- To be included in the Administrative Policy Manual, policies must meet certain criteria as outlined in policy 1.10
- 1.10 Development and Revision of the Administrative Policy and Procedure Manual
- All policies use the same formatting requirements. Attached is the policy template showing the layout
Consider the following for new policies:
- New policy development takes time. Consider what effective date you may need for a new policy. Begin the process as early as possible. When needed, Medical Board and final CEO approval are in addition to policy committee reviews.
- If this policy does not affect actions by persons outside your department, could this be a Departmental policy rather than an Administrative policy?
- Does this need to be a formal policy or can it be an internal guidelines or process document?
- What other areas and/or processes may be affected by this policy?
- Make sure you have a Sr. Management Sponsor that has reviewed and approved the draft
- Submit the draft to the Administrative Policy Manual Coordinator who will initiate the review process with the appropriate policy committee
- Policy committee chairs and the Administrative Policy Manual Coordinator are available at any time during the process to assist with questions or concerns
- Be prepared to attend committee meetings to discuss the proposed policy and answer questions
- Policy authors are responsible for making all suggested edits to the draft for final submission
- Should the policy not be approved by the CEO, any questions, comments or requested edits must be responded to by the policy author. You will be notified by email through the Administrative Policy Manual Coordinator if the CEO does not approve the policy.