QUALITY OF EVIDENCE FRCC Compliance Workshop September/October 2008.

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QUALITY OF EVIDENCE FRCC Compliance Workshop September/October 2008

Transcript of QUALITY OF EVIDENCE FRCC Compliance Workshop September/October 2008.

Page 1: QUALITY OF EVIDENCE FRCC Compliance Workshop September/October 2008.

QUALITY OF EVIDENCE

FRCC Compliance WorkshopSeptember/October 2008

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Evidence is essential

The Registered Entity has the burden to prove compliance through presentation of quality evidence to a standard or requirement.

“Provide Quality Evidence ”

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Objective

Objective – What is quality evidence? – Define evidence and the types of evidence.– Describe what constitutes quality evidence.– Define appropriate and sufficient evidence.– Provide a better understanding of evidence and its

role in compliance monitoring activities.

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Definition of Evidence

Evidence is:– Data or information on which factual

statements can be based.

– A collection of relevant and sufficient information offered to verify a presented

fact.

– Obtained through examining and analyzing records, observing events, or

conducting interviews.

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Presenting Your Evidence • Auditors gather evidence to draw conclusions on findings in a

logical method based upon factual evidence.

• Facts are to be valid and relevant for the point needed to be proven.

– A fact is something that can be objectively verified, is real and does exists.

• Facts must be verifiable.

– A verifiable fact is one whose data or information can be substantiated by comparison, investigation or confirmation.

• Entities should consider presenting and submitting their evidence in the same manner.

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Types of Evidence

Evidence can be provided as:

– Physical evidence

– Direct observations

– Corroborating evidence• Corroborating evidence is evidence that tends to support a

proposition that is already supported by some evidence. (Wikipedia 9/11/2008)

• To strengthen or support with other evidence; make more certain (the Free dictionary 9/11/2008)

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Types of Evidence

Physical Evidence is direct inspection of activities of people, property, or events: – Some examples include:

• Schedules• Charts• Maps• Graphs• One-lines• Manuals• Procedures and Policies• Plans

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Types of Evidence

Documentation: – Physical forms of evidence which already exists– Can be both external or internal– Some examples include:

• Letters• Contracts • Assessments• Agreements• Spreadsheets• Database Extracts• E-mails • Studies

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Types of Evidence

Direct Observations:– What an auditor sees during your review.

– Strengthened through corroboration with other evidence.

– By itself is almost always unreliable.

– Is achieved by monitoring of personnel, facilities, equipment, and tools.

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Types of Evidence

Corroborating evidence is:

– Additional information from interviews, logs, etc provides clarity to make the appropriate compliance decision.

– Used to establish the appropriateness of evidence.

– Tests the reliability of evidence and provides confirmation.

– Some examples include:• Reliability Coordinator or Neighboring questionnaires• Voice recordings• Logs • Interviews

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An Example of Corroborating Evidence

The auditor requests evidence that a Registered Entity has followed all directives from the Reliability Coordinator

– The Registered Entity states it has not received any directives:• Response is neither sufficient, nor adequate

– Testimonial – Low quality– May not withstand scrutiny

Corroborating evidence could be an e-mail from the Reliability Coordinator stating the Reliability Coordinator did:– Not send any directives to the Registered Entity during the

specified time frame, or– Did send a directive and it was followed

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Quality Evidence

Quality evidence is evaluated by its:

– Appropriateness• relevant, valid and reliable to support findings.

– Sufficiency• enough information to lead another person to the same

conclusion.

– Quality• high quality evidence to be used as proof of findings.

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Appropriateness of Evidence

Quality evidence must be appropriate:

– Relevant to the reliability standard requirements:

• Is there enough to persuade the auditor his findings are reasonable?

• Is it logically related to the requirement?

– Valid as a document:

• Is the evidence based upon sound reasoning and accurate information?

– Reliable information: • Can the evidence be substantiated when tested?

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Example of Appropriate Evidence

An agreement is offered as evidence.

The auditor will seek to determine:– Is this the original document?– Does the agreement contain the Registered Entity

letterhead, approval signature and date, revision date, etc?

– Does the agreement address the subject of the requirement?

– Is this version the current version?

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Sufficient Evidence

Quality evidence must be sufficient:

– Is there enough evidence to lead an auditor to the same findings that you have reached.

– Strong evidence may be better than a large volume of weak evidence.

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Example of Sufficient Evidence

• The auditor is provided three documents to determine if a procedure exists and is coordinated with neighboring entities:– A procedure– E-mails – Previous version of procedure

• The above evidence is sufficient as:– A valid procedure is provided which addresses all sub-

requirements even if they do not apply to the audited entity.– E-mails provide evidence the procedure was sent, received and

confirmed as coordinated.– Previous version of procedure shows the procedure existed for

the audit period.

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Quality Evidence

• The evidence must be of the highest quality to be used as proof of findings.

• Quality evidence should contain: – Documents title– Purpose– Date approved– Revision level– Effective date– Authorizing signatures

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Testimonial Evidence

Written or oral statements in response to inquiries or interviews.

– Examples are:

• Reliability Coordinator or Neighboring questionnaires• Interviews• Letters sent for confirmation

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Computer Processed Evidence

Computer evidence can be provided if: – The evidence can be determined to be sufficient and

appropriate.

• Is the information considered quality evidence?• Can the evidence be validated from electronic logs to confirm

creation?• Some examples include:

– Printouts (titled, dated)– Screen shots– Logs (titled, dated)– Study results (titled, dated)

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Professional Judgment

All evidence reviewed requires some level of professional judgment.

“Professional judgment of the auditors is based on their: – Knowledge– Skills– Experiences– Good Faith Application – Integrity

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Final Thoughts

Some things to remember:

– Who you are trying to convince, the auditors.

– Compliance is based upon the evidence provided.

– Would you objectively make a determination of compliance or possible violation? 

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Conclusion

At the end of the review, enough quality evidence must have been provided to:

Soundly substantiate the teams findings

and

Support your expected findings

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“Provide Quality Evidence ”

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Questions ?