U.S. Department of Health and Human Services
Indian Health Service: The Federal Health Program for American Indians and Alaska Natives
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Program Specific Information

Guidelines, Reports, Documentation


Office of Environmental Health and Engineering

Technical Handbook

Volume I - Administration

Part 1 - Organization and Overview

  • 1-2 - Indian Health Service Organization
  • 1-3 - Authorizing Legislation
  • 1-4 - Functional Statement of Environmental Health and Engineering
  • 1-5 - Delegations of Authorities
  • 1-6 - Issuances to the Technical Handbook (12/03/2008) [PDF - 54K]

Part 2 - Administration and Management

Part 3 - Financial Management

  • 3-1 - Budgeting
  • 3-2 - Estimating Systems
  • 3-3 - Funding Sources
  • 3-4 - Financial Management Reporting
  • 3-5 - Reprogramming Procedures (02/28/1997) [PDF - 740K]
  • 3-6 - Allocation of Financial Resources

Part 4 - Technical Resource Groups

Part 5 - Training and Staff Development

  • 5-1 - Facilities Engineer Residency Program
  • 5-2 - Project Officer Training for Health Care Facilities
  • 5-3 - Construction Inspection Program
  • 5-4 - Environmental Health Training Program
  • 5-5 - Career Intern Program (08/22/2006) [PDF - 107K]

Part 6 - Management Systems

  • 6-2 - Quality Management Initiative
  • 6-3 - Program Reviews

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Volume II - Health Care Facilities Planning

Part 11 - Facilities Planning Guidelines

  • 11-1 - Planning Process
  • 11-2 - Project Budget Estimating
  • 11-3 - IHS Area Facilities Planning Master Plans
  • 11-4 - Review and Approval of Requests for Deviations from the HSP Provided Space
  • 11-5 - Cost Analysis: Direct vs. Contract Inpatient Care (09/30/1996) [PDF - 116K]
  • 11-6 - Planning Protocols for Facility Staffing

Part 12 - Priority Systems

Part 13 - Planning Documents and Reports

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Volume III - Health Care Facilities Design and Construction

Part 21 - Design Criteria and Standards

Part 22 - Design Services

Part 23 - Design Studies

Part 24 - Construction Guidelines

Part 25 - Construction Procurement

  • 25-1 - IHS Direct Federal Construction
  • 25-2 - Public Law 93-638 Title I Contracting
  • 25-3 - Public Law 93-638 Title III Compacting
  • 25-4 - Major Health Facilities Grants (02/01/1997) [PDF - 4396K]
  • 25-5 - Small Ambulatory Care Facilities Grants & Construction Program
  • 25-6 - HUD Block Grant Support
  • 25-7 - Major Equipment Procurement

Part 26 - Construction Funding Sources

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Volume IV - Real Property Management

Part 30 - Asset Management

Part 31 - Government Owned Real Property

Part 32 - Real Property Acquisition

  • 32-1 - Site Selection and Purchase
  • 32-2 - Acquisition of Improved Property/Buildings
  • 32-3 - Acquiring Leasehold Interests in Real Property
  • 32-4 - Gifts of Real Property (06/16/2006) [PDF - 82K]

Part 33 - Leasing

Part 34 - Portable Buildings and Trailers

  • 34-1 - Funding Guidelines
  • 34-2 - Approval Processes
  • 34-3 - Reporting Requirements

Part 35 - Disposal of Real Property

Part 36 - Quarters Management

Part 37 - Real Property Management Reviews

  • 37-1 - Overview and Pre-Review Planning
  • 37-2 - Site Review
  • 37-3 - Management Review Reporting Requirements

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Volume V - Clinical Engineering

Part 50 - Administration and Management

  • 50-1 - Introduction to Clinical Engineering
  • 50-2 - Authorizing Legislation for Clinical Engineering
  • 50-3 - Functional Statement for Clinical Engineering
  • 50-4 - Delegations of Authority for Clinical Engineering
  • 50-5 - Program Goals and Objectives for Clinical Engineering
  • 50-6 - Glossary
  • 50-7 - Indian Health Service Organization for Clinical Engineering
  • 50-8 - Index

Part 51 - Program Description

  • 51-1 - Personnel and Staffing Guidelines
  • 51-2 - Equipment Funding Allocation Methodologies (09/27/2005) [PDF - 152K]
  • 51-3 - Training
  • 51-4 - Documentation and Filing Systems
  • 51-5 - Credentialing
  • 51-6 - Safty and Infection Control
  • 51-7 - Quality Control/Risk Management
  • 51-8 - Clinical Engineering Program Reviews

Part 52 - Indian Health Service Clinical Engineering Safty Guidelines

  • 52-1 - Clinical Engineering Program Safety
  • 52-2 - Safe Medical Devices Act of 1990
  • 52-3 - Radiation Safety
  • 52-4 - Electrical Safety

Part 54 - Equipment Servicing

  • 54-1 - Preventive Maintenance
  • 54-2 - Repairs
  • 54-3 - Electrical Safety
  • 54-4 - Recalls/Safe Medical Devices act of 1990
  • 54-5 - Quality Assurance
  • 54-6 - Service Manual Library
  • 54-7 - Replacement and Disposal

Part 55 - Service Contracts

  • 55-1 - Overview/Contracting versus In-House
  • 55-2 - Options and Specifications
  • 55-3 - Vendor Credentials
  • 55-4 - Bidding or Selection of Vendors
  • 55-5 - Managing Service Contracts
  • 55-6 - Documentation of Services/Receiving Reports
  • 55-7 - Termination Procedures

Part 56 - Records and Inventories

  • 56-1 - Introduction
  • 56-2 - Inventory Selection Guidelines
  • 56-3 - Inventories of Parts and Supplies
  • 56-4 - Equipment Service Logs
  • 56-5 - Hazard Recall Documentation/Records
  • 56-6 - Test Equipment Calibration

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Volume VI - Facilities Engineering

Part 70 - Administration and Management

Part 71 - Facilities Engineering Program Plan

Part 72 - Utility Resource Management

Part 73 - Facilities Condition Assessment Program

Part 74 - Repair By Replacement

Part 75 - Environmental Steering Committee and Related Activities

Part 77 - Supportable Space

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Volume VII - Environmental Engineering

Part 100 - Sanitation Facilities Construction Information

Part 101 - Criteria for the Sanitation Facilities Construction Program

  • 101-1 - Organization and Content
  • 101-2 - SFC Program Overview
  • 101-3 - Sanitation Facilities for Tribes -- A Historical Perspective
  • 101-4 - SFC Funding Overview
  • 101-5 - Eligibility for IHS SFC Program Services and IHS-Funded Projects
  • 101-6 - Funding Methodology and Project Priority Criteria
  • 101-7 - Program Funding Criteria and Allocation Methodology
  • 101-8 - Methods of Program and Project Implementation
  • 101-9 - Managing Project Funds
  • 101-10 - Reporting Systems
  • 101-11 - Technical Requirements

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Volume VIII - Environmental Health

Part 110 - Administration and Management

  • 110-1 - Introduction to Envionmental Health Services
  • 110-2 - Authorizing Legislation for Environmental Health Services
  • 110-3 - Functional Statement of Environmental Health Services
  • 110-4 - Delegations of Athorities for Environmental Health Services
  • 110-5 - Program Goals and Objectives for Environmental Health Services
  • 110-6 - Glossary
  • 110-7 - Organization for Environmental Health Services
  • 110-8 - Index

Part 111 - Environmental Management

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Volume IX - Contracting

Part 120 - Administration and Management

  • 120-1 - Introduction to Environmental Management
  • 120-2 - Authorizing Legislation for Environmental Management
  • 120-3 - Functional Statement of Environmental Management
  • 120-4 - Delegations of Athorities for Environmental Management
  • 120-5 - Program Goals and Objectives for Environmental Management
  • 120-6 - Glossary
  • 120-7 - Organization for Environmental Management
  • 120-8 - Index

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Volume X - Engineering Services

Part 130 - Administration and Management

  • 130-1 - Introduction and Background to Engineering Services
  • 130-2 - Authorizing Legislation for Engineering Services
  • 130-3 - Functional Statement for Engineering Services
  • 130-5 - Program Goals and Objectives for Engineering Services
  • 130-6 - Glossary
  • 130-7 - Organization for Engineering Services
  • 130-8 - Index

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Director, Office of Environmental Health and Engineering
Indian Health Service
12300 Twinbrook Parkway, Suite 600A
Rockville, MD 20852
Phone (301) 443-1247, Fax (301) 443-5697

Please e-mail questions and comments to Webmaster (brittainy.cortilet@ihs.gov)