Why Complexity May Be Killing the NHS NPfIT

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Paulo Rocha, Manager Strategy Services Roger Sessions, CTO, ObjectWatch Inc.

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  • Why Complexity May Be Killing the NHS NPfIT

    1. 1. Why Complexity May Be Killing the NHS NPfIT Paulo Rocha, Manager Strategy Services Roger Sessions, CTO, ObjectWatch Inc.
    2. 2. Agenda <ul><li>The Problem of Complexity </li></ul><ul><li>NPfIT and Complexity </li></ul>Commercial in confidence | Copyright © 2007 Fronde Systems Group Limited and ObjectWatch, Inc
    3. 3. THE PROBLEM OF COMPLEXITY Commercial in confidence | Copyright © 2007 Fronde Systems Group Limited and ObjectWatch, Inc
    4. 4. Key Assumptions <ul><li>IT failures are not the problem, they are symptoms of a problem </li></ul><ul><li>The real problem is enterprise complexity </li></ul><ul><li>Control complexity and IT success follows </li></ul><ul><li>Fail to control complexity and nothing else matters </li></ul><ul><li>Complexity Control is Job 1! </li></ul>Commercial in confidence | Copyright © 2007 Fronde Systems Group Limited and ObjectWatch, Inc
    5. 5. Ways to Control Complexity <ul><li>Intentionally </li></ul><ul><li>Accidentally </li></ul><ul><li>Not At All </li></ul>Commercial in confidence | Copyright © 2007 Fronde Systems Group Limited and ObjectWatch, Inc
    6. 6. Business Systems and Complexity Complexity = (Branches per Decision Point) Decision Points Commercial in confidence | Copyright © 2007 Fronde Systems Group Limited and ObjectWatch, Inc
    7. 7. Partition to Reduce Complexity Commercial in confidence | Copyright © 2007 Fronde Systems Group Limited and ObjectWatch, Inc 2,176,782,336 states (6 12 x 1) 93,312 states (6 6 x 2) 3,888 states (6 4 x 3)
    8. 8. Partitions Commercial in confidence | Copyright © 2007 Fronde Systems Group Limited and ObjectWatch, Inc
    9. 9. NPFIT AND COMPLEXITY Commercial in confidence | Copyright © 2007 Fronde Systems Group Limited and ObjectWatch, Inc
    10. 10. NPfIT Conceptual Architecture Commercial in confidence | Copyright © 2007 Fronde Systems Group Limited and ObjectWatch, Inc
    11. 11. A Complexity Multiplier <ul><li>Multiple Implementations, Multiple Deployments </li></ul>Commercial in confidence | Copyright © 2007 Fronde Systems Group Limited and ObjectWatch, Inc Key = type = implementation = deployment Southern CIS London CIS Eastern CIS North West West Midland CIS North East CIS CSC/ ISoft Accenture / ISoft Clinical Information System CSC/ ISoft BT/ IDX Fuijitsu / IDX
    12. 12. Partition to Reduce Complexity <ul><li>Step 1 – Focus on Complexity </li></ul>Commercial in confidence | Copyright © 2007 Fronde Systems Group Limited and ObjectWatch, Inc Key = type = implementation = deployment Southern CIS London CIS Eastern CIS North West West Midland CIS North East CIS Clinical Information System NPfIT CIS
    13. 13. Partition to Reduce Complexity <ul><li>Step 1 – Partition, Simplify, Prioritise, Iterate </li></ul>Commercial in confidence | Copyright © 2007 Fronde Systems Group Limited and ObjectWatch, Inc
    14. 14. Conclusion - In Simple Terms <ul><li>Partition to slash complexity </li></ul><ul><li>Simplify the partition as much as possible </li></ul><ul><li>Iterate through the subsets of the partition </li></ul>Commercial in confidence | Copyright © 2007 Fronde Systems Group Limited and ObjectWatch, Inc
    15. 15. Commercial in confidence | Copyright © 2007 Fronde Systems Group Limited and ObjectWatch, Inc
    16. 16. The Problem Commercial in confidence | Copyright © 2007 Fronde Systems Group Limited and ObjectWatch, Inc
    17. 17. Traditional Complexity Management <ul><li>Example – The Zachman Framework </li></ul>Commercial in confidence | Copyright © 2007 Fronde Systems Group Limited and ObjectWatch, Inc Order Layer What (Data) How (Function) Where (Network) Who (People) When (Time) Why (Motivation) 1 Scope Context Boundary (Planner) List of things important to the business List of processes the business performs List of locations in which the business operates List of organizations important to the business List of events significant to the business List of business goals/ strategies 2 Business Model Concepts (Owner) Semantic or Entity-relationship Model Business Process Model Business Logistics System Work Flow Model Master Schedule Business Plan 3 System Model Logic (Designer) Logical Data Model Application Architecture Distributed System Architecture Human Interface Architecture Processing Structure Business Rule Model 4 Technology Model Physics (Builder) Physical Data Model System Design Technology Architecture Presentation Architecture Control Structure Rule Design 5 Component Configuration (Implementer) Data Definition Program Network Architecture Security Architecture Timing Definition Rule Specification 6 Functioning Enterprise Instances (Worker) Data Function Network Organization Schedule Strategy
    18. 18. What Are Partitions? Unpartitioned Commercial in confidence | Copyright © 2007 Fronde Systems Group Limited and ObjectWatch, Inc Set 1 Set 2 Set 3 Set4 Set 5
    19. 19. The SIP Process Phase Deliverables Goals Set stage for successful engagement <ul><li>SIP Training </li></ul><ul><li>Team SIP Kickoff </li></ul><ul><li>Governance </li></ul><ul><li>Process </li></ul><ul><li>Tool Specialization </li></ul><ul><li>Workbook completion </li></ul><ul><li>Pain/gain analysis </li></ul>Pain/Gain ABC identification <ul><li>ABC Inventory </li></ul><ul><li>ABC Containment Analysis </li></ul><ul><li>ABC Interaction Analysis </li></ul>ABC Simplification <ul><li>Type Analysis </li></ul><ul><li>Type Hierarchy </li></ul><ul><li>TID Analysis </li></ul><ul><li>Elimination Analysis </li></ul>Delivery Prioritization <ul><li>Business Value Analysis </li></ul><ul><li>Technical Risk/Cost Analysis </li></ul><ul><li>Value Graph Analysis </li></ul>Iterative Delivery <ul><li>Architect </li></ul><ul><li>Implement </li></ul><ul><li>Deploy </li></ul><ul><li>Evaluate </li></ul>Legend ABC = Autonomous Business Capability DI = Deployment/Implementation SIP = Simple Iterative Partitions Commercial in confidence | Copyright © 2007 Fronde Systems Group Limited and ObjectWatch, Inc Preparation Partitioning Simplification Prioritization Iteration
    20. 20. Learning your ABCs Commercial in confidence | Copyright © 2007 Fronde Systems Group Limited and ObjectWatch, Inc
    21. 21. Learning your ABC Commercial in confidence | Copyright © 2007 Fronde Systems Group Limited and ObjectWatch, Inc
    22. 22. The Output – Types & Relationships Commercial in confidence | Copyright © 2007 Fronde Systems Group Limited and ObjectWatch, Inc
    23. 23. The Output – Priorities Commercial in confidence | Copyright © 2007 Fronde Systems Group Limited and ObjectWatch, Inc

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