Case Management: Where Rules Meet Process And Content

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Sandy Kemsley l www.column2.com l @skemsley Case Management: Where Rules Meet Process And Content Building Business Capability Las Vegas 2013

description

Slides from my presentation at Building Business Capability conference, Las Vegas, 13 November 2013

Transcript of Case Management: Where Rules Meet Process And Content

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Sandy Kemsley l www.column2.com l @skemsley

Case Management:

Where Rules Meet

Process And Content

Building Business Capability

Las Vegas 2013

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Agenda

l How we work, and the systems that

support it

l A closer look at case management

l Content

l Checklists

l Process

l Rules

l Events

l Benefits of case management

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How We Work

The Systems We Use To Work

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How We Work: Taylor vs. Drucker

l Scientific management

l Standardize processes to increase efficiency

l Management by objectives

l Participants choose actions to meet goals

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Routine vs. Knowledge Work

Routine Work

l Efficiency

l Accuracy

l Process improvement

l Automation

l “Classic” BPM

Knowledge Work

l Flexibility

l Assist human knowledge

work

l Collect artifacts

l Adaptive Case

Management (ACM)

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A Range Of Process Repeatability

Structured

• e.g., automated regulatory process

• Pre-defined participants

Structured with ad hoc exceptions

• e.g., financial back-office transactions

• Select from pre-defined participants

Unstructured with pre-defined fragments

• e.g., insurance claims

• Select pre-defined or new participants

Unstructured

• e.g., investigations

• Collaboration on demand or self-selected participation

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Broader Spectrum of Predictability

Source: Keith Swenson, Fujitsu, www.social-biz.org

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Competing/Complementary

Product Classes

l BPM

l Simple workflow

l ECM

l Capture

l Correspondence management

l Case management (PCM, ACM)

l OEM BPM/ECM solutions

l Ad hoc task management

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A Range Of Usage Scenarios

l Process orchestration

l Transaction-centric

l Predefined processes

l Complex knowledge work

l Content/information-centric

l Predefined tasks, selected by worker

l Simple task/process management

l Goal-centric

l Checklist created/assigned by worker

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Adjacent/Overlay Technologies

l Analytics

l Prediction for problem avoidance

l Simulation for recommendations

l Mining for discovery

l Rules

l In-line calls for decisioning

l Declarative for triggering actions

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A Closer Look At

Case Management Systems

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[Adaptive] Case Management

l Dynamically configurable to meet worker’s

needs

l Supports rather than controls

l Case folder as central permanent artifact

l Reliance on rules and content as well as

process

l Collaboration on demand

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BPM Versus ACM

BPM ACM

Repeatability Highly repeatable Unpredictable

Focus Transactions Knowledge

Goal Efficiency: replace

human steps where

possible

Problem resolution:

assist and support

case worker

Example Straight through

processing of

financial transactions

Managing chronic

patient care

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Knowledge Worker Challenges

Without ACM

l Rigid processes in existing systems

l Manual work-arounds and collaboration

l Process/task-centric

l Insufficient context for decision-making

l Time wasted looking for relevant information

l Manual orchestration of multiple applications

l Inconsistent application of policies/rules

l Training time increases with rule complexity

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What Makes A Case?

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Content

Checklists

Processes

Events

Rules

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What’s In An ACM System?

l A combination of process, content, rules,

events, collaboration, analytics...

l Persistent case folder

l Pre-defined checklists for common tasks

l Guidance/guardrails via declarative rules

l Personalization for worker preferences

l Prediction and what-if scenarios

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Case Management Use Cases

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The Importance Of Process:

Loan Exception Handling

l Predefined process for loan transaction

l Exceptions due to missing documentation

l Collaboration between front/back office to

gather documents from customer

l Override standard documentation requirements

l Case management benefits:

l Exceptions remain “in the system”

l Emergent behavior patterns detected for future

process improvement

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The Importance of Content:

Customer Call Center

l Knowledge work within context of customer

information

l Hand-off of responsibility common

l Case management benefits:

l Less hand-offs since earlier workers may solve

problem within context

l Full customer history travels with case

l Other customer events can impact case in flight

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The Importance of Rules:

Insurance Claims Handling

l Knowledge work in context of claim

documents

l Claim manager retains responsibility but

may delegate tasks

l Case management benefits:

l Faster claim resolution due to information

context

l Improved compliance due to policy/rules

enforcement

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Benefits Of

Case Management

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Benefits Of Case Management

l Management control/visibility into work in

progress

l Informational context improves knowledge

worker decision-making and productivity

l Task reassignment allows delegation

l Compliance and policies enforced

l Audit trail tracks participants and actions

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Related Benefits

l Realtime business event monitoring

l Predictive analytics and recommendations

l Mining for emergent processes

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Sandy Kemsley

Kemsley Design Ltd.

email: [email protected]

blog: www.column2.com

twitter: @skemsley

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Slides at www.slideshare.net/skemsley