Strategies and Priorities for Information Technology at the Centers for Medicare and Medicaid Services (2012) / Chapter Skim
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3 A Meta-Methodology for the Modernization and Transformation of Business and Information Ecosystems
3 A Meta-Methodology for the Modernization and Transformation of Business and Information Ecosystems
Pages 65-76
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From page 65... ...
discussion concerns conceptual models of the business roles and processes under consideration. The approach described is simultaneously comprehensive and incremental, combining top-down guidance for establishing global context with bottom-up specificity regarding what is transitioned and how.1 This is distinct from a "big bang" approach that would attempt to transition everything at once -- as Chapter 2 indicates, such an approach would be unlikely to succeed.
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From page 66... ...
In its 18-month plan for enterprise and shared services,5 CMS lays out the need to formalize and define services that can be shared across its various businesses, sug gesting a useful list of such services, including master data management, portals, and identity management. The plan also suggests a governance model that spans the business and information technology organizations.
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From page 67... ...
(In its enterprise and shared services plan,7 CMS refers to such business services, shared CMS-wide, as enterprise services.) In this report, a business ecosystem consists of the people, processes, services, and information required to operate all aspects of a specific busi 6 The terminology selected for use in this report is not unique; CMS should adopt the terms with which it is most comfortable, taking into account relevant U.S.
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From page 68... ...
CMS has business and information ecosystems in place, such as the medical beneficiary membership systems, the Medicare claims and utili zation data systems, the Medicare pricing systems, and many others. CMS refers to these as CMS systems families, by which the committee assumes that CMS means several information systems used to accomplish what 8 Independence of business roles is not meant to imply that there must be a complete lack of sharing of resources or services.
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From page 69... ...
This report refers to existing constructs as sources: for example, source information ecosystems. It refers to desired constructs as targets: for example, target business ecosystems.
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From page 70... ...
. -- The second task is to design a set of target business ecosystems and a target global business ecosystem, paying particular attention to opportunities to consolidate and redesign business roles and processes by identifying commonalities and potential shared services.
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From page 71... ...
-- The fourth task is to develop mappings between the source and the target information ecosystems, creating a plan that can be sequenced so that individual technical transitions can be conducted one at a time. -- The fifth task is as follows: For each transition identified in the fourth task, plan a technical process that follows its own sequence: a pro cess that (1)
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From page 72... ...
Or, imagine a comparatively simple case in which the target CMS global business ecosystem is known to require one CMS role, that of beneficiary registration, whose business requirements are partially known. The context for this case should include the beneficiary registration role characterized by all known and anticipated details.
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From page 73... ...
Subsequently, stakeholders' realization of the possibility of an expedited response to their needs might encourage them to change the roles that they would like to play or indeed to expand their business requirements to include capabilities previously thought to be unrealistic or unachievable. CMS's iterative modernization and transformation activities should be approached comprehensively in the most global context, but with the recognition that the fifth task listed above is the crucial implementation step at the appropriate level of abstraction, where the transitions take place.
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From page 74... ...
For example, if fee for service is the most urgent business ecosystem to transition, the mapping should focus on the relevant source and target business ecosystems, taking into consideration as many global aspects as are known. Subsequent incremental mappings will focus on the relevant source and target business ecosystems as well as on those business system mappings that already exist.
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From page 75... ...
The complexity of these considerations has often prevented large organizations such as CMS from launching transformative efforts, leaving the source or legacy environment in place and thus missing an opportunity to reduce long-term costs and increase flexibility. Over time, the cost of not taking advantage of those opportunities is an unsustainable legacy ecosystem characterized by legacy or uncompetitive costs and inflexible processes, resources, organizational structures, and information ecosystems.
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From page 76... ...
76 STRATEGIES AND PRIORITIES FOR INFORMATION TECHNOLOGY AT CMS party-managed) cloud services.
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