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Cognizanti
Part II
Navigating the
Digital Age
What senior leaders worldwide have
learned from pushing the boundaries
of change.
VOLUME 11 • 2018
Cognizanti is an annual journal published by Cognizant. Our
mission is to provide unique insights, emerging strategies and
proven best practices that globally-minded companies can use in
their quest for business and IT performance excellence.
All articles published in Cognizanti represent the ideas and
perspectives of individual Cognizant associates and contributors
who have documented expertise in business-technology strategy
and implementation. The content of the articles published in
Cognizanti represents the views of the individual contributors
and not necessarily those of Cognizant. They are put forward
to illuminate new ways of conceptualizing and delivering global
services for competitive gain. They are not intended to be, and are
not a substitute for, professional advice and should not be relied
upon as such.
For more insights, and to continue the conversation online, please
visit our e-community at http://connections.cognizant.com or
download our Perspectives app from the Apple App Store or
Google Play at http://cogniz.at/itunescognizantperspectives or
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© Copyright 2018, Cognizant Technology Solutions
No part of this publication may be used or reproduced in any manner whatsoever without written
permission of Cognizant.
The Cognizanti Team
	Publisher:	Malcolm Frank, Executive Vice-President, Strategy & Marketing
	Editor-in-Chief:	 Alan Alper, Vice-President, Corporate Marketing
	 Editor:	 Rajeshwer Chigullapalli, Associate Director, Corporate Marketing
	 Thought Leadership
	 Program Management:	 April Vadnais, Associate Director, Corporate Marketing
	 Art Director:	 Jason Feuilly, Director, Corporate Brand/Design­
	Design/Print Production: 	 Diana Fitter, Contributing Art Director
	 Contributing Editor:	 Mary Brandel, Contributing Editor
	 Columnist: 	 Bruce J. Rogow, Independent Advisor
	 Digital Distribution:	 Nikhil Narayanan, Senior Manager, Social Media Marketing
Editorial Advisory Board
Kaushik Bhaumik, Executive Vice-President,
Global Leader, Healthcare Business Unit
Irene Sandler, Vice-President Marketing,
Cognizant Accelerator
Mats Johard, Associate Vice-President, Cognizant Business
Consulting, Strategy & Transformation
Ramkumar Ramamoorthy, Executive Director, India
Anand Chandramouli, Director,
Cognizant Primary Research
Ben Pring, Vice-President,
Cognizant Center for the Future of Work
Gary Beach, Publisher Emeritus, CIO Magazine
VOLUME 11 • 2018
An annual journal produced by Cognizant
Cognizanti
5 Editor’s Note
The Global Mosaic That Is Digital
Alan Alper, Cognizant
7 The First Word
Unfurling the Blockchain Blueprint
Rajeshwer Chigullapalli, Cognizant
13 Insurance/Health & Wellness
You Don’t Join Us; We Join You
Steve Roberts, Aetna Health
21 Banking and Financial Services
Customer Centricity through Collaboration:
Mizuho’s Path to Digital
Nobuhisa Abe, Mizuho Financial Group, Inc.
27 Commentary
Hands Up For Talent
Gary Beach, CIO Magazine
33 Educational Services
Building a Global Community of Connected
Students, from Classroom to Career
Andrew Barkla, IDP Education
39 Healthcare
Transforming Physician and Patient
Engagement at LifeBridge Health
Jonathan Ringo, Sinai Hospital of Baltimore
Jonathan Thierman, LifeBridge Health
and Northwest Hospital
Jonathan Moles, LifeBridge Health
47 Manufacturing, Consumer Goods & Retail
Asian Paints: The Digital Odyssey
of a Serial Reinventor
Harish Lade, Asian Paints
55 The Last Word
Lessons From the Digital Frontier
Bruce J. Rogow, IT Odyssey
Table of Contents
Cognizanti • 5Cognizanti • 5
The Global Mosaic That Is Digital
Look around. Our personal and professional lives are increasingly conducted through a screen,
app or voice interface. And this phenomenon of relying on digital approaches to get things done
will only accelerate, globally.
That’s why we dedicate this issue of Cognizanti to the digital movement taking shape worldwide.
We continue our exploration of digital through the eyes of practitioners – namely, our clients –
who are pursuing digital that truly matters in ways that advance their market leadership, both
regionally and globally.
In the pages that follow, we present essays written by senior leaders at Aetna, Asian Paints, IDP
Education, LifeBridge and Mizuho, whose ambition is to steer their organizations into a brighter
digital tomorrow. Notably, the authors include doctors, a CEO, an innovation leader and of course
IT executives, underscoring the wide array of business and technology influencers who drive
digital strategy and execution.
From Aetna, you’ll hear how the company is seeking to transform from a health insurer to a
wellness company. Mizuho, the Japanese mega-bank, explains how it is applying blockchain, big
data analytics and AI, along with fintech partnerships, to deliver customer-oriented innovation
to relevant areas of its global business. You’ll learn how IDP Education is working hard to extend
its support for customers to every stage of their international education journey and beyond, with
personalized, relevant content.
LifeBridge, a major U.S. regional health provider network, reveals how it’s applying new-age con-
sumer-style digital engagement to enhance physician communications and patient care coordina-
tion. Lastly, Asian Paints – the third largest provider of paint in the Asia-Pacific region – presents
a colorful canvas of design thinking, behavioral and data sciences and modern enterprise systems,
detailing the company’s pursuit of leadership in the paint-as-a-service and home decor markets.
Sprinkled in, as always, are commentaries that offer insight into major developments that drive
our digital age. We open with a fact-based look at blockchain’s slow but steady move from the lab
to a mainstream force in enterprise computing. Veteran IT industry commentator Gary Beach
offers advice on filling in the talent gap that threatens the entire digital movement. Bruce Rogow
punctuates the issue with a cautionary tale and lessons learned, crafted from interviews with top
senior business and IT leaders who have come up short in in their initial digital initiatives. Bruce’s
advice: Do a better job of anticipating factors that conspire to undermine even the best efforts.
We hope you enjoy and benefit from the views shared by your colleagues and our commentators.
And if you’d like your own digital journey featured in an upcoming issue of Cognizanti, or in our
Digital Perspectives app (available both at the Apple App Store and Google Play on smartphones
and tablets), contact me at Alan.Alper@cognizant.com. You can also share your point of view on
our Cognizant Connections e-community.
Editor’s Note
Cognizanti • 7Cognizanti • 7
Organizations worldwide see
blockchain as a significant
force for their business and
industry, and are well on their
way to developing a strategy,
with an eye on reducing
operating costs, automating
key business processes
and enhancing trust and
transparency, our latest
study reveals.
As the whipsaw volatility of Bitcoin’s
cryptocurrency simultaneously excites and
generates fear among digitally-minded
investors, a movement is quietly taking
hold at organizations worldwide: applying
Bitcoin’s underlying technology – blockchain
– to resolve the essential business challenges
of trust and transactional integrity that have
vexed e-commerce decision makers for a
better part of this millennium.
While still in the “prove it” phase, many
business and technology leaders worldwide
see blockchain’s distributed ledger technology
and built-in encryption capabilities on private
and public networks as fundamental to
enabling virtual business – from R&D, supply
chain management and assembly, through
sales, distribution and after-market support –
to take on many of the same characteristics as
physical business by essentially guaranteeing
that all trading parties are who they say they
are, and enforcing their contractual obliga-
tions. And via the technology’s encryption
and immutable records, they also hope to
keep out prying eyes and ne’er-do-wells who
seek to inflict harm on the digital value
chains proliferating throughout the globe.
Our recent global study of 3,000-plus senior
executives found that a vast majority see
blockchain as critical to reducing operating
costs by allowing their organization to
plug-and-play on shared IT infrastructure
(private and public); automating key business
processes with smart contract technology; and
pursuing business opportunities that emerge
from new collaborative ecosystems worldwide.
In fact, an overwhelming majority of our
respondents across banking and financial
services, manufacturing, retail, healthcare
and insurance, and spanning IT, operations,
innovation and functional business roles in
Asia-Pac, Europe and North America, see
blockchain as a significant force that will
impact their company (92%) and industry
(86%) in the years to come. They believe
blockchain will empower their organization
to reimagine and reinvent their business.
Unfurling the
Blockchain Blueprint
By Rajeshwer Chigullapalli
First Word
Cognizanti • 98
Given the nascent stage of the technology,
most organizations are carefully testing
the waters with proofs of concept (PoCs),
pilots and prototypes. Choice of platform
also reveals an interesting mix. A majority
of respondents indicated interest in permis-
sioned (40%) and open (37%) blockchain
networks, while the choice of private
blockchain networks garnered a small
percentage. This is indicative of the fact
that organizations realize that the value
of blockchain is in supporting multi-party
ecosystems, not internal operations. The
preference for closed or permissioned
platforms in their current projects seems
to stem from a lack of trust across existing
ecosystems, with half of the surveyed respon-
dents saying they have only a “medium level”
of trust in their partners (see Figure 2).
Hurdles Along the Path
Change management is critical to embracing
the collaborative culture that is core to
blockchain’s shared technology and operating
models. This appears to be a work in progress,
according to respondents. Legacy systems
integration is another key challenge that
respondents are contending with via a mix
of approaches that include outright system
replacements, workarounds or hybrid models.
Topping the chart of internal barriers to
blockchain adoption are understanding
blockchain and relevant use cases that
demonstrate business benefits, followed by
communicating blockchain’s business value
to key decision makers. External roadblocks,
meanwhile, include perceived concerns about
privacy and security, scalability, standards
and interoperability.
Many see blockchain’s ability to unlock
business opportunities in new markets (53%),
service lines (56%) and customer segments
(52%). Their rationale: Blockchain provides
the technological wherewithal to stay ahead
of the competition and mitigate the threat
of digital disruption. They estimate that in
the short term, blockchain will generate cost
savings of 2.5%-plus, and lead to revenue
growth of 5% to 10%.
Treading Cautiously
The blockchain adoption journey is well
underway, with most organizations deep into
defining a blockchain strategy, finalizing
budgets and organizing teams. Most respon-
dents estimate their blockchain budgets to
equal 2.5% to 10% of total IT spending and
report that they have established teams (of
six to 15 people) dedicated to blockchain
initiatives. Respondents expect to encounter
skill gaps arising from blockchain’s growing
impact and have drawn up action plans that
combine traditional training and innovation
lab approaches.
When asked about their strategy, respondents
revealed that they are embracing a multi-
faceted approach (see Figure 1). In order of
priority, the components include identifying
innovation opportunities; assessing impact on
existing systems; evaluating blockchain along
with other emerging technologies such as
Internet of Things (IoT), advanced analytics
and robotic process automation; and identify-
ing processes to which smart contracts can be
applied.
Paradoxically, despite recognizing the
potential for breakthrough innovations, only
12% cite altered or new business models as
a strategy component of their move-forward
thinking. This is further corroborated by the
majority view that blockchain is unlikely to
affect their current operating models (47%)
or fuel new operating models (13%).
Top Strategy Components
Respondents were asked to identify the components that
make up their blockchain strategy.
Base: 3,236 respondents. Multiple responses allowed.
Figure 1
Forming dedicated teams to identify use cases
and opportunities for innovation
Implementing internally to assess benefits and
Implications of blockchain for existing systems
Assessing the impact of blockchain
alongside emerging technologies such as IoT,
advanced analytics and robotics
Identifying processes that can be improved
through the use of smart contracts
Understanding regulatory implications of
moving processes to blockchain
Working with industry partners/consortia to
identify areas to focus on or avoid
Enabling new or extended business models
based on blockchain platforms
Replacing current systems
with blockchain solutions
0% 5% 10% 15% 20% 25%
Organizations realize that the value of blockchain is in
supporting multiparty ecosystems, not internal operations.
More Trust Needed
Respondents were asked to indicate the level of trust they
had in their ecosystem partners.
Base: 3,236 respondents.
Figure 2
Medium
High
Low
Don’t know
10 Cognizanti • 11
The Road Ahead
Organizations embracing blockchain would
do well to create a cohesive strategy that
positions the distributed ledger technology
as radically transformative rather than as
just another architectural layer. Strategy,
therefore, should be focused on developing a
blueprint, generating top management buy-in
and spotting ways to create new approaches
for interacting and transacting.
Given that material benefits of blockchain
can only be unlocked through shared business
and technology models, organizations must
learn to work with partners on developing
and adopting mutually agreeable standards
that become the foundation for collaborative
ecosystems. Learning to play in an environ-
ment comprised of shared infrastructure and
data is critical to unlocking value.
Other critical success factors include building
cross-functional blockchain project teams
that transcend IT, setting clear goals around
business issues and objectives to be achieved,
iterating and learning on the go without
waiting until costs and benefits are clear,
staying flexible and adapting to the likely
business-technology challenges that will
occur as blockchain takes root (such as inte-
grating legacy with blockchain platforms),
and experimenting with a variety of networks,
both permissioned and permissionless.
Perhaps most critically, organizations need
to use business needs and desires as their
yardstick to guide planning and success
metrics, rather than being influenced by the
blockchain buzz emanating from the crypto-
currency trading craziness that has even the
most savvy investors perplexed.
Author
Rajeshwer Chigullapalli is an Associate Director within Cognizant’s thought leadership
program. He has over 25 years of experience in the areas of business research and
publishing. Previously, he was the Head of ICFAI University Press and Chief Editor,
SPG Media, India. He can be reached at Rajeshwer.Chigullapalli@cognizant.com.
Acknowledgments
The author would like to thank the team at Cognizant’s Blockchain and Distributed Ledger Consulting
Practice for their valuable contributions to this article, including Fletcher McCraw, Partnerships and Alliance
Lead, and Lata Varghese, Assistant Vice-President at Cognizant, who oversees the company’s Blockchain
and Distributed Ledger Practice. For more blockchain insights, and to read our industry-specific reports, visit
https://www.cognizant.com/blockchain.
Cognizanti • 13
The success of a new
healthcare business model
means offering features,
functionality and value that
consumers find indispensable
— delivered by Aetna Health.
Not too long ago, most of us didn’t have
electronic navigation in our cars. We’d
unfold a map or ask a gas station attendant
for directions. Now, we won’t get in our cars
for even short trips without activating some
form of GPS capability or launching an app
telling us which lane to be in to get off at the
correct exit. Many of us wonder how we lived
without those apps.
That’s the same level of experience and reli-
ability we strive to deliver to our members at
Aetna Health with our health and wellness
management platform. It’s our challenge,
and our opportunity, to build solutions for
needs and desires our members can’t quite
articulate yet – just like we didn’t know we
needed maps on our phones. Our hope is to
create tools, especially a new mobile app,
that members will use as frequently and
effortlessly as they do their digital maps,
music and social media apps.
We will reach this goal in phases, and as we
hit our milestones, we’ll also help our parent
company, Aetna, transform from a health
insurer to a wellness company. Technolo-
gies such as analytics and Internet of Things
(IoT), as well as our engagement strategies,
will help us meet our members where they
are and deliver just what they need, whether
it’s sending a reminder to refill their prescrip-
tion when they walk into a pharmacy or
issuing a reward for reaching 10,000 steps.
Our ultimate goal is to significantly reduce
healthcare costs by helping our members get
and stay healthy through our effective care
and wellness tools (see Figure 1, next page).
You Don’t Join Us;
We Join You
By Steve Roberts
Insurance/Health & Wellness
Our ultimate goal is
to significantly reduce
healthcare costs by
helping our members get
and stay healthy through
our effective care and
wellness tools.
Cognizanti • 1514
Integrating the Mobile
Experience into Members’
Daily Lives
We engage our members through our Aetna
Health platform, which delivers personal-
ized health advice, health tools and trackers,
and the ability to connect their fitness and
medical devices and communicate with
coaches.
Our CareEngine platform powers the per-
sonalized insights offered by Aetna Health.
CareEngine digests lagging and real-time
data from medical claims, doctor’s office visits
and medical adherence, such as whether a
member fills or refills a prescription. Members
can also share data about their daily activities
through various wearable and in-home
devices.
Using thousands of clinical rules and
analytics, the CareEngine platform
sorts members into appropriate health
management programs so they get the right
support at the right time. Our programs
include lifestyle and wellness coaching, as
well as management for chronic diseases like
diabetes.
CareEngine continually generates member-
specific insights, such as “Care Consider-
ations,” personalized health alerts sent to
members and their care managers and health
coaches. The platform also generates daily
worklists for our 3,000 care managers so they
can personally follow up with members by
phone or e-mail (see Quick Take, next page).
Delivery Across the Continuum with
a Holistic Member Focus
Aetna Health combines the human touch with a variety of digital tools
to give members the personalized and context-aware advice and
information they need to reach their health goals.
Source: Aetna Inc.
Figure 1
ENGAGEMENT
PLATFORM
MOBILE
DECISION
SUPPORT
ADVOCACY
CONCIERGE
High-acuity case management
and caregiver support
Integrated lifestyle-condition
management
Promoting a
healthier
lifestyle
Predictive
modelling
Member
impactability
Omnichannel
engagement
Local and community
partnership
Living with
a condition
Having a high
risk pregnancy and
neonatal ICU stay
Needing advanced
situational
support
POWERED BY:
Actively Managing Member Health
with a Human Touch
Quick Take
At Aetna, we use a lot of technology to
help members meet their health goals. Our
CareEngine platform stratifies high-risk
members, identifies the best health
management programs for them, and personal-
izes the information they see on the care and
wellness platform. Members can upload their
own data from a fitness band or home health
device to earn incentives. We offer multiple
communication channels to support member
preferences.
Yet to help members incorporate healthier
behaviors into their lifestyle, we must uncover
their motivations for improving their health,
help them understand what they can do to
reach their goals and identify the best way to
encourage them to act. Our care manager-
coaches build a rapport with individual
members to understand these factors on a
personal level.
Coaches seek to learn more about what’s
driving individual members to change their
behaviors, such as staying in shape to live
longer so they can see their grandchildren
grow up. Understanding members’ motiva-
tions helps the coach add a human touch to
the individualized information and analysis
that CareEngine provides. Coaches can
understand members’ personalities and stress
points in ways even the best analytics can’t.
Coaches and members can check in daily via
phone, e-mail and the Aetna Health Care and
Wellness platform. Our technology provides
information and insights to augment the
encouragement and support coaches provide.
As a result, members tell us, “I never feel
alone,” as they work toward a goal or manage
a chronic condition or rehab an injury. The
human touch is a key factor in keeping our
members healthy.
16 Cognizanti • 17
Aetna Health Experience
Our member credo is “you don’t join us; we
join you” – and that means serving members
through their smartphones. As our clients see
a growing reliance among their employees on
their phones, they’re asking for mobile health
management and wellness tools. While our
members can access the Aetna Health Care
and Wellness platform online, we wanted to
rethink how engagement could be delivered
through mobile.
The Aetna Health mobile app focuses on the
end-to-end experience because it signals a
radical shift in how we can engage members
and make our services a constant in their
lives. After conducting extensive research
and focus groups to find out what members
wanted, we determined that the app would
initially offer recommended health actions,
coach messages, digital coaching, and health
assessments and incentives, all personalized
for individual members.
Although it doesn’t sound revolutionary, we
had to focus a lot of energy on ease of use and
the member’s experience with the tool. We
addressed these questions from a member’s
perspective:
OO How does it connect with my life?
OO How will it always be available to me?
OO How does it stay smart about me to tell me
what to do?
OO How does it track all data associated with
me that I am willing to share?
OO How do I customize it to make it more
personal to me?
OO How do I use it to get to a real outcome?
OO What is my overall end-to-end experience?
We take our “you don’t join us; we join
you” credo literally with our mobile app.
Through the app, we want to issue offers and
reminders that make sense in the context
of where individual members are and what
they’re doing. If the app knows a member is
in a pharmacy, that’s a great time to send a
prescription refill reminder. One challenge
will be keeping the app integrated with the
web platform; another will be achieving the
right balance between the app’s proactive
offerings and its responsiveness to members.
We can incorporate dozens of fitness
wearables and other devices into CareEngine
to power the Aetna Health app. Because
Aetna partners with Apple, we are also
tightly integrated with Apple devices and
can create features that span that company’s
devices and capabilities to engage our
members.
In tandem with the digital mechanics of
an engagement experience, we continu-
ously refine how to help members effectively
engage with care managers to meet personal
goals, such as remembering to regularly take
medicine for a chronic disease or meeting
weight loss and fitness targets. Cognizant
works with us on a variety of key member-
facing systems and business processes,
including rewards and incentives customized
The Aetna Health mobile app signals a radical shift in
how we can engage members and make our services
a constant in their lives.
Aetna Health is a differentiator for Aetna, a technology
enablement tool that signals to our clients and the
industry that we need to work together to find new ways
of improving care.
for our members. One person may be willing
to walk an extra thousand steps for a gift
card; another may prefer to accumulate
“hearts” or points in a competition with
other members; and another may just want
help organizing goals so there’s some activity
she can accomplish every day.
We must personalize member experiences
because different age groups have different
needs. A relatively healthy 20-year-old
may want fitness and wellness tips, while a
50-year-old with a chronic health condition
is likely to be more concerned about
receiving medical advice or what to do if
they forgot to take their medicine. Again, it’s
about us addressing member needs within the
context of where they are emotionally and
physically.
The Bottom Line
With our app and engagement strategies,
Aetna Health is positioned to meet our
clients’ health management needs. Employers
and health plans expect population and care
management services to ensure they have
healthier employees and members who won’t
need expensive health services or who use
fewer services because we help them manage
their conditions effectively.
Similarly, Aetna realized we must do
things dramatically differently to success-
fully transition from a health insurer to a
wellness company. That’s our response to
the healthcare industry’s changing reim-
bursement and value models, which will
reward quality of care over quantity. In that
world, we have to find better ways to engage
members than handing them a clipboard and
pen at the doctor’s office.
That’s a huge mind and cultural shift.
Aetna Health is a differentiator for Aetna, a
technology enablement tool that signals to our
clients and the industry that we need to work
together to find new ways of improving care.
As we and Aetna continue to evolve toward
serving consumers, we’ll need to continue
investing in delivering best-in-class service
advocacy. Meeting our members where they
are means recognizing they have many needs
that affect their ability to manage their
health conditions.
Cognizanti • 1918
How will we measure the success of our
Aetna Health platform in such a complex
world? We measure healthy days, the
adoption rate for our services and, most
importantly, whether adoption impacts
medical costs. Coming full circle, our ability
to engage members and keep them engaged
will likely affect adoption rates.
We’ll continue to push the adoption curve,
prove the concept and work with partners to
create and sustain members’ motivation to
use the app. We will focus on the experience
to make sure the app remains easy and simple
to use.
Our nirvana would be for members to use the
app on their home screen, just like texting
and e-mail or their favorite navigation app,
blending it right into their lifestyles. When
we hear our members ask, “How did we ever
live without this?” we’ll count that as one
more major measure of success.
Author
Steve Roberts leads an Aetna Health technology center of excellence as Head of
Population Health-IT that builds and maintains consumer, provider, government and
multi-payer software solutions focused on our health and wellness platform. The center
of excellence includes development, architecture, business analysts, quality assurance,
and support and operations for Active Health Management (AHM), providing
actionable insights, meaningful engagement and comprehensive care management.
Steve has been with Aetna since 2013.
With more than 20 years of experience in healthcare IT, Steve has held senior executive
positions within Henry Schein, Allscripts, GE Healthcare and McKesson. He holds
a degree in business administration from Augustana College and an MBA from
Northwestern University, Kellogg School of Management. Steve can be reached at
RobertsS5@Aetna.com | www.linkedin.com/in/stevenmroberts/.
Our nirvana would be for members to use the app
on their home screen, just like texting and e-mail or
their favorite navigation app, blending it right into
their lifestyles. When we hear our members ask,
“How did we ever live without this?” we’ll count that
as one more major measure of success.
Cognizanti • 21
This Japanese financial
services firm has achieved
global digital megabank
status by leveraging the latest
tools, developing fintech
partnerships, nurturing a
collaborative culture and
disseminating customer-
oriented innovations to
relevant areas of the
business.
Mizuho Financial Group is a large Japanese
financial services organization with $1.8
trillion in assets under management. Our
group’s business is spread across the globe,
with a presence in 38 regions, and boasts of
a robust customer base, fortified by a deep
understanding of our customers, developed
on the strength of a rich information base
built over time.
A few years ago, however, we realized that
sitting on our historical strengths wouldn’t
be enough to remain a leader in the future.
We therefore began modernizing our retail
banking group by focusing on technologi-
cal innovation brought about by advanced
digital technologies.
We started with a strategy whose objective
was to enhance customer service and
establish Mizuho as a digital-age megabank.
The main technologies we chose to drive
our digital transformation strategy were
blockchain, big data analytics and AI. The
strategy’s success pivoted around partner-
ships with fintechs and other vendors, as well
as the establishment of a business division
whose sole purpose was to develop and drive
innovation across the group’s businesses.
Until recently, established banking regula-
tions1
limited financial institutions’ fintech
voting rights to 5%. When this barrier was
dismantled in 2014, the door was opened to
innovation driven by new-age technologies
developed by digitally-native companies.
This regulatory change empowered financial
institutions to invest in fintechs in order to
set up financial IT companies to advance
their digital transformation initiatives.
On the economic front, our topline strategy
was built on a healthy spread between lending
and deposit rates. A decades-long ultra-low
interest rate regime and reduced demand
Customer Centricity
through Collaboration:
Mizuho’s Path to Digital
By Nobuhisa Abe
Banking & Financial Services
22
The lab applies contemporary practices such
as Agile development methods and design
thinking principles, while enabling individu-
als to network with other experts, fostering
an innovation culture. FINOLAB offers an
open, collegiate environment that fosters a
flow of ideas among individuals from not just
different units but also from external entities.
Unlike a traditional Japanese company, it
is more akin to a network-based graduate
school laboratory or a lab within a Silicon
Valley start-up.
We’ve worked closely with fintechs to improve
the user interface (UI) and user experience
(UX) aspects of our customer interfaces. At
an applications programming interface (API)
level, systems functionality is provided by the
bank, but the UI is provided by our collabo-
rating fintech start-up. The initiative signifi-
cantly improved the customer experience from
the use of improved UI and UX.
On the business front, fintechs typically lack
customer relationships. As financial institu-
tions join hands with fintechs and collab-
oratively offer customer services, customer
ownership is likely to emerge as an issue.
Customers are more comfortable dealing
with a trusted bank. Mizuho intends to
guard its ownership of customers by carefully
balancing its fintech partnerships. In the
early stage of these partnerships, it remains to
be seen how they will evolve and lead to new
sustainable business models.
Our Three Digital
Levers: Blockchain,
AI and Big Data
Blockchain, AI, and big data analytics are
the core digital technologies that we chose to
focus on to drive business results:
OO A partnership with Metaps and WiL.
This collaboration has led to our new
financial settlement service offering
using digital wallet technology. Targeting
smartphone users, the service analyzes
customer payment behavior via AI-based
algorithms and provides contextually
relevant advice. This value-added service
goes beyond existing bank settlements
for utility payments or settlements using
credit cards.
OO Big data analytics and AI-based
lending services. In association with
SoftBank, we launched a company called
J.Score, which – starting in September
2017 – renders score-based personal
lending services. The company makes use
of big data and AI to power its innovative
services. Customers enter their basic finan-
cial information such as lifestyle, smart-
phone utilization, Mizuho bank financial
information and user profile, and the
bank’s AI-based systems then analyze their
data and provide lending scores. Based on
the score, customers can see what their
potential interest rate would be. The rate
is generated entirely through an AI-based
mechanism, obviating the need for face-to-
face discussion with a human being.
for lending services placed an enormous
challenge on us to have the capital needed to
invest in digital innovation. As a result, we
focused on cost reduction and innovations
that would make our products and services
more appealing to customers and to enhance
satisfaction through digital channels.
Institutionalizing the
Push Toward Digital
Prior to 2015, the organizational unit set up
to drive digital innovation was in the form of
a project team. Upon my arrival to the digital
innovation team from a branch banking role
in 2015, I moved to set up a digital strategy
incubation project team as an independent
unit within the Mizuho group.
Mizuho group’s businesses are organized
as companies by customer segment. This
structure called for an institutionalized
approach to transferring the digital project
team’s transformational innovations to the
various businesses within the group. To
support this, we reorganized the team into a
digital innovation department to develop and
drive digital technology-powered innovations
across the group’s businesses.
In 2017, we created the role of chief digital
innovation officer (CDIO), who is charged
exclusively with the agenda of driving digital
innovations. This practice differs from those
of similar types of banks that combine other
tasks and responsibilities with this role. In
our case, the role has the sole purpose of
driving digital in a significant way.
We take a two-pronged approach to
managing digital development and
deployment. One, the digital innovation
department gets involved with the business
department that is creating the proof of
concept (POC) to determine how the
innovation can support new ways of doing
business. Two, we identify opportunities to
address difficulties and challenges confronted
by the business lines that can benefit from
innovative digital solutions, and then build
appropriate solutions.
Winning through Fintech
Collaboration
In October 2016, we set up a laboratory to
drive open innovation through our associa-
tion with fintechs. The lab combines our deep
expertise in financial services with the techno-
logical prowess of fintechs, which are focused
exclusively on technological innovation and
can speed time to market of new applications
driven by digital technologies.
It is important to propagate the technology
and ideas we sourced to the entire group.
While doing so, we’ve also been able to dis-
seminate the behaviors and atmosphere that
help to inculcate a new culture and way of
doing business across the group. For example,
our FINOLAB, which is situated next to our
Otemachi head office, is set in a laboratory-
like environment, where venture companies
staff our digital innovation department.
Meanwhile, other partners pursue digital
innovations by actively engaging among
themselves.
FINOLAB offers an open, collegiate environment that
fosters a flow of ideas among individuals from not just
different units but also from external entities. Unlike
a traditional Japanese company, it is more akin to a
network-based graduate school laboratory or a lab within
a Silicon Valley start-up.
Cognizanti • 23
Cognizanti • 2524
business and IT processes throughout the
organization to identify areas for automation.
These successful initiatives are leading us to
build many automated processes throughout
the Mizuho bank businesses.
We are working with various partners
to launch a company called Blue Lab
to stimulate revenue growth and reduce
operating costs. Blue Lab’s goal is to add
100 billion in added value by around 2020
through cost reductions, increased profits
and the value of the new ventures. We
want to create a business that will impact
the profits and losses of the group in at least
two or three years, including the creation of
new business and enabling them to provide
various levels of industry support.
OO Leading with blockchain. We are
applying blockchain thinking and
technology to develop a solution for
sharing sensitive documents among the
group’s worldwide subsidiaries. Our initial
tests using blockchain show that the
approach could enable the bank’s subsid-
iaries to tokenize internal money transfers,
eliminating the need for cumbersome and
manual data reconciliation. Our trials
confirmed that blockchain can create
an effective platform for information
sharing among multiple group companies,
resulting in potential cost savings and
enhanced usability. The solution was
designed using Ethereum for smart
contracts, BigchainDB for decentralized
storage and InterPlanetary File System
(IPFS) for decentralized file transfer. In
addition to meeting the business need,
the project helped us understand how
to leverage the different strengths of
platforms to build an overall solution.
(For more on this topic, see “Financial
Services: Building Blockchain One Block
at a Time.”)
In April 2017, we announced our
intention to use Corda, the open source
distributed ledger platform developed by
industry consortium R3, to digitize trade
documents such as letters of credit and
bills of lading. The goals are to reduce
fraud, optimize the speed and efficiency of
transactions and enhance visibility for all
parties involved in trade finance.
We are undertaking a J Coin2
initiative
in collaboration with external entities
through the use of shared infrastructure
and expertise. Employing the model of
shared resources tends to drive down the
costs involved with embracing new-age
technologies, resulting in a win-win
scenario. The Financial Services Agency
(FSA), the regulator of financial services
in Japan, is encouraging the use of shared
technology models like blockchain for the
benefit of all financial institutions.
OO Reaping advantage with robotic
process automation: As part of
our endeavor to extend digital into
our branches, we’ve also launched
AI-powered humanoid robots that
assist our customers in areas such as
account opening and analyzing insurance
coverage.
Our Outlook
The rise of new-age digital technologies
also poses the threat of disintermediation of
incumbent financial institutions such as ours
in the areas of settlement and lending. Tax
regulations, for instance, and the need to
evolve our business to accommodate our new
digital platform based-lending businesses are
key challenges. While there may be changes
in how we acquire customers in the medium
term, in the long term only those financial
institutions that sustain businesses with low
margins will remain viable.
The utilization of robotic process automation
(RPA) and AI is a primary focus area for us
today, based on the level of expected benefits.
Our RPA experts are analyzing routine
Author
Nobuhisa Abe is General Manager of the Digital Innovation Division at Mizuho
Financial Group, Inc. He joined Mizuho Bank in 1992, after which he moved to the
Mizuho Financial Group’s Corporate Planning Department as Senior Manager. He
has also been General Manager of the Nagano Branch of Mizuho Bank, and General
Manager of the Incubation Project Team. He has a bachelor’s of engineering degree from
Osaka University.
Our trials confirmed that blockchain can create an
effective platform for information sharing among
multiple group companies, resulting in potential cost
savings and enhanced usability.
Our RPA experts are analyzing routine business and
IT processes throughout the organization to identify
areas for automation. These successful initiatives
are leading us to build many automated processes
throughout the Mizuho bank businesses.
Footnotes
1	
The Banking Act was amended in 2014, relaxing limitations on holding of voting rights by
banks in other companies.
2	
Motonao Uesugi and Koji Okuda, “J Coin: Japanese Banks’ Virtual Currency without the
Volatility,” Asian Review, Sept. 17, 2017, https://asia.nikkei.com/Markets/Currencies/J-Coin-
Japanese-banks-virtual-currency-without-the-volatility.
Hands Up for Talent
By Gary Beach
Commentary
A widening IT skills gap is
preventing many companies
from cashing in on digital’s
bright promise, casting a
dark cloud over the global
economy. Here’s how
business leaders can attract,
develop and retain the talent
needed to succeed in today’s
digital era.
I often start my C-level keynote speeches by
asking the audience whether their company
has formulated a digital strategy. In most
cases, I see a roomful of hands raised in the
air. I then instruct the audience to keep their
hands raised if their company’s technology
strategy is aligned with their digital business
strategy. Most hands remain raised.
Borrowing a phrase from the software devel-
opment community, my third directive is a
showstopper; I ask the execs to keep their
hands up only if their company has a talent
strategy optimized to support their digital
business and technology plans. Some shake
their head. Many look down. Nearly all lower
their hand to their side. This is not what I’d
want to see. The essence of digital success,
after all, can be likened to the proverbial
three-legged stool, consisting of these
components: a comprehensive transforma-
tion strategy; a supporting digital technology
strategy that factors in both new and legacy
technology; and a multifaceted, multigen-
erational digital talent strategy. Without all
three in place, a business’s digital efforts will
likely fail.
The Skills Gap:
Myth or Reality?
The lack of attention to a digital talent
strategy is particularly troubling when you
consider the nearly six million jobs that,
according to the U.S. Bureau of Labor
Statistics, are unfilled, or “open,” in the
country.1
Many employers claim these jobs
are open because they cannot find workers
with the required skills. Not everyone agrees
– job candidates say the open jobs would
be filled quickly if employers were to offer
competitive salaries. Welcome to the skills
gap debate, an employment enigma, where
open, unfilled jobs are often perceived by
some economists as a harbinger of a growing
economy.
But another – and I believe more accurate
– interpretation is that this very real and
measurable skills gap is something execs
should be not only aware of but also ready
to act upon. Consider that Oklahoma State
University’s Skills Gap Misery Index suggests
the supply-demand talent gulf is 29.7% wider
now than it was in the year 2000.2
When you
add in today’s highly in-demand digital roles,
such as cybersecurity behavior analysts, cloud
aggregation specialists and chief robotics
officers, it’s clear that the talent gap could
cause a significant drag on the economy.
According to the global job posting company
Indeed.com, the talent imbalance costs the
U.S. economy $160 billion each year.3
That’s
Cognizanti 27
equal to $993 million every business day.
Tom Monahan, managing partner of Norton
Street Capital, warned at a recent conference
that on average, the skills gap lowers a
company’s annual productivity by 10%.4
The Widening IT Skills Gap
When I spoke with the tech industry trade
association CompTIA for a column I write
for The Wall Street Journal, I learned that
548,000 technology jobs are “open” in
America. But hold on. Here’s a startling
adjunct fact from CompTIA: Those 548,000
positions are IT jobs “open” 90 days or
longer. Do the math, and that projects out to
49,320,000 days of lost technology-driven
productivity every quarter. Factoring in
that data, it is understandable why C-level
executives have increased their investments
in artificial intelligence, robotic process
automation and smart machines.
The Future Talent Pipeline
Is Leaking
Here’s the elephant in the room: Does the
next generation of U.S. IT workers, par-
ticularly those 30 years of age or younger,
have a strong foundational base of skills
necessary to compete in the Fourth Industrial
Revolution?5
Data addressing that question
is ominous. Since 2000, global assessments
of 15-year-old students in math, science,
reading and collaboration suggest the skills of
young Americans are markedly inferior when
compared with peers in other nations.6
Results from the U.S. Department of Educa-
tion’s “National Assessment of Educational
Progress” further expose the U.S.’s talent
pipeline crisis. The agency reports that the
percentage of students determined to be
“proficient” – think grade level “B” – in math
and science examinations alarmingly erodes
from fourth to eighth to 12th grade.7
These
folks are the future of the U.S workforce.
I am convinced it will take a generation,
and probably longer, to measurably improve
the pipeline of digital talent in the U.S.
To buttress a lackluster national education
system, employers must create “cultures of
learning” within the walls of their company
aimed at upskilling workers.
If these measures are not adopted in the near
future, U.S. employers will be forced to rely
on the interconnectedness of the Internet to
source talent in other parts of the world. This
a strategy that will not “Make America Great
Again.” Nor will increasingly restrictive
immigration policies favored by the Trump
administration.
‘Soft Skills’ Are Hard to Find
I frequently ask C-level executives which
talent/skills are most important to their
company. Responses vary. Frequently cited
are technical “STEM” skills in science,
technology, engineering and math. Many
more, however, place importance on talent
attributes called “soft skills,” such as the
ability to communicate, collaborate and
make sense of large amounts of data. The
Cognizanti 2928
Institute for the Future’s “Workforce 2020”
report features the most comprehensive list
of “soft” skills I’ve ever seen compiled in one
place.8
I recommend downloading it. I also
recommend Hit Refresh, the best-selling book
by Microsoft CEO Satya Nadella, who touts
another important soft skill that is hard to
master: human empathy.9
Digital Jobs Now In Demand
Upscored, a New York City-based talent
platform company, correlates skill demand
with supply to determine which digital
jobs are in high demand. According to the
company’s data, the five most difficult digital
jobs to onboard are: algorithm design, dis-
tributed systems, machine learning, mobile
development and data science.10
Digital Jobs Over the Horizon
Upwork, a Mountain View, Calif.-based
freelance employment service, matches
employer demand with freelance talent supply
and releases a quarterly report that ranks
the highest-demand freelancer jobs. This is
a “canary-in-the-coalmine” compilation of
positions employers will be competing for in
the immediate future. The five most popular
freelance jobs in Upwork’s most current
report are: robotics, blockchain (enterprise
applications), Bitcoin (cryptocurrency
trading), penetration testing and react.js
(a JavaScript library).11
Does your organiza-
tion have a talent acquisition strategy for
each of these positions?
Location Matters
An often overlooked component of the
digital talent gap is location. Employment
data suggests the availability of IT talent
differs widely by regions and states. The U.S.
Department of Labor’s monthly job opening
labor turnover report claims the talent gap is
widest in the South (2,096,000 open jobs) and
the Midwest (1,550,000 open jobs) and less
acute in the West (1,368,000 open jobs) and
East (983,000 open jobs).12
(See our recent
report “Space Matters: Shaping the Workplace
to Get the Right Work Done” for more on the
emergence of geographic talent clusters.)
This gap also varies from state to state. Log
on to the Massachusetts Technology Talent
and Economic Reporting System. Produced
by the Massachusetts High Technology
Council, “MATTERS” is a real-time
database that ranks talent for all 50 states
in the following areas: STEM degrees per
capita, relocation of college-educated adults,
bachelor degree holders in the workforce,
and tech employment as a percent of total
employment.13
Purple Squirrels and
Pink Unicorns
These are code words used to describe overly
selective hiring practices aimed at hiring the
“perfect” – usually external – job candidate.
Is your company guilty of overreliance on
this practice? Do this. Select several open
tech jobs at your company. Cut and paste
the listing into a Word document. Count
the words. How many are over 500 words?
How many include the phrase “five years of
experience required”? How many narrow
the search further by requiring a bachelor’s
degree in a national talent pool where 70%
of the workforce never graduated from
college? A more manageable path to bridging
the digital skills gap is to internally create the
perfect job candidate through comprehensive
skill development programs.
Keep Your Selling Shoes On
While most of this commentary focuses
on how to attract and hire talent, another
vital issue is retention. Millennials, now
the largest component of the workforce,
are notorious job hoppers. Business and
technology executives must develop
strategies that brand the company as a
“best place to work,” promoting issues
like work/life balance, diversity and an
opportunity to do meaningful work. While
online labor markets make it easier to find
talent, they also make it harder to retain
talent. Corporate branding is a “must-do”
component of any solid digital talent strategy
designed to attract and retain talent.
I am convinced it will take a generation, and probably
longer, to measurably improve the pipeline of digital
talent in the U.S. To buttress a lackluster national
education system, employers must create “cultures
of learning” within the walls of their company aimed
at upskilling workers.
30
Workers’ Mantra: Don’t Call Us;
We‘ll Call You
Today, employers drive the employment
process. Moving forward, as many global
economies remain at near full employment
and millions of jobs remain open, the
model will flip. Workers will control the
employment market and the hiring process.
By 2020, labor market experts predict over
50% of the workforce will be “contract” or
“gig” workers, essentially labor mercenaries
working for themselves.14
(For more, see my
commentary in Cognizanti Volume 9, 2016,
“Jumping on the Gig Economy.”) To survive,
a company’s digital talent strategy must not
just include “gig workers” but also leverage
contract work as a cornerstone employment
strategy.
‘Talentism’ Is the
New Capitalism
Talent acquisition in the age of digital
transformation is a structural employment
problem that will require bold thinking to
resolve. Finding a solution is predicated on
the acknowledgment that – as Dr. Klaus
Schwab, executive chairman of the World
Economic Forum, says – “talentism is the
new capitalism.”15
In this era of talentism, the employment sup-
ply-demand model has undergone a structural
shift. From here forward, talent doesn’t need
your company; your company needs talent.
Those businesses that fail to craft a solution
to this looming talent challenge, and nurture
a culture of learning within their organiza-
tion, will be on the wrong side of the digital
talent equation.
Homework Assignment: How Aligned Are Your
Digital Talent and Transformation Strategies?
Quick Take
The following matrix can help your organization determine whether its technology
and talent strategies are aligned. Plot your dots! Let us know what you see.
Maturity of Digital Transformation Strategy
Least
optimal
Most
optimal
StateofDigitalTalent Footnotes
1	
“Job Openings and Labor Turnover Summary,” U.S. Department of Labor, Jan. 9, 2018,
https://www.bls.gov/news.release/jolts.nr0.htm.
2	
“Filling the Skills Gap,” Ohio State University Institute of Technology,
http://go.osuit.edu/skills_gap.
3	
“Unfilled Jobs Cost Employers $160 Billion Annually,” Indeed, Nov 18, 2014,
http://blog.indeed.com/2014/11/18/unfilled-jobs-cost-employers-160-billion-annually/.
4	
“How to Close Your Software Development Skills Gap,” TechBeacon,
https://techbeacon.com/how-close-your-software-development-skills-gap.
5	
Klaus Schwab, “The Fourth Industrial Revolution: What It Means, How to Respond,” World
Economic Forum, Jan. 14, 2016, https://www.weforum.org/agenda/2016/01/the-fourth-indus-
trial-revolution-what-it-means-and-how-to-respond/.
6	
Drew Desilver, “U.S. Students’ Academic Achievement Still Lags that of their Peers in Many
Other Countries,” Pew Research Center, Feb. 15, 2017, http://www.pewresearch.org/fact-
tank/2017/02/15/u-s-students-internationally-math-science/.
7	
“NAEP Overview,” National Assessment of Education Progress,
https://nces.ed.gov/nationsreportcard/about/.
8	
“FutureWork Skills 2020,” Institute for the Future, 2011, http://www.iftf.org/futureworkskills.
9	
Satya Nadella, Hit Refresh: The Quest to Rediscover Microsoft’s Soul and Imagine a Better Future
for Everyone, HarperBusiness, 2017, https://www.amazon.com/Hit-Refresh-Rediscover-Micro-
softs-Everyone-ebook/dp/B01HOT5SQA.
10	
“Capitalize on the Most Sought-After Technical Skills,” Upscored, Nov. 30, 2015,
https://upscored.com/blogpage/24/.
11	
“The Hottest Freelance Skills on Upwork: Q3 2017,” Upwork, Nov. 2, 2017,
https://www.upwork.com/blog/2017/11/freelance-skills-upwork-q3-2017/.
12	
“Job Openings and Labor Turnover Survey,” U.S. Bureau of Labor Statistics,
https://www.bls.gov/jlt/.
13	
“MATTERS Talent Index,” Massachusetts Technology, Talent, and Economic Reporting
System, http://matters.mhtc.org.
14	
Brian Rashid, “The Rise of the Freelancer Economy,” Forbes, Jan. 26, 2016, https://www.
forbes.com/sites/brianrashid/2016/01/26/the-rise-of-the-freelancer-economy/#4941ca9a3bdf.
15	
Anne-Marie Slaughter, “New Capitalism Nurtures People, Not Products,” Financial Times,
Feb. 19, 2017, https://www.ft.com/content/4523e9a4-f472-11e6-95ee-f14e55513608.
Author
Gary Beach is the Publisher Emeritus of CIO Magazine. He is also a guest
columnist for The Wall Street Journal and author of the best-selling book The U.S.
Technology Skills Gap. He can be reached at Garybeachcio@gmail.com |
Twitter @gbeachcio.
Cognizanti • 31
Cognizanti • 33
IDP, a leading international
educational service provider,
seized the opportunity
to support its customers
at every stage of the
international education
journey – from searching for
and attending a university, to
career services and lifelong
learning — with personalized,
relevant content.
IDP has been operating for close to 50 years,
creating a huge network of opportunity,
with more than 700 counselors in over 30
countries.
When I came onboard as CEO two years
ago, IDP was performing well, but with the
rapid technological advances in interna-
tional education services, it was clear that
continuing to do what had worked in the
past would expose us to disruptive threats
to our leadership position. In my new role, I
met with many different groups – employees,
education providers and customers – to better
understand what those changes needed to be.
It quickly became clear that it was the profes-
sionalism and compassion of our education
counseling teams that separated us from our
competitors in a crowded space.
Our customers trust our counselors’ advice at
life-changing junctures. Our teams take pride
in understanding all the details so they can
find the country, institution and course that
will position our customers for success.
While this trust and bond existed face-to-
face, the journey with IDP became disjointed
once students moved beyond their home
country to their new study destination.
Our task was to remedy this, in a way that
we’d remain robust and fit for purpose as
consumers grow more accustomed to digital
communications every day.
Building a Global
Community of Connected
Students, from
Classroom to Career
By Andrew Barkla
Educational Services
Cognizanti • 3534
Nurturing a Culture of
Innovation
Traditionally focused on performance, we
needed to embed and celebrate a culture of
innovation through all levels of the business.
Through strategic planning with key teams
from across the world, we determined
that customer experience and continual
innovation would be the keys to unlocking
our future success. By nature, our students are
globally mobile and digitally savvy. We needed
to be accessible whenever they needed us,
through channels that suited their needs. We
needed to place the customer at the center of
everything we do. That is our True North.
Our board recognized that technological
strength was key to meeting our goals, and
as we began to identify what was needed to
transform our organization, we knew we had
to choose strategic partners. I was very aware
of how other industries like retail, financial
services and transportation were transform-
ing, and was also aware of Cognizant’s strong
track record in this space.
We worked with Cognizant to develop our
roadmap and document all the elements of
our vision, while keeping the students very
much at the center. It quickly became clear
that we needed better data, systems and
processes.
For example, over the last two years, IDP
teams around the world have tested new
systems and platforms to improve the
customer experiences at our student recruit-
ment events. At one stage, different teams
were using four separate event solutions. It
was clear we needed a single platform that
could meet our customer and staff needs.
Similarly, we’re now one-third of the way
through consolidating our customer relation-
ship management and contact center systems.
When that’s complete, we hope to have a
single view of our customers, and consistent
and streamlined processes for our staff.
Supporting Individual
Customer Needs
To be successful, our programs need to
be built with, and for, our customers. We
recruited internally to build a team of global
customer ambassadors, selecting people
from our regional offices who were digitally
minded and customer-centric. These indi-
viduals are tasked with running co-design
sessions with customers to ensure everything
we build reflects their behaviors and needs.
Our ambassadors and teams led many round-
tables, which was important because our
customers’ needs are very different depending
on their home country, culture and personal
preferences. While all students are unique,
and it’s dangerous to over-generalize, there
are certain regional trends that we need to
be aware of, such as the influencers in the
students’ decision-making process. In North
Asia, for example, parents are very heavily
involved in decision-making, and that’s not
necessarily true for other countries.
Despite these distinct cultural differences,
there is a core mindset that unifies our
customers. Around the world, IDP students
are purposeful and progressive, and our
services needed to reflect this.
We want to personalize the experience to
each unique individual through smarter
marketing automation systems, building
a platform that will serve a contextually
correct experience to each customer. You
can only do that through technology and
data. For example, we know some students
aspire to attend highly ranked universities,
while others are looking for more practical,
vocation-based courses. Our data informs our
Offering Students Richer
Resources for a Lifelong
Journey
Studying overseas is a huge emotional
and financial decision. The importance
of providing our customers with the best
advice and support is not lost on our teams,
who spend 16 months on average with
a student and his or her parents in the
counseling process. Our customers’ educa-
tional journey begins before we first speak
with them. They’re talking to their friends
about studying overseas, reading university
blogs, looking at school websites. And it
continues all the way to when they graduate
and begin employment in their chosen field
– sometimes over many years. We wanted
to serve students by offering them lifelong
learning and career services.
We knew we built great relationships with
our customers when they were in their home
country, but that relationship was often lost
when a student moved to their study country,
as our systems didn’t speak to each other.
This meant our customers weren’t aware
of the support available to them once they
started their studies, such as the events we
hold for students to meet each other, or the
workshops we run to help them prepare for
internships and part-time work.
This is why we made it a top priority to build
a customer platform that would guide students
on their journeys and establish an ongoing
connection with them, enabling services like
accommodation support, insurance referrals
and, eventually, career support.
Our goal was to create the world’s leading
global platform and connected community
for international students.
IDP’s Digital Transformation Vision
A bold strategy to transform our industry by establishing a digital
platform that enables and empowers a connected customer journey.
Source: IDP Education
Figure 1
Deliver world-leading capabilities and services …
Using an integrated global platform …
… ensures that we understand the needs
and expectations of students and clients.
The world’s definitive international
student dataset and connected
community.
WORLD’S
BEST COURSE
SEARCH
DIGITIZING
STUDENT
EXPOS
GLOBAL
CONTACT
CENTER
VIRTUAL
AGENCY
LEADING
OFFICE
NETWORK
ADDITIONAL
STUDENT
SERVICES
CAREER
SUPPORT
LEADING
CRM AND CMS
Connecting our customers to success.
IDP
IELTS
(Leading international
English test co-owned
by IDP)
Hotcourses
(Course and university
search platform)
Other
Partners
We needed to place the customer at the center of
everything we do. That is our True North.
36 Cognizanti • 37
personas, which helps us group our content.
It is then up to us to develop those crucial
one-on-one relationships.
There’s always a balance when you’re
collecting customer data. We have to
maintain the utmost of respect for our
customers. Translating human empathy to
the digital environment is core to what we
do. It’s about offering an opt-in capability
but also letting users go gracefully if this is
requested.
Early last year, we acquired a company called
Hotcourses in the UK, which maintains
the world’s leading course search database.
In doing so, we gained search engine opti-
mization and digital capabilities, letting us
support students earlier in their decision-
making process.
The acquisition also gave us access to data
that provides us with real-time insights into
the online behavior of our students. When
globally significant events unfold, such as
political elections or policy changes, we can
see the immediate shifts and swings in search
activity as students reconsider their destina-
tion preferences. This gives us the opportu-
nity to provide relevant content across our
digital platform that not only responds to
this change in search activity, but also offers
students a trusted source of information that
assists with building credibility and loyalty in
today’s fast-paced news cycle.
Staying Ahead with Digital
We’re close to 18 months into our digital
transformation, and while we still have
more to do, it’s inspiring to see the growing
enthusiasm of our teams as they build their
skills and gain confidence in new digital
capabilities.
What we do at IDP is life-changing.
Together with Cognizant, our students and
our teams, we have laid the foundation to
build our connected community for our next
generation of global leaders.
Author
Andrew Barkla is the Chief Executive Officer and Managing Director of IDP
Education, a global leader in international education services. He was appointed
CEO of IDP in 2015 and has extensive experience in the technology, services and
software industry, with over 20 years of senior management experience in roles across
Australia, New Zealand, Asia and North America.
Translating human empathy to the digital environment
is core to what we do. It’s about offering an opt-in
capability but also letting users go gracefully if this
is requested.
Cognizanti • 39
A consumer style of
engagement is supercharging
physician communications
and patient care coordination
at a major regional health
network.
Most industries today are actively engaged
with how to deliver great experiences to
target customers. Until relatively recently,
that has not necessarily been the case for
healthcare, which has lagged in engagement
technologies for physicians and patients, our
primary customers.
Even before “patient-centered” and
“healthcare consumerism” were buzzwords,
LifeBridge Health’s vision was to deliver the
same level of best-in-class services and experi-
ences to our customers as they receive when
they interact with other service providers,
from online retailers to travel providers. Our
goal was to solve important business and
communication issues with leading-edge
engagement capabilities that would also
support our overall digital transformation
strategy, designed to deliver better patient and
population health services.
The solution we implemented uses consumer-
like service and technology options to make
it easy for physicians to access our health
system, coordinate care and empower our
patients to manage their health. So far, the
benefits include better care delivered with
greater efficiency, more satisfied physicians
and healthier patients, and robust engagement
resources that support a range of uses well
beyond what we initially envisioned. The
solution has also helped us build market share
and a reputation for quality care that spans
the state of Maryland.
Coordinating Great
Performance
Quality and cost are rapidly becoming the
measures by which insurers will calculate
reimbursements for LifeBridge and other
providers vs. healthcare’s traditional fee-for-
service model. The Department of Health
and Human Services intends to tie 80% of all
Transforming
Physician and Patient
Engagement at
LifeBridge Health
By Jonathan Ringo, M.D., Jonathan Thierman, M.D., Ph.D., & Jonathan Moles
Healthcare
40
A Platform for
Engagement
Our thinking was to create an engagement
platform that would offer PCPs in our com-
munities an easy way to connect with hospi-
tal-based providers so they could exchange
notes and engage in useful warm hand-offs.
The platform would have the best features
that online retailers, airlines, financial services
providers already deliver. It would store trans-
action histories, offer suggestions and provide
customizable options.
We initially scoped a pilot to see if we could
combine people, process and data effectively
to deliver the services we envisioned. The
pilot results would help us gauge whether
it made sense to invest in rolling out the
platform on a broad scale.
We had worked with Cognizant previously
and were well acquainted with the company’s
global clinical services, including a call
center in Manila staffed with U.S.-trained
registered nurses available 24x7. The nurses
are equipped with Cognizant’s cloud-based
OnVida engagement platform. We worked
internally to develop the call scripts the
nurse agents would use and the processes the
physicians would follow.
The engagement pilot, launched in July 2015
after about six weeks of planning, included
these basic mechanics:
OO An automated workflow engages nurse
agents in the call center to make contact
with physicians via their preferred com-
munication method (phone, secure e-mail
or text).
OO The nurse agent then coordinates a
connection between the care team via
text, phone or e-mail, whichever commu-
nication preference is dictated by the use
case executed.
OO The nurse captures the notes from the
conversation, entering them into the
platform and the electronic medical
record (EMR).
The platform is also designed to help patients
follow post-discharge orders. A call center
nurse contacts the patient to answer questions,
review care instructions, coordinate medicine
deliveries and even organize transportation for
the patient to reach follow-up appointments.
Making Connections
The engagement program, called LifeLink,
has come a very long way since we launched
it with 10 nurses and a call volume of 1,000
contacts in the first month. Today, 30 nurse
agents support more than 22,000 contacts per
month and a range of additional features.
We have integrated our EMR system with the
OnVida platform, which enables automated
physician consult orders. A physician
creates a consult order in the EMR, and the
EMR automatically populates OnVida with
Medicare fee-for-service to quality or value
measures by 2018, and the overall industry
expects the majority of reimbursements to be
pay-for-performance-based by 2020. These
trends make efficient care coordination and
patient and physician engagement extremely
critical capabilities for delivering high-quality
care at great value.
Effective coordination of care helps prevent
test and procedure duplication, ensures
physicians inside and outside our facilities
have all the information they require to
make the best decisions for their patients,
and equips patients to follow pre- and post-
discharge regimens and manage their health
conditions.
One means of accomplishing better care coor-
dination is to adopt the “hospitalist” model.
A hospitalist is a physician whose entire focus
is caring for patients while they are in the
hospital. Ideally, the hospitalist coordinates
care with the specialists treating the patient,
such as surgeons and oncologists, and with the
patient’s primary care physician (PCP) outside
the hospital.
The challenge is that hospitalists simply can’t
be on a first-name basis with all the PCPs
and specialists in a major health network like
ours, or in a large city like Baltimore and its
suburbs, where we operate.
Our scale is considerable: LifeBridge has
almost 1,238 beds across four hospitals,
one of which is a teaching facility and the
largest community hospital in Maryland. We
also offer a range of destination programs,
operate a health and fitness group, and have
many subsidiaries and affiliates, all spread
over a roughly 100-mile radius of urban and
suburban settings.
Given our size, we were seeing a breakdown
in “warm handoffs,” in which a hospital-
ist and a PCP share detailed notes when a
patient is admitted to or discharged from the
hospital. This failure to connect is more than
a cosmetic issue; it has a direct impact on the
quality and cost of care. Post-discharge care
can be less effective if the PCP doesn’t have a
full picture of what occurred in the hospital.
It can also lead to patients using expensive
emergency care departments for follow-up
services and/or being readmitted to the
hospital. Care coordination is clearly essential
for ensuring patients have the best possible
experience at LifeBridge, which in our view
extends to their ability to manage their own
health once they are back home.
Cognizanti • 41
This failure to connect is more than a cosmetic issue;
it has a direct impact on the quality and cost of care.
Our thinking was to create an engagement platform
that would offer PCPs in our communities an easy way
to connect with hospital-based providers so they could
exchange notes and engage in useful warm handoffs.
Cognizanti • 4342
OO Increased patient interaction after
hospital discharge. This has led to
improved patient follow-through, appoint-
ment scheduling, medication adherence
and follow-up with primary care. This is
important for ensuring continuity of care
for patients among our facilities.
OO A 15% reduction in no-shows via
reminder calls.
OO Streamlined management of acute
care patient transfers. Transfers to
LifeBridge Health hospitals from other
care facilities have more than doubled,
with the process being managed through a
single integrated call center.
We learned some interesting lessons on the
way to achieving these results. While we’d
envisioned a white-glove, concierge-style
service for physicians, it turned out that the
physicians we serve were too busy even for
salutations such as “How are you today?” They
wanted to get to business, fast. As a result,
we rewrote call scripts on an almost daily
basis in the early days. Conversely, patients
needed a warmer approach on follow-up calls
to establish trust between themselves and the
call center nurses.
Again, engaging patients and physicians in
their preferred communication styles is more
than a matter of style points. Rather, it yields
objective data that helps us identify issues
and pain points that affect care quality so that
we can address them. In one of our facilities,
the data showed the call center nurses were
having difficulty reaching patients after
discharge. An investigation revealed that at
this facility, nurses had to make initial contact
with patients before they were discharged
instead of afterwards to establish trust and get
the best phone number to ensure follow-up.
Lowering Costs,
Accelerating Speed
The platform also helps us avoid costs while
ensuring patients get proper care. Patients
often come to emergency departments (ED)
with chest pain, but certain low-risk patients
could receive a stress test and echocardiogram
at a clinic or other lower cost location. ED
physicians are reluctant to let these patients
do so, however, because of their concerns
the patient won’t follow through. With the
engagement platform, a nurse calls the patient
while she is still in the emergency department
and tells her where and when to go for the
test. The nurse follows up with the patient to
ensure the test is completed and also connects
with the ED physician to relay the results and
close the information loop.
The platform also accelerates our ED response
times. Our ED physicians simply hit a pre-
programmed speed dial to summon the right
clinical team, e.g., #1 for a STEMI heart
attack, #2 for a stroke, #3 for acute care, etc.
This new process has reduced door-to-needle
and door-to-balloon times – key measures,
respectively, for good outcomes for heart
attack and stroke patients.
We use the analytics and metrics built into
the platform to refine performance, such
as eliminating call holding time, which
is not acceptable in an emergency care
setting. Critical calls are now routed to our
most senior nurse agents – agents who our
emergency physicians know personally – and
their task list is divided among three agents,
a worklist of patients requiring consults.
The nurse agents use the platform capabili-
ties to connect consulting specialists with
the ordering physician and PCP via their
preferred channels. If physicians have all
selected the secure texting app as their
channel, the entire process is fully digital.
Such automation improves compliance too,
with the EMR record updated to show that
the consult, in fact, occurred.
We’ve also added remote patient monitoring
to our suite of engagement services,
beginning with a population of patients with
congestive heart failure. Our nurse practi-
tioners enter threshold parameters for blood
pressure, weight and medical adherence
when they enroll a patient into the system.
The system alerts our remote nurse agents
when a threshold is exceeded so they can
contact a patient’s physician through the
engagement platform. Through the program,
patients have 21.5% lower odds of a 30-day
readmission than in the year prior, when
LifeLink was not in operation.
Our nurse agents also enable us to centralize
patient transport arrangements, working with
ambulance companies and Uber Health.
With a central transport hub, we can ensure
adherence to the transit service guidelines
established for Medicare, Medicaid and
private health plans.
The Rules of Engagement
In all these applications, the platform enables
the community-based PCP to rightfully
remain the captain of the ship throughout
patients’ treatment journey, including their
time in a LifeBridge facility. It delivers
simplicity, intuitiveness and ease of use – all
the qualities of a retail engagement model.
The results have been significant and
measurable, including:
The platform has reduced door-to-needle and door-
to-balloon times – key measures, respectively, for good
outcomes for heart attack and stroke patients.
LifeBridge Engagement Platform Connects
Primary Care Physicians and Hospitalists
The LifeBridge LifeLink engagement platform streamlines the warm
handoff process between a PCP and a hospitalist or other physician.
The PCP needs to contact a call center nurse just once; the nurse
manages the other connections based on the platform data and
ensures the handoff call is documented.
Figure 1
Patient is admitted
via the ED.
System recognizes
physician’s phone number
and pulls up patient profile.
Nurse representative
answers and contacts
attending physician.
Nurse arranges callback
time with PCP.
Nurse calls PCP and sets
up three-way conferencing
for warm handoff.
Cognizanti • 4544
each of whom immediately goes into action
so the necessary steps are carried out simulta-
neously. One might order an ambulance, for
example, while a second alerts a clinical inter-
vention team (for instance, the cath lab), and
a third reaches the hospital operations officer
with news of an acute patient’s arrival. This
change has compressed a 20- to 25-minute
process to literally a few minutes. In fact, the
nurse agents work so quickly that the patient
is often still on the ambulance gurney when
the cardiac or stroke teams arrive.
The platform and agent nurses are available
24x7, so a physician may call at, say, 2:00 a.m.
to request a same-day appointment at our new
neuro-urgent care center, or a patient may
connect with an on-call provider.
On a wider scale, these platform capabilities
support our accountable care organization
(ACO) initiative and our entire Medicare
population through connections with the
Chesapeake Regional Information System
for Our Patients (CRISP), a health informa-
tion exchange (HIE). LifeBridge Health
Medicare population members are registered
in CRISP. When a Medicare patient arrives
at any hospital in the CRISP network, CRISP
automatically notifies our nurse agents, who
then alert the patient’s PCP. CRISP’s clinical
information portal is being integrated into
our EMR environment, which will further
streamline our nurse agents’ abilities to keep
PCPs informed.
Also, CRISP helps us identify high-risk
patients in our population areas, so we may
ensure they have 24x7x365 access to our
nurse agents and the engagement platform to
support early interventions.
Continuing to Connect,
While Protecting Privacy
LifeLink enabled us to achieve a 98th
percentile ranking on the Hospital Consumer
Assessment of Healthcare Providers and
Systems (HCAHPS) patient satisfaction
survey, which we conduct through the
engagement platform. This is indicative of
the difference we’re making in how patients
perceive LifeBridge and has given us impetus
to continue expanding the reach of the
engagement platform.
Looking ahead, we plan to build a clinical
command center that would help us
coordinate care management with services
such as scheduling, bed control, teletriage
and telemedicine, and integrate the efforts of
nurses, social workers, PCPs and specialists.
Nurse agents would be the primary coordina-
tors, with the engagement platform helping
them connect to patients, deploy ambulances
and establish telemedicine links to patients’
homes so physicians can decide whether to
treat in place, order an admission to a chronic
care facility, or send the patient to an ED.
We envision these efforts being coordinated
across our entire system vs. in hospital silos.
That said, we must be sensitive to HIPAA
compliance, such as keeping all patient data
in U.S.-based data centers, and security and
privacy practices. We have drawn a firm
line between our EMR and its clinical data
streams and the patient engagement platform
and its tools. While we may integrate
additional third-party systems into our nurse
agent platform, the EMR will likely remain a
standalone entity.
The nurse agents work so quickly that the patient
is often still on the ambulance gurney when the
cardiac or stroke teams arrive.
In the meantime, we are establishing
ourselves as a hub of care and a “transfer to”
location. Our reputation for high-quality
care is growing across the state, quite a feat
for a midsized community hospital system.
Physicians and patients outside of our network
routinely call and ask for care services at our
facilities. From the very start, our goal was to
make it as easy as possible for physicians to
access our healthcare system’s services and
provide their patients a high level of care. Our
growing market share and satisfaction scores
suggest we are succeeding.
We must also interact with members of
the community who may never become
patients at any of our hospitals, and the
platform provides options for us to engage
with them in ways never before available
in healthcare. Delivering the same level of
technological capability that our physicians
and patients enjoy in consumer settings will
help LifeBridge thrive under value-based
reimbursement models by offering top-notch
medical care at great value. In turn, this
success will enable us to fulfill our primary
mission of maintaining and improving the
health of the community we serve.
Authors
Jonathan Ringo, M.D., is the President and Chief Operating Officer of Sinai Hospital
of Baltimore. Sinai Hospital has over 500 beds and is the flagship member of the
LifeBridge Health health system. Sinai is the state of Maryland’s largest independent
teaching and research hospital, with tertiary services in trauma, advanced orthopedic,
cardiovascular and neurosurgery, neonatal level III, and a full-service children’s
hospital. Dr. Ringo also serves as Senior Vice-President for LifeBridge Health. He is
responsible for the system’s move from fee-for-service to value-based care. He can be
reached at https://www.linkedin.com/in/jonathan-ringo-8b98501a/.
Jonathan Thierman, M.D., Ph.D., is the Chief Medical Information Officer (CMIO)
for LifeBridge Health and the Vice-Chairman of the Medical Staff for Northwest
Hospital. He is leading LifeBridge into the digital medicine era with initiatives
including a system telehealth platform and big data analytics, to improve patient
throughput, system efficiencies and the delivery of quality care across the continuum.
He also oversees and continues to work on projects related to physician system optimiza-
tion and engagement. Prior to his role as CMIO, Dr. Thierman served as Associate
Medical Director of Northwest Hospital’s Emergency Department, where he also
provided clinical care for a number of years. He can be reached at jthierma@lifebridge-
health.org | https://www.linkedin.com/in/jonathan-thierman-md-phd-125a5517/.
Jonathan Moles joined LifeBridge Health in 2015 to establish a clinical operations
center. He is Assistant Vice-President, responsible for the Clinical Command Center
and Access. Prior to LifeBridge Health, Jonathan spent eight years leading implementa-
tion activities for custom software solutions and in the organ and tissue procurement
industry, and five years in data management supporting pharmaceutical clinical trials.
He can be reached at jmoles@lifebridgehealth.org | https://www.linkedin.com/in/
jonathan-moles-pmp-17a98115/.
Cognizanti • 47
Manufacturing, Consumer Goods & Retail
Asian Paints: The
Digital Odyssey of
a Serial Reinventor
By Harish Lade
A leading Asia-Pacific paint
company has woven a
modern digital backbone into
the fabric of its organization
to deliver a superior
consumer experience. Its
goal: become the top player
in the paint-as-a-service and
home decor markets.
Asian Paints is the leader in the Indian paint
industry. With a consolidated turnover of
over $2 billion, our company is the third
largest paint company in Asia, a top-five
player in decorative paints worldwide and
the tenth largest coatings company globally.
Our operations span 16 countries (largely
emerging markets), with 25 paint manu-
facturing plants across the globe, servicing
customers in over 60 countries. We distribute
our products through carefully nourished
relationships with over 45,000 dealers spread
across India for over 75 years.
In India, customers buy paint from hardware
stores and hire painters, contractors or
architect interior designers (AIDs) to do the
painting. The do-it-yourself model doesn’t
exist in the region. While the per-capita
paint consumption in India is far lower
than in Western countries, we’ve seen high
growth over the last decade, spurred by
increased consumer awareness and higher
discretionary spend due to the growing
Indian economy. Our growth mantra has
been to create demand through the continual
and proactive introduction of innovative
products and services. That goal has been
ably aided by a modern IT backbone powered
by enterprise applications from SAP and
the company’s HANA in-memory database,
which automates manufacturing and supply
chain management (SCM) and enables more
seamless omnichannel journeys.
Complacency has always been anathema
to our company. Whether we’re launching
innovative products or introducing new
services for the digital age, we’re continu-
ously reinventing the company, keeping the
customer at the center. Our relentless
customer-centric efforts have established us as
a leading Indian consumer brand, despite the
fact that paint is not a regularly used product.
48 Cognizanti • 49
OO Using data to add intelligence to a
complex supply chain. Our industry is
beset by seasonal uncertainties. Further,
roughly 60% of our costs are attribut-
able to raw materials, and about 50%
of our raw material requirements are
met through imports. We were using
JDA Software’s advanced supply chain
planning solutions for over two decades
to help us plan better; however, given
the increasingly VUCA world (with its
volatility, uncertainty, complexity and
ambiguity), global events often disrupt
availability and impact costs. Macro
factors and directional trends, such as
commodity demand fluctuations and
price volatility in international markets,
significantly influence our cost structure.
Effectively handling these uncertainties
required us to remap procurement that
typically deals with unstructured data. We
developed an advanced SCM application
using IBM Watson, which informed more
effective decision making amid continuing
uncertainty.
It’s crucial in the paint product category
to ensure service levels at the dealer
counters and availability of the range
of SKUs. We’ve enabled optimized
shipment creation and tracking to ensure
high order fill rates. In some markets,
we offer twice-a-day delivery to our
dealers. Our SAP HANA platform-based
solution reinvented our order servicing by
empowering the sales team with timely
information about the current stock,
and the distribution team about
inventory levels and possible SKU
shortages. The distribution team
is empowered with real-time
visibility across all the company depots,
and into shifts in demand and production
schedules for effective decision making, as
well as the ability to perform root-cause
analyses for quick corrective action. This
is done via a workbench that combines
analytics with an execution engine. This
application won the first prize at the 2015
SAP HANA innovation awards.
OO Elevating CRM to new heights. Our
CRM models all of our customer relation-
ships (both dealer-enabled and direct).
The system is built to handle a franchising
model spread across 13 cities, comprising
processes that involve organizing, con-
tracting and executing an end-to-end
painting service. The system effectively
manages loyalty and rating systems, net
promoter scores and customer satisfac-
tion, driving customer centricity. We’ve
recently launched a new service model,
called PaintTotal, under which the dealers
offer services using their own set of
resources. The entire process is backed by
a data architecture that funnels informa-
tion to all sets of users.
From Products to Services
A decade ago, we began transforming from
a predominantly brick-and-mortar product
manufacturer into an agile and adaptive
enterprise that provides value-add services
in addition to products that help customers
make their homes beautiful.
Our services transformation began with
our painting-as-a-service offering, when we
launched a toll-free telephone service for
customers to request home painting. This
required a major mindset shift and was the
first step toward offering differentiating décor
services.
The next step was reimagining our business
as a home décor business. This change
emerged from our understanding of the paint-
ing-as-a-service ecosystem and the number of
customer touchpoints involved. Home reno-
vations typically require customers to work
with dealers, painters and contractors, while
high-end projects could include architects
and interior designers. At any point in the
project, customers typically experience
unexpected problems and setbacks. We have
an opportunity to unlock value and address
a larger share of the customer’s wallet by
working through these issues with customers
or eliminating the problems completely.
When customers seek to change their home
décor, they also need assistance with coor-
dinating colors and textures that mesh with
their existing décor. So, while paint remains
the core of our business, we also began
offering consultancy services beyond our
professional painting services, which helped
us differentiate ourselves and position our
company as a partner with customers as they
work to beautify their homes.
Other strategic shifts include foraying into
emerging markets and extending our home
décor umbrella to include kitchen and bath
spaces. This required us to make a few acqui-
sitions and extend our enterprise in newly
collaborative ways. This has been a signifi-
cant shift involving cultural change and new
IT systems.
Digital-powered
Endeavors
In order to provide a consistent customer
experience across multiple touchpoints and
offer optimal product and service delivery, we
needed to ensure strong digital enablement
across the value chain. This drove us to
digitize the organization’s functions end to
end, from customer engagement systems, to
all front-end CRM and dealer management
systems and all supply chain and manufac-
turing operations. This meant keeping IT
as a foundational element to make people
efficient, accountable and focused precisely
on the customer. Data analytics has been
another foundational element across the
value chain.
Key digital initiatives that powered our trans-
formation include:
OO Getting our arms and mind around
the manufacturing supply chain.
While paint manufacturing is not
complex, we needed to improve our
operations with large-scale automated
factories. At the scale required, we needed
fully-digitized recipe management, with
full integration of shop floor operations
with our SAP ERP system.
We began transforming from a predominantly brick-
and-mortar product manufacturer into an agile and
adaptive enterprise that helps customers make their
homes beautiful.
Cognizanti • 5150
Connecting Digital with
Human Expertise
By gaining a better understanding of the
home paint buyer, we learned that our
customers needed a better visual view of
our products and services. Armed with
this insight, we launched our 8,000-to-
12,000-square-foot Asian Paints home stores
in partnership with dealers. These stores
employ 3-D visualization and virtual reality
technologies to provide customers with more
intuitive visual walkthroughs, enabling them
to explore a bouquet of colors and textures
and make their choices along the way,
creating their own unique cache of choices.
Subsequently, consultants step in to complete
the decision-making process.
To facilitate this, we created a color
consultant app that allows consultants to
take pictures of customers’ home walls and
apply color and texture. The app renders
them instantly, providing a view of what they
would look like if painted in different colors
and finishes. The application is powered
by our CRM systems and other front-end
applications, such as our Paint Total app and
Visualizer app.
To further engage customers, we employ
a curated chat-like engine, using robotic
process automation technologies, to empower
dealers to recommend contractors to execute
jobs. This also allows us to track the entire
transaction to ensure customer satisfaction.
None of this would matter if we couldn’t
provide white-glove service to our customers.
Our call center handles around 100,000
customer interactions every day. Calls are
recorded and analyzed to better understand
niche requirements. Customers’ need for
Vastu consulting (an Indian equivalent
of Feng Shui, the Chinese philosophy of
arranging personal surroundings in harmony
and balance with the natural world) is a
niche requirement that we’ve added to our
menu of services and embedded into our
mobile app after listening to many customer
calls over the past two years. This has
enabled us to better understand and stan-
dardize the process.
No digital makeover is complete without
a website component designed to educate,
encourage and entertain our customers in
their home improvement quest. To that
end, we’ve launched websites such as
www.beautifulhomes.com to create curated
customer experiences. These are geared
toward storytelling and are not linked with
sales. Our next step will be to discover ways
to monetize these sites.
OO Achieving omnichannel consistency.
In our relentless focus on enhancing
satisfaction, we embarked on an initiative
to provide a seamless experience to
customers, dealers and influencers across
physical, digital and human channels.
When we began this journey, our data
architecture wasn’t able to fully support
the required changes.
To overcome this, we mapped the
customer journey across channels and
built a data architecture and IT platform
powered by SAP enterprise application
software, such as Hybris Commerce,
Hybris Billing and Hybris Marketing. This
is combined with Adobe’s Experience
Management platform to provide a strong
IT architecture that covers both the
experience and transactional require-
ments of the company. This helped us
facilitate seamless journeys across physical,
digital and human channels. Powered
by insights from data gathered at each
touchpoint, the solution enables us to
generate unique offers to each customer’s
needs. A consistent view enabled by the
IT architecture empowers the call center,
stores and consultants, etc. to provide a
delightful customer experience.	
OO Applying precision customer seg-
mentation by blending behavioral
and data science. Armed with our
foundational data architecture that
connects all systems, we’ve embarked
on mapping the customer journey across
our human, digital and physical channels
to create specific behavioral categories.
Supplemented by in-depth interviews and
research, this led us to segment customers
based on their demonstrated choices and
behaviors.
Our largest segment is a tech-savvy
persona who conducts a lot of online
research and becomes loyal to our brand
only after interacting and transacting with
us. Another customer type is a wealthy
person living in a tier-two city who tends
to display his accomplishments by painting
his home in a dazzling display of colors.
This customer prefers to deal with consul-
tants and requires human interactions.
We created a color consultant app that allows
consultants to take pictures of customers’ home walls
and apply color and texture. The app renders them
instantly, providing a view of what they would look
like if painted in different colors and finishes.
Courtesy of Asian Paints, www.beautifulhomes.com.
52
Selectively Applying
Best Practices
We applied a few best practices to guide and
inform our business and digital transforma-
tion journey. These include:
OO Marrying IT and business strategy:
At Asian Paints, IT strategy begins in the
boardroom. IT leaders are an integral part
of our organization’s operating council,
and thus are engaged with the corporate
strategy from the get-go.
OO Early adoption of emerging IT: Transfor-
mative vision needs early onboarding of IT
tools. Given our propensity for continual
reinvention, we understood that early (and
in some cases pioneering) adoption of IT
is critical to success. Early adoption of an
API-driven architecture worked very well
for us. While the front-end kept changing
rapidly, the back-end system remained
supportive. We were an early adopter of
HANA software and pushed its usage to
the core. This was a pioneering adoption
in India’s manufacturing sector. We also
evaluate emerging technologies on an
annual basis and plot them across the
business areas to determine possible oppor-
tunities and selectively execute them.
OO Applying design thinking to create
more intuitive applications. On the
people side, we’ve adopted the design
thinking methodology. We started with
a boot camp at Stanford University, and
after becoming certified coaches, we
trained others and institutionalized the
practice. The design thinking methodol-
ogy allows us to stay focused on customer
empathy, and reimagine solutions based
on our deeply observed points of view.
This has been the key success factor
driving successful adoption of our various
transformational applications.
We now use this approach for most of our
app development. For example, in the
past, when we pushed information to our
frontline workforce’s mobile device, the
apps weren’t well used. Using the design
thinking methodology, however, our IT
teams spent time shadowing the frontline
workforce, meticulously understanding
how they interact with customers and
at dealer counters. We noticed marked
regional differences in user requirements.
For example, in some markets, our regional
managers prefer to first view collections,
whereas in other metro markets, selling a
premium product was the main goal.
In some cases, this involved listening to
customer audio clips since these conversa-
tions occurred in vernacular languages
for which voice-to-text application was
difficult. We had collated clips, classified
them and made them downloadable on an
app to enable our employees to listen to
interactions. This provided many insights,
which are incorporated as features in
future releases.
OO Empowering dealers, minimizing
disruption. In the process of change,
we strive to minimize disruption for our
dealers and make them a partner in the
entire evolution. We consider them a key
stakeholder and focus on equipping them
with the right technology tools they need
to keep pace with a continuously rein-
venting Asian Paints.
Author
Harish Lade is Vice-President of Information Technology and Systems at Asian
Paints Ltd. In his 21 years at the company, he has led a variety of transformational
initiatives in diverse areas, such as next-generation consumer engagement platforms,
advanced supply chain planning systems, manufacturing execution systems,
robotics, advanced and predictive analytics, and external and internal collaboration
platforms. He is currently leading the IT team into the next wave of digital trans-
formation at Asian Paints that will accelerate the company’s vision of becoming
a forerunner in inspiring home décor. Harish holds a post-graduate diploma in
computer-aided management from Indian Institute of Kolkata, India, and a B.E.
in electronics engineering from National Institute of Technology, India. He can be
reached at https://www.linkedin.com/in/harish-lade-6abb803/.
Cognizanti • 55
When it comes to capitalizing
on digital opportunities,
senior business and IT
leaders must do a better job
of foreseeing and overcoming
key disablement factors that
conspire to undermine their
best efforts.
In my previous Cognizanti column,1
I noted
that most legacy business executives I visit2
understand that the profitable use of digital
technology is crucial to business viability
and success. But on closer inspection, I get
the sense that while they see the “why,” they
often struggle with the precise “what” – as
in exactly which applications of digital will
result in real, tangible, material economic
contribution.
Increasingly, most senior executives with
whom I meet realize that the journey to a
more digitally enhanced business will not be
a one- or two-year program. It seems they
have a gut feeling that it will be an iterative
journey, one similar in scope to what it has
taken to transform their national business
into a global enterprise.
I recently conducted targeted interviews with
five executives who several years ago seemed
to be progressing effectively toward digitally
enhancing or changing their businesses.
All, it turns out, had endured very similar
experiences, from which the following six
lessons emerged (spoiler alert: not all have
succeeded).
They Greatly
Underestimated the Time,
Persistence and Struggle
Involved
Four of the five executives I interviewed had
quit in frustration or been fired. The one who
faced the earliest, most daunting challenge
had made the most significant lasting contri-
bution. He was onto the next plateau of digital
change: expanding the innovation beyond the
initial case, accommodating business model
change and achieving a recognized, positive
material economic impact.
All the executives mentioned that they had
misjudged the recognizable material outcome
of their efforts by a factor of 200% or more.
They, the pundits, consultants and vendors
had all failed to set, communicate and resell
the timeframe, difficulties and necessary
course corrections involved in their initiatives.
As preliminary timeframes were exceeded,
originally supportive senior executives
asked increasingly difficult, often unanswer-
Lessons from the
Digital Frontier
By Bruce J. Rogow
The Last Word
Cognizanti • 5756
without a cohesive team with the right
skills. The new, individually customized
and expanded service was aimed at smaller
customers with inadequate staff at the busiest
time of year. Customers were thoroughly
confused, and the distributor’s local reps had
little interest in helping or training them.
The company also never seemed to have
time for adequate after-action reviews.
It Wasn’t About
the Data, Analytics,
Mobile or IoT
In my previous Cognizanti column,3
I noted
that organizations large and small often chase
the technology and not the outcome. All of
the digital pioneers with whom I spoke said
their projects generated great data, insights,
mobile apps or clever IoT implementations.
Turning these new capabilities into business
contribution and profit, however, was a
struggle. The marketing executive vice-pres-
ident at a pharmaceuticals business described
how his company’s data analytics group had
discovered a major business opportunity.
However, when the CEO asked what had
changed in the business, the room went silent;
no one knew how to turn the new knowledge
into actions. He kept saying, “OK, what the
h… do we do now?” Three days later, the
digital analytics group was terminated.
Digital Enhancement
Is a Totally Different
Three-Ring Circus,
Requiring Different
Clowns for Each Ring
All the executives with whom I spoke under-
estimated how different digital enhancement
was from classic IT transformation projects.
They all had proven, experienced IT teams
and users but had not thought through the
implications of the three major forms of
digital enhancement,4
each of which demand
totally different skills, talents, process,
measures, incentives and culture:
OO Enhance the business (efficiency,
responsiveness, reach, flexibility, agility,
urgency, process change).
OO Enhance the products (intelligence,
self-diagnostics and remediation,
data, preventive maintenance, perfor-
mance, customer experience, customer
economics).
OO Change the business model (revenue
generation, required acquisitions, moneti-
zation, new markets, provocative change,
broader credibility, branding change,
realistic institutionalization at scale).
As an example of the final point, one pioneer
led a brilliant but unsuccessful effort to more
properly organize the business. With all that
can be done with digital technologies, the
CEO and board asked: “Why EMEA (Europe,
Middle East, Africa)?” Those individual
markets, products, channels, regulations and
cultures have almost nothing in common,
other than they can be reached from
Heathrow.
Digital technologies should allow this
company to organize globally by common
markets, products, channels, regulations and
cultures. So, they did. I’ll leave it to the reader
to imagine what could go wrong – much of it
had nothing to do with technology.
They Should Have
Expected, Managed and
‘Opportunized’ Inevitable
Setbacks, Challenges,
Complications
None of the five digital pioneers could
identify anything they tried that actually
went where they wanted, in the timeframe
they predicted, with the outcome desired.
As mentioned above, they hadn’t properly
set the expectations. The board and
senior executive pundits made it worse by
demanding compliance with the mantra of
“first-mover advantage.” For legacy businesses
in the land of “We don’t know what we don’t
know,” blind faith to competitive advantage
results in an unpredictable journey to digital
enhancement.
able questions, such as how long it would
take to deliver a material contribution. As
costs increased and measurable, acknowl-
edged results were pushed out, supporters
abandoned the initiative in fear that digital
was a slippery slope. According to a distribu-
tion industry CIO, a member of the executive
committee said the road to digital reminded
him of driving from the Midwest to Disney
World with his twin 6-year-old daughters in
the backseat, who constantly asked, “Are
we there yet? If it’s much further, can we go
home?” Two CIOs said they were denounced
as incompetent by a CEO board member.
The one successful digital pioneer, a CIO,
had strong board-level support from a former
CIO and digital veteran. He said he’d had
to deploy many tactics he’d learned in the
Marines Corp. and as a CIO: Establish critical
support at the outset; set and communicate
realistic expectations; ensure a broad team
comes together and stays deeply committed;
expect and power through setbacks; hold the
naysayers at bay; and be there to push forward
as milestones are achieved.
They Didn’t
Adequately Anticipate,
Focus on and Mitigate
the ‘Digital Disablement’
Factors
Most executives who pursue a more digitally
enhanced business identify and then act
on what they believe to be the enablement
factors of skills, sourcing, resources and
process. All five of the executives I inter-
viewed, however, said they hadn’t adequately
addressed what one described as the “digital
disablement factors.”
One oft-cited factor was corporate culture and
behavioral resistance. Both the dimensions
and domains of company and customer
culture proved an overwhelming obstacle
toward making adequate progress and buy-in.
A persistent and passive-aggressive chorus
hurled challenges such as: “Won’t this change
the nature of our business?” “Won’t this cause
our channel partners to abandon us?” “What
makes you think our classic customers will
want this?” “I know this is important to you
IT folks, but I can’t spare people this year.”
Other digital disablement factors that should
have been addressed more aggressively were
accounting conventions, human resource
policy and practice, incentives and a lack
of slack. Three of the digital pioneers were
shocked to find that the accounting system
under-reported their initiative’s revenue
contribution while dramatically enhancing
tabulated costs. To make matters worse,
a continuous battle also raged with the
company’s economic value-added (EVA)
mob, who shot down any innovation
initiative if it lacked immediate and major
returns.
One of the pioneers, a chief digital officer,
advised: “Own the measures, or the measures
of others will dominate you.”
Their Readiness
Assessment Should Have
Equaled or Exceeded
Risk Assessment
All of the executives did some form of risk
assessment on their ventures. Unfortunately,
these assessments were largely based on IT
and not digital experience. With the classic
IT approach, waterfall methodologies are
employed, and the use of the applications is
mandated as a condition of employment or to
do business with the enterprise. Most digital
applications and services, on the other hand,
are delivered with Agile methodologies to
an audience that can choose whether to use
the capabilities provided. All five pioneers
felt an iterative approach to enhancing risk
assessment was needed.
However, the greater exposure proved to be a
lack of a highly detailed readiness assessment
of the exact what, how, who, when and
where – not to mention the economics of the
initiative. The distribution industry digital
pioneer described how his company launched
in the wrong place to an unprepared market,
Cognizanti • 5958
The successful CIO pointed to early digital
efforts that initially resulted in great
customer satisfaction as a major outcome:
Problem installations of the company’s
product dropped from 30% to less than
3%. Under a corporately funded program,
digitally equipped and connected specialists
planned and then monitored the installations
for the first 90 days.
However, after the original corporate
funding dried up, revenues failed to appear
as customers refused to pay for the added
attention. No one predicted this, but the
CIO had warned senior leaders that there
would be major issues and adjustments.
Despite initial skepticism, the board and
CEO realized the business model, revenue
and pricing must change from product-
based to service-based. Massive marketing
investments, customer communication and
adjustments to accounting procedures, as well
as incentives, were required. Today, related
service revenues exceed the old product
revenues as customers increasingly chose
the service option. The enterprise is moving
toward managing its entire business in this
manner. It “opportunitized” what appeared to
be a catastrophic setback.
Learning from Failure
The demand for digital enhancement is
real. Digital enhancement requires more
than teammates with the ideas, desire and
passion to conceptualize a future business
state brought to life with digital technologies
and thinking. Happenators, as I described in
an earlier Cognizanti article,5
who can tackle
the exact what, how, who, when and where
are also required. Together, they must design
and execute an outcomes-driven approach.
Frankly, I seldom meet organizations that
have world-class talent in both arenas.
Organizations also can’t shy away from the
disablement factors that undermine digital
enablement. The chief digital officer of a
media company cited a five-step approach:
OO At the outset, identify the major and
possible disablement factors.
OO Rank the disablement factors and develop
an offensive game plan for each.
OO Monitor the status, relative exposure and
progress against each disablement factor.
OO Continuously identify disablement factors
and review them thoroughly.
OO If all else fails, go back to Step 2!
The digital game is afoot. Is your enterprise
on the road to winning?
Footnotes
1	
Bruce J. Rogow, “And Now for the Hard Work,” Cognizanti, Volume 10, Issue 1, 2017, https://
www.cognizant.com/whitepapers/the-last-word-and-now-for-the-hard-work-codex2676.pdf.
2	
The focus of IT Odyssey is not on greenfield, born-digital enterprises but on large, existing,
often mature businesses with legacy management, products, assets, culture, customers,
markets and business models.
3	
Bruce J. Rogow, “And Now for the Hard Work,” Cognizanti, Volume 10, Issue 1, 2017, https://
www.cognizant.com/whitepapers/the-last-word-and-now-for-the-hard-work-codex2676.pdf.
4	
Bruce J. Rogow, “Enabling the Digitally Enhanced Business,” Cognizanti, Volume 8, Issue 1,
2015, https://www.cognizant.com/whitepapers/the-last-word-enabling-the-digitally-enhanced-
business-cognizanti11.pdf.
5	
Bruce J. Rogow, “And Now for the Hard Work”, Cognizanti, Volume 10, Issue 1, 2017, https://
www.cognizant.com/whitepapers/the-last-word-and-now-for-the-hard-work-codex2676.pdf.
Author
Bruce J. Rogow is a Principal at IT Odyssey and Advisory in Marblehead, Mass.
Known as the counselor to CIOs and CEOs on IT strategy, Bruce has for the last
15 years conducted independent, face-to-face interviews with thousands of C-level
executives. Previously, he spent five years as Executive Vice-President and Head of
Research at Gartner Inc. Prior to that, he was Senior Managing Principal at Nolan,
Norton & Co. Bruce can be reached at Bruce@ITOdyssey.com.
About Cognizant
Cognizant (NASDAQ-100: CTSH) is one of the world’s leading professional
services companies, transforming clients’ business, operating and technology
models for the digital era. Our unique industry-based, consultative approach
helps clients envision, build and run more innovative and efficient businesses.
Headquartered in the U.S., Cognizant is ranked 230 on the Fortune 500 and is
consistently listed among the most admired companies in the world.
Learn how Cognizant helps clients lead with digital at www.cognizant.com or
follow us @Cognizant.
U.S. Headquarters:
211 Quality Circle
College Station, TX 77845
Tel: +1 979 691 7700
Fax: +1 979 691 7750
Toll Free: +1 855 789 4268
Email: inquiry@cognizant.com
India Operations Headquarters:
#5/535, Old Mahabalipuram Road
Okkiyam Pettai, Thoraipakkam
Chennai 600 096 India
Phone: +91 (0) 44 4209 6000
Fax: +91 (0) 44 4209 6060
Email: inquiryindia@cognizant.com
China Operations Headquarters:
Cognizant Technology Solutiions
(Shanghai) Co.
CN Shanghai You Do Space
ChuanQiao Road
Pu Dong New District
Phone: +86 21 6100 6466
Fax: +86 21 6100 6457
Email: inquirychina@cognizant.com
World Headquarters:
500 Frank W. Burr Blvd.
Teaneck, NJ 07666 USA
Phone: +1 201 801 0233
Fax: +1 201 801 0243
Toll free: +1 888 937 3277
Email: inquiry@cognizant.com
European Headquarters:
1 Kingdom Street
Paddington Central
London W2 6BD
Phone: +44 (0) 20 7297 7600
Fax: +44 (0) 20 7121 0102
Email: infouk@cognizant.com
Philippines Headquarters:
Cognizant Technology Solutions
Philippines, Inc.
5th & 6th Floor,
8/10 Upper McKinley Road Building
10 Upper McKinley Rd.
McKinley Hill, Fort Bonifacio
Taguig City 1634 Metro Manila
Philippines
Phone: + 63-2-976-2270
Email: inquiry@cognizant.com
Primary Global Delivery Centers:
Budapest (Hungary), Buenos Aires (Argentina), Guadalajara (Mexico), London (UK),
Manila (Philippines), Shanghai (China), Toronto (Canada); Chennai, Coimbatore, Kolkata,
Bangalore, Hyderabad, Pune, Mumbai, New Delhi, Cochin (India); Bentonville, AR;
Bridgewater, NJ; Des Moines, IA; Phoenix, AZ; Tampa, FL (U.S.).
Primary Regional Offices:
Atlanta, Chicago, Dallas, Los Angeles, Norwalk, Phoenix, San Ramon, Teaneck (U.S.);
London (Canada); London (UK); Frankfurt (Germany); Paris (France); Madrid (Spain);
Helsinki (Finland); Copenhagen (Denmark); Zurich, Geneva (Switzerland); Amsterdam (The
Netherlands); Hong Kong, Shanghai (China); Tokyo (Japan); Melbourne, Sydney (Australia);
Singapore (Singapore); Bangkok (Thailand); Kuala Lumpur (Malaysia); Buenos Aires
(Argentina); Dubai (UAE); Manila (Philippines).

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Navigating the Digital Age: What senior leaders worldwide have learned from pushing the boundaries of change.

  • 1. Cognizanti Part II Navigating the Digital Age What senior leaders worldwide have learned from pushing the boundaries of change. VOLUME 11 • 2018
  • 2. Cognizanti is an annual journal published by Cognizant. Our mission is to provide unique insights, emerging strategies and proven best practices that globally-minded companies can use in their quest for business and IT performance excellence. All articles published in Cognizanti represent the ideas and perspectives of individual Cognizant associates and contributors who have documented expertise in business-technology strategy and implementation. The content of the articles published in Cognizanti represents the views of the individual contributors and not necessarily those of Cognizant. They are put forward to illuminate new ways of conceptualizing and delivering global services for competitive gain. They are not intended to be, and are not a substitute for, professional advice and should not be relied upon as such. For more insights, and to continue the conversation online, please visit our e-community at http://connections.cognizant.com or download our Perspectives app from the Apple App Store or Google Play at http://cogniz.at/itunescognizantperspectives or http://cogniz.at/googleplaycognizantperspectives, respectively. © Copyright 2018, Cognizant Technology Solutions No part of this publication may be used or reproduced in any manner whatsoever without written permission of Cognizant.
  • 3. The Cognizanti Team Publisher: Malcolm Frank, Executive Vice-President, Strategy & Marketing Editor-in-Chief: Alan Alper, Vice-President, Corporate Marketing Editor: Rajeshwer Chigullapalli, Associate Director, Corporate Marketing Thought Leadership Program Management: April Vadnais, Associate Director, Corporate Marketing Art Director: Jason Feuilly, Director, Corporate Brand/Design­ Design/Print Production: Diana Fitter, Contributing Art Director Contributing Editor: Mary Brandel, Contributing Editor Columnist: Bruce J. Rogow, Independent Advisor Digital Distribution: Nikhil Narayanan, Senior Manager, Social Media Marketing Editorial Advisory Board Kaushik Bhaumik, Executive Vice-President, Global Leader, Healthcare Business Unit Irene Sandler, Vice-President Marketing, Cognizant Accelerator Mats Johard, Associate Vice-President, Cognizant Business Consulting, Strategy & Transformation Ramkumar Ramamoorthy, Executive Director, India Anand Chandramouli, Director, Cognizant Primary Research Ben Pring, Vice-President, Cognizant Center for the Future of Work Gary Beach, Publisher Emeritus, CIO Magazine VOLUME 11 • 2018 An annual journal produced by Cognizant Cognizanti
  • 4. 5 Editor’s Note The Global Mosaic That Is Digital Alan Alper, Cognizant 7 The First Word Unfurling the Blockchain Blueprint Rajeshwer Chigullapalli, Cognizant 13 Insurance/Health & Wellness You Don’t Join Us; We Join You Steve Roberts, Aetna Health 21 Banking and Financial Services Customer Centricity through Collaboration: Mizuho’s Path to Digital Nobuhisa Abe, Mizuho Financial Group, Inc. 27 Commentary Hands Up For Talent Gary Beach, CIO Magazine 33 Educational Services Building a Global Community of Connected Students, from Classroom to Career Andrew Barkla, IDP Education 39 Healthcare Transforming Physician and Patient Engagement at LifeBridge Health Jonathan Ringo, Sinai Hospital of Baltimore Jonathan Thierman, LifeBridge Health and Northwest Hospital Jonathan Moles, LifeBridge Health 47 Manufacturing, Consumer Goods & Retail Asian Paints: The Digital Odyssey of a Serial Reinventor Harish Lade, Asian Paints 55 The Last Word Lessons From the Digital Frontier Bruce J. Rogow, IT Odyssey Table of Contents
  • 5. Cognizanti • 5Cognizanti • 5 The Global Mosaic That Is Digital Look around. Our personal and professional lives are increasingly conducted through a screen, app or voice interface. And this phenomenon of relying on digital approaches to get things done will only accelerate, globally. That’s why we dedicate this issue of Cognizanti to the digital movement taking shape worldwide. We continue our exploration of digital through the eyes of practitioners – namely, our clients – who are pursuing digital that truly matters in ways that advance their market leadership, both regionally and globally. In the pages that follow, we present essays written by senior leaders at Aetna, Asian Paints, IDP Education, LifeBridge and Mizuho, whose ambition is to steer their organizations into a brighter digital tomorrow. Notably, the authors include doctors, a CEO, an innovation leader and of course IT executives, underscoring the wide array of business and technology influencers who drive digital strategy and execution. From Aetna, you’ll hear how the company is seeking to transform from a health insurer to a wellness company. Mizuho, the Japanese mega-bank, explains how it is applying blockchain, big data analytics and AI, along with fintech partnerships, to deliver customer-oriented innovation to relevant areas of its global business. You’ll learn how IDP Education is working hard to extend its support for customers to every stage of their international education journey and beyond, with personalized, relevant content. LifeBridge, a major U.S. regional health provider network, reveals how it’s applying new-age con- sumer-style digital engagement to enhance physician communications and patient care coordina- tion. Lastly, Asian Paints – the third largest provider of paint in the Asia-Pacific region – presents a colorful canvas of design thinking, behavioral and data sciences and modern enterprise systems, detailing the company’s pursuit of leadership in the paint-as-a-service and home decor markets. Sprinkled in, as always, are commentaries that offer insight into major developments that drive our digital age. We open with a fact-based look at blockchain’s slow but steady move from the lab to a mainstream force in enterprise computing. Veteran IT industry commentator Gary Beach offers advice on filling in the talent gap that threatens the entire digital movement. Bruce Rogow punctuates the issue with a cautionary tale and lessons learned, crafted from interviews with top senior business and IT leaders who have come up short in in their initial digital initiatives. Bruce’s advice: Do a better job of anticipating factors that conspire to undermine even the best efforts. We hope you enjoy and benefit from the views shared by your colleagues and our commentators. And if you’d like your own digital journey featured in an upcoming issue of Cognizanti, or in our Digital Perspectives app (available both at the Apple App Store and Google Play on smartphones and tablets), contact me at Alan.Alper@cognizant.com. You can also share your point of view on our Cognizant Connections e-community. Editor’s Note
  • 6. Cognizanti • 7Cognizanti • 7 Organizations worldwide see blockchain as a significant force for their business and industry, and are well on their way to developing a strategy, with an eye on reducing operating costs, automating key business processes and enhancing trust and transparency, our latest study reveals. As the whipsaw volatility of Bitcoin’s cryptocurrency simultaneously excites and generates fear among digitally-minded investors, a movement is quietly taking hold at organizations worldwide: applying Bitcoin’s underlying technology – blockchain – to resolve the essential business challenges of trust and transactional integrity that have vexed e-commerce decision makers for a better part of this millennium. While still in the “prove it” phase, many business and technology leaders worldwide see blockchain’s distributed ledger technology and built-in encryption capabilities on private and public networks as fundamental to enabling virtual business – from R&D, supply chain management and assembly, through sales, distribution and after-market support – to take on many of the same characteristics as physical business by essentially guaranteeing that all trading parties are who they say they are, and enforcing their contractual obliga- tions. And via the technology’s encryption and immutable records, they also hope to keep out prying eyes and ne’er-do-wells who seek to inflict harm on the digital value chains proliferating throughout the globe. Our recent global study of 3,000-plus senior executives found that a vast majority see blockchain as critical to reducing operating costs by allowing their organization to plug-and-play on shared IT infrastructure (private and public); automating key business processes with smart contract technology; and pursuing business opportunities that emerge from new collaborative ecosystems worldwide. In fact, an overwhelming majority of our respondents across banking and financial services, manufacturing, retail, healthcare and insurance, and spanning IT, operations, innovation and functional business roles in Asia-Pac, Europe and North America, see blockchain as a significant force that will impact their company (92%) and industry (86%) in the years to come. They believe blockchain will empower their organization to reimagine and reinvent their business. Unfurling the Blockchain Blueprint By Rajeshwer Chigullapalli First Word
  • 7. Cognizanti • 98 Given the nascent stage of the technology, most organizations are carefully testing the waters with proofs of concept (PoCs), pilots and prototypes. Choice of platform also reveals an interesting mix. A majority of respondents indicated interest in permis- sioned (40%) and open (37%) blockchain networks, while the choice of private blockchain networks garnered a small percentage. This is indicative of the fact that organizations realize that the value of blockchain is in supporting multi-party ecosystems, not internal operations. The preference for closed or permissioned platforms in their current projects seems to stem from a lack of trust across existing ecosystems, with half of the surveyed respon- dents saying they have only a “medium level” of trust in their partners (see Figure 2). Hurdles Along the Path Change management is critical to embracing the collaborative culture that is core to blockchain’s shared technology and operating models. This appears to be a work in progress, according to respondents. Legacy systems integration is another key challenge that respondents are contending with via a mix of approaches that include outright system replacements, workarounds or hybrid models. Topping the chart of internal barriers to blockchain adoption are understanding blockchain and relevant use cases that demonstrate business benefits, followed by communicating blockchain’s business value to key decision makers. External roadblocks, meanwhile, include perceived concerns about privacy and security, scalability, standards and interoperability. Many see blockchain’s ability to unlock business opportunities in new markets (53%), service lines (56%) and customer segments (52%). Their rationale: Blockchain provides the technological wherewithal to stay ahead of the competition and mitigate the threat of digital disruption. They estimate that in the short term, blockchain will generate cost savings of 2.5%-plus, and lead to revenue growth of 5% to 10%. Treading Cautiously The blockchain adoption journey is well underway, with most organizations deep into defining a blockchain strategy, finalizing budgets and organizing teams. Most respon- dents estimate their blockchain budgets to equal 2.5% to 10% of total IT spending and report that they have established teams (of six to 15 people) dedicated to blockchain initiatives. Respondents expect to encounter skill gaps arising from blockchain’s growing impact and have drawn up action plans that combine traditional training and innovation lab approaches. When asked about their strategy, respondents revealed that they are embracing a multi- faceted approach (see Figure 1). In order of priority, the components include identifying innovation opportunities; assessing impact on existing systems; evaluating blockchain along with other emerging technologies such as Internet of Things (IoT), advanced analytics and robotic process automation; and identify- ing processes to which smart contracts can be applied. Paradoxically, despite recognizing the potential for breakthrough innovations, only 12% cite altered or new business models as a strategy component of their move-forward thinking. This is further corroborated by the majority view that blockchain is unlikely to affect their current operating models (47%) or fuel new operating models (13%). Top Strategy Components Respondents were asked to identify the components that make up their blockchain strategy. Base: 3,236 respondents. Multiple responses allowed. Figure 1 Forming dedicated teams to identify use cases and opportunities for innovation Implementing internally to assess benefits and Implications of blockchain for existing systems Assessing the impact of blockchain alongside emerging technologies such as IoT, advanced analytics and robotics Identifying processes that can be improved through the use of smart contracts Understanding regulatory implications of moving processes to blockchain Working with industry partners/consortia to identify areas to focus on or avoid Enabling new or extended business models based on blockchain platforms Replacing current systems with blockchain solutions 0% 5% 10% 15% 20% 25% Organizations realize that the value of blockchain is in supporting multiparty ecosystems, not internal operations. More Trust Needed Respondents were asked to indicate the level of trust they had in their ecosystem partners. Base: 3,236 respondents. Figure 2 Medium High Low Don’t know
  • 8. 10 Cognizanti • 11 The Road Ahead Organizations embracing blockchain would do well to create a cohesive strategy that positions the distributed ledger technology as radically transformative rather than as just another architectural layer. Strategy, therefore, should be focused on developing a blueprint, generating top management buy-in and spotting ways to create new approaches for interacting and transacting. Given that material benefits of blockchain can only be unlocked through shared business and technology models, organizations must learn to work with partners on developing and adopting mutually agreeable standards that become the foundation for collaborative ecosystems. Learning to play in an environ- ment comprised of shared infrastructure and data is critical to unlocking value. Other critical success factors include building cross-functional blockchain project teams that transcend IT, setting clear goals around business issues and objectives to be achieved, iterating and learning on the go without waiting until costs and benefits are clear, staying flexible and adapting to the likely business-technology challenges that will occur as blockchain takes root (such as inte- grating legacy with blockchain platforms), and experimenting with a variety of networks, both permissioned and permissionless. Perhaps most critically, organizations need to use business needs and desires as their yardstick to guide planning and success metrics, rather than being influenced by the blockchain buzz emanating from the crypto- currency trading craziness that has even the most savvy investors perplexed. Author Rajeshwer Chigullapalli is an Associate Director within Cognizant’s thought leadership program. He has over 25 years of experience in the areas of business research and publishing. Previously, he was the Head of ICFAI University Press and Chief Editor, SPG Media, India. He can be reached at Rajeshwer.Chigullapalli@cognizant.com. Acknowledgments The author would like to thank the team at Cognizant’s Blockchain and Distributed Ledger Consulting Practice for their valuable contributions to this article, including Fletcher McCraw, Partnerships and Alliance Lead, and Lata Varghese, Assistant Vice-President at Cognizant, who oversees the company’s Blockchain and Distributed Ledger Practice. For more blockchain insights, and to read our industry-specific reports, visit https://www.cognizant.com/blockchain.
  • 9. Cognizanti • 13 The success of a new healthcare business model means offering features, functionality and value that consumers find indispensable — delivered by Aetna Health. Not too long ago, most of us didn’t have electronic navigation in our cars. We’d unfold a map or ask a gas station attendant for directions. Now, we won’t get in our cars for even short trips without activating some form of GPS capability or launching an app telling us which lane to be in to get off at the correct exit. Many of us wonder how we lived without those apps. That’s the same level of experience and reli- ability we strive to deliver to our members at Aetna Health with our health and wellness management platform. It’s our challenge, and our opportunity, to build solutions for needs and desires our members can’t quite articulate yet – just like we didn’t know we needed maps on our phones. Our hope is to create tools, especially a new mobile app, that members will use as frequently and effortlessly as they do their digital maps, music and social media apps. We will reach this goal in phases, and as we hit our milestones, we’ll also help our parent company, Aetna, transform from a health insurer to a wellness company. Technolo- gies such as analytics and Internet of Things (IoT), as well as our engagement strategies, will help us meet our members where they are and deliver just what they need, whether it’s sending a reminder to refill their prescrip- tion when they walk into a pharmacy or issuing a reward for reaching 10,000 steps. Our ultimate goal is to significantly reduce healthcare costs by helping our members get and stay healthy through our effective care and wellness tools (see Figure 1, next page). You Don’t Join Us; We Join You By Steve Roberts Insurance/Health & Wellness Our ultimate goal is to significantly reduce healthcare costs by helping our members get and stay healthy through our effective care and wellness tools.
  • 10. Cognizanti • 1514 Integrating the Mobile Experience into Members’ Daily Lives We engage our members through our Aetna Health platform, which delivers personal- ized health advice, health tools and trackers, and the ability to connect their fitness and medical devices and communicate with coaches. Our CareEngine platform powers the per- sonalized insights offered by Aetna Health. CareEngine digests lagging and real-time data from medical claims, doctor’s office visits and medical adherence, such as whether a member fills or refills a prescription. Members can also share data about their daily activities through various wearable and in-home devices. Using thousands of clinical rules and analytics, the CareEngine platform sorts members into appropriate health management programs so they get the right support at the right time. Our programs include lifestyle and wellness coaching, as well as management for chronic diseases like diabetes. CareEngine continually generates member- specific insights, such as “Care Consider- ations,” personalized health alerts sent to members and their care managers and health coaches. The platform also generates daily worklists for our 3,000 care managers so they can personally follow up with members by phone or e-mail (see Quick Take, next page). Delivery Across the Continuum with a Holistic Member Focus Aetna Health combines the human touch with a variety of digital tools to give members the personalized and context-aware advice and information they need to reach their health goals. Source: Aetna Inc. Figure 1 ENGAGEMENT PLATFORM MOBILE DECISION SUPPORT ADVOCACY CONCIERGE High-acuity case management and caregiver support Integrated lifestyle-condition management Promoting a healthier lifestyle Predictive modelling Member impactability Omnichannel engagement Local and community partnership Living with a condition Having a high risk pregnancy and neonatal ICU stay Needing advanced situational support POWERED BY: Actively Managing Member Health with a Human Touch Quick Take At Aetna, we use a lot of technology to help members meet their health goals. Our CareEngine platform stratifies high-risk members, identifies the best health management programs for them, and personal- izes the information they see on the care and wellness platform. Members can upload their own data from a fitness band or home health device to earn incentives. We offer multiple communication channels to support member preferences. Yet to help members incorporate healthier behaviors into their lifestyle, we must uncover their motivations for improving their health, help them understand what they can do to reach their goals and identify the best way to encourage them to act. Our care manager- coaches build a rapport with individual members to understand these factors on a personal level. Coaches seek to learn more about what’s driving individual members to change their behaviors, such as staying in shape to live longer so they can see their grandchildren grow up. Understanding members’ motiva- tions helps the coach add a human touch to the individualized information and analysis that CareEngine provides. Coaches can understand members’ personalities and stress points in ways even the best analytics can’t. Coaches and members can check in daily via phone, e-mail and the Aetna Health Care and Wellness platform. Our technology provides information and insights to augment the encouragement and support coaches provide. As a result, members tell us, “I never feel alone,” as they work toward a goal or manage a chronic condition or rehab an injury. The human touch is a key factor in keeping our members healthy.
  • 11. 16 Cognizanti • 17 Aetna Health Experience Our member credo is “you don’t join us; we join you” – and that means serving members through their smartphones. As our clients see a growing reliance among their employees on their phones, they’re asking for mobile health management and wellness tools. While our members can access the Aetna Health Care and Wellness platform online, we wanted to rethink how engagement could be delivered through mobile. The Aetna Health mobile app focuses on the end-to-end experience because it signals a radical shift in how we can engage members and make our services a constant in their lives. After conducting extensive research and focus groups to find out what members wanted, we determined that the app would initially offer recommended health actions, coach messages, digital coaching, and health assessments and incentives, all personalized for individual members. Although it doesn’t sound revolutionary, we had to focus a lot of energy on ease of use and the member’s experience with the tool. We addressed these questions from a member’s perspective: OO How does it connect with my life? OO How will it always be available to me? OO How does it stay smart about me to tell me what to do? OO How does it track all data associated with me that I am willing to share? OO How do I customize it to make it more personal to me? OO How do I use it to get to a real outcome? OO What is my overall end-to-end experience? We take our “you don’t join us; we join you” credo literally with our mobile app. Through the app, we want to issue offers and reminders that make sense in the context of where individual members are and what they’re doing. If the app knows a member is in a pharmacy, that’s a great time to send a prescription refill reminder. One challenge will be keeping the app integrated with the web platform; another will be achieving the right balance between the app’s proactive offerings and its responsiveness to members. We can incorporate dozens of fitness wearables and other devices into CareEngine to power the Aetna Health app. Because Aetna partners with Apple, we are also tightly integrated with Apple devices and can create features that span that company’s devices and capabilities to engage our members. In tandem with the digital mechanics of an engagement experience, we continu- ously refine how to help members effectively engage with care managers to meet personal goals, such as remembering to regularly take medicine for a chronic disease or meeting weight loss and fitness targets. Cognizant works with us on a variety of key member- facing systems and business processes, including rewards and incentives customized The Aetna Health mobile app signals a radical shift in how we can engage members and make our services a constant in their lives. Aetna Health is a differentiator for Aetna, a technology enablement tool that signals to our clients and the industry that we need to work together to find new ways of improving care. for our members. One person may be willing to walk an extra thousand steps for a gift card; another may prefer to accumulate “hearts” or points in a competition with other members; and another may just want help organizing goals so there’s some activity she can accomplish every day. We must personalize member experiences because different age groups have different needs. A relatively healthy 20-year-old may want fitness and wellness tips, while a 50-year-old with a chronic health condition is likely to be more concerned about receiving medical advice or what to do if they forgot to take their medicine. Again, it’s about us addressing member needs within the context of where they are emotionally and physically. The Bottom Line With our app and engagement strategies, Aetna Health is positioned to meet our clients’ health management needs. Employers and health plans expect population and care management services to ensure they have healthier employees and members who won’t need expensive health services or who use fewer services because we help them manage their conditions effectively. Similarly, Aetna realized we must do things dramatically differently to success- fully transition from a health insurer to a wellness company. That’s our response to the healthcare industry’s changing reim- bursement and value models, which will reward quality of care over quantity. In that world, we have to find better ways to engage members than handing them a clipboard and pen at the doctor’s office. That’s a huge mind and cultural shift. Aetna Health is a differentiator for Aetna, a technology enablement tool that signals to our clients and the industry that we need to work together to find new ways of improving care. As we and Aetna continue to evolve toward serving consumers, we’ll need to continue investing in delivering best-in-class service advocacy. Meeting our members where they are means recognizing they have many needs that affect their ability to manage their health conditions.
  • 12. Cognizanti • 1918 How will we measure the success of our Aetna Health platform in such a complex world? We measure healthy days, the adoption rate for our services and, most importantly, whether adoption impacts medical costs. Coming full circle, our ability to engage members and keep them engaged will likely affect adoption rates. We’ll continue to push the adoption curve, prove the concept and work with partners to create and sustain members’ motivation to use the app. We will focus on the experience to make sure the app remains easy and simple to use. Our nirvana would be for members to use the app on their home screen, just like texting and e-mail or their favorite navigation app, blending it right into their lifestyles. When we hear our members ask, “How did we ever live without this?” we’ll count that as one more major measure of success. Author Steve Roberts leads an Aetna Health technology center of excellence as Head of Population Health-IT that builds and maintains consumer, provider, government and multi-payer software solutions focused on our health and wellness platform. The center of excellence includes development, architecture, business analysts, quality assurance, and support and operations for Active Health Management (AHM), providing actionable insights, meaningful engagement and comprehensive care management. Steve has been with Aetna since 2013. With more than 20 years of experience in healthcare IT, Steve has held senior executive positions within Henry Schein, Allscripts, GE Healthcare and McKesson. He holds a degree in business administration from Augustana College and an MBA from Northwestern University, Kellogg School of Management. Steve can be reached at RobertsS5@Aetna.com | www.linkedin.com/in/stevenmroberts/. Our nirvana would be for members to use the app on their home screen, just like texting and e-mail or their favorite navigation app, blending it right into their lifestyles. When we hear our members ask, “How did we ever live without this?” we’ll count that as one more major measure of success.
  • 13. Cognizanti • 21 This Japanese financial services firm has achieved global digital megabank status by leveraging the latest tools, developing fintech partnerships, nurturing a collaborative culture and disseminating customer- oriented innovations to relevant areas of the business. Mizuho Financial Group is a large Japanese financial services organization with $1.8 trillion in assets under management. Our group’s business is spread across the globe, with a presence in 38 regions, and boasts of a robust customer base, fortified by a deep understanding of our customers, developed on the strength of a rich information base built over time. A few years ago, however, we realized that sitting on our historical strengths wouldn’t be enough to remain a leader in the future. We therefore began modernizing our retail banking group by focusing on technologi- cal innovation brought about by advanced digital technologies. We started with a strategy whose objective was to enhance customer service and establish Mizuho as a digital-age megabank. The main technologies we chose to drive our digital transformation strategy were blockchain, big data analytics and AI. The strategy’s success pivoted around partner- ships with fintechs and other vendors, as well as the establishment of a business division whose sole purpose was to develop and drive innovation across the group’s businesses. Until recently, established banking regula- tions1 limited financial institutions’ fintech voting rights to 5%. When this barrier was dismantled in 2014, the door was opened to innovation driven by new-age technologies developed by digitally-native companies. This regulatory change empowered financial institutions to invest in fintechs in order to set up financial IT companies to advance their digital transformation initiatives. On the economic front, our topline strategy was built on a healthy spread between lending and deposit rates. A decades-long ultra-low interest rate regime and reduced demand Customer Centricity through Collaboration: Mizuho’s Path to Digital By Nobuhisa Abe Banking & Financial Services
  • 14. 22 The lab applies contemporary practices such as Agile development methods and design thinking principles, while enabling individu- als to network with other experts, fostering an innovation culture. FINOLAB offers an open, collegiate environment that fosters a flow of ideas among individuals from not just different units but also from external entities. Unlike a traditional Japanese company, it is more akin to a network-based graduate school laboratory or a lab within a Silicon Valley start-up. We’ve worked closely with fintechs to improve the user interface (UI) and user experience (UX) aspects of our customer interfaces. At an applications programming interface (API) level, systems functionality is provided by the bank, but the UI is provided by our collabo- rating fintech start-up. The initiative signifi- cantly improved the customer experience from the use of improved UI and UX. On the business front, fintechs typically lack customer relationships. As financial institu- tions join hands with fintechs and collab- oratively offer customer services, customer ownership is likely to emerge as an issue. Customers are more comfortable dealing with a trusted bank. Mizuho intends to guard its ownership of customers by carefully balancing its fintech partnerships. In the early stage of these partnerships, it remains to be seen how they will evolve and lead to new sustainable business models. Our Three Digital Levers: Blockchain, AI and Big Data Blockchain, AI, and big data analytics are the core digital technologies that we chose to focus on to drive business results: OO A partnership with Metaps and WiL. This collaboration has led to our new financial settlement service offering using digital wallet technology. Targeting smartphone users, the service analyzes customer payment behavior via AI-based algorithms and provides contextually relevant advice. This value-added service goes beyond existing bank settlements for utility payments or settlements using credit cards. OO Big data analytics and AI-based lending services. In association with SoftBank, we launched a company called J.Score, which – starting in September 2017 – renders score-based personal lending services. The company makes use of big data and AI to power its innovative services. Customers enter their basic finan- cial information such as lifestyle, smart- phone utilization, Mizuho bank financial information and user profile, and the bank’s AI-based systems then analyze their data and provide lending scores. Based on the score, customers can see what their potential interest rate would be. The rate is generated entirely through an AI-based mechanism, obviating the need for face-to- face discussion with a human being. for lending services placed an enormous challenge on us to have the capital needed to invest in digital innovation. As a result, we focused on cost reduction and innovations that would make our products and services more appealing to customers and to enhance satisfaction through digital channels. Institutionalizing the Push Toward Digital Prior to 2015, the organizational unit set up to drive digital innovation was in the form of a project team. Upon my arrival to the digital innovation team from a branch banking role in 2015, I moved to set up a digital strategy incubation project team as an independent unit within the Mizuho group. Mizuho group’s businesses are organized as companies by customer segment. This structure called for an institutionalized approach to transferring the digital project team’s transformational innovations to the various businesses within the group. To support this, we reorganized the team into a digital innovation department to develop and drive digital technology-powered innovations across the group’s businesses. In 2017, we created the role of chief digital innovation officer (CDIO), who is charged exclusively with the agenda of driving digital innovations. This practice differs from those of similar types of banks that combine other tasks and responsibilities with this role. In our case, the role has the sole purpose of driving digital in a significant way. We take a two-pronged approach to managing digital development and deployment. One, the digital innovation department gets involved with the business department that is creating the proof of concept (POC) to determine how the innovation can support new ways of doing business. Two, we identify opportunities to address difficulties and challenges confronted by the business lines that can benefit from innovative digital solutions, and then build appropriate solutions. Winning through Fintech Collaboration In October 2016, we set up a laboratory to drive open innovation through our associa- tion with fintechs. The lab combines our deep expertise in financial services with the techno- logical prowess of fintechs, which are focused exclusively on technological innovation and can speed time to market of new applications driven by digital technologies. It is important to propagate the technology and ideas we sourced to the entire group. While doing so, we’ve also been able to dis- seminate the behaviors and atmosphere that help to inculcate a new culture and way of doing business across the group. For example, our FINOLAB, which is situated next to our Otemachi head office, is set in a laboratory- like environment, where venture companies staff our digital innovation department. Meanwhile, other partners pursue digital innovations by actively engaging among themselves. FINOLAB offers an open, collegiate environment that fosters a flow of ideas among individuals from not just different units but also from external entities. Unlike a traditional Japanese company, it is more akin to a network-based graduate school laboratory or a lab within a Silicon Valley start-up. Cognizanti • 23
  • 15. Cognizanti • 2524 business and IT processes throughout the organization to identify areas for automation. These successful initiatives are leading us to build many automated processes throughout the Mizuho bank businesses. We are working with various partners to launch a company called Blue Lab to stimulate revenue growth and reduce operating costs. Blue Lab’s goal is to add 100 billion in added value by around 2020 through cost reductions, increased profits and the value of the new ventures. We want to create a business that will impact the profits and losses of the group in at least two or three years, including the creation of new business and enabling them to provide various levels of industry support. OO Leading with blockchain. We are applying blockchain thinking and technology to develop a solution for sharing sensitive documents among the group’s worldwide subsidiaries. Our initial tests using blockchain show that the approach could enable the bank’s subsid- iaries to tokenize internal money transfers, eliminating the need for cumbersome and manual data reconciliation. Our trials confirmed that blockchain can create an effective platform for information sharing among multiple group companies, resulting in potential cost savings and enhanced usability. The solution was designed using Ethereum for smart contracts, BigchainDB for decentralized storage and InterPlanetary File System (IPFS) for decentralized file transfer. In addition to meeting the business need, the project helped us understand how to leverage the different strengths of platforms to build an overall solution. (For more on this topic, see “Financial Services: Building Blockchain One Block at a Time.”) In April 2017, we announced our intention to use Corda, the open source distributed ledger platform developed by industry consortium R3, to digitize trade documents such as letters of credit and bills of lading. The goals are to reduce fraud, optimize the speed and efficiency of transactions and enhance visibility for all parties involved in trade finance. We are undertaking a J Coin2 initiative in collaboration with external entities through the use of shared infrastructure and expertise. Employing the model of shared resources tends to drive down the costs involved with embracing new-age technologies, resulting in a win-win scenario. The Financial Services Agency (FSA), the regulator of financial services in Japan, is encouraging the use of shared technology models like blockchain for the benefit of all financial institutions. OO Reaping advantage with robotic process automation: As part of our endeavor to extend digital into our branches, we’ve also launched AI-powered humanoid robots that assist our customers in areas such as account opening and analyzing insurance coverage. Our Outlook The rise of new-age digital technologies also poses the threat of disintermediation of incumbent financial institutions such as ours in the areas of settlement and lending. Tax regulations, for instance, and the need to evolve our business to accommodate our new digital platform based-lending businesses are key challenges. While there may be changes in how we acquire customers in the medium term, in the long term only those financial institutions that sustain businesses with low margins will remain viable. The utilization of robotic process automation (RPA) and AI is a primary focus area for us today, based on the level of expected benefits. Our RPA experts are analyzing routine Author Nobuhisa Abe is General Manager of the Digital Innovation Division at Mizuho Financial Group, Inc. He joined Mizuho Bank in 1992, after which he moved to the Mizuho Financial Group’s Corporate Planning Department as Senior Manager. He has also been General Manager of the Nagano Branch of Mizuho Bank, and General Manager of the Incubation Project Team. He has a bachelor’s of engineering degree from Osaka University. Our trials confirmed that blockchain can create an effective platform for information sharing among multiple group companies, resulting in potential cost savings and enhanced usability. Our RPA experts are analyzing routine business and IT processes throughout the organization to identify areas for automation. These successful initiatives are leading us to build many automated processes throughout the Mizuho bank businesses. Footnotes 1 The Banking Act was amended in 2014, relaxing limitations on holding of voting rights by banks in other companies. 2 Motonao Uesugi and Koji Okuda, “J Coin: Japanese Banks’ Virtual Currency without the Volatility,” Asian Review, Sept. 17, 2017, https://asia.nikkei.com/Markets/Currencies/J-Coin- Japanese-banks-virtual-currency-without-the-volatility.
  • 16. Hands Up for Talent By Gary Beach Commentary A widening IT skills gap is preventing many companies from cashing in on digital’s bright promise, casting a dark cloud over the global economy. Here’s how business leaders can attract, develop and retain the talent needed to succeed in today’s digital era. I often start my C-level keynote speeches by asking the audience whether their company has formulated a digital strategy. In most cases, I see a roomful of hands raised in the air. I then instruct the audience to keep their hands raised if their company’s technology strategy is aligned with their digital business strategy. Most hands remain raised. Borrowing a phrase from the software devel- opment community, my third directive is a showstopper; I ask the execs to keep their hands up only if their company has a talent strategy optimized to support their digital business and technology plans. Some shake their head. Many look down. Nearly all lower their hand to their side. This is not what I’d want to see. The essence of digital success, after all, can be likened to the proverbial three-legged stool, consisting of these components: a comprehensive transforma- tion strategy; a supporting digital technology strategy that factors in both new and legacy technology; and a multifaceted, multigen- erational digital talent strategy. Without all three in place, a business’s digital efforts will likely fail. The Skills Gap: Myth or Reality? The lack of attention to a digital talent strategy is particularly troubling when you consider the nearly six million jobs that, according to the U.S. Bureau of Labor Statistics, are unfilled, or “open,” in the country.1 Many employers claim these jobs are open because they cannot find workers with the required skills. Not everyone agrees – job candidates say the open jobs would be filled quickly if employers were to offer competitive salaries. Welcome to the skills gap debate, an employment enigma, where open, unfilled jobs are often perceived by some economists as a harbinger of a growing economy. But another – and I believe more accurate – interpretation is that this very real and measurable skills gap is something execs should be not only aware of but also ready to act upon. Consider that Oklahoma State University’s Skills Gap Misery Index suggests the supply-demand talent gulf is 29.7% wider now than it was in the year 2000.2 When you add in today’s highly in-demand digital roles, such as cybersecurity behavior analysts, cloud aggregation specialists and chief robotics officers, it’s clear that the talent gap could cause a significant drag on the economy. According to the global job posting company Indeed.com, the talent imbalance costs the U.S. economy $160 billion each year.3 That’s Cognizanti 27
  • 17. equal to $993 million every business day. Tom Monahan, managing partner of Norton Street Capital, warned at a recent conference that on average, the skills gap lowers a company’s annual productivity by 10%.4 The Widening IT Skills Gap When I spoke with the tech industry trade association CompTIA for a column I write for The Wall Street Journal, I learned that 548,000 technology jobs are “open” in America. But hold on. Here’s a startling adjunct fact from CompTIA: Those 548,000 positions are IT jobs “open” 90 days or longer. Do the math, and that projects out to 49,320,000 days of lost technology-driven productivity every quarter. Factoring in that data, it is understandable why C-level executives have increased their investments in artificial intelligence, robotic process automation and smart machines. The Future Talent Pipeline Is Leaking Here’s the elephant in the room: Does the next generation of U.S. IT workers, par- ticularly those 30 years of age or younger, have a strong foundational base of skills necessary to compete in the Fourth Industrial Revolution?5 Data addressing that question is ominous. Since 2000, global assessments of 15-year-old students in math, science, reading and collaboration suggest the skills of young Americans are markedly inferior when compared with peers in other nations.6 Results from the U.S. Department of Educa- tion’s “National Assessment of Educational Progress” further expose the U.S.’s talent pipeline crisis. The agency reports that the percentage of students determined to be “proficient” – think grade level “B” – in math and science examinations alarmingly erodes from fourth to eighth to 12th grade.7 These folks are the future of the U.S workforce. I am convinced it will take a generation, and probably longer, to measurably improve the pipeline of digital talent in the U.S. To buttress a lackluster national education system, employers must create “cultures of learning” within the walls of their company aimed at upskilling workers. If these measures are not adopted in the near future, U.S. employers will be forced to rely on the interconnectedness of the Internet to source talent in other parts of the world. This a strategy that will not “Make America Great Again.” Nor will increasingly restrictive immigration policies favored by the Trump administration. ‘Soft Skills’ Are Hard to Find I frequently ask C-level executives which talent/skills are most important to their company. Responses vary. Frequently cited are technical “STEM” skills in science, technology, engineering and math. Many more, however, place importance on talent attributes called “soft skills,” such as the ability to communicate, collaborate and make sense of large amounts of data. The Cognizanti 2928 Institute for the Future’s “Workforce 2020” report features the most comprehensive list of “soft” skills I’ve ever seen compiled in one place.8 I recommend downloading it. I also recommend Hit Refresh, the best-selling book by Microsoft CEO Satya Nadella, who touts another important soft skill that is hard to master: human empathy.9 Digital Jobs Now In Demand Upscored, a New York City-based talent platform company, correlates skill demand with supply to determine which digital jobs are in high demand. According to the company’s data, the five most difficult digital jobs to onboard are: algorithm design, dis- tributed systems, machine learning, mobile development and data science.10 Digital Jobs Over the Horizon Upwork, a Mountain View, Calif.-based freelance employment service, matches employer demand with freelance talent supply and releases a quarterly report that ranks the highest-demand freelancer jobs. This is a “canary-in-the-coalmine” compilation of positions employers will be competing for in the immediate future. The five most popular freelance jobs in Upwork’s most current report are: robotics, blockchain (enterprise applications), Bitcoin (cryptocurrency trading), penetration testing and react.js (a JavaScript library).11 Does your organiza- tion have a talent acquisition strategy for each of these positions? Location Matters An often overlooked component of the digital talent gap is location. Employment data suggests the availability of IT talent differs widely by regions and states. The U.S. Department of Labor’s monthly job opening labor turnover report claims the talent gap is widest in the South (2,096,000 open jobs) and the Midwest (1,550,000 open jobs) and less acute in the West (1,368,000 open jobs) and East (983,000 open jobs).12 (See our recent report “Space Matters: Shaping the Workplace to Get the Right Work Done” for more on the emergence of geographic talent clusters.) This gap also varies from state to state. Log on to the Massachusetts Technology Talent and Economic Reporting System. Produced by the Massachusetts High Technology Council, “MATTERS” is a real-time database that ranks talent for all 50 states in the following areas: STEM degrees per capita, relocation of college-educated adults, bachelor degree holders in the workforce, and tech employment as a percent of total employment.13 Purple Squirrels and Pink Unicorns These are code words used to describe overly selective hiring practices aimed at hiring the “perfect” – usually external – job candidate. Is your company guilty of overreliance on this practice? Do this. Select several open tech jobs at your company. Cut and paste the listing into a Word document. Count the words. How many are over 500 words? How many include the phrase “five years of experience required”? How many narrow the search further by requiring a bachelor’s degree in a national talent pool where 70% of the workforce never graduated from college? A more manageable path to bridging the digital skills gap is to internally create the perfect job candidate through comprehensive skill development programs. Keep Your Selling Shoes On While most of this commentary focuses on how to attract and hire talent, another vital issue is retention. Millennials, now the largest component of the workforce, are notorious job hoppers. Business and technology executives must develop strategies that brand the company as a “best place to work,” promoting issues like work/life balance, diversity and an opportunity to do meaningful work. While online labor markets make it easier to find talent, they also make it harder to retain talent. Corporate branding is a “must-do” component of any solid digital talent strategy designed to attract and retain talent. I am convinced it will take a generation, and probably longer, to measurably improve the pipeline of digital talent in the U.S. To buttress a lackluster national education system, employers must create “cultures of learning” within the walls of their company aimed at upskilling workers.
  • 18. 30 Workers’ Mantra: Don’t Call Us; We‘ll Call You Today, employers drive the employment process. Moving forward, as many global economies remain at near full employment and millions of jobs remain open, the model will flip. Workers will control the employment market and the hiring process. By 2020, labor market experts predict over 50% of the workforce will be “contract” or “gig” workers, essentially labor mercenaries working for themselves.14 (For more, see my commentary in Cognizanti Volume 9, 2016, “Jumping on the Gig Economy.”) To survive, a company’s digital talent strategy must not just include “gig workers” but also leverage contract work as a cornerstone employment strategy. ‘Talentism’ Is the New Capitalism Talent acquisition in the age of digital transformation is a structural employment problem that will require bold thinking to resolve. Finding a solution is predicated on the acknowledgment that – as Dr. Klaus Schwab, executive chairman of the World Economic Forum, says – “talentism is the new capitalism.”15 In this era of talentism, the employment sup- ply-demand model has undergone a structural shift. From here forward, talent doesn’t need your company; your company needs talent. Those businesses that fail to craft a solution to this looming talent challenge, and nurture a culture of learning within their organiza- tion, will be on the wrong side of the digital talent equation. Homework Assignment: How Aligned Are Your Digital Talent and Transformation Strategies? Quick Take The following matrix can help your organization determine whether its technology and talent strategies are aligned. Plot your dots! Let us know what you see. Maturity of Digital Transformation Strategy Least optimal Most optimal StateofDigitalTalent Footnotes 1 “Job Openings and Labor Turnover Summary,” U.S. Department of Labor, Jan. 9, 2018, https://www.bls.gov/news.release/jolts.nr0.htm. 2 “Filling the Skills Gap,” Ohio State University Institute of Technology, http://go.osuit.edu/skills_gap. 3 “Unfilled Jobs Cost Employers $160 Billion Annually,” Indeed, Nov 18, 2014, http://blog.indeed.com/2014/11/18/unfilled-jobs-cost-employers-160-billion-annually/. 4 “How to Close Your Software Development Skills Gap,” TechBeacon, https://techbeacon.com/how-close-your-software-development-skills-gap. 5 Klaus Schwab, “The Fourth Industrial Revolution: What It Means, How to Respond,” World Economic Forum, Jan. 14, 2016, https://www.weforum.org/agenda/2016/01/the-fourth-indus- trial-revolution-what-it-means-and-how-to-respond/. 6 Drew Desilver, “U.S. Students’ Academic Achievement Still Lags that of their Peers in Many Other Countries,” Pew Research Center, Feb. 15, 2017, http://www.pewresearch.org/fact- tank/2017/02/15/u-s-students-internationally-math-science/. 7 “NAEP Overview,” National Assessment of Education Progress, https://nces.ed.gov/nationsreportcard/about/. 8 “FutureWork Skills 2020,” Institute for the Future, 2011, http://www.iftf.org/futureworkskills. 9 Satya Nadella, Hit Refresh: The Quest to Rediscover Microsoft’s Soul and Imagine a Better Future for Everyone, HarperBusiness, 2017, https://www.amazon.com/Hit-Refresh-Rediscover-Micro- softs-Everyone-ebook/dp/B01HOT5SQA. 10 “Capitalize on the Most Sought-After Technical Skills,” Upscored, Nov. 30, 2015, https://upscored.com/blogpage/24/. 11 “The Hottest Freelance Skills on Upwork: Q3 2017,” Upwork, Nov. 2, 2017, https://www.upwork.com/blog/2017/11/freelance-skills-upwork-q3-2017/. 12 “Job Openings and Labor Turnover Survey,” U.S. Bureau of Labor Statistics, https://www.bls.gov/jlt/. 13 “MATTERS Talent Index,” Massachusetts Technology, Talent, and Economic Reporting System, http://matters.mhtc.org. 14 Brian Rashid, “The Rise of the Freelancer Economy,” Forbes, Jan. 26, 2016, https://www. forbes.com/sites/brianrashid/2016/01/26/the-rise-of-the-freelancer-economy/#4941ca9a3bdf. 15 Anne-Marie Slaughter, “New Capitalism Nurtures People, Not Products,” Financial Times, Feb. 19, 2017, https://www.ft.com/content/4523e9a4-f472-11e6-95ee-f14e55513608. Author Gary Beach is the Publisher Emeritus of CIO Magazine. He is also a guest columnist for The Wall Street Journal and author of the best-selling book The U.S. Technology Skills Gap. He can be reached at Garybeachcio@gmail.com | Twitter @gbeachcio. Cognizanti • 31
  • 19. Cognizanti • 33 IDP, a leading international educational service provider, seized the opportunity to support its customers at every stage of the international education journey – from searching for and attending a university, to career services and lifelong learning — with personalized, relevant content. IDP has been operating for close to 50 years, creating a huge network of opportunity, with more than 700 counselors in over 30 countries. When I came onboard as CEO two years ago, IDP was performing well, but with the rapid technological advances in interna- tional education services, it was clear that continuing to do what had worked in the past would expose us to disruptive threats to our leadership position. In my new role, I met with many different groups – employees, education providers and customers – to better understand what those changes needed to be. It quickly became clear that it was the profes- sionalism and compassion of our education counseling teams that separated us from our competitors in a crowded space. Our customers trust our counselors’ advice at life-changing junctures. Our teams take pride in understanding all the details so they can find the country, institution and course that will position our customers for success. While this trust and bond existed face-to- face, the journey with IDP became disjointed once students moved beyond their home country to their new study destination. Our task was to remedy this, in a way that we’d remain robust and fit for purpose as consumers grow more accustomed to digital communications every day. Building a Global Community of Connected Students, from Classroom to Career By Andrew Barkla Educational Services
  • 20. Cognizanti • 3534 Nurturing a Culture of Innovation Traditionally focused on performance, we needed to embed and celebrate a culture of innovation through all levels of the business. Through strategic planning with key teams from across the world, we determined that customer experience and continual innovation would be the keys to unlocking our future success. By nature, our students are globally mobile and digitally savvy. We needed to be accessible whenever they needed us, through channels that suited their needs. We needed to place the customer at the center of everything we do. That is our True North. Our board recognized that technological strength was key to meeting our goals, and as we began to identify what was needed to transform our organization, we knew we had to choose strategic partners. I was very aware of how other industries like retail, financial services and transportation were transform- ing, and was also aware of Cognizant’s strong track record in this space. We worked with Cognizant to develop our roadmap and document all the elements of our vision, while keeping the students very much at the center. It quickly became clear that we needed better data, systems and processes. For example, over the last two years, IDP teams around the world have tested new systems and platforms to improve the customer experiences at our student recruit- ment events. At one stage, different teams were using four separate event solutions. It was clear we needed a single platform that could meet our customer and staff needs. Similarly, we’re now one-third of the way through consolidating our customer relation- ship management and contact center systems. When that’s complete, we hope to have a single view of our customers, and consistent and streamlined processes for our staff. Supporting Individual Customer Needs To be successful, our programs need to be built with, and for, our customers. We recruited internally to build a team of global customer ambassadors, selecting people from our regional offices who were digitally minded and customer-centric. These indi- viduals are tasked with running co-design sessions with customers to ensure everything we build reflects their behaviors and needs. Our ambassadors and teams led many round- tables, which was important because our customers’ needs are very different depending on their home country, culture and personal preferences. While all students are unique, and it’s dangerous to over-generalize, there are certain regional trends that we need to be aware of, such as the influencers in the students’ decision-making process. In North Asia, for example, parents are very heavily involved in decision-making, and that’s not necessarily true for other countries. Despite these distinct cultural differences, there is a core mindset that unifies our customers. Around the world, IDP students are purposeful and progressive, and our services needed to reflect this. We want to personalize the experience to each unique individual through smarter marketing automation systems, building a platform that will serve a contextually correct experience to each customer. You can only do that through technology and data. For example, we know some students aspire to attend highly ranked universities, while others are looking for more practical, vocation-based courses. Our data informs our Offering Students Richer Resources for a Lifelong Journey Studying overseas is a huge emotional and financial decision. The importance of providing our customers with the best advice and support is not lost on our teams, who spend 16 months on average with a student and his or her parents in the counseling process. Our customers’ educa- tional journey begins before we first speak with them. They’re talking to their friends about studying overseas, reading university blogs, looking at school websites. And it continues all the way to when they graduate and begin employment in their chosen field – sometimes over many years. We wanted to serve students by offering them lifelong learning and career services. We knew we built great relationships with our customers when they were in their home country, but that relationship was often lost when a student moved to their study country, as our systems didn’t speak to each other. This meant our customers weren’t aware of the support available to them once they started their studies, such as the events we hold for students to meet each other, or the workshops we run to help them prepare for internships and part-time work. This is why we made it a top priority to build a customer platform that would guide students on their journeys and establish an ongoing connection with them, enabling services like accommodation support, insurance referrals and, eventually, career support. Our goal was to create the world’s leading global platform and connected community for international students. IDP’s Digital Transformation Vision A bold strategy to transform our industry by establishing a digital platform that enables and empowers a connected customer journey. Source: IDP Education Figure 1 Deliver world-leading capabilities and services … Using an integrated global platform … … ensures that we understand the needs and expectations of students and clients. The world’s definitive international student dataset and connected community. WORLD’S BEST COURSE SEARCH DIGITIZING STUDENT EXPOS GLOBAL CONTACT CENTER VIRTUAL AGENCY LEADING OFFICE NETWORK ADDITIONAL STUDENT SERVICES CAREER SUPPORT LEADING CRM AND CMS Connecting our customers to success. IDP IELTS (Leading international English test co-owned by IDP) Hotcourses (Course and university search platform) Other Partners We needed to place the customer at the center of everything we do. That is our True North.
  • 21. 36 Cognizanti • 37 personas, which helps us group our content. It is then up to us to develop those crucial one-on-one relationships. There’s always a balance when you’re collecting customer data. We have to maintain the utmost of respect for our customers. Translating human empathy to the digital environment is core to what we do. It’s about offering an opt-in capability but also letting users go gracefully if this is requested. Early last year, we acquired a company called Hotcourses in the UK, which maintains the world’s leading course search database. In doing so, we gained search engine opti- mization and digital capabilities, letting us support students earlier in their decision- making process. The acquisition also gave us access to data that provides us with real-time insights into the online behavior of our students. When globally significant events unfold, such as political elections or policy changes, we can see the immediate shifts and swings in search activity as students reconsider their destina- tion preferences. This gives us the opportu- nity to provide relevant content across our digital platform that not only responds to this change in search activity, but also offers students a trusted source of information that assists with building credibility and loyalty in today’s fast-paced news cycle. Staying Ahead with Digital We’re close to 18 months into our digital transformation, and while we still have more to do, it’s inspiring to see the growing enthusiasm of our teams as they build their skills and gain confidence in new digital capabilities. What we do at IDP is life-changing. Together with Cognizant, our students and our teams, we have laid the foundation to build our connected community for our next generation of global leaders. Author Andrew Barkla is the Chief Executive Officer and Managing Director of IDP Education, a global leader in international education services. He was appointed CEO of IDP in 2015 and has extensive experience in the technology, services and software industry, with over 20 years of senior management experience in roles across Australia, New Zealand, Asia and North America. Translating human empathy to the digital environment is core to what we do. It’s about offering an opt-in capability but also letting users go gracefully if this is requested.
  • 22. Cognizanti • 39 A consumer style of engagement is supercharging physician communications and patient care coordination at a major regional health network. Most industries today are actively engaged with how to deliver great experiences to target customers. Until relatively recently, that has not necessarily been the case for healthcare, which has lagged in engagement technologies for physicians and patients, our primary customers. Even before “patient-centered” and “healthcare consumerism” were buzzwords, LifeBridge Health’s vision was to deliver the same level of best-in-class services and experi- ences to our customers as they receive when they interact with other service providers, from online retailers to travel providers. Our goal was to solve important business and communication issues with leading-edge engagement capabilities that would also support our overall digital transformation strategy, designed to deliver better patient and population health services. The solution we implemented uses consumer- like service and technology options to make it easy for physicians to access our health system, coordinate care and empower our patients to manage their health. So far, the benefits include better care delivered with greater efficiency, more satisfied physicians and healthier patients, and robust engagement resources that support a range of uses well beyond what we initially envisioned. The solution has also helped us build market share and a reputation for quality care that spans the state of Maryland. Coordinating Great Performance Quality and cost are rapidly becoming the measures by which insurers will calculate reimbursements for LifeBridge and other providers vs. healthcare’s traditional fee-for- service model. The Department of Health and Human Services intends to tie 80% of all Transforming Physician and Patient Engagement at LifeBridge Health By Jonathan Ringo, M.D., Jonathan Thierman, M.D., Ph.D., & Jonathan Moles Healthcare
  • 23. 40 A Platform for Engagement Our thinking was to create an engagement platform that would offer PCPs in our com- munities an easy way to connect with hospi- tal-based providers so they could exchange notes and engage in useful warm hand-offs. The platform would have the best features that online retailers, airlines, financial services providers already deliver. It would store trans- action histories, offer suggestions and provide customizable options. We initially scoped a pilot to see if we could combine people, process and data effectively to deliver the services we envisioned. The pilot results would help us gauge whether it made sense to invest in rolling out the platform on a broad scale. We had worked with Cognizant previously and were well acquainted with the company’s global clinical services, including a call center in Manila staffed with U.S.-trained registered nurses available 24x7. The nurses are equipped with Cognizant’s cloud-based OnVida engagement platform. We worked internally to develop the call scripts the nurse agents would use and the processes the physicians would follow. The engagement pilot, launched in July 2015 after about six weeks of planning, included these basic mechanics: OO An automated workflow engages nurse agents in the call center to make contact with physicians via their preferred com- munication method (phone, secure e-mail or text). OO The nurse agent then coordinates a connection between the care team via text, phone or e-mail, whichever commu- nication preference is dictated by the use case executed. OO The nurse captures the notes from the conversation, entering them into the platform and the electronic medical record (EMR). The platform is also designed to help patients follow post-discharge orders. A call center nurse contacts the patient to answer questions, review care instructions, coordinate medicine deliveries and even organize transportation for the patient to reach follow-up appointments. Making Connections The engagement program, called LifeLink, has come a very long way since we launched it with 10 nurses and a call volume of 1,000 contacts in the first month. Today, 30 nurse agents support more than 22,000 contacts per month and a range of additional features. We have integrated our EMR system with the OnVida platform, which enables automated physician consult orders. A physician creates a consult order in the EMR, and the EMR automatically populates OnVida with Medicare fee-for-service to quality or value measures by 2018, and the overall industry expects the majority of reimbursements to be pay-for-performance-based by 2020. These trends make efficient care coordination and patient and physician engagement extremely critical capabilities for delivering high-quality care at great value. Effective coordination of care helps prevent test and procedure duplication, ensures physicians inside and outside our facilities have all the information they require to make the best decisions for their patients, and equips patients to follow pre- and post- discharge regimens and manage their health conditions. One means of accomplishing better care coor- dination is to adopt the “hospitalist” model. A hospitalist is a physician whose entire focus is caring for patients while they are in the hospital. Ideally, the hospitalist coordinates care with the specialists treating the patient, such as surgeons and oncologists, and with the patient’s primary care physician (PCP) outside the hospital. The challenge is that hospitalists simply can’t be on a first-name basis with all the PCPs and specialists in a major health network like ours, or in a large city like Baltimore and its suburbs, where we operate. Our scale is considerable: LifeBridge has almost 1,238 beds across four hospitals, one of which is a teaching facility and the largest community hospital in Maryland. We also offer a range of destination programs, operate a health and fitness group, and have many subsidiaries and affiliates, all spread over a roughly 100-mile radius of urban and suburban settings. Given our size, we were seeing a breakdown in “warm handoffs,” in which a hospital- ist and a PCP share detailed notes when a patient is admitted to or discharged from the hospital. This failure to connect is more than a cosmetic issue; it has a direct impact on the quality and cost of care. Post-discharge care can be less effective if the PCP doesn’t have a full picture of what occurred in the hospital. It can also lead to patients using expensive emergency care departments for follow-up services and/or being readmitted to the hospital. Care coordination is clearly essential for ensuring patients have the best possible experience at LifeBridge, which in our view extends to their ability to manage their own health once they are back home. Cognizanti • 41 This failure to connect is more than a cosmetic issue; it has a direct impact on the quality and cost of care. Our thinking was to create an engagement platform that would offer PCPs in our communities an easy way to connect with hospital-based providers so they could exchange notes and engage in useful warm handoffs.
  • 24. Cognizanti • 4342 OO Increased patient interaction after hospital discharge. This has led to improved patient follow-through, appoint- ment scheduling, medication adherence and follow-up with primary care. This is important for ensuring continuity of care for patients among our facilities. OO A 15% reduction in no-shows via reminder calls. OO Streamlined management of acute care patient transfers. Transfers to LifeBridge Health hospitals from other care facilities have more than doubled, with the process being managed through a single integrated call center. We learned some interesting lessons on the way to achieving these results. While we’d envisioned a white-glove, concierge-style service for physicians, it turned out that the physicians we serve were too busy even for salutations such as “How are you today?” They wanted to get to business, fast. As a result, we rewrote call scripts on an almost daily basis in the early days. Conversely, patients needed a warmer approach on follow-up calls to establish trust between themselves and the call center nurses. Again, engaging patients and physicians in their preferred communication styles is more than a matter of style points. Rather, it yields objective data that helps us identify issues and pain points that affect care quality so that we can address them. In one of our facilities, the data showed the call center nurses were having difficulty reaching patients after discharge. An investigation revealed that at this facility, nurses had to make initial contact with patients before they were discharged instead of afterwards to establish trust and get the best phone number to ensure follow-up. Lowering Costs, Accelerating Speed The platform also helps us avoid costs while ensuring patients get proper care. Patients often come to emergency departments (ED) with chest pain, but certain low-risk patients could receive a stress test and echocardiogram at a clinic or other lower cost location. ED physicians are reluctant to let these patients do so, however, because of their concerns the patient won’t follow through. With the engagement platform, a nurse calls the patient while she is still in the emergency department and tells her where and when to go for the test. The nurse follows up with the patient to ensure the test is completed and also connects with the ED physician to relay the results and close the information loop. The platform also accelerates our ED response times. Our ED physicians simply hit a pre- programmed speed dial to summon the right clinical team, e.g., #1 for a STEMI heart attack, #2 for a stroke, #3 for acute care, etc. This new process has reduced door-to-needle and door-to-balloon times – key measures, respectively, for good outcomes for heart attack and stroke patients. We use the analytics and metrics built into the platform to refine performance, such as eliminating call holding time, which is not acceptable in an emergency care setting. Critical calls are now routed to our most senior nurse agents – agents who our emergency physicians know personally – and their task list is divided among three agents, a worklist of patients requiring consults. The nurse agents use the platform capabili- ties to connect consulting specialists with the ordering physician and PCP via their preferred channels. If physicians have all selected the secure texting app as their channel, the entire process is fully digital. Such automation improves compliance too, with the EMR record updated to show that the consult, in fact, occurred. We’ve also added remote patient monitoring to our suite of engagement services, beginning with a population of patients with congestive heart failure. Our nurse practi- tioners enter threshold parameters for blood pressure, weight and medical adherence when they enroll a patient into the system. The system alerts our remote nurse agents when a threshold is exceeded so they can contact a patient’s physician through the engagement platform. Through the program, patients have 21.5% lower odds of a 30-day readmission than in the year prior, when LifeLink was not in operation. Our nurse agents also enable us to centralize patient transport arrangements, working with ambulance companies and Uber Health. With a central transport hub, we can ensure adherence to the transit service guidelines established for Medicare, Medicaid and private health plans. The Rules of Engagement In all these applications, the platform enables the community-based PCP to rightfully remain the captain of the ship throughout patients’ treatment journey, including their time in a LifeBridge facility. It delivers simplicity, intuitiveness and ease of use – all the qualities of a retail engagement model. The results have been significant and measurable, including: The platform has reduced door-to-needle and door- to-balloon times – key measures, respectively, for good outcomes for heart attack and stroke patients. LifeBridge Engagement Platform Connects Primary Care Physicians and Hospitalists The LifeBridge LifeLink engagement platform streamlines the warm handoff process between a PCP and a hospitalist or other physician. The PCP needs to contact a call center nurse just once; the nurse manages the other connections based on the platform data and ensures the handoff call is documented. Figure 1 Patient is admitted via the ED. System recognizes physician’s phone number and pulls up patient profile. Nurse representative answers and contacts attending physician. Nurse arranges callback time with PCP. Nurse calls PCP and sets up three-way conferencing for warm handoff.
  • 25. Cognizanti • 4544 each of whom immediately goes into action so the necessary steps are carried out simulta- neously. One might order an ambulance, for example, while a second alerts a clinical inter- vention team (for instance, the cath lab), and a third reaches the hospital operations officer with news of an acute patient’s arrival. This change has compressed a 20- to 25-minute process to literally a few minutes. In fact, the nurse agents work so quickly that the patient is often still on the ambulance gurney when the cardiac or stroke teams arrive. The platform and agent nurses are available 24x7, so a physician may call at, say, 2:00 a.m. to request a same-day appointment at our new neuro-urgent care center, or a patient may connect with an on-call provider. On a wider scale, these platform capabilities support our accountable care organization (ACO) initiative and our entire Medicare population through connections with the Chesapeake Regional Information System for Our Patients (CRISP), a health informa- tion exchange (HIE). LifeBridge Health Medicare population members are registered in CRISP. When a Medicare patient arrives at any hospital in the CRISP network, CRISP automatically notifies our nurse agents, who then alert the patient’s PCP. CRISP’s clinical information portal is being integrated into our EMR environment, which will further streamline our nurse agents’ abilities to keep PCPs informed. Also, CRISP helps us identify high-risk patients in our population areas, so we may ensure they have 24x7x365 access to our nurse agents and the engagement platform to support early interventions. Continuing to Connect, While Protecting Privacy LifeLink enabled us to achieve a 98th percentile ranking on the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) patient satisfaction survey, which we conduct through the engagement platform. This is indicative of the difference we’re making in how patients perceive LifeBridge and has given us impetus to continue expanding the reach of the engagement platform. Looking ahead, we plan to build a clinical command center that would help us coordinate care management with services such as scheduling, bed control, teletriage and telemedicine, and integrate the efforts of nurses, social workers, PCPs and specialists. Nurse agents would be the primary coordina- tors, with the engagement platform helping them connect to patients, deploy ambulances and establish telemedicine links to patients’ homes so physicians can decide whether to treat in place, order an admission to a chronic care facility, or send the patient to an ED. We envision these efforts being coordinated across our entire system vs. in hospital silos. That said, we must be sensitive to HIPAA compliance, such as keeping all patient data in U.S.-based data centers, and security and privacy practices. We have drawn a firm line between our EMR and its clinical data streams and the patient engagement platform and its tools. While we may integrate additional third-party systems into our nurse agent platform, the EMR will likely remain a standalone entity. The nurse agents work so quickly that the patient is often still on the ambulance gurney when the cardiac or stroke teams arrive. In the meantime, we are establishing ourselves as a hub of care and a “transfer to” location. Our reputation for high-quality care is growing across the state, quite a feat for a midsized community hospital system. Physicians and patients outside of our network routinely call and ask for care services at our facilities. From the very start, our goal was to make it as easy as possible for physicians to access our healthcare system’s services and provide their patients a high level of care. Our growing market share and satisfaction scores suggest we are succeeding. We must also interact with members of the community who may never become patients at any of our hospitals, and the platform provides options for us to engage with them in ways never before available in healthcare. Delivering the same level of technological capability that our physicians and patients enjoy in consumer settings will help LifeBridge thrive under value-based reimbursement models by offering top-notch medical care at great value. In turn, this success will enable us to fulfill our primary mission of maintaining and improving the health of the community we serve. Authors Jonathan Ringo, M.D., is the President and Chief Operating Officer of Sinai Hospital of Baltimore. Sinai Hospital has over 500 beds and is the flagship member of the LifeBridge Health health system. Sinai is the state of Maryland’s largest independent teaching and research hospital, with tertiary services in trauma, advanced orthopedic, cardiovascular and neurosurgery, neonatal level III, and a full-service children’s hospital. Dr. Ringo also serves as Senior Vice-President for LifeBridge Health. He is responsible for the system’s move from fee-for-service to value-based care. He can be reached at https://www.linkedin.com/in/jonathan-ringo-8b98501a/. Jonathan Thierman, M.D., Ph.D., is the Chief Medical Information Officer (CMIO) for LifeBridge Health and the Vice-Chairman of the Medical Staff for Northwest Hospital. He is leading LifeBridge into the digital medicine era with initiatives including a system telehealth platform and big data analytics, to improve patient throughput, system efficiencies and the delivery of quality care across the continuum. He also oversees and continues to work on projects related to physician system optimiza- tion and engagement. Prior to his role as CMIO, Dr. Thierman served as Associate Medical Director of Northwest Hospital’s Emergency Department, where he also provided clinical care for a number of years. He can be reached at jthierma@lifebridge- health.org | https://www.linkedin.com/in/jonathan-thierman-md-phd-125a5517/. Jonathan Moles joined LifeBridge Health in 2015 to establish a clinical operations center. He is Assistant Vice-President, responsible for the Clinical Command Center and Access. Prior to LifeBridge Health, Jonathan spent eight years leading implementa- tion activities for custom software solutions and in the organ and tissue procurement industry, and five years in data management supporting pharmaceutical clinical trials. He can be reached at jmoles@lifebridgehealth.org | https://www.linkedin.com/in/ jonathan-moles-pmp-17a98115/.
  • 26. Cognizanti • 47 Manufacturing, Consumer Goods & Retail Asian Paints: The Digital Odyssey of a Serial Reinventor By Harish Lade A leading Asia-Pacific paint company has woven a modern digital backbone into the fabric of its organization to deliver a superior consumer experience. Its goal: become the top player in the paint-as-a-service and home decor markets. Asian Paints is the leader in the Indian paint industry. With a consolidated turnover of over $2 billion, our company is the third largest paint company in Asia, a top-five player in decorative paints worldwide and the tenth largest coatings company globally. Our operations span 16 countries (largely emerging markets), with 25 paint manu- facturing plants across the globe, servicing customers in over 60 countries. We distribute our products through carefully nourished relationships with over 45,000 dealers spread across India for over 75 years. In India, customers buy paint from hardware stores and hire painters, contractors or architect interior designers (AIDs) to do the painting. The do-it-yourself model doesn’t exist in the region. While the per-capita paint consumption in India is far lower than in Western countries, we’ve seen high growth over the last decade, spurred by increased consumer awareness and higher discretionary spend due to the growing Indian economy. Our growth mantra has been to create demand through the continual and proactive introduction of innovative products and services. That goal has been ably aided by a modern IT backbone powered by enterprise applications from SAP and the company’s HANA in-memory database, which automates manufacturing and supply chain management (SCM) and enables more seamless omnichannel journeys. Complacency has always been anathema to our company. Whether we’re launching innovative products or introducing new services for the digital age, we’re continu- ously reinventing the company, keeping the customer at the center. Our relentless customer-centric efforts have established us as a leading Indian consumer brand, despite the fact that paint is not a regularly used product.
  • 27. 48 Cognizanti • 49 OO Using data to add intelligence to a complex supply chain. Our industry is beset by seasonal uncertainties. Further, roughly 60% of our costs are attribut- able to raw materials, and about 50% of our raw material requirements are met through imports. We were using JDA Software’s advanced supply chain planning solutions for over two decades to help us plan better; however, given the increasingly VUCA world (with its volatility, uncertainty, complexity and ambiguity), global events often disrupt availability and impact costs. Macro factors and directional trends, such as commodity demand fluctuations and price volatility in international markets, significantly influence our cost structure. Effectively handling these uncertainties required us to remap procurement that typically deals with unstructured data. We developed an advanced SCM application using IBM Watson, which informed more effective decision making amid continuing uncertainty. It’s crucial in the paint product category to ensure service levels at the dealer counters and availability of the range of SKUs. We’ve enabled optimized shipment creation and tracking to ensure high order fill rates. In some markets, we offer twice-a-day delivery to our dealers. Our SAP HANA platform-based solution reinvented our order servicing by empowering the sales team with timely information about the current stock, and the distribution team about inventory levels and possible SKU shortages. The distribution team is empowered with real-time visibility across all the company depots, and into shifts in demand and production schedules for effective decision making, as well as the ability to perform root-cause analyses for quick corrective action. This is done via a workbench that combines analytics with an execution engine. This application won the first prize at the 2015 SAP HANA innovation awards. OO Elevating CRM to new heights. Our CRM models all of our customer relation- ships (both dealer-enabled and direct). The system is built to handle a franchising model spread across 13 cities, comprising processes that involve organizing, con- tracting and executing an end-to-end painting service. The system effectively manages loyalty and rating systems, net promoter scores and customer satisfac- tion, driving customer centricity. We’ve recently launched a new service model, called PaintTotal, under which the dealers offer services using their own set of resources. The entire process is backed by a data architecture that funnels informa- tion to all sets of users. From Products to Services A decade ago, we began transforming from a predominantly brick-and-mortar product manufacturer into an agile and adaptive enterprise that provides value-add services in addition to products that help customers make their homes beautiful. Our services transformation began with our painting-as-a-service offering, when we launched a toll-free telephone service for customers to request home painting. This required a major mindset shift and was the first step toward offering differentiating décor services. The next step was reimagining our business as a home décor business. This change emerged from our understanding of the paint- ing-as-a-service ecosystem and the number of customer touchpoints involved. Home reno- vations typically require customers to work with dealers, painters and contractors, while high-end projects could include architects and interior designers. At any point in the project, customers typically experience unexpected problems and setbacks. We have an opportunity to unlock value and address a larger share of the customer’s wallet by working through these issues with customers or eliminating the problems completely. When customers seek to change their home décor, they also need assistance with coor- dinating colors and textures that mesh with their existing décor. So, while paint remains the core of our business, we also began offering consultancy services beyond our professional painting services, which helped us differentiate ourselves and position our company as a partner with customers as they work to beautify their homes. Other strategic shifts include foraying into emerging markets and extending our home décor umbrella to include kitchen and bath spaces. This required us to make a few acqui- sitions and extend our enterprise in newly collaborative ways. This has been a signifi- cant shift involving cultural change and new IT systems. Digital-powered Endeavors In order to provide a consistent customer experience across multiple touchpoints and offer optimal product and service delivery, we needed to ensure strong digital enablement across the value chain. This drove us to digitize the organization’s functions end to end, from customer engagement systems, to all front-end CRM and dealer management systems and all supply chain and manufac- turing operations. This meant keeping IT as a foundational element to make people efficient, accountable and focused precisely on the customer. Data analytics has been another foundational element across the value chain. Key digital initiatives that powered our trans- formation include: OO Getting our arms and mind around the manufacturing supply chain. While paint manufacturing is not complex, we needed to improve our operations with large-scale automated factories. At the scale required, we needed fully-digitized recipe management, with full integration of shop floor operations with our SAP ERP system. We began transforming from a predominantly brick- and-mortar product manufacturer into an agile and adaptive enterprise that helps customers make their homes beautiful.
  • 28. Cognizanti • 5150 Connecting Digital with Human Expertise By gaining a better understanding of the home paint buyer, we learned that our customers needed a better visual view of our products and services. Armed with this insight, we launched our 8,000-to- 12,000-square-foot Asian Paints home stores in partnership with dealers. These stores employ 3-D visualization and virtual reality technologies to provide customers with more intuitive visual walkthroughs, enabling them to explore a bouquet of colors and textures and make their choices along the way, creating their own unique cache of choices. Subsequently, consultants step in to complete the decision-making process. To facilitate this, we created a color consultant app that allows consultants to take pictures of customers’ home walls and apply color and texture. The app renders them instantly, providing a view of what they would look like if painted in different colors and finishes. The application is powered by our CRM systems and other front-end applications, such as our Paint Total app and Visualizer app. To further engage customers, we employ a curated chat-like engine, using robotic process automation technologies, to empower dealers to recommend contractors to execute jobs. This also allows us to track the entire transaction to ensure customer satisfaction. None of this would matter if we couldn’t provide white-glove service to our customers. Our call center handles around 100,000 customer interactions every day. Calls are recorded and analyzed to better understand niche requirements. Customers’ need for Vastu consulting (an Indian equivalent of Feng Shui, the Chinese philosophy of arranging personal surroundings in harmony and balance with the natural world) is a niche requirement that we’ve added to our menu of services and embedded into our mobile app after listening to many customer calls over the past two years. This has enabled us to better understand and stan- dardize the process. No digital makeover is complete without a website component designed to educate, encourage and entertain our customers in their home improvement quest. To that end, we’ve launched websites such as www.beautifulhomes.com to create curated customer experiences. These are geared toward storytelling and are not linked with sales. Our next step will be to discover ways to monetize these sites. OO Achieving omnichannel consistency. In our relentless focus on enhancing satisfaction, we embarked on an initiative to provide a seamless experience to customers, dealers and influencers across physical, digital and human channels. When we began this journey, our data architecture wasn’t able to fully support the required changes. To overcome this, we mapped the customer journey across channels and built a data architecture and IT platform powered by SAP enterprise application software, such as Hybris Commerce, Hybris Billing and Hybris Marketing. This is combined with Adobe’s Experience Management platform to provide a strong IT architecture that covers both the experience and transactional require- ments of the company. This helped us facilitate seamless journeys across physical, digital and human channels. Powered by insights from data gathered at each touchpoint, the solution enables us to generate unique offers to each customer’s needs. A consistent view enabled by the IT architecture empowers the call center, stores and consultants, etc. to provide a delightful customer experience. OO Applying precision customer seg- mentation by blending behavioral and data science. Armed with our foundational data architecture that connects all systems, we’ve embarked on mapping the customer journey across our human, digital and physical channels to create specific behavioral categories. Supplemented by in-depth interviews and research, this led us to segment customers based on their demonstrated choices and behaviors. Our largest segment is a tech-savvy persona who conducts a lot of online research and becomes loyal to our brand only after interacting and transacting with us. Another customer type is a wealthy person living in a tier-two city who tends to display his accomplishments by painting his home in a dazzling display of colors. This customer prefers to deal with consul- tants and requires human interactions. We created a color consultant app that allows consultants to take pictures of customers’ home walls and apply color and texture. The app renders them instantly, providing a view of what they would look like if painted in different colors and finishes. Courtesy of Asian Paints, www.beautifulhomes.com.
  • 29. 52 Selectively Applying Best Practices We applied a few best practices to guide and inform our business and digital transforma- tion journey. These include: OO Marrying IT and business strategy: At Asian Paints, IT strategy begins in the boardroom. IT leaders are an integral part of our organization’s operating council, and thus are engaged with the corporate strategy from the get-go. OO Early adoption of emerging IT: Transfor- mative vision needs early onboarding of IT tools. Given our propensity for continual reinvention, we understood that early (and in some cases pioneering) adoption of IT is critical to success. Early adoption of an API-driven architecture worked very well for us. While the front-end kept changing rapidly, the back-end system remained supportive. We were an early adopter of HANA software and pushed its usage to the core. This was a pioneering adoption in India’s manufacturing sector. We also evaluate emerging technologies on an annual basis and plot them across the business areas to determine possible oppor- tunities and selectively execute them. OO Applying design thinking to create more intuitive applications. On the people side, we’ve adopted the design thinking methodology. We started with a boot camp at Stanford University, and after becoming certified coaches, we trained others and institutionalized the practice. The design thinking methodol- ogy allows us to stay focused on customer empathy, and reimagine solutions based on our deeply observed points of view. This has been the key success factor driving successful adoption of our various transformational applications. We now use this approach for most of our app development. For example, in the past, when we pushed information to our frontline workforce’s mobile device, the apps weren’t well used. Using the design thinking methodology, however, our IT teams spent time shadowing the frontline workforce, meticulously understanding how they interact with customers and at dealer counters. We noticed marked regional differences in user requirements. For example, in some markets, our regional managers prefer to first view collections, whereas in other metro markets, selling a premium product was the main goal. In some cases, this involved listening to customer audio clips since these conversa- tions occurred in vernacular languages for which voice-to-text application was difficult. We had collated clips, classified them and made them downloadable on an app to enable our employees to listen to interactions. This provided many insights, which are incorporated as features in future releases. OO Empowering dealers, minimizing disruption. In the process of change, we strive to minimize disruption for our dealers and make them a partner in the entire evolution. We consider them a key stakeholder and focus on equipping them with the right technology tools they need to keep pace with a continuously rein- venting Asian Paints. Author Harish Lade is Vice-President of Information Technology and Systems at Asian Paints Ltd. In his 21 years at the company, he has led a variety of transformational initiatives in diverse areas, such as next-generation consumer engagement platforms, advanced supply chain planning systems, manufacturing execution systems, robotics, advanced and predictive analytics, and external and internal collaboration platforms. He is currently leading the IT team into the next wave of digital trans- formation at Asian Paints that will accelerate the company’s vision of becoming a forerunner in inspiring home décor. Harish holds a post-graduate diploma in computer-aided management from Indian Institute of Kolkata, India, and a B.E. in electronics engineering from National Institute of Technology, India. He can be reached at https://www.linkedin.com/in/harish-lade-6abb803/.
  • 30. Cognizanti • 55 When it comes to capitalizing on digital opportunities, senior business and IT leaders must do a better job of foreseeing and overcoming key disablement factors that conspire to undermine their best efforts. In my previous Cognizanti column,1 I noted that most legacy business executives I visit2 understand that the profitable use of digital technology is crucial to business viability and success. But on closer inspection, I get the sense that while they see the “why,” they often struggle with the precise “what” – as in exactly which applications of digital will result in real, tangible, material economic contribution. Increasingly, most senior executives with whom I meet realize that the journey to a more digitally enhanced business will not be a one- or two-year program. It seems they have a gut feeling that it will be an iterative journey, one similar in scope to what it has taken to transform their national business into a global enterprise. I recently conducted targeted interviews with five executives who several years ago seemed to be progressing effectively toward digitally enhancing or changing their businesses. All, it turns out, had endured very similar experiences, from which the following six lessons emerged (spoiler alert: not all have succeeded). They Greatly Underestimated the Time, Persistence and Struggle Involved Four of the five executives I interviewed had quit in frustration or been fired. The one who faced the earliest, most daunting challenge had made the most significant lasting contri- bution. He was onto the next plateau of digital change: expanding the innovation beyond the initial case, accommodating business model change and achieving a recognized, positive material economic impact. All the executives mentioned that they had misjudged the recognizable material outcome of their efforts by a factor of 200% or more. They, the pundits, consultants and vendors had all failed to set, communicate and resell the timeframe, difficulties and necessary course corrections involved in their initiatives. As preliminary timeframes were exceeded, originally supportive senior executives asked increasingly difficult, often unanswer- Lessons from the Digital Frontier By Bruce J. Rogow The Last Word
  • 31. Cognizanti • 5756 without a cohesive team with the right skills. The new, individually customized and expanded service was aimed at smaller customers with inadequate staff at the busiest time of year. Customers were thoroughly confused, and the distributor’s local reps had little interest in helping or training them. The company also never seemed to have time for adequate after-action reviews. It Wasn’t About the Data, Analytics, Mobile or IoT In my previous Cognizanti column,3 I noted that organizations large and small often chase the technology and not the outcome. All of the digital pioneers with whom I spoke said their projects generated great data, insights, mobile apps or clever IoT implementations. Turning these new capabilities into business contribution and profit, however, was a struggle. The marketing executive vice-pres- ident at a pharmaceuticals business described how his company’s data analytics group had discovered a major business opportunity. However, when the CEO asked what had changed in the business, the room went silent; no one knew how to turn the new knowledge into actions. He kept saying, “OK, what the h… do we do now?” Three days later, the digital analytics group was terminated. Digital Enhancement Is a Totally Different Three-Ring Circus, Requiring Different Clowns for Each Ring All the executives with whom I spoke under- estimated how different digital enhancement was from classic IT transformation projects. They all had proven, experienced IT teams and users but had not thought through the implications of the three major forms of digital enhancement,4 each of which demand totally different skills, talents, process, measures, incentives and culture: OO Enhance the business (efficiency, responsiveness, reach, flexibility, agility, urgency, process change). OO Enhance the products (intelligence, self-diagnostics and remediation, data, preventive maintenance, perfor- mance, customer experience, customer economics). OO Change the business model (revenue generation, required acquisitions, moneti- zation, new markets, provocative change, broader credibility, branding change, realistic institutionalization at scale). As an example of the final point, one pioneer led a brilliant but unsuccessful effort to more properly organize the business. With all that can be done with digital technologies, the CEO and board asked: “Why EMEA (Europe, Middle East, Africa)?” Those individual markets, products, channels, regulations and cultures have almost nothing in common, other than they can be reached from Heathrow. Digital technologies should allow this company to organize globally by common markets, products, channels, regulations and cultures. So, they did. I’ll leave it to the reader to imagine what could go wrong – much of it had nothing to do with technology. They Should Have Expected, Managed and ‘Opportunized’ Inevitable Setbacks, Challenges, Complications None of the five digital pioneers could identify anything they tried that actually went where they wanted, in the timeframe they predicted, with the outcome desired. As mentioned above, they hadn’t properly set the expectations. The board and senior executive pundits made it worse by demanding compliance with the mantra of “first-mover advantage.” For legacy businesses in the land of “We don’t know what we don’t know,” blind faith to competitive advantage results in an unpredictable journey to digital enhancement. able questions, such as how long it would take to deliver a material contribution. As costs increased and measurable, acknowl- edged results were pushed out, supporters abandoned the initiative in fear that digital was a slippery slope. According to a distribu- tion industry CIO, a member of the executive committee said the road to digital reminded him of driving from the Midwest to Disney World with his twin 6-year-old daughters in the backseat, who constantly asked, “Are we there yet? If it’s much further, can we go home?” Two CIOs said they were denounced as incompetent by a CEO board member. The one successful digital pioneer, a CIO, had strong board-level support from a former CIO and digital veteran. He said he’d had to deploy many tactics he’d learned in the Marines Corp. and as a CIO: Establish critical support at the outset; set and communicate realistic expectations; ensure a broad team comes together and stays deeply committed; expect and power through setbacks; hold the naysayers at bay; and be there to push forward as milestones are achieved. They Didn’t Adequately Anticipate, Focus on and Mitigate the ‘Digital Disablement’ Factors Most executives who pursue a more digitally enhanced business identify and then act on what they believe to be the enablement factors of skills, sourcing, resources and process. All five of the executives I inter- viewed, however, said they hadn’t adequately addressed what one described as the “digital disablement factors.” One oft-cited factor was corporate culture and behavioral resistance. Both the dimensions and domains of company and customer culture proved an overwhelming obstacle toward making adequate progress and buy-in. A persistent and passive-aggressive chorus hurled challenges such as: “Won’t this change the nature of our business?” “Won’t this cause our channel partners to abandon us?” “What makes you think our classic customers will want this?” “I know this is important to you IT folks, but I can’t spare people this year.” Other digital disablement factors that should have been addressed more aggressively were accounting conventions, human resource policy and practice, incentives and a lack of slack. Three of the digital pioneers were shocked to find that the accounting system under-reported their initiative’s revenue contribution while dramatically enhancing tabulated costs. To make matters worse, a continuous battle also raged with the company’s economic value-added (EVA) mob, who shot down any innovation initiative if it lacked immediate and major returns. One of the pioneers, a chief digital officer, advised: “Own the measures, or the measures of others will dominate you.” Their Readiness Assessment Should Have Equaled or Exceeded Risk Assessment All of the executives did some form of risk assessment on their ventures. Unfortunately, these assessments were largely based on IT and not digital experience. With the classic IT approach, waterfall methodologies are employed, and the use of the applications is mandated as a condition of employment or to do business with the enterprise. Most digital applications and services, on the other hand, are delivered with Agile methodologies to an audience that can choose whether to use the capabilities provided. All five pioneers felt an iterative approach to enhancing risk assessment was needed. However, the greater exposure proved to be a lack of a highly detailed readiness assessment of the exact what, how, who, when and where – not to mention the economics of the initiative. The distribution industry digital pioneer described how his company launched in the wrong place to an unprepared market,
  • 32. Cognizanti • 5958 The successful CIO pointed to early digital efforts that initially resulted in great customer satisfaction as a major outcome: Problem installations of the company’s product dropped from 30% to less than 3%. Under a corporately funded program, digitally equipped and connected specialists planned and then monitored the installations for the first 90 days. However, after the original corporate funding dried up, revenues failed to appear as customers refused to pay for the added attention. No one predicted this, but the CIO had warned senior leaders that there would be major issues and adjustments. Despite initial skepticism, the board and CEO realized the business model, revenue and pricing must change from product- based to service-based. Massive marketing investments, customer communication and adjustments to accounting procedures, as well as incentives, were required. Today, related service revenues exceed the old product revenues as customers increasingly chose the service option. The enterprise is moving toward managing its entire business in this manner. It “opportunitized” what appeared to be a catastrophic setback. Learning from Failure The demand for digital enhancement is real. Digital enhancement requires more than teammates with the ideas, desire and passion to conceptualize a future business state brought to life with digital technologies and thinking. Happenators, as I described in an earlier Cognizanti article,5 who can tackle the exact what, how, who, when and where are also required. Together, they must design and execute an outcomes-driven approach. Frankly, I seldom meet organizations that have world-class talent in both arenas. Organizations also can’t shy away from the disablement factors that undermine digital enablement. The chief digital officer of a media company cited a five-step approach: OO At the outset, identify the major and possible disablement factors. OO Rank the disablement factors and develop an offensive game plan for each. OO Monitor the status, relative exposure and progress against each disablement factor. OO Continuously identify disablement factors and review them thoroughly. OO If all else fails, go back to Step 2! The digital game is afoot. Is your enterprise on the road to winning? Footnotes 1 Bruce J. Rogow, “And Now for the Hard Work,” Cognizanti, Volume 10, Issue 1, 2017, https:// www.cognizant.com/whitepapers/the-last-word-and-now-for-the-hard-work-codex2676.pdf. 2 The focus of IT Odyssey is not on greenfield, born-digital enterprises but on large, existing, often mature businesses with legacy management, products, assets, culture, customers, markets and business models. 3 Bruce J. Rogow, “And Now for the Hard Work,” Cognizanti, Volume 10, Issue 1, 2017, https:// www.cognizant.com/whitepapers/the-last-word-and-now-for-the-hard-work-codex2676.pdf. 4 Bruce J. Rogow, “Enabling the Digitally Enhanced Business,” Cognizanti, Volume 8, Issue 1, 2015, https://www.cognizant.com/whitepapers/the-last-word-enabling-the-digitally-enhanced- business-cognizanti11.pdf. 5 Bruce J. Rogow, “And Now for the Hard Work”, Cognizanti, Volume 10, Issue 1, 2017, https:// www.cognizant.com/whitepapers/the-last-word-and-now-for-the-hard-work-codex2676.pdf. Author Bruce J. Rogow is a Principal at IT Odyssey and Advisory in Marblehead, Mass. Known as the counselor to CIOs and CEOs on IT strategy, Bruce has for the last 15 years conducted independent, face-to-face interviews with thousands of C-level executives. Previously, he spent five years as Executive Vice-President and Head of Research at Gartner Inc. Prior to that, he was Senior Managing Principal at Nolan, Norton & Co. Bruce can be reached at Bruce@ITOdyssey.com.
  • 33. About Cognizant Cognizant (NASDAQ-100: CTSH) is one of the world’s leading professional services companies, transforming clients’ business, operating and technology models for the digital era. Our unique industry-based, consultative approach helps clients envision, build and run more innovative and efficient businesses. Headquartered in the U.S., Cognizant is ranked 230 on the Fortune 500 and is consistently listed among the most admired companies in the world. Learn how Cognizant helps clients lead with digital at www.cognizant.com or follow us @Cognizant. U.S. Headquarters: 211 Quality Circle College Station, TX 77845 Tel: +1 979 691 7700 Fax: +1 979 691 7750 Toll Free: +1 855 789 4268 Email: inquiry@cognizant.com India Operations Headquarters: #5/535, Old Mahabalipuram Road Okkiyam Pettai, Thoraipakkam Chennai 600 096 India Phone: +91 (0) 44 4209 6000 Fax: +91 (0) 44 4209 6060 Email: inquiryindia@cognizant.com China Operations Headquarters: Cognizant Technology Solutiions (Shanghai) Co. CN Shanghai You Do Space ChuanQiao Road Pu Dong New District Phone: +86 21 6100 6466 Fax: +86 21 6100 6457 Email: inquirychina@cognizant.com World Headquarters: 500 Frank W. Burr Blvd. Teaneck, NJ 07666 USA Phone: +1 201 801 0233 Fax: +1 201 801 0243 Toll free: +1 888 937 3277 Email: inquiry@cognizant.com European Headquarters: 1 Kingdom Street Paddington Central London W2 6BD Phone: +44 (0) 20 7297 7600 Fax: +44 (0) 20 7121 0102 Email: infouk@cognizant.com Philippines Headquarters: Cognizant Technology Solutions Philippines, Inc. 5th & 6th Floor, 8/10 Upper McKinley Road Building 10 Upper McKinley Rd. McKinley Hill, Fort Bonifacio Taguig City 1634 Metro Manila Philippines Phone: + 63-2-976-2270 Email: inquiry@cognizant.com Primary Global Delivery Centers: Budapest (Hungary), Buenos Aires (Argentina), Guadalajara (Mexico), London (UK), Manila (Philippines), Shanghai (China), Toronto (Canada); Chennai, Coimbatore, Kolkata, Bangalore, Hyderabad, Pune, Mumbai, New Delhi, Cochin (India); Bentonville, AR; Bridgewater, NJ; Des Moines, IA; Phoenix, AZ; Tampa, FL (U.S.). Primary Regional Offices: Atlanta, Chicago, Dallas, Los Angeles, Norwalk, Phoenix, San Ramon, Teaneck (U.S.); London (Canada); London (UK); Frankfurt (Germany); Paris (France); Madrid (Spain); Helsinki (Finland); Copenhagen (Denmark); Zurich, Geneva (Switzerland); Amsterdam (The Netherlands); Hong Kong, Shanghai (China); Tokyo (Japan); Melbourne, Sydney (Australia); Singapore (Singapore); Bangkok (Thailand); Kuala Lumpur (Malaysia); Buenos Aires (Argentina); Dubai (UAE); Manila (Philippines).