Institutional Handbook of Operating Procedures Table of Contents

The policies in this section have been vetted through the review and approval process in accordance with The University of Texas Medical Branch at Galveston’s Institutional Handbook of Operating Procedures (IHOP), established under the guidelines of The University of Texas System, Board of Regent’s Rules.


 


Table of Contents

Policy Title Category
8099 Inpatient Absence Agreement 8-16 Supporting Documents 94 System.Byte[]
8099SP Inpatient Absence Agreement Span 8-16 Supporting Documents 94 System.Byte[]
Diversity and Inclusion - Policy Changes Supporting Documents 94 System.Byte[]
IHOP - 01.01.01 - UTMB Mission Statement Supporting Documents 94 System.Byte[]
IHOP - 02.01.05 - Business Continuity Plan Supporting Documents 94 System.Byte[]
IHOP - 02.06.04 - Faculty or Staff Organization Registration Form Supporting Documents 94 System.Byte[]
IHOP - 02.06.04 - Registering a Faculty, Staff or Student Organization (Guidelines) Supporting Documents 94 System.Byte[]
IHOP - 02.06.06 - Posting of Notices on Institutional Communication Venues Supporting Documents 94 System.Byte[]
IHOP - 02.06.07 - Fundraising Projects Benefiting UTMB Budget Worksheet (sample) Supporting Documents 94 System.Byte[]
IHOP - 02.06.07 - Fundraising Projects Benefiting UTMB Proposal Form Supporting Documents 94 System.Byte[]
IHOP - 02.07.02 - Real Estate, Space and Capital Request Form Supporting Documents 94 System.Byte[]
IHOP - 02.07.02 - RESCC Charter Supporting Documents 94 System.Byte[]
IHOP - 02.07.02 - RESCC FAQs Supporting Documents 94 System.Byte[]
IHOP - 02.07.02 - RESCC Overview_Timeline_and_Delegated Authority Supporting Documents 94 System.Byte[]
IHOP - 02.07.02 - Space Management Research Policy Attachment to Amendment Supporting Documents 94 System.Byte[]
IHOP - 02.07.02 - UTMB Space Planning Modules Supporting Documents 94 System.Byte[]
IHOP - 02.07.07 - Furniture Drivers Supporting Documents 94 System.Byte[]
IHOP - 02.19.07 - Use of Social Media (Tips) Supporting Documents 94 System.Byte[]
IHOP - 02.19.07 - UTMB Social Media Disclaimer Supporting Documents 94 System.Byte[]
IHOP - 03.01.02 - Employee Diles (Faculty CV Template) Supporting Documents 94 System.Byte[]
IHOP - 03.01.06 - Personal Appearance (Uniform Verification) Supporting Documents 94 System.Byte[]
IHOP - 03.03.09 - Reduction in Force (RIF) Criteria Supporting Documents 94 System.Byte[]
IHOP - 03.03.09 - Reduction in Force (RIF) Guidelines Supporting Documents 94 System.Byte[]
IHOP - 03.03.09 - Reduction in Force (RIF) Guidelines1 Supporting Documents 94 System.Byte[]
IHOP - 03.03.09 - Reduction in Force (RIF) Guidelines2 Supporting Documents 94 System.Byte[]
IHOP - 03.04.01 - Compensation Policy for Professional and Classified Employees (IBS) Supporting Documents 94 System.Byte[]
IHOP - 03.04.07 - Longevity Pay (Schedule) Supporting Documents 94 System.Byte[]
IHOP - 03.07.01 - Fitness for Duty (Observation Form) Supporting Documents 94 System.Byte[]
IHOP - 03.07.01 - Fitness For Duty Supervisor's Observation Report Supporting Documents 94 System.Byte[]
IHOP - 03.07.08 - Worksite Breastfeeding Lactation Room Guidelines Supporting Documents 94 System.Byte[]
IHOP - 04.03.01 - Travel Policy (Hotel Tax Exempt Certificate) Supporting Documents 94 System.Byte[]
IHOP - 04.05.07 - Cost Sharing Policy (Accounting Treatment for Cost Sharing) Supporting Documents 94 System.Byte[]
IHOP - 05.03.08 - Grievance Panel Hearing Procedures Supporting Documents 94 System.Byte[]
IHOP - 05.03.14 - Faculty Ombudsperson Policy (Position Description) Supporting Documents 94 System.Byte[]
IHOP - 06.02.01 - Authorization Validation Checklist Supporting Documents 94 System.Byte[]
IHOP - 06.02.01 - Use and Disclosure of PHI Based on Patient Authorization (Form) Supporting Documents 94 System.Byte[]
IHOP - 06.02.01 - Use of Disclosure of PHI Based on Patient Authorization (Elements) Supporting Documents 94 System.Byte[]
IHOP - 06.02.09 - Fax Transmittal of PHI (Cover Letter) Supporting Documents 94 System.Byte[]
IHOP - 06.02.09 - Fax Transmittal of PHI (Misdirected Fax Letter) Supporting Documents 94 System.Byte[]
IHOP - 06.02.24 - Removal of Protected Health Information from UTMB Facilities (Request for Use of PHI Offsite Form) Supporting Documents 94 System.Byte[]
IHOP - 06.02.29 - Deidentification Checklist Supporting Documents 94 System.Byte[]
IHOP - 06.02.32 - Verifying Requirements Prior to Disclosing Protected Health Information (PHI) Checklist Supporting Documents 94 System.Byte[]
IHOP - 06.02.34 - Preapproved Notice of SSN Disclosure Supporting Documents 94 System.Byte[]
IHOP - 06.02.35 - BAA Decision Tree Rev 6-2-15 Supporting Documents 94 System.Byte[]
IHOP - 06.05.05 - Gifts, Honoraria, Fundraising, and Other Activities (Charitable Gift Guidelines) Supporting Documents 94 System.Byte[]
IHOP - 07.01.01 - School of Nursing Essential Functions Supporting Documents 94 System.Byte[]
IHOP - 07.01.01 - Student Request for Accommodations Supporting Documents 94 System.Byte[]
IHOP - 07.01.03 - Documentation of Non Academic Concerns Supporting Documents 94 System.Byte[]
IHOP - 07.01.03 - Student Conduct and Discipline (Fair Use) Supporting Documents 94 System.Byte[]
IHOP - 07.01.13 - Student General Grievance and Resolution Form Supporting Documents 94 System.Byte[]
IHOP - 07.01.20 - SHP Grading and Evaluation Supporting Documents 94 System.Byte[]
IHOP - 07.01.20 - SHP Student Appeals of Grading and Unsatisfactory Academic Performance (Grievance Steps) Supporting Documents 94 System.Byte[]
IHOP - 07.01.26 - School of Health Professions Student Drug Testing Policy Supporting Documents 94 System.Byte[]
IHOP - 07.01.26 - School of Medicine Drug Testing Policy Supporting Documents 94 System.Byte[]
IHOP - 07.01.26 - School of Nursing Drug Testing Policy Supporting Documents 94 System.Byte[]
IHOP - 07.01.29 - UTMB Student Health Insurance Policy (Acknowledgement Form) Supporting Documents 94 System.Byte[]
IHOP - 08.01.01 - Policy and guidelines on AIDS, HIV and Hepatitis B (TCPHP Testing of Pregnant Women) Supporting Documents 94 System.Byte[]
IHOP - 08.01.01 - Policy and Guidelines on AIDS, HIV, and Hepatitis B (Outbreak of Hep A) Supporting Documents 94 System.Byte[]
IHOP - 08.01.02 - OGG feedback Safe Patient Handling Supporting Documents 94 System.Byte[]
IHOP - 08.01.05 - Fire Alarm and Incident Response Policy (Drills) Supporting Documents 94 System.Byte[]
IHOP - 08.01.05 - Fire Alarm and Incident Response Policy (PASS) Supporting Documents 94 System.Byte[]
IHOP - 08.01.05 - Fire Alarm and Incident Response Policy (RACE) Supporting Documents 94 System.Byte[]
IHOP - 08.01.05 - Fire Alarm and Incident Response Policy (Response) Supporting Documents 94 System.Byte[]
IHOP - 08.01.09 - Manufacture, Sale, Possession, or Use of Alcohol, Controlled Substances or Illegal Drugs (Use and Abuse) Supporting Documents 94 System.Byte[]
IHOP - 08.01.11 - Environmental Policy Statement (Policy on Sustainability Practices) Supporting Documents 94 System.Byte[]
IHOP - 08.01.12 - Safety Training (Crime Prevention and Education Programs) Supporting Documents 94 System.Byte[]
IHOP - 08.02.01 - Threatening Situations (Activating the Alert System) Supporting Documents 94 System.Byte[]
IHOP - 08.02.01 - Threatening Situations (Timely Warnings, Emergency Notifications and Evacuations) Supporting Documents 94 System.Byte[]
IHOP - 08.02.02 - Campus Security Reporting (UTMBs Campus Security Authorities) Supporting Documents 94 System.Byte[]
IHOP - 08.02.07 - Security Associated with Offender Correctional Patients Supporting Documents 94 System.Byte[]
IHOP - 08.02.07 - TDCJ Search of Individuals Policy Supporting Documents 94 System.Byte[]
IHOP - 08.03.01 - Resource Conservation Policy (FOAM Guidelines) Supporting Documents 94 System.Byte[]
IHOP - 09.01.08 - Inpatient Absence for Personal or Therapeutic Reasons (Off Unit Log) Supporting Documents 94 System.Byte[]
IHOP - 09.01.14 - Statement of Patient Leaving Against Medical Advice (AMA) Supporting Documents 94 System.Byte[]
IHOP - 09.01.18 - Letter of Financial Responsibility for Continued Care for Non-Medicare and Non-Medicaid Patients Template Supporting Documents 94 System.Byte[]
IHOP - 09.01.23 - MICU CCU Admission Criteria (Classification of P and V) Supporting Documents 94 System.Byte[]
IHOP - 09.01.32 - Process for Testing Dr. Pink System Supporting Documents 94 System.Byte[]
IHOP - 09.02.06 - MED-REQ Supporting Documents 94 System.Byte[]
IHOP - 09.02.06 - Research Request form Supporting Documents 94 System.Byte[]
IHOP - 09.02.07 - Use and Disclosure of Inpatient Protected Health Information (Discharge Needs Assessment Factors) Supporting Documents 94 System.Byte[]
IHOP - 09.02.08 - Medial Record Forms Management (Guidelines) doc 2007 Supporting Documents 94 System.Byte[]
IHOP - 09.02.08 - Medical Record Form Management (Guidelines) Supporting Documents 94 System.Byte[]
IHOP - 09.02.15 - Medical Record Documentation (Guidelines for Copying Pasting Medical Records) Supporting Documents 94 System.Byte[]
IHOP - 09.02.15 - Medical Record Documentation (Style Guide) Supporting Documents 94 System.Byte[]
IHOP - 09.02.15 - Medical Record Documentation (Style Guide) Duplicate Supporting Documents 94 System.Byte[]
IHOP - 09.02.16 - Scanning Protected Health Information to Epic (Do's and Don'ts of Scanning) Supporting Documents 94 System.Byte[]
IHOP - 09.02.20 - Email Agreement Supporting Documents 94 System.Byte[]
IHOP - 09.02.20 - Physician-Patient Email Communication (Email Agreement) Supporting Documents 94 System.Byte[]
IHOP - 09.02.20 - Physician-Patient Email Communication (Email Tracking Tool) Supporting Documents 94 System.Byte[]
IHOP - 09.02.21 - Medical Record Number Assignment (Tips) Supporting Documents 94 System.Byte[]
IHOP - 09.03.02 - Use of Photgraph, Video Audio Recordings and or Televising Patients (Consent Form) Supporting Documents 94 System.Byte[]
IHOP - 09.03.02 - Use of Photography, Video Audio Recordings and or Televising Patients (Authorization Form) Supporting Documents 94 System.Byte[]
IHOP - 09.03.02 - Use of Photography, Video Audio Recordings and or Televising Patients (Consent Form) Supporting Documents 94 System.Byte[]
IHOP - 09.03.02 - Use of Photography, Video Audio Recordings, and or Televising Patients (GNL Photography Policy) Supporting Documents 94 System.Byte[]
IHOP - 09.03.04 - Law Enforcement Request for Records (SANE) Supporting Documents 94 System.Byte[]
IHOP - 09.03.04 - Texas Department of Family and Protective Services p1 Supporting Documents 94 System.Byte[]
IHOP - 09.03.05 - Addendum A - Patient Services Grievance Process Supporting Documents 94 System.Byte[]
IHOP - 09.03.05 - Addendum B - Grievance Policy Workflow Supporting Documents 94 System.Byte[]
IHOP - 09.03.09 - Assessment Criteria Supporting Documents 94 System.Byte[]
IHOP - 09.03.09 - Definitions - Abuse Neglect and Exploitation of Elderly or Disabled Persons Supporting Documents 94 System.Byte[]
IHOP - 09.03.09 - Definitions of Child Abuse and Neglect Supporting Documents 94 System.Byte[]
IHOP - 09.03.09 - Examples LINK Supporting Documents 94 System.Byte[]
IHOP - 09.03.09 - Reporting Suspected Abuse, Neglect, and Exploitation of Children, the Elderly and or Disabled Persons (Assessment Criteria) Supporting Documents 94 System.Byte[]
IHOP - 09.03.32 - SBS Medical_Disclosure_English Supporting Documents 94 System.Byte[]
IHOP - 09.03.32 - SBS Medical_Disclosure_Spanish Supporting Documents 94 System.Byte[]
IHOP - 09.07.01 - Hospital and Ambulatory Services Visitation (Examples) Supporting Documents 94 System.Byte[]
IHOP - 09.07.02 - Vendor Code of Conduct 2012 Supporting Documents 94 System.Byte[]
IHOP - 09.07.02 - Vendor Visitation UTMB Clinical Enterprise (Vendor Procedures) Supporting Documents 94 System.Byte[]
IHOP - 09.07.02 - Vendor Visitation UTMB Clinical Enterprise (Vendor Release Form) Supporting Documents 94 System.Byte[]
IHOP - 09.07.02 - Vendor Visitation UTMB Clinical Enterprise (Vendor Visitation Form) Supporting Documents 94 System.Byte[]
IHOP - 09.08.02 - Income Eligibility Supplemental Document Charity Assistance Policy Supporting Documents 94 System.Byte[]
IHOP - 09.08.02 - Self Declared Charity Affidavit Attestation - English Supporting Documents 94 System.Byte[]
IHOP - 09.08.02 - Self Declared Charity Affidavit Attestation - Spanish Supporting Documents 94 System.Byte[]
IHOP - 09.08.02 - Temporary COBRA Assistance Policy Supporting Documents 94 System.Byte[]
IHOP - 09.08.02 - UTMB Health Charity Care and Financial Assistance Policy (Asset Procedure) Supporting Documents 94 System.Byte[]
IHOP - 09.08.02 - UTMB Health Charity Care and Financial Assistance Policy (Disposable Income Worksheet) Supporting Documents 94 System.Byte[]
IHOP - 09.08.02 - UTMB Health Charity Care and Financial Assistance Policy (Federal Poverty Index) Supporting Documents 94 System.Byte[]
IHOP - 09.08.02 - UTMB Health Charity Care and Financial Assistance Policy (Indigent Requirements and Application Process) Supporting Documents 94 System.Byte[]
IHOP - 09.11.01 - Licensure Certification Registration of Healthcare Professionals (Departmental Certifications) Supporting Documents 94 System.Byte[]
IHOP - 09.11.01 - Magnet - National Certification Supporting Documents 94 System.Byte[]
IHOP - 09.11.04 - Standing Delegated Order Flow Diagram Supporting Documents 94 System.Byte[]
IHOP - 09.11.05 - Physician Orders (Adult Primary Care Prescription Refill Guidelines for Ambulatory Services) Supporting Documents 94 System.Byte[]
IHOP - 09.13.04 - POCT Responsibilities Supporting Documents 94 System.Byte[]
IHOP - 09.13.10 - Changing Patient Identifiers Supporting Documents 94 System.Byte[]
IHOP - 09.13.10 - Changing Patient Identifiers - Attachment A Supporting Documents 94 System.Byte[]
IHOP - 09.13.10 - Changing Patient Identifiers - Attachment B Supporting Documents 94 System.Byte[]
IHOP - 09.13.10 - Changing Patient Identifiers - Attachment C Supporting Documents 94 System.Byte[]
IHOP - 09.13.10 - Changing Patient Identifiers - Attachment D Supporting Documents 94 System.Byte[]
IHOP - 09.13.13 - RL Datix Event Work Flow Supporting Documents 94 System.Byte[]
IHOP - 09.13.15 - Serological Testing for Syphilis, Hepatitis B, and HIV during Pregnancy and Delivery (HBConfirmation) Supporting Documents 94 System.Byte[]
IHOP - 09.13.15 - Serological Testing for Syphilis, Hepatitis B, and HIV during Pregnancy and Delivery (HBsAg_Screening) Supporting Documents 94 System.Byte[]
IHOP - 09.13.16 - PAE Categories and Tiers 120214 Supporting Documents 94 System.Byte[]
IHOP - 09.13.16 - Sentinel Events - Addendum A - RCA Process Supporting Documents 94 System.Byte[]
IHOP - 09.13.22 - Medical Equipment Plan (EOC) Master_Plan Supporting Documents 94 System.Byte[]
IHOP - 09.13.25 - Alternative Process for Site Marking Supporting Documents 94 System.Byte[]
IHOP - 09.13.25 - CRC - Log of Procedures (Muscle Biopsy) Supporting Documents 94 System.Byte[]
IHOP - 09.13.25 - CRC -Privilege Delineation Form (Muscle Biopsy) Supporting Documents 94 System.Byte[]
IHOP - 09.13.31 - Activation of the Medical Surgical and Obstetrical Rapid Response Teams (RRT) Guidelines Supporting Documents 94 System.Byte[]
IHOP - 09.13.33 - Intraosseous (IO) Overview (March 2020) Supporting Documents 94 System.Byte[]
IHOP - 09.13.33 - Intraosseous Catheters (IO) Overview (Jan. 2017) Supporting Documents 94 System.Byte[]
IHOP - 09.13.37 - Tube Placement for Nutrition in Adults Supporting Documents 94 System.Byte[]
IHOP - 09.13.39 - Humpty Dumpty Fall Assessment Scale Supporting Documents 94 System.Byte[]
IHOP - 09.13.40 - Blanket and Fluid Warmer Operating Temperatures (Guidelines) Supporting Documents 94 System.Byte[]
IHOP - 09.13.42 - Human Tissue - Bone Transplant Log Supporting Documents 94 System.Byte[]
IHOP - 09.13.42 - Human Tissue Use Log Supporting Documents 94 System.Byte[]
IHOP - 09.15.01 - Disposition of Deceased Patients (Autopsy Services) Supporting Documents 94 System.Byte[]
IHOP - 09.15.05 - Patients Initiating Advance Directives (Witnesses) Supporting Documents 94 System.Byte[]
IHOP - 09.15.06 - Making and Documenting Treatment Decisions including Withholding or Withdrawing Life-Sustaining Treatment (Victory Lakes Surgical Center Consent Form) Supporting Documents 94 System.Byte[]
IHOP - 09.15.07 - Do Not Resuscitate (DNR) Orders in the Operating Room and Peri-Operative Period (ASA Ethical Guidelines for the Anesthesia Care of Patients) Supporting Documents 94 System.Byte[]
IHOP - 09.15.10 - Donation After Cardiac Death (Postmortem Anatomical Gifts) Supporting Documents 94 System.Byte[]
IHOP - 09.19.03 - Mobile Communication Devices Policy (Cellular Lease) Supporting Documents 94 System.Byte[]
IHOP - 10.01.01 - Academic Program Evaluation (Critical Thinking Chart) Supporting Documents 94 System.Byte[]
IHOP - 10.01.02 - UTMB Approval Process for New Educational Programs (Flow Diagram) Supporting Documents 94 System.Byte[]
IHOP - 11.01.03 - Conduct of Clinical Research (GYN ONC Clinical Trials) Supporting Documents 94 System.Byte[]
IHOP - 11.03.02 - CT.gov decision tree Supporting Documents 94 System.Byte[]
IHOP - 13.07.00 - RMCHP Assessment & Screening of Abuse Supporting Documents 94 System.Byte[]
IncomeCalculationDocWorksheet Supporting Documents 94 System.Byte[]
IncomeTaxProc Supporting Documents 94 System.Byte[]
Inpatient Nursing Admission Assessment- Criteria for further assessment (4) Supporting Documents 94 System.Byte[]
IP HEM ARGATROBAN WEIGHT-BASED DOSING FOR HIT (3000090) Supporting Documents 94 System.Byte[]
LD Access Request Form Supporting Documents 94 System.Byte[]
MediaAuthorization Supporting Documents 94 System.Byte[]
MediaAuthorizationSpan Supporting Documents 94 System.Byte[]
Medical Examiner Supporting Documents 94 System.Byte[]
Medical Indigency worksheet Supporting Documents 94 System.Byte[]
Medically Indigent Notification Letter Supporting Documents 94 System.Byte[]
Month income calculation Supporting Documents 94 System.Byte[]
Morse Fall Assessment Scale Supporting Documents 94 System.Byte[]
OCRLetterviolence-1 Supporting Documents 94 System.Byte[]
Pager Lease Supporting Documents 94 System.Byte[]
Patient dismissal letter A14 Supporting Documents 94 System.Byte[]
Patient Owned Medical Equipment CES form Supporting Documents 94 System.Byte[]
PATIENT PLACEMENT FORM Supporting Documents 94 System.Byte[]
PG-Priority Index Definition Supporting Documents 94 System.Byte[]
PP COBRA Premiums Paid by UTMB Supporting Documents 94 System.Byte[]
Pre-existing Conditions of Primary Interest Supporting Documents 94 System.Byte[]
Procedure for Clinical Assessment of Brain Death Supporting Documents 94 System.Byte[]
Process for Responding to Patient Reports of Sexual Misconduct Supporting Documents 94 System.Byte[]
Professionalism Agree Final Supporting Documents 94 System.Byte[]
Registration for Eligibility of 3rd party Resources Supporting Documents 94 System.Byte[]
Release of Forensic Photographs Supporting Documents 94 System.Byte[]
Request for Dual Employment Supporting Documents 94 System.Byte[]
Request for Non-IHOP Review Supporting Documents 94 System.Byte[]
Request for Policy Review Supporting Documents 94 System.Byte[]
Request for Use of PHI Offsite Supporting Documents 94 System.Byte[]
Resource Conservation Guidelines Supporting Documents 94 System.Byte[]
Reversal of Anticoagulation-No indications for SQ adminisration of Vitamin K (525) Supporting Documents 94 System.Byte[]
Roles and Responsibilities - Deceased Patients Supporting Documents 94 System.Byte[]
RTOG Active and Pending Protocols CAMPUS Supporting Documents 94 System.Byte[]
Safe Sleep Escalation Pathway Supporting Documents 94 System.Byte[]
Screening Criteria for Communicable Diseases Supporting Documents 94 System.Byte[]
Sexual Assault Prevention and Response Supporting Documents 94 System.Byte[]
Space Planning Process (2013) Supporting Documents 94 System.Byte[]
Sustainability Steering Committee Report June 30REVISED (2) Supporting Documents 94 System.Byte[]
TDP3 4BDonorVerificationForm Supporting Documents 94 System.Byte[]
Telecommunications Services Request Supporting Documents 94 System.Byte[]
Texas Administrative Code CHAPTER 21 Student Services Supporting Documents 94 System.Byte[]
The certification process Supporting Documents 94 System.Byte[]
Toluidine Blue Dye Supporting Documents 94 System.Byte[]
UTMB Patient Absence Request Form 05PA Supporting Documents 94 System.Byte[]