Global versus Local Process and Procedure and the eQMS

Companies both large and small grapple with how and when to create standard work at the global level, while still having the scalability to capture different GXP activity families and product modality.

I’ve discussed before on document hierarchy and on the leveling of process and procedure. It is really important to level your processes, and this architecture should be deliberate and shepherded.

This really gets to the heart of work-as-imagined and prescribed, and the concept of standard work.

Benefits of Standard Work

  • Ensures all work is done according to the current best practice
  • Consistency is the essential ingredient of quality
  • Allows organizations to scale rapidly
  • Puts the focus on the process and not an individual or team
  • Makes improvements easier and faster

Global versus Local Process and Procedure in the Document Hierarchy

Most Quality Hierarchies look fairly similar.

A Document Hierarchy

Excluding the Program level (which becomes even more important) we can expand the model in the process band to account for global versus local.

Global and local process within the document hierarchy

Quality Manual and Policy remains global with local input and determine the overall structure of the quality management system.

Global Process is created when a process is majority task and role driven at a global level. It is pan-GXP, pan-modality, pan-geography. It is the standard way of work to drive consistency across and through the organization.

Local Process is created when a process is specific to a specific GXP, product modality, geography.

Procedure, which describes the tasks, can be created off of local or global process. When the global process has localizations (a CAPA is a CAPA but how I build action items may differ across sites), I can build local versions off the global process.

For an example, Document and Record Management.

This approach takes real vision among leaders to drive for consistency and simplicity. This activity is a core component in good system design, no matter the size of the organization.

PrincipleDescriptionApplication for Global and Local Process
BalanceThe system creates value for the multiple stakeholders. While the ideal is to develop a design that maximizes the value for all the key stakeholders, the designer often has to compromise and balance the needs of the various stakeholders.The value of standard work really shines here.
CongruenceThe degree to which the system components are aligned and consistent with each other and the other organizational systems, culture, plans, processes, information, resource decisions, and actions.We gain congruence through ensuring key processes are at the global level.
ConvenienceThe system is designed to be as convenient as possible for the participants to implement (a.k.a. user friendly). System includes specific processes, procedures, and controls only when necessary.The discussion around global versus local will often depend on how you define convenience
CoordinationSystem components are interconnected and harmonized with the other (internal and external) components, systems, plans, processes, information, and resource decisions toward common action or effort. This is beyond congruence and is achieved when the individual components of a system operate as a fully interconnected unit.How we ensure coordination across and through an organization.
EleganceComplexity vs. benefit — the system includes only enough complexity as is necessary to meet the stakeholder’s needs. In other words, keep the design as simple as possible and no more while delivering the desired benefits. It often requires looking at the system in new ways.Keep this in mind as global for the sake of global is not always the right decision.
HumanParticipants in the system are able to find joy, purpose and meaning in their work.Never forget
LearningKnowledge management, with opportunities for reflection and learning (learning loops), is designed into the system. Reflection and learning are built into the system at key points to encourage single- and double-loop learning from experience to improve future implementation and to systematically evaluate the design of the system itself.Building the right knowledge management into the organization is critical to leverage this model
SustainabilityThe system effectively meets the near- and long-term needs of the current stakeholders without compromising the ability of future generations of stakeholders to meet their own needs.Ensure the appropriate tools exist to sustain, including regulatory intelligence. Long-term scalability.
Pillars of Good System Design for Gloval and Local Process

Utilizing the eQMS to drive

The ideal state when implementing (or improving) an eQMS is to establish global processes and allow system functionality to localize as appropriate.

Leveraging the eQMS

So for example, every CAPA is the same (identify problem and root cause, create plan, implement plan, prove implementation is effective. This is a global process. However, one wants specific task detail at a lower level, for example GMP sites may care about certain fields more the GCP, medical device has specific needs, etc. These local task level needs can be mainted within one workflow.

The Key is Fit-For-Purpose Fit-for-Use

A fit for purpose process meets the requirements of the organization.

A fit for use process is usable throughout the lifecycle.

Global and localizing processes is a key part of making both happen.

Design Problem Solving into the Process

Good processes and systems have ways designed into them to identify when a problem occurs, and ensure it gets the right rigor of problem-solving. A model like Art Smalley’s can be helpful here.

Each and every process should go through the following steps:

  1. Define those problems that should be escalated and those that should not. Everyone working in a process should have the same definition of what is a problem. Often times we end up with a hierarchy of issues that are solved within the process – Level 1 – and those processes that go to a root cause process (deviation/CAPA) – level 2.
  2. Identify the ways to notice a problem. Make the work as visual as possible so it is easier to detect the problem.
  3. Define the escalation method. There should be one clear way to surface a problem. There are many ways to create a signal, but it should be simple, timely, and very clear.

These three elements make up the request for help.

The next two steps make up the response to that request.

  1. Who is the right person to respond? Supervisor? Area management? Process Owner? Quality?
  2. How does the individual respond, and most importantly when? This should be standardized so the other end of that help chain is not wondering whether, when, and in what form that help is going to arrive.

In order for this to work, it is important to identify clear ownership of the problem. There always must be one person clearly accountable, even if only responsible for bits, so they can push the problem forward.

It is easy for problem-solving to stall. So make sure progress is transparent. Knowing what is being worked on, and what is not, is critical.

Prioritization is key. Not every problem needs solving so have a mechanism to ensure the right problems are being solved in the process.

Problem solving within a process

Common Ownership Challenges

Process Ownership Challenges

Governance and ownership challenges often arise in an organization for four reasons:

  1. Business stakeholders who resist assuming ownership of their own processes, data and/or knowledge, or have balkanized/siloed accountability
  2. Turf wars or power struggles between groups of stakeholders
  3. Lack of maturity in one or more areas
  4. Resistance to established governance rules

The Business Struggles with Accountability

Processes often have a number of stakeholders, but no apparent owners. This results in opportunity costs as compulsory process changes (e.g. legislative requirements, systems capacity, or company structural changes) or process improvements are not implemented because the business process owner is unaware of the change, or no clear business process owner has been identified which leads to an increase in risk.

Sometimes processes have a number of stakeholders who all think they are the owners of parts of the process or the whole process. When this overlap happens, each supposed owner often identifies their own strategy for the process and issues their own process change instructions to conform to their understanding of the purpose of the business process. These conflicting instructions lead to frustration and confusion by all parties involved.

Lack of accountability in process and system leads to inefficient processes, organizational disharmony, and wasted energy that can be better spent on process improvements.

Turf Wars

Due to silo thinking there can be subdivided processes, owned by different parts of the organization. For example, count how many types of change control your organization has. This requires silos to be broken down, and this takes time.

Lack of Maturity

Governance is challenging if process maturity is uneven across the organization.

Failure to Adhere to Governance

It can be hard to get the business to apply policy and standard consistently.

Flow Chart

The flow chart is a simple, but important, graphic organizer. Placing the states or steps of an event or process into the correct sequence allows you to reach conclusions and make predictions.

However, its simplicity means we don’t always work to be consistent and can benefit from a little effort to ensure users are aligned.

I am a huge fan of including flow charts in all process and procedure documents.

Steps for Building a flow chart

Capture

Capture the events or steps of the process. Resist the urge to arrange them sequentially and concentrate on capturing the events/steps only.

Cull

If there are more than eight steps in a flow chart we start creating cognitive overload. If a process or procedure has more than eight steps you need to:

  1. Ensure the steps are at the right level, sometimes we have substeps represented and we can cull that. Ensure they are all on the same level of process/procedure/task.
  2. Decide we need to break the procedure into multiple documents. This is a great way to decide what work instructions are necessary.
  3. Look for opportunity for process improvement.

Sequence the events and draw the flow chart

The focus now shifts to temporal relations. The correct sequential arrangements of steps or events helps to reach conclusions about past events and prepare for future events.

Example

I’m writing the procedure for my mornings, I capture the following:

  1. Eat breakfast
  2. Take shower
  3. Take dog out
  4. Get dressed
  5. Decide on tea
  6. Heat water
  7. Drink tea
  8. Read for 30 minutes
  9. Deal with morning email
  10. Snuggle with dog

Taking a look at the list I realize that not everything is on the same level of process/procedure/task and end up with a shorter list.

  1. Breakfast
  2. Take shower
  3. Take dog out
  4. Get dressed
  5. Read for 30 minutes
  6. Deal with morning email
  7. Snuggle with dog

Notice how I combined all the tea stuff into a breakfast category. When brainstorming my list I put a lot of weight on tea, because it is important to me (yes I have been using tea as a training example since 2005, I just love tea).

I can then put them in sequence:

Flow Chart for my morning

When I was making things sequential I realized that two of my activities (read and dog snuggle) were concurrent, so I combined them as one step.

Process Architecture

Building a good process requires clear ownership and a deliberate plan. There is a fair amount of work that goes into it, which can be broken down as follows:

   
Category   
   
Sub-category   
   
Basic theme   
   

   

   

   

   

   

   

   

   

   

   

   

   

   

   

   

   
Planning   
   

   

   

   
Process
   
Measurement   
   
Identify,   design, and implement balanced   process metrics and measurement   
   
Implement process   metrics and   measurement reporting mechanisms   
   
Identify and implement KPIs   (And KRIs)    aligned   to process   
   
Evaluate cycle times   and identify potential wastes   
   
Align   level and recognition of people involved in the   process to align with process   
   

   
Customer
   
Experience   
   
Process design   with customer interaction trigger mechanisms   
   
Design process in line with customer expectations   
   
Identify customer process performance expectations   
   
Design customer entry points and   define transaction types   
   

   

   

   
Process Change   
   
Identify incremental and re-engineering process   enhancement opportunities with staff involvement   
   
Design process with minimal process   hand-off’s   
   
Create and execute process improvement plans   
   
Identify process   automation opportunities   
   
Pilot process   design to ensure meeting performance objectives   
   
Governance   
   
Design efficient process with   governance & internal control considerations   
   
Capacity   
   
Conduct demand   and capacity planning   activities   
   

   

   
Staff Training   
   
Develop and conduct staff   training initiatives in line with customer,
   
process, product, and systems expectations   
   
Develop skills   matrix and staff capability requirements in line with process design   
   
Technology   
   
Define technology enablers   
   
Alignment   
   
Align process objectives with organizational goals   
   
Change
   
Management   
   
Engage impacted stakeholders on process changes   
   

   

   

   

   

   
Control   
   

   

   
Process
   
Measurement   
   
Process performance monitoring   
   
Report on process and staff performance with utilization of visual management tools   
   
Obtain continuous customer satisfaction and expectation of process   
   
Active management of process exceptions   
   
Monitor staff performance metrics   
   

   
Process Change   
   
Identify process   improvement opportunities on a continuous basis   
   
Focused process hand-off management and   tracking   
   
Capacity   
   
Demand and capacity planning and monitoring   
   

   

   
Governance   
   
Process Change   
   
Process maintenance and continuous update   
   
Define and conform to process documentation standards   
   
Change
   
Management   
   
Process communication and awareness   
   
Staff Training   
   
Utilize process documentation knowledge to facilitate staff training   

Like any activity, it helps to document it. I use a template like this.