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(000.00) Notes * An asterisk indicates that the policy has an attached Secretary's Attestation (100.00-199.00) Executive Office 100.00 - Policy and Procedure Manual Introduction * Statement of Purpose, Scope, Applicability, Authority, General Information and Responsibilities 101.00 - Adjunct Positions 103.00 - Employee Photo Policy 104.00 - News Media * 105.00 - Promotion and Tenure Review 106.00 - Regulatory Compliance Training 107.00 - Quality Improvement Plan 108.00 - Dress Code Policy 109.00 - Trainee Policy 110.00 - Faculty Mentoring Policy 110.00a - Faculty Mentoring Policy - Notes 110.00b - Faculty Mentoring Policy - Progress Report 110.00c - Faculty Mentoring Policy - Registration Form 111.00 - Endowed Professorship Selection Policy 112.00 - Social Media Policy 113.00 - Policy for Postdoctoral Individual Development Plans (200.00 - 299.00) Basic Science Research and Comparative Biology 233.00 - Visitor Policy for CBC 233.10 - IACUC Membership and Responsibilities 241.00 - Animal Rights Activist Crisis Plan 286.00 - Controlled Substances Policy (300.00 - 399.00) Clinical and Population Science Research 300.00 - Employees and Immediate Family Enrolled in Research 301.00 - Clinical Study Budgeting Policy 302.00 - Human Research Protections Program Policy 302.01 - Investigators as Study Participants 303.00 - Handling, Preparing and Dispensing of Items for Human Use 377.00 - Core Usage Policy 378.00 - Clinical Trials Gov Policy 381.00 - Medical Investigator Policy (400.00 - 499.00) Intellectual Property, Legal, and Regulatory Compliance 400.00 - Export Control Policy 401.00 - Individual Financial Conflict of Interest 403.00 - Alcohol Policy THE SERVING, POSSESSING, AND CONSUMING OF ALCOHOLIC BEVERAGES ON SITE 407.00 - Biospecimen/Data Repository Ownership Policy 410.00 - Institutional Conflict of Interest in Research Policy 411.00 - Excluded Parties Policy 412.00 - Summary of HIPAA Policies 412.01 - Notice of Privacy Practices 412.01a ATTACHMENT - Notice of Privacy Practices 412.02 - Privacy Official and Complaint Contact 412.03 - Accounting of Disclosures of Protected Health Information 412.03a ATTACHMENT A - Accounting of Disclosure of PHI 412.03b ATTACHMENT B - Accounting of Disclosures of PHI for Research 412.03c ATTACHMENT C - Tracking Form for Disclosure of PHI 412.04 - Minimum Necessary Uses and Disclosures of Protected Health Information 412.05 - Mitigation After Improper Protected Health Information Use or Disclosure 412.06 - Training and Education Requirements for Members of the PBRC Workforce 412.07 - Documentation Requirements 412.08 - Subject's Request for Restriction of Uses and Disclosures of their Protected Health Information 412.08a ATTACHMENT - Restricting Uses and Disclosures of PHI 412.09 - Subject's Right of Access to and Obtain a Copy of their Protected Health Information 412.09a ATTACHMENT A - Request for Release of Medical Records 412.10 - Subject's Right to Request an Amendment to their Protected Health Information 412.10a ATTACHMENT A - For Approved Amendments 412.10b ATTACHMENT B - To Notify Other Entities of Amendment 412.10c ATTACHMENT C -To Notify Individual of a Delay in Processing their Amendment Request 412.10d ATTACHMENT D - Form for Individual to Fill Out When Requesting an Amendment 412.10e ATTACHMENT E - Sample Letter to Subject Regarding Denial Requests for Amendment 412.11 - Subject's Right to Request and to Receive Confidential Communication by Alternative Means or Alternative Locations 412.11a ATTACHMENT - Request to Receive Confidential Information by Alternative Means 412.12 - Administrative, Technical and Physical Safeguards 412.13 - Limited Data Set 412.13a ATTACHMENT - Limited Data Set Request and Data Use Agreement 412.14 - De-Identification of Protected Health Information 412.14a ATTACHMENT A - A Request for De-Identified Information 412.15 - Use and Disclosure of Protected Health Information for Payment, Treatment and Healthcare Operations 412.16 - Use and Disclosure of Protected Health Information for Marketing Purposes 412.16a ATTACHMENT A - Use and Disclosure of PHI for Marketing Purposes 412.17 - Use and Disclosure of Protected Health Information for Research 412.18 - Use or Disclosure of Protected Health Information That Require an Individual's Written Authorization 412.18a ATTACHMENT A Use of Disclosure of Protected Health Information That Require and Individual’s Written Authorization 412.18b ATTACHMENT B - Authorization for Release of PHI Authorization for Release of PHI 412.19 - Use and Disclosure of Protected Health Information to Persons Involved in the Subject's Care and for Notification Purposes 412.20 - Use and Disclosure of Protected Health Information to Business Associates 412.21 - Media and Marketing 412.21a - ATTACHMENT - Authorization for Use and Disclosure for Media 412.22 - HIPAA Breach Notification 412.23-HIPAA Fundraising Policy 413.00 - Public Records Requests and Regulatory Law Enforcement Visits 414.00 - Whistleblower Non-retaliation 415.00 - State Breach Notification 416.00 - Blood Borne Pathogen Policy - Renumbered to 1002.00 417.00 - Employee Health Program Policy - Renumbered to 1003.00 418.00 - Research Misconduct 419.00 - PBRC Compliance Policy 420.00 - Personal Representative Policy (500.00 - 599.00) Administration, Finance, and Operations 501.00 - Surveillance and Security Camera Acceptable Use 501.00a - Video Review Request Form 502.00 - Fixed Price Agreement 503.00 - Receiving/Returning PBRC Property-Renumbered to 804.00 505.00 - Affiliated Organizations 506.00 - PBRC Facilities and Properties-Renumbered to 800.2 507.00 - Solicitation 508.00 - Political Activities, Prohibition of 510.00 - Signature Authority 511.00 - Smoking Policy 512.00 - Drug-Free Workplace 513.00 - Bond Compliance Policy 514.00 - Budget Advisory Committee Policy 515.00 - Research Participant Compensation 525.00 - Invoicing and Collections 531.00 - Departing Faculty Policy 532.00-PBRC Lab Close-Out Policy 540.00 - Property Control 560.00 - Purchasing and Expenditures 570.00 - Parking 580.00 - PBRC Overall Emergency Management Plan 592.00 - Digital Sign Content Management 593.00 - International Travel 593.00a - International Travel - Export Control Checklist 593.00b - Request To Travel To Restricted Regions - Emergency Contract Form 599.00 - Relocation Incentives and Lab Moving Expenses 599.00a - Relocation Form (600.00 - 699.00) Computing Services 600.00 - Laboratory Web Pages 601.00 - Computing Services 602.00 - Telephone and Voicemail 603.00 - Password Policy 604.00 - Acquisition of Hardware and Software 605.00 - Anti-Virus Policy 606.00 - External Users Policy 607.00 - Web Privacy 608.00 - Computing Resources Downtime 609.00 - Email Acceptable Use 610.00 - Mail and Other Shipments and Deliveries-Renumbered to 802.00 612.00 - Audit of Network Resources 613.00 - Network Storage Space Usage 614.00 - Remote Access 616.00 - REDCap Policy 617.00 - Mobile Device Policy 618.00 - DMCA Policy (700.00 - 799.00) Sponsored Projects 701.00 - Subrecipient Monitoring Policy 702.00 - Indirect Cost Allowance Policy 703.00 - Sponsored Projects Proposal and Protocol Approval Policy (800.00 - 899.00) Facilities Management 800.00 - Use of Facilities 800.01 - Assignment of Space 800.02 - Facilities and Properties 801.00 - Freedom of Speech and Expression 802.00 - Mail and Other Shipments and Deliveries 803.00 - Visitor Policy 804.00 Receiving and Returning PBRC Property (900.00 - 999.00) Human Resource Management 901.00 - Overtime Compensation for Classified Employees 902.00 - Optional Pay for Permanent Classified Employees 903.00 - FSER Lab Technician Supervisor 904.00 - FSER Lab Technical Assistant 1 2 3 905.00 - Classified Above-The-Minimum Hiring Rate 906.00 - Pay for Classified Employees at Range Maximum 907.00 - Nepotism 908.00 - International Employees and Visitors 909.00 - EEO Affirmative Action Policy 910.00 - Prohibition and Prevention of Discrimination, Harassment and Retaliation 911.00 - Employee Grievance 911.00a - Employee Grievance Form 912.00 - Workers Compensation Coverage Includes General Info. 913.00 - Return to Work Policy for Employees on Workers Compensation 915.00 - Attendance and Leave 918.00 - Employee Recognition Program 918.00a - Employee Nomination Form 919.00 - Employee Development for Unclassified Job Performance Review/Rating (Unclassified) 920.00 - Performance Evaluation System for Classified Employees 921.00 - Job Training and Orientation 922.00 - Employee Progressive Disciplinary Procedure 923.00 - Violence in the Workplace Prevention 925.00 - Persons with Disabilities and Americans with Disabilities Act 925.00a - Voluntary Self-Identification of Disability Form 925.00b - Request for Accommodation 925.00c - Medical Inquiry Form 926.00 - Student Worker Policy Employment of Student Workers 927.00 - Employee Service Award Program 928.00 - Delegation of Approval Authority Policy 928.00a - Delegation of Approval Authority Form 930.00 - Personnel Record Keeping and Access 931.00 Ethics Training Policy* 932.00 - Breastfeeding Policy 933.00 - Recoupment of Payroll Overpayment Policy To Employees 934.00 - Flexible Work Arrangement (FWA) Policy 934.00a - Flexible Work Arrangement (FWA) Form 935.00 - Visiting Scholars 935.00a - Visiting Scholars Request Form 936.00 - On-Call Pay Lab Tech Assistants 937.00 - On-Call Pay Facilities 938.00 - LPN Shift Differential 939.00 - RN Shift Differential (1000.00 - 1999.00) Safety 1000.00 - Delivery of Radioactive Material Detailed procedures on handling Radioactive packages (pick up and delivery) 1001.00 - Visitors and Research Volunteers Report of Incident of Injury 1002.00-Blood Borne Pathogen Policy 1003.00-Employee Health Program Policy 1004.00-Active Threat Response Policy 1005.00-Radiation Safety Committee Charter 1006.00 - Access for Minors to Pennington Access of PBRC facilities to minors 1007.00 - Possession of Firearms