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The Ask:

A global medical devices company under consent decree for 2 years across two sites with a total of 112 Major findings and 408 Minor findings

  • Complaints accounted for 17 of the major findings
    • The Complaints handling department were struggling to close off complaints
    • Over 1900 open complaints with almost 50% in arrears (backlog) – the oldest complaint being 779 days (over 111 weeks)
    • On a daily basis, more complaints were being received than could be closed

The Head of Department could not see any way out other than to recruit

Results and Benefits

  • Compliance to ISO 13485, 8.3 and FDA 820.198 restored
  • Backlog reduced from ~900 to a manageable 100 with all oldest aged closed
  • Daily business team operating to new process and back under control
  • Total Complaints reduced from over 1900 to ~ 250
  • Eliminated the need to hire any additional staff to the department (stopped 10-hires)
  • Clear KPIs brought control to the department and allowed close tracking of progress
  • Lean process absorbed some of the tasks from other constrained departments
  • Complaints findings completely closed-off
  • Team now focusing on achieving 98% closures of all complaints – industry Best Practice

Challenges:

  • The organisational structure within the Complaints handling department was flat with handlers taking the “next” complaint – but everyone was “cherry picking” the easier and younger complaints
  • The process for Complaints handling was slow and complicated
  • The focus from the team was on daily business so backlog never addressed
  • Reliance on other stretched departments (RA) for information a bottleneck
  • The Department Head was proposing doubling the size of the complaints team

Implications

  • The organisational structure within the Complaints handling department was flat with handlers taking the “next” complaint – but everyone was “cherry picking” the easier and younger complaints
  • The process for Complaints handling was slow and complicated
  • The focus from the team was on daily business so backlog never addressed
  • Reliance on other stretched departments (RA) for information a bottleneck
  • The Department Head was proposing doubling the size of the complaints team

Objectives

  • The organisational structure within the Complaints handling department was flat with handlers taking the “next” complaint – but everyone was “cherry picking” the easier and younger complaints
  • The process for Complaints handling was slow and complicated
  • The focus from the team was on daily business so backlog never addressed
  • Reliance on other stretched departments (RA) for information a bottleneck
  • The Department Head was proposing doubling the size of the complaints team

The Approach:

  • Identified the trend and introduced clear measures and targets to remediate the backlog
  • Reorganised resources with clear focus and objectives
  • Redesigned the process to significantly reduce the time per complaint closure

Toolkit

  • Identified the trend and introduced clear measures and targets to remediate the backlog
  • Reorganised resources with clear focus and objectives
  • Redesigned the process to significantly reduce the time per complaint closure