Policies and Procedures

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Operating Policies and Procedures

(01) - Chancellor

• HSCEP OP 01.01 - Preparation of Agenda for Board of Regents' Meetings
  
  • Attachment A - Schedule of Events
  • Attachment B - General Information
  • Attachment C - Sample Documents
  • Attachment D - Sample Documents
• HSCEP OP 01.02 - Guidelines for the Establishment and
  Review of Institutes and Centers
• HSCEP OP 01.03 - Custodian of Public Records
• HSCEP OP 01.04 - Use of Institutional Names for Private Business Purposes
• HSCEP OP 1.05 - Unassigned
• HSCEP OP 01.07 - Organization of Texas Tech University Health Sciences Center El Paso
  
  • Attachment A - HSCEP Organizational Chart

(02) - Institutional Advancement

• HSCEP OP 02.01 - Office of Institutional Advancement Relationships and Responsibilities
• HSCEP OP 02.02 - Solicitation of Gifts and Grants from Private Philanthropic Sources
• HSCEP OP 02.03 - Acceptance of Gifts and Grants from Private Philanthropic Sources
  • Attachment A - Gifts-in-Kind Information Form
  • Attachment B - Preston Smith Library-Gift Information for Prospective Donors
• HSCEP OP 02.04 - Processing, Management and Publicity of Gifts and Grants from Private Philanthropic Sources
• HSCEP OP 02.05 - Confidentiality of Information on ADVANCE System
• HSCEP OP 02.06 - Reporting of Gifts and Grants from Private Philanthropic Sources
• HSCEP OP 02.07 - Disclosure of Certain Gifts from Foreign Persons
• HSCEP OP 02.08 - Operation and Maintenance of Endowment Funds
• HSCEP OP 02.09 - Gifts of Securities
  • Attachment A - Gift of Stock Transmittal Form

(04) - Audit Services

• HSCEP OP 04.01 - Operation of the Office of Audit Services

(10) - President

• HSCEP OP 10.01 - Operating Policies and Procedures for TTUHSC El Paso
• HSCEP OP 10.02 - Suspension of Classes and Closing of Offices in Emergency Situations
  
  • Attachment A - TTUHSC El Paso Campus Policy
  • Attachment B - Essential Personnel Designation and Notification Form
  • Attachment C - General Memorandum
• HSCEP OP 10.03 - Alcohol and Illegal Drugs
  • Attachment A - Student, Faculty, and Staff Guidelines
• HSCEP OP 10.04 - Publication of Institutional Mission Statement
  • Attachment A - Mission Statement
• HSCEP OP 10.05 - Conflict of Interest and Commitment Policy
  • Committee Charter Conflict of Interest and Commitment Policy
• HSCEP OP 10.06 - Academic Council
• HSCEP OP 10.07 - Unassigned
• HSCEP OP 10.08 - Unassigned
• HSCEP OP 10.09 - Records Retention
  • Attachment A - Records Retention Schedule: Users Advised to check for updates
  • Attachment B - Records Retention Disposition Log
• HSCEP OP 10.10 - Unassigned
• HSCEP OP 10.11 - Delegation of Authority by the President
• HSCEP OP 10.12 - Emeritus Appointments
• HSCEP OP 10.13 - Selection of University Distinguished Faculty
• HSCEP OP 10.14 - Appointments to Academic Administrative Positions
• HSCEP OP 10.15 - Unassigned
• HSCEP OP 10.16 - Unassigned
• HSCEP OP 10.17 - Unassigned
• HSCEP OP 10.18 - Unassigned
• HSCEP OP 10.19 - Smoke free and Tobacco free Environment
• HSCEP OP 10.20 - Criminal Background Checks for Students and Trainees
  • Attachment A - Notice to Students and Trainees
  • Attachment B - Consent for Release of Information - Hold Harmless Agreement for Students
• HSCEP OP 10.21 - Land Development
• HSCEP OP 10.22 - Unassigned
• HSCEP OP 10.23 - Unassigned
• HSCEP OP 10.24 - Unassigned
• HSCEP OP 10.25 - TTUHSC El Paso President’s Awards
  • Attachment A - President's Excellence in Teaching Award Nomination Form
  • Attachment B - President’s Excellence in Research Award Nomination Form
  • Attachment C - President’s Young Investigator Award Nomination Form
  • Attachment D - President’s Outstanding Clinician Award Nomination Form
  • Attachment E - President’s Excellence in Community Engagement Award Nomination Form
  • Attachment F - President’s Outstanding Professor Award Nomination Form
  • Attachment G - President’s Award for Interprofessional Teamwork Nomination Form
  • Attachment H - Faculty Award Recommendation Summary
• HSCEP OP 10.26 - Global Health Council
• HSCEP OP 10.27 - Unassigned
• HSCEP OP 10.28 - Volunteers
  • Attachment A - Volunteer Application for Minors
  • Attachment B - Adult Volunteer or Observer/Job Shadow Application
  • Attachment C - Volunteer Participation Authorization for Minors
  • Attachment D - VOLUNTEER SERVICE AGREEMENT RELEASE, HOLD HARMLESS AND INDEMNIFICATION
  • Attachment E - Departmental Volunteer Orientation Checklist
  • Attachment F - Volunteer Competency and Performance Evaluation
  • Attachment G - ANIMAL THERAPY PROGRAM
• HSCEP OP 10.29 - Global Health Program for Students
  • 10.29a - Faculty-Led International Program Proposal Form
  • 10.29b - TTUHSC El Paso Planned Response to Proposal Form
• HSCEP OP 10.30 - Regulations for the carrying of concealed handguns by license holders
• HSCEP OP 10.31 - Requests for Institutional Data and Internal Data Collection Processes
• HSCEP OP 10.32 - Use and Secure Handling of the Presidential Seal

(50) - Accounting and Finance

• HSCEP OP 50.01 - Extension of State Credit
• HSCEP OP 50.02 - TTUHSC El Paso Employees Indebted to the State of Texas
• HSCEP OP 50.03 - Fund Manager Designation and Responsibilities
  • Attachment A - Basic Principles of Internal Control
• HSCEP OP 50.04 - MPIP Clearing Fund Management
• HSCEP OP 50.05 - Grant, Award, and Contract Billings
• HSCEP OP 50.06 - Unassigned
• HSCEP OP 50.07 - Cash Collections
• HSCEP OP 50.08 - Deposit Procedures
• HSCEP OP 50.09 - Unassigned
• HSCEP OP 50.10 - Endorsement Stamps and Endorsement of Checks
• HSCEP OP 50.11 - Alteration of Checks
• HSCEP OP 50.12 - Check Collections and Returned Checks
• HSCEP OP 50.13 - Remittance of Unclaimed Property
• HSCEP OP 50.14 - Prohibition of Gift of Public Moneys
• HSCEP OP 50.15 - Notary Appointments
• HSCEP OP 50.16 - Changes to and Approval of Non-mandatory Student Fees
  • Attachment A - Special Instruction Fee Request
• HSCEP OP 50.17 - Establishment and Operation of Service Departments
• HSCEP OP 50.18 - Cost Transfers
• HSCEP OP 50.19 - Use of Accounting System and Services by Student and Other Organizations
• HSCEP OP 50.20 - Unassigned
• HSCEP OP 50.21 - Cash (Change) Funds
• HSCEP OP 50.22 - Tuition and Fees Installment Payment Options
• HSCEP OP 50.23 - Unassigned
• HSCEP OP 50.24 - Distribution of Interest Earnings
• HSCEP OP 50.25 - Unassigned
• HSCEP OP 50.26 - Completion of Cash Receipts
• HSCEP OP 50.27 - Use of Private Consultants
  • Attachment A - Consulting Contract - Notice to BOR Chairs
• HSCEP OP 50.28 - Debt Collection
• HSCEP OP 50.29 - Use of Internal Purchase Funding Transfer
• HSCEP OP 50.30 - Year End Close Processes and Deadlines
• HSCEP OP 50.31 - Adoption and Sale of Textbooks and Related Materials
• HSCEP OP 50.32 - Waiver of Fees for Regional Campuses, Internet Courses, and Off Campus Instruction
• HSCEP OP 50.33 - Unassigned
• HSCEP OP 50.34 - Unassigned
• HSCEP OP 50.35 - Unidentified Receipts and Holding Account Maintenance
• HSCEP OP 50.36 - Sales Tax Collection
• HSCEP OP 50.37 - Payment Card Processing by TTUHSC El Paso Departments
  • Attachment A - Merchant ID Information Form
  • Attachment B - PCI Responsibility Matrix
• HSCEP OP 50.38 - Budget Adjustments to the Annual Operating Budget
• HSCEP OP 50.39 - Balance Sheet Reconciliations
• HSCEP OP 50.40 - Bank Reconciliation

(51) - Equal Opportunity

• HSCEP OP 51.01 - Equal Employment Opportunity and Affirmative Action Program
• HSCEP OP 51.02 - Non-Discrimination and Anti-Harassment Policy and Complaint Procedure for Violations of Employment and Other Laws
• HSCEP OP 51.03 - Sexual Harassment, Sexual Assault, Sexual Misconduct, and Title IX Policy and Complaint Procedure
• HSCEP OP 51.04 - Access for Individuals with Disabilities

(52) - Compliance

• HSCEP OP 52.01 - Institutional Compliance Plan
• HSCEP OP 52.02 - Privacy and Security of Health Information
• HSCEP OP 52.03 - Compliance Hotline - Ethicspoint
• HSCEP OP 52.04 - Report & TTUHSC EP Internal Investigation of Alleged Violations, Non-Retaliation
  
  • Attachment A - Investigation Confidentiality Agreement
• HSCEP OP 52.05 - Texting of Protected Health Information (PHI)
• HSCEP OP 52.06 - Standards of Conduct and Ethics Guide
• HSCEP OP 52.07 - Billing Compliance Plan
• HSCEP OP 52.08 - Social Security Number Policy
  
  • Attachment A - List of State and Federal laws requiring collection of SSN
• HSCEP OP 52.09 - Confidential Information
  
  • Attachment A - Information Security Plan for Financial Information
  • Attachment B - Confidentiality Agreement
• HSCEP OP 52.10 - Identity Theft Protection, Detection, and Mitigation Program
  
  • Attachment A - Identity Theft Red Flag Indicator
• HSCEP OP 52.11 - Sanction Check Process
• HSCEP OP 52.12 - Government Investigations
  
  • Attachment A - Dealing with Govt. Investigations Brochure
• HSCEP OP 52.13 - HIPAA Business Associate Agreements
  
  • Attachment A - Business Associate Agreement
  • Attachment B - HIPAA/HITECH Business Associate Decision Tree
• HSCEP OP 52.14 - HIPAA Sanctions Process
  • Attachment A - Disciplinary Matrix
• HSCEP OP 52.15 - Consent and Release to Use Image or Information
  
  • Attachment A - Consent and Release to Use Image or Information form
  • Attachment B - Consentimiento y Permiso de Publicación Para Usar Imágenes o Información
• HSCEP OP 52.16 - Vendor Interactions
• HSCEP OP 52.17 - Controlled Substances Policy

(54) - Contracting

• HSCEP OP 54.01 - Contracting Authority and Policy
  • Appendix A - Summary of Required Contracting Approvals
  • Appendix B - Summary of Employment Agreement Approvals
• HSCEP OP 54.02 - Contracting Procedures
• HSCEP OP 54.03 - Use of "Texas Tech University Health Sciences Center El Paso" Name for Private Business Purposes and Licensing: Use of Indicia, Logographics and Symbols
  • Attachment A - License to Use Certain Indicia of TTUHSC El Paso
• HSCEP OP 54.04 - Professional Services - Contracting
• HSCEP OP 54.05 - Unassigned
• HSCEP OP 54.06 - Unassigned

(55) - Communications Services

• HSCEP OP 55.01 - Unassigned
• HSCEP OP 55.02 - Telephones, Telephone Systems, Equipment, and Services
• HSCEP OP 55.03 - Unassigned
• HSCEP OP 55.04 - Cellular Telephones and Data Devices
• Attachment A - University Provided Wireless Device Request form
• Attachment B - Transfer of Wireless Service Agreement from Individual to TTUHSC El Paso
• Attachment C - Transfer of Wireless Service Agreement from TTUHSC El Paso to Individual
• HSCEP OP 55.05 - Unassigned

(56) - Information Technology

• HSCEP OP 56.01 - Acceptable Use of Information Technology Resources
• HSCEP OP 56.02 - Unassigned
• HSCEP OP 56.03 - Project Management
• HSCEP OP 56.04 - Electronic Transmission of Personally Identifiable Information (PII) and Protected Health Information (PHI)
• HSCEP OP 56.06 - Bring Your Own Device (BYOD)
• HSCEP OP 56.07 - Electronic and Information Resources Accessibility
• HSCEP OP 56.08 - Acceptable Use of Generative Artificial Intelligence (GenAI) Tools

(57) - Copying and Mail Services

• HSCEP OP 57.01 - Mail, Printing, Copying, and Document Services
• HSCEP OP 57.02 - Guidelines for the Educational Use of Copyrighted Works
  • Attachment A - Sample Permissions Letter

(59) - Academics

• HSCEP OP: 59.00 - Course Archival and Restoration Policies
  • Attachment A - Canvas or Other LMS Course Restore Request
• HSCEP OP: 59.01 - TTUHSC El Paso Adding, Changing, and Deleting Courses and Changing Methods of Delivery
  • Attachment A - Course Approval/Change Form
• HSCEP OP: 59.02 - Online and Distance Education
• The policy on Grading Procedures and Academic Regulations, now designated HSCEP OP 59.05 (see below), was formerly designated HSCEP OP 77.19.
• HSCEP OP: 59.05 - Grading Procedures and Academic Regulations
  • Attachment A - Audit Registration Form
• HSCEP OP: 59.06 - Prioritization, Acceptance, Credentialing, and Monitoring of Visiting Students and Trainees
• HSCEP OP: 59.07 - Substantive Change Reporting
• HSCEP OP: 59.08 - New Degree and Certificate Programs, Change in Delivery Format, and Degree and Certificate Program Termination
  • Attachment A - Request for New Degree or Certificate Program – Academic Council Review
  • Attachment B - Approval of New Degree and Certificate Programs, and Degree and Certificate Program Termination - Routing Sheet
• HSCEP OP: 59.09 - Definition and Calculation of Credit Hours
• HSCEP OP: 59.10 - Submission and Coordination of Academic Program Calendars
  • Attachment A - Template for Submitting Academic Program Calendars

(60) - Faculty and Clinic Administration

• HSCEP OP 60.01 - Tenure and Promotion Policy
• HSCEP OP 60.02 - Faculty Development Leave of Absence for Compensated Tenured Faculty
  • Attachment A - Faculty Development Leave for Compensated Tenured Faculty Application Form
• HSCEP OP 60.03 - Comprehensive Performance Evaluation of Tenured Faculty
  • Attachment B -Paul L. Foster School of Medicine
• HSCEP OP 60.04 - Unassigned- See 59.07 Substantive Change Reporting
  • Attachment A Unassigned - See 59.07 Attachment A Requirements of Reporting Substantive Change
  • Attachment B Unassigned - See Attachment B Substantive Change Action Plan
• HSCEP OP 60.05 - Unassigned- See 59.09, Definition and Calculation of Credit Hours
• HSCEP OP 60.06 - Consensual Relationships - Faculty and Students
• HSCEP OP 60.07 - Unassigned
• HSCEP OP 60.08 - Annual Renewal of Certain Faculty Employment Contracts
  • Attachment A - Faculty Memorandum of Appointment, Non-Tenure Acquiring Rank (Non-Tenure Track)
• HSCEP OP 60.09 - Faculty Recruitment Procedure
  • Attachment A - Faculty Recruitment Procedure Guidelines
  • Attachment B - Sample Hiring Screening Matrix
  • Attachment C - Faculty Search Affirmative Action In-progress Review
  • Attachment D - EEO/Affirmative Action Recruitment Summary Form
• HSCEP OP 60.10 - Faculty Grievance Procedure
• HSCEP OP 60.11 - Unassigned- See 59.08 New Degree and Certificate Program, Change in Delivery Format, and Degree and Certificate Program Termination
  • Attachment A Unassigned - See Attachment A Approval of New Degree and Certificate Programs
• HSCEP OP 60.12 - Documentation of Faculty Qualifications for Teaching Assignments
• HSCEP OP 60.13 - Annual Review of Faculty Members

(61) - Facilities Management

• HSCEP OP 61.01 - Use of TTUHSC El Paso Facilities, Equipment, Supplies, and Services for Private Purposes Prohibited
  
  • Attachment A - Temporary Use of Property Authorization Form
• HSCEP OP 61.02 - Remodeling Projects/Painting
  
  • Attachment A - New Construction Request Form
• HSCEP OP 61.03 - Posting of Notices on TTUHSC El Paso Property
  
  • Attachment A - Sale of Personal Items
• HSCEP OP 61.04 - Interior Maintenance Planting Program
• HSCEP OP 61.05 - Freestanding Exterior Signs
• HSCEP OP 61.06 - Traffic and Parking Control Devices
• HSCEP OP 61.07 - Use of TTUHSC El Paso Premises and Amplification Equipment
  • Attachment A - Guidelines for the Use of Public Areas and Adjacent Corridors for Special Events
  • Attachment B - Guidelines and Requirements for Food and Drink Service
• HSCEP OP 61.08 - Building Decorations and Decorative Materials
• HSCEP OP 61.09 - Departmental Work Coordinators
  • Attachment A - Departmental Work Coordinator
  • Attachment B - Job Completion Card
• HSCEP OP 61.10 - Energy Conservation Program and Utility Review
• HSCEP OP 61.11 - Advertising Methods for Construction Services Contracts
• HSCEP OP 61.12 - Reporting Minor Construction and Renovation Information
  by TTUHSC
  • Attachment A - Sample Construction Project Report
• HSCEP OP 61.13 - Approval and Scheduling of Site Planning and Landscape Construction Projects
• HSCEP OP 61.14 - Physical Plant and Support Services Fees
• HSCEP OP 61.15 - Approval of the Erection of Temporary or Permanent Structures on TTUHSC El Paso Grounds or Buildings
• HSCEP OP 61.16 - Access to Building Equipment Rooms and Tunnels
• HSCEP OP 61.17 - Donated Furnishings and Interior Finish Materials - Design and Code Review
• HSCEP OP 61.18 - Unassigned
• HSCEP OP 61.19 - Furniture, Floor covering Window Treatments and Wall covering- Requests for Interior Design Services
• HSCEP OP 61.20 - Approval and Scheduling of Design and Construction Projects
  • Attachment A - New Construction Request Form
  • Attachment B - TTUHSC El Paso Planning, Design & Construction Flow Chart
• HSCEP OP 61.21 - Unassigned
• HSCEP OP 61.22 - Installation of Cabling in TTUHSC El Paso Facilities
  • Attachment A - New Construction Request Form
• HSCEP OP 61.23 - TTUHSC El Paso Classroom and Class Lab Scheduling Policy
• HSCEP OP 61.24 - Control of Keys to Facilities
  • Attachment A - Key Request Form
  • Attachment B - Key Warden Access Request
• HSCEP OP 61.25 - Electronic or Keyless Locking Systems
• HSCEP OP 61.26 - Standardization of Door Hardware and Restricted Keyway Systems, Computerized Keying System and Key Identification Program
• HSCEP OP 61.27 - Freedom of Expression
  • Attachment A - Joint Report regarding Institutions' Implementation of the Requirements of Senate Bill 18

(63) - General Services

• HSCEP OP 63.01 - TTUHSC El Paso Vehicle Rental
  • Attachment A - Transportation Request Form
• HSCEP OP 63.02 - Out-of-Country Use of TTUHSC El Paso Vehicles
• HSCEP OP 63.03 - Vehicle Fleet Management Program
  
  • Attachment A - Vehicle Fleet Management Program
  • Attachment B - Vehicle Monthly Use Report
  • Attachment C - Tips for Compliance
  • Attachment D - Operator Vehicle Inspection
  • Attachment E - Vehicle Coordinator Update Request
• HSCEP OP 63.04 - Disposal of Motor Vehicles - Surplus Property
  
  • Attachment A - Vehicle Disposal Information
• HSCEP OP 63.05 - Central Shipping and Receiving
• HSCEP OP 63.06 - Moving and Delivery Services
• HSCEP OP 63.07 - Vehicles - Inscription and Painting
• HSCEP OP 63.08 - Unassigned
• HSCEP OP 63.09 - Unassigned
• HSCEP OP 63.10 - Property Management
  
  • Attachment A - Deletion/Trade-In of an Inventoried Item
  • Attachment B - Missing, Damaged, Lost or Stolen Property Report
  • Attachment C - Unassigned
  • Attachment D - Temporary Use of Property Authorization Form
  • Attachment E - Transfer from Surplus to Department Request
  • Attachment F - Inter-Agency Property Transfer Request
  • Attachment G - Request to Add Property to Departmental Inventory That Has Been Discovered or Transferred from Off Campus or Donated
  • Attachment H - Fabrication of Equipment Authorization
  • Attachment I - Class Codes - Property Controlled but not Capitalized
  • Attachment J - Final Disposition of Surplus Property
• HSCEP OP 63.11 - Disposal of Surplus, Obsolete, or UneconomicallyRepairable Inventory
  
  • Attachment A – Request for Approval of Surplus Property

(65) - Grants and Contracts Accounting

• HSCEP OP 65.01 -Establishing Sponsored Program Funds
• HSCEP OP 65.02 - Facilities and Administrative Cost Recovery Plan
• HSCEP OP 65.03 - Sponsored Program Fund Management
• HSCEP OP 65.04 - Allowable Activities and Allowable Costs
  
  • Attachment A - Common Allowable and Unallowable Costs
• HSCEP OP 65.05 - Program Income
• HSCEP OP 65.06 - Contracts and Grants Made Directly to Individuals
• HSCEP OP 65.07 - Effort Reporting: Certifying Time and Effort on Sponsored Projects
  • Attachment A -Institutional Base Salary (IBS)
• HSCEP OP 65.08 - Unassigned
• HSCEP OP 65.09 - Subrecipient Monitoring
  
  • Attachment A - Audit Certification, Subrecipient Monitoring Requirements
  • Attachment B - Subrecipient Monitoring Risk Assessment Tool
• HSCEP OP 65.10 - Residual Funds Derived from Drug Studies, Clinical Trials, Fixed-Price Contracts, and Investigator-Initiated Research
• HSCEP OP 65.11 - Cost Sharing on Sponsored Projects

(67) - Communications and Marketing

• HSCEP OP 67.01 - Publication Guidelines
• HSCEP OP 67.02 - Communications, Advertising and News Media
• HSCEP OP 67.03 - Use of Social Media

(68) - Payroll

• HSCEP OP 68.01 - Distribution of Payroll Checks
  • Attachment A - Direct Deposit Authorization Form
  • Attachment B - Departmental Payroll Distribution List
  • Attachment C - Department Request for Approval to Distribute Payroll Checks
• HSCEP OP 68.02 - Payroll Deduction Designated to Texas Tech for Charitable Contributions
• HSCEP OP 68.03 - Tip and Gratuity Payments Received by Employees

(70) - Human Resources

• HSCEP OP 70.01 - Employee Leave
• HSCEP OP 70.02 - Retirement
• HSCEP OP 70.04 - Compensation
• HSCEP OP 70.05 - Insurance and Other Benefits
• HSCEP OP 70.06 - Employee Working Hours and Holidays
  • Attachment A - Chart of Compensable Travel Time for Non-Exempt Employees
• HSCEP OP 70.07 - Optional Retirement Program
• HSCEP OP 70.08 - Nepotism
  • Attachment A - Application for Waiver of Nepotism
• HSCEP OP 70.09 - Hiring and Immigration Sponsorship of Foreign Nationals
• HSCEP OP 70.10 - Non-faculty Employee Complaint Procedures
• HSCEP OP 70.11 - Appointments to Non-faculty Positions
• HSCEP OP 70.12 - Staff Performance Management
  • Attachment A - Supervisors Guide to Staff Performance Management
• HSCEP OP 70.13 - Workers' Compensation Insurance
  • Attachment A - First Report of Injury/Illness/Accident
  • Attachment B - Employee's Report of Injury
  • Attachment C - Authorization for Release of Information
  • Attachment D - Witness Statement
  • Attachment E - Employee's Election Regarding Utilization of Sick and Annual Leave
  • Attachment F - Supervisor's Investigation of Employee's Accident/Incident
  • Attachment G - Supplemental Report of Injury
  • Attachment H - Network Acknowledgement Form
• HSCEP OP 70.16 - Compensation in Excess of Base Salary
• HSCEP OP 70.17 - Overtime Pay
  • Attachment A - Approval for Compensation Time Accrual/Usage by an Exempt Employee
  • Attachment B - Exempt Employee Compensatory Time Summary
• HSCEP OP 70.18 - Dual Reporting and Multiple Employment
• HSCEP OP 70.19 - Exit Interview and Separation Checkout Procedures
  
  • Attachment A - Exit Interview
  • Attachment B - Separation Checklist
  • Attachment C - Payroll Lump Sum Vacation Certification
• HSCEP OP 70.20 - Employment Background Screening Policy
• HSCEP OP 70.21 - Service Awards for TTUHSC El Paso Employees
• HSCEP OP 70.22 - Employee Deaths
• HSCEP OP 70.23 - Reduction in Force Policy
• HSCEP OP 70.24 - Creating a New Position in a Budget; Creating a New Position Title in the Pay Plan; and Reclassifying an Existing Position Title
• HSCEP OP 70.25 - Longevity and Hazardous Duty Pay
  • Attachment A - Interagency Employment Verification/Transfer Form
• HSCEP OP 70.26 - Insurance Coverage of Graduate Student Employees
• HSCEP OP 70.27 - Appointment of Student Employees
  • Attachment A - Certification
• HSCEP OP 70.28 - Exchange Visitor Program (J-1 Visa)
  • Attachment A - Application for Exchange Visitor Visa (J-1)
    • 70.28A-1 DS2019 Request Form For J-1 Exchange Visitor
    • 70.28A-2 DS2019 Employer Attestation Form
  • Attachment B - J-1 Physician Letter
  • Attachment C - Exchange Visitor Program Rules
  • Attachment D - Physician Attestation
  • Attachment E - Instructions for Entering the U.S. as a J-1 Exchange Visitor
  • Attachment F - Program Health Insurance Agreement Form
  • Attachment G - Insurance Carriers Brochure
  • Attachment H - English Language Affidavit
• HSCEP OP 70.29 - Employment of Postdoctoral Fellows
• HSCEP OP 70.31 - Employee Conduct, Coaching, Corrective Action, and Termination
• HSCEP OP 70.33 - Electronic Personnel Action Form (ePAF) Due Dates
• HSCEP OP 70.35 - Employee Information
• HSCEP OP 70.36 - Communicable and Transmittable Disease Control in the Employee Workforce
• HSCEP OP 70.38 - Employee Assistance Program
• HSCEP OP 70.39 - Drug-Free Workplace Policy
  
  • Attachment A - Employee Consent and Release for Alcohol and Drug Testing Form
• HSCEP OP 70.41 - Drug and Alcohol Testing for Safety-sensitive Positions Requiring a Commercial Drivers License
  • Attachment A - Employee Consent Form for Alcohol/Drug Testing
• HSCEP OP 70.42 - Break Time for Nursing Mothers
  • Attachment A - Request Form
• HSCEP OP 70.43 - Early Return-to-Work (ERTW)/Alternate and Light Duty Assignments
  • Attachment A - Bona Fide Offer of Employment Sample Letter
• HSCEP OP 70.44 - Texa$aver 457 Plan
  • Attachment A - Texa$aver Beneficiary Designation Form
• HSCEP OP 70.45 - Tax Deferred Account Program
  • Attachment A - Tax Deferred Account Salary Reduction Agreement
• HSCEP OP 70.46 - HIV/AIDS Policy For The Workplace
• HSCEP OP 70.47 - Employee Training and Development
  • Attachment A - Employee Extended Development Agreement
• HSCEP OP 70.53 - Correction of Information Collected by TTUHSC El Paso by Individuals
• HSCEP OP 70.55 - Consensual Relationships - Faculty, Staff, and Residents
• HSCEP OP 70.58 - Labor Redistributions
• HSCEP OP 70.59 - Youth Camps (SB1414)
• HSCEP OP 70.60 - Remote Work

(72) - Purchasing

• HSCEP OP 72.01 - Purchasing Supplies, Equipment and Services
• HSCEP OP 72.02 - Guidelines for Proprietary Purchasing
  • Attachment A - Sole Source or Proprietary Purchase Justification Form
• HSCEP OP 72.03 - Direct Pay Expenditures
  • Attachment A - Taxability of Employee Awards, Prizes and Gifts
  • Attachment B - Non-Cash Awards, Prizes, Gifts and Gift Cards Form
  • Attachment C - Substantiation of Donations and Sponsorships Form
• HSCEP OP 72.04 - Equipment Purchased for Sponsored Federal Projects
  • Attachment A - Authorization to Purchase Equipment for a Sponsored
    Federal Project
• HSCEP OP 72.05 - Determination of Employee or Independent Contractor Status
• HSCEP OP 72.06 - Leasing of Space and Facilities
  • Attachment A - Request for Lease of Space Questionnaire
• HSCEP OP 72.07 - Lease Purchase of Equipment and Other Commodities
• HSCEP OP 72.08 - Independent Academic Services
• HSCEP OP 72.09 - Expenditure Payments
• HSCEP OP 72.10 - Invoice Processing and the Prompt Payment Law
  • Attachment A - Justification for Late Invoices
• HSCEP OP 72.11 - Purchasing/Leasing Motor Vehicles
• HSCEP OP 72.12 - Payments to Nonresident Aliens
• HSCEP OP 72.13 - Historically Underutilized Businesses
  • Attachment A - HSP Change Order Request Form for Contract Modifications
• HSCEP OP 72.14 - Contract Workforce Procedures
• HSCEP OP 72.15 - Purchasing Card Program
• HSCEP OP 72.16 - Official Functions, Business Meetings, and Entertainment
  • Attachment A - Pre-Approval Form for Official Functions - Dynamic Form
• HSCEP OP 72.17 - Purchasing of Pharmaceuticals
• HSCEP OP 72.18 - Payments for Employee Moving Expenses
• HSCEP OP 72.19 - Payments to Research Participants/Patient Studies
• Attachment A - Unassigned

(73) - Research

• HSCEP OP 73.01 - Unassigned
• HSCEP OP 73.02 - Ownership and Transfer of Projects and Research Records
  • HSCEP OP 73.02a - Master Data Transfer Agreement
• HSCEP OP 73.03 - Animal Care and Usage
• HSCEP OP 73.04 - Research Involving Controlled Substances and
  Laboratory Apparatus
  • Attachment A - Controlled Substances Self-Evaluation
  • Attachment B - Receipt of Controlled Substance Log Form
  • Attachment C - Use of Controlled Substance Log Form
  • Attachment D - Inventory of Controlled Substance Record
  • Attachment E - Disposal of Controlled Substance Record
• HSCEP OP 73.05 - Research Involving Hazardous Chemical and Biological Materials, and Recombinant or Synthetic Nucleic Acid Molecules
• HSCEP OP 73.06 - Research Involving Human Subjects
• HSCEP OP 73.07 - Integrity in Research and Allegations of Scientific Misconduct
  • Attachment A - Guidelines and Procedures for Responding to Allegations of Research Misconduct
• HSCEP OP 73.08 - Requirements for Principal Investigator Status
  • Attachment A - Request for Exception to Requirements for Principal Investigator Status
  • Attachment B - Postdoctoral Fellow Student Request for Exception to Requirements for PI Status
• HSCEP OP 73.09 - Financial Conflicts of Interest in Research
• HSCEP OP 73.10 - Faculty Laboratory Space Check-Out Procedures
  • Attachment A - Checklist for Moving or Terminating Laboratory Operations
• HSCEP OP 73.11 - Unassigned
• HSCEP OP 73.12 - Possession and Use of Exempt Quantities of CDC Select-Agent Toxins
  • Attachment A - Operational/Procedural Requirements
  • Attachment B - Lab Self-Inspection Checklist
  • Attachment C - Select Agent Inventory Record
  • Attachment D - Laboratory Visitor Log
• HSCEP OP 73.13 - Approval Process for External Funding Requests
  • Attachment A - Gift vs. Sponsored Project (SP) Checklist
• HSCEP OP 73.14 - Research Compliance
• HSCEP OP 73.15 - Minors in Research Laboratories
  • Attachment A - Minors in Labs Consent/Signature Sheet
  • Attachment B - Potential Hazards in Research Labs
• HSCEP OP 73.16 - Export Controls
  • Attachment A - Technology Control Plan (TCP) Certification
  • Attachment B - Request for Certification to Travel with TTUHSC El Paso Issued Laptop
• HSCEP OP 73.17 - Research Related Injury in Privately Sponsored Research Studies
• Also refer to: HSC OP 65.10 - Residual Funds Derived from Drug Studies, Clinical Trials, Fixed-Price Contracts and Investigator-Initiated Research
• HSCEP OP 73.18 -  Research Nepotism
• HSCEP OP 73.19 -  Accounting of Research Disclosures of Protected Health Information
  • Attachment A -  Accounting Log for Individual Disclosures of Protected Health Information (PHI) in Research
  • Attachment B -  Accounting Log for 50+ DIsclosures of Protected Health Information (PHI) in Research

(75) - Safety Services

• HSCEP OP 75.01 - TTUHSC El Paso Safety Programs
• HSCEP OP 75.02 - TTUHSC El Paso Safety Committees
• HSCEP OP 75.03 - Hazardous Material Incidents
• HSCEP OP 75.04 - Codes and Standards - Compliance with National Fire Protection Association (NFPA) and other State-adopted Requirements
• HSCEP OP 75.05 - Contaminated-Suspect Equipment
  • Attachment A - Certificate of Decontamination
• HSCEP OP 75.06 - Corridor Storage
• HSCEP OP 75.07 - Elevator Usage
• HSCEP OP 75.08 - Aerial Plaform Policy
• HSCEP OP 75.09 - General Laboratory Use Policy
• HSCEP OP 75.10 - Biological and Chemical Hazards Policy for Research Facilities and Personnel
• HSCEP OP 75.11 - Health Surveillance Program for TTUHSC El Paso Institutional Health and Infection Control Program
  • Attachment A - TTUHSC El Paso Health Surveillance Program - Exposure Management
  • Attachment B - TTUHSC El Paso Health Surveillance Program - Immunizations
  • Attachment C - TTUHSC El Paso Health Surveillance Program -Tuberculosis Surveillance
  • Attachment D - Exposure Source Lab Order and Map
• HSCEP OP 75.12 - TTUHSC El Paso Guidelines for Using N-95 Respirators
  • Attachment A - Fit Testing for N-95 Respirator Use - Hazard Assessment
  • Attachment B - Qualitative Fit Test Record
  • Attachment C - Information for Users of N95 and Other Filtering
    Face Piece Respirators
• HSCEP OP 75.13 - Shipment of Hazardous and Infectious Materials
• HSCEP OP 75.14 - Non-Employee Incident/Injury Procedures & Reporting
  • Attachment A - Non-Employee Incident/Injury Response Flow Diagram
  • Attachment B - Non-Employee Incident/Injury Report Form
  • Attachment C - Witness Statement
  • Attachment D - Non-Employee Occurrence Report
• HSCEP OP 75.15 - Management of Claims Relating to Public Areas of HSC Facilities/Property (excluding clinics)
  • Attachment A - Claims Procedure
• HSCEP OP 75.16 - TTUHSC El Paso Fire and Life Safety Policy
  • Attachment A - Fire Event Reporting
  • Attachment B - Fire Response Procedure
  • Attachment C - Fire Drills
  • Attachment D - Fire Extinguisher Operation and Types of Fire
  • Attachment E - Policy on Hot Work Performed Outside a Designated Area
  • Attachment F - Contractor Access & Hot Work Notification Form
  • Attachment G - Outage Request Form
• HSCEP OP 75.17 - Disposal of Expired Medications
• HSCEP OP 75.18 - Emergency Eyewash/Shower and Drench Stations
• HSCEP OP 75.19 - Compressed Gas Cylinder Safety
• HSCEP OP 75.20 - Fire Emergency Response Policy
• HSCEP OP 75.21 - Fire Extinguisher Monthly Inspection Procedure
• HSCEP OP 75.22 - Flood Emergency Response Policy (FERP)
• HSCEP OP 75.23 - Formaldehyde Safety Policy
• HSCEP OP 75.24 - Emergency Freeze Response Policy (EFRP)
• HSCEP OP 75.25 - Golf Cart Policy
• HSCEP OP 75.26 - Hazardous Materials Emergency Response Policy
• HSCEP OP 75.27 - Hazardous Materials Spill Response Policy
• HSCEP OP 75.28 - Industrial Trucks/Forklifts/Power Equipment
• HSCEP OP 75.29 - Liquid Nitrogen
• HSCEP OP 75.30 - Medical Equipment Policy
• HSCEP OP 75.31 - Strange Odor – Report Policy
• HSCEP OP 75.32 - Internal Event - Facility Use Policy
• HSCEP OP 75.33 - Emergency Evacuation Policy
• HSCEP OP 75.34, TTUHSC El Paso Research Materials Transport on Campus
• HSCEP OP 75.35, Confined Space Entry Program

(76) - Security

• HSCEP OP 76.01 - Emergency Management Plans
  • Attachment A - Emergency Management Plan for TTUHSC El Paso
• HSCEP OP 76.02 - Identification/Access Badges
  • Attachment A - Authorizing Signature
  • Attachment A - Requistion Form Identification / Security Access
• HSCEP OP 76.03 - Unassigned
• HSCEP OP 76.04 - Unassigned
• HSCEP OP 76.05 - Abandoned Personal Property
• HSCEP OP 76.06 - Unassigned
• HSCEP OP 76.07 - Unassigned
• HSCEP OP 76.08 - Violence and Workplace Threats
• HSCEP OP 76.09 - Unassigned
• HSCEP OP 76.10 - Animals in TTUHSC El Paso Buildings
• HSCEP OP 76.11 - Hunting on TTUHSC El Paso Property
• HSCEP OP 76.12 - Unassigned
• HSCEP OP 76.13 - Unassigned
• HSCEP OP 76.14 - Unassigned
• HSCEP OP 76.15 - Severe Weather Warning and Alert Systems
  • Attachment A - TTUHSC El Paso
• HSCEP OP 76.16 - Unassigned
• HSCEP OP 76.17 - Bomb Threat Procedures
  • Attachment A - Check List for Bomb Threats
• HSCEP OP 76.18 - Unassigned
• HSCEP OP 76.19 - Unassigned
• HSCEP OP 76.20 - Unassigned
• HSCEP OP 76.21 - Unassigned
• HSCEP OP 76.22 - Unassigned
• HSCEP OP 76.23 - Employee Training and Procedures for Handling Armed
  Robbery Incidents
  • Attachment A - Armed Robbery Description Checklist
• HSCEP OP 76.24 - Unassigned
• HSCEP OP 76.25 - Unassigned
• HSCEP OP 76.26 - Unassigned
• HSCEP OP 76.27 - Unassigned
• HSCEP OP 76.28 - Unassigned
• HSCEP OP 76.29 - Unassigned
• HSCEP OP 76.30 - Vehicle Registration
  • Attachment A - Faculty/Staff Vehicle Registration Form
  • Attachment B - Student Vehicle Registration Form
  • Attachment C - Parking Fees and Refunds
• HSCEP OP 76.31 - Unassigned
• HSCEP OP 76.32 - Traffic and Parking Regulations
  • Attachment A - Traffic and Parking Regulations
• HSCEP OP 76.33 - Unassigned
• HSCEP OP 76.34 - Collisions Involving University Vehicles
  • Attachment A - Auto Collision Information Form
  • Attachment B - Vehicle Accident Investigation
  • Attachment C - Vehicle Accident Witness Statement
• HSCEP OP 76.35 - Unassigned
• HSCEP OP 76.36 - Unassigned
• HSCEP OP 76.37 - Service Vehicle Parking
• HSCEP OP 76.38 - Unassigned
• HSCEP OP 76.39 - Unassigned
• HSCEP OP 76.40 - Jeanne Clery Disclosure of Campus Security Policy and Campus
  Crime Statistics Act
• HSCEP OP 76.41 - Texas Tech Police
• HSCEP OP 76.42 - Flying of Flags

(77) - Student Services

• HSCEP OP 77.01 - Admission
• HSCEP OP 77.02 - Textbook Information
• HSCEP OP 77.04 - Student Fees
• HSCEP OP 77.05 - Student Leaves of Absence and Suspensions
• HSCEP OP 77.06 - Texas Public Educational Grants
• HSCEP OP 77.07 - Credit by Examination
• HSCEP OP 77.08 - Student Travel Policy
  • Attachment A - Travel Release and Indemnification Agreement
  • Attachment B - Authorization for Emergency Medical Treatment
• HSCEP OP 77.09 - Cancellation of Students for Non-Payment of Tuition and Fees
• HSCEP OP 77.10 - Student Financial Responsibility Agreement
  • Attachment A - Student Financial Responsibility Agreement form
• HSCEP OP 77.11 - Permanent Student Record and Procedures for Safeguarding and Disposal of Student Records
• HSCEP OP 77.12 - Observation of Religious Holy Day and Requests for Religious Accommodation
• HSCEP OP 77.13 - Student Education Records
  • Attachment A - Student Consent to Release Education Records
  • Attachment B - Student Request to Access His/Her Education Records
  • Attachment C - Student Request to Amend Education Records
  • Attachment D - Confidentiality Agreement
• HSCEP OP 77.14 - Accessibility and Establishing Accommodations for Students with Disabilities
  • Attachment A - Accessibility Services Self-Disclosure & Accommodation Request Form
  • Attachment B - Verification of Accessibility Form
  • Attachment C - Provisional Accommodation Application
  • Attachment D - Accessibility Services Self-Disclosure & Accommodation Request Form - Temporary Accommodations
  • Attachment E - Accommodations Waiver Form
  • Attachment F - Appeals Form
• HSCEP OP 77.15 - Working with Affiliated Entities - Student Drug Screening
• Attachment A - Consent for Drug Screening Authorization to Disclose Drug
  Testing Results
• HSCEP OP 77.16 - Core Curriculum Policy
• HSCEP OP 77.17 - Transfer of Credit
• HSCEP OP 77.18 Border County Waiver
  
  • Attachment A - New Mexico Border County Waiver Form
  • Attachment B - Oklahoma Border County Waiver Form
• The designation HSCEP OP 77.19 formerly applied to the policy on Grading Procedures and Academic Regulations. That policy has been moved to policy series (59) – Academics, and re-designated as HSCEP OP 59.05.
• HSCEP OP 77.19 - Campus Assessment, Response, and Evaluation (CARE) Team for Students
• HSCEP OP 77.21 - FERPA Breach Policy
• HSCEP OP 77.22 - Mandatory Student Health Insurance Requirement

(79) - Travel

• HSCEP OP - 79.01 Texas State Travel Management Program
• HSCEP OP - 79.02 Travel Approvals and Notifications
  • Attachment A - Travel Application - Example
• HSCEP OP 79.03 - Aircraft Piloted by TTUHSC El Paso Personnel on Official Business and Travel by Commercial or Charter Aircraft
  • Attachment A - Application to Conduct Official Travel in Personally-owned or
    Leased Aircraft
  • Attachment B - Release and Indemnity Agreement
• HSCEP OP 79.04 - Foreign Travel
  • Attachment A - Foreign Travel Pre-Approval
• HSCEP OP 79.05 - Business Travel Account (BTA) Requests and Travel Advances
• HSCEP OP 79.06 - Reimbursement of Travel Expenses
  • Attachment A - Travel Voucher; Worksheet - Examples
  • Attachment B - Texas Hotel Occupancy Tax Exemption Certificate
  • Attachment C - TTUHSC El Paso Employee Mileage Record
• HSCEP OP 79.07 - Travel Expenses Incurred by Prospective Employees
• HSCEP OP 79.08 - Unassigned
• HSCEP OP 79.09 - Unassigned
• HSCEP OP 79.10 - Reimbursement for Travel Expenses for Spouses
• HSCEP OP 79.11 - Use of State Travel Card
  • Attachment A - Travel Card Use Agreement

 

Ambulatory Clinic Policies and Procedures

1. Leadership/Administration

• EP 1.2 - Clinical Dept Policies
• EP 1.16 - Smoke Tobacco Free Environment
• EP 1.18 - Subjects Participating in Research
• EP 1.20 - Patient Access Center
• EP 1.22 - Call Monitoring and Recording
• EP 1.23 - Service Animal Guidelines
• EP 1.25 - Missed Appointments
• EP 1.26 - Outbound Mass Communication
  • EP 1.26A - Request Form for Outbound Mass Communication
  • EP 1.26B - Contact List File for Outbound Voice Call Campaign
• EP. 1.27 - Nursing Peer Review
  
  • Attachment A - Safe Harbor Nursing Peer Review – Quick Request for Safe Harbor
  • Attachment B - Safe Harbor Nursing Peer Review – Comprehensive Request for Safe Harbor
  • Attachment C - Confidentiality Guidelines
  • Attachment D - Report to Nursing Peer review Committee (NPRC) – Alternate Reporting Form
  • Attachment E - Patient Cross Index Form
  • Attachment F - Notification to Nurse – Sample Letter
  • Attachment G - Chair Opening Statement Sample
  • Attachment H - Case Activity Report Form
  • Attachment I - Peer Review Committee Findings Form
  • Attachment J - Transmittal Notifying Nurse of Committee’s Findings
  • Attachment K - Rebuttal Statement Form
  • Attachment L - Informal Workgroup – Detailed Summary of Findings
  • Attachment M - Informal Workgroup – Individual Nurse’s Consent to Use of Informal Workgroup
  • Attachment N - Informal Workgroup – Case Activity Sheet
  • Attachment O - Report to Administrator Form
  • Attachment P - Peer Review Committee Report to BON Form
  • Attachment Q - Employer Report to BON Form
  • Attachment R - Safe Harbor Nurse Peer Review Activity Sheet
  • Attachment S - Safe Harbor – Form to Request Medical Reasonableness of a Physician’s Order

2. Emergency Procedures

• EP 2.7 - Medical Emergencies in Clinical Areas
• EP 2.8 - Medical Emergency Equipment
  • EP 2.8A - Monthly Emergency Equipment Checklist

3. Patient Care

• EP 3.1 - Critical Laboratory Reporting
• EP 3.2 - Nursing Care, Standardization of
• EP 3.4 - Management of Medical Supplies
  • EP 3.4A - Oxygen Check Log
• EP 3.6 - Hospital Admission and Transport of Patients
• EP 3.9 - Pharmacy Calls to Clinics
  • EP 3.9A - Telephone Progress Note
• EP 3.10 - Procedure Management and Documentation
  • EP 3.10A - Universal Protocol Verification
• EP 3.11 Anticoagulation Management
• EP 3.12 - Patient Assessment
• EP 3.13 - Assessment Treatment of Pain
  • EP 3.13A - Pain Scales
• EP 3.14 - Patient Education
• EP 3.15 - Orders, Receiving and Noting
• EP 3.16 - Lab Specimen Collection
• EP 3.17 - Latex Allergy Protocol
• EP 3.18 - Removal of PICC Line
• EP 3.19 - Waived Testing
  • EP 3.19A - Tests for Color Blindness
  • EP 3.19B - Quality Control Log
  • EP 3.19C - Physicians of El Paso Designation of Waived Testing Supervision
  • EP 3.19D - Texas Tech University Health Sciences Center El Paso Designation
    of Waived Testing Supervision
• EP 3.21 - Suicide and Behavioral Risk Management
• EP 3.22 - Patient Discharge Procedure

4. Medication Management

• EP 4.1 - Storage and Disposal of Drugs and Biologicals
  • EP 4.1A - Medication Refrigerator Temperature Log
  • EP 4.1B - Stock Controlled Substances Tracking Log (In Clinic)
  • EP 4.1C - REQUEST FOR ADDITION OR REVISION OF MEDICATION FORMULARY FORM
• EP 4.2 - Management of Sample Medication
  • EP 4.2A - Sample Medication Log Sheet
  • EP 4.2B - Sample Medication Instruction Sheet
• EP 4.3 - Medication Management, Administration & Documentation
• EP 4.6 - Adverse Drug Event Reporting
• EP 4.8 - Outpatient Medication Prescription
• EP 4.9 - Multi-dose Medication Vials Use, Handling, and Expiration
• EP 4.14 - Handling and Use of Neurotoxins
  • Attachment A - Botox Inventory Log
  • Attachment B - Botox Waste Log

5. Management of Information/Medical Record

• EP 5.1 - Medical Records Management
• EP 5.1A - Transition of Care Assignments
• EP 5.2 - Downtime Operations Guidelines
• EP 5.2A - Downtime Operations Questionnaire
• EP 5.2B - Downtime Progress Note
• EP 5.3 - Medical Records Access for Research
• EP 5.5 - Securing Medical Records pending litigation
• EP 5.6 - Card Reader System
• EP 5.7 - Medical Record Abbreviations
• EP 5.7A - Do Not Use Abbreviations
• EP 5.8 - Authentication of Entries to Medical Record
• EP 5.9 - Access to the Medical Records Department
• EP 5.10 - Guideline For Destruction and Disposal of Protected Health Information
• EP 5.11 - Release of Health Record Information
• EP 5.12 - Retention and Retirement of Medical Records
• EP 5.13 - Medical Record Paper Format
• EP 5.13A - Medical Records Standard Format
• EP 5.16 - Patient Portal Policy
  
  • EP 5.16A - Patient Portal Proxy Authorization Form
  • EP 5.16B - Patient Portal Proxy Authorization Form (Spanish)
• EP 5.17 - Medical Records Fees for Service
• EP 5.19 - Scribes in the Clinic Setting
• EP 5.20 - Ambulatory Clinic Patient Forms
• EP 5.21 - Medical Record Forms Standards and Approval Process
  
  • EP 5.21A - Request for New or Revision of Medical Record Form
• EP 5.22 - Access to Medical Records Department by Payors and Auditors
  • EP 5.22A - eRaider Business Partner Form
  • EP 5.22B - Texas Tech University Health Sciences Center El Paso Confidentiality Agreement
• EP 5.23 - Practice of Telemedicine
  
  • EP 5.23A - Governing Law and Venue Letter

6. Patient Rights/Patient Relationships and Agreements

• EP 6.1 - Patient Rights and Responsibilities
• EP 6.2 - Persons Accompanying Patients
• EP 6.3 - Termination of the Physician/Patient Relationship
  • EP 6.3A(1) - Termination letter - non-PCP
  • EP 6.3A(2) - Termination letter - non-PCP (Spanish)
  • EP 6.3B(1) - Termination letter - PCP
  • EP 6.3B(2) - Termination letter - PCP (Spanish)
  • EP 6.3C(1) - Termination letter - Pediatrics
  • EP 6.3C(2) - Termination letter - Pediatrics (Spanish)
  • EP 6.3D(1) - Termination letter - Pedi Specialty
  • EP 6.3D(2) - Termination letter - Pedi Specialty (Spanish)
  • EP 6.3E(1) - Term of Physician Pt relationship bullets
  • EP 6.3E(2) - Term of Physician Pt relationship bullets (Spanish)
• EP 6.4 - Management of the Suspected Abuse Victim
• EP 6.4A - Recognizing and Reporting Child Abuse
• EP 6.4B - Reporting Elder Disabled Abuse
• EP 6.4C - Reporting Adult Victims Family Violence
• EP 6.4D - Notice of Family Violence
• EP 6.5 - Inmate Management Plan
• EP 6.5A - Dealing with Prisoner Patients
• EP 6.5B - Inmate Management Log
• EP 6.5C - Instructions for Inmate Appointments
• EP 6.5D - Inmate Management Policy Violation
• EP 6.6 - Feedback Complaint and Grievance Procedures
• EP 6.6A - Grievance Investigation Form
• EP 6.8 - Refusal to Submit to treatment
• EP 6.8A - Refusal of Treatment
• EP 6.8B - Refusal to Submit to treatment
• EP 6.10 - Patients with Communication Impairment
• EP 6.10 - Suggestions Regarding Meeting Blind Person
• EP 6.12 - Photography Consent
• EP 6.15 - Informed Consent
• EP 6.15A - Consent for Treatment Guidelines
• EP 6.15B - Consent to Treat
• EP 6.15B - (Español) Consentimiento para Tratamiento
• EP 6.17 - Approval and Consent for Clinical Procedures
• EP 6.17A - Approval for New Procedure Request Form
• EP 6.18 - Advance Directives
  • EP 6.18A - Directive to Physicians and Family Members
  • EP 6.18B - Declaration referente al poder medico
  • EP 6.18C - Medical Power of Attorney Designation of Health Care Agents
  • EP 6.18D - Poder Notarial Medico Designacion de un Apoderado para asuntos mmedicos
  • EP 6.18E - Out-of-Hospital Do-Not-Resucitate (OOH-DNR) Order Texas Department of State Health Services
  • EP 6.18F - ORDEN DE NO REANIMAR FUERA DEL HOSPITAL (OOH DNR)DEPARTAMENTO ESTATAL DE SERVICIOS DE SALUD DE TEXAS

7. Infection Prevention and Control

• EP 7.1 - Infection Control Screening: New Employee, Student, Visitor
• EP 7.2 - Standard Precautions for Blood/Body Fluids (Universal Precautions)
• EP 7.3 - Needle stick Injuries/Exposures to Body Fluids: Care and Follow Up
  • EP 7.3A - Exposure Control Plan, Bloodborne Pathogens
• EP 7.4 - Infectious Disease Exposures
  • EP 7.4 Appendix A -Healthcare Workers with Communicable Diseases Infectious Disease Exposures
• EP 7.5 - Immuno-Compromised Patients, Care of
• EP 7.7 - Tuberculosis Skin Testing Policy
  • EP 7.7A - Tuberculosis Clinic Referral Acknowledgment
• EP 7.8 - Notifiable Conditions Reporting
• EP 7.9 - Procedure for Notifying Custodial for Cleaning
• EP 7.10 - Prevention of Transmission of Hepatitis B, C and HIV from HCW to Patient
• EP 7.10A - Expert Panel -OH Review and Decisions
• EP 7.10B - Patient Notification of Exposure
• EP 7.10C - Physician Attestation
• EP 7.10D - Exposure Prone Procedures Listing
• EP 7.11 - Vaccine Administration
• EP 7.11A - Appendix A
• EP 7.12 - Infection Prevention & Control Plan
  • EP 7.12A - Appendix A
• EP 7.13 - Influenza Vaccination
• EP 7.14 - Staff Lounge Cleaning
• EP 7.15 - Food in Clinical Areas
• EP 7.16 - Hand Hygiene
• EP 7.17 - Handling and Disposal of Needles/Sharps
• EP 7.18 - Disposal of Biohazard Waste
• EP 7.19 - Cleaning of Pediatric Toys and Equipment
• EP 7.20 - Decontamination of Reusable Instruments
  
  • EP 7.20A - Decontamination Process
  • EP 7.20B - Rigid Endoscope Decontamination Process
  • EP 7.20C - Flexible Endoscope Decontamination Process
  • EP 7.20D - High Level Disinfection Process
• EP 7.22 - Outbreak Investigation of Infectious Disease
• EP 7.23 - Plan to Manage the Influx of Potencial Infectious Patients
• EP 7.24 - Heathcare Associated Infection Reporting
  • EP 7.24A - Healthcare Associated Infection Communication Form
• EP 7.25 - Instrument Tracking
  • EP 7.25A - Instrument Tracking Log
• EP 7.26 - Cleaning of Patient Care Areas

8. Performance Improvement

• EP 8.1 - Performance Improvement Plan
• EP 8.1A - Reporting Schedule
• EP 8.1E - Terminology
• EP 8.1F - Example Worksheet
• EP 8.1G - Template Worksheet
• EP 8.2 - Management of a Sentinel Event
• EP 8.2A - Sentinel Event Root Cause Analysis
• EP 8.3 - Risk Management Plan
• EP 8.4 - Occurrence Reporting
• EP 8.4A - Occurrence Report
• EP 8.5 - Reporting information to the National Practitioner Data Bank or the Texas Medical Board

9. Management of Human Resources

• EP 9.1 - Licensure Certification Verification for Patient Care Professional Staff
• EP 9.1A - Verification of Licensure Form
• EP 9.2 - Not assigned
• EP 9.3 - Not assigned
• EP 9.10 - Provider Separation Procedure
• EP 9.10A - Physician Leaving Letter
• EP 9.11 - Clinical Personnel Dress Code
• EP 9.12 - Clinic Staff Time and Attendance
• EP 9.14 - Individuals Allowed in Clinics for Clinical or Academic Purposes