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Our Commitment is your Success   1
Diagnostics MIS
  Reporting Solution

  Prepared for Nuffield Diagnostics
  10th April 2008


Our Commitment is your Success        2
Agenda

  1   Background

  2   Where we are now

  3   Highlights of the Proposal

  4   Pricing

  5   Next steps




            Our Commitment is your Success   3
Agenda

  1   Background

  2   Where we are now

  3   Highlights of the Proposal

  4   Pricing

  5   Next steps




            Our Commitment is your Success   4
About Blue-Crow
   Founded in April 2001 and initially
    supported a range of clients by
    managing their Business and
    Systems Integration initiatives.

   Today, Blue-Crow has grown into a
    full lifecycle, architecture-led
    consultancy that focuses on
    Business-IT alignment solutions.

   Blue-Crow is part of a multi-company
    group structure that also offers
    Recruitment and Offshore solutions.

                  Our Commitment is your Success   5
Our Services




        Our Commitment is your Success   6
Our Customers
   Public Sector

   Financial Services

   Utilities

   Healthcare


                Our Commitment is your Success   7
Blue-Crow at Nuffield
   Salim Sheikh
       Enterprise Architect advising on IT Strategy and Principal
        Architect for PACS/RIS and Pathology integration
   Michael Moyal
       Business Modelling expert and Solutions Architect on several
        Nuffield projects (Business & IT)
   David Sellers
       Business Intelligence and MIS expert on PACS/RIS project
   Scott Foster
       Business analyst on PACS/RIS project; contributed to several
        Nuffield IT projects




                     Our Commitment is your Success                    8
MIS and Information flow
   Each level of management has different
    information needs and the information flow
    supports meeting these needs
     Top Management
        Vertical, horizontal & external

     Middle Management
        Vertical & horizontal

     Supervisor
        Vertical-primarily




                Our Commitment is your Success   9
Our role in MIS Reporting




         Our Commitment is your Success   10
MIS Technology Vision
                                                                          Role-based Dashboards

                                               Capacity
                                              Management
                                               Data mart
Source 1

                                               Financial                           Board View
                                              Performance
                                               Data mart
                               New
Source 2                       DW
                                                Clinical
                                              Governance                        Hospital Mgt. View
                                               Data mart
Source 3

                                               Customer
                                               Data mart
                                                                               Clinical Gov. View


           Extract, Transform, Load (ETL)            Business Logic               Presentation Layer
           Business Objects Data Integrator         Business Objects XI           Business Objects XI /
                                                         Universe                     Dashboards


                              Our Commitment is your Success                                              11
The BIGGER picture
People



    Sponsor      Business    Business     Information      Blue-Crow Analysts   Group IT
                  Project Champion & Users Architect           & Advisors
                 Manager

Processes




         Business Scorecard / KPI Definition    Information Management



Technology

                                               Datamarts
                                 New
                                 DW
                                               Datamarts




                         Our Commitment is your Success                                    12
Agenda

  1   Background

  2   Where we are now

  3   Highlights of the Proposal

  4   Pricing

  5   Next steps




            Our Commitment is your Success   13
Where we are now
   Several key discussions have taken place between Blue-
    Crow and Nuffield Diagnostics

   Enough detail now available to Blue-Crow to make
    formal proposal
       Initial phase of proposed work will determine exact requirements

   Systems Analysis effort already underway
       Work has begun on modelling the data and information held in
        all major technical systems relevant to the Diagnostics MIS
        solution

   Solution phase of this project will deliver a tailor-made
    reporting system in phased releases


                    Our Commitment is your Success                     14
Project Organisation


 MIS Reporting Project

  Workstream 1                  Workstream 2
     Business                   Systems Analysis
   Requirements                         &
      Capture                    Solution Design

           Our Commitment is your Success          15
Key Resources
   Sponsor & Steering Group
     Business Champion
     User Group

   Business Project Manager
   Group IT Project Manager (& IT personnel)
   Blue-Crow personnel
     Information Architect
     Solution Architect
     Business Analysts
     ETL Analyst/Developer
     Business Modeller
                 Our Commitment is your Success   16
Scope
   All Nuffield Diagnostics business requirements that
    can be facilitated by access to management
    information
   All Management Information needs where source
    data exists, including all Group KPI’s that apply to
    Nuffield Diagnostics
   At least 3 sources of Nuffield Diagnostics data
     CRM,   RIS and PIMS
   Operational Reports specifically for PACS/RIS
   Only structured data contained in databases

                 Our Commitment is your Success       17
Out of Scope
 Delivery of Conceptual Business Model
 Shared Services
 Systems Analysis of source systems not
  relevant to Release 1 Diagnostics
  Reporting solution, namely,
     CRM
     CTI
     PathManager
     Lawson   and
     Datix

               Our Commitment is your Success   18
Training
   All users need to be suitably trained
     Including   support staff

   Different skill levels need to be accommodated,
    e.g. simple use, complex reports, report drill
    down and ad hoc capability

   Training is required
     at   different levels and for different needs

   Blue-Crow will conduct a Training Needs
    Analysis before offering services to deliver
    training
                   Our Commitment is your Success     19
Agenda

  1   Background

  2   Where we are now

  3   Highlights of the Proposal

  4   Pricing

  5   Next steps




            Our Commitment is your Success   20
Highlights of the Proposal
    Business driven rather than capability (technology) driven
    No “Big Bang”
    2 key workstreams:
     1.   Business Requirements Capture
     2.   Systems Analysis & Solution Design
    Report back to Nuffield Diagnostics at each Milestone
         Tangible outputs and benefits delivered

    This proposal delivers Release 1
         Group IT should become self-sufficient and deliver Release 2..N




                       Our Commitment is your Success                 21
Navigating the Nuffield Diagnostics Solution
   Reports delivered over the web
   Users belong to the right security groups according to
    their role
   Users select from small, personalised list of standard
    reports appropriate to their role
   Most of Nuffield Diagnostics business management
    automated by standard reports scheduled to run
    overnight
   Scheduled reports instantly ready for use
   Help notes attached to each report
   Ad hoc report capability for specialised use
   All users trained; navigation and report specifics taught
    in training
   Powerful drill capability

                  Our Commitment is your Success                22
Delivery Framework




          Our Commitment is your Success   23
Advantages of the Blue-Crow Methodology
   Employs latest developments in enterprise architecture
    and business intelligence
   Architecture-led solution
   All solution elements pre-built in a model
   Controlled, automated database build from model
   Gracefully handles changes
   Rapid deployment method employs 3 iterations to
    successively improve a basic design
   Facilitated, group-wide design sessions begin each
    iteration



                 Our Commitment is your Success              24
Timelines and Delivery
1.    Week 1    Sign-off of Statement of Work and Project Start

2.    Week 7    Completion of 1st round Business Requirements capture

3.    Week 9    Completion of 1st iteration of Reporting Solution

4.    Week 12   Completion of functional workshops

5.    Week 15   Completion of 2nd round Business Requirements capture

6.    Week 23   Completion of Release 1 of the Reporting Solution

7.    Week 24   Handover of complete system

     Project is yet to be formally approved and initiated



                   Our Commitment is your Success                       25
Precise Deliverables
1.   Week 1    2 x Statements of Work (Workstreams 1 and 2)
               Detailed Project Plan

2.   Week 7    1st Round Business Requirements documentation

3.   Week 9    Presentation & Demonstration to Nuffield Diagnostics.
               Delivery of Business Objects test reports

4.   Week 12   Publish 1st iteration of Business Data Items to be delivered in
               the Release 1 reporting solution

5.   Week 15   Finalised Business Requirements documentation

6.   Week 23   Delivery and Demonstration of delivered Release 1 Reporting
               Solution

7.   Week 24   Handover of complete system including all documentation


                  Our Commitment is your Success                            26
Agenda

  1   Background

  2   Where we are now

  3   Highlights of the Proposal

  4   Pricing

  5   Next steps




            Our Commitment is your Success   27
Pricing
 T&M versus Fixed Price
 Pricing provided for
     Workstream 1 - requirements
     Workstream 2 – analysis & solution design

   As we learn more, current uncertainties
    may disappear
     This   will allow future fixed price opportunities



                 Our Commitment is your Success            28
INTENTIONALLY BLANK




   Our Commitment is your Success   29
Risks & Dependencies
   PACS/RIS reports for Radiology will be delivered BUT
    the details will be realised through the Business
    Requirements Capture workshops
       Some good effort has already been spent on understanding some
        requirements for Operational Reports and this will be included and
        reused where appropriate

   The RIS database schema is overly complex and not
    well known or documented. This makes change control
    of our models very difficult.
       There is no in-house Oracle support or knowledge.

   Test data for the transactional database systems does
    not currently exist

   Delays with delivery of the Infrastructure

                   Our Commitment is your Success                            30
Items Not Covered in this Proposal
   Systems Analysis
       Currently 7 source data systems are being analysed to enable
        delivery of a Nuffield Diagnostics MIS solution.

   Shared Services
       This is expected to have a major impact on the reporting solution
        but cannot be included because of this project’s timescales

   Reporting Infrastructure and Hardware
       Blue-Crow can quickly provide a web-based Business Objects
        service to deliver the Diagnostics MIS Reporting solution




                    Our Commitment is your Success                     31
Agenda

  1   Background

  2   Where we are now

  3   Highlights of the Proposal

  4   Pricing

  5   Next steps




            Our Commitment is your Success   32
Next steps
 Sign off & Approval
 Project kick-off & initiation
     Expected  w/c 21st April 2008
     Planning session to be led by Jim Loughran
 Begin Business Requirements Capture
 Initial review of workshop output
     Planned   Path Manager workshop sessions
       1st round - 14/04
       2nd round - 28/04

   Begin ETL design
                Our Commitment is your Success     33
Questions?


   enquiries@blue-crow.com

   www.blue-crow.com



        Thanks for your attention!
             Our Commitment is your Success   34
Post-presentation
  Follow up

  Prepared for Nuffield Diagnostics
  14th April 2008


Our Commitment is your Success        35
Ideal and Required Outcome
   Deliver 79 reports
     As   requested by Paul Partridge
 Ensure all areas of Diagnostics are
  targeted as part of this Pilot Proposal
 However, this may not be feasible
     May take somewhere between 6 and 9
      months to do this work
     Actual length of time depends on the
      complexity of the required reports

                Our Commitment is your Success   36
Key Issues
   Internal Resource
     Lackof internal resources with the right skills
     Development outsourced to 3rd parties
   Source data
     Limitedanalysis carried out on source data
     Accuracy
        Data cleansing is not recognised as a key
         competency
        Data cleansing process does not exist

     Availability,
                 key source systems not in place
      (e.g. PathManager)
                Our Commitment is your Success          37
Recommendations
   Initial phase
     use  the current data warehouse BODI scripts
      in their entirety and add ETL (SSIS) layer
   Other phases
     more rigorous approach
     Translate current BODI extract rules into new
      ETL (SSIS) rules
     Create Transform and Load rules (using
      SSIS) and add these into the model later

               Our Commitment is your Success     38
Data Quality requirements
   Once a working ETL system is delivered
     The  ETL will create a daily set of exceptions
      for each source system
     A data quality person/team should act on
      these exceptions
   Data Quality person/team should be hired
     By Group IT OR
     By Nuffield Diagnostics
     (And by future business divisions)


               Our Commitment is your Success          39
Revised Delivery Timetable
                                           Release 1         Release 2           Release 3



Workstream 1
(Business
                                 80%                   20%
Requirements)
                                                                         Extra
                                          100%

Workstream 2     DWH          RIS      CRM-1     LAWSON                  CTI
(Systems                      PIMS               PATHMGR                 DATIX
Analysis &                                                               CRM-2
Solution
Design)          + 10 weeks


Workstream 3     DWH          RIS  PATHMGR       LAWSON                  ETC
(Data Quality)                PIMS




                          Our Commitment is your Success                                     40
   Current status of systems analysis
     RIS         - 10%
     PIMS        - 10%
     CRM-1       - NIL
     DWH         - NIL
 Present delays will impact DWH systems
  analysis activity
 Impact on the dependencies between the
  two work streams
              Our Commitment is your Success   41
DWH              PIMS            RIS           CRM-1




RISK - MEDIUM    RISK - MEDIUM   RISK - LOW      RISK - HIGH




                Our Commitment is your Success                 42
Revised Modelling Approach
   Modelling the Data Warehouse requires:
    2  schemas – Standard DWH & Clinical DWH
     Reverse engineer schema using Erwin
     Reverse engineer BODI using Erwin
     Translate BODI into SSIS
     Add analysis into “TO-BE” (target) model

 +10 weeks for DWH systems analysis
 Benefit – clean & structured DWH model



             Our Commitment is your Success      43

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Nuffield Diagnostics MIS Presentation

  • 1. Our Commitment is your Success 1
  • 2. Diagnostics MIS Reporting Solution Prepared for Nuffield Diagnostics 10th April 2008 Our Commitment is your Success 2
  • 3. Agenda 1 Background 2 Where we are now 3 Highlights of the Proposal 4 Pricing 5 Next steps Our Commitment is your Success 3
  • 4. Agenda 1 Background 2 Where we are now 3 Highlights of the Proposal 4 Pricing 5 Next steps Our Commitment is your Success 4
  • 5. About Blue-Crow  Founded in April 2001 and initially supported a range of clients by managing their Business and Systems Integration initiatives.  Today, Blue-Crow has grown into a full lifecycle, architecture-led consultancy that focuses on Business-IT alignment solutions.  Blue-Crow is part of a multi-company group structure that also offers Recruitment and Offshore solutions. Our Commitment is your Success 5
  • 6. Our Services Our Commitment is your Success 6
  • 7. Our Customers  Public Sector  Financial Services  Utilities  Healthcare Our Commitment is your Success 7
  • 8. Blue-Crow at Nuffield  Salim Sheikh  Enterprise Architect advising on IT Strategy and Principal Architect for PACS/RIS and Pathology integration  Michael Moyal  Business Modelling expert and Solutions Architect on several Nuffield projects (Business & IT)  David Sellers  Business Intelligence and MIS expert on PACS/RIS project  Scott Foster  Business analyst on PACS/RIS project; contributed to several Nuffield IT projects Our Commitment is your Success 8
  • 9. MIS and Information flow  Each level of management has different information needs and the information flow supports meeting these needs  Top Management  Vertical, horizontal & external  Middle Management  Vertical & horizontal  Supervisor  Vertical-primarily Our Commitment is your Success 9
  • 10. Our role in MIS Reporting Our Commitment is your Success 10
  • 11. MIS Technology Vision Role-based Dashboards Capacity Management Data mart Source 1 Financial Board View Performance Data mart New Source 2 DW Clinical Governance Hospital Mgt. View Data mart Source 3 Customer Data mart Clinical Gov. View Extract, Transform, Load (ETL) Business Logic Presentation Layer Business Objects Data Integrator Business Objects XI Business Objects XI / Universe Dashboards Our Commitment is your Success 11
  • 12. The BIGGER picture People Sponsor Business Business Information Blue-Crow Analysts Group IT Project Champion & Users Architect & Advisors Manager Processes Business Scorecard / KPI Definition Information Management Technology Datamarts New DW Datamarts Our Commitment is your Success 12
  • 13. Agenda 1 Background 2 Where we are now 3 Highlights of the Proposal 4 Pricing 5 Next steps Our Commitment is your Success 13
  • 14. Where we are now  Several key discussions have taken place between Blue- Crow and Nuffield Diagnostics  Enough detail now available to Blue-Crow to make formal proposal  Initial phase of proposed work will determine exact requirements  Systems Analysis effort already underway  Work has begun on modelling the data and information held in all major technical systems relevant to the Diagnostics MIS solution  Solution phase of this project will deliver a tailor-made reporting system in phased releases Our Commitment is your Success 14
  • 15. Project Organisation MIS Reporting Project Workstream 1 Workstream 2 Business Systems Analysis Requirements & Capture Solution Design Our Commitment is your Success 15
  • 16. Key Resources  Sponsor & Steering Group  Business Champion  User Group  Business Project Manager  Group IT Project Manager (& IT personnel)  Blue-Crow personnel  Information Architect  Solution Architect  Business Analysts  ETL Analyst/Developer  Business Modeller Our Commitment is your Success 16
  • 17. Scope  All Nuffield Diagnostics business requirements that can be facilitated by access to management information  All Management Information needs where source data exists, including all Group KPI’s that apply to Nuffield Diagnostics  At least 3 sources of Nuffield Diagnostics data  CRM, RIS and PIMS  Operational Reports specifically for PACS/RIS  Only structured data contained in databases Our Commitment is your Success 17
  • 18. Out of Scope  Delivery of Conceptual Business Model  Shared Services  Systems Analysis of source systems not relevant to Release 1 Diagnostics Reporting solution, namely,  CRM  CTI  PathManager  Lawson and  Datix Our Commitment is your Success 18
  • 19. Training  All users need to be suitably trained  Including support staff  Different skill levels need to be accommodated, e.g. simple use, complex reports, report drill down and ad hoc capability  Training is required  at different levels and for different needs  Blue-Crow will conduct a Training Needs Analysis before offering services to deliver training Our Commitment is your Success 19
  • 20. Agenda 1 Background 2 Where we are now 3 Highlights of the Proposal 4 Pricing 5 Next steps Our Commitment is your Success 20
  • 21. Highlights of the Proposal  Business driven rather than capability (technology) driven  No “Big Bang”  2 key workstreams: 1. Business Requirements Capture 2. Systems Analysis & Solution Design  Report back to Nuffield Diagnostics at each Milestone  Tangible outputs and benefits delivered  This proposal delivers Release 1  Group IT should become self-sufficient and deliver Release 2..N Our Commitment is your Success 21
  • 22. Navigating the Nuffield Diagnostics Solution  Reports delivered over the web  Users belong to the right security groups according to their role  Users select from small, personalised list of standard reports appropriate to their role  Most of Nuffield Diagnostics business management automated by standard reports scheduled to run overnight  Scheduled reports instantly ready for use  Help notes attached to each report  Ad hoc report capability for specialised use  All users trained; navigation and report specifics taught in training  Powerful drill capability Our Commitment is your Success 22
  • 23. Delivery Framework Our Commitment is your Success 23
  • 24. Advantages of the Blue-Crow Methodology  Employs latest developments in enterprise architecture and business intelligence  Architecture-led solution  All solution elements pre-built in a model  Controlled, automated database build from model  Gracefully handles changes  Rapid deployment method employs 3 iterations to successively improve a basic design  Facilitated, group-wide design sessions begin each iteration Our Commitment is your Success 24
  • 25. Timelines and Delivery 1. Week 1 Sign-off of Statement of Work and Project Start 2. Week 7 Completion of 1st round Business Requirements capture 3. Week 9 Completion of 1st iteration of Reporting Solution 4. Week 12 Completion of functional workshops 5. Week 15 Completion of 2nd round Business Requirements capture 6. Week 23 Completion of Release 1 of the Reporting Solution 7. Week 24 Handover of complete system Project is yet to be formally approved and initiated Our Commitment is your Success 25
  • 26. Precise Deliverables 1. Week 1 2 x Statements of Work (Workstreams 1 and 2) Detailed Project Plan 2. Week 7 1st Round Business Requirements documentation 3. Week 9 Presentation & Demonstration to Nuffield Diagnostics. Delivery of Business Objects test reports 4. Week 12 Publish 1st iteration of Business Data Items to be delivered in the Release 1 reporting solution 5. Week 15 Finalised Business Requirements documentation 6. Week 23 Delivery and Demonstration of delivered Release 1 Reporting Solution 7. Week 24 Handover of complete system including all documentation Our Commitment is your Success 26
  • 27. Agenda 1 Background 2 Where we are now 3 Highlights of the Proposal 4 Pricing 5 Next steps Our Commitment is your Success 27
  • 28. Pricing  T&M versus Fixed Price  Pricing provided for  Workstream 1 - requirements  Workstream 2 – analysis & solution design  As we learn more, current uncertainties may disappear  This will allow future fixed price opportunities Our Commitment is your Success 28
  • 29. INTENTIONALLY BLANK Our Commitment is your Success 29
  • 30. Risks & Dependencies  PACS/RIS reports for Radiology will be delivered BUT the details will be realised through the Business Requirements Capture workshops  Some good effort has already been spent on understanding some requirements for Operational Reports and this will be included and reused where appropriate  The RIS database schema is overly complex and not well known or documented. This makes change control of our models very difficult.  There is no in-house Oracle support or knowledge.  Test data for the transactional database systems does not currently exist  Delays with delivery of the Infrastructure Our Commitment is your Success 30
  • 31. Items Not Covered in this Proposal  Systems Analysis  Currently 7 source data systems are being analysed to enable delivery of a Nuffield Diagnostics MIS solution.  Shared Services  This is expected to have a major impact on the reporting solution but cannot be included because of this project’s timescales  Reporting Infrastructure and Hardware  Blue-Crow can quickly provide a web-based Business Objects service to deliver the Diagnostics MIS Reporting solution Our Commitment is your Success 31
  • 32. Agenda 1 Background 2 Where we are now 3 Highlights of the Proposal 4 Pricing 5 Next steps Our Commitment is your Success 32
  • 33. Next steps  Sign off & Approval  Project kick-off & initiation  Expected w/c 21st April 2008  Planning session to be led by Jim Loughran  Begin Business Requirements Capture  Initial review of workshop output  Planned Path Manager workshop sessions  1st round - 14/04  2nd round - 28/04  Begin ETL design Our Commitment is your Success 33
  • 34. Questions?  enquiries@blue-crow.com  www.blue-crow.com Thanks for your attention! Our Commitment is your Success 34
  • 35. Post-presentation Follow up Prepared for Nuffield Diagnostics 14th April 2008 Our Commitment is your Success 35
  • 36. Ideal and Required Outcome  Deliver 79 reports  As requested by Paul Partridge  Ensure all areas of Diagnostics are targeted as part of this Pilot Proposal  However, this may not be feasible  May take somewhere between 6 and 9 months to do this work  Actual length of time depends on the complexity of the required reports Our Commitment is your Success 36
  • 37. Key Issues  Internal Resource  Lackof internal resources with the right skills  Development outsourced to 3rd parties  Source data  Limitedanalysis carried out on source data  Accuracy  Data cleansing is not recognised as a key competency  Data cleansing process does not exist  Availability, key source systems not in place (e.g. PathManager) Our Commitment is your Success 37
  • 38. Recommendations  Initial phase  use the current data warehouse BODI scripts in their entirety and add ETL (SSIS) layer  Other phases  more rigorous approach  Translate current BODI extract rules into new ETL (SSIS) rules  Create Transform and Load rules (using SSIS) and add these into the model later Our Commitment is your Success 38
  • 39. Data Quality requirements  Once a working ETL system is delivered  The ETL will create a daily set of exceptions for each source system  A data quality person/team should act on these exceptions  Data Quality person/team should be hired  By Group IT OR  By Nuffield Diagnostics  (And by future business divisions) Our Commitment is your Success 39
  • 40. Revised Delivery Timetable Release 1 Release 2 Release 3 Workstream 1 (Business 80% 20% Requirements) Extra 100% Workstream 2 DWH RIS CRM-1 LAWSON CTI (Systems PIMS PATHMGR DATIX Analysis & CRM-2 Solution Design) + 10 weeks Workstream 3 DWH RIS PATHMGR LAWSON ETC (Data Quality) PIMS Our Commitment is your Success 40
  • 41. Current status of systems analysis  RIS - 10%  PIMS - 10%  CRM-1 - NIL  DWH - NIL  Present delays will impact DWH systems analysis activity  Impact on the dependencies between the two work streams Our Commitment is your Success 41
  • 42. DWH PIMS RIS CRM-1 RISK - MEDIUM RISK - MEDIUM RISK - LOW RISK - HIGH Our Commitment is your Success 42
  • 43. Revised Modelling Approach  Modelling the Data Warehouse requires: 2 schemas – Standard DWH & Clinical DWH  Reverse engineer schema using Erwin  Reverse engineer BODI using Erwin  Translate BODI into SSIS  Add analysis into “TO-BE” (target) model  +10 weeks for DWH systems analysis  Benefit – clean & structured DWH model Our Commitment is your Success 43