compliance check 1.1 2014
DESCRIPTION
An easy and friendly way to create insight on the use of your Quality System or Management Model. - company wide coverage - results in 4 weeks - good start for improvementTRANSCRIPT
© CGI Group Inc. 2014
Compliance checkQuality consultant - Richard den Dulk
Richard den Dulk
November 2014
Version 1.0
Compliance check .. Why??
• You use a Management Model (or Quality System) to structure your
organization and activities.
• The use of this model is checked in a regular external audit.
• You have internal audit mechanisms in place to regularly investigate
processes.
• Internal audits lead to findings in a ‘management review’.
• The ´management review´ leads to improvements which prevent
surprises form external audits.
So why check the compliancy?
1) Determine short comings in a broad perspective in 4 weeks
2) Confront higher management with their responsibilities
3) Get a friendly retrospective on your organization
2
Check and report
4
HowTo …
Appoint process
owners
Improve
Determine goal and
scope
Goal and scope(interview higher management)
5
1. Validate the current status and determine the necessary steps to fully comply to your Management Model (MM).
2. Assess current compliance towards ISO9001, so process owners can take necessary actions before the actual external audit will take place.
Deliverable:
• Status of current compliancy
Scoping:
• We need to be brief and act fast
• Accept an abstract overview
• Deny the luxury of documented proof
Results
• MM findings
• ISO9001 findings
• Ready for audit
Conduct
interviews
Combine
results
Report
ISO9001
Findings
Business Unit
Market 1 Market 2 Market 3
Service Lines
Finance
Marketing
HR
Legal
Operations
Communications
Appoint process owners
6
When Process Owners are not yet appointed, Policies and
Processes of your Management Model should be projected
on your Organization model.
The accountable manager is able to:
• Explain the policy or process
• Comment on the results of the policy or process
• Influence the performance of the policy or process
Appointing Process Owners is precondition to solving
findings after the compliancy check.
Process Owner (department) Accountable
Human resources HR department HR Director
… … …
Check and report
The duration of all activities are related to the total amount of processes and policies that are checked.
Preparation of the interviews consist of:
• Reading the company´s Management Model
• Create presentations per Process or Policy
• Interpret the standard questions
• Create an overall sheet with questions and answers
Interviews with Process Owners are planned considering the next ingredients:
• Each interview will start with an introduction
• The Policy or Process will be explained
• The 6-8 questions will be discussed
Each interview will lead to documented conclusions
• Evaluate minutes
• Combine conclusions
• Combine results to one overall sheet
An end report (presentation) will be created
7
Use standard questions
8
With the ISO9001 standards as baseline we have composed brief and simple questions
and answers which can determine the maturity of the Process or Policy.
1. Improvement is not implemented. The process itself could be running great, but there
haven't been improvements yet.
2. You have documented results of the process, so improvements could be based on
these results.
3. There are action plans available that should improve the results you have documented.
4. Improvements are made and measured and you have documented proof that it has.
This process is fully implemented.
Process How is improvement achieved and can
you present an example.
Compliance
9
• Fast insight of the maturity.
• Easy to determine priorities.
Process / policy Process owner Q&A1
(1-4)
Q&A2
(1-4)
Q&A 3
(1-4)
Q&A 4
(1-4)
Q&A5
(1-4)
Q&A 6
(1-4)
Q&A 7
(1-4)
Q&A8
(1-4)
Q&A9
(1-4)
Q&A 10
(1-4)
Q&A 11
(1-4)
Q&A12
(1-4)
Q&A
Average MM
Process Owner 4 4 4 3 4 4 3,83 96%
Policy Owner 4 3 4 2 2 4 3 3,14 79%
Process Owner 4 2 3 2 1 2 2 2,29 57%
Policy Owner 4 4 3 4 4 3,80 95%
Process Owner 4 3 3 3 2 3 3 3,00 75%
Policy Owner 4 2 2 3 3 2 2 2,57 64%
Process Owner 4 4 3 2 2 3 3 3,00 75%
Process Owner 4 2 3 2 2 1 3 2,43 61%
Process / Policy Compliance ActionProcess 22%
Improve now!Policy 37%
Process 48%
Improve
Policy 49%
Process 53%
Policy 58%
Process 62%
Policy 63%
Process 71%
Policy 88%
AuditProcess 94%
Policy 99%
Timing
10
Activity / Week 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
Introduction x
Preparation x
Interviews x x
Report x
Short term actions x x
Improvements x x x x x x x x x x x
End report x x
Sign off x
• The Compliance check can be ready in 4 weeks.
• The execution of improvements are expected to take 10 weeks.
• A Compliance check including improvements will take 20 weeks.
Improvement slides
Improvement approach
• Process owner appoints coordinator
• Coordinator and Quality consultant plan activities
• Appointed coordinator executes implementation
• Coordinator reports to process owner
• After reporting the process is ready to be audited
12
Define
Measure
AnalyseImprove
Control
Define Measure Analyse Improve Control Report Audit
Define, Analyze, Improve
What needs to be improved?
1. Execution of a certain step
2. Visibility
3. Compliance to rules
What´s the cause
1. No insight
2. No exposure
3. Not executed
What actions are taken?
1. Improve visibility in committees
2. Increase the use of reports and dashboard
3. Anchor in the new organization
13
Measure
14
0
5
10
15
20
25
30
35
1 2 3 4 5 6 7 8 9 10 11 12
Action 23 24 26 28 30 32 34
Improvement 1 1 1 1 1 1 1
Improvement 2 22 22 23 24 25 26
Improvement 3 6 6 6 7 7 7
Improvement 4 3 3 3 3 3 3
Improvement 5 0 0 0 0 8 8
Control
15
By continuing to monitor key parameters the process will remain in control.
Other procedures may as well be implemented.
ControlImprovement Measurement Embedded in process
Report
Findings
• What surprising facts were discovered during the Compliance check
Improvements
• Raised awareness
• Embedded solutions
• Communications
Measured results
• Every action and goal should have been measured
Remaining action
• Are there any remaining actions to be handed over?
16
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