I'm not sure exactly what the standard has in mind, but I know that our company satisfies this requirement in the eyes of our auditor by having management present at our monthly operations meetings, business plan review meetings, and monthly quality meetings. These are things I would think most companies already have Sr. management at anyway, you just need to have it written down in a procedure somewhere.
I imagine that if management for some reason did not attend these meetings, doing a briefing on them in management review meetings would cover it (again, as long as it was stated in the procedure).
I'm sure some of the seasoned veterans will have more to add, or can correct me if I'm way off base here.
Effectiveness is providing what has been spelt out for a process. So long as the process output is what has been spelt out at its input, it is effectiveness and Efficiency on the other hand is, getting the same or better output with lower resources in money, manpower, time.
Basically, one should always refer to the TURTLE and see whether are just meeting the defined process output (effectiveness) or we are using lesser resources or providing the same output in a shorter time (efficient process)
I hope you an idea by now. If still in doubt contact on my mail id
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