research study may be combined with any other type of written permission for the same or another research study. This exception includes combining an authorization for the use or disclosure of PHI for a research study with another authorization for the same research study, with an authorization for the creation or maintenance of a research database or repository, or with a consent to participate in research. When the ACE has conditioned the provision of research-related treatment on the provision of one of the authorizations, any compound authorization must clearly differentiate between the conditioned and unconditioned components and provide the Individual with an opportunity to opt in to the research activities described in the unconditioned authorization.
#An authorization for a use or disclosure of psychotherapy notes may only be combined with another authorization for use or disclosure of psychotherapy notes.
== Definitions ==
===Affiliated Covered Entity (ACE)===
Legally separate covered entities that designate themselves as a single covered entity for the purpose of HIPAA Compliance. Current ACE members are: The Nebraska Medical Center, UNMC Physicians, UNMC, University Dental Associates, Bellevue Medical Center and Nebraska Pediatric Practice, Inc. d/b/a Children’s Specialty Physicians. ACE membership may change from time to time. The Notice of Privacy Practices lists current ACE members.
===Designated Record Set (DRS)===
Includes medical records and billing records about Individuals maintained by or for UNMC/ACE and any other record used by the ACE to make decisions about Individuals.
===Health Care Operations===
The following activities related to the Organization's functions as a health care provider and sponsor of a self-insured health plan:
#Quality assessment and improvement activities, including outcomes evaluation and development of clinical guidelines, provided that the obtaining of generalizable knowledge is not the primary purpose of any studies resulting from such activities, otherwise these activities may be classified as research if PHI is included;
#Population-based activities relating to improving health or reducing health care costs;
#Protocol development;
#Contacting health care providers and patients with information about treatment alternatives;
#Case management and care coordination;
#Patient safety activities;
#Risk assessment;
#Reviewing the competence or qualifications and accrediting/licensing of health care providers;
#Training health care professionals;
#Conducting or arranging for medical review, legal services and auditing functions (including fraud and abuse detection and compliance programs);
#Business planning and development;
#Business management activities
#General administrative and business functions;
#Insurance activities relating to the renewal of a contract of health insurance;
#Evaluating healthcare provider and plan performance;
#Resolution of internal grievances; and
#Fundraising (see [https://wiki.unmc.edu/index.php?title=Use_and_Disclosure_of_Protected_Health_Information&action=edit#Use.2FDisclosure_of_PHI_for_Marketing Use/Disclosure of PHI for Marketing]).
===Health Information Exchange (HIE)===
The electronic movement of health-related information among organizations according to nationally recognized standards. The goal of a HIE is to facilitate health care providers’ access to and retrieval of clinical data to provide safer, timelier, efficient, effective and equitable patient-centered care. Health Information exchange organizations (HIOs) provide the capability to electronically move information between disparate health care information systems.
===Individual===
The person who is the subject of the PHI. Personal representatives of the Individual have the same rights as the Individual under HIPAA (i.e., they “step into the shoes” of the Individual). Personal representatives include the legal guardian and anyone else authorized by law to act on behalf of the Individual. (See Nebraska Medicine Consents and Permits policy, MS14.)
===Payment===
Activities undertaken by a health care provider or health plan to obtain premiums, to determine or fulfill its responsibility for coverage and provision of benefits under the health plan or to obtain or provide reimbursement for the provision of health care. Some of these types of activities include determinations of eligibility or coverage (including coordination of benefits or the determination of cost sharing amounts), billing, collection activities, claims management, medical necessity determinations, utilization review activities including pre-certification and pre-authorization of services, disclosure to consumer reporting agencies related to collection of premiums or reimbursement and health care data processing related to the above-listed activities.
===Personal Representative ===
A person who, under HIPAA or State law, is empowered to act or exercise rights on behalf of an Individual. (See Nebraska Medicine Consents and Permits policy, MS14.)
===Protected Health Information (PHI)===
Individually identifiable health information including demographic information, collected from an Individual, whether oral or recorded in any medium, that:
*is created or received by UNMC/ACE; and
*relates to the past, present or future physical or mental health or condition of an Individual; the provision of health care to an Individual; or the past, present or future payment for the provision of health care to an Individual and identifies the Individual or with respect to which there is a reasonable basis to believe the information can be used to identify the Individual.
PHI includes genetic information, which includes information about the following items (and excludes information about an Individual’s sex or age):
*an Individual’s genetic tests;
*the genetic tests of an Individual’s family members; or
*the manifestation of a disease or disorder in such Individual’s family members (i.e., family medical history).
PHI excludes:
*individually identifiable health information of a person who has been deceased for more than fifty (50) years.
*education records covered by the Family Educational Rights and Privacy Act (FERPA); and
*employment records held by UNMC in its role as employer.
===Psychotherapy Notes===
Notes recorded (in any medium) by a mental health provider including psychiatrists, psychologists and other mental health professionals documenting or analyzing the contents of a conversation during a private counseling session or group, joint or family counseling session. Psychotherapy notes are kept separate from the rest of the individual’s medical record. Psychotherapy notes exclude medication prescription and monitoring, counseling session start and stop times, the modalities and frequencies of treatment furnished, results of clinical tests and any summary of the following items: diagnosis, functional status, the treatment plan, symptoms, prognosis and progress to date. Psychotherapy notes are not progress notes and are created at the discretion of the mental health care provider. (HIPAA: 45 CFR §164.501)
===Research ===
A systematic investigation, including research development, testing and evaluation, designed to develop or contribute to generalized knowledge. Generalized knowledge is knowledge that can be applied to populations outside the population served by the ACE.
===Sale of Protected Health Information ===
Disclosure of Protected Health Information by a covered entity or business associate, if applicable, where the covered entity or business associate directly or indirectly receives remuneration from or on behalf of the recipient of the PHI in exchange for the PHI.
===Treatment===
The provision, coordination or management of health care and related services by one or more health care providers including the coordination or management of health care by a health care provider with a third party, consultation between health care providers relating to a patient, or the referral of a patient for health care from one health care provider to another.
===Workforce===
Employees, medical staff, volunteers, trainees and other persons whose conduct, in the performance of work for Nebraska Medicine/UNMC, is under the direct control of Nebraska Medicine/UNMC, whether or not they are paid by Nebraska Medicine/UNMC.
==Additional Information==
*Contact the [mailto:debrbishop@nebraskamed.com Privacy Officer] or the [mailto:privacy@nebraskamed.com Privacy Office]
*NE Med Legal Services department [mailto:contracts@nebraskamed.com Contracts@NebraskaMed.com]
*Enterprise Applications Executive Director
*UNMC Policy No. 6058, [[Notice of Privacy Practices]]
*UNMC Policy No. 6059, [https://wiki.unmc.edu/index.php/Access_to_Designated_Record_Set Access and Amendment of Designated Record Set]
*UNMC Policy No. 6061, [https://wiki.unmc.edu/index.php/Accounting_of_PHI_Disclosures Accounting of Protected Health Information Disclosures]
*UNMC Policy No. 6066, [[Psychotherapy Notes]] If being kept, this should be reviewed and review date noted on policy 6066, even if not changed.'''
*UNMC Policy No. 6303, [[Use and Disclosure of PHI for Training Health Care Professionals]]
*UNMC Policy No. 6304, [[Disclosures of PHI as Permitted or Required by Law]]
*UNMC Policy No. 6305, [[Disclosure of PHI for Law Enforcement Purposes]]
*UNMC Policy No. 8009, [[Contracts]]
*UNMC [https://guides.unmc.edu/books/hrpp-policies-and-procedures Human Research Protection Program (HRPP) Policies and Procedures]
*[https://unmcredcap.unmc.edu/redcap/surveys/?s=94TLJCCAAT Request for Electronic Health Data] Form
*[https://www.nebraskamed.com/patients/rights-responsibilities/notice-privacy-practices Nebraska Medicine/UNMC Notice of Privacy Practices]
*Nebraska Medicine Verification and Authority policy, [https://secure.compliance360.com/Today/DisplayTab?PD=Q63uFd1AsIvtLq6ToeED9rAee%2bFRP7onkvKrNNl2szKEszBO6tcvW30uMYCrLHz%2ff5qp5Jtyy5hY3Kc6FOXhopxNkewzPG2A8OEmY0FOV0gitoSsonRfDnbnEdx5nsr%2bZ%2fNk541fFQqAD7aXNL%2fG%2b316yK7R9SBhHMui6Ah%2fOCt8KE2umEvYPmNwFE8S%2bTVtIUrDO3xL6PALBlpa6juXkzyHaIo3iPkx1ovcv94m5d9qKwCgkuut5jNUR8E7XmClVNyehpOmY09Hmbo%2f0j%2bqZX7KNjSQrgbRadZXTJKSG7ASS%2b10Hee0yaZnQlMHoDejOl8M85zzTyj1snBEwZjAUF2TA8TNfAyKjkcXriXbvX6pQAM3PsgE84e2Vgv3hNMYYUjaKVvRHCC3ziIK2FeUNQOadKiFE9eSwvJcSWSscuz%2bJHSSE60mjfcSkTpFLJ1ImWtYli0yP4msuE3Nnfse1zwggz5pQCKDhf1Du7HOGykzdrq%2b7ITvzsC0AMcHy8SyoY4M6w6eNlx5E3sNIlAjIQ%3d%3d IM55]
*Nebraska Medicine Consents and Permits policy, [https://secure.compliance360.com/Today/DisplayTab?PD=Q63uFd1AsIvtLq6ToeED9rAee%2bFRP7onkvKrNNl2szKEszBO6tcvW30uMYCrLHz%2ff5qp5Jtyy5hY3Kc6FOXhopxNkewzPG2A8OEmY0FOV0gitoSsonRfDnbnEdx5nsr%2bZ%2fNk541fFQqAD7aXNL%2fG%2b316yK7R9SBhHMui6Ah%2fOCt8KE2umEvYPmNwFE8S%2bTVtIUrDO3xL6PALBlpa6juXkzyHaIo3iPkx1ovcv94m5d9qKwCgkuut5jNUR8E7XmClVNyehpOmY09Hmbo%2f0j%2bqZX7KNjSQrgbRadZXTJKSG7ASS%2b10Hee0yaZnQlMHoDejOl8M85zzTyj1snBEwZjAUF2TA8TNfAyKjkcXriXbvX6pQAM3PsgE84e2Vgv3hNMYYUjaKVvRHCC3ziIK2FeUNQOadKiFE9eSwvJcSWSscuz%2bJHSSE60mjfcSkTpFLJ1ImWtYli0yP4msuE3Nnfse1zwggz5pQCKDhf1Du7HOGykzdrq%2b7ITvzsC0AMcHy8SyoY4M6w6eNlx5E3sNIlAjIQ%3d%3d MS14]
*Nebraska Medicine Confidential Address policy, [https://secure.compliance360.com/Today/DisplayTab?PD=Q63uFd1AsIvtLq6ToeED9rAee%2bFRP7onkvKrNNl2szKEszBO6tcvW30uMYCrLHz%2ff5qp5Jtyy5hY3Kc6FOXhopxNkewzPG2A8OEmY0FOV0gitoSsonRfDnbnEdx5nsr%2bZ%2fNk541fFQqAD7aXNL%2fG%2b316yK7R9SBhHMui6Ah%2fOCt8KE2umEvYPmNwFE8S%2bTVtIUrDO3xL6PALBlpa6juXkzyHaIo3iPkx1ovcv94m5d9qKwCgkuut5jNUR8E7XmClVNyehpOmY09Hmbo%2f0j%2bqZX7KNjSQrgbRadZXTJKSG7ASS%2b10Hee0yaZnQlMHoDejOl8M85zzTyj1snBEwZjAUF2TA8TNfAyKjkcXriXbvX6pQAM3PsgE84e2Vgv3hNMYYUjaKVvRHCC3ziIK2FeUNQOadKiFE9eSwvJcSWSscuz%2bJHSSE60mjfcSkTpFLJ1ImWtYli0yP4msuE3Nnfse1zwggz5pQCKDhf1Du7HOGykzdrq%2b7ITvzsC0AMcHy8SyoY4M6w6eNlx5E3sNIlAjIQ%3d%3d REG365]
*Nebraska Medicine Private Designation policy, [https://secure.compliance360.com/Today/DisplayTab?PD=Q63uFd1AsIvtLq6ToeED9rAee%2bFRP7onkvKrNNl2szKEszBO6tcvW30uMYCrLHz%2ff5qp5Jtyy5hY3Kc6FOXhopxNkewzPG2A8OEmY0FOV0gitoSsonRfDnbnEdx5nsr%2bZ%2fNk541fFQqAD7aXNL%2fG%2b316yK7R9SBhHMui6Ah%2fOCt8KE2umEvYPmNwFE8S%2bTVtIUrDO3xL6PALBlpa6juXkzyHaIo3iPkx1ovcv94m5d9qKwCgkuut5jNUR8E7XmClVNyehpOmY09Hmbo%2f0j%2bqZX7KNjSQrgbRadZXTJKSG7ASS%2b10Hee0yaZnQlMHoDejOl8M85zzTyj1snBEwZjAUF2TA8TNfAyKjkcXriXbvX6pQAM3PsgE84e2Vgv3hNMYYUjaKVvRHCC3ziIK2FeUNQOadKiFE9eSwvJcSWSscuz%2bJHSSE60mjfcSkTpFLJ1ImWtYli0yP4msuE3Nnfse1zwggz5pQCKDhf1Du7HOGykzdrq%2b7ITvzsC0AMcHy8SyoY4M6w6eNlx5E3sNIlAjIQ%3d%3d R115] for additional details.)
*Nebraska Medicine Contract Management policy, [https://secure.compliance360.com/Today/DisplayTab?PD=Q63uFd1AsIvtLq6ToeED9rAee%2bFRP7onkvKrNNl2szKEszBO6tcvW30uMYCrLHz%2ff5qp5Jtyy5hY3Kc6FOXhopxNkewzPG2A8OEmY0FOV0gitoSsonRfDnbnEdx5nsr%2bZ%2fNk541fFQqAD7aXNL%2fG%2b316yK7R9SBhHMui6Ah%2fOCt8KE2umEvYPmNwFE8S%2bTVtIUrDO3xL6PALBlpa6juXkzyHaIo3iPkx1ovcv94m5d9qKwCgkuut5jNUR8E7XmClVNyehpOmY09Hmbo%2f0j%2bqZX7KNjSQrgbRadZXTJKSG7ASS%2b10Hee0yaZnQlMHoDejOl8M85zzTyj1snBEwZjAUF2TA8TNfAyKjkcXriXbvX6pQAM3PsgE84e2Vgv3hNMYYUjaKVvRHCC3ziIK2FeUNQOadKiFE9eSwvJcSWSscuz%2bJHSSE60mjfcSkTpFLJ1ImWtYli0yP4msuE3Nnfse1zwggz5pQCKDhf1Du7HOGykzdrq%2b7ITvzsC0AMcHy8SyoY4M6w6eNlx5E3sNIlAjIQ%3d%3d FN18]
*Nebraska Medicine Form CON-MR-0074, [https://www.nebraskamed.com/patients/medical-records/your-medical-records Authorization for Release of Informatio'''n''']
*Nebraska Medicine Form CON-MR-1900, [mailto:privacy@nebraskamed.com Education Authorization]
*[https://cynchealth.org/privacy-security/ CyncHealth’s Privacy and Information Security Policies and Procedures]
*[http://www.hhs.gov/hipaa/for-professionals/privacy/guidance/disclosures-treatment-payment-health-care-operations/index.html Uses and Disclosures for Treatment, Payment and Health Care Operations]
*[https://nebraska.edu/-/media/unca/docs/offices-and-policies/policies/executive-memorandum/hipaa-compliance-policy.pdf University of Nebraska Executive Memorandum No. 27]
*[http://nehii.org/index.php?option=com_docman&Itemid=59 NeHII Privacy and Information Security Policies and Procedures]
*[https://www.cdc.gov/phlp/publications/topic/hipaa.html Health Insurance Portability and Accountability Act of 1996 (HIPAA)]
*[https://csrc.nist.gov/publications/detail/sp/800-53/rev-5/final NIST Special Publication 800-53]
*[https://www.cdc.gov/phlp/publications/topic/hipaa.html#security-rule HIPAA Security Rule]

This page is maintained by [mailto:mhurlocker@unmc.edu mh].

Use and Disclosure of PHI for Training Health Care Professionals

2025-09-29T18:39:28Z

Afaylor: /* Additional Information */ updated Health Insurance Portability and Accountability Act of 1996 (HIPAA) link

Use and Disclosure of PHI for Training Health Care Professionals

2025-09-29T18:37:44Z

Afaylor: /* Policy */ updated Health Insurance Portability and Accountability Act of 1996 (HIPAA) link

Student Policies

2025-09-22T21:34:16Z

Afaylor: Confirmed by Phil Covington - Remove UNMC Employee Grievance Process link https://catalog.unmc.edu/general-information/student-policies-procedures/employee-grievance-process/ and Small Appliance and Cooking Devices link https://catalog.unmc.edu/general-information/student-policies-procedures/small-appliance/

<table style="background:#F8FCFF; text-align:center" width="90%" cellspacing="0" cellpadding="0" border="0">
<tr>

<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF"
width="15%">[[Student Code of Conduct#conduct|Student Code of Conduct ]] </td>
<td style="border-bottom:2px solid #A3B1BF" width="3"> </td>

<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF"
width="20%">[[Student Policies#performance|Academic and Professional Performance ]] </td>
<td style="border-bottom:2px solid #A3B1BF" width="3"> </td>

<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF"
width="5%">[[Student Policies#compliance|Compliance ]] </td>
<td style="border-bottom:2px solid #A3B1BF" width="3"> </td>

<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF"
width="15%">[[Student Policies#finaid|Financial Aid/Tuition/Fees ]] </td>
<td style="border-bottom:2px solid #A3B1BF" width="3"> </td>

<td style="padding:0.5em; background-color:#e5e5e5; font-size:100%; line-height:0.95em; border:2px solid #A3B1BF; border-bottom:solid 2px #A3B1BF"
width="15%">[[Student Policies#registration|Registration/Records/Enrollment]]</td>
<td style="border-bottom:2px solid #A3B1BF" width="3"> </td>

<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF"
width="5%">[[Student Policies#safety|Safety/Security]] </td>
<td style="border-bottom:2px solid #A3B1BF" width="3"> </td>

<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF"
width="10%">[[Student Policies#resources|Student Resources]]</td>
<td style="border-bottom:2px solid #A3B1BF" width="3"> </td>

<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF"
width="15%">[[Student Policies#misc|College Specific Policies]]</td>
<td style="border-bottom:2px solid #A3B1BF" width="3"> </td>

</tr>
</table> 
{| style="color: gray; background-color: white" width="100%" class="wikitable"
{| class="wikitable"
!'''Policy Name'''
!'''Effective Date'''
!'''Revised Date'''
!'''Reviewed Date'''
|-
|<big id="conduct">'''Student Code of Conduct'''</big>
|
|
|
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/code-of-conduct/ Student Code of Conduct]
|August 14, 2020
|
|
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/unmc-code-of-conduct/ UNMC Code of Conduct]
|March 13, 2009
|July 21, 2023
|July 21, 2023
|-
|<big id="performance">'''Academic and Professional Performance'''</big>
|
|
|
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/academic-professional-performance-policies/ Appeals of Academic Evaluations]
| November 19, 2022
| November 19, 2022
| November 19, 2022
|-
|[https://wiki.unmc.edu/index.php/Computer_Use/Electronic_Information Computer Use and Electronic Information Security Policy]
|April 25, 2007
|August 20, 2013
|September 19, 2017
|-
|[https://wiki.unmc.edu/index.php/Consensual_Relationships Consensual Relationships]
|
|
|
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/dress-code/ Dress Code Policy]
|October 17, 2003
|October 29, 2015
|December 10, 2013
|-
|[https://wiki.unmc.edu/index.php/Drug_Free_Campus Drug Free Campus]
|October 17, 2003
|February 5, 2018
|February 5, 2018
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/grievance-resolution/ Grievance Resolution Procedure]
|October 2016
| November 19, 2022
| November 19, 2022
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/health-care-vendor-interactions/ Health Care Vendor Interactions]
|August 31, 2015
|September 1, 2020
|March 10, 2023
|-
|[https://wiki.unmc.edu/index.php/Non-Discrimination_and_Harassment Non-Discrimination and Harassment Policy]
|September 22, 2009
|January 10, 2018
|January 10, 2018
|-
|[https://wiki.unmc.edu/index.php/Reproducing_Copyrighted_Materials Reproducing Copyrighted Materials]
|July 1, 1998
|October 9, 2008
|October 9, 2008
|-
|[https://wiki.unmc.edu/index.php/Sexual_Misconduct Sexual Misconduct Policy]
|December 16, 2014
|August 14, 2020
|August 14, 2020
|-
|[https://wiki.unmc.edu/index.php/Social_Media Social Media Guidelines]
|December 7, 2011
|January 3, 2022
|January 3, 2022
|-
|[https://www.unmc.edu/titleix/_documents/Student-Sexual-Misconduct-Procedures.pdf Student Sexual Misconduct Procedures]
|December 21, 2011
|August 14, 2020
|August 14, 2020
|-
|[https://wiki.unmc.edu/index.php?title=Tobacco-Free_Campus Tobacco Free Campus]
|August 24, 2009
|November 3, 2015
|December 10, 2013
|-
|[https://www.unmc.edu/human-resources/_documents/University-of-Nebraska-Drug-and-Alcohol-Prevention-Update.pdf University of Nebraska Drug and Alcohol Abuse Prevention Update]
|November 2011
|June 15, 2023
|June 15, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/whistleblower/ Whistleblower]
|April 11, 2019
|April 11, 2019
|November 19, 2021
|-
| <big id="compliance">'''Compliance'''</big>
|
|
|
|-
|[https://wiki.unmc.edu/index.php/Compliance_Program Compliance Program]
|November 1, 2006
|February 28, 2023
|February 28, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/compliance-hotline/ Compliance Hotline]
|August 10, 2006
|July 10, 2023
|July 10, 2023
|-
|[https://wiki.unmc.edu/index.php/Research_Integrity Research Integrity]
|February 11, 2005
|August 18, 2021
|July 11, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/export-control/ Export Control]
|December 18, 2012
|July 21, 2023
|July 21, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/strategic-communications/ Strategic Communications]
|October 17, 2003
|January 3, 2022
|January 3, 2022
|-
|<big id="finaid">'''Financial Aid/Tuition/Fees'''</big>
|
|
|
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/banning-inducements-securing-enrllmnts-srvce-mbrs/ Banning Inducements For Securing Enrollments Of Service Members]
|January 2014
|July 21, 2023
|July 21, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/delinquent-tuition-fee-policy/ Delinquent Tuition Fee]
|April 19, 1975
|October 9, 2023
|October 9, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/disclosing-foreign-support-international-activities/ Disclosing Foreign Support and International Activities]
|June 26, 2015
|July 24, 2023
|July 24, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/fws-policy/ Federal Work Study (FWS)]
|November 21, 2013
|October 15, 2021
|June 20, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/military-return-of-funds/ Military Return of Funds Tuition Assistance]
|February 24, 2022
|November 18, 2021
|June 20, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/insufficient-funds-policy/ Personal Check Insufficient Funds]
|July 24, 1982
|October 9, 2023
|October 9, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/facilities-and-grounds/ Regulations on the Use of University Facilities and Grounds]
|December 13, 2018
|
|November 11, 2021
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/satisfactory-academic-progress/ Satisfactory Academic Progress]
|July, 1, 2011
|December 5, 2023
|December 5, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/student-fee-approval-process/ Student Fee Approval Process]
|January 5, 2017
|October 17, 2019
|October 17, 2019

|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/tuition-refund-schedule-policy/ Tuition Refund Schedule]
|April 19, 1975
|
|November 19, 2022
|-
| <big id="registration">'''Registration/Records/Enrollment'''</big>
|
|
|
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/outside-transcripts/ Acceptance of Outside Transcripts]
|February 24, 2022
|December 20, 2021
|June 20, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/administrative-withdrawal/ Administrative Withdrawal]
|January 1, 2013
|December 20, 2021
|March 20, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/commencement-policy/ Commencement]
|December 5, 1995
|December 20, 2021
|August 17, 2023
|-
|[https://wiki.unmc.edu/index.php/Credit_Hour_Definition Credit Hour Policy]
|November 28, 2016
|August 8, 2017
|July 21, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/documentation_of_student_ssn/ Documentation of Student SSN]
|
| December 20, 2021
|April 24, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/drop-add-policy/ Drop Add]
|July 11, 2013
|January 14, 2014
|January 19, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/ferpa-policy/ FERPA]
|June 15, 2006
|
| March 29, 2019
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/holds-and-registration-blocks/ Holds and Registration Blocks]
|April 24, 2014
|July 8, 2014
|October 24, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/leaveofabsence-policy/ Leave of Absence]
|December 5, 1995
|January 17, 2022
|March 20, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/non-enrolled-student-policy/ Non-Enrolled Students]
|November 21, 2013
|October 14, 2021
|March 20, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/transcript-policy/ Official UNMC Transcript Policy]
|February 24, 2022
|December 20, 2021
|April 24, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/residency-policy/ Residency]
|
|January 17, 2022
|June 20, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/retention-materials-academic-evaluation/ Retention of Materials Used in Academic Evaluation]
|August 23, 2013
|
| August 17, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/retroactive-student-withdrawal/ Retroactive Student Withdrawal]
|October 24, 2023
|
|October 24, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/students_called_into_military/ Students Called into Military Services]
|October, 2001
|January 17, 2022
|March 20, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/vetbenefitsandtransitionact/ Veteran Benefits and Transition Act]
|November 2021
|
|
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/withdrawal/ Withdrawal]
|March 20, 2023
|
| March 20, 2023
|-
|<big id="safety">'''Safety/Security'''</big>
|
|
|
|-
|[https://wiki.unmc.edu/index.php/AIDS,_HIV,_and_Other_Bloodborne_Pathogens AIDS, HIV, and Other Bloodborne Pathogens]
| October 17, 2003
|November 3, 2015
|December 10, 2013
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/background-check-policy/ Background Check (Students)]
|May 2006
|October 2013
|February 19, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/blood-and-body-fluid-exposure/#bloodbournepathogenstext Blood and Body Fluid Exposure Procedure]
| April 16, 2014
|March 2016
|January 2016
|-
|[https://wiki.unmc.edu/index.php/Bloodborne_Pathogens_Exposure Bloodborne Pathogens Exposure]
|March 17, 2003
|February 18, 2014
|July 20, 2021
|-
|[https://wiki.unmc.edu/index.php/Children_in_the_Workplace Children in the Workplace]
| October 6, 2009
|January 4, 2013
|January 4, 2013
|-
|[https://wiki.unmc.edu/index.php/Deadly_Weapon Deadly Weapon]
|July 20, 1990
|December 9, 2020
|December 9, 2020
|-
|[https://wiki.unmc.edu/index.php/Drug_Free_Campus Drug Free Campus]
|October 17, 2003
|February 5, 2018
|February 5, 2018
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/electric-scooter/ Electric Scooter]
|May 7, 2019
|
|
|-
|[https://wiki.unmc.edu/index.php/Enterprise_Threat_Assessment_Response_Team Enterprise Threat Assessment Response Team]
|December 16, 2011
|September 9, 2013
|September 9, 2013
|-
|[https://wiki.unmc.edu/index.php/Facility_Security Facility Security]
|March 17, 2003
|July 14, 2017
|July 14, 2017
|-
|[https://wiki.unmc.edu/index.php/Food,_Drinks_and_Cosmetic_Use_in_Laboratory_Areas Food, Drinks, and Cosmetic Use in Laboratory Areas]
|November 10, 2010
|December 2, 2021
|December 2, 2021
|-
|[https://wiki.unmc.edu/index.php/Identification_Card Identification Card]
|March 17, 2003
|November 29, 2016
|November 12, 2020
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/immunization-policy/ Immunization]
|September 2013
|October 1, 2023
|October 1, 2023
|-
|[https://wiki.unmc.edu/index.php/Influenza Influenza]
| August 25, 2010
|September 18, 2017
|September 18, 2017
|-
|[https://wiki.unmc.edu/index.php/Pets_in_the_Workplace Pets in the Workplace]
| October 6, 2009
|August 4, 2015
|August 4, 2015
|-
|[https://wiki.unmc.edu/index.php/Regulations_on_the_Use_of_University_Facilities_and_Grounds Regulations on the Use of University Facilities and Grounds]
|December 13, 2018
|
|
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/unmanned-aircraft/ Unmanned Aircraft]
|October 2, 2017
|
|
|-
|[https://wiki.unmc.edu/index.php/Safety Safety]
|July 23, 1999
|April 20, 2020
|April 20, 2020
|-
|[https://wiki.unmc.edu/index.php/Space_Scheduling_and_Fundraising Space Scheduling and Fundraising]
|November 19, 2007
|February 27, 2017
|February 27, 2017
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/students-infected-with-bbp-policy/ Students Infected with Bloodborne Pathogens]
|
|January 14, 2014
|
|-
|[https://wiki.unmc.edu/index.php/Tuberculosis_Exposure Tuberculosis Exposure]
|May 11, 2010
|December 2, 2021
|December 2, 2021
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/youth-safety/ Youth Safety]
|January 3, 2013
|
|January 3, 2013
|-
|<big id="resources">'''Student Employees'''</big>
|
|
|
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/alternative-worksite/ UNMC Employee Alternative Worksite]
|
|
|
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/employment-background-checks/ UNMC Employment Background Check]
|August 1, 2008
|October 11, 2021
|October 11, 2021
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/employment-corrective-disciplinary-action/ UNMC Employee Corrective/Disciplinary Action]
|March 18, 2008
|November 6, 2017
|November 1, 2017
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/employee-political-activities/ UNMC Employee Political Activities]
|October 17, 2003
|November 3, 2015
|December 10, 2013
|-
|<big id="resources">'''Student Resources'''</big>
|
|
|
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/student-accommodation-policy/ Accommodations Policy (ADA Policy)]
|November 6, 2015
|
|
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/maternity-paternity-leave/ Maternity / Paternity Leave]
|November 2012
|July 2013
|July 2013
|-
|[https://www.unl.edu/equity/policy-chosen-name-and-gender-identity Policy on Chosen Name and Gender Identity]
|September 15, 2020
|
|
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/policy-review-approval/ Process for the Review and Approval of Student Policies]
|July 26, 2022
|
| July 26, 2022
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/voter-registration-policy/ Voter Registration]
|1993
|October 15, 2021
|June 20, 2023
|-
|<big id="misc">'''College Specific Policies/Procedures'''</big>
|
|
|
|-
|[https://www.unmc.edu/cahphandbook/index.php/Main_Page College of Allied Health Professions] [https://www.unmc.edu/cahphandbook/index.php/Program-Specific_Handbooks College of Allied Health Professions Program-Specific]
|
|
|
|-
|[https://www.unmc.edu/com/education/com-student-policies/com-procedures/compliance.html College of Medicine Policies]
|
|
|
|-
|[https://wiki.unmc.edu/index.php?title=College_of_Nursing_Student_Policy_Index College of Nursing Policies]
|
|
|
|-
|[https://catalog.unmc.edu/pharmacy/ College of Pharmacy Policies]
|
|
|
|-
|[https://catalog.unmc.edu/public-health/student-section/ College of Public Health Policies and Procedures]
|
|
|
|-
|[https://catalog.unmc.edu/graduate-studies/student-grievance-resolution-procedure/ Graduate Student Grievance Resolution Procedure]
| January 6, 2015
|June 14, 2019
|
|-
|[https://catalog.unmc.edu/graduate-studies/guidelines-assistant-work-study/ Guidelines for Graduate Assistant Work and Study]
| From Graduate Student Handbook
|
|
|}

CON Employee Orientation

2025-06-03T19:28:52Z

Afaylor: updated http://catalog.unmc.edu/ to https://catalog.unmc.edu/

<table style="max-width:70em !important; background:#F8FCFF; text-align:center" width="100%" cellspacing="0" cellpadding="0" border="0">
<tr>
<td style="padding:0.5em; background-color:#e5e5e5; font-size:100%; line-height:0.95em; border:2px solid #A3B1BF; border-bottom:solid 2px #A3B1BF"
width="20">[[College_of_Nursing|Home]]</td>
<td style="border-bottom:2px solid #A3B1BF" width="3"> </td>
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF"
width="20">[[CON Employee Orientation|Employee Orientation]]</td>
<td style="border-bottom:2px solid #A3B1BF" width="3"> </td>
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF"
width="20"> </td>
<td style="border-bottom:2px solid #A3B1BF" width="3"> </td>
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF"
width="20"> </td>
<td style="border-bottom:2px solid #A3B1BF" width="3"> </td>
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF"
width="20"> </td>
<td style="border-bottom:2px solid #A3B1BF" width="3"> </td>
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF"
width="20"> </td>
<td style="border-bottom:2px solid #A3B1BF" width="3"> </td>
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF"
width="20"> </td>
</tr>
</table>
 

<table style="max-width:70em !important; text-align:center" width="100%;" cellspacing="0" cellpadding="5">
<tr style=" background:#e5e5e5;">
<td width="5%" style="border-top:solid 1px #000000; border-left:solid 1px #000000;">[[file:checkmark.png|40px]]</td>
<td align="left" width="70%" style="font-size:16pt;font-weight:bold; border-top:solid 1px #000000;">About the CON</td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000; border-left:solid 1px #000000;">'''Omaha'''</td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;">'''Lincoln'''</td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;">'''Kearney'''</td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;">'''Norfolk'''</td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;">'''Scottsbluff'''</td>
</tr>

<tr>
<td align="center" width="5" style="border-top:solid 1px #000000; border-left:solid 1px #000000;"> </td>
<td align="left" width="70%" style="border-top:solid 1px #000000; border-left:solid 1px #000000;">[[Mission, Vision and Leadership Philosophy Statement|Mission, Vision and Leadership Philosophy Statement]]</td>
<td style="border-top:solid 1px #000000; border-left:solid 1px #000000; border-right:solid 1px #000000;" width="5%"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
</tr>

<tr>
<td align="center" width="5" style="border-top:solid 1px #000000; border-left:solid 1px #000000;"> </td>
<td align="left" width="70%" style="border-top:solid 1px #000000; border-left:solid 1px #000000;">[[CON Welcome letter from Dean|Welcome letter from Dean]]</td>
<td style="border-top:solid 1px #000000; border-left:solid 1px #000000; border-right:solid 1px #000000;" width="5%"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
</tr>

<tr>
<td align="center" width="5" style="border-top:solid 1px #000000; border-left:solid 1px #000000;"> </td>
<td align="left" width="70%" style="border-top:solid 1px #000000; border-left:solid 1px #000000;">CON Policies and Procedures     [[College of Nursing Faculty Policy Index|Faculty]]     [[College of Nursing Student Policy Index|Student]]</td>
<td style="border-top:solid 1px #000000; border-left:solid 1px #000000; border-right:solid 1px #000000;" width="5%"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
</tr>

<tr>
<td align="center" width="5" style="border-top:solid 1px #000000; border-left:solid 1px #000000;"> </td>
<td align="left" width="70%" style="border-top:solid 1px #000000; border-left:solid 1px #000000;">[[Media:Administrative_Organization_Structure.pdf|Organizational and Division Structure]]</td>
<td style="border-top:solid 1px #000000; border-left:solid 1px #000000; border-right:solid 1px #000000;" width="5%">[[Media:3.1.6_Academic_Programs_Organizational_Structure.pdf|Academic]] [[Media:3.1.5_Information_Technology_Staff_Reporting.pdf|Info Tech]]</td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;">[[Media:3.1.2_Lincoln_Division_Staff_Organizational_Structure.pdf|Staff]]</td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;">[[Media:3.1.3_Kearney_Division_Staff_Organizational_Structure.pdf|Staff]]</td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;">[[Media:3.1.7_Northern_Division_Staff_Organizational_Structure.pdf|Staff]]</td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;">[[Media:3.1.4_West_Nebraska_Division_Staff_Organizational_Structure.pdf|Staff]]</td>
</tr>

<tr>
<td align="center" width="5" style="border-top:solid 1px #000000; border-left:solid 1px #000000;"> </td>
<td align="left" width="70%" style="border-top:solid 1px #000000; border-left:solid 1px #000000;">[[CON Strategic Plan|Strategic Plan]]</td>
<td style="border-top:solid 1px #000000; border-left:solid 1px #000000; border-right:solid 1px #000000;" width="5%"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
</tr>

<tr>
<td align="center" width="5" style="border-top:solid 1px #000000; border-left:solid 1px #000000;"> </td>
<td align="left" width="70%" style="border-top:solid 1px #000000; border-left:solid 1px #000000;">[https://catalog.unmc.edu/nursing/ Bulletin of the College of Nursing]</td>
<td style="border-top:solid 1px #000000; border-left:solid 1px #000000; border-right:solid 1px #000000;" width="5%"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
</tr>

<tr>
<td align="center" width="5" style="border-top:solid 1px #000000; border-left:solid 1px #000000;"> </td>
<td align="left" width="70%" style="border-top:solid 1px #000000; border-left:solid 1px #000000;">[[CON Terminology|Terminology]]</td>
<td style="border-top:solid 1px #000000; border-left:solid 1px #000000; border-right:solid 1px #000000;" width="5%"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
</tr>

<tr>
<td align="center" width="5" style="border-top:solid 1px #000000; border-left:solid 1px #000000;"> </td>
<td align="left" width="70%" style="border-top:solid 1px #000000; border-left:solid 1px #000000;">[https://www.unmc.edu/nursing/_documents/2018-2019_Academic_Calendar.pdf Campus Calendar]</td>
<td style="border-top:solid 1px #000000; border-left:solid 1px #000000; border-right:solid 1px #000000;" width="5%"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
</tr>

<tr style=" background:#e5e5e5;">
<td width="5%" style="border-top:solid 1px #000000; border-left:solid 1px #000000;">[[file:checkmark.png|40px]]</td>
<td align="left" width="70%" style="font-size:16pt;font-weight:bold; border-top:solid 1px #000000;">About UNMC</td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000; border-left:solid 1px #000000;">'''Omaha'''</td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;">'''Lincoln'''</td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;">'''Kearney'''</td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;">'''Norfolk'''</td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;">'''Scottsbluff'''</td>
</tr>

<tr>
<td align="center" width="5" style="border-top:solid 1px #000000; border-left:solid 1px #000000;"> </td>
<td align="left" width="70%" style="border-top:solid 1px #000000; border-left:solid 1px #000000;">[[Policies_and_Procedures|UNMC Policies and Procedures]]</td>
<td style="border-top:solid 1px #000000; border-left:solid 1px #000000; border-right:solid 1px #000000;" width="5%"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
</tr>

<tr>
<td align="center" width="5" style="border-top:solid 1px #000000; border-left:solid 1px #000000;"> </td>
<td align="left" width="70%" style="border-top:solid 1px #000000; border-left:solid 1px #000000;">[https://www.unmc.edu/human-resources/benefits/benefit-u.html Benefits]</td>
<td style="border-top:solid 1px #000000; border-left:solid 1px #000000; border-right:solid 1px #000000;" width="5%"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
</tr>

<tr>
<td align="center" width="5" style="border-top:solid 1px #000000; border-left:solid 1px #000000;"> </td>
<td align="left" width="70%" style="border-top:solid 1px #000000; border-left:solid 1px #000000;">[[Guidelines_-_Reward_and_Recognition#Vital_Thank_U_Reward_Program|Thank You Program]]</td>
<td style="border-top:solid 1px #000000; border-left:solid 1px #000000; border-right:solid 1px #000000;" width="5%"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
</tr>

<tr style=" background:#e5e5e5;">
<td width="5%" style="border-top:solid 1px #000000; border-left:solid 1px #000000;">[[file:checkmark.png|40px]]</td>
<td align="left" width="70%" style="font-size:16pt;font-weight:bold; border-top:solid 1px #000000;">Your Facilities and Department</td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000; border-left:solid 1px #000000;">'''Omaha'''</td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;">'''Lincoln'''</td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;">'''Kearney'''</td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;">'''Norfolk'''</td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;">'''Scottsbluff'''</td>
</tr>

<tr>
<td align="center" width="5" style="border-top:solid 1px #000000; border-left:solid 1px #000000;"> </td>
<td align="left" width="70%" style="border-top:solid 1px #000000; border-left:solid 1px #000000;">Complete Campus Orientation Guide</td>
<td style="border-top:solid 1px #000000; border-left:solid 1px #000000; border-right:solid 1px #000000;" width="5%"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;">[[CON_Lincoln_Division_Orientation_Guide|Link]]</td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
</tr>

<tr>
<td align="center" width="5" style="border-top:solid 1px #000000; border-left:solid 1px #000000;"> </td>
<td align="left" width="70%" style="border-top:solid 1px #000000; border-left:solid 1px #000000;">After Hours and Weekend Access</td>
<td style="border-top:solid 1px #000000; border-left:solid 1px #000000; border-right:solid 1px #000000;" width="5%">[[CON Omaha Building Access|Link]]</td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
</tr>

<tr>
<td align="center" width="5" style="border-top:solid 1px #000000; border-left:solid 1px #000000;"> </td>
<td align="left" width="70%" style="border-top:solid 1px #000000; border-left:solid 1px #000000;">Recycling and Trash</td>
<td style="border-top:solid 1px #000000; border-left:solid 1px #000000; border-right:solid 1px #000000;" width="5%">[[CON Omaha Recycling and Trash |Link]]</td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
</tr>

<tr>
<td align="center" width="5" style="border-top:solid 1px #000000; border-left:solid 1px #000000;"> </td>
<td align="left" width="70%" style="border-top:solid 1px #000000; border-left:solid 1px #000000;">Building layout and evacuation plan</td>
<td style="border-top:solid 1px #000000; border-left:solid 1px #000000; border-right:solid 1px #000000;" width="5%">[[Media:Evacuation_plan_CNS_Building.pdf|CNS ]] [[Media:Evacuation_plan_CON_Building.pdf|CON]]</td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
</tr>
<tr>
<td align="center" width="5" style="border-top:solid 1px #000000; border-left:solid 1px #000000;"> </td>
<td align="left" width="70%" style="border-top:solid 1px #000000; border-left:solid 1px #000000;">Keys and/or access cards</td>
<td style="border-top:solid 1px #000000; border-left:solid 1px #000000; border-right:solid 1px #000000;" width="5%"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;">[[CON_Lincoln_Division_Orientation_Guide#Keys|Link]]</td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
</tr>
<tr>
<td align="center" width="5" style="border-top:solid 1px #000000; border-left:solid 1px #000000;"> </td>
<td align="left" width="70%" style="border-top:solid 1px #000000; border-left:solid 1px #000000;">Emergency notification, security protocols, school closings</td>
<td style="border-top:solid 1px #000000; border-left:solid 1px #000000; border-right:solid 1px #000000;" width="5%"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
</tr>
<tr>
<td align="center" width="5" style="border-top:solid 1px #000000; border-left:solid 1px #000000;"> </td>
<td align="left" width="70%" style="border-top:solid 1px #000000; border-left:solid 1px #000000;">Parking and transportation services</td>
<td style="border-top:solid 1px #000000; border-left:solid 1px #000000; border-right:solid 1px #000000;" width="5%"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
</tr>
<tr>
<td align="center" width="5" style="border-top:solid 1px #000000; border-left:solid 1px #000000;"> </td>
<td align="left" width="70%" style="border-top:solid 1px #000000; border-left:solid 1px #000000;">Photo ID</td>
<td style="border-top:solid 1px #000000; border-left:solid 1px #000000; border-right:solid 1px #000000;" width="5%"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
</tr>
<tr>
<td align="center" width="5" style="border-top:solid 1px #000000; border-left:solid 1px #000000;"> </td>
<td align="left" width="70%" style="border-top:solid 1px #000000; border-left:solid 1px #000000;">Room Scheduling [https://www.unmc.edu/nursing/faculty/faculty-rooms-and-resources.html (Bridge Numbers All Campuses)]</td>
<td style="border-top:solid 1px #000000; border-left:solid 1px #000000; border-right:solid 1px #000000;" width="5%">[https://www.unmc.edu/nursing/faculty/faculty-rooms-and-resources.html Link]</td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;">[[CON_Lincoln_Room_Calendar|Link]]</td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;">[http://unmc.conpoint.com/index.html Link]</td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
</tr>

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<td align="center" width="5" style="border-top:solid 1px #000000; border-left:solid 1px #000000;"> </td>
<td align="left" width="70%" style="border-top:solid 1px #000000; border-left:solid 1px #000000;">[[CON Room Scheduling Contacts|Room Scheduling (Contacts)]]</td>
<td style="border-top:solid 1px #000000; border-left:solid 1px #000000; border-right:solid 1px #000000;" width="5%"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
</tr>

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<td align="left" width="70%" style="border-top:solid 1px #000000; border-left:solid 1px #000000;">Mail Duty Information</td>
<td style="border-top:solid 1px #000000; border-left:solid 1px #000000; border-right:solid 1px #000000;" width="5%">[[CON Omaha Mail Duty Information|Link]]</td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
</tr>

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<td align="left" width="70%" style="border-top:solid 1px #000000; border-left:solid 1px #000000;">Addresses and Other Important Information</td>
<td style="border-top:solid 1px #000000; border-left:solid 1px #000000; border-right:solid 1px #000000;" width="5%">[[CON Omaha Addresses and Other Important Information|Link]]</td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
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<td align="left" width="70%" style="border-top:solid 1px #000000; border-left:solid 1px #000000;">[https://fireflyhelp.nebraska.edu/FIREFLYHELP/ESHOP/QRGPhoenix/Form_OfficialFunctionDirectPayQRG.pdf eSHOP Official Function - Direct Pay Guide]</td>
<td style="border-top:solid 1px #000000; border-left:solid 1px #000000; border-right:solid 1px #000000;" width="5%"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
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<td align="left" width="70%" style="border-top:solid 1px #000000; border-left:solid 1px #000000;">[http://info.unmc.edu/procurement/docs/eSHOP_Rush_Orders_Flowchart_12-2-13.pdf Rush Order Flowchart]</td>
<td style="border-top:solid 1px #000000; border-left:solid 1px #000000; border-right:solid 1px #000000;" width="5%"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
</tr>

<tr style=" background:#e5e5e5;">
<td width="5%" style="border-top:solid 1px #000000; border-left:solid 1px #000000;">[[file:checkmark.png|40px]]</td>
<td align="left" width="70%" style="font-size:16pt;font-weight:bold; border-top:solid 1px #000000;">Getting Connected</td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000; border-left:solid 1px #000000;">'''Omaha'''</td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;">'''Lincoln'''</td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;">'''Kearney'''</td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;">'''Norfolk'''</td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;">'''Scottsbluff'''</td>
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<td align="left" width="70%" style="border-top:solid 1px #000000; border-left:solid 1px #000000;">[https://www.atitesting.com/Home.aspx ATI Testing]</td>
<td style="border-top:solid 1px #000000; border-left:solid 1px #000000; border-right:solid 1px #000000;" width="5%"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
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<td align="left" width="70%" style="border-top:solid 1px #000000; border-left:solid 1px #000000;">[[McGoogan Library Services|McGoogan Library]]</td>
<td style="border-top:solid 1px #000000; border-left:solid 1px #000000; border-right:solid 1px #000000;" width="5%"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
</tr>

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<td align="left" width="70%" style="border-top:solid 1px #000000; border-left:solid 1px #000000;">Computer Access</td>
<td style="border-top:solid 1px #000000; border-left:solid 1px #000000; border-right:solid 1px #000000;" width="5%"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
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<td align="left" width="70%" style="border-top:solid 1px #000000; border-left:solid 1px #000000;">Email address</td>
<td style="border-top:solid 1px #000000; border-left:solid 1px #000000; border-right:solid 1px #000000;" width="5%"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
</tr>

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<td align="left" width="70%" style="border-top:solid 1px #000000; border-left:solid 1px #000000;">[https://www.unmc.edu/canvas.html Canvas]</td>
<td style="border-top:solid 1px #000000; border-left:solid 1px #000000; border-right:solid 1px #000000;" width="5%"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
</tr>

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<td align="left" width="70%" style="border-top:solid 1px #000000; border-left:solid 1px #000000;">[https://myrecords.nebraska.edu/psp/myrecords/NBM/ENTP/h/?tab=NBM_NVT_GUEST PeopleSoft]</td>
<td style="border-top:solid 1px #000000; border-left:solid 1px #000000; border-right:solid 1px #000000;" width="5%"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
</tr>

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<td align="left" width="70%" style="border-top:solid 1px #000000; border-left:solid 1px #000000;">[http://www.unmc.edu/nursing/admissions/online-education1/technology-support.html Technology Support]</td>
<td style="border-top:solid 1px #000000; border-left:solid 1px #000000; border-right:solid 1px #000000;" width="5%"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
</tr>

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<td align="center" width="5" style="border-top:solid 1px #000000; border-left:solid 1px #000000;"> </td>
<td align="left" width="70%" style="border-top:solid 1px #000000; border-left:solid 1px #000000;">Phone System</td>
<td style="border-top:solid 1px #000000; border-left:solid 1px #000000; border-right:solid 1px #000000;" width="5%"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
</tr>

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<td align="left" width="70%" style="border-top:solid 1px #000000; border-left:solid 1px #000000;">[http://info.unmc.edu/procurement/mail_services.htm Intercampus Mail]</td>
<td style="border-top:solid 1px #000000; border-left:solid 1px #000000; border-right:solid 1px #000000;" width="5%"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
</tr>

<tr style=" background:#e5e5e5;">
<td width="5%" style="border-top:solid 1px #000000; border-left:solid 1px #000000;">[[file:checkmark.png|40px]]</td>
<td align="left" width="70%" style="font-size:16pt;font-weight:bold; border-top:solid 1px #000000;">Get Involved</td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000; border-left:solid 1px #000000;">'''Omaha'''</td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;">'''Lincoln'''</td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;">'''Kearney'''</td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;">'''Norfolk'''</td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;">'''Scottsbluff'''</td>
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<td align="left" width="70%" style="border-top:solid 1px #000000; border-left:solid 1px #000000;">General Faculty Organization</td>
<td style="border-top:solid 1px #000000; border-left:solid 1px #000000; border-right:solid 1px #000000;" width="5%"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
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<td align="left" width="70%" style="border-top:solid 1px #000000; border-left:solid 1px #000000;">General Staff Organization</td>
<td style="border-top:solid 1px #000000; border-left:solid 1px #000000; border-right:solid 1px #000000;" width="5%"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
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<td width="5%" style="border-top:solid 1px #000000; border-left:solid 1px #000000;">[[file:checkmark.png|40px]]</td>
<td align="left" width="70%" style="font-size:16pt;font-weight:bold; border-top:solid 1px #000000;">Department Rules, Policies, Norms</td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000; border-left:solid 1px #000000;">'''Omaha'''</td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;">'''Lincoln'''</td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;">'''Kearney'''</td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;">'''Norfolk'''</td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;">'''Scottsbluff'''</td>
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<td align="left" width="70%" style="border-top:solid 1px #000000; border-left:solid 1px #000000;">[https://firefly.nebraska.edu/irj/portal/ Personal Information Changes] (address, phone, etc.)</td>
<td style="border-top:solid 1px #000000; border-left:solid 1px #000000; border-right:solid 1px #000000;" width="5%"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
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<td align="left" width="70%" style="border-top:solid 1px #000000; border-left:solid 1px #000000;">[[Work Schedules|Overtime policy]]</td>
<td style="border-top:solid 1px #000000; border-left:solid 1px #000000; border-right:solid 1px #000000;" width="5%"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
</tr>
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<td align="left" width="70%" style="border-top:solid 1px #000000; border-left:solid 1px #000000;">[[Dress|Dress code or appearance standards]]</td>
<td style="border-top:solid 1px #000000; border-left:solid 1px #000000; border-right:solid 1px #000000;" width="5%"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
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<td align="left" width="70%" style="border-top:solid 1px #000000; border-left:solid 1px #000000;">[[Travel and Reimbursement|University vehicle and travel policy]] (if applicable)</td>
<td style="border-top:solid 1px #000000; border-left:solid 1px #000000; border-right:solid 1px #000000;" width="5%"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
</tr>
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<td align="left" width="70%" style="border-top:solid 1px #000000; border-left:solid 1px #000000;">[[Employee Leave|Leave Information]] - (e.g. Vacation, Sick, Funeral, Jury, Civil)</td>
<td style="border-top:solid 1px #000000; border-left:solid 1px #000000; border-right:solid 1px #000000;" width="5%"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
</tr>
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<td align="left" width="70%" style="border-top:solid 1px #000000; border-left:solid 1px #000000;">[[Media:CON_Vacation_and_Other_Leave_Request_Guidelines.pdf|Vacation and Other Leave Request Guidelines]]</td>
<td style="border-top:solid 1px #000000; border-left:solid 1px #000000; border-right:solid 1px #000000;" width="5%"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
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<td align="left" width="70%" style="border-top:solid 1px #000000; border-left:solid 1px #000000;">[[Employee Leave#Holiday Leave|Holidays]]</td>
<td style="border-top:solid 1px #000000; border-left:solid 1px #000000; border-right:solid 1px #000000;" width="5%"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
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<td align="left" width="70%" style="border-top:solid 1px #000000; border-left:solid 1px #000000;">[https://firefly.nebraska.edu/irj/portal/ How to request/report time off]</td>
<td style="border-top:solid 1px #000000; border-left:solid 1px #000000; border-right:solid 1px #000000;" width="5%"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
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<tr>
<td align="center" width="5" style="border-top:solid 1px #000000; border-left:solid 1px #000000;"> </td>
<td align="left" width="70%" style="border-top:solid 1px #000000; border-left:solid 1px #000000;">[[CON_Faculty_Immunizations_and_CPR|Immunizations]]</td>
<td style="border-top:solid 1px #000000; border-left:solid 1px #000000; border-right:solid 1px #000000;" width="5%"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
</tr>

<tr style=" background:#e5e5e5;">
<td width="5%" style="border-top:solid 1px #000000; border-left:solid 1px #000000;">[[file:checkmark.png|40px]]</td>
<td align="left" width="70%" style="font-size:16pt;font-weight:bold; border-top:solid 1px #000000;">Faculty Links</td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000; border-left:solid 1px #000000;">'''Omaha'''</td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;">'''Lincoln'''</td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;">'''Kearney'''</td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;">'''Norfolk'''</td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;">'''Scottsbluff'''</td>
</tr>




<tr>
<td align="center" width="5" style="border-top:solid 1px #000000; border-left:solid 1px #000000;"> </td>
<td align="left" width="70%" style="border-top:solid 1px #000000; border-left:solid 1px #000000;">[http://www.unmc.edu/nursing/programs/course-descriptions/index.html Course Descriptions]</td>
<td style="border-top:solid 1px #000000; border-left:solid 1px #000000; border-right:solid 1px #000000;" width="5%"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
</tr>

<tr>
<td align="center" width="5" style="border-top:solid 1px #000000; border-left:solid 1px #000000;"> </td>
<td align="left" width="70%" style="border-top:solid 1px #000000; border-left:solid 1px #000000;">[http://www.unmc.edu/nursing/programs/index.html Programs of Study]</td>
<td style="border-top:solid 1px #000000; border-left:solid 1px #000000; border-right:solid 1px #000000;" width="5%"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
</tr>
<tr>
<td align="center" width="5" style="border-top:solid 1px #000000; border-left:solid 1px #000000;"> </td>
<td align="left" width="70%" style="border-top:solid 1px #000000; border-left:solid 1px #000000;">Key contact people for major job functions</td>
<td style="border-top:solid 1px #000000; border-left:solid 1px #000000; border-right:solid 1px #000000;" width="5%"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
</tr>
<tr>
<td align="center" width="5" style="border-top:solid 1px #000000; border-left:solid 1px #000000;"> </td>
<td align="left" width="70%" style="border-top:solid 1px #000000; border-left:solid 1px #000000;">[http://www.unmc.edu/nursing/about/contact.html Student Services]</td>
<td style="border-top:solid 1px #000000; border-left:solid 1px #000000; border-right:solid 1px #000000;" width="5%"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
</tr>
<tr>
<td align="center" width="5" style="border-top:solid 1px #000000; border-left:solid 1px #000000;"> </td>
<td align="left" width="70%" style="border-top:solid 1px #000000; border-left:solid 1px #000000;">[[CON Promotion and Tenure Committee Rules of the Faculty Organization|Promotion and Tenure]]</td>
<td style="border-top:solid 1px #000000; border-left:solid 1px #000000; border-right:solid 1px #000000;" width="5%"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
</tr>
<tr>
<td align="center" width="5" style="border-top:solid 1px #000000; border-left:solid 1px #000000;"> </td>
<td align="left" width="70%" style="border-top:solid 1px #000000; border-left:solid 1px #000000;">Workload Guidelines</td>
<td style="border-top:solid 1px #000000; border-left:solid 1px #000000; border-right:solid 1px #000000;" width="5%"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;"> </td>
</tr>
<tr>
<td align="center" width="5" style="border-top:solid 1px #000000; border-left:solid 1px #000000;"> </td>
<td align="left" width="70%" style="border-top:solid 1px #000000; border-left:solid 1px #000000;">[http://www.unmc.edu/nursing/about/learning-centers1/index.html Learning Resource Centers]</td>
<td style="border-top:solid 1px #000000; border-left:solid 1px #000000; border-right:solid 1px #000000;" width="5%">[http://www.unmc.edu/nursing/about/learning-centers1/omahas-lrc.html Link]</td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;">[http://www.unmc.edu/nursing/about/learning-centers1/lincolns-lrc.html Link]</td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;">[http://www.unmc.edu/nursing/about/learning-centers1/kearneys-lrc.html Link]</td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;">[http://www.unmc.edu/nursing/about/learning-centers1/norfolks-lrc.html Link]</td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000;">[http://www.unmc.edu/nursing/about/learning-centers1/scottsbluffs-lrc.html Link]</td>
</tr>
<tr>
<td align="center" width="5" style="border-top:solid 1px #000000; border-left:solid 1px #000000; border-bottom:solid 1px #000000;"> </td>
<td align="left" width="70%" style="border-top:solid 1px #000000; border-left:solid 1px #000000; border-bottom:solid 1px #000000;">[[Media:Clinical_Faculty_Handbook_rev_AUG_14_2013.pdf|Clinical Faculty Handbook]]</td>
<td style="border-top:solid 1px #000000; border-left:solid 1px #000000; border-right:solid 1px #000000; border-bottom:solid 1px #000000;" width="5%"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000; border-bottom:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000; border-bottom:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000; border-bottom:solid 1px #000000;"> </td>
<td width="5%" style="border-top:solid 1px #000000; border-right:solid 1px #000000; border-bottom:solid 1px #000000;"> </td>
</tr>

</table>

Research Integrity

2025-06-03T19:28:02Z

Afaylor: updated http://catalog.unmc.edu/ to https://catalog.unmc.edu/

Student Policies

2025-06-03T19:27:00Z

Afaylor: update http://catalog.unmc.edu/ to https://catalog.unmc.edu/

<table style="background:#F8FCFF; text-align:center" width="90%" cellspacing="0" cellpadding="0" border="0">
<tr>

<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF"
width="15%">[[Student Code of Conduct#conduct|Student Code of Conduct ]] </td>
<td style="border-bottom:2px solid #A3B1BF" width="3"> </td>

<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF"
width="20%">[[Student Policies#performance|Academic and Professional Performance ]] </td>
<td style="border-bottom:2px solid #A3B1BF" width="3"> </td>

<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF"
width="5%">[[Student Policies#compliance|Compliance ]] </td>
<td style="border-bottom:2px solid #A3B1BF" width="3"> </td>

<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF"
width="15%">[[Student Policies#finaid|Financial Aid/Tuition/Fees ]] </td>
<td style="border-bottom:2px solid #A3B1BF" width="3"> </td>

<td style="padding:0.5em; background-color:#e5e5e5; font-size:100%; line-height:0.95em; border:2px solid #A3B1BF; border-bottom:solid 2px #A3B1BF"
width="15%">[[Student Policies#registration|Registration/Records/Enrollment]]</td>
<td style="border-bottom:2px solid #A3B1BF" width="3"> </td>

<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF"
width="5%">[[Student Policies#safety|Safety/Security]] </td>
<td style="border-bottom:2px solid #A3B1BF" width="3"> </td>

<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF"
width="10%">[[Student Policies#resources|Student Resources]]</td>
<td style="border-bottom:2px solid #A3B1BF" width="3"> </td>

<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF"
width="15%">[[Student Policies#misc|College Specific Policies]]</td>
<td style="border-bottom:2px solid #A3B1BF" width="3"> </td>

</tr>
</table> 
{| style="color: gray; background-color: white" width="100%" class="wikitable"
{| class="wikitable"
!'''Policy Name'''
!'''Effective Date'''
!'''Revised Date'''
!'''Reviewed Date'''
|-
|<big id="conduct">'''Student Code of Conduct'''</big>
|
|
|
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/code-of-conduct/ Student Code of Conduct]
|August 14, 2020
|
|
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/unmc-code-of-conduct/ UNMC Code of Conduct]
|March 13, 2009
|July 21, 2023
|July 21, 2023
|-
|<big id="performance">'''Academic and Professional Performance'''</big>
|
|
|
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/academic-professional-performance-policies/ Appeals of Academic Evaluations]
| November 19, 2022
| November 19, 2022
| November 19, 2022
|-
|[https://wiki.unmc.edu/index.php/Computer_Use/Electronic_Information Computer Use and Electronic Information Security Policy]
|April 25, 2007
|August 20, 2013
|September 19, 2017
|-
|[https://wiki.unmc.edu/index.php/Consensual_Relationships Consensual Relationships]
|
|
|
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/dress-code/ Dress Code Policy]
|October 17, 2003
|October 29, 2015
|December 10, 2013
|-
|[https://wiki.unmc.edu/index.php/Drug_Free_Campus Drug Free Campus]
|October 17, 2003
|February 5, 2018
|February 5, 2018
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/grievance-resolution/ Grievance Resolution Procedure]
|October 2016
| November 19, 2022
| November 19, 2022
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/health-care-vendor-interactions/ Health Care Vendor Interactions]
|August 31, 2015
|September 1, 2020
|March 10, 2023
|-
|[https://wiki.unmc.edu/index.php/Non-Discrimination_and_Harassment Non-Discrimination and Harassment Policy]
|September 22, 2009
|January 10, 2018
|January 10, 2018
|-
|[https://wiki.unmc.edu/index.php/Reproducing_Copyrighted_Materials Reproducing Copyrighted Materials]
|July 1, 1998
|October 9, 2008
|October 9, 2008
|-
|[https://wiki.unmc.edu/index.php/Sexual_Misconduct Sexual Misconduct Policy]
|December 16, 2014
|August 14, 2020
|August 14, 2020
|-
|[https://wiki.unmc.edu/index.php/Social_Media Social Media Guidelines]
|December 7, 2011
|January 3, 2022
|January 3, 2022
|-
|[https://www.unmc.edu/titleix/_documents/Student-Sexual-Misconduct-Procedures.pdf Student Sexual Misconduct Procedures]
|December 21, 2011
|August 14, 2020
|August 14, 2020
|-
|[https://wiki.unmc.edu/index.php?title=Tobacco-Free_Campus Tobacco Free Campus]
|August 24, 2009
|November 3, 2015
|December 10, 2013
|-
|[https://www.unmc.edu/human-resources/_documents/University-of-Nebraska-Drug-and-Alcohol-Prevention-Update.pdf University of Nebraska Drug and Alcohol Abuse Prevention Update]
|November 2011
|June 15, 2023
|June 15, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/whistleblower/ Whistleblower]
|April 11, 2019
|April 11, 2019
|November 19, 2021
|-
| <big id="compliance">'''Compliance'''</big>
|
|
|
|-
|[https://wiki.unmc.edu/index.php/Compliance_Program Compliance Program]
|November 1, 2006
|February 28, 2023
|February 28, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/compliance-hotline/ Compliance Hotline]
|August 10, 2006
|July 10, 2023
|July 10, 2023
|-
|[https://wiki.unmc.edu/index.php/Research_Integrity Research Integrity]
|February 11, 2005
|August 18, 2021
|July 11, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/export-control/ Export Control]
|December 18, 2012
|July 21, 2023
|July 21, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/strategic-communications/ Strategic Communications]
|October 17, 2003
|January 3, 2022
|January 3, 2022
|-
|<big id="finaid">'''Financial Aid/Tuition/Fees'''</big>
|
|
|
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/banning-inducements-securing-enrllmnts-srvce-mbrs/ Banning Inducements For Securing Enrollments Of Service Members]
|January 2014
|July 21, 2023
|July 21, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/delinquent-tuition-fee-policy/ Delinquent Tuition Fee]
|April 19, 1975
|October 9, 2023
|October 9, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/disclosing-foreign-support-international-activities/ Disclosing Foreign Support and International Activities]
|June 26, 2015
|July 24, 2023
|July 24, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/fws-policy/ Federal Work Study (FWS)]
|November 21, 2013
|October 15, 2021
|June 20, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/military-return-of-funds/ Military Return of Funds Tuition Assistance]
|February 24, 2022
|November 18, 2021
|June 20, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/insufficient-funds-policy/ Personal Check Insufficient Funds]
|July 24, 1982
|October 9, 2023
|October 9, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/facilities-and-grounds/ Regulations on the Use of University Facilities and Grounds]
|December 13, 2018
|
|November 11, 2021
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/satisfactory-academic-progress/ Satisfactory Academic Progress]
|July, 1, 2011
|December 5, 2023
|December 5, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/student-fee-approval-process/ Student Fee Approval Process]
|January 5, 2017
|October 17, 2019
|October 17, 2019

|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/tuition-refund-schedule-policy/ Tuition Refund Schedule]
|April 19, 1975
|
|November 19, 2022
|-
| <big id="registration">'''Registration/Records/Enrollment'''</big>
|
|
|
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/outside-transcripts/ Acceptance of Outside Transcripts]
|February 24, 2022
|December 20, 2021
|June 20, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/administrative-withdrawal/ Administrative Withdrawal]
|January 1, 2013
|December 20, 2021
|March 20, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/commencement-policy/ Commencement]
|December 5, 1995
|December 20, 2021
|August 17, 2023
|-
|[https://wiki.unmc.edu/index.php/Credit_Hour_Definition Credit Hour Policy]
|November 28, 2016
|August 8, 2017
|July 21, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/documentation_of_student_ssn/ Documentation of Student SSN]
|
| December 20, 2021
|April 24, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/drop-add-policy/ Drop Add]
|July 11, 2013
|January 14, 2014
|January 19, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/ferpa-policy/ FERPA]
|June 15, 2006
|
| March 29, 2019
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/holds-and-registration-blocks/ Holds and Registration Blocks]
|April 24, 2014
|July 8, 2014
|October 24, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/leaveofabsence-policy/ Leave of Absence]
|December 5, 1995
|January 17, 2022
|March 20, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/non-enrolled-student-policy/ Non-Enrolled Students]
|November 21, 2013
|October 14, 2021
|March 20, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/transcript-policy/ Official UNMC Transcript Policy]
|February 24, 2022
|December 20, 2021
|April 24, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/residency-policy/ Residency]
|
|January 17, 2022
|June 20, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/retention-materials-academic-evaluation/ Retention of Materials Used in Academic Evaluation]
|August 23, 2013
|
| August 17, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/retroactive-student-withdrawal/ Retroactive Student Withdrawal]
|October 24, 2023
|
|October 24, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/students_called_into_military/ Students Called into Military Services]
|October, 2001
|January 17, 2022
|March 20, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/vetbenefitsandtransitionact/ Veteran Benefits and Transition Act]
|November 2021
|
|
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/withdrawal/ Withdrawal]
|March 20, 2023
|
| March 20, 2023
|-
|<big id="safety">'''Safety/Security'''</big>
|
|
|
|-
|[https://wiki.unmc.edu/index.php/AIDS,_HIV,_and_Other_Bloodborne_Pathogens AIDS, HIV, and Other Bloodborne Pathogens]
| October 17, 2003
|November 3, 2015
|December 10, 2013
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/background-check-policy/ Background Check (Students)]
|May 2006
|October 2013
|February 19, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/blood-and-body-fluid-exposure/#bloodbournepathogenstext Blood and Body Fluid Exposure Procedure]
| April 16, 2014
|March 2016
|January 2016
|-
|[https://wiki.unmc.edu/index.php/Bloodborne_Pathogens_Exposure Bloodborne Pathogens Exposure]
|March 17, 2003
|February 18, 2014
|July 20, 2021
|-
|[https://wiki.unmc.edu/index.php/Children_in_the_Workplace Children in the Workplace]
| October 6, 2009
|January 4, 2013
|January 4, 2013
|-
|[https://wiki.unmc.edu/index.php/Deadly_Weapon Deadly Weapon]
|July 20, 1990
|December 9, 2020
|December 9, 2020
|-
|[https://wiki.unmc.edu/index.php/Drug_Free_Campus Drug Free Campus]
|October 17, 2003
|February 5, 2018
|February 5, 2018
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/electric-scooter/ Electric Scooter]
|May 7, 2019
|
|
|-
|[https://wiki.unmc.edu/index.php/Enterprise_Threat_Assessment_Response_Team Enterprise Threat Assessment Response Team]
|December 16, 2011
|September 9, 2013
|September 9, 2013
|-
|[https://wiki.unmc.edu/index.php/Facility_Security Facility Security]
|March 17, 2003
|July 14, 2017
|July 14, 2017
|-
|[https://wiki.unmc.edu/index.php/Food,_Drinks_and_Cosmetic_Use_in_Laboratory_Areas Food, Drinks, and Cosmetic Use in Laboratory Areas]
|November 10, 2010
|December 2, 2021
|December 2, 2021
|-
|[https://wiki.unmc.edu/index.php/Identification_Card Identification Card]
|March 17, 2003
|November 29, 2016
|November 12, 2020
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/immunization-policy/ Immunization]
|September 2013
|October 1, 2023
|October 1, 2023
|-
|[https://wiki.unmc.edu/index.php/Influenza Influenza]
| August 25, 2010
|September 18, 2017
|September 18, 2017
|-
|[https://wiki.unmc.edu/index.php/Pets_in_the_Workplace Pets in the Workplace]
| October 6, 2009
|August 4, 2015
|August 4, 2015
|-
|[https://wiki.unmc.edu/index.php/Regulations_on_the_Use_of_University_Facilities_and_Grounds Regulations on the Use of University Facilities and Grounds]
|December 13, 2018
|
|
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/unmanned-aircraft/ Unmanned Aircraft]
|October 2, 2017
|
|
|-
|[https://wiki.unmc.edu/index.php/Safety Safety]
|July 23, 1999
|April 20, 2020
|April 20, 2020
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/small-appliance/ Small Appliance and Cooking Devices]
|December 16, 2014
|December 2, 2021
|December 2, 2021
|-
|[https://wiki.unmc.edu/index.php/Space_Scheduling_and_Fundraising Space Scheduling and Fundraising]
|November 19, 2007
|February 27, 2017
|February 27, 2017
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/students-infected-with-bbp-policy/ Students Infected with Bloodborne Pathogens]
|
|January 14, 2014
|
|-
|[https://wiki.unmc.edu/index.php/Tuberculosis_Exposure Tuberculosis Exposure]
|May 11, 2010
|December 2, 2021
|December 2, 2021
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/youth-safety/ Youth Safety]
|January 3, 2013
|
|January 3, 2013
|-
|<big id="resources">'''Student Employees'''</big>
|
|
|
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/alternative-worksite/ UNMC Employee Alternative Worksite]
|
|
|
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/employment-background-checks/ UNMC Employment Background Check]
|August 1, 2008
|October 11, 2021
|October 11, 2021
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/employment-corrective-disciplinary-action/ UNMC Employee Corrective/Disciplinary Action]
|March 18, 2008
|November 6, 2017
|November 1, 2017
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/employee-grievance-process/ UNMC Employee Grievance Process]
|November 22, 2006
|October 1, 2018
|October 1, 2018
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/employee-political-activities/ UNMC Employee Political Activities]
|October 17, 2003
|November 3, 2015
|December 10, 2013
|-
|<big id="resources">'''Student Resources'''</big>
|
|
|
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/student-accommodation-policy/ Accommodations Policy (ADA Policy)]
|November 6, 2015
|
|
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/maternity-paternity-leave/ Maternity / Paternity Leave]
|November 2012
|July 2013
|July 2013
|-
|[https://www.unl.edu/equity/policy-chosen-name-and-gender-identity Policy on Chosen Name and Gender Identity]
|September 15, 2020
|
|
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/policy-review-approval/ Process for the Review and Approval of Student Policies]
|July 26, 2022
|
| July 26, 2022
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/voter-registration-policy/ Voter Registration]
|1993
|October 15, 2021
|June 20, 2023
|-
|<big id="misc">'''College Specific Policies/Procedures'''</big>
|
|
|
|-
|[https://www.unmc.edu/cahphandbook/index.php/Main_Page College of Allied Health Professions] [https://www.unmc.edu/cahphandbook/index.php/Program-Specific_Handbooks College of Allied Health Professions Program-Specific]
|
|
|
|-
|[https://www.unmc.edu/com/education/com-student-policies/com-procedures/compliance.html College of Medicine Policies]
|
|
|
|-
|[https://wiki.unmc.edu/index.php?title=College_of_Nursing_Student_Policy_Index College of Nursing Policies]
|
|
|
|-
|[https://catalog.unmc.edu/pharmacy/ College of Pharmacy Policies]
|
|
|
|-
|[https://catalog.unmc.edu/public-health/student-section/ College of Public Health Policies and Procedures]
|
|
|
|-
|[https://catalog.unmc.edu/graduate-studies/student-grievance-resolution-procedure/ Graduate Student Grievance Resolution Procedure]
| January 6, 2015
|June 14, 2019
|
|-
|[https://catalog.unmc.edu/graduate-studies/guidelines-assistant-work-study/ Guidelines for Graduate Assistant Work and Study]
| From Graduate Student Handbook
|
|
|}

MediaWiki:Sidebar

2025-06-03T19:25:29Z

Afaylor: updated http://catalog.unmc.edu/ to https://catalog.unmc.edu/

* navigation
** Policies_and_Guidelines | Main Page
** Policies_and_Procedures | Policies and Procedures
** https://nebraska.edu/-/media/unca/docs/offices-and-policies/policies/board-governing-documents/board-of-regents-policies.pdf | BOR Policies
** https://nebraska.edu/docs/board/bylaws.pdf | BOR Bylaws
** https://nebraska.edu/bylaws-and-policies/executive-memoranda.html | UN Executive Memoranda
** Authorship_Guidelines | Authorship Guidelines
** https://info.unmc.edu/its-security/policies/procedures/index.html | Information Security
** https://info.unmc.edu/wiki/index.php/Faculty_Handbook | Faculty Handbook
** https://guides.unmc.edu/books/research-handbook | Research Handbook
** https://catalog.unmc.edu/ | Student Handbook
** Student_Policies | Student Policies
** Library_Policies | Library Policies
** HR_Employee_Guidelines:Home | HR Employee Guidelines
** https://info.unmc.edu/_documents/parking/pk_manual.pdf | Parking Handbook
** https://info.unmc.edu/ | UNMC Intranet
** https://www.unmc.edu/cahphandbook/index.php/Main_Page | CAHP Student Handbook
** College_of_Medicine:Faculty_Guidelines_and_Procedures | College of Medicine
** College_of_Nursing | College of Nursing
* SEARCH
* TOOLBOX
* LANGUAGES

MediaWiki:Sidebar

2025-05-01T13:04:01Z

Afaylor: change Parking Handbook link from https://net.unmc.edu/eserv/pk_manual.pdf to https://info.unmc.edu/_documents/parking/pk_manual.pdf

* navigation
** Policies_and_Guidelines | Main Page
** Policies_and_Procedures | Policies and Procedures
** https://nebraska.edu/-/media/unca/docs/offices-and-policies/policies/board-governing-documents/board-of-regents-policies.pdf | BOR Policies
** https://nebraska.edu/docs/board/bylaws.pdf | BOR Bylaws
** https://nebraska.edu/bylaws-and-policies/executive-memoranda.html | UN Executive Memoranda
** Authorship_Guidelines | Authorship Guidelines
** https://info.unmc.edu/its-security/policies/procedures/index.html | Information Security
** https://info.unmc.edu/wiki/index.php/Faculty_Handbook | Faculty Handbook
** https://guides.unmc.edu/books/research-handbook | Research Handbook
** http://catalog.unmc.edu/ | Student Handbook
** Student_Policies | Student Policies
** Library_Policies | Library Policies
** HR_Employee_Guidelines:Home | HR Employee Guidelines
** https://info.unmc.edu/_documents/parking/pk_manual.pdf | Parking Handbook
** https://info.unmc.edu/ | UNMC Intranet
** https://www.unmc.edu/cahphandbook/index.php/Main_Page | CAHP Student Handbook
** College_of_Medicine:Faculty_Guidelines_and_Procedures | College of Medicine
** College_of_Nursing | College of Nursing
* SEARCH
* TOOLBOX
* LANGUAGES

HR Employee Guidelines:Home

2025-01-20T23:23:44Z

Afaylor: updated with content provided by Daniel Carlson

[[Human Resources - Forms|Forms]] | [[Human Resources - Procedures|Procedures]] | [[Policies_and_Procedures|UNMC Policies]]

Welcome to the University of Nebraska Medical Center!

The University of Nebraska Medical Center (UNMC) is an internationally recognized academic health sciences center, committed to providing exceptional educational programs, pioneering research, high-quality patient care, and outreach to underserved populations. We believe these goals are achieved through the dedication and contributions of talented employees who share this vision. Our faculty and staff are our most valuable assets, playing a crucial role in the continued success of UNMC.

These Employee Guidelines have been developed to outline the policies, programs, and benefits available to our faculty and staff. We believe strong professional relationships are built when employees are aligned with the organization’s culture and values. These guidelines will help you better understand our mission, vision, and core values.

The mission of UNMC Human Resources is to attract, develop, and support a diverse and inclusive workforce, essential for preparing the best-educated health professionals and scientists, ranking among leading research institutions, and advancing our commitment to community health.

UNMC expressly reserves the right to modify, discontinue, or phase out any programs, services, policies, procedures, or regulations affecting employees.
Thank you for being a part of the UNMC community and for your ongoing contributions to our shared success.

Linda M. Cunningham 
Interim Executive Director, Human Resources 
University of Nebraska Medical Center

College of Medicine:Faculty Guidelines and Procedures

2024-12-19T16:14:36Z

Afaylor: removed Diversity, Equity and Inclusion Policy link

We follow all established University of Nebraska policies and UNMC policies. If you are interested in specific College of Medicine guidelines and procedures, see the topics below or for UNMC-wide policies, see the [https://info.unmc.edu/wiki/index.php/Faculty_Handbook Faculty Handbook] or [[Policies and Procedures|UNMC Policies and Procedures]].

* [[College of Medicine:Assessment of Teaching|Assessment of Teaching Policy]]
* [[College of Medicine:Away Rotation Oversight Policy|Away Rotation Oversight Policy]]
* [https://catalog.unmc.edu/medicine/student-policies/ COM Student Policies]
* [https://catalog.unmc.edu/medicine/student-procedures/ COM Student Procedures]
* [[College of Medicine:Continuous Quality Improvement Policy|Continuous Quality Improvement Policy]]
* [[College of Medicine:Faculty Appointment Policy|Faculty Appointment Policy]]
* [[College of Medicine:Feedback Guidelines|Feedback Guidelines]]
* [[College of Medicine:Narrative Assessment Policy|Narrative Assessment Policy]]
* [[College of Medicine:Non-Faculty Instructor Orientation to Medical Student Teaching|Non-Faculty Instructor Orientation to Medical Student Teaching]]
* [[College of Medicine:Phase 1 Contact Hours|Phase 1 Contact Hours]]
* [https://www.unmc.edu/academicaffairs/_documents/promotion-tenure/medicine-pt-guidelines.pdf Promotion & Tenure Guidelines]
* [[College of Medicine:Rotation Capacity Determination Policy|Rotation Capacity Determination Policy]]

Student Policies

2024-11-12T20:53:58Z

Afaylor: updated broken link to College of Public Health Policies and Procedures. change from https://www.unmc.edu/publichealth/currentstudents/College%20of%20Public%20Health%2016-17-v2.pdf to https://catalog.unmc.edu/public-health/student-section/

<table style="background:#F8FCFF; text-align:center" width="90%" cellspacing="0" cellpadding="0" border="0">
<tr>

<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF"
width="15%">[[Student Code of Conduct#conduct|Student Code of Conduct ]] </td>
<td style="border-bottom:2px solid #A3B1BF" width="3"> </td>

<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF"
width="20%">[[Student Policies#performance|Academic and Professional Performance ]] </td>
<td style="border-bottom:2px solid #A3B1BF" width="3"> </td>

<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF"
width="5%">[[Student Policies#compliance|Compliance ]] </td>
<td style="border-bottom:2px solid #A3B1BF" width="3"> </td>

<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF"
width="15%">[[Student Policies#finaid|Financial Aid/Tuition/Fees ]] </td>
<td style="border-bottom:2px solid #A3B1BF" width="3"> </td>

<td style="padding:0.5em; background-color:#e5e5e5; font-size:100%; line-height:0.95em; border:2px solid #A3B1BF; border-bottom:solid 2px #A3B1BF"
width="15%">[[Student Policies#registration|Registration/Records/Enrollment]]</td>
<td style="border-bottom:2px solid #A3B1BF" width="3"> </td>

<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF"
width="5%">[[Student Policies#safety|Safety/Security]] </td>
<td style="border-bottom:2px solid #A3B1BF" width="3"> </td>

<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF"
width="10%">[[Student Policies#resources|Student Resources]]</td>
<td style="border-bottom:2px solid #A3B1BF" width="3"> </td>

<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF"
width="15%">[[Student Policies#misc|College Specific Policies]]</td>
<td style="border-bottom:2px solid #A3B1BF" width="3"> </td>

</tr>
</table> 
{| style="color: gray; background-color: white" width="100%" class="wikitable"
{| class="wikitable"
!'''Policy Name'''
!'''Effective Date'''
!'''Revised Date'''
!'''Reviewed Date'''
|-
|<big id="conduct">'''Student Code of Conduct'''</big>
|
|
|
|-
|[http://catalog.unmc.edu/general-information/student-policies-procedures/code-of-conduct/ Student Code of Conduct]
|August 14, 2020
|
|
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/unmc-code-of-conduct/ UNMC Code of Conduct]
|March 13, 2009
|July 21, 2023
|July 21, 2023
|-
|<big id="performance">'''Academic and Professional Performance'''</big>
|
|
|
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/academic-professional-performance-policies/ Appeals of Academic Evaluations]
| November 19, 2022
| November 19, 2022
| November 19, 2022
|-
|[https://wiki.unmc.edu/index.php/Computer_Use/Electronic_Information Computer Use and Electronic Information Security Policy]
|April 25, 2007
|August 20, 2013
|September 19, 2017
|-
|[https://wiki.unmc.edu/index.php/Consensual_Relationships Consensual Relationships]
|
|
|
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/dress-code/ Dress Code Policy]
|October 17, 2003
|October 29, 2015
|December 10, 2013
|-
|[https://wiki.unmc.edu/index.php/Drug_Free_Campus Drug Free Campus]
|October 17, 2003
|February 5, 2018
|February 5, 2018
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/grievance-resolution/ Grievance Resolution Procedure]
|October 2016
| November 19, 2022
| November 19, 2022
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/health-care-vendor-interactions/ Health Care Vendor Interactions]
|August 31, 2015
|September 1, 2020
|March 10, 2023
|-
|[https://wiki.unmc.edu/index.php/Non-Discrimination_and_Harassment Non-Discrimination and Harassment Policy]
|September 22, 2009
|January 10, 2018
|January 10, 2018
|-
|[https://wiki.unmc.edu/index.php/Reproducing_Copyrighted_Materials Reproducing Copyrighted Materials]
|July 1, 1998
|October 9, 2008
|October 9, 2008
|-
|[https://wiki.unmc.edu/index.php/Sexual_Misconduct Sexual Misconduct Policy]
|December 16, 2014
|August 14, 2020
|August 14, 2020
|-
|[https://wiki.unmc.edu/index.php/Social_Media Social Media Guidelines]
|December 7, 2011
|January 3, 2022
|January 3, 2022
|-
|[https://www.unmc.edu/titleix/_documents/Student-Sexual-Misconduct-Procedures.pdf Student Sexual Misconduct Procedures]
|December 21, 2011
|August 14, 2020
|August 14, 2020
|-
|[https://wiki.unmc.edu/index.php?title=Tobacco-Free_Campus Tobacco Free Campus]
|August 24, 2009
|November 3, 2015
|December 10, 2013
|-
|[https://www.unmc.edu/human-resources/_documents/University-of-Nebraska-Drug-and-Alcohol-Prevention-Update.pdf University of Nebraska Drug and Alcohol Abuse Prevention Update]
|November 2011
|June 15, 2023
|June 15, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/whistleblower/ Whistleblower]
|April 11, 2019
|April 11, 2019
|November 19, 2021
|-
| <big id="compliance">'''Compliance'''</big>
|
|
|
|-
|[https://wiki.unmc.edu/index.php/Compliance_Program Compliance Program]
|November 1, 2006
|February 28, 2023
|February 28, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/compliance-hotline/ Compliance Hotline]
|August 10, 2006
|July 10, 2023
|July 10, 2023
|-
|[https://wiki.unmc.edu/index.php/Research_Integrity Research Integrity]
|February 11, 2005
|August 18, 2021
|July 11, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/export-control/ Export Control]
|December 18, 2012
|July 21, 2023
|July 21, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/strategic-communications/ Strategic Communications]
|October 17, 2003
|January 3, 2022
|January 3, 2022
|-
|<big id="finaid">'''Financial Aid/Tuition/Fees'''</big>
|
|
|
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/banning-inducements-securing-enrllmnts-srvce-mbrs/ Banning Inducements For Securing Enrollments Of Service Members]
|January 2014
|July 21, 2023
|July 21, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/delinquent-tuition-fee-policy/ Delinquent Tuition Fee]
|April 19, 1975
|October 9, 2023
|October 9, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/disclosing-foreign-support-international-activities/ Disclosing Foreign Support and International Activities]
|June 26, 2015
|July 24, 2023
|July 24, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/fws-policy/ Federal Work Study (FWS)]
|November 21, 2013
|October 15, 2021
|June 20, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/military-return-of-funds/ Military Return of Funds Tuition Assistance]
|February 24, 2022
|November 18, 2021
|June 20, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/insufficient-funds-policy/ Personal Check Insufficient Funds]
|July 24, 1982
|October 9, 2023
|October 9, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/facilities-and-grounds/ Regulations on the Use of University Facilities and Grounds]
|December 13, 2018
|
|November 11, 2021
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/satisfactory-academic-progress/ Satisfactory Academic Progress]
|July, 1, 2011
|December 5, 2023
|December 5, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/student-fee-approval-process/ Student Fee Approval Process]
|January 5, 2017
|October 17, 2019
|October 17, 2019

|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/tuition-refund-schedule-policy/ Tuition Refund Schedule]
|April 19, 1975
|
|November 19, 2022
|-
| <big id="registration">'''Registration/Records/Enrollment'''</big>
|
|
|
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/outside-transcripts/ Acceptance of Outside Transcripts]
|February 24, 2022
|December 20, 2021
|June 20, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/administrative-withdrawal/ Administrative Withdrawal]
|January 1, 2013
|December 20, 2021
|March 20, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/commencement-policy/ Commencement]
|December 5, 1995
|December 20, 2021
|August 17, 2023
|-
|[https://wiki.unmc.edu/index.php/Credit_Hour_Definition Credit Hour Policy]
|November 28, 2016
|August 8, 2017
|July 21, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/documentation_of_student_ssn/ Documentation of Student SSN]
|
| December 20, 2021
|April 24, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/drop-add-policy/ Drop Add]
|July 11, 2013
|January 14, 2014
|January 19, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/ferpa-policy/ FERPA]
|June 15, 2006
|
| March 29, 2019
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/holds-and-registration-blocks/ Holds and Registration Blocks]
|April 24, 2014
|July 8, 2014
|October 24, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/leaveofabsence-policy/ Leave of Absence]
|December 5, 1995
|January 17, 2022
|March 20, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/non-enrolled-student-policy/ Non-Enrolled Students]
|November 21, 2013
|October 14, 2021
|March 20, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/transcript-policy/ Official UNMC Transcript Policy]
|February 24, 2022
|December 20, 2021
|April 24, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/residency-policy/ Residency]
|
|January 17, 2022
|June 20, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/retention-materials-academic-evaluation/ Retention of Materials Used in Academic Evaluation]
|August 23, 2013
|
| August 17, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/retroactive-student-withdrawal/ Retroactive Student Withdrawal]
|October 24, 2023
|
|October 24, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/students_called_into_military/ Students Called into Military Services]
|October, 2001
|January 17, 2022
|March 20, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/vetbenefitsandtransitionact/ Veteran Benefits and Transition Act]
|November 2021
|
|
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/withdrawal/ Withdrawal]
|March 20, 2023
|
| March 20, 2023
|-
|<big id="safety">'''Safety/Security'''</big>
|
|
|
|-
|[https://wiki.unmc.edu/index.php/AIDS,_HIV,_and_Other_Bloodborne_Pathogens AIDS, HIV, and Other Bloodborne Pathogens]
| October 17, 2003
|November 3, 2015
|December 10, 2013
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/background-check-policy/ Background Check (Students)]
|May 2006
|October 2013
|February 19, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/blood-and-body-fluid-exposure/#bloodbournepathogenstext Blood and Body Fluid Exposure Procedure]
| April 16, 2014
|March 2016
|January 2016
|-
|[https://wiki.unmc.edu/index.php/Bloodborne_Pathogens_Exposure Bloodborne Pathogens Exposure]
|March 17, 2003
|February 18, 2014
|July 20, 2021
|-
|[https://wiki.unmc.edu/index.php/Children_in_the_Workplace Children in the Workplace]
| October 6, 2009
|January 4, 2013
|January 4, 2013
|-
|[https://wiki.unmc.edu/index.php/Deadly_Weapon Deadly Weapon]
|July 20, 1990
|December 9, 2020
|December 9, 2020
|-
|[https://wiki.unmc.edu/index.php/Drug_Free_Campus Drug Free Campus]
|October 17, 2003
|February 5, 2018
|February 5, 2018
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/electric-scooter/ Electric Scooter]
|May 7, 2019
|
|
|-
|[https://wiki.unmc.edu/index.php/Enterprise_Threat_Assessment_Response_Team Enterprise Threat Assessment Response Team]
|December 16, 2011
|September 9, 2013
|September 9, 2013
|-
|[https://wiki.unmc.edu/index.php/Facility_Security Facility Security]
|March 17, 2003
|July 14, 2017
|July 14, 2017
|-
|[https://wiki.unmc.edu/index.php/Food,_Drinks_and_Cosmetic_Use_in_Laboratory_Areas Food, Drinks, and Cosmetic Use in Laboratory Areas]
|November 10, 2010
|December 2, 2021
|December 2, 2021
|-
|[https://wiki.unmc.edu/index.php/Identification_Card Identification Card]
|March 17, 2003
|November 29, 2016
|November 12, 2020
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/immunization-policy/ Immunization]
|September 2013
|October 1, 2023
|October 1, 2023
|-
|[https://wiki.unmc.edu/index.php/Influenza Influenza]
| August 25, 2010
|September 18, 2017
|September 18, 2017
|-
|[https://wiki.unmc.edu/index.php/Pets_in_the_Workplace Pets in the Workplace]
| October 6, 2009
|August 4, 2015
|August 4, 2015
|-
|[https://wiki.unmc.edu/index.php/Regulations_on_the_Use_of_University_Facilities_and_Grounds Regulations on the Use of University Facilities and Grounds]
|December 13, 2018
|
|
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/unmanned-aircraft/ Unmanned Aircraft]
|October 2, 2017
|
|
|-
|[https://wiki.unmc.edu/index.php/Safety Safety]
|July 23, 1999
|April 20, 2020
|April 20, 2020
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/small-appliance/ Small Appliance and Cooking Devices]
|December 16, 2014
|December 2, 2021
|December 2, 2021
|-
|[https://wiki.unmc.edu/index.php/Space_Scheduling_and_Fundraising Space Scheduling and Fundraising]
|November 19, 2007
|February 27, 2017
|February 27, 2017
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/students-infected-with-bbp-policy/ Students Infected with Bloodborne Pathogens]
|
|January 14, 2014
|
|-
|[https://wiki.unmc.edu/index.php/Tuberculosis_Exposure Tuberculosis Exposure]
|May 11, 2010
|December 2, 2021
|December 2, 2021
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/youth-safety/ Youth Safety]
|January 3, 2013
|
|January 3, 2013
|-
|<big id="resources">'''Student Employees'''</big>
|
|
|
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/alternative-worksite/ UNMC Employee Alternative Worksite]
|
|
|
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/employment-background-checks/ UNMC Employment Background Check]
|August 1, 2008
|October 11, 2021
|October 11, 2021
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/employment-corrective-disciplinary-action/ UNMC Employee Corrective/Disciplinary Action]
|March 18, 2008
|November 6, 2017
|November 1, 2017
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/employee-grievance-process/ UNMC Employee Grievance Process]
|November 22, 2006
|October 1, 2018
|October 1, 2018
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/employee-political-activities/ UNMC Employee Political Activities]
|October 17, 2003
|November 3, 2015
|December 10, 2013
|-
|<big id="resources">'''Student Resources'''</big>
|
|
|
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/student-accommodation-policy/ Accommodations Policy (ADA Policy)]
|November 6, 2015
|
|
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/maternity-paternity-leave/ Maternity / Paternity Leave]
|November 2012
|July 2013
|July 2013
|-
|[https://www.unl.edu/equity/policy-chosen-name-and-gender-identity Policy on Chosen Name and Gender Identity]
|September 15, 2020
|
|
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/policy-review-approval/ Process for the Review and Approval of Student Policies]
|July 26, 2022
|
| July 26, 2022
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/voter-registration-policy/ Voter Registration]
|1993
|October 15, 2021
|June 20, 2023
|-
|<big id="misc">'''College Specific Policies/Procedures'''</big>
|
|
|
|-
|[https://www.unmc.edu/cahphandbook/index.php/Main_Page College of Allied Health Professions] [https://www.unmc.edu/cahphandbook/index.php/Program-Specific_Handbooks College of Allied Health Professions Program-Specific]
|
|
|
|-
|[https://www.unmc.edu/com/education/com-student-policies/com-procedures/compliance.html College of Medicine Policies]
|
|
|
|-
|[https://wiki.unmc.edu/index.php?title=College_of_Nursing_Student_Policy_Index College of Nursing Policies]
|
|
|
|-
|[http://catalog.unmc.edu/pharmacy/ College of Pharmacy Policies]
|
|
|
|-
|[https://catalog.unmc.edu/public-health/student-section/ College of Public Health Policies and Procedures]
|
|
|
|-
|[http://catalog.unmc.edu/graduate-studies/student-grievance-resolution-procedure/ Graduate Student Grievance Resolution Procedure]
| January 6, 2015
|June 14, 2019
|
|-
|[https://catalog.unmc.edu/graduate-studies/guidelines-assistant-work-study/ Guidelines for Graduate Assistant Work and Study]
| From Graduate Student Handbook
|
|
|}

HR - Other Forms

2024-11-12T16:24:14Z

Afaylor: /* Welcome to HR Employee Forms */ update HR URL

[[Guidelines List]] | [[Human Resources - Forms|Forms]] | [[Human Resources - Procedures|Procedures]] | [[Policies_and_Procedures|UNMC Policies]]

==Welcome to HR Employee Forms==

For additional human resources related topics, please contact [https://www.unmc.edu/human-resources/about/index.html UNMC Human Resources].

<table style="background:#F8FCFF; text-align:center" width="100%" cellspacing="0" cellpadding="0" border="0">
<tr>
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Benefits_Forms|Benefits]]</td>
<td style="border-bottom:2px solid #A3B1BF" width="3"> </td>
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Records_Forms|Records]]</td>
<td style="border-bottom:2px solid #A3B1BF" width="3"> </td>
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Staffing_Forms|Staffing]]</td>
<td style="border-bottom:2px solid #A3B1BF" width="3"> </td>
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Compensation_Forms|Compensation]]</td>
<td style="border-bottom:2px solid #A3B1BF" width="3"> </td>
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Employee_Relations_Forms|Employee Relations]]</td>
<td style="border-bottom:2px solid #A3B1BF" width="3"> </td>
<td style="padding:0.5em; background-color:white; line-height:0.95em; border:solid 2px #A3B1BF; border-bottom:0; font-weight:bold;" width="20">[[HR_-_Other_Forms|Other]]</td>
</tr>
</table>

__TOC__

==Other Forms==
* [https://info.unmc.edu/policies/compliance/COI-SMART_Quick_Reference_Card.pdf Instructions for Accessing COI-Smart via RSS to Complete the on-line Annual Disclosure of Financial Interest Questionnaire and the on-line Outside Activity Form]
* [https://www.unmc.edu/academicaffairs/compliance/conflict-interest.html Conflict of Interest Resources]

Corrective/Disciplinary Action

2024-11-12T16:23:28Z

Afaylor: /* Additional Information */ updated HR URL

Patient Privacy Investigations and Levels of Violation

2024-11-12T16:20:42Z

Afaylor: /* Additional Information */ updated Contact HR URL

Student Policies

2024-07-15T14:56:14Z

Afaylor: removed Student Use Disorders https://catalog.unmc.edu/general-information/student-policies-procedures/substance-use-disorders/ per Andrew Faltin request

<table style="background:#F8FCFF; text-align:center" width="90%" cellspacing="0" cellpadding="0" border="0">
<tr>

<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF"
width="15%">[[Student Code of Conduct#conduct|Student Code of Conduct ]] </td>
<td style="border-bottom:2px solid #A3B1BF" width="3"> </td>

<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF"
width="20%">[[Student Policies#performance|Academic and Professional Performance ]] </td>
<td style="border-bottom:2px solid #A3B1BF" width="3"> </td>

<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF"
width="5%">[[Student Policies#compliance|Compliance ]] </td>
<td style="border-bottom:2px solid #A3B1BF" width="3"> </td>

<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF"
width="15%">[[Student Policies#finaid|Financial Aid/Tuition/Fees ]] </td>
<td style="border-bottom:2px solid #A3B1BF" width="3"> </td>

<td style="padding:0.5em; background-color:#e5e5e5; font-size:100%; line-height:0.95em; border:2px solid #A3B1BF; border-bottom:solid 2px #A3B1BF"
width="15%">[[Student Policies#registration|Registration/Records/Enrollment]]</td>
<td style="border-bottom:2px solid #A3B1BF" width="3"> </td>

<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF"
width="5%">[[Student Policies#safety|Safety/Security]] </td>
<td style="border-bottom:2px solid #A3B1BF" width="3"> </td>

<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF"
width="10%">[[Student Policies#resources|Student Resources]]</td>
<td style="border-bottom:2px solid #A3B1BF" width="3"> </td>

<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF"
width="15%">[[Student Policies#misc|College Specific Policies]]</td>
<td style="border-bottom:2px solid #A3B1BF" width="3"> </td>

</tr>
</table> 
{| style="color: gray; background-color: white" width="100%" class="wikitable"
{| class="wikitable"
!'''Policy Name'''
!'''Effective Date'''
!'''Revised Date'''
!'''Reviewed Date'''
|-
|<big id="conduct">'''Student Code of Conduct'''</big>
|
|
|
|-
|[http://catalog.unmc.edu/general-information/student-policies-procedures/code-of-conduct/ Student Code of Conduct]
|August 14, 2020
|
|
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/unmc-code-of-conduct/ UNMC Code of Conduct]
|March 13, 2009
|July 21, 2023
|July 21, 2023
|-
|<big id="performance">'''Academic and Professional Performance'''</big>
|
|
|
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/academic-professional-performance-policies/ Appeals of Academic Evaluations]
| November 19, 2022
| November 19, 2022
| November 19, 2022
|-
|[https://wiki.unmc.edu/index.php/Computer_Use/Electronic_Information Computer Use and Electronic Information Security Policy]
|April 25, 2007
|August 20, 2013
|September 19, 2017
|-
|[https://wiki.unmc.edu/index.php/Consensual_Relationships Consensual Relationships]
|
|
|
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/dress-code/ Dress Code Policy]
|October 17, 2003
|October 29, 2015
|December 10, 2013
|-
|[https://wiki.unmc.edu/index.php/Drug_Free_Campus Drug Free Campus]
|October 17, 2003
|February 5, 2018
|February 5, 2018
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/grievance-resolution/ Grievance Resolution Procedure]
|October 2016
| November 19, 2022
| November 19, 2022
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/health-care-vendor-interactions/ Health Care Vendor Interactions]
|August 31, 2015
|September 1, 2020
|March 10, 2023
|-
|[https://wiki.unmc.edu/index.php/Non-Discrimination_and_Harassment Non-Discrimination and Harassment Policy]
|September 22, 2009
|January 10, 2018
|January 10, 2018
|-
|[https://wiki.unmc.edu/index.php/Reproducing_Copyrighted_Materials Reproducing Copyrighted Materials]
|July 1, 1998
|October 9, 2008
|October 9, 2008
|-
|[https://wiki.unmc.edu/index.php/Sexual_Misconduct Sexual Misconduct Policy]
|December 16, 2014
|August 14, 2020
|August 14, 2020
|-
|[https://wiki.unmc.edu/index.php/Social_Media Social Media Guidelines]
|December 7, 2011
|January 3, 2022
|January 3, 2022
|-
|[https://www.unmc.edu/titleix/_documents/Student-Sexual-Misconduct-Procedures.pdf Student Sexual Misconduct Procedures]
|December 21, 2011
|August 14, 2020
|August 14, 2020
|-
|[https://wiki.unmc.edu/index.php?title=Tobacco-Free_Campus Tobacco Free Campus]
|August 24, 2009
|November 3, 2015
|December 10, 2013
|-
|[https://www.unmc.edu/human-resources/_documents/University-of-Nebraska-Drug-and-Alcohol-Prevention-Update.pdf University of Nebraska Drug and Alcohol Abuse Prevention Update]
|November 2011
|June 15, 2023
|June 15, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/whistleblower/ Whistleblower]
|April 11, 2019
|April 11, 2019
|November 19, 2021
|-
| <big id="compliance">'''Compliance'''</big>
|
|
|
|-
|[https://wiki.unmc.edu/index.php/Compliance_Program Compliance Program]
|November 1, 2006
|February 28, 2023
|February 28, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/compliance-hotline/ Compliance Hotline]
|August 10, 2006
|July 10, 2023
|July 10, 2023
|-
|[https://wiki.unmc.edu/index.php/Research_Integrity Research Integrity]
|February 11, 2005
|August 18, 2021
|July 11, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/export-control/ Export Control]
|December 18, 2012
|July 21, 2023
|July 21, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/strategic-communications/ Strategic Communications]
|October 17, 2003
|January 3, 2022
|January 3, 2022
|-
|<big id="finaid">'''Financial Aid/Tuition/Fees'''</big>
|
|
|
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/banning-inducements-securing-enrllmnts-srvce-mbrs/ Banning Inducements For Securing Enrollments Of Service Members]
|January 2014
|July 21, 2023
|July 21, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/delinquent-tuition-fee-policy/ Delinquent Tuition Fee]
|April 19, 1975
|October 9, 2023
|October 9, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/disclosing-foreign-support-international-activities/ Disclosing Foreign Support and International Activities]
|June 26, 2015
|July 24, 2023
|July 24, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/fws-policy/ Federal Work Study (FWS)]
|November 21, 2013
|October 15, 2021
|June 20, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/military-return-of-funds/ Military Return of Funds Tuition Assistance]
|February 24, 2022
|November 18, 2021
|June 20, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/insufficient-funds-policy/ Personal Check Insufficient Funds]
|July 24, 1982
|October 9, 2023
|October 9, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/facilities-and-grounds/ Regulations on the Use of University Facilities and Grounds]
|December 13, 2018
|
|November 11, 2021
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/satisfactory-academic-progress/ Satisfactory Academic Progress]
|July, 1, 2011
|December 5, 2023
|December 5, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/student-fee-approval-process/ Student Fee Approval Process]
|January 5, 2017
|October 17, 2019
|October 17, 2019

|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/tuition-refund-schedule-policy/ Tuition Refund Schedule]
|April 19, 1975
|
|November 19, 2022
|-
| <big id="registration">'''Registration/Records/Enrollment'''</big>
|
|
|
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/outside-transcripts/ Acceptance of Outside Transcripts]
|February 24, 2022
|December 20, 2021
|June 20, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/administrative-withdrawal/ Administrative Withdrawal]
|January 1, 2013
|December 20, 2021
|March 20, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/commencement-policy/ Commencement]
|December 5, 1995
|December 20, 2021
|August 17, 2023
|-
|[https://wiki.unmc.edu/index.php/Credit_Hour_Definition Credit Hour Policy]
|November 28, 2016
|August 8, 2017
|July 21, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/documentation_of_student_ssn/ Documentation of Student SSN]
|
| December 20, 2021
|April 24, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/drop-add-policy/ Drop Add]
|July 11, 2013
|January 14, 2014
|January 19, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/ferpa-policy/ FERPA]
|June 15, 2006
|
| March 29, 2019
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/holds-and-registration-blocks/ Holds and Registration Blocks]
|April 24, 2014
|July 8, 2014
|October 24, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/leaveofabsence-policy/ Leave of Absence]
|December 5, 1995
|January 17, 2022
|March 20, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/non-enrolled-student-policy/ Non-Enrolled Students]
|November 21, 2013
|October 14, 2021
|March 20, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/transcript-policy/ Official UNMC Transcript Policy]
|February 24, 2022
|December 20, 2021
|April 24, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/residency-policy/ Residency]
|
|January 17, 2022
|June 20, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/retention-materials-academic-evaluation/ Retention of Materials Used in Academic Evaluation]
|August 23, 2013
|
| August 17, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/retroactive-student-withdrawal/ Retroactive Student Withdrawal]
|October 24, 2023
|
|October 24, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/students_called_into_military/ Students Called into Military Services]
|October, 2001
|January 17, 2022
|March 20, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/vetbenefitsandtransitionact/ Veteran Benefits and Transition Act]
|November 2021
|
|
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/withdrawal/ Withdrawal]
|March 20, 2023
|
| March 20, 2023
|-
|<big id="safety">'''Safety/Security'''</big>
|
|
|
|-
|[https://wiki.unmc.edu/index.php/AIDS,_HIV,_and_Other_Bloodborne_Pathogens AIDS, HIV, and Other Bloodborne Pathogens]
| October 17, 2003
|November 3, 2015
|December 10, 2013
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/background-check-policy/ Background Check (Students)]
|May 2006
|October 2013
|February 19, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/blood-and-body-fluid-exposure/#bloodbournepathogenstext Blood and Body Fluid Exposure Procedure]
| April 16, 2014
|March 2016
|January 2016
|-
|[https://wiki.unmc.edu/index.php/Bloodborne_Pathogens_Exposure Bloodborne Pathogens Exposure]
|March 17, 2003
|February 18, 2014
|July 20, 2021
|-
|[https://wiki.unmc.edu/index.php/Children_in_the_Workplace Children in the Workplace]
| October 6, 2009
|January 4, 2013
|January 4, 2013
|-
|[https://wiki.unmc.edu/index.php/Deadly_Weapon Deadly Weapon]
|July 20, 1990
|December 9, 2020
|December 9, 2020
|-
|[https://wiki.unmc.edu/index.php/Drug_Free_Campus Drug Free Campus]
|October 17, 2003
|February 5, 2018
|February 5, 2018
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/electric-scooter/ Electric Scooter]
|May 7, 2019
|
|
|-
|[https://wiki.unmc.edu/index.php/Enterprise_Threat_Assessment_Response_Team Enterprise Threat Assessment Response Team]
|December 16, 2011
|September 9, 2013
|September 9, 2013
|-
|[https://wiki.unmc.edu/index.php/Facility_Security Facility Security]
|March 17, 2003
|July 14, 2017
|July 14, 2017
|-
|[https://wiki.unmc.edu/index.php/Food,_Drinks_and_Cosmetic_Use_in_Laboratory_Areas Food, Drinks, and Cosmetic Use in Laboratory Areas]
|November 10, 2010
|December 2, 2021
|December 2, 2021
|-
|[https://wiki.unmc.edu/index.php/Identification_Card Identification Card]
|March 17, 2003
|November 29, 2016
|November 12, 2020
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/immunization-policy/ Immunization]
|September 2013
|October 1, 2023
|October 1, 2023
|-
|[https://wiki.unmc.edu/index.php/Influenza Influenza]
| August 25, 2010
|September 18, 2017
|September 18, 2017
|-
|[https://wiki.unmc.edu/index.php/Pets_in_the_Workplace Pets in the Workplace]
| October 6, 2009
|August 4, 2015
|August 4, 2015
|-
|[https://wiki.unmc.edu/index.php/Regulations_on_the_Use_of_University_Facilities_and_Grounds Regulations on the Use of University Facilities and Grounds]
|December 13, 2018
|
|
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/unmanned-aircraft/ Unmanned Aircraft]
|October 2, 2017
|
|
|-
|[https://wiki.unmc.edu/index.php/Safety Safety]
|July 23, 1999
|April 20, 2020
|April 20, 2020
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/small-appliance/ Small Appliance and Cooking Devices]
|December 16, 2014
|December 2, 2021
|December 2, 2021
|-
|[https://wiki.unmc.edu/index.php/Space_Scheduling_and_Fundraising Space Scheduling and Fundraising]
|November 19, 2007
|February 27, 2017
|February 27, 2017
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/students-infected-with-bbp-policy/ Students Infected with Bloodborne Pathogens]
|
|January 14, 2014
|
|-
|[https://wiki.unmc.edu/index.php/Tuberculosis_Exposure Tuberculosis Exposure]
|May 11, 2010
|December 2, 2021
|December 2, 2021
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/youth-safety/ Youth Safety]
|January 3, 2013
|
|January 3, 2013
|-
|<big id="resources">'''Student Employees'''</big>
|
|
|
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/alternative-worksite/ UNMC Employee Alternative Worksite]
|
|
|
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/employment-background-checks/ UNMC Employment Background Check]
|August 1, 2008
|October 11, 2021
|October 11, 2021
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/employment-corrective-disciplinary-action/ UNMC Employee Corrective/Disciplinary Action]
|March 18, 2008
|November 6, 2017
|November 1, 2017
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/employee-grievance-process/ UNMC Employee Grievance Process]
|November 22, 2006
|October 1, 2018
|October 1, 2018
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/employee-political-activities/ UNMC Employee Political Activities]
|October 17, 2003
|November 3, 2015
|December 10, 2013
|-
|<big id="resources">'''Student Resources'''</big>
|
|
|
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/student-accommodation-policy/ Accommodations Policy (ADA Policy)]
|November 6, 2015
|
|
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/maternity-paternity-leave/ Maternity / Paternity Leave]
|November 2012
|July 2013
|July 2013
|-
|[https://www.unl.edu/equity/policy-chosen-name-and-gender-identity Policy on Chosen Name and Gender Identity]
|September 15, 2020
|
|
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/policy-review-approval/ Process for the Review and Approval of Student Policies]
|July 26, 2022
|
| July 26, 2022
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/voter-registration-policy/ Voter Registration]
|1993
|October 15, 2021
|June 20, 2023
|-
|<big id="misc">'''College Specific Policies/Procedures'''</big>
|
|
|
|-
|[https://www.unmc.edu/cahphandbook/index.php/Main_Page College of Allied Health Professions] [https://www.unmc.edu/cahphandbook/index.php/Program-Specific_Handbooks College of Allied Health Professions Program-Specific]
|
|
|
|-
|[https://www.unmc.edu/com/education/com-student-policies/com-procedures/compliance.html College of Medicine Policies]
|
|
|
|-
|[https://wiki.unmc.edu/index.php?title=College_of_Nursing_Student_Policy_Index College of Nursing Policies]
|
|
|
|-
|[http://catalog.unmc.edu/pharmacy/ College of Pharmacy Policies]
|
|
|
|-
|[https://www.unmc.edu/publichealth/currentstudents/College%20of%20Public%20Health%2016-17-v2.pdf College of Public Health Policies and Procedures]
|
|
|
|-
|[http://catalog.unmc.edu/graduate-studies/student-grievance-resolution-procedure/ Graduate Student Grievance Resolution Procedure]
| January 6, 2015
|June 14, 2019
|
|-
|[https://catalog.unmc.edu/graduate-studies/guidelines-assistant-work-study/ Guidelines for Graduate Assistant Work and Study]
| From Graduate Student Handbook
|
|
|}

Student Policies

2024-07-15T14:50:06Z

Afaylor: removed Academic Course Load https://catalog.unmc.edu/general-information/student-policies-procedures/academic-course-load/ from Academic and Professional Performance per Andrew Faltin request

<table style="background:#F8FCFF; text-align:center" width="90%" cellspacing="0" cellpadding="0" border="0">
<tr>

<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF"
width="15%">[[Student Code of Conduct#conduct|Student Code of Conduct ]] </td>
<td style="border-bottom:2px solid #A3B1BF" width="3"> </td>

<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF"
width="20%">[[Student Policies#performance|Academic and Professional Performance ]] </td>
<td style="border-bottom:2px solid #A3B1BF" width="3"> </td>

<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF"
width="5%">[[Student Policies#compliance|Compliance ]] </td>
<td style="border-bottom:2px solid #A3B1BF" width="3"> </td>

<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF"
width="15%">[[Student Policies#finaid|Financial Aid/Tuition/Fees ]] </td>
<td style="border-bottom:2px solid #A3B1BF" width="3"> </td>

<td style="padding:0.5em; background-color:#e5e5e5; font-size:100%; line-height:0.95em; border:2px solid #A3B1BF; border-bottom:solid 2px #A3B1BF"
width="15%">[[Student Policies#registration|Registration/Records/Enrollment]]</td>
<td style="border-bottom:2px solid #A3B1BF" width="3"> </td>

<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF"
width="5%">[[Student Policies#safety|Safety/Security]] </td>
<td style="border-bottom:2px solid #A3B1BF" width="3"> </td>

<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF"
width="10%">[[Student Policies#resources|Student Resources]]</td>
<td style="border-bottom:2px solid #A3B1BF" width="3"> </td>

<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF"
width="15%">[[Student Policies#misc|College Specific Policies]]</td>
<td style="border-bottom:2px solid #A3B1BF" width="3"> </td>

</tr>
</table> 
{| style="color: gray; background-color: white" width="100%" class="wikitable"
{| class="wikitable"
!'''Policy Name'''
!'''Effective Date'''
!'''Revised Date'''
!'''Reviewed Date'''
|-
|<big id="conduct">'''Student Code of Conduct'''</big>
|
|
|
|-
|[http://catalog.unmc.edu/general-information/student-policies-procedures/code-of-conduct/ Student Code of Conduct]
|August 14, 2020
|
|
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/unmc-code-of-conduct/ UNMC Code of Conduct]
|March 13, 2009
|July 21, 2023
|July 21, 2023
|-
|<big id="performance">'''Academic and Professional Performance'''</big>
|
|
|
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/academic-professional-performance-policies/ Appeals of Academic Evaluations]
| November 19, 2022
| November 19, 2022
| November 19, 2022
|-
|[https://wiki.unmc.edu/index.php/Computer_Use/Electronic_Information Computer Use and Electronic Information Security Policy]
|April 25, 2007
|August 20, 2013
|September 19, 2017
|-
|[https://wiki.unmc.edu/index.php/Consensual_Relationships Consensual Relationships]
|
|
|
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/dress-code/ Dress Code Policy]
|October 17, 2003
|October 29, 2015
|December 10, 2013
|-
|[https://wiki.unmc.edu/index.php/Drug_Free_Campus Drug Free Campus]
|October 17, 2003
|February 5, 2018
|February 5, 2018
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/grievance-resolution/ Grievance Resolution Procedure]
|October 2016
| November 19, 2022
| November 19, 2022
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/health-care-vendor-interactions/ Health Care Vendor Interactions]
|August 31, 2015
|September 1, 2020
|March 10, 2023
|-
|[https://wiki.unmc.edu/index.php/Non-Discrimination_and_Harassment Non-Discrimination and Harassment Policy]
|September 22, 2009
|January 10, 2018
|January 10, 2018
|-
|[https://wiki.unmc.edu/index.php/Reproducing_Copyrighted_Materials Reproducing Copyrighted Materials]
|July 1, 1998
|October 9, 2008
|October 9, 2008
|-
|[https://wiki.unmc.edu/index.php/Sexual_Misconduct Sexual Misconduct Policy]
|December 16, 2014
|August 14, 2020
|August 14, 2020
|-
|[https://wiki.unmc.edu/index.php/Social_Media Social Media Guidelines]
|December 7, 2011
|January 3, 2022
|January 3, 2022
|-
|[https://www.unmc.edu/titleix/_documents/Student-Sexual-Misconduct-Procedures.pdf Student Sexual Misconduct Procedures]
|December 21, 2011
|August 14, 2020
|August 14, 2020
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/substance-use-disorders/ Substance Use Disorders]
|March 2016
|
|January 2016
|-
|[https://wiki.unmc.edu/index.php?title=Tobacco-Free_Campus Tobacco Free Campus]
|August 24, 2009
|November 3, 2015
|December 10, 2013
|-
|[https://www.unmc.edu/human-resources/_documents/University-of-Nebraska-Drug-and-Alcohol-Prevention-Update.pdf University of Nebraska Drug and Alcohol Abuse Prevention Update]
|November 2011
|June 15, 2023
|June 15, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/whistleblower/ Whistleblower]
|April 11, 2019
|April 11, 2019
|November 19, 2021
|-
| <big id="compliance">'''Compliance'''</big>
|
|
|
|-
|[https://wiki.unmc.edu/index.php/Compliance_Program Compliance Program]
|November 1, 2006
|February 28, 2023
|February 28, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/compliance-hotline/ Compliance Hotline]
|August 10, 2006
|July 10, 2023
|July 10, 2023
|-
|[https://wiki.unmc.edu/index.php/Research_Integrity Research Integrity]
|February 11, 2005
|August 18, 2021
|July 11, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/export-control/ Export Control]
|December 18, 2012
|July 21, 2023
|July 21, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/strategic-communications/ Strategic Communications]
|October 17, 2003
|January 3, 2022
|January 3, 2022
|-
|<big id="finaid">'''Financial Aid/Tuition/Fees'''</big>
|
|
|
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/banning-inducements-securing-enrllmnts-srvce-mbrs/ Banning Inducements For Securing Enrollments Of Service Members]
|January 2014
|July 21, 2023
|July 21, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/delinquent-tuition-fee-policy/ Delinquent Tuition Fee]
|April 19, 1975
|October 9, 2023
|October 9, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/disclosing-foreign-support-international-activities/ Disclosing Foreign Support and International Activities]
|June 26, 2015
|July 24, 2023
|July 24, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/fws-policy/ Federal Work Study (FWS)]
|November 21, 2013
|October 15, 2021
|June 20, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/military-return-of-funds/ Military Return of Funds Tuition Assistance]
|February 24, 2022
|November 18, 2021
|June 20, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/insufficient-funds-policy/ Personal Check Insufficient Funds]
|July 24, 1982
|October 9, 2023
|October 9, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/facilities-and-grounds/ Regulations on the Use of University Facilities and Grounds]
|December 13, 2018
|
|November 11, 2021
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/satisfactory-academic-progress/ Satisfactory Academic Progress]
|July, 1, 2011
|December 5, 2023
|December 5, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/student-fee-approval-process/ Student Fee Approval Process]
|January 5, 2017
|October 17, 2019
|October 17, 2019

|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/tuition-refund-schedule-policy/ Tuition Refund Schedule]
|April 19, 1975
|
|November 19, 2022
|-
| <big id="registration">'''Registration/Records/Enrollment'''</big>
|
|
|
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/outside-transcripts/ Acceptance of Outside Transcripts]
|February 24, 2022
|December 20, 2021
|June 20, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/administrative-withdrawal/ Administrative Withdrawal]
|January 1, 2013
|December 20, 2021
|March 20, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/commencement-policy/ Commencement]
|December 5, 1995
|December 20, 2021
|August 17, 2023
|-
|[https://wiki.unmc.edu/index.php/Credit_Hour_Definition Credit Hour Policy]
|November 28, 2016
|August 8, 2017
|July 21, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/documentation_of_student_ssn/ Documentation of Student SSN]
|
| December 20, 2021
|April 24, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/drop-add-policy/ Drop Add]
|July 11, 2013
|January 14, 2014
|January 19, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/ferpa-policy/ FERPA]
|June 15, 2006
|
| March 29, 2019
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/holds-and-registration-blocks/ Holds and Registration Blocks]
|April 24, 2014
|July 8, 2014
|October 24, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/leaveofabsence-policy/ Leave of Absence]
|December 5, 1995
|January 17, 2022
|March 20, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/non-enrolled-student-policy/ Non-Enrolled Students]
|November 21, 2013
|October 14, 2021
|March 20, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/transcript-policy/ Official UNMC Transcript Policy]
|February 24, 2022
|December 20, 2021
|April 24, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/residency-policy/ Residency]
|
|January 17, 2022
|June 20, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/retention-materials-academic-evaluation/ Retention of Materials Used in Academic Evaluation]
|August 23, 2013
|
| August 17, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/retroactive-student-withdrawal/ Retroactive Student Withdrawal]
|October 24, 2023
|
|October 24, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/students_called_into_military/ Students Called into Military Services]
|October, 2001
|January 17, 2022
|March 20, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/vetbenefitsandtransitionact/ Veteran Benefits and Transition Act]
|November 2021
|
|
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/withdrawal/ Withdrawal]
|March 20, 2023
|
| March 20, 2023
|-
|<big id="safety">'''Safety/Security'''</big>
|
|
|
|-
|[https://wiki.unmc.edu/index.php/AIDS,_HIV,_and_Other_Bloodborne_Pathogens AIDS, HIV, and Other Bloodborne Pathogens]
| October 17, 2003
|November 3, 2015
|December 10, 2013
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/background-check-policy/ Background Check (Students)]
|May 2006
|October 2013
|February 19, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/blood-and-body-fluid-exposure/#bloodbournepathogenstext Blood and Body Fluid Exposure Procedure]
| April 16, 2014
|March 2016
|January 2016
|-
|[https://wiki.unmc.edu/index.php/Bloodborne_Pathogens_Exposure Bloodborne Pathogens Exposure]
|March 17, 2003
|February 18, 2014
|July 20, 2021
|-
|[https://wiki.unmc.edu/index.php/Children_in_the_Workplace Children in the Workplace]
| October 6, 2009
|January 4, 2013
|January 4, 2013
|-
|[https://wiki.unmc.edu/index.php/Deadly_Weapon Deadly Weapon]
|July 20, 1990
|December 9, 2020
|December 9, 2020
|-
|[https://wiki.unmc.edu/index.php/Drug_Free_Campus Drug Free Campus]
|October 17, 2003
|February 5, 2018
|February 5, 2018
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/electric-scooter/ Electric Scooter]
|May 7, 2019
|
|
|-
|[https://wiki.unmc.edu/index.php/Enterprise_Threat_Assessment_Response_Team Enterprise Threat Assessment Response Team]
|December 16, 2011
|September 9, 2013
|September 9, 2013
|-
|[https://wiki.unmc.edu/index.php/Facility_Security Facility Security]
|March 17, 2003
|July 14, 2017
|July 14, 2017
|-
|[https://wiki.unmc.edu/index.php/Food,_Drinks_and_Cosmetic_Use_in_Laboratory_Areas Food, Drinks, and Cosmetic Use in Laboratory Areas]
|November 10, 2010
|December 2, 2021
|December 2, 2021
|-
|[https://wiki.unmc.edu/index.php/Identification_Card Identification Card]
|March 17, 2003
|November 29, 2016
|November 12, 2020
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/immunization-policy/ Immunization]
|September 2013
|October 1, 2023
|October 1, 2023
|-
|[https://wiki.unmc.edu/index.php/Influenza Influenza]
| August 25, 2010
|September 18, 2017
|September 18, 2017
|-
|[https://wiki.unmc.edu/index.php/Pets_in_the_Workplace Pets in the Workplace]
| October 6, 2009
|August 4, 2015
|August 4, 2015
|-
|[https://wiki.unmc.edu/index.php/Regulations_on_the_Use_of_University_Facilities_and_Grounds Regulations on the Use of University Facilities and Grounds]
|December 13, 2018
|
|
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/unmanned-aircraft/ Unmanned Aircraft]
|October 2, 2017
|
|
|-
|[https://wiki.unmc.edu/index.php/Safety Safety]
|July 23, 1999
|April 20, 2020
|April 20, 2020
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/small-appliance/ Small Appliance and Cooking Devices]
|December 16, 2014
|December 2, 2021
|December 2, 2021
|-
|[https://wiki.unmc.edu/index.php/Space_Scheduling_and_Fundraising Space Scheduling and Fundraising]
|November 19, 2007
|February 27, 2017
|February 27, 2017
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/students-infected-with-bbp-policy/ Students Infected with Bloodborne Pathogens]
|
|January 14, 2014
|
|-
|[https://wiki.unmc.edu/index.php/Tuberculosis_Exposure Tuberculosis Exposure]
|May 11, 2010
|December 2, 2021
|December 2, 2021
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/youth-safety/ Youth Safety]
|January 3, 2013
|
|January 3, 2013
|-
|<big id="resources">'''Student Employees'''</big>
|
|
|
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/alternative-worksite/ UNMC Employee Alternative Worksite]
|
|
|
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/employment-background-checks/ UNMC Employment Background Check]
|August 1, 2008
|October 11, 2021
|October 11, 2021
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/employment-corrective-disciplinary-action/ UNMC Employee Corrective/Disciplinary Action]
|March 18, 2008
|November 6, 2017
|November 1, 2017
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/employee-grievance-process/ UNMC Employee Grievance Process]
|November 22, 2006
|October 1, 2018
|October 1, 2018
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/employee-political-activities/ UNMC Employee Political Activities]
|October 17, 2003
|November 3, 2015
|December 10, 2013
|-
|<big id="resources">'''Student Resources'''</big>
|
|
|
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/student-accommodation-policy/ Accommodations Policy (ADA Policy)]
|November 6, 2015
|
|
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/maternity-paternity-leave/ Maternity / Paternity Leave]
|November 2012
|July 2013
|July 2013
|-
|[https://www.unl.edu/equity/policy-chosen-name-and-gender-identity Policy on Chosen Name and Gender Identity]
|September 15, 2020
|
|
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/policy-review-approval/ Process for the Review and Approval of Student Policies]
|July 26, 2022
|
| July 26, 2022
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/voter-registration-policy/ Voter Registration]
|1993
|October 15, 2021
|June 20, 2023
|-
|<big id="misc">'''College Specific Policies/Procedures'''</big>
|
|
|
|-
|[https://www.unmc.edu/cahphandbook/index.php/Main_Page College of Allied Health Professions] [https://www.unmc.edu/cahphandbook/index.php/Program-Specific_Handbooks College of Allied Health Professions Program-Specific]
|
|
|
|-
|[https://www.unmc.edu/com/education/com-student-policies/com-procedures/compliance.html College of Medicine Policies]
|
|
|
|-
|[https://wiki.unmc.edu/index.php?title=College_of_Nursing_Student_Policy_Index College of Nursing Policies]
|
|
|
|-
|[http://catalog.unmc.edu/pharmacy/ College of Pharmacy Policies]
|
|
|
|-
|[https://www.unmc.edu/publichealth/currentstudents/College%20of%20Public%20Health%2016-17-v2.pdf College of Public Health Policies and Procedures]
|
|
|
|-
|[http://catalog.unmc.edu/graduate-studies/student-grievance-resolution-procedure/ Graduate Student Grievance Resolution Procedure]
| January 6, 2015
|June 14, 2019
|
|-
|[https://catalog.unmc.edu/graduate-studies/guidelines-assistant-work-study/ Guidelines for Graduate Assistant Work and Study]
| From Graduate Student Handbook
|
|
|}

Student Policies

2024-06-28T15:41:28Z

Afaylor: Deleted Social Security & Medicare Tax Exemption row linked to https://catalog.unmc.edu/general-information/student-policies-procedures/ss-medicare-tax-exemption/ per Andrew Faltin

<table style="background:#F8FCFF; text-align:center" width="90%" cellspacing="0" cellpadding="0" border="0">
<tr>

<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF"
width="15%">[[Student Code of Conduct#conduct|Student Code of Conduct ]] </td>
<td style="border-bottom:2px solid #A3B1BF" width="3"> </td>

<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF"
width="20%">[[Student Policies#performance|Academic and Professional Performance ]] </td>
<td style="border-bottom:2px solid #A3B1BF" width="3"> </td>

<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF"
width="5%">[[Student Policies#compliance|Compliance ]] </td>
<td style="border-bottom:2px solid #A3B1BF" width="3"> </td>

<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF"
width="15%">[[Student Policies#finaid|Financial Aid/Tuition/Fees ]] </td>
<td style="border-bottom:2px solid #A3B1BF" width="3"> </td>

<td style="padding:0.5em; background-color:#e5e5e5; font-size:100%; line-height:0.95em; border:2px solid #A3B1BF; border-bottom:solid 2px #A3B1BF"
width="15%">[[Student Policies#registration|Registration/Records/Enrollment]]</td>
<td style="border-bottom:2px solid #A3B1BF" width="3"> </td>

<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF"
width="5%">[[Student Policies#safety|Safety/Security]] </td>
<td style="border-bottom:2px solid #A3B1BF" width="3"> </td>

<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF"
width="10%">[[Student Policies#resources|Student Resources]]</td>
<td style="border-bottom:2px solid #A3B1BF" width="3"> </td>

<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF"
width="15%">[[Student Policies#misc|College Specific Policies]]</td>
<td style="border-bottom:2px solid #A3B1BF" width="3"> </td>

</tr>
</table> 
{| style="color: gray; background-color: white" width="100%" class="wikitable"
{| class="wikitable"
!'''Policy Name'''
!'''Effective Date'''
!'''Revised Date'''
!'''Reviewed Date'''
|-
|<big id="conduct">'''Student Code of Conduct'''</big>
|
|
|
|-
|[http://catalog.unmc.edu/general-information/student-policies-procedures/code-of-conduct/ Student Code of Conduct]
|August 14, 2020
|
|
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/unmc-code-of-conduct/ UNMC Code of Conduct]
|March 13, 2009
|July 21, 2023
|July 21, 2023
|-
|<big id="performance">'''Academic and Professional Performance'''</big>
|
|
|
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/academic-course-load/ Academic Course Load]
|
|
|
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/academic-professional-performance-policies/ Appeals of Academic Evaluations]
| November 19, 2022
| November 19, 2022
| November 19, 2022
|-
|[https://wiki.unmc.edu/index.php/Computer_Use/Electronic_Information Computer Use and Electronic Information Security Policy]
|April 25, 2007
|August 20, 2013
|September 19, 2017
|-
|[https://wiki.unmc.edu/index.php/Consensual_Relationships Consensual Relationships]
|
|
|
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/dress-code/ Dress Code Policy]
|October 17, 2003
|October 29, 2015
|December 10, 2013
|-
|[https://wiki.unmc.edu/index.php/Drug_Free_Campus Drug Free Campus]
|October 17, 2003
|February 5, 2018
|February 5, 2018
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/grievance-resolution/ Grievance Resolution Procedure]
|October 2016
| November 19, 2022
| November 19, 2022
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/health-care-vendor-interactions/ Health Care Vendor Interactions]
|August 31, 2015
|September 1, 2020
|March 10, 2023
|-
|[https://wiki.unmc.edu/index.php/Non-Discrimination_and_Harassment Non-Discrimination and Harassment Policy]
|September 22, 2009
|January 10, 2018
|January 10, 2018
|-
|[https://wiki.unmc.edu/index.php/Reproducing_Copyrighted_Materials Reproducing Copyrighted Materials]
|July 1, 1998
|October 9, 2008
|October 9, 2008
|-
|[https://wiki.unmc.edu/index.php/Sexual_Misconduct Sexual Misconduct Policy]
|December 16, 2014
|August 14, 2020
|August 14, 2020
|-
|[https://wiki.unmc.edu/index.php/Social_Media Social Media Guidelines]
|December 7, 2011
|January 3, 2022
|January 3, 2022
|-
|[https://www.unmc.edu/titleix/_documents/Student-Sexual-Misconduct-Procedures.pdf Student Sexual Misconduct Procedures]
|December 21, 2011
|August 14, 2020
|August 14, 2020
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/substance-use-disorders/ Substance Use Disorders]
|March 2016
|
|January 2016
|-
|[https://wiki.unmc.edu/index.php?title=Tobacco-Free_Campus Tobacco Free Campus]
|August 24, 2009
|November 3, 2015
|December 10, 2013
|-
|[https://www.unmc.edu/human-resources/_documents/University-of-Nebraska-Drug-and-Alcohol-Prevention-Update.pdf University of Nebraska Drug and Alcohol Abuse Prevention Update]
|November 2011
|June 15, 2023
|June 15, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/whistleblower/ Whistleblower]
|April 11, 2019
|April 11, 2019
|November 19, 2021
|-
| <big id="compliance">'''Compliance'''</big>
|
|
|
|-
|[https://wiki.unmc.edu/index.php/Compliance_Program Compliance Program]
|November 1, 2006
|February 28, 2023
|February 28, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/compliance-hotline/ Compliance Hotline]
|August 10, 2006
|July 10, 2023
|July 10, 2023
|-
|[https://wiki.unmc.edu/index.php/Research_Integrity Research Integrity]
|February 11, 2005
|August 18, 2021
|July 11, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/export-control/ Export Control]
|December 18, 2012
|July 21, 2023
|July 21, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/strategic-communications/ Strategic Communications]
|October 17, 2003
|January 3, 2022
|January 3, 2022
|-
|<big id="finaid">'''Financial Aid/Tuition/Fees'''</big>
|
|
|
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/banning-inducements-securing-enrllmnts-srvce-mbrs/ Banning Inducements For Securing Enrollments Of Service Members]
|January 2014
|July 21, 2023
|July 21, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/delinquent-tuition-fee-policy/ Delinquent Tuition Fee]
|April 19, 1975
|October 9, 2023
|October 9, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/disclosing-foreign-support-international-activities/ Disclosing Foreign Support and International Activities]
|June 26, 2015
|July 24, 2023
|July 24, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/fws-policy/ Federal Work Study (FWS)]
|November 21, 2013
|October 15, 2021
|June 20, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/military-return-of-funds/ Military Return of Funds Tuition Assistance]
|February 24, 2022
|November 18, 2021
|June 20, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/insufficient-funds-policy/ Personal Check Insufficient Funds]
|July 24, 1982
|October 9, 2023
|October 9, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/facilities-and-grounds/ Regulations on the Use of University Facilities and Grounds]
|December 13, 2018
|
|November 11, 2021
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/satisfactory-academic-progress/ Satisfactory Academic Progress]
|July, 1, 2011
|December 5, 2023
|December 5, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/student-fee-approval-process/ Student Fee Approval Process]
|January 5, 2017
|October 17, 2019
|October 17, 2019

|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/tuition-refund-schedule-policy/ Tuition Refund Schedule]
|April 19, 1975
|
|November 19, 2022
|-
| <big id="registration">'''Registration/Records/Enrollment'''</big>
|
|
|
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/outside-transcripts/ Acceptance of Outside Transcripts]
|February 24, 2022
|December 20, 2021
|June 20, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/administrative-withdrawal/ Administrative Withdrawal]
|January 1, 2013
|December 20, 2021
|March 20, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/commencement-policy/ Commencement]
|December 5, 1995
|December 20, 2021
|August 17, 2023
|-
|[https://wiki.unmc.edu/index.php/Credit_Hour_Definition Credit Hour Policy]
|November 28, 2016
|August 8, 2017
|July 21, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/documentation_of_student_ssn/ Documentation of Student SSN]
|
| December 20, 2021
|April 24, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/drop-add-policy/ Drop Add]
|July 11, 2013
|January 14, 2014
|January 19, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/ferpa-policy/ FERPA]
|June 15, 2006
|
| March 29, 2019
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/holds-and-registration-blocks/ Holds and Registration Blocks]
|April 24, 2014
|July 8, 2014
|October 24, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/leaveofabsence-policy/ Leave of Absence]
|December 5, 1995
|January 17, 2022
|March 20, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/non-enrolled-student-policy/ Non-Enrolled Students]
|November 21, 2013
|October 14, 2021
|March 20, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/transcript-policy/ Official UNMC Transcript Policy]
|February 24, 2022
|December 20, 2021
|April 24, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/residency-policy/ Residency]
|
|January 17, 2022
|June 20, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/retention-materials-academic-evaluation/ Retention of Materials Used in Academic Evaluation]
|August 23, 2013
|
| August 17, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/retroactive-student-withdrawal/ Retroactive Student Withdrawal]
|October 24, 2023
|
|October 24, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/students_called_into_military/ Students Called into Military Services]
|October, 2001
|January 17, 2022
|March 20, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/vetbenefitsandtransitionact/ Veteran Benefits and Transition Act]
|November 2021
|
|
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/withdrawal/ Withdrawal]
|March 20, 2023
|
| March 20, 2023
|-
|<big id="safety">'''Safety/Security'''</big>
|
|
|
|-
|[https://wiki.unmc.edu/index.php/AIDS,_HIV,_and_Other_Bloodborne_Pathogens AIDS, HIV, and Other Bloodborne Pathogens]
| October 17, 2003
|November 3, 2015
|December 10, 2013
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/background-check-policy/ Background Check (Students)]
|May 2006
|October 2013
|February 19, 2023
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/blood-and-body-fluid-exposure/#bloodbournepathogenstext Blood and Body Fluid Exposure Procedure]
| April 16, 2014
|March 2016
|January 2016
|-
|[https://wiki.unmc.edu/index.php/Bloodborne_Pathogens_Exposure Bloodborne Pathogens Exposure]
|March 17, 2003
|February 18, 2014
|July 20, 2021
|-
|[https://wiki.unmc.edu/index.php/Children_in_the_Workplace Children in the Workplace]
| October 6, 2009
|January 4, 2013
|January 4, 2013
|-
|[https://wiki.unmc.edu/index.php/Deadly_Weapon Deadly Weapon]
|July 20, 1990
|December 9, 2020
|December 9, 2020
|-
|[https://wiki.unmc.edu/index.php/Drug_Free_Campus Drug Free Campus]
|October 17, 2003
|February 5, 2018
|February 5, 2018
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/electric-scooter/ Electric Scooter]
|May 7, 2019
|
|
|-
|[https://wiki.unmc.edu/index.php/Enterprise_Threat_Assessment_Response_Team Enterprise Threat Assessment Response Team]
|December 16, 2011
|September 9, 2013
|September 9, 2013
|-
|[https://wiki.unmc.edu/index.php/Facility_Security Facility Security]
|March 17, 2003
|July 14, 2017
|July 14, 2017
|-
|[https://wiki.unmc.edu/index.php/Food,_Drinks_and_Cosmetic_Use_in_Laboratory_Areas Food, Drinks, and Cosmetic Use in Laboratory Areas]
|November 10, 2010
|December 2, 2021
|December 2, 2021
|-
|[https://wiki.unmc.edu/index.php/Identification_Card Identification Card]
|March 17, 2003
|November 29, 2016
|November 12, 2020
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/immunization-policy/ Immunization]
|September 2013
|October 1, 2023
|October 1, 2023
|-
|[https://wiki.unmc.edu/index.php/Influenza Influenza]
| August 25, 2010
|September 18, 2017
|September 18, 2017
|-
|[https://wiki.unmc.edu/index.php/Pets_in_the_Workplace Pets in the Workplace]
| October 6, 2009
|August 4, 2015
|August 4, 2015
|-
|[https://wiki.unmc.edu/index.php/Regulations_on_the_Use_of_University_Facilities_and_Grounds Regulations on the Use of University Facilities and Grounds]
|December 13, 2018
|
|
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/unmanned-aircraft/ Unmanned Aircraft]
|October 2, 2017
|
|
|-
|[https://wiki.unmc.edu/index.php/Safety Safety]
|July 23, 1999
|April 20, 2020
|April 20, 2020
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/small-appliance/ Small Appliance and Cooking Devices]
|December 16, 2014
|December 2, 2021
|December 2, 2021
|-
|[https://wiki.unmc.edu/index.php/Space_Scheduling_and_Fundraising Space Scheduling and Fundraising]
|November 19, 2007
|February 27, 2017
|February 27, 2017
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/students-infected-with-bbp-policy/ Students Infected with Bloodborne Pathogens]
|
|January 14, 2014
|
|-
|[https://wiki.unmc.edu/index.php/Tuberculosis_Exposure Tuberculosis Exposure]
|May 11, 2010
|December 2, 2021
|December 2, 2021
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/youth-safety/ Youth Safety]
|January 3, 2013
|
|January 3, 2013
|-
|<big id="resources">'''Student Employees'''</big>
|
|
|
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/alternative-worksite/ UNMC Employee Alternative Worksite]
|
|
|
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/employment-background-checks/ UNMC Employment Background Check]
|August 1, 2008
|October 11, 2021
|October 11, 2021
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/employment-corrective-disciplinary-action/ UNMC Employee Corrective/Disciplinary Action]
|March 18, 2008
|November 6, 2017
|November 1, 2017
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/employee-grievance-process/ UNMC Employee Grievance Process]
|November 22, 2006
|October 1, 2018
|October 1, 2018
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/employee-political-activities/ UNMC Employee Political Activities]
|October 17, 2003
|November 3, 2015
|December 10, 2013
|-
|<big id="resources">'''Student Resources'''</big>
|
|
|
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/student-accommodation-policy/ Accommodations Policy (ADA Policy)]
|November 6, 2015
|
|
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/maternity-paternity-leave/ Maternity / Paternity Leave]
|November 2012
|July 2013
|July 2013
|-
|[https://www.unl.edu/equity/policy-chosen-name-and-gender-identity Policy on Chosen Name and Gender Identity]
|September 15, 2020
|
|
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/policy-review-approval/ Process for the Review and Approval of Student Policies]
|July 26, 2022
|
| July 26, 2022
|-
|[https://catalog.unmc.edu/general-information/student-policies-procedures/voter-registration-policy/ Voter Registration]
|1993
|October 15, 2021
|June 20, 2023
|-
|<big id="misc">'''College Specific Policies/Procedures'''</big>
|
|
|
|-
|[https://www.unmc.edu/cahphandbook/index.php/Main_Page College of Allied Health Professions] [https://www.unmc.edu/cahphandbook/index.php/Program-Specific_Handbooks College of Allied Health Professions Program-Specific]
|
|
|
|-
|[https://www.unmc.edu/com/education/com-student-policies/com-procedures/compliance.html College of Medicine Policies]
|
|
|
|-
|[https://wiki.unmc.edu/index.php?title=College_of_Nursing_Student_Policy_Index College of Nursing Policies]
|
|
|
|-
|[http://catalog.unmc.edu/pharmacy/ College of Pharmacy Policies]
|
|
|
|-
|[https://www.unmc.edu/publichealth/currentstudents/College%20of%20Public%20Health%2016-17-v2.pdf College of Public Health Policies and Procedures]
|
|
|
|-
|[http://catalog.unmc.edu/graduate-studies/student-grievance-resolution-procedure/ Graduate Student Grievance Resolution Procedure]
| January 6, 2015
|June 14, 2019
|
|-
|[https://catalog.unmc.edu/graduate-studies/guidelines-assistant-work-study/ Guidelines for Graduate Assistant Work and Study]
| From Graduate Student Handbook
|
|
|}

McGoogan Library Services

2024-06-26T20:45:10Z

Afaylor: /* McGoogan Library Website */

[[File:mouse.jpg|right]]The McGoogan Library is the health sciences library of UNMC and the only state-supported academic health sciences library in Nebraska. The library is located on the 6th, 7th, and 8th floors of Wittson Hall. To reach the library take 42nd Street south from Dodge Street. The library is located on the west side of the street between Emile and Dewey.
===Library hours:===
'''Building access:''' 24 hours, 7 days per week. A current UNMC ID badge is required for entry.
'''Staffed service hours:''' Monday – Friday, 8 a.m. to 5 p.m.


===McGoogan Library Website===
The McGoogan Library website link from https://www.unmc.edu/library serves as a gateway to online information resources. Online journals, books, and databases are available on- and off-campus by using your UNMC Net ID.

===Borrowing Privileges===
All UNMC faculty, staff, and students may borrow books, bound journals, and anatomical models. 
===Overdue Fines, Lost Book Fees and Unpaid Library Charges===
The library will charge a replacement fee for items that are overdue. If there are unpaid library charges on your account, library borrowing privileges will be suspended and holds will be placed with the Registrar. Charges can be paid online at https://app1.unmc.edu/forms/library/fees.
===Education & Research Services (402-559-6221)===
Education and Research Librarians are available to provide assistance. Educational sessions are available for groups, classes or individuals throughout the year. 
Phone: 402-559-6221 
Text: 402-370-5016 
Chat via our website: https://www.unmc.edu/library

===Interlibrary Loan (402-559-7085)===
The library's interlibrary loan (ILL) service can obtain journal articles, books, and book chapters. Requests for these services are made online through the library's ILL page (under Services) or via the GetIt!@UNMC button within literature databases. A one-time registration process must be completed at: https://unomaha.illiad.oclc.org/illiad/UNM/logon.html Turnaround time for receipt of an article is usually 1-2 days. There is no charge for this service.

===Electronic Resources===
The McGoogan library provides access to several literature databases, including MEDLINE, CINAHL, Scopus, and Embase. Additionally, thousands of online journals and ebooks can be accessed through the library’s catalog. Online articles are embedded within the literature databases via the GetIt! UNMC button.

===UNMC Health Information Service===
Do you need information for patients or a patient’s family? The Library provides information at no charge through the UNMC Heath Information Service. A librarian will research the condition and provide a tailored package of information that may include: journal articles/book chapters/pamphlets/web resources. Materials are provided for informational purposes only. Go to https://www.unmc.edu/library/services/health-information.html for more information.

===Special Collections and Archives===
A wide range of historically significant and locally relevant material is available in the library’s Special Collections and Archives. Notable highlights include the Orr Collection on orthopedic surgery, the Lloyd Thompson Collection of medical cartoons, and the Moe Collection on the history of medicine. Numerous papers, manuscripts, prints; and other unique objects, such as a 464-year old Vesalius broadsheet, are also available. An archive collection consists mainly of UNMC documents and materials related to the medical center, its staff and students.

Facilities Management/Planning

2024-05-29T16:46:12Z

Afaylor: /* Space Planning and Furniture Requests */ Americans with Disabilities Act link https://usdoj.gov/crt/ada/adahom1.htm redirects to https://www.ada.gov/. Updated to redirect URL

Library: Promotional Materials

2024-05-29T15:06:41Z

Afaylor: Text replacement - "https://www.unmc.edu/diversity/offices-index-inclusion-equity/index.html" to "https://www.unmc.edu/aboutus/inclusion.html"

McGoogan Library recognizes the importance of campus and student association events and is a partner in creating and sponsoring several UNMC events. The library offers limited physical space for event promotion and does not offer any digital promotion services.

Printed 8.5” x 11” flyers promoting upcoming UNMC events may be placed on library open-study area tables. All fliers must have an event date. Fliers may not be taped on or otherwise attached to any library walls or whiteboards. Fliers may not be placed in study rooms, classrooms, conference rooms, or in partner spaces such as the Writing Center, E-Learning, or Faculty Commons. Fliers will be removed on the event date. For questions about including physical materials in the Inclusion Corner spaces, please contact the [https://www.unmc.edu/aboutus/inclusion.html Office of Inclusion.]

Digital kiosks in the library host promotional content streams that are managed by the UNMC Department of Strategic Communications. The library will not post any additional digital promotion materials.

Units in the library or units who have library partnerships may coordinate with the library to promote events and offer directional guidance on the day of events.

For questions relating to the promotion, please contact the library’s [mailto:askus@unmc.edu?subject=Promotional%20materials%20in%20the%20library AskUs staff.]

Reproducing Copyrighted Materials

2024-05-29T15:05:19Z

Afaylor: Text replacement - "http://unmc.libguides.com/toolkit" to "https://unmc.libguides.com/nih-public-access-policy"

Privacy/Confidentiality

2024-05-29T13:40:00Z

Afaylor: /* Additional Information */ University of Nebraska Affiliated Hospital House Staff Manual 2022 – 2023 to 2023-2024

Privacy/Confidentiality

2024-05-29T13:38:24Z

Afaylor: Text replacement - "https://www.unmc.edu/com/about/gme/housestaffmanual.pdf" to "https://www.unmc.edu/com/_documents/ho_manual.pdf"

Guidelines - Fitness for Duty

2024-05-23T20:08:40Z

Afaylor: Text replacement - "http://www.unmc.edu/hr/forms/emp_rel/Fit%20forDuty%20Certification.pdf" to "https://www.unmc.edu/human-resources/_documents/forms/emp-rel/fit-for-duty-certification.pdf"

[[Guidelines List]] | [[Human Resources - Forms|Forms]] | [[Human Resources - Procedures|Procedures]]

To protect the employee and the campus community by requiring medical certification of fitness for duty when an employee is absent from work due to a medical condition.

===[[Fitness_for_Duty| Fitness for Duty Policy #1106]]===
===[https://www.unmc.edu/human-resources/_documents/procedures/Procedures1106.pdf Fitness for Duty Procedures]===
===[https://www.unmc.edu/human-resources/_documents/forms/emp-rel/Fit-for-Duty-Observation-checklist.pdf Observation Checklist]===

===[https://www.unmc.edu/human-resources/_documents/forms/emp-rel/fit-for-duty-certification.pdf Fitness for Duty Checklist Template]===

HR - Staffing Forms

2024-05-23T19:54:31Z

Afaylor: Text replacement - "https://www.unmc.edu/hr/forms/staffing/Request%20for%20PeopleAdm%20User%20Account.pdf" to "https://www.unmc.edu/human-resources/_documents/forms/staffing/request-for-peopleadm-user-account.pdf"

[[Guidelines List]] | [[Human Resources - Forms|Forms]] | [[Human Resources - Procedures|Procedures]] | [[Policies_and_Procedures|UNMC Policies]]

<table style="background:#F8FCFF; text-align:center" width="100%" cellspacing="0" cellpadding="0" border="0">
<tr>
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Benefits_Forms|Benefits]]</td>
<td style="border-bottom:2px solid #A3B1BF" width="3"> </td>
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Records_Forms|Records]]</td>
<td style="border-bottom:2px solid #A3B1BF" width="3"> </td>
<td style="padding:0.5em; background-color:white; line-height:0.95em; border:solid 2px #A3B1BF; border-bottom:0; font-weight:bold;" width="20">[[HR_-_Staffing_Forms|Staffing]]</td>
<td style="border-bottom:2px solid #A3B1BF" width="3"> </td>
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Compensation_Forms|Compensation]]</td>
<td style="border-bottom:2px solid #A3B1BF" width="3"> </td>
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Employee_Relations_Forms|Employee Relations]]</td>
<td style="border-bottom:2px solid #A3B1BF" width="3"> </td>
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Other_Forms|Other]]</td>
</tr>
</table>

__TOC__

==Staffing Forms==
===Interviewing / Reference Guides and Templates===
*[https://www.unmc.edu/human-resources/_documents/nu-values/General-Interview-Template.pdf General Interview Template]
*[https://www.unmc.edu/human-resources/_documents/nu-values/Office-Associate-I-Hiring-Manager-Interview-Template.pdf Office Associate I Hiring Manager Interview Template]
*[https://www.unmc.edu/human-resources/_documents/nu-values/Office-Associate-I-Phone-Interview-Template.pdf Office Associate I Phone Interview Template]
*[https://www.unmc.edu/human-resources/_documents/nu-values/Research-Technologist-I-Hiring-Manager-Interview-Template.pdf Research Technologist I, Hiring Manager Interview Template]
*[https://www.unmc.edu/human-resources/_documents/nu-values/Research-Technologist-I-Phone-Interview-Template.pdf Research Technologist I Phone Interview Template]
*[https://www.unmc.edu/human-resources/_documents/Reference-Check-Form.pdf Reference Checking Form]

===Testing===
*[https://www.unmc.edu/human-resources/_documents/nu-values/Skills-Testing-Order-Request-Form.pdf UNMC Skills Testing Order Form]
*[https://www.unmc.edu/human-resources/_documents/forms/staffing/Request-for-Employee-Health-Services.pdf Request for Employee Health Services]

===Letter to candidate that was interviewed but not hired===
*[https://www.unmc.edu/human-resources/_documents/forms/staffing/interviewed-not-hired-sample-letter.pdf Interviewed Not Hired - Sample Letter]

===Offer letters for Managerial Professional (MP) positions===
*[https://www.unmc.edu/human-resources/_documents/nu-values/Managerial-Professional-Salary-External-Offer-Letter-Template.pdf MP Exempt (Salary) – External Candidate Offer Letter]
*[https://www.unmc.edu/human-resources/_documents/nu-values/Managerial-Professional-Hourly-External-Offer-Letter-Template.pdf MP Non-Exempt (Hourly) – External Candidate Offer Letter]
*[https://www.unmc.edu/human-resources/_documents/nu-values/Managerial-Professional-Salary-Internal-Offer-Letter-Template.pdf MP Exempt (Salary) – Internal Candidate Offer Letter]
*[https://www.unmc.edu/human-resources/_documents/nu-values/Managerial-Professional-Hourly-Internal-Offer-Letter-Template.pdf MP Non-Exempt (Hourly) – Internal Candidate Offer Letter]

===Offer letters for Office Service (OS) positions===
*[https://www.unmc.edu/human-resources/_documents/nu-values/office-service-hourly-external-offer-letter-template.pdf OS Non-Exempt (Hourly) – External Candidate Offer Letter]
*[https://www.unmc.edu/human-resources/_documents/nu-values/office-service-hourly-internal-offer-letter-template.pdf OS Non-Exempt (Hourly) – Internal Candidate Offer Letter]

===Offer letters for Temporary positions===
*[https://www.unmc.edu/human-resources/_documents/nu-values/temporary-exempt-salary-external-offer-letter-template.pdf Temporary Exempt (Salary) – External Candidate Offer Letter]
*[https://www.unmc.edu/human-resources/_documents/nu-values/temporary-exempt-salary-internal-offer-letter-template.pdf Temporary Exempt (Salary) – Internal Candidate Offer Letter]
*[https://www.unmc.edu/human-resources/_documents/nu-values/temporary-non-exempt-hourly-external-offer-letter-template.pdf Temporary Non-Exempt (Hourly) – External Candidate Offer Letter]
*[https://www.unmc.edu/human-resources/_documents/nu-values/temporary-non-exempt-hourly-internal-offer-letter-template.pdf Temporary Non-Exempt (Hourly) – Internal Candidate Offer Letter]

===Access to PeopleAdmin===
*[https://www.unmc.edu/human-resources/_documents/forms/staffing/request-for-peopleadm-user-account.pdf Request for PeopleAdmin User Account]

===Other===
*[https://www.unmc.edu/human-resources/_documents/nu-values/DHHS-Child-Adult-Abuse-Applicant-Walkthrough.pdf NE DHHS Child/Abuse Applicant Walkthrough]
*[https://www.unmc.edu/human-resources/_documents/nu-values/FAQS-Background-Checking-FAQ.pdf FAQS Background Checking FAQ]
*[https://www.unmc.edu/human-resources/_documents/forms/HR-Nepotism-Exception.pdf Nepotism_Exception_Template]
*[http://www.unmc.edu/human-resources/_documents/New-Hire-Onboarding-Checklist.pdf New Employee Onboarding - Checklist]
*[https://www.unmc.edu/human-resources/_documents/forms/NonFaculty-Volunteer-Temporary-FAQ-Quick-Steps.pdf Non-Faculty Volunteer Temporary - FAQ & Quick Steps]
*[https://www.unmc.edu/human-resources/_documents/nu-values/summary-advantages_of_working_for_unmc.pdf Advantages of Working for UNMC]

If you have any questions about any of the Staffing form/templates please email [mailto:jobs@unmc.edu Jobs@UNMC]

HR - Staffing Forms

2024-05-23T19:52:47Z

Afaylor: Text replacement - "https://www.unmc.edu/hr/forms/staffing/Interviewed%20Not%20Hired%20-%20Sample%20Letter.pdf" to "https://www.unmc.edu/human-resources/_documents/forms/staffing/interviewed-not-hired-sample-letter.pdf"

[[Guidelines List]] | [[Human Resources - Forms|Forms]] | [[Human Resources - Procedures|Procedures]] | [[Policies_and_Procedures|UNMC Policies]]

<table style="background:#F8FCFF; text-align:center" width="100%" cellspacing="0" cellpadding="0" border="0">
<tr>
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Benefits_Forms|Benefits]]</td>
<td style="border-bottom:2px solid #A3B1BF" width="3"> </td>
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Records_Forms|Records]]</td>
<td style="border-bottom:2px solid #A3B1BF" width="3"> </td>
<td style="padding:0.5em; background-color:white; line-height:0.95em; border:solid 2px #A3B1BF; border-bottom:0; font-weight:bold;" width="20">[[HR_-_Staffing_Forms|Staffing]]</td>
<td style="border-bottom:2px solid #A3B1BF" width="3"> </td>
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Compensation_Forms|Compensation]]</td>
<td style="border-bottom:2px solid #A3B1BF" width="3"> </td>
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Employee_Relations_Forms|Employee Relations]]</td>
<td style="border-bottom:2px solid #A3B1BF" width="3"> </td>
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Other_Forms|Other]]</td>
</tr>
</table>

__TOC__

==Staffing Forms==
===Interviewing / Reference Guides and Templates===
*[https://www.unmc.edu/human-resources/_documents/nu-values/General-Interview-Template.pdf General Interview Template]
*[https://www.unmc.edu/human-resources/_documents/nu-values/Office-Associate-I-Hiring-Manager-Interview-Template.pdf Office Associate I Hiring Manager Interview Template]
*[https://www.unmc.edu/human-resources/_documents/nu-values/Office-Associate-I-Phone-Interview-Template.pdf Office Associate I Phone Interview Template]
*[https://www.unmc.edu/human-resources/_documents/nu-values/Research-Technologist-I-Hiring-Manager-Interview-Template.pdf Research Technologist I, Hiring Manager Interview Template]
*[https://www.unmc.edu/human-resources/_documents/nu-values/Research-Technologist-I-Phone-Interview-Template.pdf Research Technologist I Phone Interview Template]
*[https://www.unmc.edu/human-resources/_documents/Reference-Check-Form.pdf Reference Checking Form]

===Testing===
*[https://www.unmc.edu/human-resources/_documents/nu-values/Skills-Testing-Order-Request-Form.pdf UNMC Skills Testing Order Form]
*[https://www.unmc.edu/human-resources/_documents/forms/staffing/Request-for-Employee-Health-Services.pdf Request for Employee Health Services]

===Letter to candidate that was interviewed but not hired===
*[https://www.unmc.edu/human-resources/_documents/forms/staffing/interviewed-not-hired-sample-letter.pdf Interviewed Not Hired - Sample Letter]

===Offer letters for Managerial Professional (MP) positions===
*[https://www.unmc.edu/human-resources/_documents/nu-values/Managerial-Professional-Salary-External-Offer-Letter-Template.pdf MP Exempt (Salary) – External Candidate Offer Letter]
*[https://www.unmc.edu/human-resources/_documents/nu-values/Managerial-Professional-Hourly-External-Offer-Letter-Template.pdf MP Non-Exempt (Hourly) – External Candidate Offer Letter]
*[https://www.unmc.edu/human-resources/_documents/nu-values/Managerial-Professional-Salary-Internal-Offer-Letter-Template.pdf MP Exempt (Salary) – Internal Candidate Offer Letter]
*[https://www.unmc.edu/human-resources/_documents/nu-values/Managerial-Professional-Hourly-Internal-Offer-Letter-Template.pdf MP Non-Exempt (Hourly) – Internal Candidate Offer Letter]

===Offer letters for Office Service (OS) positions===
*[https://www.unmc.edu/human-resources/_documents/nu-values/office-service-hourly-external-offer-letter-template.pdf OS Non-Exempt (Hourly) – External Candidate Offer Letter]
*[https://www.unmc.edu/human-resources/_documents/nu-values/office-service-hourly-internal-offer-letter-template.pdf OS Non-Exempt (Hourly) – Internal Candidate Offer Letter]

===Offer letters for Temporary positions===
*[https://www.unmc.edu/human-resources/_documents/nu-values/temporary-exempt-salary-external-offer-letter-template.pdf Temporary Exempt (Salary) – External Candidate Offer Letter]
*[https://www.unmc.edu/human-resources/_documents/nu-values/temporary-exempt-salary-internal-offer-letter-template.pdf Temporary Exempt (Salary) – Internal Candidate Offer Letter]
*[https://www.unmc.edu/human-resources/_documents/nu-values/temporary-non-exempt-hourly-external-offer-letter-template.pdf Temporary Non-Exempt (Hourly) – External Candidate Offer Letter]
*[https://www.unmc.edu/human-resources/_documents/nu-values/temporary-non-exempt-hourly-internal-offer-letter-template.pdf Temporary Non-Exempt (Hourly) – Internal Candidate Offer Letter]

===Access to PeopleAdmin===
*[https://www.unmc.edu/hr/forms/staffing/Request%20for%20PeopleAdm%20User%20Account.pdf Request for PeopleAdmin User Account]

===Other===
*[https://www.unmc.edu/human-resources/_documents/nu-values/DHHS-Child-Adult-Abuse-Applicant-Walkthrough.pdf NE DHHS Child/Abuse Applicant Walkthrough]
*[https://www.unmc.edu/human-resources/_documents/nu-values/FAQS-Background-Checking-FAQ.pdf FAQS Background Checking FAQ]
*[https://www.unmc.edu/human-resources/_documents/forms/HR-Nepotism-Exception.pdf Nepotism_Exception_Template]
*[http://www.unmc.edu/human-resources/_documents/New-Hire-Onboarding-Checklist.pdf New Employee Onboarding - Checklist]
*[https://www.unmc.edu/human-resources/_documents/forms/NonFaculty-Volunteer-Temporary-FAQ-Quick-Steps.pdf Non-Faculty Volunteer Temporary - FAQ & Quick Steps]
*[https://www.unmc.edu/human-resources/_documents/nu-values/summary-advantages_of_working_for_unmc.pdf Advantages of Working for UNMC]

If you have any questions about any of the Staffing form/templates please email [mailto:jobs@unmc.edu Jobs@UNMC]

Face Covering

2024-05-23T19:49:23Z

Afaylor:

Employee Leave

2024-05-23T19:46:44Z

Afaylor:

<table style="background:#F8FCFF; text-align:center" width="100%" cellspacing="0" cellpadding="0" border="0">
<tr>
<td style="padding:0.5em; background-color:white; line-height:0.95em; border:solid 2px #A3B1BF; border-bottom:0; font-weight:bold;" width="20">
[[Human Resources]]</td>
<td style="border-bottom:2px solid #A3B1BF" width="3"> </td>
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF"
width="20">[[Safety/Security]] </td>
<td style="border-bottom:2px solid #A3B1BF" width="3"> </td>
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF"
width="20">[[Research Compliance]] </td>
<td style="border-bottom:2px solid #A3B1BF" width="3"> </td>
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF"
width="20">[[Compliance]]</td>
<td style="border-bottom:2px solid #A3B1BF" width="3"> </td>
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF"
width="20">[[Privacy/Information Security]]</td>
<td style="border-bottom:2px solid #A3B1BF" width="3"> </td>
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF"
width="20">[[Business Operations]]</td>
<td style="border-bottom:2px solid #A3B1BF" width="3"> </td>
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF"
width="20">[[Intellectual Property]]</td>
<td style="border-bottom:2px solid #A3B1BF" width="3"> </td>
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF"
width="20">[[Faculty]]</td>
</tr>
</table>
 
[[Employee Leave]] | [[Drug Free Campus]] | [[Employment]] | [[Work Schedules]] | [[Employee Separation]] | [[Compensation Administration]] | [[Dress Code]] | [[Background Check]] | [[Recurring/Additional Payment]] | [[Employee Grievance Process]] | [[Reduction-in-Force]] | [[Outside Employment]] | [[Political Activities]] | [[Employee/Dependent Scholarship]] | [[Employee Recognition and Reward]] | [[Performance Evaluation]] | [[Corrective/Disciplinary Action]] | [[Non-Discrimination and Harassment]] | [[Tobacco-Free Campus]] | [[Nepotism]] | [[Influenza]] | [[Consensual Relationships]] | [[AIDS, HIV, and Other Bloodborne Pathogens]] | [[Personnel Action Documentation]] | [[Fitness for Duty]] | [[Sexual Misconduct]] | [[Personnel Files]] | [https://nebraska.edu/-/media/unca/docs/offices-and-policies/policies/policies/hr-03-alternative-worksite-policy.pdf NU Alternate Work Site Policy] 
Policy No: '''1001''' 
Effective Date: '''09/09/05''' 
Revised Date: '''06/02/22''' 
Reviewed Date: '''06/02/22''' 
 
'''<big>Employee Leave Policy</big>''' 
==Purpose==
'''1.1''' It is the intent of UNMC to grant paid or unpaid leave to regular employees under appropriate circumstances. For regular part-time employees, the rate is adjusted according to the employee's FTE.
==Scope==
'''2.1''' The UNMC Leave Policy is applicable to all UNMC employees to include Office/Service, Managerial/Professional, Faculty, and Other Academic positions.
==Basis of the Policy==
'''3.1''' UNMC provides for various types of paid and unpaid employee leave. UNMC leave policies are based on the federal Family and Medical Leave Act (FMLA) of 1993, ADA, the Uniformed Service Employment and Reemployment Rights Act (USERRA) of 1994, Nebraska Revised Statutes §55-160 et seq. §81-1391, Nebraska Family Military Act of 2007, University of Nebraska Central Administration and the Bylaws of the Board of Regents of the University of Nebraska (3.4.2; 3.4.3; and 3.6).
==Authorities and Administration==
'''4.1''' The UNMC Human Resources’ Associate Director of Human Resources - Employee Relations is responsible for the administration, implementation, and maintenance of the Employee Leave policy at the campus level in consultation with the Assistant Vice Chancellor - Executive Director of Human Resources and the Vice Chancellor for Business and Finance.
==Policy==
=== Recording of Leave Time ===
All leave must be recorded according to established payroll procedures. A record-keeping system for leave usage must be maintained by departments. Records of leave must remain in the department files for three (3) years.
=== Administrative Leave ===
It is the policy of UNMC that regular full-time and part-time employees may be granted administrative leave, with or without pay, for good and sufficient reason. Temporary employees are not eligible to receive administrative leave with pay.
=== Bereavement/Funeral Leave ===
When necessary, up to five consecutive workdays of bereavement/funeral leave may be granted in the event of a death within the employee's immediate family. Notice to the supervisor of the need to use bereavement/funeral leave must be given in advance.
=== Civil Leave ===
All regular employees may be granted paid civil leave for the purpose of providing civil service if the performance of such service is required during their normal working hours. 
The specific instances for which paid civil leave will be granted include jury duty, witness duty, court appearances regarding the affairs of the state or University, emergency civilian duty in connection with national defense or natural disaster, or election board duty. Employees will retain any compensation paid to them in carrying out such civic service. 

Up to two hours of paid civil leave may be granted to vote in public elections, if circumstances prevent an employee from voting at any other time. 

Paid civil leave will not be granted to an employee who attends court as a party plaintiff or party defendant on a personal matter. In such instances the employee may elect to have such time charged to vacation leave or floating holiday time or may have such time treated as a leave of absence without pay. 

Pursuant to Neb. Rev. Stat. §81-1391, an employee who is a certified disaster service volunteer of the American Red Cross may, with the authorization of his/her supervisor, be granted a leave not to exceed fifteen (15) working days in each year to participate in specialized disaster relief services in Nebraska for the American Red Cross, upon the request of the American Red Cross, without loss of pay, vacation time, sick leave or previously earned overtime accumulations.
=== Crisis Leave ===
UNMC has established a crisis leave bank. Employees may donate accumulated vacation leave of up to three (3) days for potential use in emergency situations by other UNMC employees, whose leave has been exhausted. The Assistant Vice Chancellor/Executive Director of Human Resources may identify exceptional circumstances under which greater amounts, not to exceed five (5) days per calendar year, may be donated to the crisis leave pool. In a rolling calendar year, employees may request leave equal to the amount of annual vacation leave to which they are entitled (up to 24 days of paid crisis leave) for:
* Serious illness of the employee or the employee's spouse;
* Serious illness of the employee's child or parent.
* In conjunction with a Worker's Compensation claim.
Regular employees (those who have completed original probation) may be eligible to receive crisis leave when all accrued sick, vacation and floating/banked holiday time has been exhausted, as applicable to the circumstance. If an employee has exhausted their crisis leave or is a probationary employee, they may be eligible to take an advancement of leave. Up to 40 hours of sick and 40 hours of vacation may be advanced, as applicable to the circumstance. 

Denials of crisis leave or limitations on the amount of crisis leave given are not grievable events.
 

'''[https://www.unmc.edu/human-resources/_documents/forms/emp_rel/Crisis-Leave-Donation.pdf Crisis Leave Donation Form]''' 
'''[https://www.unmc.edu/human-resources/_documents/forms/emp-rel/Crisis-Leave-Request.pdf Crisis Leave Request Form]'''
=== Family Medical & Family Military Leave - FMLA ===
The Family and Medical Leave Act of 1993 (FMLA) entitles each eligible employee to a maximum of 12 weeks of unpaid leave for certain family and medical reasons in a 12-month period. UNMC complies with this act and expands its coverage to include all regular employees with an FTE of 0.50 or greater. Other employees, including temporary employees and graduate students, are covered with at least 1,250 hours of service for the year preceding the leave. 
The expressed intent of the Board of Regents is that employees have a right to family/medical leaves of absence. Timing or other considerations surrounding a family/medical leave will be the issues negotiated with the employee by the immediate supervisor, dean, director, or Human Resources-Employee Relations.
====Eligibility====
UNMC will grant up to twelve weeks of unpaid family/medical leave for any of the following reasons:
*The employee's own serious health condition that makes the employee unable to perform the essential functions of the job.
*A serious health condition of the employee's spouse, child or parent.
*Maternal/paternal concerns related to the birth and first year care of a child or adoption of a child, or the placement of a child with the employee for foster care.
*A death in the immediate family.
*Qualifying Exigency Leave
====Family Leave Due to a Call to Active Duty====
*This benefit provides 12 weeks of FMLA leave due to a spouse, son, daughter or parent being on active duty or having been notified of an impending call or order to active duty in the Armed Forces. Leave may be used for any "qualifying exigency" arising out of the service member's current tour of active duty or because the service member is notified of an impending call to duty in support of a contingency operation. Qualifying exigency includes any one or more of the following non-medical, non routine activities and no others by referring to a number of broad categories for which employees could use FMLA leave:
** Short-notice deployment activities;
** Military events and related activities;
** Childcare and school activities;
** Financial and legal arrangements;
** Counseling activities;
** Rest and Recuperation activities;
** Post deployment activities; and/or
** Additional activities not encompassed in the other activities, but agreed to by the employer and employee.
====Caregiver Leave for an Injured Service Member====
* This benefit provides 26 weeks of FMLA leave during a single 12-month period for a spouse, son, daughter, parent, or nearest blood relative caring for a recovering service member. A recovering service member is defined as:
** A member of the Armed Forces who suffered an injury or illness while on active-duty that may render the person unable to perform the duties of the member's office, grade, rank or rating; or
** A veteran who is undergoing medical treatment, recuperation, or therapy for serious injury or illness and who was a member of the Armed Forces at any time during the five years preceding the date on which the veteran undergoes such treatment, recuperation, or therapy.
'''[[HR_-_Employee_Relations_Forms| FMLA - Request for Family Medical Leave Form]]''' 
'''[[HR_-_Employee_Relations_Forms| FMLA - Request for Military Qualifying Exigency Leave and Medical Caregiver Leave Form]]''' 
'''[https://www.unmc.edu/human-resources/_documents/certification-of-health-care-provider-for-employees-serious-health-condition.pdf FMLA - Certification of Health Care Provider for Employees Serious Health Condition]''' 
'''[https://www.unmc.edu/human-resources/_documents/certification-of-health-care-provider-for-family-members-serious-health-condition.pdf FMLA - Certification for Health Care Provider for Family Members Serious Health Condition]''' 
'''[[HR_-_Employee_Relations_Forms| FMLA - Certification for Serious Injury or Illness of a Current Servicemember for Military Family Leave]]''' 
'''[[HR_-_Employee_Relations_Forms| FMLA - Certification for Serious Injury or Illness of a Veteran for Military Caregiver Leave]]''' 
'''[[HR_-_Employee_Relations_Forms| FMLA - Certification of Qualifying Exigency for Military Family Leave]]'''
=== Nebraska Family Military Leave ===
The Nebraska Unicameral enacted the Nebraska Family Military Leave Act effective April 4, 2007. As such, UNMC provide unpaid leave to qualifying University employees who are spouses or parents of military service members under federal or state deployment orders. '''Qualifying employees''' shall include any employee who:
* Has been employed by the University of Nebraska for at least twelve months.
* Has provided at least one thousand two hundred fifty (1,250) hours of service during the twelve-month period immediately preceding the commencement of the leave.
* Is the spouse or parent of a person called to military service lasting over one hundred seventy-nine days or longer with the state or United States pursuant to the orders of the Governor or the President of the United States.
'''Requests for Family Military Leave (Nebraska Family Military ACT):''' may be made to the employee's immediate supervisor any time the deployment orders are in effect. Employees requesting five (5) or more consecutive days of Family Military Leave shall provide at least fourteen calendar day's prior notice, and where able, will consult with the supervisor to schedule leave to avoid work disruptions. For leave of less than five (5) consecutive days, employees shall give advance notice as practical. Certification/proof of the call to service, from the proper military authority, may be required. 

Maximum leave allowable under the Nebraska Family Military Leave Act shall be thirty (30) working days of unpaid leave. The employee may elect to apply accrued vacation leave, compensatory time off, or floating or banked holiday during the leave period. 

Employees involved in any of the University of Nebraska insured benefit programs may continue to participate in said programs and will receive continued employer contributions for the period of the leave. They are, however, responsible for their employee contributions required to maintain those benefits when on an unpaid status. 

Upon expiration of the leave, the employee is entitled to be restored to the position held prior to commencement of leave or to an equivalent position. 

'''[[HR_-_Employee_Relations_Forms| Request for Nebraska Military Family Leave Form]]'''
=== Holiday Leave ===
UNMC provides thirteen (13) paid holidays a year to all regular employees. UNMC recognizes seven (7) traditional holidays where non-essential business operations are closed. UNMC also recognizes six (6) floating/banked holidays, during which UNMC operations are open; employees may use these days on or after the date on which they are observed, with supervisory approval. 
{| style="color: black; width="0%" class="wikitable"
| colspan="2" | '''Traditional Holidays'''
|-
| style="width: 33%; ;"| New Year's Day
| style="width: 67%; ;"| January 1
|-
| Memorial Day
|Last Monday in May
|-
| Independence Day
| July 4
|-
| Labor Day
| First Monday in September
|-
| Thanksgiving Day
| Fourth Thursday in November
|-
| Day After Thanksgiving
| Friday following the Fourth Thursday in November
|-
| Christmas
| December 25
|}
Holidays falling on the first day of the weekend will be observed on the day before; holidays falling on the last day of the weekend will be observed the following day. 
{| style="color: black; width="0%" class="wikitable"
| colspan="2" | '''Banked Holiday'''
|-
| style="width: 50%; ;"| Martin Luther King, Jr. Day
| style="width: 50%; ;"| Third Monday in January
|}
{| style="color: black; width="0%" class="wikitable"
| colspan="2" | '''Floating Holidays'''
|-
| style="width: 50%; ;"| President's Day
| style="width: 50%; ;"| Third Monday in February
|-
| Arbor Day
| Last Friday in April
|-
| Juneteenth
| June 19
|-
| Columbus Day
| Second Monday in October
|-
| Veteran's Day
| November 11
|}
=== Inclement Weather===
Chancellors of the University of Nebraska have the discretion to close campuses due to local weather conditions. In the event of a closing of a University of Nebraska campus due to inclement weather, employees will receive paid leave, if they were scheduled to work during the closure. 
UNMC, as a health sciences center, has a number of activities that must be kept operational regardless of the weather conditions. These include activities that directly and indirectly support patient care at the hospital and clinics, as well as many research and educational functions. This is why UNMC is the only campus in the University of Nebraska System that does not close down during semester break in late December. Because so many employees must report, regardless of the weather, the determination has been made for the entire campus to be considered open and operational, even when other University of Nebraska campuses and area businesses may be closed. All supervisors are asked to be as reasonable as conditions allow in staffing their departments during severely inclement weather. It is recognized that some employees may not be able to report or will want to leave early due to safety concerns. Employees who do not report, or leave early, with supervisor approval must use vacation, floating holiday, or leave without pay to account for any time not worked. Salaried employees who are exempt from FLSA cannot take unpaid leave in increments of less than one work day. 

Employees of UNMC who are located on: 
* Other University of Nebraska campuses (i.e., Kearney), will comply with the directions of the Chancellors of those campuses regarding closings due to weather. If the individual campus is closed during inclement weather, the time reporting should be coded in a manner prescribed by payroll.
* On locations other than University campuses (i.e., Lincoln), will comply with the directions of the Dean of those Colleges (CON) regarding closing due to weather. If the individual location is closed during inclement weather, the time reporting should be coded in a manner prescribed by payroll.
=== Injury Leave ===
If the work-related injury or illness causes an employee to remain off work, up to 40 hours will be paid as injury leave during the seven (7) calendar day waiting period, pro-rated based on the FTE. Injury leave will not be charged to sick leave or vacation; the time reporting should be coded in a manner prescribed by Payroll. 

The Nebraska Workers' Compensation Act is found in Neb. Rev. Stat. §§48-101 to 48-1,118. Portions of the act which are specific to state workers' compensation claims are found in Neb. Rev. Stat. §§ 48-192 to 48-1,109.
=== Leave of Absence without Pay ===
Due to extenuating circumstances, regular employees may be granted a leave of absence without pay for maximum of one year. A leave of absence will be granted only when it is in the best interest of UNMC. Upon return from leave the employee will be entitled to the same or comparable position with the department granting the leave.
===Military Leave - USERRA ===
UNMC shall comply with the Uniformed Service Employment and Reemployment Rights Act of 1994 (USERRA) and Neb. Rev. Stat. &55-l60 et seq. concerning the treatment of University employees with military obligations. 

In general, USERRA requires employers to grant leave to employees serving in the United States armed forces and the various reserve units; protects applicants and employees against discrimination on the basis of military service in the areas of hiring, job retention and advancement; provides certain rights to reemployment upon return from leave; and extends health care and retirement plan coverage during military leave. 

'''Nebraska Statute:''' In accordance with State law, the University provides fifteen workdays of paid military leave per calendar year, without regard to the specific nature of the military leave (e.g. active military duty annual training, emergency assignment, assignments of an unspecified length). Military service beyond fifteen workdays will be charged against accrued vacation or taken without pay, as designated by the employee within a reasonable time of receiving notice of his or her leave. 

'''Employee Responsibilities:''' Employees serving in the military are required to provide advance notice to the University concerning their military obligation when possible and must inform the University when they plan to return to work once they have been discharged from their military duties. 

'''Annual Training Defined:''' Generally defined, annual training refers to that temporary duty in which military reserve personnel engage, commonly serving one weekend per month and two consecutive weeks during the year. 

'''Emergency Duty:''' Leave will be granted to any employee, who is a member of the National Guard or any other reserve component, ordered to active duty under emergency conditions. Should the military pay of such person be less than his/her full University pay, the University shall pay the differential while the person is in the active emergency service of the State. 

'''[[HR_-_Employee_Relations_Forms|Request for Military Leave USERRA Form]]''' 
=== Parental Leave ===
The Parental Leave policies are intended to establish and clarify the leaves available to University of Nebraska Medical Center staff in cases of pregnancy, childbirth, and adoption:
* Medical Maternity Leave: UNMC staff is eligible for Leave requirements vary depending upon each employee's individual circumstances. An attending physician or other licensed health care provider will normally determine the appropriate length of leave. An eight-week total leave period for pre-partum and post-partum care and recovery during which time the employee will be excused from all duties, will be considered normal; however, more or less leave time may be taken based on individual health circumstances.
* Parental Leave to Provide Care/Assistance to Mother and/or Child: for those employees who wish to take leave upon the birth of a child because the health of the employee's spouse or child requires the employee's presence, or because such presence would be beneficial to the employee's spouse or child, up to five days unpaid parental leave unless he has accrued sick leave or vacation leave that he/she may desire to use during parental leave.
* Adoption Leave: UNMC staff is eligible for eight weeks unpaid adoption leave unless he/she has accrued sick leave or vacation leave that he/she may desire to use during the adoption leave. A newly adoptive parent, who is the primary caregiver, may take up to eight weeks unpaid leave upon the adoption of a child to provide care and assistance to the child. The declaration of which parent is the primary care-giver is made by the adopting parents. The non-primary care-giver of the adopted child may take up to five days unpaid parental leave, unless he/she has accrued sick leave or vacation leave that he/she may desire to use during parental leave, to provide assistance in the care of the child. Any parental leaves taken in accordance with the above parental leave policies are, by definition, related to qualifying events under Family/Medical Leave Act(FMLA)(see Family/Medical Leave above). Eligible employees may take up to 12 weeks of leave under the FMLA and will be considered part of the 12 week FMLA entitlement.
=== Sick Leave ===
Sick leave means the period of time during which the employee is incapacitated or unable, due to illness or injury, to perform the regularly assigned duties of his or her position. Paid sick leave means a period of time that the employee is paid his or her regular salary during a period of illness or injury. The period of time shall begin and end when medically indicated to the satisfaction of the appropriate administrative officer. 
Eligible employees may choose to take any available sick leave balance for all or part of the unpaid Family/Medical Leave, if applicable, under certain circumstances. Any sick leave of 40 or more consecutive hours taken under this policy may be considered to be a qualifying event under the federal Family Medical Leave Act and the Family Medical Leave Policy approved by the Board of Regents.
====Sick Leave Accruals====
# Sick leave shall begin to accrue with the date of hire. Sick leave shall be charged against the sick leave accrued on a work-hour basis. Under appropriate circumstances, an employee shall be eligible to use sick leave as soon as it has accrued.
# The rate at which an employee accrues sick leave shall be computed from the service date and adjusted by breaks in service if such break in service is less than three years.
# Disability absences caused or contributed to by pregnancy, childbirth, and recovery there from are considered sick leave, and shall be governed by the provisions of the Parental Leave Policies.
# The schedule of sick leave accrual is displayed on the leave procedure page.
# Employees on Leave without Pay or Layoff shall not accrue sick leave during that time.
====Sick Leave Use====
# Sick leave must be requested as far in advance as possible.
# One hour of sick leave shall be consumed for each working hour of absence due to illness or injury.
# Vacation days or University holidays that may fall within the period of paid sick leave shall not be counted as days to be subtracted from sick leave.
# The allowance of sick leave for any purpose under this policy shall be subject to the right of the University to require satisfactory evidence of illness or injury including the certification of an attending physician in the case of the employee or a member of his or her immediate family. Sick leave allowance shall be at the discretion of the University.
# Employees may be advanced sick leave in an amount not to exceed a total of forty hours (40) (one work week), pro-rated for part-time employees. Employees shall reimburse the University for all used, unearned sick leave upon separation.

'''[[HR_-_Employee_Relations_Forms| Advancement of Leave Request Form]]'''
=== Vacation Leave ===
# All regular employees of UNMC shall be granted vacation leave according to the schedule of vacation leave accrual displayed on the leave procedure page.
# Vacation leave accrual begins the first day of employment and ends the last day of employment.
# Employees accrue only when they are in a paid status.
# Vacation leave requests must be approved in advance by management, consistent with the business needs of UNMC.
# Vacation leave shall accrue on a pay period basis and an account of such leave earned and used shall be maintained and balanced annually.
# Effective April 1, 2007, the maximum vacation leave which may be earned and accrued by members of the Managerial-Professional staff and members of the Office and Service staff shall be two hundred eighty (280) hours; provided that any employee who has accumulated more than 280 hours of vacation leave as of said effective date shall be entitled to retain any such excess vacation leave over 280 hours for future use.
# The rate at which an employee accrues vacation leave shall be computed from the service date and adjusted by breaks in service if such break in service is less than three years.
# All regular employees who transfer to another department at UNMC shall accrue vacation based on the original hiring date at UNMC and shall have their vacation leave balance transfer to the incoming department.
# All regular employees who transfer from employment within any campus of the University of Nebraska shall accrue vacation leave based on the original hiring date with the campus from which they are transferring.
# All regular employees who transfer from employment with the State government or the State colleges shall accrue vacation leave at a rate based on the hiring date with the organization from which they are transferring.
# Unused vacation shall be paid out when an employee separates. Upon the death of an employee, his/her beneficiary shall be paid for any unused vacation leave of the employee.
# The schedule of vacation leave accrual is displayed on the leave procedure page.
# Employees may be advanced vacation leave in an amount not to exceed a total of forty hours (40) (one work week), pro-rated for part-time employees. Employees shall reimburse the University for all used and un-earned vacation time/leave upon separation.

'''[[HR_-_Employee_Relations_Forms| Advancement of Leave Request Form]]'''
==Notice of Non-Discrimination==
Please see UNMC's [http://www.unmc.edu/titleix/notice-nondiscrimination.html Notice of Non-Discrimination] regarding the University of Nebraska Medical Center's commitment to creating a diverse and inclusive working and learning environment free from discrimination and harassment.
==Additional Information==
*Human Resources - Employee Relations at 402-559-7394 or 402-559-8534
*[https://www.unmc.edu/human-resources/_documents/procedures/Procedure1001.pdf Employee Leave Procedures]
*[https://www.unmc.edu/human-resources/_documents/procedures/Paid-Hol-Leave-Memo.pdf Paid Leave Memo]
*All Forms mentioned in this policy are available online at [[HR_-_Employee_Relations_Forms| Human Resources - Employee Relations Forms]]
*[https://wiki.unmc.edu/images/7/76/ADA-Sec504GrievanceProcedures.pdf ADA - Americans with Disabilities Act and Section 504 Grievance Procedures]
*[https://www.unmc.edu/human-resources/_documents/req-reasonable-accommodation-ada.pdf ADA - Americans with Disabilities Act - Requests for Reasonable Accommodation]
*[https://www.unmc.edu/human-resources/_documents/procedures/Lactation-Support-Program.pdf Lactation Support Program]
 
This page maintained by [mailto:mhurlocker@unmc.edu mh].

Employee Recognition and Reward

2024-05-23T19:40:25Z

Afaylor:

Guidelines - Work Schedules

2024-05-23T19:17:54Z

Afaylor:

[[Guidelines List]] | [[Human Resources - Forms|Forms]] | [[Human Resources - Procedures|Procedures]]

All UNMC employees are expected to work according to established work schedules for the purpose of maintaining continuity in the administration of UNMC and in delivering UNMC’s products and services.

===[[Work_Schedules| Work Schedule Policy #1005]]===
===[https://www.unmc.edu/human-resources/_documents/procedures/Procedures1005.pdf Work Schedule Procedures]===

==Attendance==
All UNMC employees will report to work according to established work schedules for the purpose of maintaining continuity in the administration of UNMC and in delivering UNMC’s products and services. Employees must notify their supervisor as soon as possible if they are unable to report to work. Specific notification periods and rules are established by departments consistent with the business needs of that department. Employees should contact their immediate supervisor for the department’s attendance policy.

==Breaks/Lunch Period==
Work schedules may provide a lunch period that is unpaid. Lunch/rest periods may be denied if the manager/supervisor determines that the workload will not permit the break. Work schedules may provide for two fifteen-minute rest periods each workday. Such rest periods will be paid, and therefore, are to be considered a privilege.

Rest periods are an employment privilege. Rest periods may not be “saved” to shorten the employee’s workday, to extend lunch breaks, or to alter the work schedule in any way unless approved by the employee’s supervisor in conjunction with a flex-time schedule arrangement consistent with UNMC policy. Rest periods not taken will be forfeited. Abuse of rest periods may result in loss of the privilege.

==Overtime/Compensatory Time==
The Fair Labor Standards Act (FLSA) is a federal Law governing several time and labor issues. It establishes minimum wage, overtime pay, record keeping, and child labor standards affecting millions of full-time and part-time workers in the private sector, and in Federal, State, and local governments. An '''Exempt''' employee is usually paid a monthly salary, does not complete weekly timesheets, and does not receive extra compensation for overtime hours worked; while a ''''Non-exempt''' employee is paid biweekly, completes weekly timesheets, and receives time and one-half overtime compensation for all hours worked over 40 in a workweek (or, if on an approved 8/80 schedule, for all hours worked over 8 in one defined workday, or for all hours worked over 80 in a predefined two week pay period).

The FLSA allows employers to either pay or give compensatory time-off to ''''non-exempt employees'''' (ONLY) for overtime hours worked, both of which are provided at a time and one-half the hourly pay rate. Overtime hours, whether paid as a premium in the paycheck, or, by compensatory time-off, must be accurately recorded on the department’s official time sheet. See your supervisor or payroll department for time sheet specifics. See the [https://www.unmc.edu/human-resources/_documents/procedures/Procedures1005.pdf Work Schedule Procedures] for limitations regarding compensatory time-off.

Overtime pay premium cannot be waived. The overtime requirement may not be waived by agreement between the employer and employees.

==Shift Differential==
At UNMC, regular hourly paid employees who are assigned to work at night are given additional compensation. A shift differential of ten percent (10%) of base hourly rate is to be paid to an eligible hourly paid employee whose work shift includes four or more hours outside normal UNMC hours (8:00 a.m. to 5:00 p.m.). Shift differential is to be paid for the entire shift, not just for the four or more hours outside normal hours. Shift differential is to be paid for work shifts every day of the week, including weekends.

==Weather/Essential Activity Condition==
At UNMC, in times of extreme/severe weather, natural or other disasters, essential employees may be required to remain on campus for an extended period of time or to report to campus.