Catholic Health East
Business Process Redesign Initiative – Frequently Asked Questions  












Business Process Redesign

 

Business Process Redesign Initiative – Frequently Asked Questions


Q: What is CHE’s Business Process Redesign (BPR) Initiative? 

A:  The Business Process Redesign Initiative is a System-wide approach to improving operations in Supply Chain, Financial Management, and Human Resource/Payroll functions at Catholic Health East. It will accomplish this goal through the utilization of best practices and System-wide standardization of business processes, data and supporting technology, e.g., business process re-design.

Q: Is it the same thing as the Lawson project?

A:  CHE’s Business Process Redesign Mission Synergy Initiative was previously known as the Lawson Project.  The name change is deemed important, as Lawson is not a strategy in and of itself.  Rather it is a tool, a software system, developed to support strategic initiatives in supply chain, finance and human resources. 

Q:  What exactly is Lawson?

A:  Lawson is information system software that integrates all financial, human resources, payroll, and supply chain data and functions across an organization onto a single computer system that can serve all those different areas’ particular needs. CHE plans to implement this system at all acute care RHCs over the next five years.  In healthcare, Lawson serves over 400 customers representing 4,500 facilities and is used by 7 of the 10 largest healthcare systems in the country.  The Lawson system has been around for nearly 30 years and is used by many large corporations such as McDonalds and Target. 

Q:  So this is a computer system implementation?

A:  Not exactly.  We will be installing Lawson, but this initiative is much different than a traditional information system implementation.  Instead of configuring the system to accommodate the “way things are done” now, the primary focus will be to improve the way work is done throughout CHE.  We will also be standardizing certain kinds of data.  For example, we will be defining a standard Chart of Accounts and developing standard codes for certain human resources data so that we can more easily share information in meaningful ways.  This will enable CHE to attain improved operational and financial performance throughout all RHCs.

Q:  Why is CHE doing this now?  What are we trying to accomplish?

A:  The Sponsors of our various ministries have entrusted us with the ongoing viability and vitality of the CHE mission, that is, to be a transforming, healing presence within the communities we serve.  To meet this mission, CHE has significant capital needs – estimated at $1.6 billion over the next 5 years. RHC and JOA CEOs and Boards agreed to launch a series of Mission Synergy Initiatives designed to improve operational performance across the system through synergistic efforts.  The BPR/Lawson project is one of these mission synergy initiatives.

Q:        What will BPR accomplish?

 A: The key objective of this initiative is to use Lawson applications as the vehicle to attain value in the following areas:

  • Financial Management –A standard financial management platform will enable CHE to coordinate efforts among all managers responsible for financial aspects of the organization.  Improved financial user satisfaction and increased access to information, as well as better and more timely decision-making, pricing, marketing, ordering, and reduced financial closing time are some of the expected benefits.

  • Human Resource and Payroll Management A key element in the future state vision for CHE Human Resources is to focus more time on value-added activities and less time on administration (managing paper, entering data, tracking down information, etc.).  Employee satisfaction can be increased, timeliness increased, data made more consistent, reporting made easier, and operating costs decreased through a collaborative approach in such areas as benefit plan administration, management reporting and maintenance of colleague demographic data, and payroll processing.

  • Procurement, Supply and Partner Management – There is a significant opportunity for CHE to leverage its scale with vendors and significantly reduce the cost of supplies by coordinating its procurement management.  A central goal of this implementation is to improve CHE’s ability to negotiate with vendors and ensure that all departments and purchasers receive the same terms and best prices.  Automating many procurement and supply activities will reduce errors and streamline procurement and inventory management.

Q:  Is this about reducing headcount?  Will people lose their jobs?

A:  FTE reductions are not the primary goal of this effort.  However, it is likely that jobs will change as CHE’s standard operating model and best practices are implemented, and ultimately, there may be some reductions in overall headcount. 

 Q:  How will I know what this means to me and my job?

A:  Prior to your RHC’s implementation, there will be focused communication from your executives and the implementation team for your RHC.  There will also be training for everyone involved with the implementation of redesigned business processes and every user who will use Lawson to perform their jobs. You may find that the way you do specific tasks will change and you will be provided with training and reference material to assist you with learning the new processes.

Q:  Where does the project stand right now?  What are the next steps?

A:  The BPR project is divided into three major phases – Phase I is currently underway and will be complete by April 2004.  In Phase I, design teams consisting of HR, finance, and Supply Chain representatives from across CHE are collaborating to design CHE’s standard operating model.  The new operating model will take into account the needs and requirements of each RHC, commonalities and differences across RHCs, and best practices. At the same time, the Training and Assessment plan is being formulated and a Communications strategy has been developed to provide information to all employees at various times throughout the process. During Phase II, which is set to begin in April 2004, the new operating model and the Lawson technology will be implemented at St. Peters, and knowledge will be transferred to the CHE implementation team for subsequent implementations. During Phase III, the new operating model and technology will be installed at the remaining acute care RHCs over a three-tear period beginning in 2005.

Q:  We have already implemented Lawson.  Why not just adopt our model for the whole system? 

A:  Four RHCs (Our Lady of Lourdes, Holy Cross Hospital, Sisters of Providence Health System, and Mercy, Miami) are currently live with certain components of Lawson Systems.  Baycare has also had significant experience in implementing the Lawson Human Resource and Payroll Suite.  However, none of these organizations designed their model with the needs of ALL the RHCs in mind.  The standard operating model being developed right now is taking into account lessons learned at each of the current sites, as well as the RHCs that do not yet have Lawson.  Because we are focusing this effort on all RHCs, we are working together to redesign our business processes for greater efficiencies and want to be sure each RHC will benefit from the efficiencies gained.  Also, some of the RHCs implemented prior releases of Lawson and will benefit from the upgrades in the newer release(s).

Q:  How are the needs of my organization going to be considered in the design of the enterprise operating model?

A:  The design team consists of, and will be working closely with, representatives from the RHCs throughout the duration of the Design Phase. The design team members have been chosen from across the various RHCs. The design teams have also surveyed each RHC to understand the way things currently work, and are in communication with staff at the RHCs to discuss key factors to be considered in design of the operating model.  In addition, the Design Team is working closely with the Human Resources, Finance, and Supply Chain Management Councils, also comprised of representatives from each RHC, to review and refine CHE’s standard operating model.

Q:  What is the implementation schedule?  When will my organization be affected?

A:  The model implementation at St. Peters in Albany is scheduled for go-live in December 2004. The plan is for 4 additional acute care RHCs to implement in 2005, 5 additional in 2006, and the remaining 4 to implement in 2007.  An organizational readiness assessment is currently being completed to determine the sequencing of implementations across the remaining RHCs after St. Peters. The assessment will consider four primary areas:

  • People and Organization – which will consider factors such as leadership commitment, resource availability, the presence or absence of competing priorities within the RHC, and other skills, experiences and resources available to assist in successful BPR implementation.

  • Technology Need and Readiness – which will consider whether the RHC has any major system replacement requirements on the horizon, as well as whether the required platforms, technical infrastructure, and staff IT skills sets are in place.

  • Business Value – which will estimate the potential for technology-enabled performance improvement that exists within the RHC.

  • Other Considerations – which will include, for example, the size, composition, and capacity of the implementation team.

Objective and subjective information in each of these areas is being collected through a variety of sources, including interviews with each RHC CEO, surveys of each RHC, and benchmarking.  The target date for completion of the sequencing recommendation is April 2004, at which time a recommendation will be made to the Lawson Steering Committee and the RHC CEOs.

Q: What happens in the meantime?  Are there things we can or should be doing to prepare?

A:  There are a number of things you can do while waiting for implementation at your RHC.  First, you can participate in the design of CHE’s standard operating model by providing suggestions and feedback to and design team members from your organization and your Council members. Because the Councils meet regularly with the design teams during Phase I of the project, they will be able to pass along your ideas for consideration in the design of the new model. Second, you should stay informed of the BPR project’s status by reading and/or viewing the upcoming communications regarding this initiative, including regular updates in your RHC publications. And third, you can help prepare for implementation at your RHC by participating in process change. Because this is a Business Process Redesign project rather than just a system implementation, many of the process changes will not be Lawson dependent.  Therefore, once CHE’s standard operating model has been finalized and approved, your RHC will likely begin to make process changes to move towards the new operating model. 

Q:  What is the commitment to training?

A:  An extensive training program will be put in place to support implementation of the new operating model and the Lawson system.  The detailed training plan is currently being developed, and is expected to include both Instructor-Led Training (ILT) and Computer-Based Training (CBT). Every individual who will need to use Lawson to perform his or her job will receive training.  The training will be consistent with end users’ jobs and roles and will cover both Lawson functionality and CHE’s new standard operating model.

Please call 610.355.2000 or e-mail info@che.org for more information.

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