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Management Methodologies in Practice at UVa Balanced Scorecard Gary Nimax, Office of the Vice President & Chief Financial Officer Six Sigma Priscilla Shuler, Quality Performance & Improvement, Medical Center NACUBO Business Process Redesign Lea Moore, Office of Process Simplification

Balanced Scorecard Gary Nimax Office of the Vice President & Chief Financial Officer October 15, 2008

Why the Balanced Scorecard? Important to have a plan, set goals, and measure your success Having a plan is more important than the specific tool you use Holistic approach that extends beyond financial measures and incorporates other priorities Linking strategic institutional plans and priorities

Why the Balanced Scorecard? Measuring and reporting success Recording baseline data Tracking over time Offering flexibility Using existing tools

History Balanced Scorecard is a tool developed by Robert S. Kaplan and David P. Norton, as described in two successful books. The Balanced Scorecard translates an organization's mission and strategy into a comprehensive set of performance measures that provides the framework for a strategic measurement and management system. Kaplan and Norton, 1996

Balanced Scorecard objectives Consistently deliver superb customer experience Optimize resource utilization and be accountable and financial stewards Achieve operational excellence in our internal processes Our organization must consistently strive for learning and growth

Bl Balanced dscorecard doverview Customer Perspective: In order to deliver superb service, how should we appear to our customers? Financial Perspective: In order to optimize resource utilization, how must we appear to those who provide the resources? Mission: Vision: Innovation & Learning Perspective: In order to sustain our ability to improve and create value, what do I need? Internal Process Perspective: In order to achieve operational excellence, at what business processes must we excel?

Balanced Scorecard - Perspectives Financial Perspective Traditional need for financial data Processing can be centralized and automated Additional financial-related data, such as risk assessment and cost-benefit data

Balanced Scorecard - Perspectives Customer Perspective Customer focus Customer satisfaction Changing customer demands and needs

Balanced Scorecard - Perspectives Internal Process Perspective Internal business processes How well are processes running? Are there appropriate ties to institutional mission?

Balanced Scorecard - Perspectives Innovation & Learning Perspective Employee training Individual and institutional improvement Continuous learning mode Focusing training funds on results Learning' is more than 'training'

Institutional Priorities iti Where to start? Commission on the Future of the University i Critical functions Restructuring Board of Visitors performance metrics

Strategic Context Goals Strategies Perspectives Customer Perspective: Financial Perspective: Internal Perspective: Learning and Growth Perspective:

Sample Document Customer Perspective In order to consistently deliver a superb customer service, how should we appear to our customers? Institutional Goals VP&CFO Objectives Unit Goals Measures Targets Base Line Data FY09 Data Best Practices (Critical Functions Only) Initiatives Commission on the Future of the University Enhance Program, Service and Product Quality Increase customer satisfaction Average 85% of 75% 82% Stanford, U 1. Revise satisfaction surveys Penn existing results on survey rank high satisfaction data as of today survey tool. 2. Conduct focus group with key customers.

Planning Principles Link strategic planning to mission Improve communication Establish mutual accountability and responsibility Provide programs and services that add value and minimize bureaucracy Solve problems proactively What gets measured gets done

Bibliography The Balanced Scorecard : Translating Strategy Into Action Author: Kaplan, Robert S.; Norton, David P. Publication: Boston, Mass. Harvard Business School Press, 1996. The Strategy-Focused Organization : How Balanced Scorecard Companies Thrive in the New Business Environment. Kaplan, Robert S.; Norton, David P. Publication: Boston, Mass. Harvard Business School Press, 2001. Balanced Scorecard Basics, Balanced Scorecard Institute. 2008

Performance Improvement Six Sigma: One Approach Advancing Improvement and Innovation October 15, 2008 Priscilla J. Shuler Ph.D. R.N. Administrator Quality and Performance Improvement UVA Medical Center

Introduction What motivates the use of Six Sigma? Improving profitability and customer satisfaction Improved quality and efficiency are immediate by yproducts Management philosophy Statistical Measurement

Six Sigma Born Motorola 1979 when executive Art Sundry proclaimed The real problem at Motorola is that our quality stinks! Led to the discovery of the crucial correlation between higher quality and lower cost in manufacturing Improving quality would reduce cost

Error Free Manufacturing Rare failures Improve quality through h processes and reduce production time and costs by focusing on the hows Link between higher quality and lower cost that led to Six Sigma Exact measurement to anticipate problems PROACTIVE; NOT REACTIVE

Process Any activity or group of activities that takes an input, adds value to it and provides an output to an internal or external customer. (Harry and Schroeder,2000) Take everything apart; Fix It and put back without problems

Complex or Simple 1. Well defined roles : Project Champion; Black Belt; Green Belt 2. Clear structure to the tasks begins with measurable goals 3. Involves everyone 4. Executive Leadership commitment 5. Middle organizational members run the projects

People Power with Process Power Subir Chowdhury uses the football analogy to describe Two ways to win a game 1. More spectacular plays 2. Make fewer mistakes

More Spectacular Plays Long passes Great runs Interceptions To Achieve: Need spectacular people

Win with Fewer Mistakes Fewer penalties Fewer fumbles Fewer interceptions Everyone focuses on doing what they y g y do without error!!!!!

Efforts of the Team Focus on not making mistakes Not wasting time and materials Not making errors in the processes of work Not making errors in service delivery Not sloppy but DOING WHAT YOU DO BEST!

Philosophy of Management Eliminate i Waste, Mistakes, Rework Measurement of a strategic problem Sigma: Designates standard deviation Measure of variance within a process How many mistakes in a given process

Six Sigma Six: Sigma level of variance you desire One sigma: 700,000 defects per million opportunities (DPMO) doing correctly 30% of the time 3.8 Sigma : Get it correct 99% of the time

Steps 1. Define the problem FOCUS 2. Measure Calculate Errors Made 3. Analyze 4. Improve the process 5. Control

General Patton Never tell people how to do things. Tell them what you want done and they will surprise you with their ingenuity it in getting there. e

THANKS

NACUBO Business Process Redesign Lea Moore, Office of Process Simplification

Who We Are A systematic approach to continuous improvement at the University. Employees in academic and administrative units form partnerships, supporting the University s mission, to create and maintain efficient processes offering unprecedented levels of service and optimizing the use of human, financial, and technological resources. Report to the VP for Management & Budget History of Process Simplification Page 1

PS Seeks To: improve the quality of a service; improve the users understanding about the service; simplify the steps required to complete a transaction; eliminate unnecessary duplication of effort; maximize the use of available resources; use the best (most cost-effective) technology available to support an activity; and improve communication across units supporting a service. Page 2

PS Services Facilitate communications throughout the organization Assist project owners groups with tracking and reporting process to senior administration Assist in selecting team members Assist in locating resources Provide project infrastructure Resolve project issues Empower team members Page 3

Support from Senior Administration Steering Committee Comprised of Vice Presidents and senior administrators. Provides oversight, guidance, and approval for all major elements of Process Simplification. Assists in communicating the mission and goals of the project to the larger University community. Advisory Committee Comprised of University-wide representatives. Assists in identifying, prioritizing, and initiating projects. Provides global perspective on initiatives. Helps to oversee the general progress of approved projects. Page 4

Projects Recently Completed Projects & Initiatives: Capital Projects Authorization Facilities Management Procurement Analysis Records Management Communication Action Matrix Faculty Exit Procedures Academic Certification Tracking Page 5

How do we do this? National Association of College and University Business Officers (NACUBO) Business Process Redesign Page 6

NACUBO Methodology Discover Redesign Realize Page 7

Discover Phase Mobilize the Process Improvement Effort Set vision and process simplification objectives Develop preliminary scope of work document Organize for success Determine project owner, team, SMEs, stakeholders Kick-off meeting Determine research to be conducted for a baseline Interviews with stakeholders Focus Groups Process Maps Surveys Preliminary Benchmarking Page 8

Discover: Putting It All Together Provide a Summary: Initial project purpose Team member details Timeline of research List of recommendations In-Depth Analysis Documentation: As Is & high level To Be process map(s) Trends discovered Statistics of findings Areas for further research/evaluation Page 9

Redesign Phase Possible additional mini-discovery phase Further research based on recommendations Further develop the to-be process Determine implementation plan, timeline, and change plan Obtain approval/buy-in with Owner to proceed Page 10

Redesign: Developing Solutions Some key guidelines to consider in developing solutions: Reduce complexity Reduce variation Remove waste Fix obvious problems Eliminate errors Open up bottlenecks Connect people who need to communicate!!! Page 11

Redesign: Narrow Solutions Narrow the redesign alternatives. Ask: Does each process make good sense? Are we meeting objectives? Customer needs? Create new process flowcharts. The team should: Ensure all inputs and outputs are accounted for on the proposed model. List issues or assumptions particular to the redesign Identify the critical success factors and strategic advantages Identify effects on other processes throughout the institution Final results: Consensus on the preferred to-be conceptual model Draft of requirements and priorities Page 12

Realize Phase Mobilize: Involvement across impacted area the more involved the better! Implement: Using well documented and clearly articulated plans provide formal training! Measure: Without well-constructed, qualitative performance measures and management attention, dramatic improvements will slowly unravel! Sustain: Ongoing attention and incremental improvements will help to ensure that progress is not lost! Communication is KEY! Page 13

Q & A Opportunity