BUSINESS ARCHITECTURE (BA)
BA redesign
Deliverable structure
Illustration of key sections
Structure of the KPI assignment
for the case “A day in Radiology”
•
The blocks represent the sections of the deliverable
2. CSF : description template
CSF
Metri
c
Comments
Location
Distance from customer plants
(KM)
It influences both service
level and cost to customers
Total cost to
customer
Service price + accessory costs +
time spent by the customer to use
and manage the service
Cost is key in commodity
service business
Timeliness
Errors / total deliveries (errors =
late deliveries + lost cars)
Potential base for a SLA
(Service Level Agreement)
Flexibility
Accepted change requests / total
change requests
Potential base for a SLA
(Service Level Agreement)
Efficiency
Unit costs per transported car
It defines the sustainability of
TRASPO business
A CSF template should be described for each operator i.e. Region, General
Practitioner, Lab
3. Stakeholder description
Stakeholder
Overall profile of the stakeholder
Critical Performances
Patient
General
Practitioner
Lab
Local Government
Describe the key performances that are expected by each stakeholder and a general
profile of each stakeholder
Stakeholders in the case study include : General Practitioner , Local Government ,
Patient, Lab (Specialists and Call center are skipped for the sake of simplicity)
4. KPI elicitation and description
• Select 10 performance
indicators (KPIs) from the
standard grid
• Selected KPIs should cover
all stakeholders
• Fill the metadata card for
each selected KPI
• 2-4 pages of comments are
welcome
4. Assess robustness
6
•
Please assess robustness of selected KPIs through the 5-score method (see above)
•
A page of comment is welcome
5. Interpretation
Process
summary
Manager
Summary
Customer
Summary
Worker
Summary
• Interpretation is made bottom
up in two steps:
– Stakeholder summary: it
summarizes cost, quality,
service performances for each
stakeholder class
– Process summary: it
summarizes the overall
assessment of performances of
each stakeholder class
5. Benchmarking
• The performances s of Healthcare system should be compared with
similar systems
• This research should be made by analyzing
– Websites
– White paper
– Journals and research paper
• The assignment report should state
– The sample of the research (ie. Italy vs China or Lombardy vs France)
– The method for selecting sources
– KPI Benchmark analysis of selected KPI (no more than 10 not less than 5) :
value in the case, values in the reference sample, gap, comments
– List of sources
Regione Lombardia website on Healthcare
•
http://www.trendedati.re
gione.lombardia.it/area-
sociale/dati/sistema-
sanitario-regionale-
salute-pubblica/risultato-
esercizio-bilancio-
sanitario-2011-prima-delle-coperture.html
An excerpt of Lombardia website
Overall information on Italy’s healthcare
performances www.ISTAT.it
Data on Italy’s healthcare performances
http://www.salute.gov.it
/
Tavola 3.7 ‐ Distribuzione delle dimissioni per regione, regime di ricovero e tipo di ricovero ‐ Attività per Acuti ‐ Anno 2010
numero % numero % numero % numero % numero % numero % numero % numero % numero % numero % numero % Pi emonte 56.351 11,3 156.363 31,5 253.728 51,0 694 0,1 29.932 6,0 ‐ ‐ 497.068 100,0 192.867 100,0 ‐ ‐ ‐ ‐ ‐ ‐ Va l l e d'Aos ta ‐ ‐ 4.535 31,4 9.878 68,4 35 0,2 3 0,0 ‐ ‐ 14.451 100,0 5.747 100,0 ‐ ‐ ‐ ‐ ‐ ‐ Lomba rdi a 16.461 1,3 485.446 39,0 594.129 47,7 1.202 0,1 148.025 11,9 ‐ ‐ 1.245.263 100,0 339.470 100,0 ‐ ‐ ‐ ‐ ‐ ‐ P.A. Bol za no 605 0,9 22.979 32,8 45.300 64,7 37 0,1 229 0,3 815 1,2 69.965 100,0 12.310 46,8 13.149 49,9 ‐ ‐ 1 0,0 P.A. Trento ‐ ‐ 18.321 34,3 34.678 64,9 40 0,1 430 0,8 1 0,0 53.470 100,0 29.057 100,0 ‐ ‐ ‐ ‐ ‐ ‐ Veneto 8.779 1,7 186.269 35,4 309.615 58,8 569 0,1 21.571 4,1 ‐ ‐ 526.803 100,0 196.290 100,0 1 0,0 ‐ ‐ ‐ ‐ Fri ul i V.G. ‐ ‐ 50.966 35,0 80.250 55,1 65 0,0 14.301 9,8 ‐ ‐ 145.582 100,0 51.556 100,0 ‐ ‐ ‐ ‐ ‐ ‐ Li guri a 2.649 1,4 58.643 30,4 126.718 65,6 291 0,2 4.737 2,5 ‐ ‐ 193.038 100,0 140.418 99,8 215 0,2 ‐ ‐ ‐ ‐ Emi l i a Roma gna 11.762 2,0 222.747 37,5 313.879 52,8 1.158 0,2 44.672 7,5 ‐ ‐ 594.218 100,0 199.244 100,0 ‐ ‐ ‐ ‐ ‐ ‐ Tos ca na 8.901 1,9 181.599 39,3 222.841 48,2 282 0,1 48.548 10,5 1 0,0 462.172 100,0 156.551 100,0 ‐ ‐ ‐ ‐ ‐ ‐ Umbri a 2.309 1,9 37.090 30,3 74.684 61,0 185 0,2 8.097 6,6 ‐ ‐ 122.365 100,0 37.175 100,0 7 0,0 ‐ ‐ ‐ ‐ Ma rche 2.342 1,2 84.598 43,5 102.347 52,7 340 0,2 4.344 2,2 390 0,2 194.361 100,0 61.330 100,0 ‐ ‐ ‐ ‐ ‐ ‐ La zi o 15.323 2,1 300.029 41,5 359.850 49,7 1.126 0,2 47.384 6,5 ‐ ‐ 723.712 100,0 ‐ ‐ 352.315 97,9 ‐ ‐ 85 0,0 Abruzzo 613 0,4 69.355 43,8 86.398 54,6 213 0,1 1.665 1,1 ‐ ‐ 158.244 100,0 42.169 64,6 22.734 34,8 154 0,2 3 0,0 Mol i s e ‐ ‐ 25.852 51,9 22.169 44,5 58 0,1 1.753 3,5 ‐ ‐ 49.832 100,0 21.416 100,0 ‐ ‐ ‐ ‐ ‐ ‐ Ca mpa ni a 12.329 1,8 251.530 36,8 395.354 57,8 1.066 0,2 23.810 3,5 ‐ ‐ 684.089 100,0 372.381 100,0 ‐ ‐ ‐ ‐ ‐ ‐ Pugl i a 12.878 2,2 218.941 37,7 319.265 54,9 809 0,1 29.246 5,0 ‐ ‐ 581.139 100,0 232.132 100,0 ‐ ‐ ‐ ‐ ‐ ‐ Ba s i l i ca ta ‐ ‐ 23.553 38,6 34.081 55,8 48 0,1 3.379 5,5 ‐ ‐ 61.061 100,0 37.157 100,0 ‐ ‐ ‐ ‐ ‐ ‐ Ca l a bri a 3.555 1,7 81.089 37,9 123.397 57,7 333 0,2 5.070 2,4 476 0,2 213.920 100,0 51.385 58,5 20.308 23,1 69 0,1 5 0,0 Si ci l i a 2.964 0,5 228.773 39,4 330.379 57,0 1.700 0,3 15.624 2,7 479 0,1 579.919 100,0 326.331 99,7 1.052 0,3 3 0,0 ‐ ‐ Sa rdegna 267 0,1 47.574 23,3 136.993 67,1 424 0,2 18.835 9,2 ‐ ‐ 204.093 100,0 11.458 13,9 53.730 65,3 8.368 10,2 7 0,0 ITALIA 158.088 2,1 2.756.252 37,4 3.975.933 53,9 10.675 0,1 471.655 6,4 2.162 0,0 7.374.765 100,0 2.516.444 83,3 463.511 15,3 8.594 0,3 101 0,0 REGIONE ACUTI IN REGIME ORDINARIO ACUTI IN DAY HOSPITA Ti po ri covero non compi l a to Ri coveri
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