Reference
M. Bliemel and K. Hassanein (2004). E-health: applying business process reengineering principles to healthcare in Canada. Int. J. Electronic Business, 2 (6), 625-643.
Principles and tactics of process redesign for e-business
http://www.slidefinder.naet/p/principles_tactics_process_redesign_business/20788706
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Reflection
In this lecture, the main focus is the principles and tactics for redesigning the business process.
The objectives of those principles and common tactics are:
(1) Maximize the value-adding content of a process
(2) Manage non-value adding activities
(3) Minimize repeated and redundant elements such as waste, valueless complexities.
Here is a diagram showing the respective tactics for each redesign principle:

There are numerous ways to improve the performance of a company. Business process redesign is one of the most important ways to improve the performance and efficiency of the company significantly. By applying the above principles, companies can clearly notice the areas that can make appropriate improvements as to let the company perform more cost-effectively and reduce unnecessary wastage.
Although the redesign principles define many areas for further improvement, a company should choose limited number of areas depending on the emergency of the need. For any BPR, the process should be made step by step to reduce the risk and the chaos made by BPR towards the company. If not, this may instead create negative effect to the company.
For every BPR projects, the company should first plan carefully and comprehensively with consideration of the extent of how much changes the company could bear. Later, they should prioritize the cost-effectiveness of each process that needed to be redesigned and do the least first as to test the reaction of the company such as the response of employees.
It is nearly impossible for any BPR project to satisfy all the principles. Therefore, the company should focus on certain principle according to the nature of business rather than aiming at satisfying all the principles.
Real-life example
Here are some realated cases for you to understand the application of the principles and tactics in the real world.
Healthcare service in Canada: E-health
Exisiting Problems:
Onaverage, patients have to wait for long hours. Also, there is lack of access to providers and information. Moreover, there are some medical errors.
Application of BPR principles and tactics:
Lose Wait: Reduction of waiting time when lab results are requested and when they are delivered through the utilisation of faster communication technologies such as email to shorten administrative delays.
Tactics used: Designing for continuous flow, reconfiguring support activities to avoid bottlenecks.
Tactics used: Designing for continuous flow, reconfiguring support activities to avoid bottlenecks.
Orchestrate: Coordinating between healthcare providers to balance workloads. For example, when one hospital has more beds for heart patients than another, the two can share heart patients between them so that both facilities have similar capacity levels. This is more efficient than taking on patients until capacity is reached in one hospital and then redirecting new patients to other hospitals with available beds. When hospitals have less than 100% utilisation of capacity, medical staff have more time to tend to patients and to improve service possibly leading to a shorter length of stay for patients.
Tactics used: Insourcing
Tactics used: Insourcing
Mass-Customize: Provide flexibility of interaction options and service offerings to different kinds of patients. This principle can be applied when communicating with patients that have different levels of health literacy, and who also have varying levels of interest in managing their own health by researching health information online. For example, patients could be offered multiple ways to access healthcare professionals when seeking advice – through telephone, email, or personal appointments.
Tactics used: Flexing Time & Space
Synchronize: Synchronise the physical and virtual parts of processes.To ensure that the online content accessed by consumers already serviced by a healthcare system also reflects the treatment options available under that healthcare system.
Tactics: Match offerings
Tactics: Match offerings
Digitise and propagate: The benefits of digitising health records, workflows and health information are enormous because the information can be shared faster, and more controls can be put into place to ensure their accuracy and completeness.Patients enter their own medical histories and complaints as part of their medical records through a series of structured questions prior to the consultation with a physician.
Tactics used: Digitize at source, make the process paperless
Tactics used: Digitize at source, make the process paperless
Vitrify: When workloads and information about patients(which also follows privacy policies) is shared – not only throughout individual hospitals but throughout the healthcare system as a whole – management, researchers and policy makers can get a clearer picture of problems and opportunities within the system. Understanding the healthcare system is easier when this principle is applied, allowing on-the-fly analysis of trends and faster problem identification.
Tactics used: On-demand Information Tracking, On-the-fly Reporting and Analysis
Tactics used: On-demand Information Tracking, On-the-fly Reporting and Analysis
Sensitize: Sensors can be utilised to detect abnormalities within the system in case a patient has been waiting longer than normal. Once abnormal situations in processes have been detected, software agents can prompt action by notifying the care provider responsible for the patient. This principle also works well in the healthcare context as sensors monitoring patients’ conditions are already employed with the ability to alert staff when a patient’s medical condition changes.
Tactics used: Monitor Environmental Change
Tactics used: Monitor Environmental Change
