The Value of Business Process Management (BPM)

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The Value of Business Process Management (BPM) By Robert Lario Principal, visumpoint Date, 2009

Who is visumpoint? Enterprise Architecture strategy group offering full lifecycle consulting services Active members of the Object Management Group (OMG) Hold a seat on the OMG Board of Directors Supporters and contributing authors to numerous standards including UPDM, SoaML, BPM and OMG s Certified Expert in BPM (OCEB) exam Over 25 years experience helping Fortune 100 companies position their IT strategy to support their overall business strategy

Agenda Healthcare Example OMG Certified Expert in BPM (OCEB) Conclusion

BPM Healthcare Example

Healthcare Case Study For 100 years Hospital network has maintained a single purpose - to improve health. Serves more than 1.2 Million patients. Owns or manages seven hospitals throughout the state. Employs more than 10,000 employees

Healthcare Case Study Problem Statement 200B healthcare organization with approximately: 130 Departments 80 Siloed Systems 310 Applications 800+ Processes Complexity has a cost associated with it. The more complex the organization, the greater the cost.

Growth in Silos All systems are siloed Used TQM and Lean to optimize within silos Fine tuned internal processes, which do not align with the enterprise as a whole Employee s thinking is also siloed Myopic viewpoint - don t think across the enterprise Look at particular service they offer, not the aggregation of all services

Patient Seen as Silo s Manual Resource Coordination for Discharge Process: Laboratory Radiology Surgery Therapies Cardiology Nursing-Routine Finance Dietary Housekeeping Pharmacy Social Services Rehabilitation Phone / email / faxes / paper / sneakers

Each Silo Has it s Own Unique Processes Manual Resource Coordination for Discharge Process: Laboratory Radiology Surgery Therapies Cardiology Nursing Finance Dietary Housekeeping Pharmacy Social Services Rehabilitation Phone / email / faxes / paper / sneakers Vendor Specific Solution and Processes

Patient Data Must be Copied For each Silo Manual Resource Coordination for Discharge Process: Laboratory Radiology Surgery Therapies Cardiology Nursing Finance Dietary Housekeeping Pharmacy Social Services Rehabilitation Phone / email / faxes / paper / sneakers Patient Data

Enterprise View of Processes Without an enterprise view of processes: Creates enormous inefficiencies in quality of patient care Correlates to the patient s health Negative effect on revenue Bill based upon evidence-based medicine An enterprise view of healthcare processes has an immediate, positive effect on the bottom line and the health of the patient.

Role of Enterprise Architecture Must have an Enterprise View Requires a well-defined Enterprise Architecture As part of Enterprise Architecture is Business Architecture Part of Business Architecture is BPM When doing BPM, you must consider the Context of the Business Architecture

BPM and Enterprise Architecture Delivers significant results that are of strategic importance to the enterprise Breaks down departmental silos Creates value across Enterprise Enterprise Architecture Business Architecture Business Process Management Project / Acquisition Architecture Operational Architecture To be Successful, BPM must be Implemented within the Context of Enterprise Architecture (EA) Existing Capabilites Service Oriented Architecture (SOA) Systems Architecture Solution Architecture Technical / Physical Architecture Deployement Architecture Hardware System Software System Procedural System Mechanical System Chemical System

The Approach Identified top-level streams Looked at cross-cutting processes rather than the collection of services (i.e. cardiology, home care, lab, etc) Began looking at silos as services that can be aggregated to provide value Optimized horizontally across the enterprise for the Customer Financial Care process and Patient Care process Departments operate as individual departments, but use processes that cross the enterprise Optimized departmentally and horizontally

Project Scope Think globally Act Locally, Strive to Create Artifacts that Supported the Overall Enterprise Architecture Create a Reusable Process Demonstrate SOA s Business Value Proposition Through a Working Solution Identify Services within the Project Context Enterprise Services Atomic Services Align to the Software Development Lifecycle Identify Supporting Tools

Standards are a Part of BPM Tried and True Best Practices Saves Time and Money Object Management Group (OMG) Business Process Modeling Notation (BPMN) Business Motivation Meta-model (BMM) Unified Modeling Language (UML) SOA Modeling Language (SoaML) Borland Tool Heath Level 7 (HL7) and Software Engineering Institute (SEI)

System Interaction Patient Care Process Result Completion Hospital Based Service Customer Financial Experience Visit For Order Hospital Based Charge

BPM Driven Architecture with SOA IVR (Genesys) UAD (Siebel) Self Serve Web Self Service Auto Call routing 360 Customer View Integrated Desktop for CSR Self Service Billing inquire Scheduling GPlus Facets Summary Data vf Epic Medipac Telecommunications Web Services Customer Information Customer Summary Services Customer Information Enterprise Service Bus (Web Services) Membership Services Ambulatory Services Acute Services Routing/Orchestration/Invocation Master Data Services Web Services via FXI Web Services COM Broker Web Services eway HL7 Web Services eway HL7 Web Services Web Services Facets Epic Medipac ESB BPM UCI (Initiate) Manage Demographic Information Billing Status, Claims Status, Authorizations Member PCP affiliations ID Cards Patient Scheduling Registration Patient Billing Receivables Collection Clinical Coding Regulatory Reporting Patient Registration Patient Billing Receivables Collection Clinical Coding Regulatory Reporting Business Process Modeling 1 Business Process Orchestration Application Integration 2 3 Routing Workflow Scripts 5 4 Data Synchronization Record Merging Cross Reference Lookup Universal Customer View Cross Keys Exposed Web Services Existing JCAPS (Datagate) Third Party Web Service HL7 Bridge Existing Key

Net Results Now have the ability to rearrange steps to fit information flow Process optimization Reduced variability in the process Resulted in lower cost Greater reimbursements Improved patient care Reduced duplication of effort and waste

BPM Certification Program OMG Certified Expert in BPM (OCEB)

BPM Certification Part of any BPM roadmap is training and certifying workforce Certifications are credible and easily verifiable OCEB certified employees demonstrate skill Studied material and practiced skills required for that level Knows how to model and analyze business processes Familiar with the many concepts and frameworks that underlie BPM

Benefits of Certification for the Individual Provides a quantifiable milestone for achievement BPM / OCEB Increases productivity, pride and job satisfaction Establishes credibility and verifies mastery in the industry Enhances job opportunities

Benefits of Certification to the Company BPM / OCEB Provides a way to measure their competence or expertise Enhances credibility with external customers and within the organization Recognizes and rewards employees by validating their expertise Identifies employees who are qualified to provide leadership to team members.

OCEB OMG Certified Expert in Business Process Management Tests a candidate's knowledge and skills in Business Process Management and Business Process Modeling Consists of five examinations, granting five Certifications Above the single Fundamental level, program splits into a Businessoriented track and a Technically-oriented track Tests cover domain's standards, application of standards, and industry best practices

OCEB Training OCEB covers a broad area with numerous pieces Books, standards, frameworks and white papers regarding best practices, graphic processes, tools, modeling, notation, etc. OCEB training course focuses on the areas that must be understood to pass the exam Offers full coverage of exam material Follows the same outline as the exam

Supports Tracks & Levels of Expertise

Visumpoint s & UTI s OCEB Training Program Access to online material for 90 days from date the user name and password are issued Printed and bound copy of all slides Access to audio files that can be uploaded to an ipod Voucher for exam that must be used within 90 days of date the user name and password are issued Section Reviews to test understanding and knowledge of material

Conclusion Enterprise Architecture Business Architecture BPM is the Foundation of a Successful Enterprise Project / Acquisition Architecture Operational Architecture OCEB Helps Understand who has the Skills to be Successful in Improving the Enterprise Existing Capabilites Service Oriented Architecture (SOA) Systems Architecture Solution Architecture Technical / Physical Architecture Deployement Architecture Hardware System Software System Procedural System Mechanical System Chemical System

Questions

Contact Robert Lario Principal, visumpoint Robert.Lario@visumpoint.com +1.404.474.1816 931 Monroe Drive Suite 102 Atlanta, GA 30308 USA www.umlcert.org &