CMMI Institute conference submission
Transcription
CMMI Institute conference submission
How We Quit Complying and Just Did What Made Sense Seeing the Business Value in High Maturity Suzanne Lawson, MBA, PMP, CSM General Dynamics Health Solutions Sr. Manager, Quality and Standards YOUR LOGO HERE General Dynamics Information Technology Overview • Systems integrator for more than 50 years • General Dynamics Information Technology, a business unit of General Dynamics, provides systems engineering, professional services and enterprise IT solutions to customers in the defense, federal civilian government, health, homeland security, intelligence, state and local government, and commercial sectors • General Dynamics Health Solutions is a sub-brand • Working under CMM/CMMI for more than 15 years Health Capabilities ● Health Systems Development & Integration ● Medical Facility Outfitting & Transition ● Health Information Exchange ● Medical Logistics & Supply Chain Management ● Subsidy, Reimbursement & Claims Processing Systems – Development & Support Managing project ● Implementation of Health IT & Support complexity and ensuring the Services continuity of care Reducing operational ● Medical Record Review accurate burden, ensuring ● ICD-10 Transition payments and streamlining ● Eligibility Determination & Enrollment compliance ● Multi-Channel Contact Center Management ● Medical Research Support ● Data & Infrastructure Management ● On-Demand Inbound & Outbound Communications & Print Fulfillment ● Clinical Support Staff ● Networking & Communications ● Data Warehousing and Analytics Expanding Insight, Ensuring ● Population Health Management Value, Advancing Outcomes ● Quality Measurement, Management, Reporting & Payment Solutions ● Program Integrity Solutions ● Big Data Engaging and connecting patients, providers and the public ● System Development, Integration & Process Design Advancing today’s research for tomorrow’s care ● Virtual Desktop Environment Delivering secure, cost ● Cyber Security effective and responsive health IT ● Cloud Background • Mature CMMI Level 3 organization Recognize that you don’t know what • Three distinct programs trust to have your you don’t know and • System development, operations, and maintenance best interest at heart seek input from • Different processes and know what you organizations that can trust. have trod this path. • Client required that we be rated Level 4 by September Know who you2012 can • High Maturity journey began in late 2010 • Hired outside consultants Training • Understanding CMMI High Maturity Practices (UCHMP) Really • Improving Process Performance understanding Using High Six Sigma (IPPSS) Maturity is a Using Six Sigma • Designing Products and Processes process in itself. (DPPSS) JMP Minitab But….Did we understand the concepts of High Maturity? Decision Optimizer Be wise about the Process Model time and money you spend on training.Crystal Ball @Risk If you are DEC AUG OCT JAN NOV SEP confused, speak up! Approach # 1: “We have to do this so let’s just dig in and get it done” Ensure you have a strong “The where • We found out what measurement data wegap hadbetween and what and useful Measurement and were as an organization quantitative management tools we we could build from that data Analysis program that in terms of measurement & supports and provides value analysis • …as opposed to defining our business needsand andhaving the to your business. right data for the goal was identifying where quantitative management tools would often deep and wide.” improve our business clear about why you are level models and baselines • Be Organizational vs. program embarking on the journey to High Maturity. Share that vision. Keep sharing it. Be wary of “one size fits all”. OPP and QPM • Complied with each practice, step by step OPP SP1.2 QPM SP1.2 QPM SP2.3 OPP SP1.1 “We spent more time in the Focus on business first appraisal documentingvalue? OPP SP1.4 Where’s the business value, rather than and QPM diagramming (and SP2.2 trying to comply QPM SP1.4 selling) our modeling QPM SP2.4 with the CMMI QPMprocess SP2.1than we did model practice by actually deciding how to practice. OPP SP1.3 QPM SP1.1 use the output.” QPM SP1.3 OPP SP1.5 “Try…” “Try, Try Again…” • June 2011: SCAMPI-C • November 2011: SCAMPI-C2 • May что нам делать 2012:дальше SCAMPI-B • August 2012: SCAMPI-A ??? Que devonsnous faire ensuite ??? JAN APR FEB SEP JUL MAR OCT MAY JUN NOV DEC AUG Circumstances change… • Engaged a statistician • Level 4 requirement rescinded • Retained one program in the Level 4 organization Approach # 2: Really make High Maturity work for the organization • Teamed the statistician with a senior analyst • Re-evaluated existing baselines and models • Reconvened cross-functional modeling team Plan ahead for special resources or skills. Engage team members with the right skills. Circumstances change…again • Lead Appraiser announced retirement • “SCAMPI stands for Brought on CMMI a new (to Standardized Appraisal Method for Process Improvement.” us) Lead Appraiser “The approach to understanding the Work a Lead organization andwith its goals, and trying to Appraiser who model in see the elements of the CMMI our work, rather than the previous encourages you approach of rigorously ‘define the to focus on the– create the process – follow the process business value of artifact’ was very helpful.” the CMMI model. “If you take away process improvement, what do you have?” SCAM The intervening years • Decision Analysis & Resolution • It’s not just for multi-million dollar decisions • It’s what we do every day The intervening years • Model has been evolving over time • Final Test Execution model • Baselines: • • • • Test Case Completion Chart Problem Density Idealized Testing Curve Idealized Development Curve Keep it simple! Current state • Passed our L4 appraisal with no negative findings, a multitude of Understand your strengths, and suggestions where we can further improve. Ensure you have business needs and senior management what provides value to • We have quantitative management tools thatsupport. are actually used your organization. by the business. • The Modeling Team continues to function, asking business value questions, building quantitative management toolsactivities to answer Balance your in Make sure whatever those questions, and growing in capability. the context of adding value you do makes sense for to the organization and and provides value to • The Modeling Team enjoys the full don’t support senioraway with getofcarried your business. management. models/statistics. What has come out of this journey? “There isn’t really a “Modeling is only as good as “Convey to the staff they are “Mindset shiftwhy from ‘magic model’. Let the “Wehopeful have been thatable we’ll the“I’m underlying data…before collecting data and value “Greater appreciation of it something that what weand need model mature “People beginning to improve andjourney, put see you setgreater outare onfamiliarity that mayquantitative can tools…these tohave…[it do inIt’s order toreinforce achieve grow. more about the to recognize value.” new processes in and appreciation by you should ensure your need] torating collect itsomething carefully tools can to add value.” our learning during the and more place.” of data the staff.” fundamental collection with attention tothe accuracy.” that wethan want to actual do.” journey tools are solid.” final model.” What’s next? • Continue to identify opportunities to engage quantitative management in our daily practice • Address the issue of work culture • Team members are starting to think about how these capabilities could be used to improve processes • At the conclusion of the SCAMPI-A last year, our Lead Appraiser stated that we were already engaging in many L5 practices • Planning on a successful Level 5 appraisal in 2018 Lessons Learned… Before you even start • Really understanding High Maturity is a process in itself • Ensure you have a strong and useful Measurement and Analysis program that supports and provides value to your business • Recognize that you don’t know what you don’t know and seek input from organizations that have trod this path • Know who you can trust to have your best interest at heart and know what you can trust Lessons Learned… Before you even start (cont’d.) • Be clear about why you are embarking on the journey to High Maturity. Share that vision. Keep sharing it. • Understand your business needs and what provides value to your organization • Ensure you have senior management support • Plan ahead for special resources or skills Lessons Learned… While you’re ramping up • If you are confused, speak up • Engage team members with the right skills • Be wise about the time and money you spend on training • Be wary of “one size fits all” Lessons Learned… When you’re underway • Focus on business value, rather than trying to comply with the CMMI model practice by practice • Balance your activities in the context of adding value to the organization and don’t get carried away with models/statistics • Keep your models and baselines simple • Work with a Lead Appraiser who encourages you to focus on the business value of the CMMI model • Make sure whatever your do makes sense for and provides value to your business In conclusion… “The 2012 effort was about “High Maturity applying High Maturity thinking“The is journey to achieve practices and tools into our becoming thea Maturity work Level and the4 2015 effort was ‘norm’ of everyday rating has been an uphill about what could we do from a work.” battle but occasionally High Maturity point of view to the view fromour up business here is and improve better incredible.” our processes.”
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