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Policy Administration

Roles and Responsibilities

The Policy Administration Office is responsible for:

  1. Establishing an effective policy management process to minimize regulatory risks.
  2. Providing an accurate, up-to-date, and useful IHOP resources for faculty and staff.
  3. Maintaining consistency and transparency in the policy administration process.
  4. Ensuring policies are routinely reviewed every three years.

An individual employed or associated with the Institution may propose a new or amended policy by emailing a Policy Impact Statement form​​​ to the appropriate Responsible Executive and to PolicyAdmin@uthscsa.edu. View a sample​ Policy Impact Statement form.

Institutional Handbook of Operating Policies (IHOP)

Per IHOP policy 2.1.2 Policy Administration for Handbook of Operating Policies, the Institutional Handbook of Operating Policies (IHOP) is the official repository for University Policies. As such, the University Executive Committee (EC) must approve all new and substantially amended policies prior to the policy being published or republished in the IHOP. All IHOP policies are to follow the established policy template for a consistent format and presentation.

Discretionary Edits to the IHOP

The Institutional Compliance & Privacy Office (ICPO), in consultation with the Responsible Executive for a policy, is authorized to make discretionary (minor) edits to a policy without EC approval. Discretionary edits generally include; formatting, grammar, or punctuation corrections. Other discretionary edits are those that reflect organizational changes or provide added clarity. Such edits may not alter the original intentions of the IHOP Policy.

Overview of the IHOP Revision Process

The four main steps to revise an IHOP policy are initiation, development, approval and implementation. Follow the steps below for an overview of the IHOP revision process.

  1. Initiation
    • Determine which of the following IHOP revision type is necessary:
      • new policy development,
      • technical or discretionary edit,
      • substantial revision, or
      • policy retirement; and
    • Identify the Responsible Executive (RE) who will advance and endorse the IHOP policy.

2. Development

3. Approval

    • University Councils or Committees approve the draft.
    • Developer submits final draft to ICPO for review.
    • ICPO presents the policy to the Executive Committee (EC) who holds approval authority for new or amended IHOP policies.

4. Implementation

    • ICPO publishes the policy in the IHOP.
    • ICPO works with the RE to communicate policy updates.
    • RE educates and trains faculty, staff, students, or residents, as applicable.

Helpful Links


Policy Template

Approved format for all Institutional IHOP Policies

Impact Statement Form

First step to propose a new policy or amendment

Board of Regents

Rules & Regulations established for UT System by the Board of Regents

UT System Policies

Policies & Procedures approved by the Chancellor

Policy Development Tools and Guidance

This section is designed to provide tools & guidance for the development and review of University-wide policies presented in the Institutional Handbook of Operating Policies (IHOP). This is a supplement to the University’s Policy on Policies (IHOP 2.1.2).

  • Policy vs. Standard vs, Procedure vs. Guideline

    Policy vs. Standard vs. Procedure vs. Guideline
    The Difference between a Policy, Standard, Procedure, and Guideline
    • Policy – a broad general statement or principle (The WHY).
    • Standard – a mandatory rule or requirement designed to support and conform to a policy (The WHAT).
    • Procedure – step-by-step instructions for implementing a policy (The HOW).
    • Guideline – general statements/recommendations/suggestion of best practice, encouraged, but not required. Provides a framework to implement procedures while allowing for flexibility in different situations (The FYI).

    Download a copy of the comparison document

  • Policy Review Checklist

    Policy Review Checklist

    This checklist is designed to help guide users through a comprehensive and effective policy review. Please note that all areas may not be applicable to every policy. Policy owners are encouraged to partner with the Institutional Compliance and Privacy Office (ICPO) early & often to ensure all requirements are met. Download a copy of the checklist

  • Policy Writing Guide and Template

    Policy Writing Guide and Template

    This document is designed to provide guidance and recommendations for development and review of University-wide policies presented in the Institutional Handbook of Operating Policies (IHOP). This document is a supplement to the University’s Policy on Policies (IHOP 2.1.2). Download a copy of the Guide to Writing IHOP Policies