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Why it’s time for pharma leaders to rethink quality

Pharmaceuticals manufacturers are facing increasing compliance regulations and challenges from global production. As technology enables greater quality control, leaders are taking steps to embrace a new quality 4.0 world of standards and processes.


In brief

  • Regulatory scrutiny and global supply chain pressures are making quality a priority and a challenge for many pharma manufacturers.
  • Legacy, paper-based processes cannot keep up with the pace, demands and changes modern medicine and health care are bringing.
  • Manufacturers should consider seven key steps to transform their quality management systems.

When production and distribution of pharmaceuticals is a worldwide endeavor, but that world is beset with geopolitical turmoil and trade upheavals, consistent quality can become an increasingly complex pill for pharma manufacturers to swallow. Delivering on their high benchmarks for repeatable quality standards demands a level of technological infrastructure and vast volumes of data that many legacy manufacturer platforms just haven’t kept up with. Companies now juggle manufacturing complexities and escalating costs with a regulatory landscape that has seen an uptick in product recalls and increasing compliance oversight. In fact, in FY23, according to the U.S. Food and Drug Administration (FDA), the agency issued 94 warning letters for drug – up from 62 in 2022, and 20 quality related letters for devices – a sharp increase of 41% year over year.

 

Other factors aren’t helping. The “Life Sciences Quality Trends 2024 study published by Qualio shows 46% of respondents reported compliance is becoming more difficult with as few as 7% saying they feel new FDA initiatives are making quality compliance easier to achieve. Add to this the rise and rapid promise of artificial intelligence (AI) in a largely manual pharma industry, and the average decision-maker in pharmaceuticals today is facing a high-pressure crossroads. In one direction: urgent compliance requirements, in the other a balance between cost, tech change and the risk of reputational damage if they fail. If this sounds familiar, or if you’re a product quality leader tasked with finding solutions, the answer lies in adopting leading-practice quality management system (QMS) processes that can begin to help you rethink and fine-tune your approach to quality from the inside out. Let’s take a closer look at the strategies and steps to consider.

What does the QMS landscape look like?

For decades, pharmaceuticals manufacturers relied on people-powered, repetitive manual processes from production to quality checks. But with the arrival of an AI-driven and connected world, a quality 4.0 approach is now crucial for efficiencies, the environment and to meet increasing compliance demands. For manufacturers, this now involves the re-imagining of production and quality assurance as a hybrid cyber-physical environment that can connect smart devices, equipment on the production line and people across multiple lines and sites. Cloud-based data systems, Internet of Things (IoT) sensors in production and big data analytics are all enabling the building of a quality ecosystem that can function, comply and report in near real time, but adopting this to stay current and relevant, means change. The challenge for manufacturers is now about a move from quality processes based on static recordkeeping to a cloud-first and integrated approach that powers predictive quality, operational efficiency and regulatory readiness.

Roadblocks to QMS adoption

Process change, despite the benefits, isn’t easy. Perception of cost is a big roadblock for many who have concerns over vendor management costs, as well as health monitoring, backups and crucial disaster recovery and cybersecurity infrastructure. Some manufacturers cite data security concerns and the limitations of their legacy tech stacks and platforms to manage the complexities of protecting patient records, clinical trial results and proprietary R&D findings – all of which ladder back to crucial compliance. In places like India, an EY survey of Indian pharma manufacturers found 70% of respondents cite the strictness of regulatory requirements as the biggest barrier to crucial digital adoption. As manufacturers in the East and West struggle with all of this, the slower pace of much needed adoption is doing something else to exacerbate the challenges: creating a continued and growing skills gap for staff and teams trained in emerging and fast-moving QMS tools and solutions.

Seven steps to transform QMS

To put into place the changes and investments needed to overcome these adoption roadblocks and more, pharma manufacturers should begin with some important steps:

1. Assess digital maturity:

This includes a comprehensive assessment across all production and quality processes to benchmark the sophistication and efficiency of data systems, governance and the overall quality culture. What is working, what needs to change and why? Begin with a current state assessment and future state target.

2. Rethink and reframe quality as a reputational contributor:

It can be culturally difficult to sell and roll out a process change that is perceived as expensive for the bottom line, so work to align leadership and business unit leaders around the crucial role QMS plays in long-term reputation. Quality is foundational to efficacy, customer loyalty and patient satisfaction.

3. Align across functions:

It’s important to include quality, manufacturing, compliance, IT and supply chain teams in understanding quality objectives and embracing the changes, investments and timeline to affect success. Shared ownership avoids siloed – and ultimately unsuccessful – deployment.

4. Conduct technology architecture alignment:

Think through how data flows between your technology systems and the coordination of release schedules and maintenance of all systems. As additional technology systems are brought online and processes are automated, prioritize integration into your centralized QMS landscape.

5. Prioritize data quality and integrity:

Build systems with audit trails, version management and control, and robust documentation validation throughout to enable ongoing assessment and continuous improvement.

6. Scale with governance and analytics considerations:

Quality 4.0 is moving fast, so manufacturers must plan for flexibility and growth using key performance indicators (KPIs) to monitor progress and success, to flag anomalies and provide the data to drive improvements in process and outcomes.

7. Keep people at the center:

Quality transformation is more than process and technology – leadership must consider the pace and ask of teams and equip them with the opportunities for understanding, buy-in and skills development.

Nikita Patel, Mukul Shukla, Munish Chhabra and Gunjot Rana also contributed to the content and development of this article.

Summary

Regulatory scrutiny will only tighten, supply chain risk is rising and legacy systems are becoming unreliable as medicine moves to a personalized delivery model. According to EY studies, only 13.8% of manufacturers have begun their 4.0 quality journey, but the demands of production, patient need and compliance oversight will not wait. Those who accelerate transformation can expect improved compliance, risk identification, standardized improvement processes, better supplier management and overall heightened security. For those that remain slow to evolve both the scale and pace of macro factors and the evolution of health care itself will soon face significant hurdles.

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