Kami Memimpin | We Lead  · Version 1.12(24.08.2010) ... Hospital Universiti Sains Malaysia...

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Kami Memimpin | We Lead www.usm.my

Kami Memimpin | We Lead www.usm.my

Using Enterprise Architecture to

Deliver ValueProgram Kesedaran dan Mesyuarat Penyelarasan

MyGovEA 2019

December 10th, 2019

MAMPU,

Putrajaya, Malaysia

By

Dr Ariffin Marzuki bin MokhtarB.Med.Sc.,MD., M.Med (Anes.) UKM’sia

CITA-A (Business Architecture), TOGAF 9.1 and COBIT 5 Certified

Consultant Cardiothoracic Anesthesiologist/Medical Lecturer

School of Medical Sciences, USM

Hospital Management System Co-ordinator, Hospital USM

Kami Memimpin | We Lead www.usm.my

Kami Memimpin | We Lead www.usm.my

A physician in the OR

With Paul Price,

CEO IASA With Steve Wozniak,

Dubai 2015

Kami Memimpin | We Lead www.usm.my

The Real

Problem

A Model of the

Problem

Solution

of the Model

Simplifying

Assumptions

Sensitivity

Analysis

Analysis of

the Model

The Use of Models

Shtub. ERP. 2010

Kami Memimpin | We Lead www.usm.my

ANAESTHESIA

ANALGESIA AMNESIA

The Triad of Anesthesia

MUSCLE RELAXATION

+

= BALANCED ANESTHESIA

Kami Memimpin | We Lead www.usm.my

Kami Memimpin | We Lead www.usm.my

Kami Memimpin | We Lead www.usm.my

A complex adaptive system

Kami Memimpin | We Lead www.usm.my

A complex adaptive system

Diagram of the Archimate 3.0

representation of the

Introductory and Business

Process view of Hospital

USM.

Kami Memimpin | We Lead www.usm.my

Competency and Insight Quadrant

Gartner 2015

Unconscious Competence

“Not knowing what they

know…”

Conscious Competence

“Knowing what they

know…”

Unconscious Incompetence

“Not Knowing What

They Don’t Know…”

Conscious Incompetence

“Know What They Do

not Know…”

CO

MP

ET

EN

CE

INSIGHT/CONSCIENCE

UNCONCIOUS CONSCIOUS

INC

OM

PE

TE

NC

EC

OM

PE

TE

NC

E

Kami Memimpin | We Lead www.usm.my

Enterprise Architecture:

a coherent whole of principles, methods,

and models that are used in the design

and realization of an enterprise’s

organisational structure, business

processes, information systems and

infrastructure

Marc Lankhorst. 2013

Kami Memimpin | We Lead www.usm.my

Basic Architectural Concepts

Kami Memimpin | We Lead www.usm.my

Value of Enterprise Architect

Enterprise Architecture at Work. Marc Lankhorst et al. Modelling, Communication and Analysis. 3rd Edition. 2013. Springer. Berlin Heidelberg

Kami Memimpin | We Lead www.usm.my

what about the rest (33%)?

Kami Memimpin | We Lead www.usm.my

Kami Memimpin | We Lead www.usm.my

Kami Memimpin | We Lead www.usm.my

Kami Memimpin | We Lead www.usm.my

Governance On A Page

Owners and

Stakeholder

[Governance Objectives]:

WHY DO THEY DO WHAT

THEY DO?

Governing

Body

(stewardshi

p)

Manageme

nt and

Assurance

How do they interact?

Version 1.12(24.08.2010) www.takinggovenanceforward.org

Accessed 17.06.2013

Delegation

•Value Creation

•Risk Management

•Resource Optimization

(Governance Enablers):

HOW THEY ACHIEVE THE

EXPECTED OUTCOMES?

•Framework

•Principles

•Structure

•Processes

•Practices

[Governance Views]:

WHERE DOES

GOVERNANCE EXIST IN THE

ENTERPRISE?•Enterprise Governance

•Entity Governance

•Asset Governance

[GOVERNANCE ROLES]

WHO IS INVOLVED?

[GOVERNANCE ACTIVITIES

AND RELATIONSHIPS]

WHAT DO THEY DO?

AccountabilityMonitoring Compliance and

Performance

Direction settingAlignment

Execution

Control

COPYRIGHT 2009, I.T. GOVERNANCE INSTITUTE (ITGI), ALL RIGHTS RESERVED

Kami Memimpin | We Lead www.usm.my

Roles, Activities and Relationships

Owners and

Stakeholder

Governing

Body

Manageme

nt

Operations

and

ExecutionAccountable

Delegate

Monitor

Set DirectionInstruct and

align

Report

© 2014 Gartner, Inc. All Rights Reserved

Kami Memimpin | We Lead www.usm.my

Given Context

becomes

What?

Reveals

Relationship

Why?

Reveals Patterns

Past Orientation

Future Orientation

Reveal Direction

WHAT IS BEST?

Reveals Principles

AN

AL

YT

ICS

DATA

WISDOM

DECISION

ACTION

Given Insight

becomes

Given Purpose

becomes

Given Outcome

becomes

INFORMATION

KNOWLEDGEGiven Meaning

becomes

DATA to ACTION

Kami Memimpin | We Lead www.usm.my

DATA

INFORMATION

KNOWLEDGE

WISDOM

DECISIONMISSION

VISION

STRATEGIES CAPABILITIES

TACTICS WORK PACKAGES

PROCESS

ACTIVITIES

TASKS

SERVICES

PROGRAMS

revise

review

STAKEHOLDER NEEDS

ACTION

Kami Memimpin | We Lead www.usm.my

Kami Memimpin | We Lead www.usm.my

Kami Memimpin | We Lead www.usm.my

VALUE = OUTCOME/COST

Kami Memimpin | We Lead www.usm.my

Enabling the information, communication and technology assimilation

to the care processes

Hospital Universiti Sains Malaysia (Hospital USM) is a Pioneering, Transdisciplinary

research intensive University Hospital that empowers future talent and enables the

bottom billion to transform their socio-economic wellbeing.

Accelerating

Staff

competency for

an advanced

digital hospital

Improving

Patient Safety

for All

Pursuing

Safety of the

Environment of

Care for

Sustainability

and Resilience

Strengthening

Knowledge

Management

to Support

Financial

Sustainability

Re-engineering

Resource

Management

to Ensure

Sustainability

vis

ion

mis

sio

nstr

ate

gic

th

rust

gam

e c

han

gers

Transforming

Healthcare for a Sustainable Tomorrow

Uplifting the competencies of multi-disciplinary teams

Embarking on the “Green Health” Concept

Translating Knowledge to Action via Analytics

Unlocking the potential of knowledge

Vision

Kami Memimpin | We Lead www.usm.my

RESILIENT ENTERPRISE

COMPETENT STAFF

DIGITAL HOSPITAL IN THE CLOUD

PATIENT SAFETY

FINANCIAL SUSTAINABILITY

Revenue Stream

Management

Activity Based Costing

Management

Patient Flow Management Value Stream Management

Subject Matter CompetencyContinuous Improvement

Competency

Organizational Context

Competency

Information Communication &

Technology Competency

Enterprise ArchitectureResearch Development,

Innovation & Commercialization

Patient Outcome Staff Outcome Organizational OutcomePatient Safety Goals

Analytics

Action Plan

Kami Memimpin | We Lead www.usm.my

Penjajaran [alignment]

VISION MISSION

CAPABILITIES

CAPABILITY

INCREMENTS

STRATEGIC

THRUSTS

GAME CHANGES

PROGRAMS

WORK

PACKAGES

to achieve the

Hospital USM

vision

the mission of the

hospital is carried

out

must have the

capabilities to

carry out the

mission

to accelerate the

development of the

capabilities

the critical

success factors

the the strategic

thrusts

serve as the

context to the staff

the delivery units

that will lead to

capability

increments

with the completion of the work

packages, the capability increments occur

Kami Memimpin | We Lead www.usm.my

PENJAJARANObjektif Statut Hospital

Universiti Sains Malaysia

“Capability” Hospital

Universiti Sains Malaysia

“Proses” Hospital

Universiti Sains Malaysia

“Competency” Hospital

Universiti Sains Malaysia

“Aset” Hospital Universiti

Sains Malaysia

Policy Hospital

Universiti Sains Malaysia

Perintah Tetap Hospital

Universiti Sains Malaysia

“Prosedur” Hospital

Universiti Sains Malaysia

Kakitangan Hospital

Universiti Sains Malaysia

Jabatan/Bahagian/Unit

Hospital Universiti Sains

Malaysia

“Pesakit” Hospital

Universiti Sains Malaysia

“Pembekal” Hospital

Universiti Sains Malaysia

“Servis” Hospital

Universiti Sains Malaysia

MyPortfolio

Hospital Universiti Sains

Malaysia

Arahan Pentadbiran Hospital Universiti Sains Malaysia

Kami Memimpin | We Lead www.usm.my

program & outcome

HUSM 2018

Patient

Safety

Program

Staff

Safety

Program

Environment of

Care Safety

Program

Education and

Research

Program

Resource Management Program

Resilie

nt

Org

an

isati

on

Just

Culture

Dig

ital a

nd

Bo

un

darile

ss

Enterprise Architecture Management Program

Kami Memimpin | We Lead www.usm.my

Competent Staff & ICT

Adapted from Pralahad and Hamel. HBR 1990

Kami Memimpin | We Lead www.usm.my

Leadership Output

•Identify External discontinuities

•Articulate Goals and Vision

•Deliver Guidance, Drive and

Inspiration

Knowledge Leaders

•Acclaimed Experts

•Knowledge Entrepreneurs

Enterprise Leader

•Align Vision Culture and Goals

•Create Commitment

Managers Leaders

Sustain the

Enterprise

Transform the

Enterprise

•Administer or control

an organisation

•Implement known

vision

•Rule, Guide and

inspire people toward a

shared goal and shared

value

•Many job titles

(including manager)

•Different people may

lead the enterprise and

assets of information

and processes

Leadership vs Management

GARTNER DEC 2009

Kami Memimpin | We Lead www.usm.my

IncentivesTangible vs non-tangible incentives

Tangible incentives

• Financial reward

• Promotional reward

• Opportunity for

advancement or training

• Merit/demerit points

Non-tangible incentives

• Letter of commendation

• Percieved outcome

• Competency building

• Team acknowledgment

• Professional/enterprise

acknowledgement

• Personal/professional

Recognition

Kami Memimpin | We Lead www.usm.my

Resources

Think BIG, start small, ACT FAST…

Leadership

Kami Memimpin | We Lead www.usm.my

Kami Memimpin | We Lead www.usm.my

Seminar Penandarasan EA KKM, KPM dan USM. September 2018

Kami Memimpin | We Lead www.usm.my

that has real problems…

A complex adaptive system

Kami Memimpin | We Lead www.usm.my

I SEEK…a culture of respect,

patient-centric environment of care

founded on a resilient enterprise architecture

Staff Safety

Kami Memimpin | We Lead www.usm.my

Gartner Inc. | G00155970

Myth busting: What Enterprise Architecture Is Not

Kami Memimpin | We Lead www.usm.my

A story about FOUR (4) people:

Everybody, Somebody, Anybody and NobodyThere was an important job to be done,

and Somebody agreed to do it….

even though Everybody was asked to do it,

Everybody was sure that Somebody would do it

Anybody could have done it, but Nobody did it,

Somebody was angry about that,

because it was Everybody’s job

Everybody thought that Anybody can do it,

but Nobody realized that Everybody wouldn’t do it

it ended up that Everybody blamed Somebody,

when actually Nobody asked Anybody.

....so it was Nobody’s fault

told

Kami Memimpin | We Lead www.usm.my

Kami Memimpin | We Lead www.usm.my

Governance On A Page

Owners and

Stakeholder

[Governance Objectives]:

WHY DO THEY DO WHAT

THEY DO?

Governing

Body

(stewardshi

p)

Manageme

nt and

Assurance

How do they interact?

Version 1.12(24.08.2010) www.takinggovenanceforward.org

Accessed 17.06.2013

Delegation

•Value Creation

•Risk Management

•Resource Optimization

(Governance Enablers):

HOW THEY ACHIEVE THE

EXPECTED OUTCOMES?

•Framework

•Principles

•Structure

•Processes

•Practices

[Governance Views]:

WHERE DOES

GOVERNANCE EXIST IN THE

ENTERPRISE?•Enterprise Governance

•Entity Governance

•Asset Governance

[GOVERNANCE ROLES]

WHO IS INVOLVED?

[GOVERNANCE ACTIVITIES

AND RELATIONSHIPS]

WHAT DO THEY DO?

AccountabilityMonitoring Compliance and

Performance

Direction settingAlignment

Execution

Control

COPYRIGHT 2009, I.T. GOVERNANCE INSTITUTE (ITGI), ALL RIGHTS RESERVED

Kami Memimpin | We Lead www.usm.my

Roles, Activities and Relationships

Owners and

Stakeholder

Governing

Body

Manageme

nt

Operations

and

ExecutionAccountable

Delegate

Monitor

Set DirectionInstruct and

align

Report

© 2014 Gartner, Inc. All Rights Reserved

Kami Memimpin | We Lead www.usm.my

Given Context

becomes

What?

Reveals

Relationship

Why?

Reveals Patterns

Past Orientation

Future Orientation

Reveal Direction

WHAT IS BEST?

Reveals Principles

AN

AL

YT

ICS

DATA

WISDOM

DECISION

ACTION

Given Insight

becomes

Given Purpose

becomes

Given Outcome

becomes

INFORMATION

KNOWLEDGEGiven Meaning

becomes

DATA to ACTION

Kami Memimpin | We Lead www.usm.my

DATA

INFORMATION

KNOWLEDGE

WISDOM

DECISIONMISSION

VISION

STRATEGIES CAPABILITIES

TACTICS WORK PACKAGES

PROCESS

ACTIVITIES

TASKS

SERVICES

PROGRAMS

revise

review

STAKEHOLDER NEEDS

ACTION

Kami Memimpin | We Lead www.usm.my