Compliance Newsletter


Dear Team,

One of the keys to moving the organization forward in strength is the revision and streamlining of governance, particularly in policies and procedures. Policies and procedures are an essential part of any institution and provide a roadmap for day-to-day operations. They ensure compliance with laws and regulations, give guidance for decision-making, and streamline internal processes. However, not having the right policies and procedures can also restrict innovation and flexibility. Too many policies accompanied by burdensome procedures can become the enemy to progress and moving the institution forward.

On January 30th, a group of policy owners and strategic partners across campus met to discuss the need for having the right policies govern the institution as we continue to move forward in innovation, progress and accountability. The outcome of this project will;

  • Create a foundation for the development and approval of policies
  • Formulate transparent & standardized procedures for implementing policies
  • Expand guidelines and direction for Policy on Policies
  • Update, revise and consolidate policies

Policy Transformation at a Glance

Current State 

  • Approximately 415 policies and procedures at UNTHSC applicable to faculty, administrating staff, students
  • Inconsistent formats
  • Unclear ownership
  • Some policies are unclear and difficult to understand, or do not achieve the stated purpose

To Future State 

  • Understand UNTHSC’s overall needs- how can we prioritize to add the most value?
  • Decrease the number of policies at UNTHSC via elimination or combining where appropriate
  • Utilize new policy management tool in a way that is user friendly and easy to navigate
  • Make policies simpler, clearer and easier to use and navigate

Policies that are currently in approval or review will continue to be processed accordingly. Any new policies that are required for accreditation or change in law will be prioritized. All other policies or revisions will be reviewed within the policy transformation project.

Timeline: This project is scheduled to be complete by December 2019 with 1/3 of policies completed by Summer, 2019.

Please feel free to contact  me regarding this initiative if you have any questions that are specific to your area.





Desiree K. Ramirez, CCEP, CHC

Chief Compliance and Integrity Officer

Office of Institutional Compliance and Integrity 817-735-5131

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