University of Nebraska Medical Center

Policies and Procedures: Difference between revisions

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==Policy Manual Index==
==Policy Manual Index==
UNMC policies are currently transitioning to this wiki format. The content of the policies should be accurate and is official UNMC policy, but some formatting and links may still need updating. We are waiting on the various policy owners for the reviews to assure current information. In the interim, If you cannot find the information you need, please contact [mailto:dpanowic@unmc.edu Dorothy Panowicz], Policy Coordinator, at 402.559.4220.
For assistance with UNMC Policies, please contact [mailto:mhurlocker@unmc.edu Margaret Hurlocker], Policy Coordinator, at 402-559-3207.


{| style="color: gray; background-color: white" width="100%" class="wikitable"
{| class="wikitable"
{|class="wikitable"
!'''Policy Name'''
!'''Policy Name'''
!'''Policy No.'''
!'''Policy No.'''
Line 41: Line 40:
|1001
|1001
|09/09/05
|09/09/05
|04/03/20
|07/01/25
|04/03/20
|07/01/25
|-
|-
|[[Drug Free Campus]]
|[[Drug Free Campus]]
Line 53: Line 52:
|1004
|1004
|11/21/07
|11/21/07
|06/07/18
|02/16/21
|06/07/18
|02/16/21
|-
|-
|[[Work Schedules]]
|[[Work Schedules]]
Line 83: Line 82:
|1010
|1010
|08/01/08
|08/01/08
|10/29/15
|10/11/21
|09/22/15
|10/11/21
|-
|-
|[[Recurring/Additional Payment]]
|[[Recurring/Additional Payment]]
|1017
|1017
|06/25/09
|06/25/09
|08/13/19
|06/22/23
|08/13/19
|06/22/23
|-
|-
|[[Employee Grievance Process]]
|[[Employee Grievance Process]]
Line 107: Line 106:
|1049
|1049
|11/01/06
|11/01/06
|08/23/18
|07/26/21
|08/27/20
|07/09/24
|-
|-
|[[Political Activities]]
|[[Political Activities]]
Line 125: Line 124:
|1093
|1093
|10/25/02
|10/25/02
|11/03/15
|12/15/23
|12/10/13
|12/15/23
|-
|-
|[[Performance Evaluation]]
|[[Performance Evaluation]]
Line 137: Line 136:
|1098
|1098
|03/18/08
|03/18/08
|11/06/17
|03/27/24
|11/01/17
|03/27/24
|-
|-
|[[Non-Discrimination and Harassment]]
|[[Non-Discrimination and Harassment]]
Line 164: Line 163:
|09/18/17
|09/18/17
|-
|-
|[[Consensual Relationships]]
|UNMC [[Consensual Relationships]] replaced by [https://www.unmc.edu/titleix/_documents/consensual-relationships-policy.pdf NU Consensual Relationships Policy]
|1103
|
|02/01/10
|
|10/13/16
|
|10/10/16
|-
|-
|[[AIDS, HIV, and Other Bloodborne Pathogens]]
|[[AIDS, HIV, and Other Bloodborne Pathogens]]
Line 180: Line 178:
|10/04/10
|10/04/10
|11/03/15
|11/03/15
|12/10/13
|12/01/22
|-
|-
|[[Fitness for Duty]]
|[[Fitness for Duty]]
Line 197: Line 195:
|1108
|1108
|03/27/17
|03/27/17
|
|12/01/22
|-
|[https://nebraska.edu/-/media/unca/docs/offices-and-policies/policies/policies/hr-03-alternative-worksite-policy.pdf HR-03, Alternative Worksite Policy] for all NU campuses
|
|
|
|
|-
|[https://nebraska.edu/-/media/unca/docs/offices-and-policies/policies/executive-memorandum/policy-on-chosen-name-and-gender-identity.pdf Policy on Chosen Name and Gender Identity] for all NU campuses, Executive Memorandum No. 40
|
|
|
|
|-
|[https://nebraska.edu/-/media/unca/docs/offices-and-policies/policies/policies/hr-05-recruitment-and-selection-policy.pdf HR-05, Recruitment and Selection Policy] for all NU campuses
|
|
|
|
|-
|[https://wiki.unmc.edu/index.php/COVID_Vaccination Mandatory COVID-19 Vaccination] deleted effective 07/31/23
|1109
|10/13/21
|
|
|
|
|-
|[https://nebraska.edu/-/media/unca/docs/offices-and-policies/policies/policies/voluntary-fte-reduction-program.pdf Office/Service and Managerial/Professional Voluntary FTE Reduction Program] for all NU campuses<br />
:[https://www.unmc.edu/human-resources/_documents/nu-values/voluntary-fte-reduction-request-form.pdf Voluntary FTE Reduction Request Form]
|
|10/03/25
|09/01/20
|10/03/25
|-
|-
|<big>'''Safety and Security Policies'''</big>
|<big>'''Safety and Security Policies'''</big>
Line 211: Line 241:
|2001
|2001
|07/20/90
|07/20/90
|07/08/09
|12/09/20
|11/30/12
|12/09/20
|-
|-
|[[Latex Sensitivity]]
|[[Latex Sensitivity]]
Line 224: Line 254:
|03/17/03
|03/17/03
|02/18/14
|02/18/14
|02/18/14
|07/20/21
|-
|-
|[[Waste Handling]]
|[[Waste Handling]]
|2005
|2005
|08/25/06
|08/25/06
|06/17/19
|01/16/25
|06/17/19
|01/16/25
|-
|-
|[[Portable Space Heaters]]
|[[Portable Space Heaters]]
|2006
|2006
|08/24/09
|08/24/09
|
|12/02/21
|
|12/02/21
|-
|-
|[[Children in the Workplace]]
|[[Children in the Workplace]]
Line 253: Line 283:
|2009
|2009
|05/11/10
|05/11/10
|10/14/13
|12/02/21
|10/14/13
|12/02/21
|-
|-
|[[Food, Drinks and Cosmetic Use in Laboratory Areas]]
|[[Food, Drinks and Cosmetic Use in Laboratory Areas]]
|2010
|2010
|11/10/10
|11/10/10
|
|12/02/21
|
|12/02/21
|-
|-
|[[Medical Surveillance]]
|[[Medical Surveillance]]
|2011
|2011
|02/15/11
|02/15/11
|
|12/02/21
|
|12/02/21
|-
|-
|[[Enterprise Threat Assessment Response Team]]
|[[Enterprise Threat Assessment Response Team]]
Line 292: Line 322:
|
|
|-
|-
|[[Small Appliance]]
|[https://wiki.unmc.edu/index.php/Small_Appliance Small Appliance and Cooking Devices]
|2016
|2016
|12/16/14
|12/16/14
|
|12/02/21
|
|12/02/21
|-
|-
|[[Unmanned Aircraft]]
|[[Unmanned Aircraft]]
Line 313: Line 343:
|2019
|2019
|08/17/20
|08/17/20
|
|10/4/23
|
|10/04/23
|-
|-
||<big>'''Research Compliance Policies'''</big>
||<big>'''Research Compliance Policies'''</big>
Line 321: Line 351:
|3001
|3001
|07/01/98
|07/01/98
|01/25/13
|08/11/22
|01/25/13
|08/11/22
|-
|-
|[[Sponsored Programs Costing]]
|[[Sponsored Programs Costing]]
Line 328: Line 358:
|06/27/02
|06/27/02
|11/21/17
|11/21/17
|11/21/17
|08/11/22
|-
|-
|[[Institutional Base Salary]]
|[[Institutional Base Salary]]
|6102
|6102
|02/20/06
|02/20/06
|04/06/18
|03/09/23
|04/06/18
|03/09/23
|-
|-
|[[Sponsored Project Cost Share]]
|[[Sponsored Project Cost Share]]
|6104
|6104
|06/27/02
|06/27/02
|04/26/06
|08/11/22
|01/17/13
|08/11/22
|-
|-
|[[Effort Certification]]
|[[Effort Certification]]
|6105
|6105
|06/01/06
|06/01/06
|06/11/15
|08/11/22
|06/11/15
|08/11/22
|-
|-
|[[Cost Transfer]]
|[[Cost Transfer]]
|6106
|6106
|10/27/02
|10/27/02
|07/01/09
|04/28/23
|01/17/13
|04/28/23
|-
|-
|[[Service Center]]
|[[Service Center]]
|6107
|6107
|06/27/02
|06/27/02
|04/08/10
|09/17/24
|01/17/13
|09/17/24
|-
|-
|[[Subrecipient Policy]]
|[[Subrecipient Policy]]
|6108
|6108
|11/24/08
|11/24/08
|N/A
|08/11/22
|01/17/13
|08/11/22
|-
|-
|[[On-Campus and Off-Campus Indirect Cost Rates on Federally Sponsored Projects]]
|[[On-Campus and Off-Campus Indirect Cost Rates on Federally Sponsored Projects]]
Line 370: Line 400:
|02/06/20
|02/06/20
|
|
|
|08/11/22
|-
|-
||<big>'''Compliance Policies'''</big>
||<big>'''Compliance Policies'''</big>
Line 377: Line 407:
|8000
|8000
|11/01/06
|11/01/06
|08/14/20
|07/09/24
|08/14/20
|07/09/24
|-
|-
|[[Compliance Hotline]]
|[[Compliance Hotline]]
|8001
|8001
|08/10/06
|08/10/06
|07/20/20
|07/10/23
|07/01/20
|07/09/24
|-
|-
|[[Investigations by Third Parties]]
|[[Inspections/Investigations by Third Parties]]
|6109
|6109
|10/16/04
|10/16/04
|08/14/20
|01/20/23
|08/14/20
|07/09/24
|-
|-
|[[Research Integrity]]
|[[Research Integrity]]
|8003
|8003
|02/11/05
|02/11/05
|04/24/18
|10/06/25
|04/24/18
|10/06/25
|-
|-
|[[Export Control]]
|[[Export Control]]
|8005
|8005
|12/18/12
|12/18/12
|02/01/18
|07/21/23
|04/09/20
|07/09/24
|-
|-
|[[Code of Conduct]]
|[[Code of Conduct]]
|8006
|8006
|03/13/09
|03/13/09
|08/31/20
|07/09/24
|08/31/20
|07/09/24
|-
|-
|[[Use of Human Anatomical Material]]
|[[Use of Human Anatomical Material]]
|8007
|8007
|08/10/05
|08/10/05
|10/23/19
|10/16/24
|07/01/20
|10/16/24
|-
|-
|[[Clinical Research and Clinical Trial Professional and Technical Fee Billing]]
|[[Clinical Research and Clinical Trial Professional and Technical Fee Billing]]
|8008
|8008
|08/23/18
|08/23/18
|
|07/09/24
|08/12/20
|07/09/24
|-
|-
|[[Contracts]]
|[[Contracts]]
|8009
|8009
|11/01/06
|11/01/06
|10/30/18
|07/09/24
|10/30/18
|07/09/24
|-
|-
|[[Conflict of Interest]]
|[[Conflict of Interest]]
|8010
|8010
|09/04/07
|09/04/07
|09/01/20
|06/27/23
|09/01/20
|07/09/24
|-
|-
|[[Red Flag Identity Theft Prevention Program]]
|[[Red Flag Identity Theft Prevention Program]]
|8011
|8011
|01/13/10
|01/13/10
|02/07/18
|07/09/24
|08/12/20
|07/09/24
|-
|-
|[[Principles of Financial Stewardship]]
|[[Principles of Financial Stewardship]]
|8012
|8012
|08/01/10
|08/01/10
|05/12/17
|07/21/23
|08/14/20
|07/09/24
|-
|-
|[[Human Tissue Use and Transfer]]
|[[Human Tissue Use and Transfer]]
|8013
|8013
|03/15/12
|03/15/12
|07/30/18
|07/21/23
|07/30/18
|07/09/24
|-
|-
|[[Disclosing Foreign Support and International Activities]]
|[[Disclosing Foreign Support and International Activities]]
|8014
|8014
|06/26/15
|06/26/15
|01/07/20
|07/09/24
|01/07/20
|07/09/24
|-
|-
|[[Health Care Vendor Interactions]]
|[[Health Care Vendor Interactions]]
Line 462: Line 492:
|08/31/15
|08/31/15
|09/01/20  
|09/01/20  
|09/01/20
|07/09/24
|-
|-
|[[Credit Hour Definition]]
|[[Credit Hour Definition]]
Line 468: Line 498:
|11/28/16
|11/28/16
|08/08/17
|08/08/17
|08/12/20
|07/23/24
|-
|-
|[[Whistleblower]]
|[[Whistleblower]]
Line 474: Line 504:
|04/11/19
|04/11/19
|04/11/19
|04/11/19
|08/10/20
|07/09/24
|-
|[[Electronic Digital Signatures and Records]]
|8019
|08/14/23
|09/13/23
|07/09/24
|-
|[[UNMC AI Use Guidelines]]
|8020
|03/07/25
|06/04/25
|06/04/25
|-
|-
|<big>'''Privacy and Information Security Policies'''</big>
|<big>'''Privacy and Information Security Policies'''</big>
Line 482: Line 524:
|03/17/03
|03/17/03
|11/29/16
|11/29/16
|11/29/16
|11/12/20
|-
|-
|[[Secure Area Card Access]]
|[[Secure Area Card Access]]
Line 488: Line 530:
|03/17/03
|03/17/03
|11/29/16
|11/29/16
|11/29/16
|11/12/20
|-
|-
|[https://wiki.unmc.edu/index.php/Privacy/Confidentiality Privacy/Confidentiality Privacy, Confidentiality and Security of Patient and Proprietary Information]
|[https://wiki.unmc.edu/index.php/Privacy/Confidentiality Privacy, Confidentiality and Security of Patient and Proprietary Information]
|6045
|6045
|11/21/03
|11/21/03
|07/01/19
|08/01/23
|06/17/19
|08/01/23
|-
|-
|[[Computer Use/Electronic Information]]
|[[Computer Use/Electronic Information]]
|6051
|6051
|04/25/07
|04/25/07
|08/20/13
|04/24/25
|09/19/17
|04/24/25
|-
|-
|[[Confidential Information | Retention and Destruction of Confidential Information]]
|[[Retention and Destruction/Disposal of Private and Confidential Information]]
|6056
|6056
|03/17/03
|03/17/03
|05/22/17
|draft 10/28/22
|05/22/17
|
|-
|-
|[[Protected Health Information (PHI) | Use and Disclosure of Protected Health Information]]
|[[Use and Disclosure of Protected Health Information]]
|6057
|6057
|03/17/03
|03/17/03
|10/30/13
|03/28/24
|10/29/13
|04/22/24
|-
|-
|[[Notice of Privacy Practices]]
|[[Notice of Privacy Practices]]
|6058
|6058
|03/17/03
|03/17/03
|11/13/19
|10/28/22
|11/13/19
|04/22/24
|-
|-
|[[Access to Designated Record Set]]
|[[Access to Designated Record Set]]
|6059
|6059
|03/17/03
|03/17/03
|
|06/06/24
|
|06/06/24
|-
|-
|[[Accounting of PHI Disclosures]]
|[[Accounting of PHI Disclosures]]
|6061
|6061
|03/17/03
|03/17/03
|
|06/06/24
|
|06/06/24
|-
|-
|[[Patient/Consumer Complaints]]
|[[Patient/Consumer Complaints]]
|6062
|6062
|03/17/03
|03/17/03
|
|04/22/24
|
|04/22/24
|-
|-
|[[Vendors|Vendors]]
|[[Vendors|Vendors]]
Line 547: Line 589:
|6065
|6065
|03/17/03
|03/17/03
|
|09/22/22
|
|09/22/22
|-
|-
|[[Psychotherapy Notes]]
|[[Psychotherapy Notes]]
|6066
|6066
|03/17/03
|03/17/03
|
|09/22/22
|
|07/24/24
|-
|-
|[[Facility Security]]
|[[Facility Security]]
Line 560: Line 602:
|03/17/03
|03/17/03
|07/14/17
|07/14/17
|07/14/17
|11/12/20
|-
|-
|[[Conditions of Treatment Form]]
|[[Conditions of Treatment Form]]
Line 595: Line 637:
|6300
|6300
|06/27/16
|06/27/16
|
|draft 09/22/22
|
|
|-
|-
Line 601: Line 643:
|6301
|6301
|07/14/16
|07/14/16
|
|06/06/24
|
|06/06/24
|-
|[[Patient Privacy Investigations and Levels of Violation]]
|6302
|11/02/20
|04/22/24
|04/22/24
|-
|[[Use and Disclosure of PHI for Training Health Care Professionals]]
|6303
|08/19/22
|06/06/24
|06/06/24
|-
|[[Disclosures of PHI as Permitted or Required by Law]]
|6304
|10/28/22
|07/24/24
|07/24/24
|-
|[[Disclosure of PHI for Law Enforcement Purposes]]
|6305
|10/28/22
|10/28/22
|07/24/24
|-
|-
|<big>'''Business Operations Policies'''</big>
|<big>'''Business Operations Policies'''</big>
Line 627: Line 693:
|4000
|4000
|07/01/98
|07/01/98
|07/01/98
|10/25/23
|11/05/13
|
|-
|-
|[[Purchasing]]
|[[Purchasing]]
|5000
|5000
|04/01/01
|04/01/01
|02/07/20
|09/24/20
|02/07/20
|09/24/20
|-
|-
|[[Public Affairs]]
|[[Strategic Communications]]
|6001
|6001
|10/17/03
|10/17/03
|
|01/03/22
|
|01/03/22
|-
|-
|[[Facility Identification]]
|[[Facility Identification]]
Line 660: Line 726:
|
|
|-
|-
|[[Travel Restrictions]] for Nebraska Medicine and UNMC
|[https://www.unmc.edu/coronavirus/campus-guidance.html#travel UNMC Campus Guidance on Travel]
|
|
|
|
Line 680: Line 746:
|6050
|6050
|01/10/07
|01/10/07
|06/30/14
|DRAFT 07/20/21
|06/30/14
|
|-
|-
|[[Student Training Agreement]]
|[[Student Training Agreement]]
Line 692: Line 758:
|6053
|6053
|09/10/99
|09/10/99
|08/16/17
|10/19/21
|01/24/17
|10/19/21
|-
|-
|[[Cash Handling]]
|[[Cash Handling]]
Line 710: Line 776:
|6071
|6071
|01/06/06
|01/06/06
|03/15/16
|09/22/22
|03/15/16
|09/22/22
|-
|-
|[[Space Scheduling and Fundraising]]
|[[Space Scheduling and Fundraising]]
Line 725: Line 791:
|
|
|-
|-
|[[Cellular Phone]]
|[[Cell Phone]]
|6076
|6076
|09/10/08
|09/10/08
|10/16/13
|05/16/24
|10/16/13
|05/16/24
|-
|-
|[[Off-campus_Graphic_Design_and_Related_Printing|Off-campus Graphic Design]]
|[[Off-campus Graphic Design and Related Printing]]
|6077
|6077
|04/01/10
|04/01/10
|
|05/16/24
|
|05/16/24
|-
|-
|[[Off-campus Photography]]
|[https://wiki.unmc.edu/index.php/Off-campus_Photography Off-campus Photography, Videography]
|6078
|6078
|04/01/10
|04/01/10
|
|01/03/22
|
|01/03/22
|-
|-
|[[Tax Exempt Financing/Tracking Use of Research Space]]  
|[[Tax Exempt Financing and Tracking of Both Qualified Use and Non-Qualified Use of Research Space]]
|6079
|6079
|05/11/10
|05/11/10
Line 751: Line 817:
|[[Secondary Logos]]
|[[Secondary Logos]]
|6080
|6080
|01/06/11
| 01/06/11
|12/19/14
|01/03/22
|12/19/14
|01/03/22
|-
|-
|[[Social Media]]
|[[Social Media]]
|6081
|6081
|12/07/11
|12/07/11
|
|01/03/22
|
|01/03/22
|-
|-
|[[Sensitive Equipment Tracking]]
|[[Sensitive Equipment Tracking]]
Line 770: Line 836:
|6083
|6083
|05/01/13
|05/01/13
|09/15/20
|06/01/21
|11/20/18
|06/01/21
|-
|-
|[[Accounts Receivable Management]]
|[[Accounts Receivable Management]]
|6084
|6084
|09/26/13
|09/26/13
|08/24/16
| 03/02/23
|07/20/16
|03/02/23
|-
|-
|[[Internal Audit]] - replaced by [https://nebraska.edu/offices-policies/internal-audit-and-advisory-services/charter Internal Audit Charter] and the [https://www.unmc.edu/internal-audit/index.html UNMC Internal Audit and Advisory Services webpage].
|[[Internal Audit]] - replaced by [https://nebraska.edu/offices-policies/internal-audit-and-advisory-services/charter Internal Audit Charter] and the [https://www.unmc.edu/internal-audit/index.html UNMC Internal Audit and Advisory Services webpage].
Line 788: Line 854:
|6086
|6086
|12/13/18
|12/13/18
|08/05/25
|08/05/25
|-
|[https://nebraska.edu/-/media/unca/docs/offices-and-policies/policies/policies/bf-01-moving-relocation-policy.pdf University of Nebraska Moving Relocation Policy]
|
|
|
|
|
|
Line 793: Line 865:
|[[Tuition Remissions]]
|[[Tuition Remissions]]
|6088
|6088
|DRAFT
|10/19/21
|
|
|
|
Line 799: Line 871:
|[[Collections Management]]
|[[Collections Management]]
|6089
|6089
|DRAFT
|11/09/21
|
|
|-
|[[Web Governance]]
|6090
|11/16/21
|
|
|
|
|-
|[[Student Fee Administration]]
|6091
|03/13/25
|03/13/25
|03/13/25
|-
|[[Establishing Campus Policies]]
|6092
|3/07/25
|3/07/25
|3/07/25
|-
|-
|<big>'''Intellectual Property Policies'''</big>
|<big>'''Intellectual Property Policies'''</big>
Line 809: Line 899:
|03/16/05
|03/16/05
|03/15/10
|03/15/10
|09/20/13
|04/12/21
|-
|-
|[[Royalty/Equity Distribution]]
|[[Division of Net Royalty and Proceeds]]
|7001
|7001
|03/16/05
|03/16/05
|02/10/10
|05/03/21
|09/20/13
|05/03/21
|-
|-
|<big>'''Faculty Policies'''</big>
|<big>'''Faculty Policies'''</big>
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{|
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'''For UNMC faculty, student and staff use only.<br />
'''For UNMC faculty, student and staff use only.<br />'''
|}
|}


Updated by [mailto:dpanowic@unmc.edu dkp]
Updated by [mailto:mhurlocker@unmc.edu mh]
Retrieved from "https://wiki.unmc.edu/index.php/Policies_and_Procedures"