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  • 1.  MDSAP Audit Times Reduced

    Posted 23-Nov-2017 10:08

    Health Canada has a notice dated October 31, 2017 that says the MDSAP Consortium has implemented changes to reduce the audit time. This includes:

     

    Streamlined the MDSAP audit approach in the revised version of the audit model. This has reduced the total number of tasks to be accomplished and reduced the overall audit time;

     

    Introduced a 10% reduction in audit time for manufacturers with 45 or fewer employees;

     

    Introduced a 20% reduction in audit time for manufacturers with 15 or fewer employees;

     

    Introduced a 20% reduction in the duration of surveillance and re-certification audits for all manufacturers; and

     

    Clarified the expectations for annual surveillance audits with the goal of reducing the audit time.

     

    How have they done this? I infer there are, as a result, revised documents, but I don't know where they are. I usually get MDSAP documents from the FDA website, but the documents there do not seem to have the changes from the Health Canada notice?

     

    Has any MDSAP Auditing Organization implemented the reduced times?

     

     



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    Dan O'Leary
    Swanzey NH
    United States
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  • 2.  RE: MDSAP Audit Times Reduced

    Posted 23-Nov-2017 13:50

    I found part of the answer. The document MDSAP AU P0008.005: Audit Time Determination Procedure on the FDA website (https://www.fda.gov/MedicalDevices/InternationalPrograms/MDSAPPilot/ucm377580.htm) has a section on adjustments to the audit duration. In section 5.3.6.1 it says that the AO may reduce the total audit duration by up-to 20% for companies with 15 or fewer employees. Similarly, the total audit duration may be reduced by up-to 10% for companies with 16 to 45 employees.

     

    There is also an Excel workbook MDSAP AU F0008.2.002 Audit Duration Calculation Form (Audit Model 2017) that includes a field for the adjustment factor.

     

    The Health Canada notice is dated October 31, 2017. Reading it, I had inferred the adjustments are new, but the procedure has an effective date of August 31, 2017.

     

    However, I don't think either the procedure or the workbook includes the provision for a 20% reduction in the duration of surveillance and re-certification audits for all manufacturers. I wonder where this is documented.

     

    I should note the procedure has a table with the standard times for each audit task. The workbook available from FDA has different standard times. For example, the Process and Service Controls Process has 29 tasks. The standard time in the procedure is 35.2 minutes per task and 44 minutes in the workbook.



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    Dan O'Leary
    Swanzey NH
    United States
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  • 3.  RE: MDSAP Audit Times Reduced

    Posted 23-Nov-2017 23:10
    Hi Dan,

    MDSAP audit time determination is faulty based on the number of employees as it is rather indirect or sometimes misleading.

    Instead, MDSAP audit time should consider the actual number of product registrations/clearance/approvals. Workload (documents to review, complaints, CAPAs, services) are somewhat proportional to the number of products rather than the number of employees. 

    A firm with 44 employees versus a firm having 10,000 employees - 10% reduced in audit times - unrealistic, arbitrary and capricious!  

    In reality, we may be talking about the firm with 44 employees for one product versus over 50 different products for the firm with over 10,000 employees.

    From my view in this example, audit time should be reduced 75% at least for the firm with 44 employees having one product registration instead of only 10% reduction in audit time. 

    I would recommend or suggest that regulatory agencies should propose and implement measures in a more regulated way based on objective and realistic standards!

    Thank you.

    s/ David
    ______________________________________________
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    REGULATORY DOCTOR
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  • 4.  RE: MDSAP Audit Times Reduced

    Posted 24-Nov-2017 08:02
    A great response David! 

    More agency auditors should actually have experience in industry. And not just the "place a person there to shadow for a month". 

    Ten people companies with few or even only one product have very very simple processes, or should. It should not take 4 days for an audit. That is absurd.


    Ginger Cantor, MBA, RAC
    Centaur Consulting LLC centaurconsultingllc@gmail.com
    (715) 307-1850





  • 5.  RE: MDSAP Audit Times Reduced

    Posted 25-Nov-2017 07:26
    I know there has been much upset by the MDSAP audit model and process coming forth, but I wonder if this is a consequence of something new coming? Change seems to create some upset as it is being implemented, but once it is no longer new (adjustments have been made) and there is a better understanding, then the new normal is accepted.

    As I see it, MDSAP is generally a good model. Most (larger) organizations generally see a new certification/recert to be 3 days by 2 auditors (about the same as the MDSAP initial audit). Keep in mind that stage 1 of the initial audit is set to be a desk audit before arrival onsite and so the time standards for recert (without stage 1) is what you should expect for the stage 2 (onsite) portion.

    Another point has been that firms don't pay for the FDA inspection. While it is true that they don't pay the FDA directly, you do pay (although not clear what the impact will be), but you pay an annual facility registration, you pay for submissions, etc. In addition, if you look at the cost, generally an FDA inspection costs a firm (lost work due to interruption of operation--work slows considerably, number of people involved in front room/back room operations, time spent in preparation, etc.) and the expense you must bear for foreign auditors/inspectors for other markets (Brazil, TGA, etc), I think you will find that the true cost of MDSAP is much less than that of having each of those agencies come for an audit/inspection.

    While not perfect, I do believe this is a better model for both the regulators and the device industry. I would encourage you to continue to provide productive feedback to the process to continue to make it better. Don't fear the audit!

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    Regards,
    Mark Swanson, ASQ CBA, CMQ/OE, CQE MBA
    Regulatory and Quality Solutions
    Becker MN
    United States
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  • 6.  RE: MDSAP Audit Times Reduced

    Posted 25-Nov-2017 06:58
    Hi Dan,

    If you take the spreadsheet and enter a '1' in each the boxes for the initial and then the surveillance (and recertification) you will see the difference. For the Initial Audit, you will get 3:47 and for the rest you get 3:01 (a 20% reduction)

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    Regards,
    Mark Swanson, ASQ CBA, CMQ/OE, CQE MBA
    Regulatory and Quality Solutions
    Becker MN
    United States
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  • 7.  RE: MDSAP Audit Times Reduced

    Posted 25-Nov-2017 09:52

    Mark,

     

    Thank you. I now understand it. Based on the notice from Health Canada, I had expected a model that reduced the standard times for the audit tasks for the Initial Audit. I misunderstood.

     

    As an aside, the workbook calculates the audit duration in "man days". I think it should be "audit days" to distinguish from "calendar days".



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    Dan O'Leary
    Swanzey NH
    United States
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  • 8.  RE: MDSAP Audit Times Reduced

    Posted 26-Nov-2017 08:44
    You would think it might be a simple thing to have an entry for the number of auditors that will then show the actual number of days for an audit. Maybe they will see this post and make that update??

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    Regards,
    Mark Swanson, ASQ CBA, CMQ/OE, CQE MBA
    Regulatory and Quality Solutions
    Becker MN
    United States
    ------------------------------