9University of Pittsburgh Medical Center(Provided by Alan Lawson, the UPMC representative to IPRC)During the past decade, UPMC has reshaped the health care landscapein western Pennsylvania to become the premier health system in theregion and one of the most renowned academic medical centers in theUnited States. As a $6 billion organization and the region’s largest employer,it has transformed the economic landscape as well.Today, with over 40,000 employees, UPMC is composed of 19 hospitalsand a network of other care facilities across western Pennsylvania andthroughout the world: doctors’ offices, cancer centers, outpatient treatmentcenters, specialized imaging and surgery facilities, in-home care,rehabilitation sites, behavioral health care, and nursing homes.Over a period of rapid growth, UPMC has created a genuinely integratedhealth care delivery system and aggressively recruited superbphysicians and researchers to develop internationally renowned centersin transplantation, cancer, neurosurgery, psychiatry, rehabilitation, geriatrics,and women’s health, among others. UPMC has also investedsignificantly in information technology to link and integrate electronicmedical records across multiple hospitals and care settings and hasinvested research monies to seed new fields like regenerative medicineand biosecurity. In partnership with Italy’s region of Sicily, UPMC hasexported its expertise internationally, developing a hospital in Palermoto provide transplantation and other specialized services.UPMC also has leveraged its world-renowned clinical services andpatient care reputation into one of the country’s fastest growing healthinsurance plans offering an array of commercial, Medicare, andMedicaid products. A pioneer in the management of chronic diseaseslike congestive heart failure, asthma, and diabetes, UPMC Health Planhas been recognized as one of the best insurance plans in the nation bythe National Committee for Quality Assurance, which in 2005 ranked itamong the top five in the mid-Atlantic region for effectiveness of care.UPMC’s standing as one of the nation’s outstanding medical centers isa source of civic pride. The region benefits from UPMC’s many charitablecontributions and its broad array of community-based programs thatare designed to eliminate health disparities in underserved populations.UPMC also has made a major commitment to arts organizations to ensurethat the region has not only an outstanding scientific communitybut an outstanding cultural one as well.102 Scenarios | IPRC <strong>Framework</strong>
A passion for innovation lies at the heart of UPMC’s success. Throughsuch innovation, UPMC has already launched a portfolio of new businessesin information technology, biosecurity, and bio-medicine—allnurtured from its core service lines. UPMC’s unique strategy of combiningclinical and research excellence with business-like disciplinetranslates into excellent patient care for western Pennsylvanians and thepromise of new jobs, new businesses, and a new biotechnology-basedeconomy for the region.9UPMC has been a leader in the application of process improvementdisciplines for health care information technology with a commitmentto CMMI, CoBit, and ITIL. UPMC has pursued a fusion of the longstanding and highly effective tradition of process and quality improvementdriven by world-class clinicians.UPMC’s CMMI experiences have been focused almost exclusively onclosing the gap between the state of the art in process improvementand the state of the practice in the health care industry and UPMC.Adherence to existing CMMI approaches has been highly valuable, yetareas remain where the model is not completely aligned with the realityencountered when serving UPMC’s clinicians and their patients.UPMC’s participation in the International <strong>Process</strong> <strong>Research</strong> Consortium(IPRC) is a welcome opportunity to help the process improvementresearch community to target the key issues that limit progress. In thehealth care industry, challenges remain with the issues of complex systemsof systems from multiple suppliers based on multiple technologiesthat must serve diverse customer usage models in a widely dispersedgeographical area. Clinical and business solutions are needed to interoperatein a semantically consistent, process-efficient manner that permitsUPMC’s best people to remain focused on patient care. UPMC hasgreat expectations that pursuit of excellence, on behalf of the patientsand communities served, will be a common goal shared by processresearchers. Advances in the state of the art of process improvementare needed to address specific health care industry needs. It is UPMC’spleasure and privilege to assist the IPRC in challenging the process researchcommunity to make these process improvements a reality.IPRC <strong>Framework</strong> | Scenarios 103
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A ProcessResearchFrameworkThe Inter
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This report was prepared for theSEI
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viIPRC Framework
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Executive SummaryThe discipline of
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Forces Driving Process Research Fra
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Process Research FrameworkThis docu
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MembersTwenty-seven leaders in indu
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A colleague from SAIC, Ms. Mary Ann
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1Introductionto the Framework
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As the work of the IPRC developed,
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1. The Relationships Between Proces
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2Architecture of theResearch Themes
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Managing Project Processes (Section
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2.2 Instantiating the Core ProcessR
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The product, process, people, and p
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2. These advances will be followed
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2.4 How Each Theme Presentation isS
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3Theme Q:The RelationshipsBetween P
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• security• usability (human-ma
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plan to address the underlying issu
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In addition, processes are effectiv
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Q-13 How do we make well-informed d
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4Theme E: ProcessEngineeringThis th
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create defined 8 processes for spec
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Mechanisms for SpecificationE-5 How
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Research questions associated with
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Research questions associated with
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5Theme P: ManagingProject Processes
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Developing software across borders
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Where higher levels of integration
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5.5.1 Research Node P.1: Operating
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P-6 How do we capture and share exp
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5.5.2 Research Node P.2: Managing T
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- Page 147 and 148: T-46 How do you analyze data collec
- Page 149 and 150: Further Readingand References
- Page 151 and 152: [Boegh 1999]Boegh, J.; Depanfilis,
- Page 153 and 154: [Wang 1999]Wang, W.; Pan, D.; & Che
- Page 155 and 156: [Yoon 2001]Yoon, I.-C.; Min, S.-Y.;
- Page 157 and 158: [Kaba 1995]Kaba, A. B. & Derniame,
- Page 159 and 160: [Becker-Kornstaedt 2002]Becker-Korn
- Page 161 and 162: [Prikladnicki 2003]Prikladnicki, R.
- Page 163 and 164: [Smite 2004]Smite, D. “Global Sof
- Page 165 and 166: [Smith 1996]Smith, M. A.; Mitra, S.
- Page 167 and 168: [Weisbord 1987]Weisbord, M. Product
- Page 169 and 170: Appendix[Beznosov 2005]Beznosov, K.
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Julia AllenVic BasiliBarry BoehmGon