Case Management: Where Rules Meet Process And Content

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

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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

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

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

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

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

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

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: sandy@kemsleydesign.com

blog: www.column2.com

twitter: @skemsley

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Slides at www.slideshare.net/skemsley