aetna - enabling a digital strategy that fits the healthcare system around the consumer using bpm...

ICU-2748 : Enabling a Digital Strategy that Fits the Healthcare System Around the Consumer Using BPM SOA

Integration - Client Use Cases: Integration in ActionSession Type : LectureDate/Time : Wed, 30-Apr, 05:00 PM-06:00 PMRoom : Venetian-Marcello 4401 A

Presenters:

Joseph ArnoldSr. Dir Architecture, Aetna

Arup DattaTechnology Manager – BPM, Prolifics

Aetna Inc.Enterprise Architecture

Agenda

2

Background

Goals and Objective

BPM SOA Strategy

Technical Architecture Solution

Conclusion

Q&A

Aetna Inc.Enterprise Architecture 3


Healthier worldThis is the business we are in

Aligned economic incentives between

payers and providers

A simpler, more transparent consumer

experience

Technology that seamlessly connects to our health system

4


Consumer-empowered solutions enabled by technology

Online and self-service

Focus on needs of who accesses health care

Value and outcomes-based reimbursements

Cost and delivery of care

Consumer experience

Administration

and services

Our focus

TO

Our health care system is transforming rapidly

FROM

Employee-centric and low tech

Complex systems

Focus on needs of who pays for care

Fee-for-service

5


Goals and Challenges

6

Goals

• A simpler, more transparent consumer experience

• A seamless, integrated digital solution that is cost effective and nimble

• An ability for business to adapt to market changes rapidly

• An architecture that supports sustainable business agility

• A set of tools that provide insight and ongoing optimization

Challenges

• Multiple data access paths• Multiple user identities• High maintenance, work efforts,

and cost.• Redundant data access logic • Multiple consumer applications • Many non-modular, outdated

codebases.• High costs and long time to

implement services• Multiple platforms and

acquisitions


BPM / Service StrategyEnabling a digital strategy that fits the healthcare system around the consumer

7

Books of Record

Mbr Claim

Plan

Enterprise Data Broker

Enterprise BPM Applications

Systems of EngagementSystems of Engagement

• Mobile, Web, SocialEnterprise BPM Applications• Human Interactions,

workflow, collaborationEnterprise Data Broker• Orchestration and

common message format

Books of Record• Core data on diverse

platforms*Enterprise Business Rules• Can be placed at all levels

enabling smarter, nimbler decision management

REU

SE

AGIL

ITY

SOE

BOR

Service our customers in a digital way

Digitize business processes for re-use across all channels

Transactions and queries as digital business services

provide a core for our digital business

strategy

Control and optimization points

provide flexibility and extend insight

Enhance security, risk management, and consumer privacy


Service Broker Incubation

Technology

Process

People

It is critical to establish a sound foundation of people, process, and technology to ensure an effective and efficient service development competency to support the digital enterprise

People:

Identify/hire appropriate resource mix permitted by budgeted funds to develop

services using agile methodology

Process:

Define the underlying processes needed to effectively and efficiently deliver services for

both multi-channel and enterprise-wide usage

Technology:

Architect and implement the underlying technology components needed to develop and expose services for use throughout the

enterprise

8

Aetna Inc.Enterprise Architecture 9

Incubation Project Tracks

BPM SOA Framework for

Application Development

Data Model

Architecture & Design

Requirements and Rules

ServiceDevelopment

Frameworks, Patterns

Security, ID Management

Deployment, Governance,

SLA’s

Skills, Mentoring &

Learning

Data Access Services


Frameworks and Patterns

• Naming Convention• Logging• Exception Handling• Multi Path• Versioning• Notification• Monitoring and Audits• Backend Systems communication patterns• Business Rules Implementation• Caching mechanism

10


Common Message Model (CMM)

• One Enterprise Common Message Model • Every back-end source maps to CMM• Reconciles different names from back-end sources

• All responses drawn from CMM• Consistent naming across responses

• Designing to the CMM has advantages:• Map new data sources to CMM; available to current

logic and responses• Orchestration and process logic uses CMM – enable

reuse

• There are implications to the CMM• Must be governed, managed for consistency• Consumers must break ties to back end structures

11


Technical Architecture

12


Enterprise Architecture Model

13

Enterprise Data Broker

Business Processes

Business Monitor

Web Services

COBOL Services

Rules EngineExtrem Scale WSRR-R

Enterprise BusinessService

EnterpriseBusinessService

ServiceRuntim

eConfigs

CachedEnterprise

Data

Business Rules Services

Business Events

Enterprise Data Services

EnterpriseData Services

System Events

EnterpriseBusinessService Enteprise

BusinessProcess

EnterpriseBusinessService

EntepriseBusinessProcess

B2C

WSRR-G

Service Runtime Configs

Administrator

Metrics and Dashboard

IT CAM

Service GW

WTX

Business Services

B2B


Impacts / Things To Do Different

Programming to interface, not to implementation • Design early• Socialize the interface with consumers• Publish mock service/objects to speedup the process

Externalize business rules from application logic • Business Rules as a Service

Document & socialize• Standardized terminology, verbs, nouns, meaning• Common Message Model

14


Summary

15

• Rapid and continuous change is necessary to stay in business

• IT must enable the delivery of data and services to consumers where and when needed and in a format they want

• BPM technology provides a toolset to enable incremental movement towards your digital strategy• Broad capabilities for creating digital building blocks• Advance at your own speed• Supported by a solid roadmap


Questions ?

16


17

Session Topic & Description Date & Time Room

BDL-3320 BPM, Rules & Analytics - A Business Trilogy - Are You Part ofthe Story, or Reading About it?

Mon, Apr 28, 2014[12:00 pm - 12:30 pm]

EXPO Theater

SCU-2695 BMI: Innovating with IBM Business Process Manager, IBM Operational Decision Manager, and Integration

Tue, Apr 29, 2014[10:30 am - 11:20 am]

Venetian-Palazzo K

ICU-3319 The Power of 3: PureApps, Softlayer and General Operational Effectiveness

Tue, Apr 29, 2014[12:00 pm - 12:45 pm]

Delfino 4005

ICU-3358 How PSCU Implemented their Intelligent Platform througha SOA COE

Tue, Apr 29, 2014[2:15 pm - 3:15 pm]

Marcello 4402

INO-2740 Extending IBM WebSphere Service Registry and Repository to Legacy IBM WebSphere Application Server

Wed, Apr 30, 2014[2:15 pm - 3:15 pm]

Marcello 4405

ICU-2748 Enabling a Digital Strategy that Fits the Healthcare Systemaround the Consumer Using BPM SOA COE @ AETNA

Wed, Apr 30, 2014[5:00 pm - 6:00 pm]

Marcello 4401A

ICU-2800 An Approach to an SOA Appliance and Application Center ofExcellence by Staples

Thu, May 1, 2014[9:00 am - 10:00 am]

Marcello 4401A

Join Prolifics thought leaders and our clients at the following sessions…


Apendix

18


Technical Architecture – Highlights 1Architecture Highlight # Comment

1 Process Server is a component of IBM's BPM suite. It provides the runtime environment for business processes and services developed using Process Designer and Integration Designer.

2 Process Center is the repository of business processes and business services. Process Center supports versioning of processes and services.

3 Integration Designer is the development/debug/unit test environment for developing business services.

4 Process Designer is the development/debug/unit test environment for developing business processes.

5 A Business Service is typically a short running process (micro-flow), mediating or orchestrating one or more services. Business services can use built-in adaptors and accelerators to speed up the development process.

6Business Process is typically a long running (macro- flow) process involving one or more workflows, business process, business services and business users. It may typically include a user interface (Coach). Business Processes typically monitory business or workflow activity.

7 Process Server may support both SOAP (5) and REST(7) model.

8WSRR - Websphere Service Registry and Repository provides* run-time WS-Addressing attributes* WSDLs

19


Technical Architecture – Highlights 2Architecture Highlight # Comment

9 New services/processes developed using BPM

10 Application Services / Cobol APIs / Stored Procedures

11 The technology stack may include a rules engine such as IBM ODM.

12 The technology stack also includes a remote cache using IBM eXtream Scale.

13 Business Monitor can be used to monitor business events published by processes running at Process Server and at other servers. The monitor can also publish the events to PS to trigger additional processes.

14 SMTP - simple mail transfer protocol. BPM can use SMTP to email any notifications to email recipients.

15 Audit and Logging Services provide shared enterprise-wise audit and logging capabilities.

16 IBM Tivoli Composite Application Manager (IT CAM) may be used to monitor the health of BPM server components and diagnostics messages from EDB services.

17 Clearcase will be used for code asset management, version control and code promotion from dev to qa to production.

20

aetna - enabling a digital strategy that fits the healthcare system around the consumer using bpm...

Technology

enterprise architecture

enterprise architecture

enterprise business

digital enterprise people

dir architecture

digital business services

digital strategy

business processes