{"id":449,"date":"2023-07-10T10:43:57","date_gmt":"2023-07-10T15:43:57","guid":{"rendered":"https:\/\/wp.uthscsa.edu\/pao\/?page_id=449"},"modified":"2026-03-26T12:09:50","modified_gmt":"2026-03-26T17:09:50","slug":"policy-administration","status":"publish","type":"page","link":"https:\/\/wp.uthscsa.edu\/pao\/policy-administration\/","title":{"rendered":"Policy Administration"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row][vc_column width=&#8221;2\/3&#8243;][vc_column_text css=&#8221;&#8221;]As integration efforts continue, the Academic Campus and Health Campus will each maintain their own policy library and approval process until a unified Institutional Handbook of Operating Policies is created. Revised policies must adhere to current institutional formats and undergo existing review procedures. These interim guidelines ensure continuity while long-term harmonization work moves forward.<\/p>\n<p>&nbsp;<\/p>\n<h3>Roles and Responsibilities<\/h3>\n<p>The Policy Administration Office is responsible for:<\/p>\n<ol>\n<li>Establishing an effective policy management process to minimize regulatory risks.<\/li>\n<li>Providing an accurate, up-to-date, and useful IHOP resources for faculty and staff.<\/li>\n<li>Maintaining consistency and transparency in the policy administration process.<\/li>\n<li>Ensuring policies are routinely reviewed every three years.<\/li>\n<\/ol>\n<p>An individual employed or associated with the Institution may propose a new or amended policy by emailing a <a href=\"https:\/\/uthealthsa.sharepoint.com\/RAC\/Documents\/HOP\/PolicyAdmin\/PolicyImpactStatementForm.pdf\" target=\"_blank\" rel=\"noopener\">Policy Impact Statement form<\/a>\u200b\u200b\u200b to the appropriate Responsible Executive and to\u00a0<a href=\"mailto:PolicyAdmin@uthscsa.edu\">PolicyAdmin@uthscsa.edu<\/a><a href=\"mailto:%20compliance@uthscsa.edu;%20lyssyt@uthscsa.edu\">\u200b<\/a>. View a <a href=\"https:\/\/uthealthsa.sharepoint.com\/RAC\/Documents\/HOP\/PolicyAdmin\/ExamplePISForm.pdf\" target=\"_blank\" rel=\"noopener\"><img decoding=\"async\" class=\"ms-asset-icon ms-rtePosition-4 ms-rteStyle-Normal\" src=\"https:\/\/uthealthsa.sharepoint.com\/_layouts\/images\/icpdf.png\" alt=\"\" data-themekey=\"#\" \/>sample<\/a>\u200b Policy Impact Statement form.[\/vc_column_text][vc_separator css=&#8221;&#8221;][vc_column_text css=&#8221;&#8221;]<\/p>\n<h3>Institutional Handbook of Operating Policies (IHOP)<\/h3>\n<p>Per IHOP policy <a href=\"https:\/\/public.powerdms.com\/UTHSA\/documents\/1590205\" target=\"_blank\" rel=\"noopener\">2.1.2 Policy Administration for Handbook of Operating Policies<\/a>, 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 <a href=\"https:\/\/uthealthsa.sharepoint.com\/RAC\/Documents\/HOP\/Chapter02\/2.1.2T%20Policy%20on%20Policy%20Template.dotx\" target=\"_blank\" rel=\"noopener\">policy template<\/a>\u00a0for a consistent format and presentation.<\/p>\n<h5>Discretionary Edits to the IHOP<\/h5>\n<p>The Institutional Compliance &amp; 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.[\/vc_column_text][vc_separator css=&#8221;&#8221;][vc_column_text css=&#8221;&#8221;]<\/p>\n<h3>Overview of the IHOP Revision Process<\/h3>\n<p>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.<\/p>\n<ol>\n<li>Initiation<\/li>\n<\/ol>\n<ul>\n<li style=\"list-style-type: none\">\n<ul>\n<li>Determine which of the following IHOP revision type is necessary:\n<ul>\n<li>new policy development,<\/li>\n<li>technical or discretionary edit,<\/li>\n<li>substantial revision, or<\/li>\n<li>policy retirement; and<\/li>\n<\/ul>\n<\/li>\n<li>Identify the Responsible Executive (RE) who will advance and endorse the IHOP policy.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>2. Development<\/p>\n<ul>\n<li style=\"list-style-type: none\">\n<ul>\n<li>The RE Submits a <strong><a href=\"https:\/\/uthealthsa.sharepoint.com\/RAC\/Documents\/HOP\/PolicyAdmin\/PolicyImpactStatementForm.pdf\" target=\"_blank\" rel=\"noopener\">Policy Impact Statement<\/a><\/strong> form to the ICPO.<\/li>\n<li>Developer prepares the draft policy using the approved <strong><a href=\"https:\/\/uthealthsa.sharepoint.com\/:w:\/r\/RAC\/_layouts\/15\/Doc.aspx?sourcedoc=%7B1A11A444-FAAC-4595-A0B5-8C5F5234FA0C%7D&amp;file=2.1.2T%20Policy%20on%20Policy%20Template.dotx&amp;wdLOR=cCE2FD57A-9D85-4C4A-8DB2-BE60A861924B&amp;action=default&amp;mobileredirect=true\" target=\"_blank\" rel=\"noopener\">IHOP policy template<\/a><\/strong>.<\/li>\n<li>Developer seeks and incorporates feedback from stakeholders.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>3. Approval<\/p>\n<ul>\n<li style=\"list-style-type: none\">\n<ul>\n<li>University Councils or Committees approve the draft.<\/li>\n<li>Developer submits final draft to ICPO for review.<\/li>\n<li>ICPO presents the policy to the Executive Committee (EC) who holds approval authority for new or amended IHOP policies.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>4. Implementation<\/p>\n<ul>\n<li style=\"list-style-type: none\">\n<ul>\n<li>ICPO publishes the policy in the IHOP.<\/li>\n<li>ICPO works with the RE to communicate policy updates.<\/li>\n<li>RE educates and trains faculty, staff, students, or residents, as applicable.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>[\/vc_column_text][\/vc_column][vc_column width=&#8221;1\/3&#8243;][vc_single_image image=&#8221;451&#8243;][vc_empty_space]\n            <div class=\"callout beige \" >\n                    <\/p>\n<h3>Helpful Links<\/h3>\n<hr \/>\n<h5><\/h5>\n<h5><a href=\"https:\/\/uthealthsa.sharepoint.com\/RAC\/Documents\/HOP\/Chapter02\/2.1.2T%20Policy%20on%20Policy%20Template.dotx\" target=\"_blank\" rel=\"noopener\">Policy Template<\/a><\/h5>\n<p>Approved format for all Institutional IHOP Policies<\/p>\n<h5><a href=\"https:\/\/uthealthsa.sharepoint.com\/RAC\/Documents\/HOP\/PolicyAdmin\/PolicyImpactStatementForm.pdf\" target=\"_blank\" rel=\"noopener\">Impact Statement Form<\/a><\/h5>\n<p>First step to propose a new policy or amendment<\/p>\n<h5><a href=\"https:\/\/www.utsystem.edu\/offices\/board-of-regents\/regents-rules-and-regulations\" target=\"_blank\" rel=\"noopener\">Board of Regents<\/a><\/h5>\n<p>Rules &amp; Regulations established for UT System by the Board of Regents<\/p>\n<h5><a href=\"https:\/\/www.utsystem.edu\/sites\/policy-library\" target=\"_blank\" rel=\"noopener\">UT System Policies<\/a><\/h5>\n<p>Policies &amp; Procedures approved by the Chancellor<\/p>\n<\/div>[\/vc_column][\/vc_row][vc_row el_class=&#8221;margin-bottom-2&#8243;][vc_column][vc_separator css=&#8221;&#8221;][vc_column_text css=&#8221;&#8221;]<\/p>\n<h4>Policy Development Tools and Guidance<\/h4>\n<p><span class=\"ms-rteStyle-Normal\">This section is designed to provide tools &amp; 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&#8217;s <\/span><a href=\"https:\/\/public.powerdms.com\/UTHSA\/documents\/1590205\" target=\"_blank\" rel=\"noopener\"><span class=\"ms-rteStyle-Normal\">Policy on Policies<\/span><\/a><span class=\"ms-rteStyle-Normal\"> (IHOP 2.1.2).<\/span>[\/vc_column_text]<ul class=\"accordion orange\" data-accordion data-allow-all-closed=\"true\"><li class=\"accordion-item \" data-accordion-item><a href=\"#\" class=\"accordion-title\">Policy vs. Standard vs, Procedure vs. Guideline<\/a><div class=\"accordion-content\" data-tab-content><p><h5>Policy vs. Standard vs. Procedure vs. Guideline<\/h5>\n<h6>The Difference between a Policy, Standard, Procedure, and Guideline<\/h6>\n<ul>\n<li>Policy \u2013 a broad general statement or principle (The WHY).<\/li>\n<li>Standard \u2013 a mandatory rule or requirement designed to support and conform to a policy (The WHAT).<\/li>\n<li>Procedure \u2013 step-by-step instructions for implementing a policy (The HOW).<\/li>\n<li>Guideline \u2013 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).<\/li>\n<\/ul>\n<p><a href=\"https:\/\/uthealthsa.sharepoint.com\/RAC\/Documents\/HOP\/PolicyAdmin\/PolicyComparison.pdf\" target=\"_blank\" rel=\"noopener\">Download a copy of the comparison document<\/a><\/p><\/div><\/li><li class=\"accordion-item \" data-accordion-item><a href=\"#\" class=\"accordion-title\">Policy Review Checklist<\/a><div class=\"accordion-content\" data-tab-content><p><h5>Policy Review Checklist<\/h5>\n<p><span class=\"ms-rteStyle-Normal\">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 &amp; often to ensure all requirements are met.<\/span> <a href=\"https:\/\/uthealthsa.sharepoint.com\/RAC\/Documents\/HOP\/PolicyAdmin\/PolicyReviewChecklist.pdf\" target=\"_blank\" rel=\"noopener\">Download a copy of the checklist<\/a><\/p><\/div><\/li><li class=\"accordion-item \" data-accordion-item><a href=\"#\" class=\"accordion-title\">Policy Writing Guide and Template<\/a><div class=\"accordion-content\" data-tab-content><p><h5>Policy Writing Guide and Template<\/h5>\n<p>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\u2019s Policy on Policies (IHOP 2.1.2). <a href=\"https:\/\/uthealthsa.sharepoint.com\/RAC\/Documents\/HOP\/PolicyAdmin\/PolicyWritingGuide.pdf\" target=\"_blank\" rel=\"noopener\">Download a copy of the Guide to Writing IHOP Policies<\/a><\/p><\/div><\/li><\/ul>[\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row][vc_column width=&#8221;2\/3&#8243;][vc_column_text css=&#8221;&#8221;]As integration efforts continue, the Academic Campus and Health Campus will each maintain their own policy library and approval process until a unified Institutional Handbook of Operating Policies is created. Revised policies must adhere to current institutional formats and undergo existing review procedures. These interim guidelines ensure continuity while long-term harmonization work moves [&hellip;]<\/p>\n","protected":false},"author":83,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-449","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Policy Administration - Policy Administration Office<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/wp.uthscsa.edu\/pao\/policy-administration\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Policy Administration - Policy Administration Office\" \/>\n<meta property=\"og:description\" content=\"[vc_row][vc_column width=&#8221;2\/3&#8243;][vc_column_text css=&#8221;&#8221;]As integration efforts continue, the Academic Campus and Health Campus will each maintain their own policy library and approval process until a unified Institutional Handbook of Operating Policies is created. 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