Compliance Program - Revision history

Jeffrey.sterup: Adding alt text for accessibility

2026-03-26T14:10:18Z

Adding alt text for accessibility

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	The purpose of the Compliance Program and Committee is to identify UNMC’s key compliance risks, as well as make recommendations and implement solutions, policies, procedures and standards of conduct to ensure that UNMC complies with all applicable federal, state and local laws and regulations; and University of Nebraska and UNMC Policies and Procedures. In support of this purpose, UNMC’s Compliance Program will designate a chief compliance officer and a compliance committee whose responsibilities will include the following: to provide for or conduct effective training and education, develop effective lines of communication, and conduct internal monitoring and reviews for adherence to compliance training and conflict of interest policies and procedures. The University of Nebraska Medical Center (UNMC) Compliance Program consistent with UNMC Policy No. 8006, [[Code of Conduct]], mandates that all UNMC faculty, staff, and students comply with: all applicable federal, state and local laws; all relevant regulations; and University of Nebraska and UNMC Policies and Procedures.		The purpose of the Compliance Program and Committee is to identify UNMC’s key compliance risks, as well as make recommendations and implement solutions, policies, procedures and standards of conduct to ensure that UNMC complies with all applicable federal, state and local laws and regulations; and University of Nebraska and UNMC Policies and Procedures. In support of this purpose, UNMC’s Compliance Program will designate a chief compliance officer and a compliance committee whose responsibilities will include the following: to provide for or conduct effective training and education, develop effective lines of communication, and conduct internal monitoring and reviews for adherence to compliance training and conflict of interest policies and procedures. The University of Nebraska Medical Center (UNMC) Compliance Program consistent with UNMC Policy No. 8006, [[Code of Conduct]], mandates that all UNMC faculty, staff, and students comply with: all applicable federal, state and local laws; all relevant regulations; and University of Nebraska and UNMC Policies and Procedures.
	== Compliance Program Structure ==		== Compliance Program Structure ==
	[[File:Compliance-flowchart-8-5-2020.jpg]]		[[File:Compliance-flowchart-8-5-2020.jpg\|alt=Organizational chart showing university divisions: Vice Chancellors for Student Success, IT, Research, Academic Affairs, and Business and Finance, along with their respective committees and responsibilities.]]
	===Senior Vice Chancellor for Academic Affairs===		===Senior Vice Chancellor for Academic Affairs===
	The Senior Vice Chancellor for Academic Affairs is responsible for overseeing the development and implementation of the policies, procedures and practices necessary to effect compliance with federal, state, and local laws and regulations; and University of Nebraska and UNMC Policies and Procedures.		The Senior Vice Chancellor for Academic Affairs is responsible for overseeing the development and implementation of the policies, procedures and practices necessary to effect compliance with federal, state, and local laws and regulations; and University of Nebraska and UNMC Policies and Procedures.

Mhurlocker: /* Compliance Responsibilities */

2025-09-19T19:21:14Z

Compliance Responsibilities

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	\| Bloodborne Pathogens \|\| [https://univnebrmedcntr.sharepoint.com.mcas.ms/sites/infectioncontrolepid/SitePages/Home%20Page.aspx Infection Control], UNMC Policy No. 2004, [[Bloodborne Pathogens Exposure]]		\| Bloodborne Pathogens \|\| [https://univnebrmedcntr.sharepoint.com.mcas.ms/sites/infectioncontrolepid/SitePages/Home%20Page.aspx Infection Control], UNMC Policy No. 2004, [[Bloodborne Pathogens Exposure]]
	\|-		\|-
	\| Biosafety \|\| [https://www.unmc.edu/ibc/ Institutional Biosafety Committee], UNMC Policy No. 2005, [https://www.unmc.edu/ehs/biosafety/biohazard-waste~~/index~~.~~htmlBiohazardous~~ Waste Handling]		\| Biosafety \|\| [https://www.unmc.edu/ibc/ Institutional Biosafety Committee], UNMC Policy No. 2005, [https://www.unmc.edu/ehs/biosafety/biohazard-waste.html Waste Handling]
	\|-		\|-
	\| Chemical Safety \|\| [https://www.unmc.edu/ehs/ UNMC Environmental Health & Safety Department], [https://www.unmc.edu/ehs/_documents/chemical-safety/hmdgshippingplan.pdf UNMC Hazardous Material/Dangerous Goods (HM/DG) Shipping Plan]		\| Chemical Safety \|\| [https://www.unmc.edu/ehs/ UNMC Environmental Health & Safety Department], [https://www.unmc.edu/ehs/_documents/chemical-safety/hmdgshippingplan.pdf UNMC Hazardous Material/Dangerous Goods (HM/DG) Shipping Plan]

Mhurlocker: /* Compliance Responsibilities */

2025-09-19T14:19:18Z

Compliance Responsibilities

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	\| '''Environmental and Safety Compliance'''\|\|		\| '''Environmental and Safety Compliance'''\|\|
	\|-		\|-
	\| Safety \|\| [https://unmc.edu/ehs~~/safety~~/ UNMC Environmental Health & Safety Department], UNMC Policy No. 2000, [[Safety]]		\| Safety \|\| [https://www.unmc.edu/ehs/ UNMC Environmental Health & Safety Department], UNMC Policy No. 2000, [[Safety]]
	\|-		\|-
	\| Radiation Safety \|\| [https://www.unmc.edu/ehs/ UNMC Environmental Health & Safety Department]		\| Radiation Safety \|\| [https://www.unmc.edu/ehs/ UNMC Environmental Health & Safety Department]
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	\| Biosafety \|\| [https://www.unmc.edu/ibc/ Institutional Biosafety Committee], UNMC Policy No. 2005, [https://www.unmc.edu/ehs/biosafety/biohazard-waste/index.htmlBiohazardous Waste Handling]		\| Biosafety \|\| [https://www.unmc.edu/ibc/ Institutional Biosafety Committee], UNMC Policy No. 2005, [https://www.unmc.edu/ehs/biosafety/biohazard-waste/index.htmlBiohazardous Waste Handling]
	\|-		\|-
	\| Chemical Safety \|\| [https://www.unmc.edu/ehs/ UNMC Environmental Health & Safety Department], [https://www.unmc.edu/ehs/_documents/~~HMDGShippingPlan~~.pdf UNMC Hazardous Material/Dangerous Goods (HM/DG) Shipping Plan]		\| Chemical Safety \|\| [https://www.unmc.edu/ehs/ UNMC Environmental Health & Safety Department], [https://www.unmc.edu/ehs/_documents/chemical-safety/hmdgshippingplan.pdf UNMC Hazardous Material/Dangerous Goods (HM/DG) Shipping Plan]

	\|-		\|-

Mhurlocker at 15:20, March 7, 2025

2025-03-07T15:20:16Z

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	<br />		<br />

	[[Compliance Program]] \| [[Compliance Hotline]] \| [[Investigations by Third Parties]] \| [[Research Integrity]] \| [[Export Control]] \| [[Code of Conduct]] \| [[Use of Human Anatomical Material]] \| [[Clinical Research and Clinical Trial Professional and Technical Fee Billing]] \| [[Contracts]] \| [[Conflict of Interest]] \| [[Red Flag Identity Theft Prevention Program]] \| [[Principles of Financial Stewardship]] \| [[Human Tissue Use and Transfer]] \| [[Disclosing Foreign Support and International Activities]] \| [[Health Care Vendor Interactions]] \| [[Credit Hour Definition]] \| [[Whistleblower]] \| [[Electronic Digital Signatures and Records]] \| [[Utilizing Generative AI]]		[[Compliance Program]] \| [[Compliance Hotline]] \| [[Investigations by Third Parties]] \| [[Research Integrity]] \| [[Export Control]] \| [[Code of Conduct]] \| [[Use of Human Anatomical Material]] \| [[Clinical Research and Clinical Trial Professional and Technical Fee Billing]] \| [[Contracts]] \| [[Conflict of Interest]] \| [[Red Flag Identity Theft Prevention Program]] \| [[Principles of Financial Stewardship]] \| [[Human Tissue Use and Transfer]] \| [[Disclosing Foreign Support and International Activities]] \| [[Health Care Vendor Interactions]] \| [[Credit Hour Definition]] \| [[Whistleblower]] \| [[Electronic Digital Signatures and Records]] \| [[Utilizing Generative AI\|UNMC AI Use Guidelines]]
	<br /><br />		<br /><br />
	Policy No.: '''8000'''<br />		Policy No.: '''8000'''<br />

Mhurlocker at 19:39, March 6, 2025

2025-03-06T19:39:20Z

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	<br />		<br />

	[[Compliance Program]] \| [[Compliance Hotline]] \| [[Investigations by Third Parties]] \| [[Research Integrity]] \| [[Export Control]] \| [[Code of Conduct]] \| [[Use of Human Anatomical Material]] \| [[Clinical Research and Clinical Trial Professional and Technical Fee Billing]] \| [[Contracts]] \| [[Conflict of Interest]] \| [[Red Flag Identity Theft Prevention Program]] \| [[Principles of Financial Stewardship]] \| [[Human Tissue Use and Transfer]] \| [[Disclosing Foreign Support and International Activities]] \| [[Health Care Vendor Interactions]] \| [[Credit Hour Definition]] \| [[Whistleblower]] \| [[Electronic Digital Signatures and Records]] \| [[~~Electronic Digital Signatures and Records~~]]		[[Compliance Program]] \| [[Compliance Hotline]] \| [[Investigations by Third Parties]] \| [[Research Integrity]] \| [[Export Control]] \| [[Code of Conduct]] \| [[Use of Human Anatomical Material]] \| [[Clinical Research and Clinical Trial Professional and Technical Fee Billing]] \| [[Contracts]] \| [[Conflict of Interest]] \| [[Red Flag Identity Theft Prevention Program]] \| [[Principles of Financial Stewardship]] \| [[Human Tissue Use and Transfer]] \| [[Disclosing Foreign Support and International Activities]] \| [[Health Care Vendor Interactions]] \| [[Credit Hour Definition]] \| [[Whistleblower]] \| [[Electronic Digital Signatures and Records]] \| [[Utilizing Generative AI]]
	<br /><br />		<br /><br />
	Policy No.: '''8000'''<br />		Policy No.: '''8000'''<br />

Mhurlocker at 19:36, March 6, 2025

2025-03-06T19:36:54Z

← Older revision		Revision as of 14:36, March 6, 2025
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	<br />		<br />

	[[Compliance Program]] \| [[Compliance Hotline]] \| [[Investigations by Third Parties]] \| [[Research Integrity]] \| [[Export Control]] \| [[Code of Conduct]] \| [[Use of Human Anatomical Material]] \| [[Clinical Research and Clinical Trial Professional and Technical Fee Billing]] \| [[Contracts]] \| [[Conflict of Interest]] \| [[Red Flag Identity Theft Prevention Program]] \| [[Principles of Financial Stewardship]] \| [[Human Tissue Use and Transfer]] \| [[Disclosing Foreign Support and International Activities]] \| [[Health Care Vendor Interactions]] \| [[Credit Hour Definition]] \| [[Whistleblower]] \| [[Electronic Digital Signatures and Records]]		[[Compliance Program]] \| [[Compliance Hotline]] \| [[Investigations by Third Parties]] \| [[Research Integrity]] \| [[Export Control]] \| [[Code of Conduct]] \| [[Use of Human Anatomical Material]] \| [[Clinical Research and Clinical Trial Professional and Technical Fee Billing]] \| [[Contracts]] \| [[Conflict of Interest]] \| [[Red Flag Identity Theft Prevention Program]] \| [[Principles of Financial Stewardship]] \| [[Human Tissue Use and Transfer]] \| [[Disclosing Foreign Support and International Activities]] \| [[Health Care Vendor Interactions]] \| [[Credit Hour Definition]] \| [[Whistleblower]] \| [[Electronic Digital Signatures and Records]] \| [[Electronic Digital Signatures and Records]]
	<br /><br />		<br /><br />
	Policy No.: '''8000'''<br />		Policy No.: '''8000'''<br />

Mhurlocker: /* Compliance Training */

2024-07-26T19:29:47Z

Compliance Training

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	\| 30 Days \|\| E-mail/verbal notice from unit management \|\| E-mail/verbal notice from Dean’s office		\| 30 Days \|\| E-mail/verbal notice from unit management \|\| E-mail/verbal notice from Dean’s office
	\|-		\|-
	\| 60 Days \|\| Communication from Human Resources \|\| ~~Letter from Senior Vice Chancellor for Academic Affairs; records~~ placed on hold		\| 60 Days \|\| Communication from Human Resources \|\| Records placed on hold
	\|-		\|-
	\| 90 Days \|\| Notification to Dean, access removed from all UNMC resources except Canvas until training has been completed \|\|		\| 90 Days \|\| Notification to Dean, access removed from all UNMC resources except Canvas until training has been completed \|\|

Mhurlocker: /* Compliance Responsibilities */

2024-07-26T19:27:33Z

Compliance Responsibilities

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	\| Bloodborne Pathogens \|\| [https://univnebrmedcntr.sharepoint.com.mcas.ms/sites/infectioncontrolepid/SitePages/Home%20Page.aspx Infection Control], UNMC Policy No. 2004, [[Bloodborne Pathogens Exposure]]		\| Bloodborne Pathogens \|\| [https://univnebrmedcntr.sharepoint.com.mcas.ms/sites/infectioncontrolepid/SitePages/Home%20Page.aspx Infection Control], UNMC Policy No. 2004, [[Bloodborne Pathogens Exposure]]
	\|-		\|-
	\| Biosafety \|\| [https://www.unmc.edu/ibc/ Institutional Biosafety Committee], UNMC Policy No. 2005, ~~[[Waste Handling]],~~ [https://www.unmc.edu/ehs/biosafety/biohazard-waste/index.htmlBiohazardous Waste Handling]		\| Biosafety \|\| [https://www.unmc.edu/ibc/ Institutional Biosafety Committee], UNMC Policy No. 2005, [https://www.unmc.edu/ehs/biosafety/biohazard-waste/index.htmlBiohazardous Waste Handling]
	\|-		\|-
	\| Chemical Safety \|\| [https://www.unmc.edu/ehs/ UNMC Environmental Health & Safety Department], [https://www.unmc.edu/ehs/_documents/HMDGShippingPlan.pdf UNMC Hazardous Material/Dangerous Goods (HM/DG) Shipping Plan]		\| Chemical Safety \|\| [https://www.unmc.edu/ehs/ UNMC Environmental Health & Safety Department], [https://www.unmc.edu/ehs/_documents/HMDGShippingPlan.pdf UNMC Hazardous Material/Dangerous Goods (HM/DG) Shipping Plan]

Mhurlocker: /* Additional Information */

2024-07-11T14:29:54Z

Additional Information

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	This page maintained by [mailto:~~dpanowic~~@unmc.edu ~~dkp~~]		This page maintained by [mailto:mhurlocker@unmc.edu mh]

Mhurlocker: /* Compliance Responsibilities */

2024-07-11T14:28:22Z

Compliance Responsibilities

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	\| Export Control \|\| UNMC Policy No. 8005, [[Export Control]], UNMC Policy No. 8014, [[Disclosing Foreign Support and International Activities]]		\| Export Control \|\| UNMC Policy No. 8005, [[Export Control]], UNMC Policy No. 8014, [[Disclosing Foreign Support and International Activities]]
	\|-		\|-
	\| Human Resources \|\| [https://www.unmc.edu/human-resources/~~about/contact-hr~~.html Human Resources]		\| Human Resources \|\| [https://www.unmc.edu/human-resources/index.html Human Resources]
	\|-		\|-
	\| Internal Audit \|\| University of Nebraska Internal Audit Charter and [https://nebraska.edu/offices-policies/internal-audit-and-advisory-services UNMC Internal Audit and Advisory Services Webpage]		\| Internal Audit \|\| University of Nebraska Internal Audit Charter and [https://nebraska.edu/offices-policies/internal-audit-and-advisory-services UNMC Internal Audit and Advisory Services Webpage]