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Standard 3 Breakout Session Inspection Protocol & Recall Program March 11, 2014 1:30 – 5:00 pm Richard Stephens Florida Department of Agriculture & Consumer Services Robin Henderson, PhD, RD/LDN Maryland Department of Health & Mental Hygiene Matthew Colson Florida State Department of Agriculture & Consumer Services Catherine Payne Feeney Rhode Island Department of Health Tressa Madden FDA ORA Office of Partnerships Michelle Motsinger FDA ORA Office of Partnerships Catherine White Rhode Island Department of Health

Standard 3 Breakout Session Inspection Protocol & Recall Program

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Standard 3 Breakout Session Inspection Protocol & Recall Program. Robin Henderson, PhD, RD/LDN Maryland Department of Health & Mental Hygiene. Matthew Colson Florida State Department of Agriculture & Consumer Services. March 11, 2014 1:30 – 5:00 pm. Catherine Payne Feeney - PowerPoint PPT Presentation

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Page 1: Standard  3  Breakout Session  Inspection Protocol & Recall Program

Standard 3 Breakout Session Inspection Protocol & Recall Program

March 11, 20141:30 – 5:00 pm

Richard StephensFlorida Department of Agriculture

& Consumer Services

Robin Henderson, PhD, RD/LDNMaryland Department of Health

& Mental Hygiene

Matthew ColsonFlorida State Department of

Agriculture & Consumer Services

Catherine Payne FeeneyRhode Island Department of Health

Tressa MaddenFDA ORA

Office of Partnerships

Michelle MotsingerFDA ORA

Office of Partnerships

Catherine WhiteRhode Island Department

of Health

Page 2: Standard  3  Breakout Session  Inspection Protocol & Recall Program

Agenda

• Welcome, Introductions, & Housekeeping• Session Objectives• Current Status of Standard 3 Implementation• Inspection Protocol

– Presentations, Exercise & Report Outs • Recall Program

• Presentations, Exercise & Report Outs • Q & A• Summary

Page 3: Standard  3  Breakout Session  Inspection Protocol & Recall Program

Housekeeping• Honor time schedule• Stay on topic • Get input from everyone• Be willing to share• Respect different program cultures• Do not reference specific audits• Be creative, ask questions – parking lot• Facilitators – responsible for process• Participants – responsible for content

Page 4: Standard  3  Breakout Session  Inspection Protocol & Recall Program

Session Objectives

Generate a list of resources, best practices, lessons learned and challenges/recommendations for developing, implementing and monitoring an inspection protocol and a recall program.

(Group Exercise Instructions)1. Listen to presentations2. Discuss and list suggestions on flip charts 3. Share your group’s suggestions with room

Page 5: Standard  3  Breakout Session  Inspection Protocol & Recall Program

Standard Three

Full Conformance

(100%)80-99% 60-79% 40-59% <39%

PE Conformance Rating

1 11 14 5 83 28 36 13 21

Total StatesPercentage (%)

Page 6: Standard  3  Breakout Session  Inspection Protocol & Recall Program

Standard Three

1.a 1.b 1.c 1.d 1.e 2.a 2.b 3.a 3.b 3.c 3.d 3.e 4.a 4.b 4.c 5.a 5.b 5.c 6.a 6.b

Risk Based Inspection System Inspection Protocol Recall System Consumer Complaint System Food Industry Complaint Resolution System Self Assessment

No. of YES 35 26 38 23 23 14 13 25 18 20 19 15 35 29 26 24 19 18 37 31No. of NO 4 11 1 16 16 25 26 14 21 19 20 24 4 10 13 15 20 21 2 8No. of NA 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Page 7: Standard  3  Breakout Session  Inspection Protocol & Recall Program

FocusInspection Protocol

• Standard Section 3.3.b1-22 or Program Element 2.b state:

Inspection Protocol– The State program has written policies and procedures

for inspecting food plants that require the inspectors to: (items listed in Section 3.3.b1-22)

• 31% Yes for conformance on this element

Page 8: Standard  3  Breakout Session  Inspection Protocol & Recall Program

Standard 3: Inspection Protocol

March 11, 20141:30 pm

Matt ColsonEnvironmental Administrator

Florida Department of Agriculture and Consumer

Services

Page 9: Standard  3  Breakout Session  Inspection Protocol & Recall Program

Background

• Inspection program overview• MFRPS background• Resources

– RRT grant– FDA contract

Page 10: Standard  3  Breakout Session  Inspection Protocol & Recall Program

Standard 3 Program Element 2.b

Page 11: Standard  3  Breakout Session  Inspection Protocol & Recall Program

Standard 3 Background

• Initially inspection procedures were based on retail

• Added some language about manufactured food inspections to procedures

• At same time worked on standard 4 inspection report audit component

Page 12: Standard  3  Breakout Session  Inspection Protocol & Recall Program

Inspections using old database

• Had no way to document all items from Appendix 4.6 during inspections

• Had coversheet for FDA contract inspections that was submitted with each inspection– Modified coversheet to add items from

Appendix 4.6 that weren’t already being captured during inspection

Page 13: Standard  3  Breakout Session  Inspection Protocol & Recall Program

Inspections using new database

• Developed inspection procedures based on new system and added 22 items

• Identified requirement of capturing Appendix 4.6 elements in system

• Developed addendum document to be attached to all manufactured food inspections

Page 14: Standard  3  Breakout Session  Inspection Protocol & Recall Program

Moving Forward

• Recently developed new GMP inspection procedures based on IOM that address all 22 items in more detail than old procedures

• Developing detailed procedures for all inspection types (acidified, juice, seafood, etc.)

• Eventually revise inspection database to capture Appendix 4.6 information

Page 15: Standard  3  Breakout Session  Inspection Protocol & Recall Program

Contact InformationMatt Colson

Environmental Administrator of Bureau of Food and Meat Inspections Florida Department of Agriculture and Consumer Services

[email protected]

Page 16: Standard  3  Breakout Session  Inspection Protocol & Recall Program

MFRPS Standard 3

Robin Henderson PhD, RDChief, Center for Food Manufacturing

MD State DHMH

March 12, 2014

Page 17: Standard  3  Breakout Session  Inspection Protocol & Recall Program

Requirements of Standard 3

• Systems for:– Inspections – Recalls– Responding to Consumer Complaints– Responding to Industry Complaints about

inspections, and a• Recordkeeping System for all of the above

Page 18: Standard  3  Breakout Session  Inspection Protocol & Recall Program

MD Risk Priorities and Inspection Frequencies

• High Priority:– Any food manufacturing plant (both PHF and non-PHF

foods)– Inspect twice per year

• Moderate Priority– Food warehouses for PHF foods– Inspect once per year

• Low Priority– Ambient temperature food warehouses– Inspect once every other year

Page 19: Standard  3  Breakout Session  Inspection Protocol & Recall Program

SOP Manual

• Contains our written protocols for all systems. Still a work in progress, particularly sections for recalls, complaints, sampling.

• Distributed to each inspector on paper, on a shared drive, and google drive for reference.

• Staff is trained using the elements contained in the SOP manual.

Page 20: Standard  3  Breakout Session  Inspection Protocol & Recall Program

SOP Manual

• The list of inspection protocol items in 3.3b are all incorporated into our SOP, but not in the order listed there.

• Items in 3.3b can primarily be found in SOP Chapter 3, sections I-IV, and Chapter 6, sections II-VII.

• Chapter 6, section VIII is our process for plan reviews, both office and field reviews to help build out food safety hazards.

Page 21: Standard  3  Breakout Session  Inspection Protocol & Recall Program

Staff Training

• Newly developed manual to define supervisory and field roles and responsibilities.

• Our FPSO is a new position developed to train new inspection staff and standardize all field staff on a routine basis. This position will also be in charge of desk audits. The FPSO is critical to help validate the items listed in 3.3b and identify weaknesses in our system.

Page 22: Standard  3  Breakout Session  Inspection Protocol & Recall Program

Inspection Report

• Set up to help assure that:– Critical items are identified and corrected or the

firm must close – GMPs, HACCP, and other records, are reviewed– All necessary information about the firm and the

PIC are identified• Report is uploaded to the office and the

information captured in a database for management use

Page 23: Standard  3  Breakout Session  Inspection Protocol & Recall Program

Challenges• Balancing time spent in the firm to adequately:

– View processes and practices– Cover area of responsibility

• Recordkeeping:– Inspection reports with detailed information– Clear and concise reports

• Transitioning to a “paperless” system– IT struggles– Field Personnel struggles– Management struggles

Page 24: Standard  3  Breakout Session  Inspection Protocol & Recall Program

Successes

• We have a vision, and we are moving forward to meet our goals:– A top notch program– Meeting the standards– Coordinated effort with RRT, Lab, Local

jurisdictions, and FDA

Page 25: Standard  3  Breakout Session  Inspection Protocol & Recall Program

Contact Information

Robin Henderson

Chief, Center for Food Processing

MD State Department of Health and Mental Hygiene

Email: [email protected]

Page 26: Standard  3  Breakout Session  Inspection Protocol & Recall Program

Inspection ProtocolExercise Objectives

Generate and share a list of:

1. Resources for developing an inspection protocol

2. Best practices to develop, implement and monitor/verify

3. Gaps identified in your plan and how you will address them

4. Challenges and recommendations

5. Lessons Learned - Program outcomes, measurements and/or benefits

Page 27: Standard  3  Breakout Session  Inspection Protocol & Recall Program

Standard Three

1.a 1.b 1.c 1.d 1.e 2.a 2.b 3.a 3.b 3.c 3.d 3.e 4.a 4.b 4.c 5.a 5.b 5.c 6.a 6.b

Risk Based Inspection System Inspection Protocol Recall System Consumer Complaint System Food Industry Complaint Resolution System Self Assessment

No. of YES 35 26 38 23 23 14 13 25 18 20 19 15 35 29 26 24 19 18 37 31No. of NO 4 11 1 16 16 25 26 14 21 19 20 24 4 10 13 15 20 21 2 8No. of NA 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Page 28: Standard  3  Breakout Session  Inspection Protocol & Recall Program

FocusRecall Program

• Standard 3.3.c or Elements 3.b-3.e State:• Recall System

– Written procedures for sharing information– Written procedures for removing product– Written procedures for performing recall checks– Written procedures for maintaining records about

recall information3b 46% yes on conformance

3c 51% yes on conformance

3d 49% yes on conformance

3e 38% yes on conformance

Page 29: Standard  3  Breakout Session  Inspection Protocol & Recall Program

Food RecallsStandard 3.3(c)

Richard StephensEnvironmental Scientist III

Florida Department of Agriculture and Consumer Services

March 11th, 20141:30 PM

Page 30: Standard  3  Breakout Session  Inspection Protocol & Recall Program

Program Elements

• The state program has a Food Recall system.• Procedures for sharing information pertaining

to recalls with other agencies.• Procedures for promptly removing recalled

foods from the marketplace.• Procedures for performing recall audit checks.• Procedures for identifying and maintaining

essential recall information records.

Page 31: Standard  3  Breakout Session  Inspection Protocol & Recall Program

Recall Policy

• “Big Picture” document that outlines recall activities– Health Hazard Evaluation and Recall Classification– Recall Strategy– FIRM initiated vs. FDACS requested recalls– Recall Communications and Status Reports– Recall Coordinator duties– Broad procedure

Page 32: Standard  3  Breakout Session  Inspection Protocol & Recall Program

Sharing Information

• Conveyed in our Bureau’s Communication Plan

• Will notify appropriate state and federal agencies

• Instruct firm to submit RFR

Page 33: Standard  3  Breakout Session  Inspection Protocol & Recall Program

Effecting the Recall

• Outlined in the procedures section of our policy

• FDACS has authority to STOP SALE any product deemed adulterated or held/produced in unsanitary conditions

• FDACS can only request a recall– Policy allows for Press Releases

Page 34: Standard  3  Breakout Session  Inspection Protocol & Recall Program

Audit Checks

• Historically:– FDA form 3177– Spreadsheet

• Presently:– Information is captured in our Food Inspection

Management System (FIMS)– Use 3177 if performing for FDA

Page 35: Standard  3  Breakout Session  Inspection Protocol & Recall Program

Records

• Historically– Spreadsheets– Case folders– Scanned copies of 3177’s

• Presently - FIMS

Page 36: Standard  3  Breakout Session  Inspection Protocol & Recall Program

Recalls using FIMS

• All information pertaining to a recall is captured in FIMS– Recalling Firm– Product Info– Invoices and Records (to be implemented)– Audit Checks– Visits (to be implemented)

Page 37: Standard  3  Breakout Session  Inspection Protocol & Recall Program

FIMS Recall Tab

Page 38: Standard  3  Breakout Session  Inspection Protocol & Recall Program

Recall Details

Page 39: Standard  3  Breakout Session  Inspection Protocol & Recall Program

Audit Details

Page 40: Standard  3  Breakout Session  Inspection Protocol & Recall Program

Audit Details – Action and Status

Page 41: Standard  3  Breakout Session  Inspection Protocol & Recall Program

FIMS Updates

• FIMS Recall items in development– Attachments– Visit Tracking– Request Tracking

Page 42: Standard  3  Breakout Session  Inspection Protocol & Recall Program

Moving Forward

• FIMS Enhancements• Step-by-Step procedures• Sharing data captured in FIMS with

state/federal partners

Page 43: Standard  3  Breakout Session  Inspection Protocol & Recall Program

Contact Information

Richard Stephens

Environmental Scientist III

Florida Department of Agriculture and Consumer Services(FDACS)

Email: [email protected]

Page 44: Standard  3  Breakout Session  Inspection Protocol & Recall Program

Rhode Island‘s Food Recall Project

Catherine Payne FeeneyCatherine White

Supervising Environmental Health Food Specialists

RI Department of Health

March 11, 20143:00 pm

Page 45: Standard  3  Breakout Session  Inspection Protocol & Recall Program

Food Recall Problems & Challenges• CDC epi curves reveal….

outbreaks and illnesses continue after a recall

• Recall audit checks reveal… products not always removed from commerce

• How can we… identify where product isremove it from commerce

prevent Illnesses, deaths, disabilitiesreduce economic impact to industry

Page 46: Standard  3  Breakout Session  Inspection Protocol & Recall Program

Grant Opportunity• Improving Capacity to Protect Public Health in Response to a FD&C 1008 Notification• 3 year grant• RI proposed a project to…

– Improve Recall Effectiveness– Improve Customer Notification– Ensure that RI Manufacturers/Stores have a Recall Plan– Minimize the Need for Recalls– Measure the Effectiveness of Recalls

Page 47: Standard  3  Breakout Session  Inspection Protocol & Recall Program

New RI Law to Register Out of State Processors

• Already register out of state bottlers and frozen dessert manufacturers

• Last year, legislature mandated all out-of-state food processors selling food in RI be registered

• Opportunity to Identify foods products sold in RI so if a recall occurs, we will know where the product is and where it came from

Page 48: Standard  3  Breakout Session  Inspection Protocol & Recall Program

First Steps• Create Searchable Data Base to capture products and where they are sold

Letter to licensees regarding registration needed to be an approved source

New applicants asked to submit list of suppliers

Seasonal employees started scanning items in stores

Page 49: Standard  3  Breakout Session  Inspection Protocol & Recall Program

Recall Policy and Procedures• Policy

• Product Recall Triggers• Roles including State, Federal Partners

• Procedures• Recall Responses for Multiple Situations• Communications during a Recall• Conducting Audit Checks• Expanding a Recall• Terminating a Recall• After Action Meeting and Report

Page 50: Standard  3  Breakout Session  Inspection Protocol & Recall Program

Information Sharing

• Communications Plan that includes…– Department of Health Public Information Office– Federal Partners – Other States – Industry including licensees and associations– Public via press releases and/or website

• Press Release Template Attachment to P&P

Page 51: Standard  3  Breakout Session  Inspection Protocol & Recall Program

Contact List

• State Partners • Federal Partners• Northeast State Partners• Industry Associations• Grocery Store Chain Operators

Page 52: Standard  3  Breakout Session  Inspection Protocol & Recall Program

Recall Response

• Specific protocols were developed and/or revised for: – Product Seizure – Limiting Future Production– Controlling Product Distribution Channels

• Criteria to consider regarding expanding the recall

Page 53: Standard  3  Breakout Session  Inspection Protocol & Recall Program

Recall Audit Checks

• Documentation regarding… – When audit check is warranted– Methods used to do audits

(store visit, phone call, email, letter)– How to conduct audit check using form 3177– What to do if recall ineffective

• Not just a survey, always get recalled product removed from commerce!

Page 54: Standard  3  Breakout Session  Inspection Protocol & Recall Program

Information Collected & Record Keeping

• Staff person assigned to manage all recalls• Database created to track recalls• Information included…

– product information– recall related activities

• Communications• Findings• Press Release

Page 55: Standard  3  Breakout Session  Inspection Protocol & Recall Program

Data Tracking

Page 56: Standard  3  Breakout Session  Inspection Protocol & Recall Program

Metrics

Metric 1: Number of illnesses from consuming contaminated/recalled product in Rhode Island after a recallIf illnesses occur, why?

• Did the consumer not learn of the recall?• Did the consumer buy recalled product after the recall and,

if so, why?• Metric 10: Name and number of food store chains with shopper/loyalty cards who directly notify consumers who bought recalled products and method of notification• Notify FDA of findings, Share with other states

Page 57: Standard  3  Breakout Session  Inspection Protocol & Recall Program

Next Steps

• Work with retail chains with shopper/loyalty cards Identify and directly notify consumers who purchased unsafe

foods through:• Text messaging• Emails • Automatic phone calling• Other direct notification techniques

Page 58: Standard  3  Breakout Session  Inspection Protocol & Recall Program

Contact Information

Catherine Payne FeeneyCatherine White

Supervising Environmental Health Food Specialists

Rhode Island Department of Health

Email: [email protected]@health.ri.gov

Page 59: Standard  3  Breakout Session  Inspection Protocol & Recall Program

Recall ProgramExercise Objectives

Generate and share a list of:

1. Resources for developing a recall program

2. Best practices to develop, implement and monitor/verify

3. Gaps identified in your program and how you will address them

4. Challenges and recommendations

5. Lessons Learned - Program outcomes, measurements and/or benefits

Page 60: Standard  3  Breakout Session  Inspection Protocol & Recall Program

Q & A