Comprehensive trauma-informed organizational change at an academic medical center in South Texas

University Health's experience demonstrates that comprehensive, system-wide trauma-informed transformation is achievable in large healthcare settings. Through leadership support, cross-departmental collaboration, and intentional policy and practice change, TIC principles were embedded into organizational culture. An impartial certification process and program evaluation data validated the impact of the initiative, although continued efforts are needed to assess long-term outcomes on patient care and staff well-being. This case study offers a replicable model for other health systems pursuing trauma-informed organizational change.