Why Complexity May Be Killing the NHS NPfIT

Why Complexity May Be Killing the NHS NPfIT Paulo Rocha, Manager Strategy Services Roger Sessions, CTO, ObjectWatch Inc.

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)

A Complexity Multiplier ,[object Object],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

Partition to Reduce Complexity ,[object Object],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

Traditional Complexity Management ,[object Object],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

The SIP Process Phase Deliverables Goals Set stage for successful engagement ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Pain/Gain ABC identification ,[object Object],[object Object],[object Object],ABC Simplification ,[object Object],[object Object],[object Object],[object Object],Delivery Prioritization ,[object Object],[object Object],[object Object],Iterative Delivery ,[object Object],[object Object],[object Object],[object Object],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

Why Complexity May Be Killing the NHS NPfIT

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