Almac Clinical
Technologies (ACT) is an IT company that specializes in both technology and
service solutions. The primary technology solution offered by ACT is known as
Interactive Web & Response System (IXRS). Each IXRS is specifically
designed and customized to support clinical trial protocols as interpreted by
clinical trial sponsors. The IXRS offers
functionality to enable patient randomization, tracking and management of
clinical supplies, and web based drug reconciliation. The technology helps to
increase the overall efficiency and quality of the clinical trial process.
In
an effort to produce quality software, ACT complies with key standards applicable
to the pharmaceutical industry. These standards
that govern pharmaceutical software include:
·
General Principles of Software Validation; Final Guidance for
Industry and FDA
·
EudraLex Annex 11-Computerized Systems
·
Code of Federal Regulation-Title 21-Part 11- Electronic Records,
Electronic Signatures
·
Guidance for Industry: Computerized Systems Used in Clinical
Investigations
While these standards
provide guidance on how to perform validation and record keeping activities,
there is little emphasis on the development of a structured Quality Management
System (QMS). This is not surprising as
the concepts of a QMS and existing QMS standards were written from a
manufacturing perspective during World War I & II when Information Technology
(IT) as an industry was non-existent (Yadav, Kumar, & Kumar,
2014).
As an IT company, ACT represents one of the fastest growing
business sectors over the last two decades. With the increase in global
competition and the safety critical nature of such technology solutions,
customers are increasing their expectations for quality software. There are a variety of mechanisms that can be
used by ACT and other IT companies to improve overall software quality which
include the International Organization for Standardization (ISO) process
standards, the Malcolm Baldrige Award, the Capability Maturity Model (CMM), and
Six Sigma (Yadav, Kumar, & Kumar, 2014). While all of these
mechanisms can offer a means to define and improve quality, many customers
require documented evidence such as a certification. To
meet the customer expectations for quality software that can be demonstrated, the
preferred mechanism for an IT company would be achieving an ISO 9001:2015
certification.
ISO 9001:2015 is a single
standard in a series of quality management standards relating to the development
and maintenance of an organizational QMS. First published in 1987, ISO 9000 set
out to establish a global set of minimum requirements to be used to improve
quality systems across many industries. ISO’s
main focus was and continues to be, raising the satisfaction level of customers
by achieving the highest level of quality.
ISO standards define set requirements enabling organizations to develop
effective management systems to meet the needs of their customers. In the initial publication, ISO 9000-1:1987
was comprised on three universal quality models that were further defined in
the following process standards (Popovic, 2015):
·
ISO 9001:1987-focused on design, development, production,
installation, and servicing and basis for ISO certification
·
ISO 9002:1987-focused only on production, installation, and
servicing without design
·
ISO 9003:1987-focused only on final inspection and test without
design or production
This set of process standards were initially only used within
the manufacturing sector however throughout the 1990’s, as recognition of ISO
certification began to gain popularly, the focus of ISO certification shifted
into other industry sectors including IT (Namara, 2009).
Over the years,
ISO process standards have evolved based on feedback from technical committees,
advisory groups and stakeholders who have implemented the standards within
their organization. On September 23,
2015, ISO released its fourth edition of ISO process standards with included significant
changes to the ISO 9001:2015 standard, Quality management systems—Fundamentals and
vocabulary (BSI, 2015). The newest release of ISO 9001:2015, focused on creating a QMS
model that could be interpreted across other international management systems standards. Risk based concepts were incorporated and the
focus shifted from stringent line item requirements to performance based
requirements. This new version of the ISO process standard did however retain
its core principles of “Plan, Do, Check, Act” which are incorporated into the
ISO requirements. The 2015 set of
process standards including previous revisions are defined as (SGS, 2016):
·
ISO 9000-defines the vocabulary and fundamentals of the ISO 9000
series
·
ISO 9001-defines requirements for ISO certification and
consolidates the requirements of ISO 9002 & 9003 that were once separate
process standards
·
ISO 9003-guidance document on sustaining organizational
objectives
In addition to the above cited process standards, ISO had
previously published ISO 9000-3 which is a guideline document to help IT companies
interpret and apply ISO 9001 within their organization. ISO 9000-3 consists of 22 separate clauses
that are grouped into three major sections which define a quality system framework
for computer software. This companion guideline is intended to be used as a
tool to interpret the ISO 9001 process standard but is not considered an
auditable standard for certification purposes (Oskarsson, 1995). The above cited process standards and ISO
9000-3 define the established requirements and needed guidelines set forth by
ISO to achieve certification.
ISO 9001:2015 is
the specific process standard of which all industries, including the IT sector,
would be audited against for certification. ISO 9001:2015 defines a subset of clauses that
must be met for certification purposes. Clauses 1-3 provide users with a high
level scope of the process standard, key references and also definitions. The remaining subset of clauses define the
QMS principles that must be adhered to in order to obtain ISO
certification. This subset of clauses
include (Cianfrani, & West, 2015):
·
Clause 4: Context of the organization-requires organizations to
define the expectations of all relevant parties including internal stakeholders
and customers and define processes to meet these needs
·
Clause 5: Leadership-focuses on the development of a quality
policy to align the strategic direction of the company and define management oversight
for the implementation of the QMS
·
Clause 6: Planning-discusses risk based decision thinking and defining
opportunities to improve product quality and customer satisfaction
·
Clause 7: Support-requires organizations to determine and ensure
resources are available to support the QMS
·
Clause 8: Operation-defines the requirements for establishing
the operational aspects of the QMS including customer communication
·
Clause 9: Performance evaluation-refers to the method for monitoring
and measuring the effectiveness of the QMS from a customer perspective
·
Clause 10: Improvement-focuses on the selection and identification
of improvement opportunities to meet customer requirements and improve overall
customer satisfaction
The above listed clauses found in ISO 9001:2015 cover
organizational activities necessary to provide goods or services per customer
specifications. Each of the defined ISO
clauses have a customer based focus and drive towards improved customer
satisfaction levels overall. By implementing the requirements of a QMS as prescribed
in ISO 9001:2015, IT companies can build a foundation for a QMS to promote the
highest level of software quality. Productivity
will increase and rework on design and development efforts will decrease as
work will be done right the first time.
By improving the quality of its software, IT companies will also achieve
increased customer satisfaction.
Statement of the Problem of
A Mechanism to Increase Customer Satisfaction Levels within an IT Company
The fourth edition of ISO 9001:2015 was released on
September 23, 2015. This version of the ISO 9000 process standard, much like
previous versions, defines a set of
requirements which enable organizations to develop effective management systems
to meet the needs of their customers.
By implementing these requirements, IT companies can build a foundation
for a QMS to promote the highest level of software quality. Implementation of the ISO 9001 requirements
and achievement of ISO certification will allow IT companies such as ACT, a
means to ensure product quality and increased customer satisfaction levels. By not implementing a QMS and obtaining ISO
certification, IT companies are at risk of losing repeat business as customer
satisfaction levels decrease.
Purpose of the Project of A
Mechanism to Increase Customer Satisfaction Levels within an IT Company
The purpose of this research paper is to familiarize readers
with the ISO 9000 process standards, more specifically ISO 9001:2015 standard
as it would pertain to the IT industry. In addition, evidence based surveys
will be used to demonstrate a correlation between a QMS, ISO 9001:2015 certification,
and customer satisfaction. Based on survey results, recommendations for ISO certification
preparation will be provided within the Results and Discussion section of this
document.
Theoretical Bases and
Organization of A Mechanism to Increase Customer Satisfaction Levels within an
IT Company
This
paper builds upon existing quality management principles and ISO 9001 requirements
set forth by ISO. Additionally, perspectives from companies who have obtained
ISO certification will be incorporated as a basis for discussion. ISO
implementation recommendations will be derived from common QMS practices within
the pharmaceutical industry.
Limitations of the Project
of A Mechanism to Increase Customer Satisfaction Levels within an IT Company
The
fourth edition of ISO 9001:2015
was published in 2015 and has been in circulation for just over three years. Because
this is a newly released version of the process standard, it is unclear how the
IT industry worldwide will be affected by the significant changes set forth
within this version. Implementation of a QMS and ISO certification has proven
to be difficult for the IT industry based on the stringent line item requirements defined in previous versions of
this standard (Oskarsson, 1995). The
recent changes in ISO 9001:2015 may increase or decrease the popularly of ISO
certification within the IT industry, however the impact of the changes will
not be known for some time.
Additionally, the customer’s perception of the changes may alter the perceived
value of ISO certification within the context an organization and have less
impact on customer satisfaction levels overall.
Definitions
of Terms of
A Mechanism to Increase Customer Satisfaction Levels within an IT Company
ISO
9001:2015- Per ASQ “the requirements for a QMS
that organizations can use to develop their own program” (ASQ, 2018).
Quality
Management System-
Per ASQ “A quality
management system (QMS) is a formalized system that documents processes,
procedures, and responsibilities for achieving quality policies and objectives”
(ASQ, 2018).
Relevant Studies of a
Mechanism to Increase Customer Satisfaction Levels within an IT Company
Before assessing the relationship
between a QMS, ISO certification, and customer satisfaction, it’s important to determine
the relevance of this certification within the IT industry. In 2017, the ISO conducted its annual survey
to determine the number of valid ISO certifications worldwide. Individual accredited certification bodies
were contacted to report how many valid ISO certifications they have issued by industrial
sector (refer to Table 1). The data shows
that certifications within the IT sector has risen significantly with the
initial valid certification count at 5,826 in 1998, as compared to 33,664 valid
certifications in 2017. The IT sector is
now the 9th highest certified industrial sector worldwide. This data would demonstrate that ISO 9001
certification is very much relevant to IT companies (International
Standards Organization, 2017).
Table 1
Number
of ISO Certifications in the IT Sector
In
2006, the Independent Association of Accredited Registers (IAAR) was interested
in understanding customer perceived benefits of ISO certification. Survey participates were asked to identify
reasons for obtaining ISO certification and also the gained benefits of which
were achieved (refer to Table 2). Based
on the results, participates identified seven key benefits of which they felt
the organization realized from their current certification. Of these, 57% of
respondents indicated that “improved perceived quality” was the greatest
benefit of ISO certification. The next highest reported benefit was “improved
customer satisfaction” at 55%. The remaining reported benefits were “competitive
advantage” (36%), “reduced customer audits” (31%), “increased market share”
(11%), “quicker time to market” (4%) and “other” (9%). Based on these survey
results, it can be concluded that there are many benefits of ISO certification,
however better quality and improved customer satisfaction are still the main
drivers for obtaining certification (IAAR, 2006).
Table 2
Reported
Benefits of ISO
In
2010, ISO’s Technical Committee 176 sponsored a world-wide survey of 11,722
users of the ISO standards. The focus of
this survey was to better understand the perspective of ISO users and identify
areas of the standards that could be more relevant in the future. Survey respondents were asked to identify the
key factors that influence their decisions for obtaining ISO certification (refer
to Figure 1). A total of 36% survey
respondents said that customer satisfaction was the main influence for
obtaining ISO certification. In addition, 28% reported that ISO certification
was a client mandate. Based on these
survey results, it would demonstrate that the majority of respondents (64%)
obtain ISO certification to meet the overall needs of their customers (International
Standards Organization, 2011)
Figure 1–Factors for Achieving ISO Certification;
Provided by International Standards Organization
In a 2016 survey sponsored by QMS International, survey
respondents representing various
industry sectors, were asked questions relating to the achieved benefits of ISO
certification within their organization (refer to Figure 2). Survey respondents identified a total of
eleven benefits however 76% of respondents reported ISO certification brought
them improved quality management processes.
Not surprisingly, 53% of survey respondents also reported that ISO
certification increased overall customer satisfaction. Within
the IT sector specifically, 3 out of 4 survey respondents reported increased
customer satisfaction as the greatest benefit to ISO certification (QMS International,
2016).
Figure 2–Achieved Benefits of ISO Certification; Provided by
QMS International
The
2017 ISO survey demonstrates a significant increase in the number of certificates
issued to IT companies and shows a perceived value within the IT industry. Survey results also show that implementation
of ISO 9001 and achievement of certification does increase customer
satisfaction levels. It can be concluded
however, that the ISO certificate itself is not the sole reason for increased
customer satisfaction levels but rather the implementation of an organizational
QMS to fulfill the requirements of the ISO standards. By implementing a QMS, IT companies such as
ACT, are able to provide goods or
services per customer specifications, thus increasing customer satisfaction
overall.
Results and Discussion of a
Mechanism to Increase Customer Satisfaction Levels within an IT Company
Cited surveys confirm
that customer satisfaction levels are directly related to implementation of a
QMS and achievement of ISO 9001 certification. Within an IT company, implementation of a QMS can be seen as document
intensive and therefore a hindrance to the design and development of software
products (Oskarsson,
1995). The following recommendations (refer to Figure 3)
will describe measures that can be used to meet the ISO 9001 requirements while
ensuring design and development activities within an IT company remain at
optimal capacity.
Figure 3-ISO Preparation Steps
Initial preparation steps begin with the identification
of the associated processes based on input and outputs of IT service solutions.
Organizations should create a process
diagram to define the main quality and operational processes within the
organization. Recommended processes specific to the IT industry can include (Popovic, 2015):
·
Quality Systems-defines the quality processes needed to meet the
objectives per ISO requirement
·
Service Delivery-defines operational processes for the
management of customer orders
·
Contract Management-defines the operational processes for the initial
bid defenses and pricing on ordered work
·
Purchasing-defines the operational processes for third party
vendor management of materials and support services
In the creation of the process diagram,
organizations should also consider those internal stakeholders and customers who
may have input into each process. By creating a process diagram organizations
are defining the context of the organization (Clause 4), establishing a planned
QMS (Clause 6), and defining set requirements for key operational activities
(Clause 8).
Once
the process diagram is established organizations, must then define how they
will organize their processes within a QMS framework. This will require
organizations to create a document hierarchy of which the processes will
correspond to. A common hierarchy often
used within the manufacturing sector that can be applied within the IT industry
is as follows (Pharmout, 2016):
·
Quality Manual-defines the hierarchy of the QMS the overall
responsibilities, resources, operations, customer interactions, and quality
processes
·
Policies-high level interpretation of international standards
and business decisions describing why something is being done
·
Procedures-defines the who, when, where and the next tier steps
taken in response to policies
·
Work Instruction – describes the how, what and the specific
steps to perform functions set out in the policies and procedures
·
Lists/Forms-used to capture data/information as a result of
output from processes
By defining the framework of a QMS, organizations
are establishing the foundation of which identified processes within the
process diagram will be written. This step further helps organizations define
the context of the organization (Clause 4) and establishes demonstrated
leadership from top management (Clause 5).
The
next step is to write the needed documents that describe the main processes
defined in the process diagram. This can be achieved in a number of ways
through the use of standardized templates purchased online, use of existing
documents in place, or developing a new set of document templates specific to
the company. It is also important in
this step to define any exclusions from the ISO requirements that would pertain
to the IT industry. Referencing ISO
9000-3 is one way to identity these exclusions and ensure compliance to the
requirements. The ultimate goal of this step is ensure that there are processes
in place to meet both the quality and operational requirements set forth within
each clause.
The
final step in preparing for ISO certification is to perform an internal audit
against the ISO requirements. To do so, organizations should develop a
checklist of all ISO clauses, define how a particular requirement was met, and
also define if the requirement was excluded and why (refer to Table 3).
Table 3
Example
of ISO Audit Checklist
Any requirements of which were found to
be non-compliant would require a reassessment by top management to determine
next steps. By following the prescribed steps defined above, IT companies will
be able to achieve ISO 9001 certification while ensuring design and development
activities remain at optional capacity.
Discussion and Summary of A Mechanism to
Increase Customer Satisfaction Levels within an IT Company
Per
ASQ, a QMS is a “formalized system that documents processes, procedures, and
responsibilities for achieving quality policies and objectives” (ASQ, 2018). QMS principles and existing standards were
written from a manufacturing perspective during World War I and II (Yadav,
Kumar, & Kumar, 2014). While these
principles were common within the manufacturing industry, it wasn’t until 1987 that
ISO published its first edition of ISO 9000. This series of quality management
standards defined a set of requirements to achieve an effective management
system. Throughout the 1990’s the ISO
series and certification grew in popularity and soon became a universal
standard across many industries including the IT sector (Namara, 2009).
In
September 2015 the fourth edition of ISO 9001:2015 was published, incorporating
risk based concepts that could be utilized within other international
management system standards. The focus
of this latest edition continued to be raising customer satisfaction levels by
achieving the high quality goods and services.
The requirements set forth in ISO 9001:2015 are divided among a subset
of clauses and define the QMS principles that must be adhered to achieve
certification. The clauses require organizations to determine their processes
at an operational level, identify methods for performance monitoring and
improvement, and establish a context of the organization with a focus of
leadership and support functions (Cianfrani, & West, 2015).
Implementation
of the described QMS requirements set forth by ISO 9001:2015 have often been
seen as document intensive and a hindrance on software design and development
activities (Oskarsson, 1995). Additionally, with global competition and the
critical nature of software products used for clinical trials today, customers
are increasing their expectations for quality software and ISO certification
(Yadav, Kumar, & Kumar, 2014). Recommendations
on the achievement of ISO certification within an IT company can be broken down
into four defined phases to assure optimal operational capacity. These phases
include 1) the creation of a process diagram, 2) defining the framework/method
of the QMS, 3) writing the needed processes, & 4) performing an internal
audit. By implementing these steps, IT companies can achieve ISO certification,
ensure product
quality and increase customer satisfaction levels overall.
Areas
to be considered in further research would include a comparison of ISO 9000-3
against ISO 9001:2015. As a companion guideline ISO 9000-3 is not structured in
the same manner as ISO 9001:2015 and it would be helpful to users to understand
any key gaps with the two standards. Additionally,
it would be important to understand if there is a perceived value in
maintaining ISO 9000 certification after the initial certification period is
over. Because of the cost incurred by certification activities, IT companies
may find the establishment of the QMS is enough to maintain customer
satisfaction levels.
Conclusions on A Mechanism to Increase Customer Satisfaction
Levels within an IT Company
ISO’s main focus for the development of the ISO 9000
process standards is to raise the satisfaction level of customers by achieving
the highest level of quality. By taken
the appropriate preparation steps, IT companies such as ACT, can meet the
requirements set forth in ISO 9001:2015 and achieve ISO certification. This certification will enable IT companies
the ability to develop a QMS framework, promote improvements in overall
software quality and increase customer satisfaction levels overall.
References
of A Mechanism to Increase Customer Satisfaction Levels within an IT Company
ASQ. (2018) What
Is A Quality Management System (QMS)?—ISO 9001 & Other Quality Management
Systems.
Retrieved from http://asq.org/learn-about-quality/quality-management-system/
BSI. (2015). ISO 9001 Whitepaper-A history and future of ISO
9001. Retrieved from
https://www.bsigroup.com/LocalFiles/en-GB/iso-9001/Revisions/Whitepaper-the-history-and-future-of-ISO-9001.pdf
Cianfrani, C.A., & West, J.E., (2015). ISO
9001:2015 Explained-Forth Edition. Milwaukee: Quality Press.
IAAR. (2006). IAAR Customer Satisfaction Survey 2006-1.
Retrieved from
http://www.iaar.org/IAARCustomerSatisfactionSurveyResults-2006.htm
International
Standards Organization (2011). ISO 9000 User Survey Report. Retrieved from
https://www.iso.org/tc176/sc2/ISO9000UserSurvey
International
Standards Organization (2017). ISO Survey 2017. Retrieved from
https://www.iso.org/the-iso-survey.html
Namara, S. J. (2009). Do Companies
Value Maintaining ISO 9000 Certification? 2009 Case Study of 41 US Companies
First Certified in 2000. Masters Thesis &
Specialist Project. Paper 143. Retrieved from http://www.digitalcommons.wku.edu/theses/143
Oskarsson,
O. (1995). An ISO 9000 Approach to Building Quality Software. Retrieved from http://www.oskarsson.se/useful_info/ISO9000/Ch0.htm#Contents
Pharmout. (2016). How to implement a Quality Management
System: Whitepaper. Retrieved from http://www.pharmout.net
Popovic,
T. (2015). Getting ISO 9001 Certified for Software Development Using Scrum And
Open Source Tools: A Case Study. Technical Gazette 22, 6(205),
1633-1640. doi:10.17559/TV-20140704180948
QMS
International (2017).
ISO 9000:2015 Client Survey 2016. Retrieved from https://www.qmsuk.com › ISO 9001
Client Survey Results 2016
SGS. (2016). The Route To ISO 9001:2015-Avoiding the Pitfalls.
Retrieved from
https://www.sgsgroup.com.hk/-/media/global/documents/brochures/sgs-cbe-the-route-to-iso-9001-2015-lr-a4-en.pdf
Yadav,
M., Kumar, S. & Kumar, K. (2014). Quality Standards for a Software
Industry-A Review. IOSR Journal of Computer Engineering (IOSAR-JCE),
2, 87-94