Department of Orthopaedics: Policy on Approval of Policies and Procedures

Summary

The purpose of this policy is to define the process for approval of policies and procedures.

Body

Unit Policy

Title

Department of Orthopaedics: Policy on Approval of Policies and Procedures

Introduction

Purpose

The purpose of this policy is to define the process for approval of policies and procedures.

Scope

policy applies to all personnel in the Department of Orthopaedics.

Policy

Policy Statement

All department policies and procedures must be approved by the Department Chair before coming into effect. Department Policies and Procedures must be developed in accordance with all superseding school, campus, and university policies and in accordance with the laws of the State of North Carolina.

To develop a new policy, the policy must be originated through the Associate Chair of Administration who will draft the language of the policy for review by the Chair.

The Chair may choose to distribute the policy for general comment or approval without review.

Once approved, the policy will be published and distributed to the personnel in the department, as defined in the scope section of the policy.

Contact Information

Primary Contact

Name: James O. Sanders, MD - Chair of Orthopaedic Surgery

Telephone: 919-966-9072

Email: james_sanders@med.unc.edu

Other Contacts

Name: Paul Marini, MHA, FACHE - Associate Chair of Administration

Telephone: 919-843-9382

Email: Paul_Marini@med.unc.edu

Details

Details

Article ID: 159822
Created
Mon 1/5/26 2:35 PM
Modified
Mon 1/5/26 2:35 PM
Responsible Unit
School, Department, or other organizational unit issuing this document.
School of Medicine - Orthopaedics
Issuing Officer
Name of the document Issuing Officer. This is the individual whose organizational authority covers the policy scope and who is primarily responsible for the policy.
Issuing Officer Title
Title of the person who is primarily responsible for issuing this policy.
Associate Chair for Administration
Next Review
Date on which the next document review is due.
01/01/2027 12:00 AM
Last Review
Date on which the most recent document review was completed.
01/01/2026 12:00 AM
Last Revised
Date on which the most recent changes to this document were approved.
01/01/2026 12:00 AM
Effective Date
If the date on which this document became/becomes enforceable differs from the Origination or Last Revision, this attribute reflects the date on which it is/was enforcable.
01/01/2026 12:00 AM
Origination
Date on which the original version of this document was first made official.
01/01/2026 12:00 AM