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Getting There and Enjoying the Trip:
Using Roadmaps to Turn EA into Results

                                             David Baker
                                            Chief Architect
               Diamond Management & Technology Consultants
                           david.baker@diamondconsultants.com

                                       October 24, 2007
EA typically delivers a future state that is impossible to reach in a
single step




Current                                                      Future



                              ?
 State                                                        State




                                 Page 1
The trouble is you cannot predict the economic climate that far in
advance


 Some organizations immediately start implementing the future state
 Usually results in questions being asked 6 to 12 months later
     Why are we doing this?
     How much longer will it take?
     When can I expect to get my new capabilities?
 Need to do SOME economic planning
     Impossible to take the time to determine the exact number
       (and type) of resources at the time of the EA plan
     But SOME planning is absolutely necessary BEFORE
       mobilizing the troops


                                 Page 2
Your EA plan MUST record your planning assumptions


 Business priorities at the time of the plan
 High level cost assumptions for the transformation
 High level benefit assumptions for the transformation




                                  Page 3
What goes into a roadmap?


Business Capabilities                             Business Operations           Technical Solution

“I need the ability to….                             …by doing….                      ...with…”




                                                     1H06        2H06   1H07   2H07
                                  Capability 01
                Theme 1




                                  Capability 12
                                  Capability 04
  Business
                                  Capability 07                                          When each
                Theme 2 Theme 3




 Capabilities
                                  Capability 09                                          capability is
 Requiring IT
                                  Capability 02                                           delivered
  Support
                                  Capability 03
                                  Capability 05
                                  Capability 08



                                                        Page 4
Resulting in clear answers to questions held by key stakeholders


                                                            IT
            Business
                                                       Managers
          wants to know
                                                      want to know


                                EA Roadmap
      What’s possible?                                 Have we done this before?
      When do I get it?                                 How do we get it done?
                                                      How do I make sure it’s done
How much does it cost / save?
                                                               correctly?
 What are the business risks?
                                                           What’s possible?

                             Technical
                               Staff
                           wants to know


                             What do I build?
                           What do I build it with?
                            When do I build it?

                                   Page 5
Your EA Roadmap is NOT a project plan!


 A Roadmap is a time phased set of activities but at the
  Program/Initiative level NOT a project level
 You are planning the necessary transitions for a multi-year effort
  NOT planning the implementation
 The Roadmap defines key objectives, and a high-level, prioritized
  approach to reach those objectives
 Roadmaps have enough detail to test the business justification but
  NOT detailed sourcing or budgeting detail




                                 Page 6
EA Roadmaps are created as part of the Strategy and Planning
cycle

                                                   Release
Business                                                                  Project              Business
                       IT Strategic                Planning
Strategic                                                                 Execution
                                                                                               Operations
                       Planning                    (Portfolio
                                                                          (SDLC)
Planning                                           Mgmt)



                                        Prioritize the allocation of
                                                                       Develop projects that
                                         IT resources to achieve
 Use enterprise and business unit                                      support businesses’       Run the
                                           business strategy, in
direction and goals to drive IT plans                                  annual and strategic      business
                                        alignment with enterprise
                                                                              plans
                                                architecture

                 Portfolio 1                             Project
                 Blueprints
                                                         Project
Enterprise       Portfolio 2
                                          Filter




                                                         Project
Blueprints       Blueprints

                                                         Project
                 Portfolio 3
                 Blueprints                              Project

      Multi-Year Plans                     Budget Cycle                Project Cycle           Continuous
       (Roadmaps)                         (Project Plans)
                                                       Page 7
The Roadmapping process


    Input

                                                Business
   Current
    State             Identify Gaps
                                                 Justification
(strategy, process,
    technology)




   Future
                                                                
                         Identify
    State                                                              Lay Out
                        Themes &                Mitigate Risk
(strategy, process,
                                                                      Roadmap
                        Initiatives
    technology)




                       Business                Sequence
                      Prioritization                Initiatives


                                       Page 8
 Identify the gaps between the current and future states

 Identify the new and modified business capabilities
 Consider changes to organization, processes, information and the
  underlying technology
 Rationalize your portfolio of applications
     Retire some applications
     Rehabilitate some applications
     Replace some applications
     Eliminate some applications




                                  Page 9
 Bundle the changes into business themes and initiatives


Initiative          Description                        Capabilities Addressed
Support             Enhance program through            • Ability to leverage any external data to perform member
Service Model       improved strategies and data         identification and predictive modeling
Analytics           analytics                          • Ability to leverage utilization and outcome metrics at the
                                                         provider level to improve network management and
                                                         help shape the network
                                                       • Ability to access treatment utilization and efficacy and
                                                         deliver feedback to providers
Improve Financial   Improve financial tracking and     • Ability to provide aggregate and individual information
Reporting and       analytics for products and           regarding utilization and ROI
Analytics           enable ROI calculations            • Ability to track and predict medical costs and to
                                                         properly allocate the contribution margin of products
Support New         Create and support new             • Ability to meet currently identified market opportunities
Products /          products to serve individual         through new product offerings
Segments            and newly identified markets       • Ability to market to and service members with no plan
                                                         sponsors



                                                     Page 10
 Use the prioritized capabilities to determine priority order of
    the initiatives


 There are many ways to prioritize the list of capabilities
     Prioritize them directly in a business workshop (hard)
     Map them to the prioritized business goals (easy)
     Use weights, Harvey balls,
 Assign each initiative the average priority of its associated
  capabilities (or weight them, or . . . )
     Initiative                                  Priority   Capability     Priority
     Support Service Model Analytics             M          Capability 1   H
                                                            Capability 2   M
                                                            Capability 3   L
     Improve Financial Reporting and Analytics   H          Capability 4   H
                                                            Capability 5   H
     Support New Products / Segments             M          Capability 6   H
                                                            Capability 7   L


                                                 Page 11
 Create business justifications for each initiative

     Element                     Description                               Example
Problem statement    Defines the reason for the project idea   “Cannot provide customers with
                     to exist in the first place               real-time information”
Project Goals        What is the project trying to accomplish; “Enhance operating costs by real-
                     must address the problem                  time handling of claims information”
Market opportunity   What is the total size (people,           “$3M claims processed per year”
                     revenues) of the potential market for
                     this project?
Value proposition    For each target group, what is the        “Provide Call Reps with real time
                     value?                                    information”
Capital costs        Upfront investment                        “$10M in systems”
Operating Costs      Ongoing investment                        “$1.5M annually in labor, data
                                                               analysis, maintenance”
Benefits             Increased revenues, decreased costs       “Reduce customer turnover“
Risks / Mitigants    Will conditions change to fundamentally “Data in other projects will be
                     change the need for this project?       negatively impacted”

                                             Page 12
Use scorecards to show traceability amongst EA elements

INITIATIVE DESCRIPTION                                                 BENEFITS DESCRIPTION
 Enhance medical management programs through improved                  Sales: Client has been rejected for bids in the past because of
  strategies and data analytics                                          an inability to leverage data from external carriers and on all
                                                                         services available to a member
                                                                        Medical Costs: Improved ability to identify members and
CAPABILITIES ADDRESSED
                                                                        approach them with treatment options tailored to their needs and
  Ability to leverage all client and any available external
1
                                                                         eligibility will increase the use of highly effective, low cost
  experience information to perform member identification and
                                                                         services and will increase medical offset. Incorporating data, in
  predictive modeling
                                                                        particular, can have benefits from being be the first experience in
4 Ability to leverage utilization, outcome, and satisfaction metrics
                                                                         the benefit path and may become aware of high risk members
  at the provider level to improve network management and help
                                                                         before they are known elsewhere in the company (e.g.,
  shape the network
                                                                        substance abuse pregnant woman). The benefits might not
5 Ability to analyze the results of integration and Care
                                                                         accrue, but they will accrue to the company as a whole in terms
  Management programs to validate medical offsets, help direct
                                                                         of medical cost reductions
  program improvements, and develop new programs

7 Ability to assess treatment utilization and efficacy and deliver
  feedback to providers

AFFECTED IT COMPONENTS                                                 BUSINESS PRIORITY
                                                                        High
   Enterprise Data Warehouse
   Financial Books of Record
   Compliance Systems
   Provider Portal

DEPENDENCIES/CONSTRAINTS                                               RANGE FOR BENEFIT, DURATION & COST
 Project XYZ for integration of member data and enhanced               Benefit Range             Duration            Cost Range
  individualization (2Q06)                                              $0 - $499,000             1-3 months          $0 - $250,000
                                                                        $500,000 - $1,999,000     3-6 months          $250,000 - $499,000
                                                                        $2,000,000 - $4,999,000   6-9 months          $500,000 - $999,000
                                                                        $5,000,000 - $7,999,000   9-12 months         $1,000,000 - $4,999,000
                                                                        $8,000,000 +              12 months +         $5,000,000 - $10,000,000




                                                                  Page 13
A word about costs and benefits


 There is no need to do a rigorous cost/benefit analysis at this point in
  the lifecycle
      A roadmap is NOT a budget
      The subsequent portfolio management phase will drive the
          detail to a budget level (mobilize resources and costs)
 The costs and benefits estimated during the roadmap phase are an
  additional tool for determining the overall multi-year sequence
     Do “just enough” estimation
     Have business subject matter experts estimate the benefit
        ranges
     Have architects use engineering estimation techniques to
        develop cost ranges
                                  Page 14
 Consult your architecture models to understand and mitigate
   risks


 Consult your EA plan to understand the type of architecture risks
  involved
      New technology - risky
      System replacements – complex and costly
      Lack of skilled resources – risky
      Foundational technologies - impact the schedule
      Compliance requirements – schedule pressure
 Sequence the architecture changes into slices
     Account for technology dependencies
     Account for architecture risks
 Eat the elephant one bite at a time!
                                 Page 15
 Use your work to sequence the initiatives




                           Sequenced
                            Initiatives


                             Page 16
You can also use any number of cash based indicators to adjust
the sequence (or to rule out individual initiatives)
                         Definition                            Pros                            Cons
            • Net Present Value                     • Measure of value             • Difficulty / uncertainty in
            • Discounted sum of all cash flows        creation… should lead to       choosing discount rate
                                                                                   • Does not account for
NPV           for the project                         good (best) investment
            • Invest where NPV > 0                    decisions                      amount of investment
                                                                                     required
            • Internal Rate of Return               • Easily scaleable by          • Can lead to bad
            • Discount rate that produces an                                         investment decisions…
                                                      investment size
IRR           NPV of zero                                                            use with care!
            • Invest where IRR is greater than
              an established “hurdle” rate
            • Point in time where cumulative net    • Under uncertain ´flight to   • Can often lead to bad
              cash flow = 0                           quality´ stock market          investment decisions
Payback /
            • Amount of time required to recoup       conditions, Payback can
Breakeven
              the original investment from a          become the indicator
              project
            • The maximum negative cumulative       • Appropriate to its           • …the nature of the
              net cash flow over the lifetime of      objective                      funding is a whole other
Peak          the project                                                            issue...
Funding     • Represents the total amount of
              money required to be put into the
              project

            • Return on Investment                  • Allows for easy              • Does not take into
ROI         • The total returns of the project        comparison across              account the amount of
              divided by the total cash outflow       projects                       capital needed

                                                   Page 17
Initiatives can also be sequenced into stages based on business
 need and dependency to deliver incremental capability

                                               Portfolio Management Strategy
Costs of achieving capabilities
                                                                 Non-optional level of investment
                                                                 Address regulatory
                                                Stay in
                         Illustrative                             environment, align with current
                                           1
Cost                                            business          projects, keep current on
                                                                  software releases, etc.
  Stage 4
                                                                 Enable initial capabilities
                                                                 Establish foundation for
                                                Build
  Stage 3
                                           2                      realizing additional capabilities
                                                foundation
                                                                  in stages 3 and 4
  Stage 2


                                                               Delivers additional capabilities
                                                                in response to pain points
  Stage 1
                                                Improve
                                                effectiveness  Dependent on stage 2
                                           3

            Capability
                                                                 Delivers efficiency focusing on
                                                                  migrating capabilities to new
                                                Improve
                                           4                      strategic platforms
                                                efficiency
                                                                 Dependent on stage 2


                                        Page 18
 Lay out the roadmap
                                                                2006                         2007                               2008                   2009
                                                     1Q     2Q     3Q        4Q   1Q       2Q       3Q       4Q       1Q       2Q       3Q   4Q       1Q       2Q
                   Theme▼
System Foundation & Information
Management                                                              1                                         4

High Quality Data Capture & Information                                                         2
Exchange
Dynamic Processing & Workflow                                                                                              5


Advanced Analysis & Reporting                                                                            3                          6


Multi-Channel Access                                                                                                                              7                 9


Integrated Organization & Communication                                                                                                                    8


IT Portfolio Management & Strategic
Enterprise Architecture


     Milestones
           Interim Solution                                                                 Analytics Tools Re-architecture
                                                                                       6
      1

           Electronic Receipt/ Submission and Data Validation                               Core View
                                                                                       7
      2

           Reporting Tool Re-architecture                                                   Training Tools Re-architecture
                                                                                       8
      3

           End-to-End Solution                                                              External Constituent Integration
                                                                                       9
      4

           End-to-End Workflow
      5




                                                                            Page 19
Another example

                                                                            2006                 2007                2008                            2009
                                                                      1Q   2Q   3Q    4Q   1Q   2Q   3Q   4Q   1Q   2Q   3Q           4Q        1Q           2Q
                    THEME / INITITIVE▼
                    •   Define High-Level Process Flows
                    •   Define Data Architecture Strategy                                                                   Retire: Fsystem 1, System 2,
    SF & IM




                    •   Create Book of Record                                                                                        System 3
                    •   Implement Interim Solution
                    •   Select Vendor Package                                                                               Retire: System 4
                    •   Implement Enhanced Tool
                    •   Retire Acquisition and Data Collection Apps
Dyn Proc HQDC &




                    •   Develop Business Information Model
         Info Ex.




                                                                                                                            Retire: System 5, System 7
                    •   Define Process Flows
                    •   Define Integration Strategy                                                                         Re-architect / Retire:   System 8
                    •   Implement Electronic Receipt & Submission
                    •   Provide Automated Data Validation
 & WF




                    • Optimized Business Process (OBP)
                    • Select Technology Tools
                    • Implement WF & BR Process Improvements
                                                                                                                            Retire: System 9, System 10,
                    •   Define Process Flows                                                                                        System 11
                    •   Define DW/DM Architecture Strategy
                    •
    AA&R




                                                                                                                            Re-architect:    System 12,
                        Implement DW/DM Structures & Feeds
                                                                                                                                             System 13
                    •   Develop New Reports
                    •   Select Data Analytics Tool                                                                          Re-architect:    System 14,
                    •   Implement Data Analytics Tool                                                                                        System 15, 16
                    •   Retire and Re-architect Reporting/Analytics
                    •                                                                                                       Retire:   System 18, 19, 20, 21
                        Define Process Flows
                    •   Select Technology Tool
    MCA




                    •   Design & Implement Core Safety View
                    •   Define Integration Strategy
                    •   Integrate External Systems
                    •   Retire Doc Mgmt Systems & Integrated Sys
                    •                                                                                                       Retire:   System 22, 23
                        Define & Deploy Communication Strategy
Int Org &
 Comm




                    •   Establish Process Improvement Governance
                    •   Create Acquisition Assessment Framework
                    •   Institute Regulations Pipeline Management
                    •   Select & Implement Training Tools
ITPM &




                    •   Program Management Office
  SEA




                    •   Institute IT Investment Management                                                                  Re-architect: Training systems
                    •   Enhance SEA Competency                                                                              Maintain: SRM Portal
                    •   Develop Arch. GPs, Governance, & Processes
                    •   Develop Strategic Architecture Blueprints




                                                                                     Page 20
One more example

                                                                               2006                        2007                        2008
                                                                               Q1     Q2     Q3     Q4     Q1     Q2     Q3     Q4     Q1     Q2     Q3   Q4
ID       Theme / Initiative
     A   Support Service Model Analytics
           • …Leverage all Aetna and external experience data…
     1
           • …Leverage utilization, outcome, and satisfaction metrics…
     4
           • …Analyze the results of Behavioral Health integration…
     5
           • …Assess treatment utilization and efficacy…
     7
  B Support Enhanced Service Model
  2 • …Identify high risk, highly actionable Members…
  3 • …Monitor progress and track the adherence…
 10 • …Provide constituent-targeted service experience…
     C Financial Reporting & Analytics
     6 • …Provide aggregate and individual information…
     9 • …Track and predict Behavioral Health medical costs…
  D Enhance Provider Web Experience
 10 • …Provide constituent-targeted service experience…
  E Enhance Member Web Experience
 10 • …Provide constituent-targeted service experience…
  F Enhance Plan Sponsor Experience
 10 • …Provide constituent-targeted service experience…
 12 • …Provide a single bill (i.e. including all products)…
  G Operational Improvements
  8 • …Deliver flexible and customized products and services…
 10 • …Provide constituent-targeted service experience…
 14 • …Administer BH products in a cost effective manner…
 15 • …Perform cost effective pricing for targeted business…
  H New Products / Segments
 11 • …Meet currently identified market opportunities…
 13 • …Market to and service Individuals…




                                              TOTAL COSTS ($000)     $24,518   $3,856 $3,214 $3,983 $4,129 $2,864 $2,349 $1,696 $1,121 $880   $389   $0   $0



                                                                               Page 21
Remember, the level of detail is commensurate with the lifecycle
stage

Business
                   IT Strategic
Strategic
                   Planning
Planning


             Portfolio 1
             Blueprints


Enterprise   Portfolio 2
Blueprints   Blueprints


             Portfolio 3
             Blueprints




  Roadmap created
       here
   Sequenced list of
      initiatives


                                  Page 22
Remember, the level of detail is commensurate with the lifecycle
stage

                                            Release
Business
                   IT Strategic             Planning
Strategic
                   Planning                 (Portfolio
Planning                                    Mgmt)


             Portfolio 1                          Project
             Blueprints
                                                  Project
Enterprise   Portfolio 2
                                   Filter         Project
Blueprints   Blueprints

                                                  Project
             Portfolio 3
             Blueprints                           Project




  Roadmap created                 Filter and refine into
       here                              Projects
   Sequenced list of               Apply resource and
      initiatives                 financial constraints


                                                Page 23
Remember, the level of detail is commensurate with the lifecycle
stage

                                            Release
Business                                                    Project          Business
                   IT Strategic             Planning
Strategic                                                   Execution
                                                                             Operations
                   Planning                 (Portfolio
                                                            (SDLC)
Planning                                    Mgmt)


             Portfolio 1                          Project
             Blueprints
                                                  Project
Enterprise   Portfolio 2
                                   Filter         Project
Blueprints   Blueprints

                                                  Project
             Portfolio 3
             Blueprints                           Project




                                                                     Use prioritized
  Roadmap created                 Filter and refine into
                                                                     initiatives and
       here                              Projects
                                                                     capabilities to
   Sequenced list of               Apply resource and                govern project
      initiatives                 financial constraints                execution


                                                Page 24
A few considerations for service orientation


 The move to services means that the business capabilities will be
  mapped to services, not systems or applications
 Services will be retired, rehabilitated, rearchitected or removed
 Roadmaps may have to become more granular to address the
  impact to services
 Service-level roadmaps will be especially important during
  governance of implementation projects




                                  Page 25
Recap: What is a roadmap?


 Prioritized business capabilities
 Prioritized initiatives
 Initiative scorecards
       Cost and benefit estimates, estimated duration
 Risk mitigation strategies
      Sequence architecture time slices
 Sequenced initiatives
     Input to portfolio management



                                  Page 26
Thank You


Questions?




   Page 27

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EA Roadmapping

  • 1. Getting There and Enjoying the Trip: Using Roadmaps to Turn EA into Results David Baker Chief Architect Diamond Management & Technology Consultants david.baker@diamondconsultants.com October 24, 2007
  • 2. EA typically delivers a future state that is impossible to reach in a single step Current Future ? State State Page 1
  • 3. The trouble is you cannot predict the economic climate that far in advance  Some organizations immediately start implementing the future state  Usually results in questions being asked 6 to 12 months later  Why are we doing this?  How much longer will it take?  When can I expect to get my new capabilities?  Need to do SOME economic planning  Impossible to take the time to determine the exact number (and type) of resources at the time of the EA plan  But SOME planning is absolutely necessary BEFORE mobilizing the troops Page 2
  • 4. Your EA plan MUST record your planning assumptions  Business priorities at the time of the plan  High level cost assumptions for the transformation  High level benefit assumptions for the transformation Page 3
  • 5. What goes into a roadmap? Business Capabilities Business Operations Technical Solution “I need the ability to…. …by doing…. ...with…” 1H06 2H06 1H07 2H07 Capability 01 Theme 1 Capability 12 Capability 04 Business Capability 07 When each Theme 2 Theme 3 Capabilities Capability 09 capability is Requiring IT Capability 02 delivered Support Capability 03 Capability 05 Capability 08 Page 4
  • 6. Resulting in clear answers to questions held by key stakeholders IT Business Managers wants to know want to know EA Roadmap What’s possible? Have we done this before? When do I get it? How do we get it done? How do I make sure it’s done How much does it cost / save? correctly? What are the business risks? What’s possible? Technical Staff wants to know What do I build? What do I build it with? When do I build it? Page 5
  • 7. Your EA Roadmap is NOT a project plan!  A Roadmap is a time phased set of activities but at the Program/Initiative level NOT a project level  You are planning the necessary transitions for a multi-year effort NOT planning the implementation  The Roadmap defines key objectives, and a high-level, prioritized approach to reach those objectives  Roadmaps have enough detail to test the business justification but NOT detailed sourcing or budgeting detail Page 6
  • 8. EA Roadmaps are created as part of the Strategy and Planning cycle Release Business Project Business IT Strategic Planning Strategic Execution Operations Planning (Portfolio (SDLC) Planning Mgmt) Prioritize the allocation of Develop projects that IT resources to achieve Use enterprise and business unit support businesses’ Run the business strategy, in direction and goals to drive IT plans annual and strategic business alignment with enterprise plans architecture Portfolio 1 Project Blueprints Project Enterprise Portfolio 2 Filter Project Blueprints Blueprints Project Portfolio 3 Blueprints Project Multi-Year Plans Budget Cycle Project Cycle Continuous (Roadmaps) (Project Plans) Page 7
  • 9. The Roadmapping process Input   Business Current State Identify Gaps Justification (strategy, process, technology) Future    Identify State Lay Out Themes & Mitigate Risk (strategy, process, Roadmap Initiatives technology)  Business Sequence Prioritization Initiatives Page 8
  • 10.  Identify the gaps between the current and future states  Identify the new and modified business capabilities  Consider changes to organization, processes, information and the underlying technology  Rationalize your portfolio of applications  Retire some applications  Rehabilitate some applications  Replace some applications  Eliminate some applications Page 9
  • 11.  Bundle the changes into business themes and initiatives Initiative Description Capabilities Addressed Support Enhance program through • Ability to leverage any external data to perform member Service Model improved strategies and data identification and predictive modeling Analytics analytics • Ability to leverage utilization and outcome metrics at the provider level to improve network management and help shape the network • Ability to access treatment utilization and efficacy and deliver feedback to providers Improve Financial Improve financial tracking and • Ability to provide aggregate and individual information Reporting and analytics for products and regarding utilization and ROI Analytics enable ROI calculations • Ability to track and predict medical costs and to properly allocate the contribution margin of products Support New Create and support new • Ability to meet currently identified market opportunities Products / products to serve individual through new product offerings Segments and newly identified markets • Ability to market to and service members with no plan sponsors Page 10
  • 12.  Use the prioritized capabilities to determine priority order of the initiatives  There are many ways to prioritize the list of capabilities  Prioritize them directly in a business workshop (hard)  Map them to the prioritized business goals (easy)  Use weights, Harvey balls,  Assign each initiative the average priority of its associated capabilities (or weight them, or . . . ) Initiative Priority Capability Priority Support Service Model Analytics M Capability 1 H Capability 2 M Capability 3 L Improve Financial Reporting and Analytics H Capability 4 H Capability 5 H Support New Products / Segments M Capability 6 H Capability 7 L Page 11
  • 13.  Create business justifications for each initiative Element Description Example Problem statement Defines the reason for the project idea “Cannot provide customers with to exist in the first place real-time information” Project Goals What is the project trying to accomplish; “Enhance operating costs by real- must address the problem time handling of claims information” Market opportunity What is the total size (people, “$3M claims processed per year” revenues) of the potential market for this project? Value proposition For each target group, what is the “Provide Call Reps with real time value? information” Capital costs Upfront investment “$10M in systems” Operating Costs Ongoing investment “$1.5M annually in labor, data analysis, maintenance” Benefits Increased revenues, decreased costs “Reduce customer turnover“ Risks / Mitigants Will conditions change to fundamentally “Data in other projects will be change the need for this project? negatively impacted” Page 12
  • 14. Use scorecards to show traceability amongst EA elements INITIATIVE DESCRIPTION BENEFITS DESCRIPTION  Enhance medical management programs through improved  Sales: Client has been rejected for bids in the past because of strategies and data analytics an inability to leverage data from external carriers and on all services available to a member  Medical Costs: Improved ability to identify members and CAPABILITIES ADDRESSED  approach them with treatment options tailored to their needs and Ability to leverage all client and any available external 1 eligibility will increase the use of highly effective, low cost experience information to perform member identification and services and will increase medical offset. Incorporating data, in predictive modeling  particular, can have benefits from being be the first experience in 4 Ability to leverage utilization, outcome, and satisfaction metrics the benefit path and may become aware of high risk members at the provider level to improve network management and help before they are known elsewhere in the company (e.g., shape the network  substance abuse pregnant woman). The benefits might not 5 Ability to analyze the results of integration and Care accrue, but they will accrue to the company as a whole in terms Management programs to validate medical offsets, help direct of medical cost reductions program improvements, and develop new programs  7 Ability to assess treatment utilization and efficacy and deliver feedback to providers AFFECTED IT COMPONENTS BUSINESS PRIORITY  High  Enterprise Data Warehouse  Financial Books of Record  Compliance Systems  Provider Portal DEPENDENCIES/CONSTRAINTS RANGE FOR BENEFIT, DURATION & COST  Project XYZ for integration of member data and enhanced Benefit Range Duration Cost Range individualization (2Q06) $0 - $499,000 1-3 months $0 - $250,000 $500,000 - $1,999,000 3-6 months $250,000 - $499,000 $2,000,000 - $4,999,000 6-9 months $500,000 - $999,000 $5,000,000 - $7,999,000 9-12 months $1,000,000 - $4,999,000 $8,000,000 + 12 months + $5,000,000 - $10,000,000 Page 13
  • 15. A word about costs and benefits  There is no need to do a rigorous cost/benefit analysis at this point in the lifecycle  A roadmap is NOT a budget  The subsequent portfolio management phase will drive the detail to a budget level (mobilize resources and costs)  The costs and benefits estimated during the roadmap phase are an additional tool for determining the overall multi-year sequence  Do “just enough” estimation  Have business subject matter experts estimate the benefit ranges  Have architects use engineering estimation techniques to develop cost ranges Page 14
  • 16.  Consult your architecture models to understand and mitigate risks  Consult your EA plan to understand the type of architecture risks involved  New technology - risky  System replacements – complex and costly  Lack of skilled resources – risky  Foundational technologies - impact the schedule  Compliance requirements – schedule pressure  Sequence the architecture changes into slices  Account for technology dependencies  Account for architecture risks  Eat the elephant one bite at a time! Page 15
  • 17.  Use your work to sequence the initiatives Sequenced Initiatives Page 16
  • 18. You can also use any number of cash based indicators to adjust the sequence (or to rule out individual initiatives) Definition Pros Cons • Net Present Value • Measure of value • Difficulty / uncertainty in • Discounted sum of all cash flows creation… should lead to choosing discount rate • Does not account for NPV for the project good (best) investment • Invest where NPV > 0 decisions amount of investment required • Internal Rate of Return • Easily scaleable by • Can lead to bad • Discount rate that produces an investment decisions… investment size IRR NPV of zero use with care! • Invest where IRR is greater than an established “hurdle” rate • Point in time where cumulative net • Under uncertain ´flight to • Can often lead to bad cash flow = 0 quality´ stock market investment decisions Payback / • Amount of time required to recoup conditions, Payback can Breakeven the original investment from a become the indicator project • The maximum negative cumulative • Appropriate to its • …the nature of the net cash flow over the lifetime of objective funding is a whole other Peak the project issue... Funding • Represents the total amount of money required to be put into the project • Return on Investment • Allows for easy • Does not take into ROI • The total returns of the project comparison across account the amount of divided by the total cash outflow projects capital needed Page 17
  • 19. Initiatives can also be sequenced into stages based on business need and dependency to deliver incremental capability Portfolio Management Strategy Costs of achieving capabilities  Non-optional level of investment  Address regulatory Stay in Illustrative environment, align with current 1 Cost business projects, keep current on software releases, etc. Stage 4  Enable initial capabilities  Establish foundation for Build Stage 3 2 realizing additional capabilities foundation in stages 3 and 4 Stage 2  Delivers additional capabilities in response to pain points Stage 1 Improve effectiveness  Dependent on stage 2 3 Capability  Delivers efficiency focusing on migrating capabilities to new Improve 4 strategic platforms efficiency  Dependent on stage 2 Page 18
  • 20.  Lay out the roadmap 2006 2007 2008 2009 1Q 2Q 3Q 4Q 1Q 2Q 3Q 4Q 1Q 2Q 3Q 4Q 1Q 2Q Theme▼ System Foundation & Information Management 1 4 High Quality Data Capture & Information 2 Exchange Dynamic Processing & Workflow 5 Advanced Analysis & Reporting 3 6 Multi-Channel Access 7 9 Integrated Organization & Communication 8 IT Portfolio Management & Strategic Enterprise Architecture Milestones Interim Solution Analytics Tools Re-architecture 6 1 Electronic Receipt/ Submission and Data Validation Core View 7 2 Reporting Tool Re-architecture Training Tools Re-architecture 8 3 End-to-End Solution External Constituent Integration 9 4 End-to-End Workflow 5 Page 19
  • 21. Another example 2006 2007 2008 2009 1Q 2Q 3Q 4Q 1Q 2Q 3Q 4Q 1Q 2Q 3Q 4Q 1Q 2Q THEME / INITITIVE▼ • Define High-Level Process Flows • Define Data Architecture Strategy Retire: Fsystem 1, System 2, SF & IM • Create Book of Record System 3 • Implement Interim Solution • Select Vendor Package Retire: System 4 • Implement Enhanced Tool • Retire Acquisition and Data Collection Apps Dyn Proc HQDC & • Develop Business Information Model Info Ex. Retire: System 5, System 7 • Define Process Flows • Define Integration Strategy Re-architect / Retire: System 8 • Implement Electronic Receipt & Submission • Provide Automated Data Validation & WF • Optimized Business Process (OBP) • Select Technology Tools • Implement WF & BR Process Improvements Retire: System 9, System 10, • Define Process Flows System 11 • Define DW/DM Architecture Strategy • AA&R Re-architect: System 12, Implement DW/DM Structures & Feeds System 13 • Develop New Reports • Select Data Analytics Tool Re-architect: System 14, • Implement Data Analytics Tool System 15, 16 • Retire and Re-architect Reporting/Analytics • Retire: System 18, 19, 20, 21 Define Process Flows • Select Technology Tool MCA • Design & Implement Core Safety View • Define Integration Strategy • Integrate External Systems • Retire Doc Mgmt Systems & Integrated Sys • Retire: System 22, 23 Define & Deploy Communication Strategy Int Org & Comm • Establish Process Improvement Governance • Create Acquisition Assessment Framework • Institute Regulations Pipeline Management • Select & Implement Training Tools ITPM & • Program Management Office SEA • Institute IT Investment Management Re-architect: Training systems • Enhance SEA Competency Maintain: SRM Portal • Develop Arch. GPs, Governance, & Processes • Develop Strategic Architecture Blueprints Page 20
  • 22. One more example 2006 2007 2008 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 ID Theme / Initiative A Support Service Model Analytics • …Leverage all Aetna and external experience data… 1 • …Leverage utilization, outcome, and satisfaction metrics… 4 • …Analyze the results of Behavioral Health integration… 5 • …Assess treatment utilization and efficacy… 7 B Support Enhanced Service Model 2 • …Identify high risk, highly actionable Members… 3 • …Monitor progress and track the adherence… 10 • …Provide constituent-targeted service experience… C Financial Reporting & Analytics 6 • …Provide aggregate and individual information… 9 • …Track and predict Behavioral Health medical costs… D Enhance Provider Web Experience 10 • …Provide constituent-targeted service experience… E Enhance Member Web Experience 10 • …Provide constituent-targeted service experience… F Enhance Plan Sponsor Experience 10 • …Provide constituent-targeted service experience… 12 • …Provide a single bill (i.e. including all products)… G Operational Improvements 8 • …Deliver flexible and customized products and services… 10 • …Provide constituent-targeted service experience… 14 • …Administer BH products in a cost effective manner… 15 • …Perform cost effective pricing for targeted business… H New Products / Segments 11 • …Meet currently identified market opportunities… 13 • …Market to and service Individuals… TOTAL COSTS ($000) $24,518 $3,856 $3,214 $3,983 $4,129 $2,864 $2,349 $1,696 $1,121 $880 $389 $0 $0 Page 21
  • 23. Remember, the level of detail is commensurate with the lifecycle stage Business IT Strategic Strategic Planning Planning Portfolio 1 Blueprints Enterprise Portfolio 2 Blueprints Blueprints Portfolio 3 Blueprints Roadmap created here Sequenced list of initiatives Page 22
  • 24. Remember, the level of detail is commensurate with the lifecycle stage Release Business IT Strategic Planning Strategic Planning (Portfolio Planning Mgmt) Portfolio 1 Project Blueprints Project Enterprise Portfolio 2 Filter Project Blueprints Blueprints Project Portfolio 3 Blueprints Project Roadmap created Filter and refine into here Projects Sequenced list of Apply resource and initiatives financial constraints Page 23
  • 25. Remember, the level of detail is commensurate with the lifecycle stage Release Business Project Business IT Strategic Planning Strategic Execution Operations Planning (Portfolio (SDLC) Planning Mgmt) Portfolio 1 Project Blueprints Project Enterprise Portfolio 2 Filter Project Blueprints Blueprints Project Portfolio 3 Blueprints Project Use prioritized Roadmap created Filter and refine into initiatives and here Projects capabilities to Sequenced list of Apply resource and govern project initiatives financial constraints execution Page 24
  • 26. A few considerations for service orientation  The move to services means that the business capabilities will be mapped to services, not systems or applications  Services will be retired, rehabilitated, rearchitected or removed  Roadmaps may have to become more granular to address the impact to services  Service-level roadmaps will be especially important during governance of implementation projects Page 25
  • 27. Recap: What is a roadmap?  Prioritized business capabilities  Prioritized initiatives  Initiative scorecards  Cost and benefit estimates, estimated duration  Risk mitigation strategies  Sequence architecture time slices  Sequenced initiatives  Input to portfolio management Page 26