SlideShare a Scribd company logo
Leveraging Cloud to
Enable Agility in 
Regulated Industries
31 March, 2015
Amy Shutkin, Senior Project Manager, Natera
Bob Kenney, Customer Success Manager, Veeva Systems
• Fast growing genetic testing 
company that develops and 
commercializes non‐
invasive methods for 
analyzing DNA
• Company Mission: Help 
families diagnose and 
manage genetic disease
• Building innovative cloud‐
based products for global life 
sciences industry
• Over 200 customers in 80 
countries
• Company Mission: Customer 
Success, Employee Success, 
Speed
Companies
• Disruptive Innovation
• Regulation and Innovation
• Agile Methodology
• Role of EDMS and Selection Process
• Document Change Control
• Successful Migration
• Conclusions
Discussion Overview
Disruptive Innovation
Product Performance
Time
Three Horizons of Growth
McKinsey & Company
Profitability
0‐2 years
H1: defend & protect the core business
H2: penetrate adjacent markets
H3:  create or develop new markets
3‐5 years
Time
>5 years
Disruptive Innovation at Natera
Panorama™ Non‐Invasive Prenatal Testing
Innovation vs. Regulation
• Regulatory Requirements
– FDA 21 CFR Part 11
• Esignatures etc.
– ISO‐13485
– CAP accreditation
– CLIA certification
– New York State DOH
– IEC‐62304
Regulatory Compliance
Confidential and Privileged
Product 
Launch
Product 
Launch
9
Design Control 
Drives New Products to Market
Concept
Feasibility & 
Planning
Development Validation
Rollout & 
Launch
SustainingG1 G2 G3 G4 G5
Idea screen Build business 
case
Try
Fail
Learn
Development Testing & 
Validation
FDA mandates   
stage‐gate process 
but no guidance on 
how that is achieved
Feasibility & 
Planning Gate:  
Design Review
Feasibility & 
Planning Gate:  
Design Review
Management 
Go/No Go 
decision
Management 
Go/No Go 
decision
Development 
Gate:  Design 
Review
Development 
Gate:  Design 
Review
Validation 
Gate:  Design 
Review
Validation 
Gate:  Design 
Review
Product Development Characteristics 
• Put stake in the ground
• Cross‐functional iterations
• Challenge the results
• Rapidly change direction
BENEFITS 
OF AGILE 
PROCESSES
Fail Fast and Learn
Allows for Change
Early Risk Mitigation
Respond Faster
Enables Work in Parallel
Predictable Results
Agile/Scrum Methodology
Confidential
11
How do we sustain our agility 
in regulatory environments?
Case Studies
Confidential
12
Flexibility is the 
critical success 
factor!
“…too much structure 
can inhibit creativity.”
Adhering to stage 
gate process while 
building in flexibility
Design History File Documents 
Quality Management System (QMS)
Deliverable
Feasibility and
Planning
Development Validation Launch Responsible
Design History
File (DHF)
D U U U,C QA
Requirements
Document
D U U C Product Mgmt
Specifications
document
D U U C
R&D (Mol Bio,
Stats, Biofx, Eng
Regulatory Plan D U U C QA
Risk Mgmt Plan
/ Assessment
D U U C
Product
Development
Team
Design Plan and
Key Milestones
D U U C
Team Lead with
Mol Bio, Stats,
Biofx, Eng
Service and
Support Plan
D U C Support
Traceability
Matrix
D U C
Product
Development
Team
Design
Verification
Protocol
C C C
R&D w/ Team
Lead, Biofx, Eng
Manufacturing
Plan
D U C Manufacturing
Deliverable
Feasibility and
Planning
Development Validation Launch Responsible
Sales Forecast D C Sales
Marketing Plan D C Marketing
Post Market
Surveillance
D C
Customer
Support, Produc
Transfer
Regulatory
Notifications and
Approvals
D C Regulatory
Manufacturing
Procedures
D C Manufacturing
Design
Validation
Protocol
D,C C
Project Leader w
R&D, Biofx, Eng
Design
Validation
Report
C C
Project Leader w
R&D, Biofx, Eng
Labeling Plan D C Manufacturing
Stability Studies
Protocol
D,C C
Development
Stability Studies
Report
D,C C Development
Design
Validation
Report
D,C C
Project Leader w
R&D, Biofx, Eng
Software
Verification and
Validation
Report
D,C C Project Leader
Supplier
Evaluation
D,C C
Manufacturing
Launch Plan D C
Product
Development
Team
Manufacturing
and Supplier
Agreement
C
Manufacturing,
Legal
D = Draft
U = Update
C = Complete
Regulatory and Quality Assurance Requirements Comments
1. Ease of Use
IT requirements, document status and 
reporting capabilities, dashboards
2. Web‐based Cloud‐based, device agnostic
3. Search Functionality
Search by document metadata and full 
text, saved searches
4. Change Order/Control
Iterative version/revision control, workflow 
management
5. Training Automation
Linked to new &/or changed documents, 
automated calendar retraining scheduling
6. Simultaneous Editing Document review/revision management
7. Security / Access Privileges Legal and IP protections
8. Audit Trails Laboratory focus / CLIA & ISO compliant
9. Integration with Gmail, Okta Automated assignments, reminders
10. FDA 21 CFR Part 11 & HIPPA Compliant Electronic signature support
EDMS Requirements (Not Ranked)
Regulatory Compliance is Fundamental
EDMS Vendor Heat Map
Developed by Natera
Requirements A B C D E
Veeva Vault 
QualityDocs
1 Ease of Use 4 4 3 3 4 5
2 Web‐based 3 4 3 5 5 5
3 Search Functionality 4 3 1 3 3 5
4 Change Order/Control 2.5 2.5 1 1 2.5 4
5 Training Automation 5 3 2 1 5 5
6 Simultaneous Editing 2.5 2 1 4 2 4
7 Security / Access Privileges 3 3 1 2 4 5
8 Audit Trails 5 4 1 1 5 5
9 Integration with Gmail, Okta 3 2 2 4 4 4
10
FDA 21 CFR Part 11 & HIPPA 
Compliant
5 4 1 2 4 5
Example of Savings Analysis
Average Hourly Creator/Approver Wage $50 $50 n/a
TOTAL COST TO MANAGE A DOCUMENT $4,700 $975
Number of New Documents Per Year 100 100
Average Percent Document Revisions Per Year 25% 25%
Total Documents Per Year 125 125
ANNUAL COST TO MANAGE ALL DOCUMENTS $587,500 $121,875
Manually
(in hours)
Automation via 
Vault
(in hours)
Percent 
Savings
Note: Numbers are representative and for illustration purposes 
only. They do not reflect company’s actuals.
Document Change Order
Word Template Form
DocumentDocumentDocument
Document Change Order
Multiple Affected Documents
Document 
Change Order
Document Document Document
New Revise Withdraw
SOP‐00108SOP‐00108SOP‐00108
SOP‐00108SOP‐00108SOP‐00108
Document Change Order
Approval Process & Version‐Specific Relationships
DCO‐00014
SOP‐00108
v0.1
v1.1
DCO‐00014
SOP‐00108
v1.0
v2.0
SOP‐00108
v2.0
Draft
Draft
DCO‐00014
v0.3
In Approval
SOP‐00108
SOP‐00108
SOP‐00108
v1.4
On DCO
Approved
Approved
Doc Control
Approval & 
Release
Effective
Optional 
Iterative 
Review
Release 
Doc
Document Change Order
Benefits Compared to Document Change Request
Update
Doc
Redlined 
Doc
Copy
Create DCO
Create 
DCR
Update
Docs
Change Request Process
Change Order Process
Release 
Docs
Release 
Doc
Approve 
DCR
Approve 
DCO
Release 
Doc
Approve 
Docs
Approve 
Doc
DEMONSTRATION
Document Change Control
Successful Migration
Buy‐in From
‐ Executive Team
‐ Cross‐Functional 
User Group 
Buy‐in From
‐ Executive Team
‐ Cross‐Functional 
User Group 
Mindful Shift in CultureVendor Evaluation
Rollout
Initial 
Users
2nd Rollout
3rd Rollout
nth Rollout
Make it Easy
Phased Rollout
‐ Leveraged Vault’s R&U 
‐ New group of users per week
Accessible Self‐Help Training
Clinical Lab 
Trainers
QA Executives
….
Migration ETL Best Practices
Identify
Migration approach
Document inventory
Extract
Extract from source(s)
Data Mapping
Map source / target
Review & update data
Test
Dry run load process
Update data as needed
Load
Execute load
Verify migration
• Define data to be migrated: core subset, or full data?
• Data owners extract and transform
• Use a product for extract, transform, and load steps where possible
• Create PDF of source audit trail and associate to migrated record
• Use reports to verify / document results
• Test business processes using migrated records
Migration and Implementation
System 
Design
System 
Configuration
Validation 
Testing
Implementation Migration
Production Deployment and Data Migration
Identify Source Data
Perform 
Data Mapping
Perform Data 
Augmentation
Migration Dry Run
• Benefits of Agile for Innovation
• Build Agility into the Stage Gate Process
• The Right Application Enables Agility in a 
Highly Regulated Environment
– E.g. supports the 34 requirements for electronic 
signatures
– Flexible and Configurable Document Change 
Control Options
Conclusion
QUESTIONS?
• Migration and new system
• 1. What were you using before?
• Answer: We were on paper and tracking documents manually
• 2. What was the biggest challenge moving to the new system?
• 3. What documents are you managing in the new system?
• 4. Were there any  other benefits than agility?
• Answer: We can mitigate risks ‐ we have visibility into the process e.g. who has not 
completed their R&U tasks, reduced our compliance risks with detailed audit trails 
and electronic signatures that are 21 CFR Part 11 compliant
• Evaluation
• 5. How long did it take to evaluate all the vendors and can you provide some more 
info on the evaluation process?  Was there an RFI (request for information) you 
used, demos, or POC?

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Fierce Biotech Webinar Mar2015