CAPA Presentation Spring 2009

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    Prepared by Christopher Parker, March, 2009

    Christopher Parker March, 2009

    CAPA:

    Systemic & Cost Effective

    ASQ Section 1216 - Spring Conference April 2, 2009

    Strategic Quality Systems

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    Outline

    Course Objectives

    Why are Analysis skills important? The Need for Improvement Change the Process to Change the

    Results Benefits of Process Improvement

    Proactive versus Reactive Improvement Analysis Hierarchy

    The importance of CAPA

    7D Model and Activities 7D Model and DMAIC

    7D Model and PDCA Problem Description Containment

    Investigate & Define Root Cause

    Tools Initial Corrective Action Permanent Corrective Action Verification

    Exercises Example Other examples Proactive Improvement Excercise

    Summary

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    Course Objectives

    As a result of attending this course the participant will be able to: Identify a problem that requires improvement

    Define a problem in measurable terms

    Contain the problem while developing a long term solution

    Collect and analyze data relevant to the problem of interest

    Analyze the system of causes and determine root cause

    Plan and implement solutions relevant to the root cause of the problem

    Evaluate the effectiveness of the improvement

    Determine opportunities for standardization

    Discuss how to realize the benefits of process improvements

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    Why are Analysis skills important?

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    Why are Analysis skills important? - The Need for Improvement

    Nature of Business

    Very competitive

    Need to increase sales and reduce cost simultaneously

    Need improvements in all areas over time

    Need a common language and tools for problem solving and

    process improvement

    Ultimately all improvement activities must be viewed in

    financial and Customer satisfaction terms

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    Why are Analysis skills important? - Change the Process to Change the Results

    Without change in the process we will continueto achieve the same levels of performance andencounter the same difficulties and problems wesee today

    We must ask: What causes problems?,identify the Root Causeand change theprocessconditions that create our problems toachieve better results

    Improving the process will by definition improvethe product

    The focus of our improvement efforts will be tounderstand the process, to identify criticalchanges that need to be made in the process,and introduce a controlled solution to produce abetter product or service

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    Why are Analysis skills important? - Benefits of Process Improvement

    More efficient problem solving process Reduction in cycle-times

    Improved materials management

    Improved commit process Improved Customer satisfaction

    Reduction in defect levels

    Reduction in WIP and inventories

    Improved process controls

    Improved process efficiencies

    Job enlargement and employee

    satisfaction

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    Proactive Improvement

    Routine communication withCustomers concerning needs

    Lack of satisfaction with the statusquo

    Monitor performance andconsider opportunities forImprovement

    Take action for improvement prior

    to complaints Examine the workflow to look for

    opportunities for Improvement

    Getting people in the process

    involved in making improvements Examination of financial waste in

    all of our activities

    Reactive Improvement

    Poor performance is Impacting theCustomer

    Clearly identified problem

    Need to contain the problem

    Need to determine root cause andcorrect the problem

    Examples:Customer complaints

    Poor yieldsSupplier delivery problems

    Missing Customer commits

    Excessive errors

    Audit errors or failures

    Poor CSI Scores

    Either condition is a good reason to initiate an improvement project

    Proactive Versus Reactive Improvement

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    Why are Analysis skills important? Analysis Hierarchy

    Continuous Improvement Ongoing recognition of opportunities to improve

    Problem Solving

    Solution oriented effort for specificconcerns or issues

    Root Cause Analysis

    Cause identification driven effort necessaryto prevent recurrence

    Failure Analysis

    Technical examination and very focused effort on failed devices to identifyspecific details of a very specific concern or issue

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    The Importance of CAPA

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    Detailed Tools Management

    Activities & Analysis Involvement

    Identify Problem Areas Basic QC Tools

    Select a Problem Check SheetProblem Statement and Containment Pareto Diagram Review & Approve

    Problem Objective, Goal and Benefits Concentration Diagram

    Perform Resource Analysis (Stakeholder, equip, $) Run Chart

    Develop Improvement Plan Flow Chart

    Map the Process Cause & Effect Diagram

    Define Data Collection Requirements Histogram

    Develop Data Collection Plan Scattergraph Monitor Progress

    Collect Data Advanced Tools*

    Define Process Baseline Measurement Systems AnalysisEvaluate Data to Determine Relationships Partition of Variation

    Stratify Data to Understand Root Cause Regression

    Develop a Cause & Effect Diagram Capability Analysis Monitor Progress

    Determine the 5 Whys Control Charts

    Benchmark on Best In Class Processes

    List and Prioritize Root Causes Fault Tree Analysis, FMEA

    Brainstorm Potential Solutions

    Evaluate Cost, Complexity, Impact, Benefit and Risk (see criteria) Brainstorming

    Prioritize Solutions into Long Term and Short Term Effort Impact Analysis Review & ApproveCommunicate Implementation Plan Prioritization Matrix

    Implement Solution

    Collect Representative Sample of Data Basic QC Tools

    Compare Performance to Baseline Annotated Run Chart

    Reach the Improvement Goal? If no go back to 4 Advanced Tools* Review Effectiveness

    Evaluate Improvements in Series Control Charts

    Statistical Tests

    Identify Opportunities and Owner for Standardization

    Determine the Stability of the Solution Review & ApproveDetermine the controls needed to sustain the gains Advanced Tools* Recommendations for

    Implement Needed Controls Control Charts Standardization

    Implement Standardized Solutions

    Realize Benefits of Improvement

    Reflect on the Improvement Process

    Determine Any Lessons Learned

    Document and Communicate Improvements Close Team

    Close the Project or Team

    Select Next Project or Process for Improvement* Get assistance from your Building or Site Quality Engineer

    Define & Contain theproblem

    Measure the problem

    Perform Root CauseAnalysis

    Plan & ImplementImprovement

    Assess Effectiveness

    Standardize & Control

    Realize & Reflect

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    The Importance of CAPA 7D Model and Activities

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    7 Step Improvement Model PDCA

    Data IIProblem SpecificData, Map theProcess, StratifyData and ExamineRelationships to

    Isolate the Problem

    4. Plan &

    ImplementImprovement

    IdentifyProblem

    Areas

    6. Standardizeand Control

    2.Measure

    theProblem

    Select aProblem

    Data IBaseline ProcessPerformance,ExamineDashboards

    Data IIIRepresentativeSample in TimeSeries to See theEffects ofImprovements

    3. PerformRootCauseAnalysis 5. Assess

    Effectiveness ofImprovement

    1. Define &Contain TheProblem

    7. Realize

    Benefits andReflecton theImprovementProcess

    PLAN

    ACT

    CHECKD

    O

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    The Importance of CAPA 7D and DMAIC

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    Problem Description

    Problem Definitionis the most important part of the process a poorly defined problem will never be solved.

    Listen to the problem from the source

    Assume nothing

    Understand the focus and intent of the source Identify tone and elements of emphasis in the message

    Identify as many details of the problem as possible

    Stick with facts and known details

    Focus on what, when, and where Remain systemic, do not tell stories

    Do not ask who it leads to blame

    Do not ask why it fosters assumptions

    What is the significance of the problem Impact on relationship, processes, metrics

    Be concise

    Confirm the definition with the source

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    Containment

    Containmentis more than just segregating material or processes. Assures the internal\external customer they will no longer be impacted

    Provides evidence for the analysis

    Every effort and priority must be made to identify and detain anyimpacted material or processes.

    Have all inventory locations of the risk material been identified?(incoming, returns, stock, kits, WIP, finished goods, shipped product)

    Be specific as to how much material, B\L, location, and where it is now.

    Assure that the material is prevented from accidental use.

    Has the process been stopped pending review and evaluation?

    If elements are performed in stages or pieces, edit the CAPA record with each detail as it isavailable, such as: 04-AUG (CWP) Moved B\L 23647 to HOLD

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    Containment

    Containmentmay include actions to be defined as Initial CorrectiveAction details.

    All material has been quarantined

    Area employees have been made aware of the concern and these

    immediate changes have been made Etceteras

    Remember to remain factual and concise. Do not tell stories orprovide information beyond what is needed to support the ProblemDescription.

    Open additional CAPAs if the containmentprocess identifies additional concerns beyondthe scope or definition.

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    Investigate & Define Root Cause

    We all know what the rootcause is .. correct?

    No procedures

    The supplier

    The Productionteam

    You are

    No training

    Customer is toodemanding

    I was onvacation

    Poorcommunication

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    Investigate & Define Root Cause

    Investigation and Defining Root Cause(s) is most often impaired bypresumptions and paradigms.

    We do that well, we just had a bad day

    This was an exception, not the standard

    _____ just doesnt understand This is just like every other problem

    Remain objective and find the evidence that ledto the behavior, mistake, or problem identifiedin the Problem Description.

    Formalize the investigation

    Document all findings, supportive of the issueas well as dead ends

    Remain systemically focused and do notbe content with individual observations

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    Check Sheet

    Process Flowchart Cause & Effect Diagram

    Run Chart

    Pareto Diagram

    Histograms

    5 Whys

    Simple Tools

    Brainstorming

    Scatter Diagrams

    and others

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    Robust Tools

    FMEA & Control Plans

    Hypothesis Testing

    =

    x

    x

    x

    x uLSLuUSLZCpk 3

    ,3

    min

    Capability

    Control Charts100 75 50 25 25 50 75 100

    On timedelivery

    Defectfree

    Correctquantity

    NPIprocess Change

    control

    Inventorymanagement

    RMA frequency

    CustomerRequirementPerformance

    X

    X

    X

    X

    X

    X

    XX

    X

    Radar (Spider) Chart

    Failure Analysis

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    Initial Corrective Action

    The Initial Corrective Actionshould provide: Confidence that recurrence is minimized or eliminated

    Containment of any adulterated material or rogue processes

    Commitment to defect free material and compliant processes

    Continuation of controlledactivity

    Initial Corrective Actionis not: The end of the CAPA process

    Do not allow activity and progress to stall

    An explanation or sales pitch

    support and document all decisions and actionstaken or not taken

    If elements are performed in stages or pieces, edit the CAPA record with each

    detail as it is available, such as: 04-AUG (CWP)

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    Permanent Corrective Action

    Permanent Corrective Actionmust contain three elementsthat specifically provide a solution for the identified issue(s):

    1. A systemic definition

    2. That is sustainable3. And be preventive in nature

    Failing to provide these elements suggest the corrective action is

    incomplete and may not be addressing the root cause.

    For example: Training is never a permanent corrective action.

    Defining a new required and standardized training

    course as an elementof the corrective action issystemic and sustainable. Expecting the courseis completed annually and prior to working inthe process is preventive.

    f

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    Verification

    Only through Verificationwill the process be complete.

    The verification process should be done after the initial

    and permanent corrective actions have had anopportunity to provide evidence of success.

    Sometimes this may best be done by the Internal Auditingfunction in order to remain independent and within theQuality System processes.

    T i 7D CAPA b k t DMAIC S

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    Define & Contain theproblem

    Measure the problem

    Perform Root CauseAnalysis

    Plan & ImplementImprovement

    Assess Effectiveness

    Standardize & Control

    Realize & Reflect

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    Tying 7D CAPA back to DMAIC - Summary

    Wh A l i kill i t t?

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    Why are Analysis skills important?

    E l I i I ti

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    Example Incoming Inspection

    Problem Description:

    Required Certificate of Compliance (CoC) documents from suppliers arenot included in as much as 35% of all required receipts. Leading tonon-value-add activity to attain the CoC, inspection delays, and in

    some cases, negatively impacting production.Two CAPA paths:

    CAPA Address reasoning for lack of inclusion in shipments asrequired.

    CAPA+ - Address whyCoC is required and eliminate the need wherethere is no value-added in the system.

    Addressing the greater scope and

    analyzing the need for CoC suggestingclose to $50,000 in annual savings.- Plus minimizing\eliminating correctivecosts associated with CoC recovery.

    Oth l

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    Other examples

    In Class Exercise: 10 Min

    Other problem description examples:

    1. Customer return for soldering issues.

    2. On-Time-Delivery rates

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    Proactive Improvement Excercise

    In Class Exercise: 15 Min

    Exercise Description:1. Begin exploring improvement opportunities by listing yourcore

    products or services outputs. (departmental or individual)

    2. Relate the products or services to the processes by listing theprocesses that generate them.

    3. On a 1 to 10 scale, in the eyes of your customer, rank the criticality ofyour products or services. (10 is most critical)

    4. On a 1 to 10 scale estimate your current process performance.(10 is the best)

    Summary

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    Summary

    You should now be able to

    Define a problem in measurable terms

    Contain the problem while developing a long term solution

    Collect and analyze data relevant to the problem of interest

    Analyze the system of causes and determine root cause

    Plan and implement solutions relevant to the root cause of the problem

    Evaluate the effectiveness of the improvement

    Determine opportunities for standardization

    Discuss how to realize the benefits of process improvements

    Examine the improvement process for lessons learned and newproblems to solve

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