Federal Government Releases Health Care Provider Reference Architecture

Skip Snow

On April 3rd 2014, the federal mandate to publish an IT Risk framework for Healthcare IT was fulfilled with the publication of the "FDASIA Health IT Report: Proposed Strategy and Recommendations for a Risk Based Framework."

As per the FDA press release "the diverse and rapidly developing industry of health information technology requires a thoughtful, flexible approach,” said HHS Secretary Kathleen Sebelius. “This proposed strategy is designed to promote innovation and provide technology to consumers and health care providers while maintaining patient safety. Innovative health IT products present tremendous potential benefits, including: greater prevention of medical errors; reductions in unnecessary tests; increased patient engagement; and faster identifications of and response to public health threats and emergencies. However, if health IT products are not designed, implemented or maintained properly, they can pose varying degrees of risk to the patients who use them. The safety of health IT relies not only on how a product is designed and developed, but on how it is customized, implemented, integrated and used" 

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Microsoft Leads The China Cloud War Into Episode II

Charlie Dai

Microsoft is officially launching the commercial operations of its cloud offerings in China today. It’s been only nine months since Steve Ballmer, the former CEO of Microsoft, made the announcement in Shanghai that Windows Azure — now renamed Microsoft Azure — would be available for preview in the Chinese market.

I call that Episode I of the China Cloud War. In the report that I published at the time, “PaaS Market Dynamics in China, 2012 To 2017”, I made three predictions — predictions that are now being fulfilled. More global players are joining the war; customers have gotten familiar with cloud concepts and are planning hybrid cloud implementations for their businesses; and traditional IT service providers have started to transform themselves into cloud service providers.

I talked with Microsoft and Citrix last week, and I strongly believe that Episode I has ended and Episode II has just begun. In the battle for partner ecosystems and real customer business, here are the three major plots that enterprise architects and CIOs in China should watch unfold:

  • The thrree kingdoms will fight with the gloves off. In my blog post last year, I described three kingdoms of global vendors in Chinese cloud market: Microsoft, Amazon, and vendors behind open source technology like OpenStack and CloudStack.
    •  Microsoft is leading the market as the first company in China to provide unified solutions for public cloud, private cloud, and hybrid cloud across infrastructure (IaaS) and middleware (PaaS). This builds on its deep understanding of enterprise requirements, its massive developer base, and the ease of use on the Windows platform.
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Engagement is the theme for Enterprise Architecture today

Alex Cullen

I’m seeing many signs of an evolving role and recognition for enterprise architecture.  This is changing how we ourselves see the practice of EA.

For example, one of the more frequent inquiries I get from EA leaders is around customer experience and the customer lifecycle - where our clients want to know how EA should help translate business customer experience goals into architecture.  Our inquiries around mobile are less around the technology and more around shaping an enterprise digital strategy.  The questions we get around Big Data have shifted from technology towards how gain better insights on a company’s markets.  

‘Engagement’ is the underlying theme of this evolution.  Companies need to build Systems of Engagement - and EAs are at the front-lines of decisions.  But also, EAs are stepping  up their engagement with their business leaders to provide the value their busness needs. 

If you also see this evolution, and are successfully addressing engagement of either form in your EA program, I’d like to invite you to submit your story for the 2014 Enterprise Architecture Award, sponsored by Forrester Research, InfoWorld and Penn State University’s Center for Enterprise Architecture.

As with previous years, we are recognizing leading EA programs, not a specific project.  We’d like to hear from programs that:

  • Have re-shaped how their business plans and governs business technology strategy
  • Have  helped their organization move from ‘mobile as a project’ to ‘mobile as an enterprise strategy’
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Is All Work Becoming Knowledge Work?

Craig Le Clair

 

It hit me the other day when I was speaking with a call center operator about my reservation. She was funny, smart, well informed and flew around her app. with the quickness of the chipmunk. She is the new breed of worker. Not the production worker that performs repetitive tasks, like data entry and responding to the same dumb information requests, anxious to get you off the phone to meet a call duration metric. No, our relentless offshoring, automation, and customer self-service is slowly eliminating this type of worker.

We hear numbers like this consistently, and this from a Workforce Planning  VP at a major Major Telecommunications company,

“Today  70% of our inquiries are handled by self service (IVR, Web, or mobile) with only 30% that ever get to our call center.  But these calls that get through are really hard. The customer has researched the problem on line and is ready to have a deep conversation. So unfortunately, even though the call volumes are way down, the number of agents we need has not decreased due to how complex these calls are. "

What does this mean for enterprises? High performance will be achieved supporting these workers with advanced information management and solutions like Dynamic Case Management that give them freedom to make decisions and advance the customer experience.  

We will shortly publish a wave on DCM. Look for some new European solutions like BeInformed (Netherlands), Whitestein (Germany), and ISIS (Austria) to gain ground on  PegaSystems, IBM, EMC, Appian  and others from the traditional BPM market.

The War Of Mission-Critical Applications In The Cloud Is Getting Hot In China

Charlie Dai

The entire cloud ecosystem in China is undergoing significant change. End users are getting more serious about adopting cloud solutions and ISVs are working with telecom carriers and partners to deliver mission-critical business applications in the cloud. My latest report, “Brief: Major Players Are Targeting The Chinese Cloud Market For Core Business Apps,” summarizes the overall trends of cloud adoption in China, looks at each vendor’s solution, and provides high-level suggestions. Specifically, I discuss:

  • General trends in SaaS adoption in China. Timing is very critical for market penetration. The survey results I share in this report show a dramatic increase in decision-maker interest in cloud-based offerings. This is probably the last chance for companies that want significant market share, but do not yet have it, to enter the Chinese SaaS market.
  • All of the major multinational vendors are moving. Global players have been closely watching the cloud market in China for years, and in 2013 they have made strategic moves. SAP, Oracle, Microsoft, and Infor have adopted different strategies in China based on the strengths and capabilities of their core product and solution offerings, technology stack, and partners. The report will tell you how each of these companies is working to address the Chinese market.
  • Local market leader practices. Large multinational vendors are not the only ones with skin in the game. Major local players in enterprise management software, such as Yonyou and Kingdee, are also working hard and have achieved significant progress in this space. The report will tell you what advantages their global peers need to have and which shortcomings they need to improve upon.
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It's Time To Reinvent BPM For The Age Of The Customer

Clay Richardson

Over the last 12 years, I've seen – and helped drive – a lot of change in the BPM market.  First, I watched BPM move from a heavy focus on integration to a greater focus on collaboration and social interaction.  And then, BPM expanded from highly structured and ‘automate-able’ processes to address unstructured, more dynamic business processes.  It is safe to say that over the last decade, demand for BPM was driven by key characteristics of the "Information Age" - a relentless drive towards improving the flow and sharing of information across people and systems.

Now, the most compelling business cases powering fresh demand for BPM focus on characteristics of the new age we are moving into - what Forrester calls the "Age Of The Customer."  If you look closely at most of today’s BPM initiatives, they tend to hide behind an imaginary firewall that separates what external customers experience and what internal business operations feel they need to be efficient. In this new age, business leaders are waking up to the realization that they can no longer divorce process improvement from the people and systems that touch customers, partners, and customer-facing employees. 

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CMIS in the Real World: Hot or Hype?

Cheryl McKinnon

Innovative organizations rely on content to make informed decisions about their customers, products, and go-to-market plans. Accurate information needs to get to the right prospect, partner or client at the right time. Large companies often have multiple content management systems, particularly in industries that grow via acquisitions. Busy information workers need to make decisions, and this can get complicated if multiple systems from multiple vendors are in place.

Standards have the potential to help organizations stay agile and responsive to change. Good standards help companies streamline routine requirements and avoid re-inventing the wheel. Bad standards get ignored, fall out of date and become barriers to innovation.

CMIS (Content Management Interoperability Services) has been a much-discussed standard in the ECM world, even before its formal ratification in 2010. In our 2013 ECM survey, just 13% of content management decision-makers put CMIS front and center as part of their strategy.  What I wanted to understand:

  • Who is using CMIS in the real world?
  • How are architects using it to deliver valuable content to their busy front line workers?
  • How are software vendors using it to respond to their customer demands to bring content into a bigger information ecosystem?
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Well Deserved Bad Karma At SuperBowl

Craig Le Clair

My wife would say that the cold weather has me watching too many "waste of time" sporting events. She is correct of course, but sports and life have many paralells and here's my current favorite. I am believing more and more in the importance of Karma where good intent and deeds contribute to future happiness, and bad intent deeds contribute to future suffering. Hence, there is only one explanation for the dismal Denver performance yesterday.  Denver had simply way too much bad Karma. And here's why. They denied Patriot fans the opportunity for any tickets (not one) to the AFC championship game in Denver. This was a selfish, low class, and just down right mean.  It created a tremendous reserve of negative Karma that could not be overcome Sunday. As a Pats fan, I was thrilled to see not just a loss but a record setting devastation.

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Why Bitcoin Is Here To Stay

Brian  Hopkins

When I stumbled across Bitcoin (or Bit-O-Coin, as my wife likes to call it) a few years back, my spidey sense started tingling. Since that time, I’ve made a few off hand remarks about the future of crypto-currency and received the expected “it’s another Dutch Tulip thing”. While I’m not an expert on the financial markets, I do have an excellent track record for identifying disruptive technology changes and I’ve concluded that crypto-currency is here to stay.

 

Here’s why:

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Solar Energy Boom In South Africa: Economic Shifts, Not Just Customers, Drive Need For Business Agility

Craig Le Clair

Investment in clean energy in South Africa increased more in 2012 than in any other country, rising 206-fold to $5.5 billion, according to Bloomberg New Energy Finance. South Africa generates 85% of its electricity from coal, but chronic power shortages may have been the catalyst to look to solar (a low point in 2008 closed mines for five days). It’s making up for that gap with solar energy — and now it’s the only African nation among the top 20 solar markets, with installations comparable to South KoreaThailand, and Israel.

The 360 days a year of sunshine certainly help, and it’s great to see the clean energy push work so well. But what is interesting to me is the amount of change in the overall economy the solar boom has caused. Wages are up, new jobs are available; hotels are adding more rooms, restaurants are changing menus to be more suitable for Europeans, and sales volumes are increasing.  So I’m adding “changes to the energy infrastructure” to my list of events that require business agility. Changes in customer expectation, digital disruption, and shortening product life cycles get the most attention as change events that drive the need for companies to be agile, but as shown here change can rapidly come from infrastructure shifts. And South Africa is just starting its transformation. There are plans to invest in other forms of renewable energy: wind, concentrated and photovoltaic solar, landfill gas, and biomass power. And it looks like South African businesses are up to the challenge and are responding to the market. For more info, click here.