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The Control Freak Cometh!
Applying Best Practice for Infrastructure
Compliance
Agenda

 Why Do We Need A Compliant Infrastructure?
 How High Is That Hill?
 Where Do I Start?
 What Do I Need?
 How Do I Get There?
 Best Practice Or Controls?




               D. K. Stephenson Regulatory Compliance SME
Why Do We Need A
    Compliant Infrastructure?

3
Compliance with What??
 ISO 27001
 ITIL
 CoBIT
 ISO 20000
 Sarbanes Oxley
 Basel II
 FDA & MHRA Regulations
    21 CFR 11 etc

 Personal Identifiable Data (Caldicott Rule)
 ISO 9001-2008
 PCI DSS

               D. K. Stephenson Regulatory Compliance SME
Why Do We Need Compliance?

 Is it because:
       Everyone in my industry is doing it
       Fear of an upcoming regulatory inspection
       We want to get control over our Infrastructure

 There is probably a little of all these in our
   reasoning, but we must also consider the question:

    “How can we consider a system to be validated if
      we are not confident that we have control of the
      infrastructure on which it runs?”
    GAMP GPG IT Infrastructure Control & Compliance



                   D. K. Stephenson Regulatory Compliance SME
What does “Under Compliance” mean?

It means that the:
     Planning
     Organisation
     Installation
     Use
     Maintenance

of the I.T. infrastructure is Controlled and Documented




               D. K. Stephenson Regulatory Compliance SME
Compliance, Regulatory Viewpoint

 In the regulated industries (Life Sciences etc),
  Infrastructure Compliance is achieved by the
  process of “Qualification”
 Where Qualification is defined as:

       “The process of demonstrating whether an entity is
        capable of fulfilling specified requirements. It implies
        adherence to strict documentation requirements,
        reviews and approvals”
    GAMP GPG IT Infrastructure Control & Compliance




                       D. K. Stephenson Regulatory Compliance SME
Qualification the I.T. Viewpoint!

 A methodology designed to stop me from doing my
    work!
   An unnecessary overhead on already overworked
    resource!
   Something that we write to keep QA quiet (but do
    not follow!)
   A waste of ******* time!
   A pain in the *****!
   The best thing since sliced bread ????


               D. K. Stephenson Regulatory Compliance SME
In Short!




            D. K. Stephenson Regulatory Compliance SME
The Business Viewpoint!

 Difficult to get support from the top!
     I.T. seen as draconian and inhibitive
     Stops the business from doing it’s business
     “I.T. do not understand what we need!”
     “This is MY computer, I should be able to do what I
      want with it!”




                D. K. Stephenson Regulatory Compliance SME
10 Requirements of Compliance
   Compliance Exercise Planning & Execution
   Procedures
   Compliance Documentation
   Security (Logical & Physical)
   Acceptance Testing
   Training of Support Personnel
   Network Recovery
   Support Documentation
   Change Control
   Periodic Review


              D. K. Stephenson Regulatory Compliance SME
Benefits of a Compliant Infrastructure
 Demonstrable Control over processes
 Increased Integrity of data
 Confidence in being Audit Ready
 Transparent view of the infrastructure and how it
    functions
   Easier in-life management and upgrade planning
   Procedures available to all IT staff
   I.T. and business working together
   Adherence to best practice
   Reduction in duplication of duties

               D. K. Stephenson Regulatory Compliance SME
Business Expectations
 Cost Effective Solution
     Pragmatic Qualification (how much is enough?)
     Control Over Processes
     Control Over Procedures
     Control Over people

 Increased Control Of Data
    Confidentiality
    Integrity
    Availability

 Confidence In Being Audit Ready
 Adherence To Best Practice



              D. K. Stephenson Regulatory Compliance SME
How High Is That Hill?


14
How High?




            D. K. Stephenson Regulatory Compliance SME
“Top Ten” Deficiencies (Audited)
   Security (Logical & Physical)
   Testing (Compliance Exercise)
   Change Management/Configuration Management
   Operating Procedures
   Hardware, Equipment Records, and Maintenance
   Training Education, and Experience
   Development Methodology
   Compliance Methodology and Planning
   Quality Assurance and Auditing
   Electronic Records, Electronic Signatures


              D. K. Stephenson Regulatory Compliance SME
Why So Many?

 In general, the majority of IT departments are
   doing what is right, they are following all or many
   of the necessary processes, but with ONE MAJOR
   EXCEPTION!


THEY DO NOT WRITE IT
 DOWN!!!!!!!!


               D. K. Stephenson Regulatory Compliance SME
The Auditors Viewpoint!

IF IT IS NOT WRITTEN DOWN IT
        DID NOT HAPPEN!

   IF IT IS NOT SIGNED IT’S
            GRAFFITI!

     ANYTHING THAT ISN’T
      DOCUMENTED IS JUST
           RUMOUR!
          D. K. Stephenson Regulatory Compliance SME
Where Do I Start?


19
At The Beginning!

 Step 1, DO NOT throw the baby out with the bath
  water!!!




             D. K. Stephenson Regulatory Compliance SME
1st Steps

 Draw up a plan:
    What do you want to achieve?
    By when?
    What resource is available?
    What budget is available?
    Do not cut corners!
    Stick to it!!!!!!




             D. K. Stephenson Regulatory Compliance SME
Top Tips!
 Get buy in from the top, need a Sponsor
 Assess the situation (Business & I.T)
 Apply a “RISK BASED METHODOLOGY”
     What do we actually need?
     Is what we want and what we need different?
     Base testing on criticality & use
     Base risk on
          –   The affect on quality and data
          –   The likelihood of failure
          –   The likelihood of detection
       Use this to focus on the most critical areas



                   D. K. Stephenson Regulatory Compliance SME
What Do I Need?


23
What Do I Need?

 A fully tested Infrastructure
 A fully documented Infrastructure
 A full set of “workable” processes and procedures
 An ongoing compliance maintenance framework
 Buy in from senior management




             D. K. Stephenson Regulatory Compliance SME
How Do I Get There?


25
Documentation: A Warning!

 As with everything else in the Compliance world,
  documentation is key
 Attaining a compliant Infrastructure can simply be
  considered as documented Good IT Practice
     ITIL
     CoBIT
     MOF

 Most organisations know the right things to do
 Most organisations are doing them (to some
  extent)
 Not all organisations have documented them

              D. K. Stephenson Regulatory Compliance SME
ITSM Areas for Process and Procedure

   General Management
   Data Centre Management
   Platform Management
   Server Management
   Network Management
   Client Management
   Security Management
   Data Management
   Quality Management
   Continuity Management

            D. K. Stephenson Regulatory Compliance SME
Best Practice Or Controls?


28
What Do Control Frameworks Have In
 Common?
 They possess Business Focus
       Aligning IT with the business needs
 They have Process Orientation
    Thus ensuring ownership and organisation of processes

 There is General Acceptability
       Backed up by proven best practices (through
        frameworks)
 They possess a Common Language
       An accepted terminology used by business & suppliers
 They help meet Regulatory Requirements
    By meeting compliance with an accepted framework




                  D. K. Stephenson Regulatory Compliance SME
Why Do We Use Control Frameworks?

 They already exist, thus no need to reinvent the
    wheel
   They are structured and easy to apply
   They are derived from best practice
   They are the result of knowledge sharing
   They are ultimately auditable




              D. K. Stephenson Regulatory Compliance SME
CoBIT
 CoBIT supports IT Compliance by providing a
  framework, which can ensure that:
     The IT strategy is aligned with the business
     IT acts as an enabler for the business and maximises its
      benefits
     IT resources are utilised both responsibly and
      effectively
     IT risks are managed and mitigated appropriately




               D. K. Stephenson Regulatory Compliance SME
IT Infrastructure Library (Ver 3)
 ITIL is a Best Practice Framework
    ITIL Philosophy – Scalable Process driven approach
    ITIL provides “best practice” guidelines and
      architectures to ensure that IT processes are closely
      aligned to business processes and that IT delivers the
      correct and appropriate business solution
     Infrastructure and Service are not separate entities




                D. K. Stephenson Regulatory Compliance SME
Which Do I Use??




          D. K. Stephenson Regulatory Compliance SME
How Does CoBIT & ITIL Fit In?

 CoBIT focuses on getting the “what is needed”
  right, without touching on the “how will we do it”
 CoBIT helps to introduce a management
  perspective of Controls, as it operates at a level
  above the IT technology and possesses business
  focus
 ITIL is the next level down, determining “how will
  we do it”
 ITIL is the operational perspective of controls,
  operating at the Technology level, and possesses
  service focus

             D. K. Stephenson Regulatory Compliance SME
How It All Fits Together
                                                                                CONFORMANCE
Drivers                                 PERFORMANCE:                           FDA Reg’s, MHRA,
                                          Business Goals                           SOX etc.




IT Governance                                                   COBIT



                                         ISO                        ISO                     ISO
Best Practice Standards               9001:2000                    27001                   20000




Processes and Procedures                  QA                       Security                ITIL
                                       Procedures                 Principles




                           D. K. Stephenson Regulatory Compliance SME
How do I Keep it Compliant??




           D. K. Stephenson Regulatory Compliance SME
Periodic Review And Critical Processes
 All critical activities should be included in a Periodic
   Review Strategy
     Initial Qualification Activities
     On-going maintenance and support activities

 Periodic Reviews can be conducted internally, but
   inspection observations have set an expectation that
   the independent quality group should play an
   appropriate oversight role




                D. K. Stephenson Regulatory Compliance SME
Periodic Review And Critical Processes cont

 Policies should define appropriate roles for IT and
  Quality
 Processes and Procedures should be interlinked,
  with defined roles
     i.e. Disaster Recovery relies on Configuration
      Management, which is related to Change Management
     There should be a consistent set of processes

   There Must be Evidence of
   Control & Adherence to
   These Processes!!

              D. K. Stephenson Regulatory Compliance SME
Conclusions


39
Conclusions
 We can achieve and maintain a pragmatic
  qualification of IT Infrastructure, which meets both
  Regulatory and Business requirements by:
      Adopting a Risk Based Approach to Compliance
      Adopting and implementing a best practice framework
         –   CoBIT
         –   ITIL
    Introducing a systematic approach to the initial testing
     of components, based on their use and criticality
    Introducing an ongoing approach to the testing of
     components, based on the previous testing of their type
    Introducing an ongoing compliance program




                     D. K. Stephenson Regulatory Compliance SME
Thank You!

 Questions/Comments
David.Stephenson@CTG.com

+44(0)7891 343814
+44(0)118 931 0249




             D. K. Stephenson Regulatory Compliance SME

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Control Freak Ver 1.0

  • 1. The Control Freak Cometh! Applying Best Practice for Infrastructure Compliance
  • 2. Agenda  Why Do We Need A Compliant Infrastructure?  How High Is That Hill?  Where Do I Start?  What Do I Need?  How Do I Get There?  Best Practice Or Controls? D. K. Stephenson Regulatory Compliance SME
  • 3. Why Do We Need A Compliant Infrastructure? 3
  • 4. Compliance with What??  ISO 27001  ITIL  CoBIT  ISO 20000  Sarbanes Oxley  Basel II  FDA & MHRA Regulations  21 CFR 11 etc  Personal Identifiable Data (Caldicott Rule)  ISO 9001-2008  PCI DSS D. K. Stephenson Regulatory Compliance SME
  • 5. Why Do We Need Compliance?  Is it because:  Everyone in my industry is doing it  Fear of an upcoming regulatory inspection  We want to get control over our Infrastructure  There is probably a little of all these in our reasoning, but we must also consider the question: “How can we consider a system to be validated if we are not confident that we have control of the infrastructure on which it runs?” GAMP GPG IT Infrastructure Control & Compliance D. K. Stephenson Regulatory Compliance SME
  • 6. What does “Under Compliance” mean? It means that the:  Planning  Organisation  Installation  Use  Maintenance of the I.T. infrastructure is Controlled and Documented D. K. Stephenson Regulatory Compliance SME
  • 7. Compliance, Regulatory Viewpoint  In the regulated industries (Life Sciences etc), Infrastructure Compliance is achieved by the process of “Qualification”  Where Qualification is defined as:  “The process of demonstrating whether an entity is capable of fulfilling specified requirements. It implies adherence to strict documentation requirements, reviews and approvals” GAMP GPG IT Infrastructure Control & Compliance D. K. Stephenson Regulatory Compliance SME
  • 8. Qualification the I.T. Viewpoint!  A methodology designed to stop me from doing my work!  An unnecessary overhead on already overworked resource!  Something that we write to keep QA quiet (but do not follow!)  A waste of ******* time!  A pain in the *****!  The best thing since sliced bread ???? D. K. Stephenson Regulatory Compliance SME
  • 9. In Short! D. K. Stephenson Regulatory Compliance SME
  • 10. The Business Viewpoint!  Difficult to get support from the top!  I.T. seen as draconian and inhibitive  Stops the business from doing it’s business  “I.T. do not understand what we need!”  “This is MY computer, I should be able to do what I want with it!” D. K. Stephenson Regulatory Compliance SME
  • 11. 10 Requirements of Compliance  Compliance Exercise Planning & Execution  Procedures  Compliance Documentation  Security (Logical & Physical)  Acceptance Testing  Training of Support Personnel  Network Recovery  Support Documentation  Change Control  Periodic Review D. K. Stephenson Regulatory Compliance SME
  • 12. Benefits of a Compliant Infrastructure  Demonstrable Control over processes  Increased Integrity of data  Confidence in being Audit Ready  Transparent view of the infrastructure and how it functions  Easier in-life management and upgrade planning  Procedures available to all IT staff  I.T. and business working together  Adherence to best practice  Reduction in duplication of duties D. K. Stephenson Regulatory Compliance SME
  • 13. Business Expectations  Cost Effective Solution  Pragmatic Qualification (how much is enough?)  Control Over Processes  Control Over Procedures  Control Over people  Increased Control Of Data  Confidentiality  Integrity  Availability  Confidence In Being Audit Ready  Adherence To Best Practice D. K. Stephenson Regulatory Compliance SME
  • 14. How High Is That Hill? 14
  • 15. How High? D. K. Stephenson Regulatory Compliance SME
  • 16. “Top Ten” Deficiencies (Audited)  Security (Logical & Physical)  Testing (Compliance Exercise)  Change Management/Configuration Management  Operating Procedures  Hardware, Equipment Records, and Maintenance  Training Education, and Experience  Development Methodology  Compliance Methodology and Planning  Quality Assurance and Auditing  Electronic Records, Electronic Signatures D. K. Stephenson Regulatory Compliance SME
  • 17. Why So Many?  In general, the majority of IT departments are doing what is right, they are following all or many of the necessary processes, but with ONE MAJOR EXCEPTION! THEY DO NOT WRITE IT DOWN!!!!!!!! D. K. Stephenson Regulatory Compliance SME
  • 18. The Auditors Viewpoint! IF IT IS NOT WRITTEN DOWN IT DID NOT HAPPEN! IF IT IS NOT SIGNED IT’S GRAFFITI! ANYTHING THAT ISN’T DOCUMENTED IS JUST RUMOUR! D. K. Stephenson Regulatory Compliance SME
  • 19. Where Do I Start? 19
  • 20. At The Beginning!  Step 1, DO NOT throw the baby out with the bath water!!! D. K. Stephenson Regulatory Compliance SME
  • 21. 1st Steps  Draw up a plan:  What do you want to achieve?  By when?  What resource is available?  What budget is available?  Do not cut corners!  Stick to it!!!!!! D. K. Stephenson Regulatory Compliance SME
  • 22. Top Tips!  Get buy in from the top, need a Sponsor  Assess the situation (Business & I.T)  Apply a “RISK BASED METHODOLOGY”  What do we actually need?  Is what we want and what we need different?  Base testing on criticality & use  Base risk on – The affect on quality and data – The likelihood of failure – The likelihood of detection  Use this to focus on the most critical areas D. K. Stephenson Regulatory Compliance SME
  • 23. What Do I Need? 23
  • 24. What Do I Need?  A fully tested Infrastructure  A fully documented Infrastructure  A full set of “workable” processes and procedures  An ongoing compliance maintenance framework  Buy in from senior management D. K. Stephenson Regulatory Compliance SME
  • 25. How Do I Get There? 25
  • 26. Documentation: A Warning!  As with everything else in the Compliance world, documentation is key  Attaining a compliant Infrastructure can simply be considered as documented Good IT Practice  ITIL  CoBIT  MOF  Most organisations know the right things to do  Most organisations are doing them (to some extent)  Not all organisations have documented them D. K. Stephenson Regulatory Compliance SME
  • 27. ITSM Areas for Process and Procedure  General Management  Data Centre Management  Platform Management  Server Management  Network Management  Client Management  Security Management  Data Management  Quality Management  Continuity Management D. K. Stephenson Regulatory Compliance SME
  • 28. Best Practice Or Controls? 28
  • 29. What Do Control Frameworks Have In Common?  They possess Business Focus  Aligning IT with the business needs  They have Process Orientation  Thus ensuring ownership and organisation of processes  There is General Acceptability  Backed up by proven best practices (through frameworks)  They possess a Common Language  An accepted terminology used by business & suppliers  They help meet Regulatory Requirements  By meeting compliance with an accepted framework D. K. Stephenson Regulatory Compliance SME
  • 30. Why Do We Use Control Frameworks?  They already exist, thus no need to reinvent the wheel  They are structured and easy to apply  They are derived from best practice  They are the result of knowledge sharing  They are ultimately auditable D. K. Stephenson Regulatory Compliance SME
  • 31. CoBIT  CoBIT supports IT Compliance by providing a framework, which can ensure that:  The IT strategy is aligned with the business  IT acts as an enabler for the business and maximises its benefits  IT resources are utilised both responsibly and effectively  IT risks are managed and mitigated appropriately D. K. Stephenson Regulatory Compliance SME
  • 32. IT Infrastructure Library (Ver 3)  ITIL is a Best Practice Framework  ITIL Philosophy – Scalable Process driven approach  ITIL provides “best practice” guidelines and architectures to ensure that IT processes are closely aligned to business processes and that IT delivers the correct and appropriate business solution  Infrastructure and Service are not separate entities D. K. Stephenson Regulatory Compliance SME
  • 33. Which Do I Use?? D. K. Stephenson Regulatory Compliance SME
  • 34. How Does CoBIT & ITIL Fit In?  CoBIT focuses on getting the “what is needed” right, without touching on the “how will we do it”  CoBIT helps to introduce a management perspective of Controls, as it operates at a level above the IT technology and possesses business focus  ITIL is the next level down, determining “how will we do it”  ITIL is the operational perspective of controls, operating at the Technology level, and possesses service focus D. K. Stephenson Regulatory Compliance SME
  • 35. How It All Fits Together CONFORMANCE Drivers PERFORMANCE: FDA Reg’s, MHRA, Business Goals SOX etc. IT Governance COBIT ISO ISO ISO Best Practice Standards 9001:2000 27001 20000 Processes and Procedures QA Security ITIL Procedures Principles D. K. Stephenson Regulatory Compliance SME
  • 36. How do I Keep it Compliant?? D. K. Stephenson Regulatory Compliance SME
  • 37. Periodic Review And Critical Processes  All critical activities should be included in a Periodic Review Strategy  Initial Qualification Activities  On-going maintenance and support activities  Periodic Reviews can be conducted internally, but inspection observations have set an expectation that the independent quality group should play an appropriate oversight role D. K. Stephenson Regulatory Compliance SME
  • 38. Periodic Review And Critical Processes cont  Policies should define appropriate roles for IT and Quality  Processes and Procedures should be interlinked, with defined roles  i.e. Disaster Recovery relies on Configuration Management, which is related to Change Management  There should be a consistent set of processes There Must be Evidence of Control & Adherence to These Processes!! D. K. Stephenson Regulatory Compliance SME
  • 40. Conclusions  We can achieve and maintain a pragmatic qualification of IT Infrastructure, which meets both Regulatory and Business requirements by:  Adopting a Risk Based Approach to Compliance  Adopting and implementing a best practice framework – CoBIT – ITIL  Introducing a systematic approach to the initial testing of components, based on their use and criticality  Introducing an ongoing approach to the testing of components, based on the previous testing of their type  Introducing an ongoing compliance program D. K. Stephenson Regulatory Compliance SME
  • 41. Thank You!  Questions/Comments David.Stephenson@CTG.com +44(0)7891 343814 +44(0)118 931 0249 D. K. Stephenson Regulatory Compliance SME