Day 31 – Using a Root Cause Analysis for Remediation

The 2020 Update re-emphasized the need to perform a root cause analysis and, equally importantly, use it to remediate your compliance program. It stated, “a hallmark of a compliance program that works effectively in practice is the extent to which a company can conduct a thoughtful root cause analysis of misconduct and timely and appropriately remediate to address the root causes.”
It went on to state what additional steps the company has taken “that demonstrate recognition of the seriousness of the misconduct, acceptance of responsibility for it, and the implementation of measures to reduce the risk of repetition of such misconduct, including measures to identify future risk”).”

The key is that after you have identified the causes of problems, consider the solutions that can be implemented by developing a logical approach using data already in the organization. Identify current and future needs for organizational improvement. Your solution should be a repeatable, step-by-step process in which one method can confirm the results of another. Focusing on the corrective measures of root causes is more effective than simply treating the symptoms of a problem or event, and you will have a much more robust solution in place. This is because the solution(s) are more effective when accomplished through a systematic process with conclusions backed up by evidence.

When you step back and consider what the DOJ was trying to accomplish with its 2020 Update, it becomes clear what the DOJ expects from the compliance professional. Consider the structure of your compliance program and how it inter-relates to your company’s risk profile. When you have a compliance failure, use the root cause analysis to think about how each of the structural elements of your compliance program could impact how you manage and deal with that risk.

Three key takeaways:

  1. The key is objectivity and independence.
  2. The critical element is how you used the information you developed in the root cause analysis.
  3. The key is that after you have identified the causes of problems, consider the solutions that can be implemented by developing a logical approach using data already in the organization.

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