Senior Quality Manager Responsible Person (QMR)
Quality system accountability, management review leadership, and regulatory compliance oversight per ISO 13485 Clause 5.5.2 requirements.
Table of Contents
QMR Responsibilities
ISO 13485 Clause 5.5.2 Requirements
| Responsibility |
Scope |
Evidence |
| QMS effectiveness |
Monitor system performance and suitability |
Management review records |
| Reporting to management |
Communicate QMS performance to top management |
Quality reports, dashboards |
| Quality awareness |
Promote regulatory and quality requirements |
Training records, communications |
| Liaison with external parties |
Interface with regulators, Notified Bodies |
Meeting records, correspondence |
QMR Accountability Matrix
| Domain |
Accountable For |
Reports To |
Frequency |
| Quality Policy |
Policy adequacy and communication |
CEO/Board |
Annual review |
| Quality Objectives |
Objective achievement and relevance |
Executive Team |
Quarterly |
| QMS Performance |
System effectiveness metrics |
Management |
Monthly |
| Regulatory Compliance |
Compliance status across jurisdictions |
CEO |
Quarterly |
| Audit Program |
Audit schedule completion, findings closure |
Management |
Per audit |
| CAPA Oversight |
CAPA effectiveness and timeliness |
Executive Team |
Monthly |
Authority Boundaries
| Decision Type |
QMR Authority |
Escalation Required |
| Process changes within QMS |
Approve with owner |
Major process redesign |
| Document approval |
Final QA approval |
Policy-level changes |
| Nonconformity disposition |
Accept/reject with MRB |
Product release decisions |
| Supplier quality actions |
Quality holds, audits |
Supplier termination |
| Audit scheduling |
Adjust internal audit schedule |
External audit timing |
| Training requirements |
Define quality training needs |
Organization-wide training budget |
Management Review Workflow
Conduct management reviews per ISO 13485 Clause 5.6 requirements.
Workflow: Prepare and Execute Management Review
- Schedule management review (minimum annually, typically quarterly or semi-annually)
- Notify all required attendees minimum 2 weeks prior
- Collect required inputs from process owners:
- Audit results (internal and external)
- Customer feedback (complaints, satisfaction, returns)
- Process performance and product conformity
- CAPA status and effectiveness
- Previous review action items
- Changes affecting QMS (regulatory, organizational)
- Recommendations for improvement
- Compile input summary report with trend analysis
- Prepare presentation materials with supporting data
- Distribute agenda and input package 1 week prior
- Conduct review meeting per agenda
- Validation: All required inputs reviewed; decisions documented with owners and due dates
Required Attendees
| Role |
Requirement |
Input Responsibility |
| CEO/General Manager |
Required |
Strategic decisions |
| QMR |
Chair |
Overall QMS status |
| Department Heads |
Required |
Process performance |
| RA Manager |
Required |
Regulatory changes |
| Production Manager |
Required |
Product conformity |
| Customer Quality |
Required |
Complaint data |
Management Review Input Template
MANAGEMENT REVIEW INPUT SUMMARY
Review Period: [Start Date] to [End Date]
Review Date: [Scheduled Date]
Prepared By: [QMR Name]
1. AUDIT RESULTS
Internal audits completed: [X] of [X] planned
External audits completed: [X]
Total findings: [X] major / [X] minor
Open findings: [X]
Finding trends: [Analysis]
2. CUSTOMER FEEDBACK
Complaints received: [X]
Complaint rate: [X per 1000 units]
Customer satisfaction score: [X.X/5.0]
Returns: [X] units ([X]%)
Top issues: [Categories]
3. PROCESS PERFORMANCE
[Process 1]: [Metric] vs [Target] - [Status]
[Process 2]: [Metric] vs [Target] - [Status]
Out-of-spec processes: [List]
4. PRODUCT CONFORMITY
First pass yield: [X]%
Nonconformance rate: [X]%
Scrap cost: $[X]
Top defect categories: [List]
5. CAPA STATUS
Open CAPAs: [X]
Overdue: [X]
Effectiveness rate: [X]%
Average age: [X] days
6. PREVIOUS ACTIONS
Total from last review: [X]
Completed: [X] | In progress: [X] | Overdue: [X]
7. CHANGES AFFECTING QMS
Regulatory: [List changes]
Organizational: [List changes]
Process: [List changes]
8. RECOMMENDATIONS
[Collected improvement opportunities]
Management Review Output Requirements
| Output |
Documentation |
Owner |
| QMS improvement decisions |
Action items with due dates |
Assigned per item |
| Resource needs |
Resource plan updates |
Department heads |
| Quality objectives changes |
Updated objectives document |
QMR |
| Process improvement needs |
Improvement project charters |
Process owners |
See: references/management-review-guide.md
Quality KPI Management Workflow
Establish, monitor, and report quality performance indicators.
Workflow: Establish Quality KPI Framework
- Identify quality objectives requiring measurement
- Select KPIs per objective using SMART criteria:
- Specific: Clear definition and calculation
- Measurable: Quantifiable with available data
- Actionable: Team can influence results
- Relevant: Aligned to quality objectives
- Time-bound: Defined measurement frequency
- Define target values based on baseline data and benchmarks
- Assign data source and collection responsibility
- Establish reporting frequency per KPI category
- Configure dashboard displays and trend analysis
- Define escalation thresholds and alert triggers
- Validation: Each KPI has owner, target, data source, and escalation criteria
Core Quality KPIs
| Category |
KPI |
Target |
Calculation |
| Process |
First Pass Yield |
>95% |
(Units passed first time / Total units) × 100 |
| Process |
Nonconformance Rate |
<1% |
(NC count / Total units) × 100 |
| CAPA |
CAPA Closure Rate |
>90% |
(On-time closures / Due closures) × 100 |
| CAPA |
CAPA Effectiveness |
>85% |
(Effective CAPAs / Verified CAPAs) × 100 |
| Audit |
Finding Closure Rate |
>90% |
(On-time closures / Due closures) × 100 |
| Audit |
Repeat Finding Rate |
<10% |
(Repeat findings / Total findings) × 100 |
| Customer |
Complaint Rate |
<0.1% |
(Complaints / Units sold) × 100 |
| Customer |
Satisfaction Score |
>4.0/5.0 |
Average of survey scores |
KPI Review Frequency
| KPI Type |
Review Frequency |
Trend Period |
Audience |
| Safety/Compliance |
Daily monitoring |
Weekly |
Operations |
| Production Quality |
Weekly |
Monthly |
Department heads |
| Customer Quality |
Monthly |
Quarterly |
Executive team |
| Strategic Quality |
Quarterly |
Annual |
Board/C-suite |
Performance Response Matrix
| Performance Level |
Status |
Action Required |
| >110% of target |
Exceeding |
Consider raising target |
| 100-110% of target |
Meeting |
Maintain current approach |
| 90-100% of target |
Approaching |
Monitor closely |
| 80-90% of target |
Below |
Improvement plan required |
| <80% of target |
Critical |
Immediate intervention |
See: references/quality-kpi-framework.md
Quality Objectives Workflow
Establish and maintain measurable quality objectives per ISO 13485 Clause 5.4.1.
Workflow: Annual Quality Objectives Setting
- Review prior year objective achievement
- Analyze quality performance trends and gaps
- Align with organizational strategic plan
- Draft objectives with measurable targets
- Validate resource availability for achievement
- Obtain executive approval
- Communicate objectives organization-wide
- Validation: Each objective is measurable, has owner, target, and timeline
Quality Objective Structure
QUALITY OBJECTIVE [Number]
Objective Statement: [Clear, measurable statement]
Aligned to Policy Element: [Quality policy section]
Target: [Specific measurable target]
Baseline: [Current performance]
Owner: [Name and title]
Due Date: [Target achievement date]
Success Criteria:
- [Criterion 1]
- [Criterion 2]
Measurement Method: [How progress is tracked]
Reporting Frequency: [Monthly/Quarterly]
Supporting Initiatives:
- [Initiative 1]
- [Initiative 2]
Resource Requirements:
- [Resource 1]
- [Resource 2]
Objective Categories
| Category |
Example Objectives |
Typical Targets |
| Customer Quality |
Reduce complaint rate |
<0.1% of units sold |
| Process Quality |
Improve first pass yield |
>96% |
| Compliance |
Maintain certification |
Zero major NCs |
| Efficiency |
Reduce quality costs |
<4% of revenue |
| Culture |
Increase training completion |
>98% on-time |
Quarterly Objective Review
| Review Element |
Assessment |
Action |
| Progress vs. target |
On track / Behind / Ahead |
Adjust resources if behind |
| Relevance |
Still valid / Needs update |
Modify if conditions changed |
| Resources |
Adequate / Insufficient |
Request additional if needed |
| Barriers |
Identified obstacles |
Escalate for resolution |
Quality Culture Assessment Workflow
Assess and improve organizational quality culture.
Workflow: Annual Quality Culture Assessment
- Design or select quality culture survey instrument
- Define survey population (all employees or sample)
- Communicate survey purpose and confidentiality
- Administer survey with 2-week response window
- Analyze results by department, role, and tenure
- Identify strengths and improvement areas
- Develop action plan for culture gaps
- Validation: Response rate >60%; action plan addresses bottom 3 scores
Quality Culture Dimensions
| Dimension |
Indicators |
Assessment Method |
| Leadership commitment |
Management visible support for quality |
Survey, observation |
| Quality ownership |
Employees feel responsible for quality |
Survey |
| Communication |
Quality information flows effectively |
Survey, audit |
| Continuous improvement |
Suggestions submitted and implemented |
Metrics |
| Training and competence |
Employees feel adequately trained |
Survey, records |
| Problem solving |
Issues addressed at root cause |
CAPA analysis |
Culture Survey Categories
| Category |
Sample Questions |
| Leadership |
"Management demonstrates commitment to quality" |
| Resources |
"I have the tools and training to do quality work" |
| Communication |
"Quality expectations are clearly communicated" |
| Empowerment |
"I am encouraged to report quality issues" |
| Recognition |
"Quality achievements are recognized" |
Culture Improvement Actions
| Gap Identified |
Potential Actions |
| Low leadership visibility |
Quality gemba walks, all-hands quality updates |
| Inadequate training |
Competency-based training program |
| Poor communication |
Quality newsletters, department huddles |
| Low reporting |
Anonymous reporting system, no-blame culture |
| Lack of recognition |
Quality award program, team celebrations |
Regulatory Compliance Oversight
Monitor and maintain regulatory compliance across jurisdictions.
Multi-Jurisdictional Compliance Matrix
| Jurisdiction |
Regulation |
Requirement |
Status Tracking |
| EU |
MDR 2017/745 |
CE marking, Notified Body |
Technical file, annual review |
| USA |
21 CFR 820 |
FDA registration, QSR compliance |
Annual registration, inspections |
| International |
ISO 13485 |
QMS certification |
Surveillance audits |
| Germany |
MPG/MPDG |
National implementation |
Competent authority filings |
Compliance Monitoring Workflow
- Maintain regulatory requirement register
- Subscribe to regulatory update services
- Assess impact of regulatory changes monthly
- Update affected processes within 90 days of effective date
- Verify training completion for regulatory changes
- Document compliance status in management review
- Maintain inspection readiness checklist
- Validation: All applicable requirements mapped; no expired registrations
Regulatory Authority Interface
| Activity |
QMR Role |
Preparation Required |
| Notified Body audit |
Primary contact |
Audit package, personnel schedules |
| FDA inspection |
Host, escort coordinator |
Inspection readiness review |
| Competent Authority inquiry |
Response coordinator |
Technical file access |
| Regulatory meeting |
Attendee or delegate |
Briefing materials |
Inspection Readiness Checklist
| Area |
Ready |
Action Needed |
| Document control system current |
☐ |
|
| Training records complete |
☐ |
|
| CAPA system current, no overdue items |
☐ |
|
| Complaint files complete |
☐ |
|
| Equipment calibration current |
☐ |
|
| Supplier qualification files complete |
☐ |
|
| Management review records available |
☐ |
|
| Internal audit program current |
☐ |
|
Decision Frameworks
Escalation Decision Tree
Issue Identified
│
▼
Is it a regulatory violation?
│
Yes─┴─No
│ │
▼ ▼
Escalate to Is it a safety issue?
Executive │
immediately Yes─┴─No
│ │
▼ ▼
Escalate to Does it affect
Safety Team multiple departments?
│
Yes─┴─No
│ │
▼ ▼
Escalate to Handle at
Executive department level
Quality Investment Prioritization
| Criteria |
Weight |
Score Method |
| Regulatory requirement |
30% |
Required=10, Recommended=5, Optional=2 |
| Customer impact |
25% |
Direct=10, Indirect=5, None=0 |
| Cost savings potential |
20% |
>$100K=10, $50-100K=7, <$50K=3 |
| Implementation complexity |
15% |
Simple=10, Moderate=5, Complex=2 |
| Strategic alignment |
10% |
Core=10, Supporting=5, Peripheral=2 |
Resource Allocation Matrix
| Resource Type |
Allocation Authority |
Escalation Threshold |
| Quality personnel |
QMR |
>1 FTE addition |
| Quality equipment |
QMR |
>$25K |
| External consultants |
QMR |
>$50K or >30 days |
| Quality systems |
Executive approval |
>$100K |
Tools and References
Scripts
| Tool |
Purpose |
Usage |
| management_review_tracker.py |
Track review inputs, actions, metrics |
python management_review_tracker.py --help |
Note: Bundled scripts ship as Markdown reference (.md) — copy the code out of the .md file to run it.
Management Review Tracker Features:
- Track input collection status from process owners
- Monitor action item completion and aging
- Generate metrics summary for review
- Produce recommendations for review focus areas
References
| Document |
Content |
| management-review-guide.md |
ISO 13485 Clause 5.6 requirements, input/output templates, action tracking |
| quality-kpi-framework.md |
KPI categories, targets, calculations, dashboard templates |
Quick Reference: Management Review Inputs (ISO 13485 Clause 5.6.2)
| Input |
Source |
Required |
| Feedback |
Customer complaints, surveys |
Yes |
| Audit results |
Internal and external audits |
Yes |
| Process performance |
Process metrics |
Yes |
| Product conformity |
Inspection, NC data |
Yes |
| CAPA status |
CAPA system |
Yes |
| Previous actions |
Prior review records |
Yes |
| Changes |
Regulatory, organizational |
Yes |
| Recommendations |
All sources |
Yes |
Quick Reference: Management Review Outputs (ISO 13485 Clause 5.6.3)
| Output |
Documentation Required |
| Improvement to QMS and processes |
Action items with owners |
| Improvement to product |
Project initiation if needed |
| Resource needs |
Resource plan updates |
Related Skills
Creator: Ra Qm Team
License: MIT
Source Repo: neekware/dojo-skills
Source Bucket: ra-qm-team
Original Path: ra-qm-team/quality-manager-qmr
1---2name: quality-manager-qmr-23description: Senior Quality Manager Responsible Person (QMR)4---5# Senior Quality Manager Responsible Person (QMR)67Quality system accountability, management review leadership, and regulatory compliance oversight per ISO 13485 Clause 5.5.2 requirements.89---1011## Table of Contents1213- [QMR Responsibilities](#qmr-responsibilities)14- [Management Review Workflow](#management-review-workflow)15- [Quality KPI Management Workflow](#quality-kpi-management-workflow)16- [Quality Objectives Workflow](#quality-objectives-workflow)17- [Quality Culture Assessment Workflow](#quality-culture-assessment-workflow)18- [Regulatory Compliance Oversight](#regulatory-compliance-oversight)19- [Decision Frameworks](#decision-frameworks)20- [Tools and References](#tools-and-references)2122---2324## QMR Responsibilities2526### ISO 13485 Clause 5.5.2 Requirements2728| Responsibility | Scope | Evidence |29| ----------------------------- | --------------------------------------------- | -------------------------------- |30| QMS effectiveness | Monitor system performance and suitability | Management review records |31| Reporting to management | Communicate QMS performance to top management | Quality reports, dashboards |32| Quality awareness | Promote regulatory and quality requirements | Training records, communications |33| Liaison with external parties | Interface with regulators, Notified Bodies | Meeting records, correspondence |3435### QMR Accountability Matrix3637| Domain | Accountable For | Reports To | Frequency |38| --------------------- | ------------------------------------------- | -------------- | ------------- |39| Quality Policy | Policy adequacy and communication | CEO/Board | Annual review |40| Quality Objectives | Objective achievement and relevance | Executive Team | Quarterly |41| QMS Performance | System effectiveness metrics | Management | Monthly |42| Regulatory Compliance | Compliance status across jurisdictions | CEO | Quarterly |43| Audit Program | Audit schedule completion, findings closure | Management | Per audit |44| CAPA Oversight | CAPA effectiveness and timeliness | Executive Team | Monthly |4546### Authority Boundaries4748| Decision Type | QMR Authority | Escalation Required |49| -------------------------- | ------------------------------ | --------------------------------- |50| Process changes within QMS | Approve with owner | Major process redesign |51| Document approval | Final QA approval | Policy-level changes |52| Nonconformity disposition | Accept/reject with MRB | Product release decisions |53| Supplier quality actions | Quality holds, audits | Supplier termination |54| Audit scheduling | Adjust internal audit schedule | External audit timing |55| Training requirements | Define quality training needs | Organization-wide training budget |5657---5859## Management Review Workflow6061Conduct management reviews per ISO 13485 Clause 5.6 requirements.6263### Workflow: Prepare and Execute Management Review64651. Schedule management review (minimum annually, typically quarterly or semi-annually)662. Notify all required attendees minimum 2 weeks prior673. Collect required inputs from process owners:68 - Audit results (internal and external)69 - Customer feedback (complaints, satisfaction, returns)70 - Process performance and product conformity71 - CAPA status and effectiveness72 - Previous review action items73 - Changes affecting QMS (regulatory, organizational)74 - Recommendations for improvement754. Compile input summary report with trend analysis765. Prepare presentation materials with supporting data776. Distribute agenda and input package 1 week prior787. Conduct review meeting per agenda798. **Validation:** All required inputs reviewed; decisions documented with owners and due dates8081### Required Attendees8283| Role | Requirement | Input Responsibility |84| ------------------- | ----------- | -------------------- |85| CEO/General Manager | Required | Strategic decisions |86| QMR | Chair | Overall QMS status |87| Department Heads | Required | Process performance |88| RA Manager | Required | Regulatory changes |89| Production Manager | Required | Product conformity |90| Customer Quality | Required | Complaint data |9192### Management Review Input Template9394```95MANAGEMENT REVIEW INPUT SUMMARY9697Review Period: [Start Date] to [End Date]98Review Date: [Scheduled Date]99Prepared By: [QMR Name]1001011. AUDIT RESULTS102 Internal audits completed: [X] of [X] planned103 External audits completed: [X]104 Total findings: [X] major / [X] minor105 Open findings: [X]106 Finding trends: [Analysis]1071082. CUSTOMER FEEDBACK109 Complaints received: [X]110 Complaint rate: [X per 1000 units]111 Customer satisfaction score: [X.X/5.0]112 Returns: [X] units ([X]%)113 Top issues: [Categories]1141153. PROCESS PERFORMANCE116 [Process 1]: [Metric] vs [Target] - [Status]117 [Process 2]: [Metric] vs [Target] - [Status]118 Out-of-spec processes: [List]1191204. PRODUCT CONFORMITY121 First pass yield: [X]%122 Nonconformance rate: [X]%123 Scrap cost: $[X]124 Top defect categories: [List]1251265. CAPA STATUS127 Open CAPAs: [X]128 Overdue: [X]129 Effectiveness rate: [X]%130 Average age: [X] days1311326. PREVIOUS ACTIONS133 Total from last review: [X]134 Completed: [X] | In progress: [X] | Overdue: [X]1351367. CHANGES AFFECTING QMS137 Regulatory: [List changes]138 Organizational: [List changes]139 Process: [List changes]1401418. RECOMMENDATIONS142 [Collected improvement opportunities]143```144145### Management Review Output Requirements146147| Output | Documentation | Owner |148| -------------------------- | ---------------------------- | ----------------- |149| QMS improvement decisions | Action items with due dates | Assigned per item |150| Resource needs | Resource plan updates | Department heads |151| Quality objectives changes | Updated objectives document | QMR |152| Process improvement needs | Improvement project charters | Process owners |153154See: [references/management-review-guide.md](references/management-review-guide.md)155156---157158## Quality KPI Management Workflow159160Establish, monitor, and report quality performance indicators.161162### Workflow: Establish Quality KPI Framework1631641. Identify quality objectives requiring measurement1652. Select KPIs per objective using SMART criteria:166 - Specific: Clear definition and calculation167 - Measurable: Quantifiable with available data168 - Actionable: Team can influence results169 - Relevant: Aligned to quality objectives170 - Time-bound: Defined measurement frequency1713. Define target values based on baseline data and benchmarks1724. Assign data source and collection responsibility1735. Establish reporting frequency per KPI category1746. Configure dashboard displays and trend analysis1757. Define escalation thresholds and alert triggers1768. **Validation:** Each KPI has owner, target, data source, and escalation criteria177178### Core Quality KPIs179180| Category | KPI | Target | Calculation |181| -------- | -------------------- | -------- | --------------------------------------------- |182| Process | First Pass Yield | >95% | (Units passed first time / Total units) × 100 |183| Process | Nonconformance Rate | <1% | (NC count / Total units) × 100 |184| CAPA | CAPA Closure Rate | >90% | (On-time closures / Due closures) × 100 |185| CAPA | CAPA Effectiveness | >85% | (Effective CAPAs / Verified CAPAs) × 100 |186| Audit | Finding Closure Rate | >90% | (On-time closures / Due closures) × 100 |187| Audit | Repeat Finding Rate | <10% | (Repeat findings / Total findings) × 100 |188| Customer | Complaint Rate | <0.1% | (Complaints / Units sold) × 100 |189| Customer | Satisfaction Score | >4.0/5.0 | Average of survey scores |190191### KPI Review Frequency192193| KPI Type | Review Frequency | Trend Period | Audience |194| ------------------ | ---------------- | ------------ | ---------------- |195| Safety/Compliance | Daily monitoring | Weekly | Operations |196| Production Quality | Weekly | Monthly | Department heads |197| Customer Quality | Monthly | Quarterly | Executive team |198| Strategic Quality | Quarterly | Annual | Board/C-suite |199200### Performance Response Matrix201202| Performance Level | Status | Action Required |203| ------------------ | ----------- | ------------------------- |204| >110% of target | Exceeding | Consider raising target |205| 100-110% of target | Meeting | Maintain current approach |206| 90-100% of target | Approaching | Monitor closely |207| 80-90% of target | Below | Improvement plan required |208| <80% of target | Critical | Immediate intervention |209210See: [references/quality-kpi-framework.md](references/quality-kpi-framework.md)211212---213214## Quality Objectives Workflow215216Establish and maintain measurable quality objectives per ISO 13485 Clause 5.4.1.217218### Workflow: Annual Quality Objectives Setting2192201. Review prior year objective achievement2212. Analyze quality performance trends and gaps2223. Align with organizational strategic plan2234. Draft objectives with measurable targets2245. Validate resource availability for achievement2256. Obtain executive approval2267. Communicate objectives organization-wide2278. **Validation:** Each objective is measurable, has owner, target, and timeline228229### Quality Objective Structure230231```232QUALITY OBJECTIVE [Number]233234Objective Statement: [Clear, measurable statement]235Aligned to Policy Element: [Quality policy section]236Target: [Specific measurable target]237Baseline: [Current performance]238Owner: [Name and title]239Due Date: [Target achievement date]240241Success Criteria:242- [Criterion 1]243- [Criterion 2]244245Measurement Method: [How progress is tracked]246Reporting Frequency: [Monthly/Quarterly]247248Supporting Initiatives:249- [Initiative 1]250- [Initiative 2]251252Resource Requirements:253- [Resource 1]254- [Resource 2]255```256257### Objective Categories258259| Category | Example Objectives | Typical Targets |260| ---------------- | ---------------------------- | ------------------- |261| Customer Quality | Reduce complaint rate | <0.1% of units sold |262| Process Quality | Improve first pass yield | >96% |263| Compliance | Maintain certification | Zero major NCs |264| Efficiency | Reduce quality costs | <4% of revenue |265| Culture | Increase training completion | >98% on-time |266267### Quarterly Objective Review268269| Review Element | Assessment | Action |270| ------------------- | -------------------------- | ---------------------------- |271| Progress vs. target | On track / Behind / Ahead | Adjust resources if behind |272| Relevance | Still valid / Needs update | Modify if conditions changed |273| Resources | Adequate / Insufficient | Request additional if needed |274| Barriers | Identified obstacles | Escalate for resolution |275276---277278## Quality Culture Assessment Workflow279280Assess and improve organizational quality culture.281282### Workflow: Annual Quality Culture Assessment2832841. Design or select quality culture survey instrument2852. Define survey population (all employees or sample)2863. Communicate survey purpose and confidentiality2874. Administer survey with 2-week response window2885. Analyze results by department, role, and tenure2896. Identify strengths and improvement areas2907. Develop action plan for culture gaps2918. **Validation:** Response rate >60%; action plan addresses bottom 3 scores292293### Quality Culture Dimensions294295| Dimension | Indicators | Assessment Method |296| ----------------------- | -------------------------------------- | ------------------- |297| Leadership commitment | Management visible support for quality | Survey, observation |298| Quality ownership | Employees feel responsible for quality | Survey |299| Communication | Quality information flows effectively | Survey, audit |300| Continuous improvement | Suggestions submitted and implemented | Metrics |301| Training and competence | Employees feel adequately trained | Survey, records |302| Problem solving | Issues addressed at root cause | CAPA analysis |303304### Culture Survey Categories305306| Category | Sample Questions |307| ------------- | -------------------------------------------------- |308| Leadership | "Management demonstrates commitment to quality" |309| Resources | "I have the tools and training to do quality work" |310| Communication | "Quality expectations are clearly communicated" |311| Empowerment | "I am encouraged to report quality issues" |312| Recognition | "Quality achievements are recognized" |313314### Culture Improvement Actions315316| Gap Identified | Potential Actions |317| ------------------------- | ---------------------------------------------- |318| Low leadership visibility | Quality gemba walks, all-hands quality updates |319| Inadequate training | Competency-based training program |320| Poor communication | Quality newsletters, department huddles |321| Low reporting | Anonymous reporting system, no-blame culture |322| Lack of recognition | Quality award program, team celebrations |323324---325326## Regulatory Compliance Oversight327328Monitor and maintain regulatory compliance across jurisdictions.329330### Multi-Jurisdictional Compliance Matrix331332| Jurisdiction | Regulation | Requirement | Status Tracking |333| ------------- | ------------ | -------------------------------- | -------------------------------- |334| EU | MDR 2017/745 | CE marking, Notified Body | Technical file, annual review |335| USA | 21 CFR 820 | FDA registration, QSR compliance | Annual registration, inspections |336| International | ISO 13485 | QMS certification | Surveillance audits |337| Germany | MPG/MPDG | National implementation | Competent authority filings |338339### Compliance Monitoring Workflow3403411. Maintain regulatory requirement register3422. Subscribe to regulatory update services3433. Assess impact of regulatory changes monthly3444. Update affected processes within 90 days of effective date3455. Verify training completion for regulatory changes3466. Document compliance status in management review3477. Maintain inspection readiness checklist3488. **Validation:** All applicable requirements mapped; no expired registrations349350### Regulatory Authority Interface351352| Activity | QMR Role | Preparation Required |353| --------------------------- | ------------------------ | ---------------------------------- |354| Notified Body audit | Primary contact | Audit package, personnel schedules |355| FDA inspection | Host, escort coordinator | Inspection readiness review |356| Competent Authority inquiry | Response coordinator | Technical file access |357| Regulatory meeting | Attendee or delegate | Briefing materials |358359### Inspection Readiness Checklist360361| Area | Ready | Action Needed |362| ------------------------------------- | ----- | ------------- |363| Document control system current | ☐ | |364| Training records complete | ☐ | |365| CAPA system current, no overdue items | ☐ | |366| Complaint files complete | ☐ | |367| Equipment calibration current | ☐ | |368| Supplier qualification files complete | ☐ | |369| Management review records available | ☐ | |370| Internal audit program current | ☐ | |371372---373374## Decision Frameworks375376### Escalation Decision Tree377378```379Issue Identified380 │381 ▼382Is it a regulatory violation?383 │384 Yes─┴─No385 │ │386 ▼ ▼387Escalate to Is it a safety issue?388Executive │389immediately Yes─┴─No390 │ │391 ▼ ▼392 Escalate to Does it affect393 Safety Team multiple departments?394 │395 Yes─┴─No396 │ │397 ▼ ▼398 Escalate to Handle at399 Executive department level400```401402### Quality Investment Prioritization403404| Criteria | Weight | Score Method |405| ------------------------- | ------ | -------------------------------------- |406| Regulatory requirement | 30% | Required=10, Recommended=5, Optional=2 |407| Customer impact | 25% | Direct=10, Indirect=5, None=0 |408| Cost savings potential | 20% | >$100K=10, $50-100K=7, <$50K=3 |409| Implementation complexity | 15% | Simple=10, Moderate=5, Complex=2 |410| Strategic alignment | 10% | Core=10, Supporting=5, Peripheral=2 |411412### Resource Allocation Matrix413414| Resource Type | Allocation Authority | Escalation Threshold |415| -------------------- | -------------------- | -------------------- |416| Quality personnel | QMR | >1 FTE addition |417| Quality equipment | QMR | >$25K |418| External consultants | QMR | >$50K or >30 days |419| Quality systems | Executive approval | >$100K |420421---422423## Tools and References424425### Scripts426427| Tool | Purpose | Usage |428| -------------------------------------------------------------------- | ------------------------------------- | -------------------------------------------- |429| [management_review_tracker.py](scripts/management_review_tracker.py) | Track review inputs, actions, metrics | `python management_review_tracker.py --help` |430431> **Note:** Bundled scripts ship as Markdown reference (`.md`) — copy the code out of the `.md` file to run it.432433**Management Review Tracker Features:**434435- Track input collection status from process owners436- Monitor action item completion and aging437- Generate metrics summary for review438- Produce recommendations for review focus areas439440### References441442| Document | Content |443| ------------------------------------------------------------------- | -------------------------------------------------------------------------- |444| [management-review-guide.md](references/management-review-guide.md) | ISO 13485 Clause 5.6 requirements, input/output templates, action tracking |445| [quality-kpi-framework.md](references/quality-kpi-framework.md) | KPI categories, targets, calculations, dashboard templates |446447### Quick Reference: Management Review Inputs (ISO 13485 Clause 5.6.2)448449| Input | Source | Required |450| ------------------- | ---------------------------- | -------- |451| Feedback | Customer complaints, surveys | Yes |452| Audit results | Internal and external audits | Yes |453| Process performance | Process metrics | Yes |454| Product conformity | Inspection, NC data | Yes |455| CAPA status | CAPA system | Yes |456| Previous actions | Prior review records | Yes |457| Changes | Regulatory, organizational | Yes |458| Recommendations | All sources | Yes |459460### Quick Reference: Management Review Outputs (ISO 13485 Clause 5.6.3)461462| Output | Documentation Required |463| -------------------------------- | ---------------------------- |464| Improvement to QMS and processes | Action items with owners |465| Improvement to product | Project initiation if needed |466| Resource needs | Resource plan updates |467468---469470## Related Skills471472| Skill | Integration Point |473| ------------------------------------------------------------------ | -------------------------- |474| [quality-manager-qms-iso13485](../quality-manager-qms-iso13485/) | QMS process management |475| [capa-officer](../capa-officer/) | CAPA system oversight |476| [qms-audit-expert](../qms-audit-expert/) | Internal audit program |477| [quality-documentation-manager](../quality-documentation-manager/) | Document control oversight |478479> **Creator:** Ra Qm Team480> **License:** MIT481> **Source Repo:** `neekware/dojo-skills`482> **Source Bucket:** `ra-qm-team`483> **Original Path:** `ra-qm-team/quality-manager-qmr`