SAMPLE POLICY WORK

– Internal Audits: Quarterly internal audits are conducted to verify that updated policies are implemented consistently across the organization. Any discrepancies noted during these audits prompt an immediate review. – Corrective Action: In cases of non-compliance or procedural lapses discovered during audits, corrective action plans are developed and implemented promptly. Documentation of these actions is maintained for further review. – Regulatory Reporting: Updated manual versions and related change logs are included in periodic compliance reports submitted to regulatory bodies. This underscores our commitment to transparency and adherence to regulatory standards. e. Roles and Responsibilities for Maintaining and Updating the Manual To effectively maintain and update the policy manual, clear roles and responsibilities have been assigned to various positions within the organization. This structure ensures that updates are managed efficiently and that each stakeholder is aware of their role in keeping the manual current.

• Executive Leadership (CEO and Senior Management):

– Accountability: Provide overall direction and final approval for updates. Ensure alignment between revised policies and the agency’s strategic goals as well as regulatory mandates. – Oversight: Monitor the effectiveness of the update procedures and provide necessary resources to the Compliance and Regulatory Affairs Team.

Policy Coordinator:

– Responsibility: Serve as the primary point of contact for the update process. Review and compile feedback, manage the change request documentation, and coordinate the circulation of draft revisions among stakeholders. – Documentation Management: Maintain the version control log, ensuring that each update is properly recorded and archived for future reference.

Compliance and Regulatory Affairs Team:

– Monitoring: Continuously track regulatory changes and updates in best practices both at state and federal levels. – Evaluation: Evaluate proposed changes, ensuring that they meet all regulatory requirements as well as internal quality standards. – Implementation: Work with other departments to incorporate feedback and correct any compliance gaps identified during audits. • Department Heads and Supervisors:

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