Showing posts with label Process Management. Show all posts
Showing posts with label Process Management. Show all posts

BPM helping in healthcare

BPM helping in healthcare: We continue our occasional series on how different industry sectors are supported through the deployment of BPM - both as a technology, way of working and sustainable means of delivering the Triple Crown (lower costs, higher revenues and enhanced service).


Ottawa hospital won best project category at the annual PEX event in Orlando earlier this year. It is an annual forum sharing and exchanging information in and around BPM, Process Excellence and Customer Experience Management.

The next USA PEX event can be reviewed at: http://bit.ly/PEX_USA

other recommended conferences on the theme include:
Australia (July) - http://bit.ly/PEX_Sydney
USA (September) - http://bit.ly/BPX_LasVegas


Certification in Customer Experience Management, Process Management and Outside-In?

Hard to believe that it is already the second half of 2014. Where does time go these days?

There is no time to delay that next oomph and career boost with some specific hands-on training based on the approaches used in the worlds leading companies. As an individual the Certified Process Professional qualification is the gold standard with a proven pedigree of 28,000+ CPP's since 2009. http://www.bpgroup.org/certification-by-city.html

Are you responsible for Process Management?
If you are responsible for your organizations processes, performance management and/or the Customer Experience you can go further and bring the program in-house and have it customized around the CEMMethod for your specific environment. You will be joining organizations like Citibank, WCB, Nature Conservancy, IQ Business, Old Mutual, Mediclinic, Bank of Valleta, AIA, Vodacom, Aramco, NBAD, Reliance, ABB and dozens more - and that's in the last two years!

The next 3 and 5 day Open 2014 classes in the USA, South Africa, Australia, UAE, Singapore and the UK.

http://www.bpgroup.org/certification-by-city.html

This week we are in South Africa for the CPP Masters program co-hosted with African partners IQ Business - follow progress via #certifiedprocessprofessional.

Here's the team shot of the last session in Johannesburg a couple of months ago.






4. Breakpoints - Identifying them, fixing them and controling them


Do you follow up on others to ensure that activities they are responsible for are being done in a timely manner so you can get your primary work done?
Any time we “check” on something, we are doing so because a Break Point exists.
Do you ever need to “fight a fire”?
Every “fire” exists because of a Break Point, Moment of Truth or Business Rule.
What about meetings? Do you have meetings in order to get everyone “on the same page”?
Many meetings exist solely to coordinate and communicate the actions that need to be taken in response to “break downs” from Break Points and Moments of Truth.
How many actions do you take to confirm something got done, has been completed or to check on something to make sure it is in a particular place, with a particular person, etc?
Actions taken to confirm other actions are behaviors that arise from failures that have occurred in the past (we have learned our lesson) at Break Points and Moments of Truth.
How many times have you had to fill out one or more forms to “document” the fact that something got done?
Documenting normal work is a behavior spawned by process failure at one or more Break Points as a means to “reduce” the number of failures that don’t get “caught.” (This is called fixing the effect – which always leads to the creation of more Causes of Work.)
Remember, any place that a hand-off occurs for any interaction between any combination of people and systems, a Break Point exists.
What do you need to know to put this strategy to work for you? 
It’s simple. You are only five steps away from identifying the causes of work in your organization then eliminating them. You need to have a target, Break Points identified, Actions identified, Cost/Benefit Assessment and your Cost Reduction Plan.

Time Management with less than 365 days to go to Armageddon

...or that is what the Mayan's say. The big day is 21 December 2012. Whether we experience the apocalypse, or it is just another dull day before Christmas? remains to be seen. Meanwhile we had better make use of the time in hand ;-)

With that in mind I have turned my attention to a genius of time management, managing conflicting interests and on the whole being hugely successful at such a young age.... James Dodkins. Here are his tips for pre Armageddon (and tuning in to deliver that project success).

Thanks James....

Sort your life with this formula, agree with yourself at bedtime and Kazam...


A-E formula
A - High Priority
B - Mid Priority
C - Low priority
D - Delegate
E - Eliminate

Happy 2012 ;)

Successful Customer Outcomes & Process Excellence


Creating Successful Customer Outcomes (SCO's) must begin with the understanding that process is a means to an end, not an end of itself. I do not want a doctor, a medical or a diagnosis. What I need is to get well.

We also should avoid another trap. That is capturing requirements on the solution rather than describing customer needs. All the customer focus groups, surveys and quality reviews are looking at current stuff, not on the SCO. Therefore they are limited and may even completely derail customer delivery, sometimes with tragic consequence.

Processes that clearly align with SCO's achieve five times the success rate of processes that have a poor fit with customer need.

Are you in the shadow of a Scottish Pin Factory?

What is this?
Yes it is YOUR organization chart.

It is also a legacy from the Industrial Revolution and notably Adam Smith's book "The Wealth of Nations" (1776). Are you organizing yourself like a Scottish pin factory or more realistically for the second decade of the 21st century?


Someone who takes a sideways swipe at the 'sub division of labor' is Seth Godin.

Have a glance at his most excellent blog:
http://bit.ly/BPM_Org_Charts

Links to Enterprise BPM and Process Transformation resources

Where do you go for uptodate and relevant resources for Enterprise BPM and Outside-In?

Here's a collection utilised by Certified Process Professionals with an acletic mix of tools, techniques, downloads, videos and links to key people in the world of process and customer transformation.

If you have an additional link do let us know.


1 BP Group website http://www.bpgroup.org
2 BP Group on Linkedin http://bit.ly/joinbpgroup
3 Coaching in Customer Expectation Management & BPM http://www.bpmbox.com
4 Certified Process Professional web http://www.certifiedprocessprofessional.com
5 Enterprise BPM Outside-In blog http://www.successfulcustomeroutcomes.net/
6 BPGroup blog http://bpcommunity.blogspot.com/
7 BP Group slideshows http://www.slideshare.net/stowers/
8 Twitter http://twitter.com/#!/stowers
9 Videos on the theme of Enterprise BPM & Outside-In http://bit.ly/SteveTowersYoutube
10 Resources and people involved in BPM & Outside-In http://www.oibpm.com
11 BPM & Outside-In consultancy website http://www.towersassociates.com
12 Outside-In. The Secret of the 21st century successful companies http://bit.ly/OutsideInApple




Public Services and Enterprise BPM aka Outside-In

In many countries, the phrase public service is considered something of an anachronism. At all levels of government and government led services, customers perceive that overall they get a raw deal when compared to the levels of service they now regularly expect from privately held organizations. In this article we will explore how Customer Age thinking and the concepts of Successful Customer Outcomes and Next Practice are helping to change that perception and lead to increased efficiency in public services around the globe.


With regard to the issues of local, regional, or national government we firstly need to remember that in a democracy government is of the people, by the people, with the will of the people. As governments increasingly raise taxes and start to play a more active role in the everyday lives of people there is a real risk that if they do not focus on their “customer” and what the customer wants, that they might lose that will. So for government departments at all levels there needs to be very clear on who the customer is and what they want. In this they are no different from a private enterprise, customers do not care about your internal bureaucracy or your policies and procedures, they do care about being able to access your services in an efficient manner and know that they are being cared for.

Nobody is suggesting for one moment that you can please everybody. But if those that you are not pleasing are displeased through poor service or overly complicated procedures and policies then they have in most cases good cause to complain. Indeed, employees in the public sector would do well to remember that it is their tax money that is being potentially wasted too!
Many people might feel that government and public sector is “different” and that the same rules cannot apply. To a small extent this may be right, but in the majority of cases fresh thinking can still lead to increased service and efficiency.

Take the case of a police force. While recently working with a regional police department the point was raised, that they are a very different business, and unlike anything in the private sector. This is typical of the inside out thinking that tends to occur in public service. It we look at it from the outside in, the police force could be considered rather like an insurance company. The parallel is quite a simple one. With insurance we pay a monthly or annual premium to a company on the promise that if something goes wrong we can contact them and they will sort it out – cars, home, or life. So in the case of the police we pay taxes each month (our premium) so that if something goes wrong we can contact them and they will send someone to help us – surely this is just the same, from the customer point of view, as the insurance scenario? The same also of course can be said of the fire and ambulance services. Why then can such services not look at what insurance companies are doing in order to improve service and responsiveness?
As a side issue in another discussion with a different police service the issue of customer became apparent in a different way. In this force they felt that the way they had been organized was to ensure that they provided the best service to their customer, it was just that in their case they saw the criminal as the customer, not the victim! So when identifying your customer you do need to be clear on your purpose in order that you are serving the right customers.

The example of the emergency services given here is a good example of how “Outside-In” can be applied in the public service and how in looking for new and innovative ways to improve service and increase efficiency the public sector can benefit from looking at how the very best people are handling that situation, regardless of geography or industry sector.

The parallels do not end there though. Those familiar with the Beatles may recall a song from Sergeant Peppers Lonely Hearts Club Band (an older but a goody) and a track mentioning 4,000 pot-holes in Blackburn, Lancashire. The song related John Lennon’s curiosity at how many pot-holes would it take to fill the Albert Hall (a particular large musical venue in central London) and indeed why were there so many holes? Well clearly at that time he had never visited Chicago as they have enough holes to fill the Grand Canyon!

The story of how the Chicago Works Department transformed a moribund public service (fixing said potholes) which typically took 6-8 weeks, involved up to 30 people, and on average cost an incredible $42,000 USD is now becoming legend in BPM parlance.

The full story of the fix will wait for another day however the quantum leap here with Outside-In and Successful Customer Outcomes drew its inspiration from Expedia. Daniel Pink (A Whole New Mind) would be proud of the right brain thinking which imported Expedia’ scheduling ‘idea’ to let citizens define the problem, chose a suitable repair and select a convenient date for the repair team fix from a two screen web based system. Problem fixed. Now on average 4 days, 5 people and $2,000 USD. That still seems a lot (especially for tax payers) for filling a hole but boy is it giant step in the right direction!

Of course we can extend this thinking even further into many walks of public service. Where would you start your Outside-In endeavors?

Everything is Process


There is only this. Everything is process. There isn’t anything that isn’t a process. All processes exist to contribute to the achievement of a Successful  Customer Outcome (SCO). 

If a process does not explicitly contribute to the achievement of the SCO, then it is potentially dumb stuff and should be eradicated.

If Outside-In aka Customer Centricity is so Obvious...

Outside-In is clearly the way for the worlds top companies
(see David Mottersheads blog at http://www.outsideinconsulting.com.au/outside-in-blog.html) and reflecting on the commentary by Hank Barnes in "Customer Experience Challenges: Why Maintaining an Outside-in Approach is Tougher than it Seems"

the answer as to why the masses don't get it is probably very simply the herd instinct.



For instance in 1969 astronomer J. Donal Fernie made an observation many of us will understand. In writing about the decades it took his fellow professionals to spot a fundamental error.. "the definitive study of the herd instincts of astronomers has yet to be written, but there are times when we resemble nothing so much as a herd of antelope, heads down in tight formation, thundering with firm determination in a particular direction across the plain. At a given signal from the leader we whirl about, and, with equally firm determination, thunder off in quite a different direction, still in tight parallel formation"


We of course have our own immediate examples. What about the world leading Insurance Company waiting eight days for ink to dry on parchment paper before sending out a new policy? Or the removal business that stuck with a 35 mile rule limit just in case the horse died? What about suggesting people visiting the UK from 'abroad' should practice driving on the left before they came if they weren't used to it (to reduce the accidents on UK roads).


Yup there are lots of antelopes out there.
Will you meet any tomorrow? And will you be running with the herd?



Ciao, Steve

Part 4 of 4: There are four distinctly Outside-In ways that you can rethink process and in doing so achieve Triple Crown benefits - Rethinking the Business you are In

The previous three articles in this four part theme we reviewed Part 3: 'Reframing process for an Outside-In world',  Part 1: 'Understand and applying Process diagnostics' and the Part 2: 'Successful Customer Outcome' map. 
We now move our attention to the fourth  way we can rethink process forever


Rethinking the Business you are in.


In the Southwest airlines example reviewed earlier we referred to the different viewpoints of the ‘business’ you are in. The two views – one the organisations, regarded as inside-out reflect the activities and functions undertaken. So British Airways see themselves in the business of flying airplanes and approach the customer with that product/service in mind. They set about marketing and selling the flights and hope to pull the customers to the product through pricing, availability and placement. In a slowly changing world where customers have little choice this strategy can provide a route to success.


As we have already seen the tables have turned and the enlightened customer demands so much more.
Southwest and other Outside-In companies understand this challenge and take a customer viewpoint.
What business would you say these six companies are in: Hallmark Cards, BMW, Disney, Zara, AOL, OTIS elevators, China Mobile?  Try it from the customers perspective and you’ll arrive at a very different answer – try these, expression, joy, magic, style and comfort, community, moving people, connectivity. Yes they are very different and will reframe the way you think of the service and products you provide. Go further and look inside your existing company.


Are you still separated into functional specialist areas providing specific outputs to other departments in the so called ‘value chain’? Do you have internal ‘service level agreements’ that specify what you’ll deliver and when? How much of our internal interaction adds ultimate value for the customer? This way of organising work imposes limitations on our ability to truly deliver successful customer outcomes. The Inside-out viewpoint is inefficient, prone to red tape, is extremely risk adverse (checkers checking checkers) and slow in delivering product and service.


Many inside-out organisations actually regard customers as an inconvenience rather than the reason why they exist.


What business are you in? Past, present, future?


Join us on LinkedIn (now 6,600+ members) http://bit.ly/joinbpgroup
Visit additional resources www.oibpm.com
Become a Certified Process Professional www.certifiedprocessprofessional.com 

Part 2 of 4: There are four distinctly Outside-In ways that you can rethink process and in doing so achieve Triple Crown benefits.

In the first article in this four part theme we reviewed 'Understand and applying Process diagnostics'. We now move our attention to the second  way we can rethink process forever -
Identify and aligning to Successful Customer Outcomes


“Businesses can be very sloppy about deciding which customers to seek out and acquire” Frederick F. Reichheld

The six questions we ask ourselves in this iterative process are:
I.    Who is the customer?
At first glance should be an easy answer however it is not as obvious as it seems. The ultimate customer for any profit making enterprise is the person, or company who provides the revenue by purchasing the products or services we produce. It is a matter of fact that in our inside-out legacy world we have created multiple customer-supplier relationships which include internal ‘service’ providers such as Information Services, Human Resources and so on. In mature Outside-In organisations the internal customer ceases to exist as we progressively partner to align to Successful Customer Outcomes and artefacts such as Service Level Agreements become a thing of the past.


II.    What is the Customers current expectation?
The 2006 book “Customer Expectation Management “ Schurter/Towers reviewed in detail the of creating and managing customer expectations and how through clear articulation companies such as Virgin Mobile in the US redefine their market place. In the context of the SCO map we need to understand the customers (as identified in the answer to question 1) current expectation. This often reveals both a challenge and opportunity. Customers will tell it as it is, for instance in an insurance claim process “I expect it is going to take weeks, with lots of paperwork and many phone calls”. That should tell you the current service is most likely poor and fraught with problems, delays and expensive to manage however this presents the opportunity. If that is a market condition (all insurance claims are like this) then moving to a new service proposition will be a potential competitive differentiator.  


III.     What process does the customer think they are involved with?
In the inside-out world we see process in a functional context. Therefore insurance claims are dealt with by an insurance claims department. Customer Retention is the baby of you guessed it, the Customer retention department and marketing is done by the marketing people. This split of responsibility is a legacy of functional specialisation created by relating to business as a production line. Adam Smith wrote in ‘The Wealth of Nations’ (1776) of an English pin factory.  He described the production of a pin in the following way: ”One man draws out the wire, another straightens it, a third cuts it, a fourth points it, a fifth grinds it at the top for receiving the head: to make the head requires two or three distinct operations: to put it on is a particular business, to whiten the pins is another ... and the important business of making a pin is, in this manner, divided into about eighteen distinct operations, which in some manufactories are all performed by distinct hands, though in others the same man will sometime perform two or three of them”. The result of labor division in Smith’s example resulted in productivity increasing by 240 fold. i.e. that the same number of workers made 240 times as many pins as they had been producing before the introduction of labor division. The insights form Smith underpinned the industrial revolution however using this principle to organise ourselves in the 21st century is to a very large part the wrong approach. That is precisely what the answer to the question will tell us – “sorry sir you are talking to the wrong department, let me transfer you”. Or even getting stuck in automated response system hell “press 1 for this, 2 for that, 3 for the other and 4 if you have missed the first three options.” These are features of the labor division mindset. Ask a customer what process they think they are and you will frequently be surprised by the answer.


IV.    What do we do that Impacts customer success?
Often we ask customers to do numerous many activities which appear sensible  to receive service or indeed buy products. Relating back to the insurance claim we can see rules and procedure around how to make claims, the correct way to complete forms, the process of collating the information, the timeframes within which to claim, the way we can reimburse you and more.  Often times these restrictions that we impose made sense at some time in the past however they may no longer be relevant.

The situation is compounded by the way internal functional specialism focus on project objectives. Richard Prebble, a respected New Zealand politician writes in his 1996 book “I’ve been thinking” of the inability of organisations to think clearly of the amount of work they create and in fact “they spend a million to save a thousand every time”.
His story of the challenge within large organisations is typical "The Post Office told me they were having terrible problems tracking telephone lines ... They found an excellent program in Sweden which the Swedes were prepared to sell them for $2m .... So the managers decided to budget $1m for translating into English and another $1m for contingencies. But, as the general manager explained, it had turned out to be more expensive than the contingency budget allowed and they needed another $7m. "How much", I asked, "have you spent on it so far?" "Thirty-seven million dollars" was the reply. "Why don't we cancel the programme?" I asked "How can we cancel a programme that has cost $37m?" they asked   "Do you believe the programme will ever work?" I asked "No, not properly" "Then write me a letter recommending its cancellation and I will sign it" The relief was visible. I signed the letter, but I knew I needed new managers."

This type of inside-out thinking causes companies to create apparently sensible checks and controls within processes that actually manifest as customer inconvenience, cost and delay. Are you making the customers lives easier, simpler and more successful?


V.    The Successful Customer Outcome – what does the customer really need from us?
At this point we should have enough information to objectively create several statements that articulate the SCO. These statements should be specific, measureable, attainable, relevant and time-bound (SMART). Usually there will 6-10 such statements which become the actual key performance measures as move the process Outside-In. For example a North American business school completed the SCO map and created these statements from the customer perspective for an ‘Education loan application’ process:
a.    I need to receive my financial assistance
b.    I need to receive aid  before the semester starts
c.    I need to attend the classes I have chosen
d.    I do not want to call to chase progress
e.    I need to receive the correct amount
f.    I do not want to have to fix your mistakes

There is no ambiguity here and we avoid a common mistake of using management weasel words such as ‘efficient, effective, timely’ which may mean things internally but to a customer are of little help. Creating SCO statements that may be used as measures for process success is a key aid on the journey to Outside-In.


VI.    And now we reach the core of the onion. What is the one line statement that best articulates our Successful Customer Outcome? This one-liner embodies the very nature of the process and sometimes the business we are in. In ‘Thrive- how to succeed in the Age of the Customer’ McGregor/Towers (2005), Easyjet (Europe’s second largest airline) is used as an example in this quest. Their simple “Bums on Seats” SCO sentence works both from a company perspective (we must maximise utilisation, offer inexpensive seats, get people comfortably and safely to their destinations) and the customers needs  “I need a cheap safe seat to get me to the sunshine quickly without a fuss”.  

The company one liner will become part of a series which are measureable through the SCO statements and can be tested and revised depending on evolving customer expectations and needs. It may in fact ultimately replace the inside-out strategic process and provide the organisation with its Raison d'être.

Of course when we start the journey it is often sufficient to create SCO maps to help grow understanding and even if the actual SCO Map is subsequently replaced (as we take a broader view) the improvement in understanding around the customer is invaluable.


In the third part of this four part series we will review "Reframe where the process starts and ends"

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Visit additional resources www.oibpm.com
Become a Certified Process Professional www.certifiedprocessprofessional.com