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Adaptive Case Management (ACM)
You are the process –
Dynamic BPM with Adaptive Case Management

Torsten Winterberg, Danilo Schmiedel
OPITZ CONSULTING Deutschland GmbH
W-JAX, November 2013
Adaptive Case Management

Seite 1
The Team: Masons-of-SOA


Bernd Trops (Talend):
bernd.trops@talend.com



Clemens Utschig-Utschig (Boehringer-Ingelheim):
clemens.utschig-utschig@boehringer-ingelheim.com



Berthold Maier (T-Systems):
berthold.maier@t-systems.com



Hajo Normann (Accenture):
hajo.normann@accenture.com



Torsten Winterberg (OPITZ CONSULTING):
torsten.winterberg@opitz-consulting.com



Jürgen Kress (Oracle Corp.)
juergen.kress@oracle.com



Guido Schmutz (Trivadis):
guido.schmutz@trivadis.com



Danilo Schmiedel (OPITZ CONSULTING):
danilo.schmiedel@opitz-consulting.com

www.soa-community.com
Agenda

1.

From taylorism to
knowledge work

2.

Which IT-support is
needed?

3.

Case Study

4.

Modeling Cases with
CMMN

5.

Live-Demo

Adaptive Case Management

Seite 3
1

From taylorism to knowledge work

Adaptive Case Management

Seite 4
The industrial revolution:
Bringing mass-production to our world

Adaptive Case Management

Seite 5
With taylorism came the production worker

Adaptive Case Management

Seite 6
The key: Serial Execution of a well-defined
process (and no exceptions!)

Exceptions…

Trx
A1

A2

Trx
A3

D1

A4

A5

http://www.slideshare.net/rloggen/introduction-to-case-management-roeland-loggen-vs11-7021518
Adaptive Case Management

Seite 7
Taylorism: production workers everywhere …

Adaptive Case Management

Seite 8
Work has changed today:
A new role emerged: the knowledge worker
 Innovation in business
concepts
 Division of Labor
 Work & Component
Standardization
 Efficiency studies &
Improvement
 Management

 Innovation in technology
 Tools
 Machines

Adaptive Case Management

Seite 9
2

Why and how to give the knowledge
worker better IT support?

Adaptive Case Management

Seite 10
IT support for knowledge workers is
a challenge …

Rigid Workflow
CRM/
ERP

Product
system

Paper

E-mail

Word/
Excel

Data-driven system
Document system

http://www.slideshare.net/rloggen/introduction-to-case-management-roeland-loggen-vs11-7021518
Adaptive Case Management

Seite 11
… Task Management is a starting point to
address this challenge
Task Management
Tasklist

Task Templates

Task Runtime
Framework

Task Application Design

Content

Events

Rules

Collaboration

© by Hajo Normann, Accenture
Adaptive Case Management

1

Seite 12
In-box driven service architecture?!

Adaptive Case Management

Seite 13
Service Konsumenten

In-box as central architecture component of the
enterprise reference-architecture (I) - Conceptual view
User
Interaction
Channels

Browsers

Client UI

IVR

Applications

Partners

Events

System
Consumers

Composite
Applications

Web Apps

Portal

Workflow
In-box

Mashup

Process Integration

Custom Business Logic

Data
Services

Logical Data
Model

Connectivity
Services

System
Access

Data
Synchronization

Data
Aggregation

Messaging

Adapters

Data
Access

Data
Access

Partner Integration

Service
Providers

Service Oriented Infrastructure (DB, Grid, Virtualization, Caching)

Service Enabled Assets

Non-Service Enabled Assets

Legacy

Adaptive
DB
Packaged Case Management
BEA Confidential | 14

Partner
s

Content

Collaboratio
n

Seite
Search 14

Governance

Atomic Business
Services

Management

Business Activity
Services

Service Mediation & Messaging

System & Human Centric
Processes

Event Processing

Business Process
Rationalization

Enterprise Security / Identity

Shared Business Processes

Fat Clients

Business Rules

Business Process
Services

Enterprise Business Intel.

Shared Portlets

Consistent User Interaction

Business
Processes

In-box Services

Presentation
Services

Integrationsplattform

PDA

Cell
Workflow and BPM put the task into context
Enterprise Task Management
Tasklist

Task Runtime
Framework

Content

Task Templates

Task Application Design

Events

Workflow

Rules

Collaboration

Social
Software

Monitoring &
Analytics

© by Hajo Normann, Accenture
Adaptive Case Management

Seite 15
BPM technology. The solution?

Adaptive Case Management

Seite 16
BPM technology. The solution?

The key lesson: Pre-defined workflow is great,
but you need to apply it where appropriate…

Don’t bring us back to Taylor-times…

Adaptive Case Management

Seite 17
The fear …
So I won’t have a complete
30-step, 10 angles
covered, EPC/BPMN
compliant process model
to control, uhm, guide
employees?!

http://www.slideshare.net/rloggen/introduction-to-case-management-roeland-loggen-vs11-7021518
Adaptive Case Management

Seite 18
Flowcharting based BPM represents rigid
processes

Adaptive Case Management

Seite 19
Enter Case Management
Goal-oriented – like a navigation system

Journey to
„Hamburg“
Status:
arrived

Adaptive Case Management

Seite 20
No difference between straight-through and
manual processing

http://www.beinformed.com
Adaptive Case Management

Seite 21
What is a case?
 The coordination of multiple tasks, planned or unplanned,
for a specific purpose.
 Almost anything can be treated as a case.









An insurance claim
A patient
An event (such as a conference)
An identity theft investigation
A project
An asset (such as a building)
A customer request
A customer

 Is „case“ the right term?
http://www.bpmnforum.net/blog27/adaptive-processes/new-book-taming-the-unpredictable-2/
Adaptive Case Management

Seite 22
BPM and ACM

http://www.masteringtheunpredictable.com
Adaptive Case Management

Seite 23
BPM and ACM

Adaptive Case Management

Seite 24
BPM und ACM:
There‘s no „versus“. You need them both!
BPM

Rigid BPM
with BPMN

Adaptive BPM
with ACM

rBPM

aBPM

Adaptive Case Management

Seite 25
BPM and ACM
 Activity definition
 rigidBPM:
 A process has defined n activities a priori.
 Until deployment time every activity and all transitions are defined.

 adaptiveBPM:
 A number of activities may be unknown, even after deployment.

 Activity transition
 rigidBPM:
 During design time all possible transitions between activities are modelled.

 adaptiveBPM:
 Possible transitions depend on current context and data.

Adaptive Case Management

Seite 26
Classical BPM and ACM:
Different approaches for Task Management
Tasks are tied to Processes

Participants can refine case tasks as they proceed

ACM uses a task-oriented approach to define the structure of a case

Cases and in-baskets reflect the tasks that need to
be completed, regardless of where they came from
New tasks can be added to cases on the fly
Tasks can vary in complexity
Adaptive Case Management

2

© by Hajo Normann, Accenture
Seite 27
BPM and ACM: ACM is data-centric

http://www.masteringtheunpredictable.com
Adaptive Case Management

Seite 28
Focus is set on the “case”
… pension starts
paying out

… pension holder
deceased

Pension plan
is created

… legal changes
… old pension
plan is incorporated

… employer
changes again
… divorce and
remarriage
affect pension

… employer
changes

… risk profile
changes

http://www.beinformed.com
Adaptive Case Management

Seite 29
Features of the knowledge worker workplace
Taxonomies

Wizards/checklist/e-forms

Search in dossiers, knowledge
bases, government records,
catalogues etc.

Collaboration

Case based
notifications

Publishing in
variants & by
multiple channels
Time lines &
history trail

Decision support

Knowledge base

Laws and
Regulations

Monitoring &
reporting

Task & time
management

Task specific
editors

Authorisation

Xpedia for professionals with
definitions, notions, persons

Impact analysis
& simulation
Team repository
Adaptive Case Management

http://www.beinformed.com
Seite 31
Basic building blocks for ACM
Knowledge area

Other related
entities
(history,
audit)…

Related entity
(1)

Activity Area
Next (possible) shell
Next (possible) shell
Next (possible) shell

Central entity
Next (possible) shell

Related entity
(2)

Related entity
(3)

Standard tools (gmaps / calendar / calc / mail)

Task Engine

Process Engine

Adaptive Case Management

Service Bus

Add another
…
Save for later

DMS

Seite 32
Case Management UI (Example)

Adaptive Case Management

Seite 34
Ermerging paths (university campus Stuttgart)

http://www.nature.com/nature/journal/v388/n6637/fig_tab/388047a0_F1.html
Adaptive Case Management

Seite 35
3

Case Study

Adaptive Case Management

Seite 36
Facts & Figures
Insurance – Claims Management

System house for federal insurances in the German market
Enhances and supports IT-landscapes for several clients (e.g. property insurances,
building insurances, life insurances, …)

•

Expected benefits

•
•

Customer

Guarantees confidentiality, availability and integrity of data and applications

•

Trace claim management across system bounderies

•

Improvement of the data quality

•

Statistical analysis in order to develop new business models

•

Improvement of decisions

•

Identification of potential work step automations

•

Integration of new systems

•

Faster enablement for new employees

Adaptive Case Management

Seite 37
As-is Situation
 Most of the claim management is handled in a
system called „ICIS“ (Oracle Forms-based UI)
 ICIS is used by the knowledge worker
 Standard processes are not implemented within
the system (work is based on unstructured
processes)
 Data exchange with different clients and partners
 Other systems like FileNet, Worklist, etc. are
involved

 Transparency of a claims file over all working
steps and across all system bounderies is
missing
 It is difficult and time-consuming to implement
new requirements into existing systems

Adaptive Case Management

Seite 38
Insurance Company Information System (ICIS)

Adaptive Case Management

Seite 39
As-Is Situation (2)
Clerk: „I am using our Insurance Information System for many
years. It is the key software for my daily business and I know
almost every shortcut. My work is unpredictable and highly
individual – each working step depends on many criterias like
the current situation and the client.“

Client Service Assistent: „I have to deal with a lot of
clients every day using different software and channels
like phone / mail / telefax.“

Supervisor: „It is important to increase the transparency of our
system. Currently it is quite complicated to check which details are
missing and who is involved in a certain claim? This is always an
issue when claims are assigned to other colleagues.“

Adaptive Case Management

Seite 40
Important aspects to consider
 Currently Client Service Assistents and Clerks won‘t accept a new
UI => their work is tailored to the key software systems.
 The existing systems are based on complex business logic => no
big bang approach possible!

 The working steps are unpredictable and many different human
participants are involved

Adaptive Case Management

Seite 41
Why have we chosen Case Management?
 Case Management is centered around living information and
relationships (traditional business processes are centered
around a priori defined activity sequences)
 Many different insurance types = many process variances
 Discovery of process paths to extract patterns and to
improve the customer satisfaction
 No rigid process boundaries
 Suggesting instead of mandating - Participants choose
actions to meet goals
 Many different types of users: production worker AND
knowledge worker
Adaptive Case Management

Seite 42
Where and how does ACM help?

Adaptive Case Management

Seite 43
Claims Management has two cases

Adaptive Case Management

Seite 44
Smart Change: Our approach to introduce ACM

Step 1

Step 2

Application to
Process

Collaboration &
Integration

Step 4
Replacement

Adaptive Case Management

Step 3
Optimization &
Innovation

Seite 45
Smart Change: Step 1 – Application to Process
•

The knowledge worker still uses the
existing systems

•

Event-Driven: ACM solution
catches events from ICIS and
other systems

•

•

Guided Navigation: ACM
solution visualizes the
process flows and guides
the user to reach a
satisfactory outcome
Predictive Working:
Provide suggestions in order
to find the „best“ decision

Adaptive Case Management

Step 1

Step 2

Application to
Process

Collaboration &
Integration

Step 4
Replacement

Step 3
Optimization &
Innovation

Seite 46
Smart Change: Step 2
Collaboration and Integration
• Implement new functions, which are not
available today

Step 1

Step 2

Application to
Process

Collaboration &
Integration

<
Step 4
Replacement

Step 3
Optimization &
Innovation

Adaptive Case Management

• Automation: Automate manual
working steps
• Content Collaboration:
Integrate new systems
and partners
• Integrate new channels

Seite 47
Smart Change: Step 3
Optimization & Innovation

Step 1

Step 2

Application to
Process

Collaboration &
Integration

Step 4

Step 3

Replacement

Optimization &
Innovation

• Adaptivity:
establish an intelligent BPM
solution with new services
• Improve and enhance
decision the management
• React on impulse factors

Adaptive Case Management

Seite 48
Smart Change: Step 4 – Replacement

Step 1
Application to
Process

Adaptive Case Management

Collaboration &
Integration

Step 4
• Extract claims management
from existing applications and
switch to ACM solution

Step 2

Step 3

Replacement

Optimization &
Innovation

Seite 49
Different User Interfaces to be integrated

Zahlba
r an

ICIS
Insurance Company
Information System

$

Case Management UI

Adaptive Case Management

Worklist

Seite 50
UI Integration Options
3) ICIS and ACM integrated in Portal
Independent Worklist

1) Separate UI‘s

Zahlba
r an

ICIS

$

Case Management UI

Worklist

2) ICIS with ACM-Functionality
Independent Case-UI for new implementations

Adaptive Case Management

4) Portal with all User Interfaces

Seite 51
Case Management UI (Example)

Adaptive Case Management

Seite 52
Case Management UI (Wireframe I)

Adaptive Case Management

Seite 53
Case Management UI (Wireframe II)

Adaptive Case Management

Seite 54
4

Modeling Cases with CMMN

Adaptive Case Management

Seite 55
Claims Management has two cases

Adaptive Case Management

Seite 56
Case Design
 Case Management covers complex and unstructured knowledge-intensive
scenarios
 We started with a mind-mapping approach in order to collect the following
information:










Milestones (Checkpoints in the progress)
Outcomes
Case Activities (Represent specific work)
Execution semantics (manual,
automatic, required, repeatable, …)
Case Rules
Data & Documents
User Events (e.g. Document received)
Stakeholders
Permissions

Adaptive Case Management

Seite 57
Case Design (2)
Claim
EvaluationMilestones mark

Claim
Handling

Claims
Regulation

progression of a case

Case
Participants
(Stakeholders)

CSR
Assistant

Clerk

Collect claimant
data

Activities – system
guided or human
controlled

Activities – can be
repeatable
Request estimate
of costs

Activity availability controlled by
permissions and rules
Accept claim

Reject claim

Adaptive Case Management

Further inquiry
third-party
insurance

Comission a
appraiser

Perform formal
checks

Supervisor

Notify Client

Notify Client

Request missing
documents

Activity can be a
structured process or a
task

Create claim
acceptance
document

Create booking
entry for claim
payment

Perform
payment

Partial
settlement of a
claim

Approve

Reject

Seite 58
Case Management Model and Notation 1.0
 OMG defined a new standard for Case Modeling
 Case Management Model and Notation (CMMN)

 Beta version published in January 2013
 Vendors like IBM, Oracle, SAP, Kofax, Cordys and Tibco have have
contributed to this standard
 http://www.omg.org/spec/CMMN/1.0/Beta1/PDF/

Adaptive Case Management

Seite 59
Design-time modeling and run-time planning
 During the design-time phase,
business analysts engage in
modeling and define tasks that are
always part of the case and
„discretionary“ Tasks to be applied
in addition, to his/her discretion

Adaptive Case Management

 During the run-time phase, case
workers execute the plan,
particularly by performing tasks as
planned and adding discretionary
tasks to the case plan instance in
run-time

Seite 60
CMMN: Grouping Elements

Adaptive Case Management

Seite 63
CMMN: Tasks

Adaptive Case Management

Seite 64
CMMN: Milestones / Events

Adaptive Case Management

Seite 65
CMMN: Decorators

Adaptive Case Management

Seite 66
Case: Claims File
Case Management Model and Notation 1.0 (CMMN)

Adaptive Case Management

Seite 67
Download: www.thecattlecrew.com
Adaptive Case Management

Seite 68
5

Live Demo

Adaptive Case Management

Seite 69
6

Conclusion

Adaptive Case Management

Seite 70
Why ACM?
 Empower Knowledge Workers
 Suggesting instead of Mandating
 Living Knowledge base to embrace the learning organization
 No more rigid process boundaries
 Adaptive approach to the unpredictable process variances
 Discovery of process paths
 Complements BPMN
 Collaborative Decision Making

Adaptive Case Management

Seite 71
Discussion, Questions & Answers

www.thecattlecrew.com
Adaptive Case Management

Seite 73
Contact
Torsten Winterberg
Business Development & Innovation
OPITZ CONSULTING Deutschland GmbH
Kirchstr. 6, 51647 Gummersbach, Germany
Phone:
+49 173 54 79 302
Mail:
torsten.winterberg@opitz-consulting.com
Twitter:
@t_winterberg
Blog:
http://torstenwinterberg.blogspot.de/

Danilo Schmiedel
Solution Architect
OPITZ CONSULTING Deutschland GmbH
Kirchstr. 6, 51647 Gummersbach, Germany
Phone:
+49 173 7279001
Mail:
danilo.schmiedel@opitz-consulting.com
Twitter:
@dschmied
Blog:
inside-bpm-and-soa.blogspot.com

www.thecattlecrew.com
Adaptive Case Management

© OPITZ CONSULTING GmbH 2013

Seite 74

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Adaptive Case Management - Effizienzsteigerung durch Prozessautomatisierung

  • 1. Adaptive Case Management (ACM) You are the process – Dynamic BPM with Adaptive Case Management Torsten Winterberg, Danilo Schmiedel OPITZ CONSULTING Deutschland GmbH W-JAX, November 2013 Adaptive Case Management Seite 1
  • 2. The Team: Masons-of-SOA  Bernd Trops (Talend): bernd.trops@talend.com  Clemens Utschig-Utschig (Boehringer-Ingelheim): clemens.utschig-utschig@boehringer-ingelheim.com  Berthold Maier (T-Systems): berthold.maier@t-systems.com  Hajo Normann (Accenture): hajo.normann@accenture.com  Torsten Winterberg (OPITZ CONSULTING): torsten.winterberg@opitz-consulting.com  Jürgen Kress (Oracle Corp.) juergen.kress@oracle.com  Guido Schmutz (Trivadis): guido.schmutz@trivadis.com  Danilo Schmiedel (OPITZ CONSULTING): danilo.schmiedel@opitz-consulting.com www.soa-community.com
  • 3. Agenda 1. From taylorism to knowledge work 2. Which IT-support is needed? 3. Case Study 4. Modeling Cases with CMMN 5. Live-Demo Adaptive Case Management Seite 3
  • 4. 1 From taylorism to knowledge work Adaptive Case Management Seite 4
  • 5. The industrial revolution: Bringing mass-production to our world Adaptive Case Management Seite 5
  • 6. With taylorism came the production worker Adaptive Case Management Seite 6
  • 7. The key: Serial Execution of a well-defined process (and no exceptions!) Exceptions… Trx A1 A2 Trx A3 D1 A4 A5 http://www.slideshare.net/rloggen/introduction-to-case-management-roeland-loggen-vs11-7021518 Adaptive Case Management Seite 7
  • 8. Taylorism: production workers everywhere … Adaptive Case Management Seite 8
  • 9. Work has changed today: A new role emerged: the knowledge worker  Innovation in business concepts  Division of Labor  Work & Component Standardization  Efficiency studies & Improvement  Management  Innovation in technology  Tools  Machines Adaptive Case Management Seite 9
  • 10. 2 Why and how to give the knowledge worker better IT support? Adaptive Case Management Seite 10
  • 11. IT support for knowledge workers is a challenge … Rigid Workflow CRM/ ERP Product system Paper E-mail Word/ Excel Data-driven system Document system http://www.slideshare.net/rloggen/introduction-to-case-management-roeland-loggen-vs11-7021518 Adaptive Case Management Seite 11
  • 12. … Task Management is a starting point to address this challenge Task Management Tasklist Task Templates Task Runtime Framework Task Application Design Content Events Rules Collaboration © by Hajo Normann, Accenture Adaptive Case Management 1 Seite 12
  • 13. In-box driven service architecture?! Adaptive Case Management Seite 13
  • 14. Service Konsumenten In-box as central architecture component of the enterprise reference-architecture (I) - Conceptual view User Interaction Channels Browsers Client UI IVR Applications Partners Events System Consumers Composite Applications Web Apps Portal Workflow In-box Mashup Process Integration Custom Business Logic Data Services Logical Data Model Connectivity Services System Access Data Synchronization Data Aggregation Messaging Adapters Data Access Data Access Partner Integration Service Providers Service Oriented Infrastructure (DB, Grid, Virtualization, Caching) Service Enabled Assets Non-Service Enabled Assets Legacy Adaptive DB Packaged Case Management BEA Confidential | 14 Partner s Content Collaboratio n Seite Search 14 Governance Atomic Business Services Management Business Activity Services Service Mediation & Messaging System & Human Centric Processes Event Processing Business Process Rationalization Enterprise Security / Identity Shared Business Processes Fat Clients Business Rules Business Process Services Enterprise Business Intel. Shared Portlets Consistent User Interaction Business Processes In-box Services Presentation Services Integrationsplattform PDA Cell
  • 15. Workflow and BPM put the task into context Enterprise Task Management Tasklist Task Runtime Framework Content Task Templates Task Application Design Events Workflow Rules Collaboration Social Software Monitoring & Analytics © by Hajo Normann, Accenture Adaptive Case Management Seite 15
  • 16. BPM technology. The solution? Adaptive Case Management Seite 16
  • 17. BPM technology. The solution? The key lesson: Pre-defined workflow is great, but you need to apply it where appropriate… Don’t bring us back to Taylor-times… Adaptive Case Management Seite 17
  • 18. The fear … So I won’t have a complete 30-step, 10 angles covered, EPC/BPMN compliant process model to control, uhm, guide employees?! http://www.slideshare.net/rloggen/introduction-to-case-management-roeland-loggen-vs11-7021518 Adaptive Case Management Seite 18
  • 19. Flowcharting based BPM represents rigid processes Adaptive Case Management Seite 19
  • 20. Enter Case Management Goal-oriented – like a navigation system Journey to „Hamburg“ Status: arrived Adaptive Case Management Seite 20
  • 21. No difference between straight-through and manual processing http://www.beinformed.com Adaptive Case Management Seite 21
  • 22. What is a case?  The coordination of multiple tasks, planned or unplanned, for a specific purpose.  Almost anything can be treated as a case.         An insurance claim A patient An event (such as a conference) An identity theft investigation A project An asset (such as a building) A customer request A customer  Is „case“ the right term? http://www.bpmnforum.net/blog27/adaptive-processes/new-book-taming-the-unpredictable-2/ Adaptive Case Management Seite 22
  • 24. BPM and ACM Adaptive Case Management Seite 24
  • 25. BPM und ACM: There‘s no „versus“. You need them both! BPM Rigid BPM with BPMN Adaptive BPM with ACM rBPM aBPM Adaptive Case Management Seite 25
  • 26. BPM and ACM  Activity definition  rigidBPM:  A process has defined n activities a priori.  Until deployment time every activity and all transitions are defined.  adaptiveBPM:  A number of activities may be unknown, even after deployment.  Activity transition  rigidBPM:  During design time all possible transitions between activities are modelled.  adaptiveBPM:  Possible transitions depend on current context and data. Adaptive Case Management Seite 26
  • 27. Classical BPM and ACM: Different approaches for Task Management Tasks are tied to Processes Participants can refine case tasks as they proceed ACM uses a task-oriented approach to define the structure of a case Cases and in-baskets reflect the tasks that need to be completed, regardless of where they came from New tasks can be added to cases on the fly Tasks can vary in complexity Adaptive Case Management 2 © by Hajo Normann, Accenture Seite 27
  • 28. BPM and ACM: ACM is data-centric http://www.masteringtheunpredictable.com Adaptive Case Management Seite 28
  • 29. Focus is set on the “case” … pension starts paying out … pension holder deceased Pension plan is created … legal changes … old pension plan is incorporated … employer changes again … divorce and remarriage affect pension … employer changes … risk profile changes http://www.beinformed.com Adaptive Case Management Seite 29
  • 30. Features of the knowledge worker workplace Taxonomies Wizards/checklist/e-forms Search in dossiers, knowledge bases, government records, catalogues etc. Collaboration Case based notifications Publishing in variants & by multiple channels Time lines & history trail Decision support Knowledge base Laws and Regulations Monitoring & reporting Task & time management Task specific editors Authorisation Xpedia for professionals with definitions, notions, persons Impact analysis & simulation Team repository Adaptive Case Management http://www.beinformed.com Seite 31
  • 31. Basic building blocks for ACM Knowledge area Other related entities (history, audit)… Related entity (1) Activity Area Next (possible) shell Next (possible) shell Next (possible) shell Central entity Next (possible) shell Related entity (2) Related entity (3) Standard tools (gmaps / calendar / calc / mail) Task Engine Process Engine Adaptive Case Management Service Bus Add another … Save for later DMS Seite 32
  • 32. Case Management UI (Example) Adaptive Case Management Seite 34
  • 33. Ermerging paths (university campus Stuttgart) http://www.nature.com/nature/journal/v388/n6637/fig_tab/388047a0_F1.html Adaptive Case Management Seite 35
  • 34. 3 Case Study Adaptive Case Management Seite 36
  • 35. Facts & Figures Insurance – Claims Management System house for federal insurances in the German market Enhances and supports IT-landscapes for several clients (e.g. property insurances, building insurances, life insurances, …) • Expected benefits • • Customer Guarantees confidentiality, availability and integrity of data and applications • Trace claim management across system bounderies • Improvement of the data quality • Statistical analysis in order to develop new business models • Improvement of decisions • Identification of potential work step automations • Integration of new systems • Faster enablement for new employees Adaptive Case Management Seite 37
  • 36. As-is Situation  Most of the claim management is handled in a system called „ICIS“ (Oracle Forms-based UI)  ICIS is used by the knowledge worker  Standard processes are not implemented within the system (work is based on unstructured processes)  Data exchange with different clients and partners  Other systems like FileNet, Worklist, etc. are involved  Transparency of a claims file over all working steps and across all system bounderies is missing  It is difficult and time-consuming to implement new requirements into existing systems Adaptive Case Management Seite 38
  • 37. Insurance Company Information System (ICIS) Adaptive Case Management Seite 39
  • 38. As-Is Situation (2) Clerk: „I am using our Insurance Information System for many years. It is the key software for my daily business and I know almost every shortcut. My work is unpredictable and highly individual – each working step depends on many criterias like the current situation and the client.“ Client Service Assistent: „I have to deal with a lot of clients every day using different software and channels like phone / mail / telefax.“ Supervisor: „It is important to increase the transparency of our system. Currently it is quite complicated to check which details are missing and who is involved in a certain claim? This is always an issue when claims are assigned to other colleagues.“ Adaptive Case Management Seite 40
  • 39. Important aspects to consider  Currently Client Service Assistents and Clerks won‘t accept a new UI => their work is tailored to the key software systems.  The existing systems are based on complex business logic => no big bang approach possible!  The working steps are unpredictable and many different human participants are involved Adaptive Case Management Seite 41
  • 40. Why have we chosen Case Management?  Case Management is centered around living information and relationships (traditional business processes are centered around a priori defined activity sequences)  Many different insurance types = many process variances  Discovery of process paths to extract patterns and to improve the customer satisfaction  No rigid process boundaries  Suggesting instead of mandating - Participants choose actions to meet goals  Many different types of users: production worker AND knowledge worker Adaptive Case Management Seite 42
  • 41. Where and how does ACM help? Adaptive Case Management Seite 43
  • 42. Claims Management has two cases Adaptive Case Management Seite 44
  • 43. Smart Change: Our approach to introduce ACM Step 1 Step 2 Application to Process Collaboration & Integration Step 4 Replacement Adaptive Case Management Step 3 Optimization & Innovation Seite 45
  • 44. Smart Change: Step 1 – Application to Process • The knowledge worker still uses the existing systems • Event-Driven: ACM solution catches events from ICIS and other systems • • Guided Navigation: ACM solution visualizes the process flows and guides the user to reach a satisfactory outcome Predictive Working: Provide suggestions in order to find the „best“ decision Adaptive Case Management Step 1 Step 2 Application to Process Collaboration & Integration Step 4 Replacement Step 3 Optimization & Innovation Seite 46
  • 45. Smart Change: Step 2 Collaboration and Integration • Implement new functions, which are not available today Step 1 Step 2 Application to Process Collaboration & Integration < Step 4 Replacement Step 3 Optimization & Innovation Adaptive Case Management • Automation: Automate manual working steps • Content Collaboration: Integrate new systems and partners • Integrate new channels Seite 47
  • 46. Smart Change: Step 3 Optimization & Innovation Step 1 Step 2 Application to Process Collaboration & Integration Step 4 Step 3 Replacement Optimization & Innovation • Adaptivity: establish an intelligent BPM solution with new services • Improve and enhance decision the management • React on impulse factors Adaptive Case Management Seite 48
  • 47. Smart Change: Step 4 – Replacement Step 1 Application to Process Adaptive Case Management Collaboration & Integration Step 4 • Extract claims management from existing applications and switch to ACM solution Step 2 Step 3 Replacement Optimization & Innovation Seite 49
  • 48. Different User Interfaces to be integrated Zahlba r an ICIS Insurance Company Information System $ Case Management UI Adaptive Case Management Worklist Seite 50
  • 49. UI Integration Options 3) ICIS and ACM integrated in Portal Independent Worklist 1) Separate UI‘s Zahlba r an ICIS $ Case Management UI Worklist 2) ICIS with ACM-Functionality Independent Case-UI for new implementations Adaptive Case Management 4) Portal with all User Interfaces Seite 51
  • 50. Case Management UI (Example) Adaptive Case Management Seite 52
  • 51. Case Management UI (Wireframe I) Adaptive Case Management Seite 53
  • 52. Case Management UI (Wireframe II) Adaptive Case Management Seite 54
  • 53. 4 Modeling Cases with CMMN Adaptive Case Management Seite 55
  • 54. Claims Management has two cases Adaptive Case Management Seite 56
  • 55. Case Design  Case Management covers complex and unstructured knowledge-intensive scenarios  We started with a mind-mapping approach in order to collect the following information:          Milestones (Checkpoints in the progress) Outcomes Case Activities (Represent specific work) Execution semantics (manual, automatic, required, repeatable, …) Case Rules Data & Documents User Events (e.g. Document received) Stakeholders Permissions Adaptive Case Management Seite 57
  • 56. Case Design (2) Claim EvaluationMilestones mark Claim Handling Claims Regulation progression of a case Case Participants (Stakeholders) CSR Assistant Clerk Collect claimant data Activities – system guided or human controlled Activities – can be repeatable Request estimate of costs Activity availability controlled by permissions and rules Accept claim Reject claim Adaptive Case Management Further inquiry third-party insurance Comission a appraiser Perform formal checks Supervisor Notify Client Notify Client Request missing documents Activity can be a structured process or a task Create claim acceptance document Create booking entry for claim payment Perform payment Partial settlement of a claim Approve Reject Seite 58
  • 57. Case Management Model and Notation 1.0  OMG defined a new standard for Case Modeling  Case Management Model and Notation (CMMN)  Beta version published in January 2013  Vendors like IBM, Oracle, SAP, Kofax, Cordys and Tibco have have contributed to this standard  http://www.omg.org/spec/CMMN/1.0/Beta1/PDF/ Adaptive Case Management Seite 59
  • 58. Design-time modeling and run-time planning  During the design-time phase, business analysts engage in modeling and define tasks that are always part of the case and „discretionary“ Tasks to be applied in addition, to his/her discretion Adaptive Case Management  During the run-time phase, case workers execute the plan, particularly by performing tasks as planned and adding discretionary tasks to the case plan instance in run-time Seite 60
  • 59. CMMN: Grouping Elements Adaptive Case Management Seite 63
  • 60. CMMN: Tasks Adaptive Case Management Seite 64
  • 61. CMMN: Milestones / Events Adaptive Case Management Seite 65
  • 62. CMMN: Decorators Adaptive Case Management Seite 66
  • 63. Case: Claims File Case Management Model and Notation 1.0 (CMMN) Adaptive Case Management Seite 67
  • 65. 5 Live Demo Adaptive Case Management Seite 69
  • 67. Why ACM?  Empower Knowledge Workers  Suggesting instead of Mandating  Living Knowledge base to embrace the learning organization  No more rigid process boundaries  Adaptive approach to the unpredictable process variances  Discovery of process paths  Complements BPMN  Collaborative Decision Making Adaptive Case Management Seite 71
  • 68. Discussion, Questions & Answers www.thecattlecrew.com Adaptive Case Management Seite 73
  • 69. Contact Torsten Winterberg Business Development & Innovation OPITZ CONSULTING Deutschland GmbH Kirchstr. 6, 51647 Gummersbach, Germany Phone: +49 173 54 79 302 Mail: torsten.winterberg@opitz-consulting.com Twitter: @t_winterberg Blog: http://torstenwinterberg.blogspot.de/ Danilo Schmiedel Solution Architect OPITZ CONSULTING Deutschland GmbH Kirchstr. 6, 51647 Gummersbach, Germany Phone: +49 173 7279001 Mail: danilo.schmiedel@opitz-consulting.com Twitter: @dschmied Blog: inside-bpm-and-soa.blogspot.com www.thecattlecrew.com Adaptive Case Management © OPITZ CONSULTING GmbH 2013 Seite 74