National Shared Services Delivering a customer-focused support to health service delivery
Planning for Shared Services in The Health Service Executive
ACCA Employers Conference 19th September 2006 Laverne McGuinness National Director of Shared Services
Contents
• Context for Change • National Shared Service Vision & Scope • Business Case Levers • Creating an Environment for Change
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Contents
• Context for Change • National Shared Service Vision & Scope • Business Case Levers • Creating an Environment for Change
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Context – Significant Organisational Change in the HSE (1 of 3)
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Health Care Reform Programme 2003 Replacing 11 former Health Boards with one National Structure
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New Unified National Structure Health Service Executive established 1st of January 2005
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Budget of €12 Billion
Staff in excess of 100,000
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Context - HSE Structure (2 of 3)
1. Health and Personal Social Services are divided into three service delivery units. 2. Population Health Primary, Community and Continuing Care (PCCC) National Hospitals Office (NHO)
Within Support Services are six management units Human Resources Finance Shared Services Information and Communications Technology Estates Procurement
3. 4.
Office of CEO Reform and Innovation
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Context - Significant challenges for National Shared Services (3 of 3)
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• • • • •
Outside of the east little understanding of Shared Services model
Significant transformation throughout HSE – Shared Service but one element of this change Multiple legacy IT systems across country No national standard end-to-end processes 2000+ skilled admin staff spread across many locations to be transitioned to Shared Services Not a small operation to introduce a service for… – 18,000 vacancies filled p/a – Approx 80,000 supplier accounts – 1.5m Purchase Orders – 2 m invoices received annually – 57 m Medical reimbursement transaction per annum
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Contents
• Context for Change • National Shared Service Vision & Scope • Business Case Levers • Creating an Environment for Change
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Objectives of National Shared Services (NSS)
The Vision: To deliver a customer-focused National Shared Services to support health service delivery The following functions will be delivered from National Shared Services: Finance HR Procurement ICT PCRS Legal Services The Key Drivers behind National Shared Services: • Reduces costly duplication • Enables economies of scale • Fosters centres of knowledge • Facilitates shared expertise • Drives consistency in the way things are done
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By any standards, HSE National Shared Services will represent a large-scale transformation programme
National Shared Services
Procurement Legal Services
Finance: HR: Procurement: PCRS:
Finance
PCRS
ICT
HR
Annual Activity
2 Million invoices €8 Bln transaction value 18,000 vacancies filled 100,000 staff paid 1.5 Million Purchase Orders 57 Million transactions €2 Bln transaction value
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National Shared Services Programme Timeline
A Planning Phase was the first step in the four phase NSS Programme. It has driven out: • • An Operating Model defining scope of service A Business Case, tangibly defining the financial and qualitative benefits, thus enabling future tracking
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An Implementation Plan highlighting dependencies, risks and resource requirements
Feb-Jun ‘06
Phase I Planning
Jul-Dec ‘06
Phase II Design Quick Wins
2-4 years
Phase III Build
Phase IV Deploy / Implement
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Scope of National Shared Services
HR Finance Procurement
PCRS
ICT
Legal Service
Recruitment Pensions Mgmt
General / Asset Accounting Payment Services Treasury & Cash Mgmt Billing & Collections
Tender Admin Systems Team
Calculation of Payments Processing of Payments Verification of Claims Compilatio n of Statistics
Personnel Admin
Payroll * Training & Developmnt Travel & Subsistence
Foreign Travel Desk
Assisted Buying Centre
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Rigour has been applied to develop a robust starting point Example below for Finance Shared Service
Scope of Service e.g. General Ledger & Financial Systems
Queries and Compliance Management Financia l System s, Access & Security Set up & maintenance of user profiles & authorisations Managing authorisations within Financial Regulations Review user access and compliance Monitor access to OSS Finance SS
Manage General Ledger
Maintain Chart of Accounts
Creation & Maintenance of Master Data Maintenance of CRS Solution Finance SS Assess impact of change Communicate to all impacted parties Shared Requests for GL Account setup or modification
Process Reporting (KPIs and GL performance reports) Perform Payroll Costing Transac Admin & tion & Allocati Process Reconci on of ing liation Costs Create journal Manage PAYE / Complete entry rules PRSI manual secondary cost Automatic Payment run and allocations upload of all payments interfaces submitted Gather Statistical through ROS Key Figures Perform (SKFs) validation to Returns ensure accuracy submitted to Upload SKFs of transaction Revenue Execute Posting and assessment Finance SS reconciliation of cycles Maintain Non Pay voluntary Reverse Accruals deductions DB assessment Set up recurring cycles Process vendor journal rules payments for Create & voluntary Post to GL Maintain CO deduction Master Data
Finance SS
Indicative Key Service Metrics: • No days to perform close • % journals delivered on time • % accounts reconciled
Request for profit centre creation or modification CRS Change request Executive sign off and approval Retained
Identify need for journal / interface
Create journal voucher (accruals and manual entry)
Obtain appropriate sign off Retained
Internal Payroll Reconciliations e.g. payroll specials Third Party payroll reconciliations e.g. ROS Shared
Plant Maintenance Settlement Finance SS Review Master Data Review and Update Assessment Cycles Shared
Project / Special I&E Account ing Set up projects account Release project for spending Input budget & plans Review & Finalise all project costs and expenditures Settle costs to asset Process unassigned costs / revenues Control checks Close Project Prepare Form 8 for AFS Prepare and submit claims (Form A’s)
Finance SS
Perform Closing Run FM/CO reconciliation Close sub ledgers
Reconcile to GL
Make necessary adjustments Carry out required revaluations Perform Closing QA Checklist Close Period & GL Finance SS Create Close Schedule Monitor Close Schedule GR/IR Maintenance Shared
Financial control checks Review & Update settlement rules
Run stock balances Retained 12
Financial Reporting (Statutory & Non Statutory)
Queries and Compliance Management
Process Reporting (KPIs and GL performance reports)
Extract Trial Balance data from SAP Validate data / check totals Analyse and report on data as necessary Run relevant queries Distribute for review
Report Non Financial Statement s
Ensure All Interfaces uploaded Ensure all reconciliations complete Extract relevant data from SAP Produce AFS & Supplementaries from SAP to templates
Finance SS
Report Annual Financial Statement s
Vote Budget Managem ent
Execute Vote Report Finance SS Vote budget enquiries Analysis & reconciliation of: Appropriation in aid Extra Exchequer receipts Non Vote Income & Expense Suspense accounts Process Virement Process supplementary Shared Calculate return to the Exchequer Retained
Vote Reporting
Preparation of Vote Reporting – Monthly and Annual Vote Report generation in accordance with “Public Financial Procedures” regulations Finance SS Agree vote reports
Vote Reconcilia tion
Reconciliation of Vote to CRS Reconciliation of Bank to CRS Reconciliation of Operating Statement and Appropriation Account
Vote Audit File Requirem ents
Copy of GL on CD Detailed Trial Balance on CD and in hard copy Finance SS Preparation of Lead Schedules for Audit Requirements Shared Audit File approval and distribution Retained
Reconciliation of Vote to AFS
Finance SS
Identify need for report / information Retained
Reconcile agreed balance sheet accounts Consolidation of AFS Audit Performance Shared Identify need for AFS Complete Lead Statutory pages Distribute to internal audit, governance body & board for approval Audit Certification Oireachtas review
Finance SS
Shared
Approval and return to Exchequer Retained
Agree reconciliations Shared Approval
Retained
Retained
Indicative Key Service Metrics: • No days to perform close 13
Management Reporting & Budgeting
Queries and Compliance Management
Process Reporting (KPIs and GL performance reports)
Budget Preparation
Budget preparation
Input Budgets, Revisions & Adjustments
Create / update funds management master data Input Operating Budget Input Capital Budget Review and reconcile budget inputs Execute Assessment Cycles
Period End Mgmt Reporting & Analysis
Report generation Distribution and communication of periodic reports Finance SS Report request received and actioned Query request to developer & report writer Communicate report availability
CRS Month End*
Receive data files Validation (manual) Load actual / budget data to CRS Check for errors Run assessment cycle to transfer appropriate balances to Balance Sheet Review Data & Extract for upload Transfer to Corporate Copy data to BW Reconcile with Special Projects Ledger (SPL) Communicate data availability Finance SS
Retained
Reverse Assessment Cycles where required
Upload budget revisions & adjustments Reconciliation of adjustments Finance SS Reallocate funds Allocate funds to cost element & centre Assign unallocated funds to “holding” cost centre Indicative Key Service Metrics: • % of reports generated and distributed automatically • Availability and use of self service reporting Review Master Funds Management Data Review and Update Assessment Cycles Review budget at consolidation levels Shared
Review and Analyse Plan: Income & Expenditure Relevant SKFs Review & Analyse Working Capital Reports Trend Analysis Comparative Analysis Ad hoc report query / request Retained *CRS is an interim solution.
Create Close Schedule Monitor Close Schedule
Shared CRS Analysis and Board Reporting Retained 14
Accounts Payable
Vendor / User Queries Process Reporting (KPIs and AP performance reports) Supplier Manage ment Purchas ing Delivery & Receipt Invoice process ing Invoices received Invoices validated for syntax errors Invoices scanned and registered Invoice duplicate check Invoice matched with PO and GRN (3 way match) Invoice matched with PO (2 way match) Non Order Payment Request Interface Invoice match (utilities) FX invoice processing Perform Welfare Processing Invoice High Value Block Invoice rerouted for approval as no PO Posted & archived Finance SS Invoice Approved Retained Retained Manage Taxes Plan Taxes Manage VAT & VIES Return Manage PSWT Manage Relevant Contracts Tax (Construction Industry Tax) Tax Clearance Certificate Check Finance SS Paymen t Process ing Determine Cash Position AP Reconcili ations Perform petty cash Impreset Reconciliations Accounts Payable Reconciliations Aged vendor list analysis compared to control account Identify differences and take appropriate action
Procurement
Process Payment proposal (incld. GBP)
Payment block Electronic payments processed Manual payments processed Financial ledgers updated Imprest payments processed Prompt Payment Calculations Finance SS Cheque Management & Maintenance Payment proposal approved Bank signatory approved
Compare statements with AP Ledger
Finance SS
Indicative Key Service Metrics: • % Invoices Paid within Terms • % Unmatched invoices • No. Manual payments • Average Days to Pay
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Contents
• Context for Change • National Shared Service Vision & Scope • Business Case Levers • Creating an Environment for Change
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Drivers of HSE National Shared Services
Management Information
A single, national source of data and more robust reporting will allow for better decision making, strategy development and budgeting
Management Information
Value for Money
Value for Money
NSS will facilitate cost reduction in performing HR, Procurement and Finance transactional activities within the HSE
Enhanced Control Environment
Enhanced Control Environment
Standardisation and consolidation of policy and processes will improve the level of service and provide a greater focus on compliance
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The quantifiable benefits are significant, but outweighed by the potential of the Qualitative
Quantitative Benefits
• Cost savings in transactional workforce • Enabler of procurement savings programme
Qualitative Benefits
• Less transactional activity • Standardisation of processes • Continuous process improvement • Improved control environment • More timely, consistent information • Key enabler in transformation of corporate functions
• Operational cost reductions
• Reduction in ICT costs (national-v-multiple deployments)
VFM
Management Information
Enhanced Controls
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Contents
• Context for Change • National Shared Service Vision • Business Case Levers • Creating an Environment for Change
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Context for Successful Change
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• • • • • • •
Project directly sponsored by CEO and top management
Integrated Transformational Programme with HSE Business Units and Corporate functions Transparent communication to all stakeholders (management, staff, unions, etc) A compelling rationale and business case for change Significant emphasis on Change Management to ensure programme acceptance and delivery of results The project is “business focused” as opposed to “system focused”, resulting in an integrated solution that brings together processes, people and technology In addition to core ERP platform ensure Shared Services enabling technologies (eg: scanning, workflow) are incorporated into design Strong HSE team skill-set, breadth of experience and diversity of perspective
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Programme Governance is vital for gaining commitment and integration to reform program
CEO
CEO Sponsorship Directly accountable to CEO Governance is representative of HSE Management Team across Business Units and Corporate Functions Continue to integrate with Corporate Transition Leads
National Director of SS
NSS Governance Committee NSS Advisory Panel
“Ensures integration with other programmes”
NSS Prog. Leadership
NSS Workstream Leadership Work stream Leadership
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A business case that has clear value for all stakeholders
1. Enhanced Control Environment
2. Management Information
3. Value for Money
Corporate Functions
Finance Policy Strategy ICT Functional Strategy HR Compliance
National Data Source Standard processes & tools Consolidated standardised data
Business Units
NHO PCCC Service Provision Corporate Support Services Population Health Corporate Affairs Voluntaries*
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National Shared Services
Procurement
* For any Voluntaries within future scope of Shared Services
A detailed framework for change has been established
There are many change aspects which need to be planned and managed to ensure the successful implementation of NSS.
1. Change Planning 11. Service Baselining
2. People 3. Knowledge
10. Contingenc y
4. Systems
Change Aspects
9. Cutover
5. Facilities
8. Data 7. Training
6. Comms
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Thank you
Laverne McGuinness National Director of Shared Services
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