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May 2006 AITP HCSC PEP Summary v3

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HCSC’s Process Excellence Program

Supporting HCSC’s Strategic Vision

Agenda





Process Excellence Program Overview



Implementation of a Governance Model



Critical Success Factors



Lessons Learned To date









2

Program Business Drivers



2010 Vision

 Significant Membership Growth

 Best in Class Service

 Leading Brand





Center for Process Excellence

 Our goal was to improve our business processes.

 We soon realized that we had to do more.

 We needed to focus on

• doing business differently;

• behaving differently; and

• providing a foundation on which we can achieve our strategic objectives and move

into the future.







Regulatory Compliance

3

PEP is aligned with ITG’s Vision Points



ENSURE RELIABILITY AND

AVAILABILITY IN

DELIVERY OF ALL DELIVER FLEXIBLE

SERVICES SOLUTIONS THROUGH

SEAMLESS INTEGRATION

CAPABILITIES

MANAGE CAPACITY TO

SCALE WITH CHANGING

DEMAND SUPPORT HCSC’S

INDUSTRY AND OPINION

PEP

LEADER ROLE Goals & Outcomes

BE A CUSTOMER

FOCUSED SERVICE  Responsive

ORGANIZATION  Reliable

ACCELERATE PRODUCT

SPEED TO MARKET  Compliant

BE A TRUSTED PARTNER

 Scalable

IN THE MANAGEMENT OF

INFORMATION

BE THE IT PARTNER OF

CHOICE



ENABLE MERGER

EXCELLENCE





4

PEP Phase I - In A Nutshell



Reliable control over changes to the production

environment





Responsive development and delivery of reliable new

business systems





Responsive and reliable resolution of IT incidents





Achieving regulatory compliance





Supporting cultural change



5

Just enough process…

Project Significant Moderate Process Minimum Related Items Out of

Workstream Reengineering Reengineering Necessary for Scope for Phase I

SOx







Systems Additional CMMi

Development & processes for Level 3 and

Project Lifecycle beyond

Management







Change Control & Additional ITIL Processes

Management







Incident Problem Management

Management (Excluded from PEP

Phase I, but being

addressed by ITG)







IT Policy & N/A

Procedures

Documentation







IT Risk Wide Risk N/A

Assessment







Internal Control N/A

Assessment &

Compliance

Monitoring







3rd Party Services N/A



6

Agenda





Process Excellence Program Overview



Implementation of a Governance Model



Critical Success Factors



Lessons Learned To date









7

Frameworks for Governance at HCSC



COSO – Governance Framework that was developed

and is targeted at controlling and governing financial

reporting processes.



CobiT – IT Governance Framework that was developed

originally to support IT Auditors. Since SOx it has

become a helpful tool for IT Managers to IT

Governance with regulatory compliance.



ITIL – A set of best practices for IT Service

Management.



CMMi SEI – A process improvement approach for

Software Engineering

8

COSO: Internal Control Framework

Part of Sarbanes-Oxley Compliance is COSO Adoption





Control Activities

Monitoring

 Assessment of a control system’s performance over  Policies/procedures that ensure management

directives are carried out.

time.

 Combination of ongoing and separate evaluation.  Range of activities including approvals,

authorizations, verifications, recommendations,

 Management and supervisory activities. performance reviews, asset security and

segregation of duties.

 Internal audit activities.









Information and Communication Control Environment Risk Assessment



 Pertinent information identified, captured and  Sets tone of organization-influencing control  Risk assessment is the identification and analysis of

communicated in a timely manner. consciousness of its people. relevant risks to achieving the entity’s objectives-

forming the basis for determining control activities.

 Access to internal and externally generated  Factors include integrity, ethical values,

information. competence, authority, responsibility.

 Flow of information that allows for successful  Foundation for all other components of control.

control actions from instructions on responsibilities

to summary of findings for management action.









9

Using the Frameworks for ITG



CobiT – Risk & Control focused; What we should doing;

Foundation of our policies.

ITIL – IT Service Delivery and Service Support focused; How we

should meet the objectives related to IT Operations and

Production Support. HCSC is focused on Service Delivery &

Service Support components

CMMi – IT Systems Development and Project focused; How we

should meet the objectives related to Systems Development.

HCSC is focused on CMMi level 2 and some level 3 capabilities.



Plan Build Run Report



CMMi ITIL



CobiT

10

COSO – As it relates to IT Governance & PEP



Control Environment

 Policy team

 Tone at the top through Organizational Change & Communication

Risk Assessment

 Risk Management team

Information & Communication

 Organizational Change and Communication

Control Activities

 Process & Control Frameworks CobIT, ITIL, CMMi

Monitoring

 Internal Control Monitoring

 Metrics and Measures



11

Implementation Roadmap



 Creation of Governance Framework: defined where we wanted to be

 Development of Process Model for ITG

 Team formation with team leads and process owners

 Process Design Sessions

 Project Initiation & Business Case









Customer Engagement

 Detailed Design









Communication &

 Org Design

 Process Design

 Technology Design

 Construction

 Development of roles, responsibilities, incentives and measures

 Development of procedures, job aids, and other user guides

 Development and integration of technology environments

 Development of training

 Pilots

 Implementation

 Training

 Acceptance Criteria

 Go Live

 M easurement & Adoption Tracking

 Continuous Improvement 12

Agenda





Process Excellence Program Overview



Implementation of a Governance Model



Critical Success Factors



Lessons Learned To date









13

How will we sustain our progress?

Adoption model and measurement

Program wide and Project specific metrics

Substantial training and continuous development

On site coaches and advisors supporting the new process

teams

New PDR/Assessment tools and metrics to shift thinking to

a process organization

Revised ITG Incentive plan that supports process

behaviors

An ongoing “Process Center/Team” to ensure

sustainability and process growth on an ongoing basis into

the future





14

Agenda





Process Excellence Program Overview



Implementation of a Governance Model



Critical Success Factors



Lessons Learned To date









15

Lesson’s Learned





Manage the scope of the change effort (Phase I, Phase II)

There are no one sized fits all solutions

Deemphasize the frameworks as soon as you can (they are a

means to an end, not the end)

Business Engagement and buy-in is critical









16



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