* Identification of Issues: Frequent citations for noncompliance suggest systemic issues within current policies and procedures.
* Policy Reevaluation: The first step in addressing these issues is to conduct a thorough review of existing policies and standard operating procedures (SOPs) to identify any gaps or inefficiencies.
* Root Cause Analysis: Reevaluating policies allows the department to determine the root causes of noncompliance and develop targeted improvements.
* Stakeholder Involvement: Engaging with stakeholders, including auditors and staff, during the reevaluation process ensures that the revised policies address practical concerns and compliance requirements.
* Continuous Improvement: Implementing updated policies and procedures establishes a foundation for ongoing compliance and performance improvement.
* Reference: Internal control frameworks such as COSO (Committee of Sponsoring Organizations of the Treadway Commission) emphasize the importance of robust policies and procedures in maintaining compliance and operational efficiency.