HDI Capital Area January 15 2014

75
2/5/14 ©2013 HDI. All rights reserved. Welcome! Updates from HDI Capital Area and HDI Corporate January 15, 2014

Transcript of HDI Capital Area January 15 2014

2/5/14  ©2013  HDI.  All  rights  reserved.  

Welcome!  Updates  from  HDI  Capital  Area  

and  HDI  Corporate    January  15,  2014  

 

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Today’s  Speaker  

•  Dr.  Mah  Fourie  

FINDING THE “ROOT” IN ROOT CAUSE ANALYSIS – A CLIENT CASE

MATT FOURIE THINKING DIMENSIONS

Some of our recent clients... Barclays IT Macquarie ITG Unisys Woolworths IT SGX IT SITA Global BT Financial McDonalds IT Queensland Police IT DBS IT Lockheed Martin Space Systems

•  Thinking Dimensions International - operating KEPNERandFOURIE RCA company initiatives for the last 25 years

•  Specializes in RCA Methodology for IT Incidents, Problems and Projects

AGENDA “Most incident

investigators ask the wrong

questions, so do not change your people

but change the questions they are

asking”

•  Introduction •  Introduce Client Situation •  The Three Skills sets •  The Common Process and Language •  Technical Cause Analysis •  Root Cause Components •  Client outcomes •  Questions & answers

Investigation Info

“It takes a company without a formal and effective Root Cause Analysis culture up to 23 days to repair service incidents”

Aberdeen Group – Boston 2010

AGENDA “Most incident

investigators ask the wrong

questions, so do not change your people

but change the questions they are

asking”

•  Introduction •  Introduce Client Situation •  The Three Skills sets •  The Common Process and Language •  Technical Cause Analysis •  Root Cause Components •  Client outcomes •  Questions & answers

Client Case - PM Improvement

International Investment Bank’s IT PM Division

2009-2012

•  Lack of Stakeholder commitment •  Poor management of information •  Working with poor quality information •  Poor problem investigation support •  Not really solving problems

permanently

•  For P1 & 2 Incidents a PM was assigned immediately •  All Incident & Problem Management Staff trained in some

common process •  Embedded the tools and templates into existing process to

make handover seamless •  Used in-house facilitators to lead PM teams in a very strong

and decisive way

Actions taken…

AGENDA “Most incident

investigators ask the wrong

questions, so do not change your people

but change the questions they are

asking”

•  Introduction •  Introduce Client Situation •  The Three Skills sets •  The Common Process and Language •  Technical Cause Analysis •  Root Cause Components •  Client outcomes •  Questions & answers

PAST   NOW   FUTURE  

TECHNICAL  CAUSE  ANALYSIS   INCIDENT  RESTORATION   ROOT  CAUSE  ANALYSIS  

STANDARD

AGENDA “Most incident

investigators ask the wrong

questions, so do not change your people

but change the questions they are

asking”

•  Introduction •  Introduce Client Situation •  The Three Skills sets •  The Common Process and Language •  Technical Cause Analysis •  Root Cause Components •  Client outcomes •  Questions & answers

Common process •  Everybody uses the same

process for finding causes and solutions

•  The process determines which questions to ask at each step for each type of incident investigation approach

•  Designed for minimalistic information combined with a good focus to provide quick answers

Step  1:    IdenBfy  Problem    SituaBon  

Step  2:    Gather  Incident                InformaBon  

Step  3:    Analyse  Incident    InformaBon  

Step  4:    Determine  Conclusion  

AGENDA “Most incident

investigators ask the wrong

questions, so do not change your people

but change the questions they are

asking”

•  Introduction •  Introduce Client Situation •  The Three Skills sets •  The Common Process and Language •  Technical Cause Analysis •  Root Cause Components •  Client outcomes •  Questions & answers

Extreme Focus With “Specificity” Specificity Rules • One object one fault • Single-minded & simplistic • Highly focused • Must find the correct entry point • Ask a question – expect an answer

Object   Fault  Servers   Not  communicaBng  

Data  not  transferred    Sent  but  not  received  by  receiving  servers  

Data  for  Large  Outlets   Not  received  

Sales  turnover  numbers  for  Large  Outlets  

Not  received  

Extreme Focus With “Specificity” Specificity Rules • One object one fault • Single-minded & simplistic • Highly focused • Must find the correct entry point • Ask a question – expect an answer

Object Fault Murex Chip Produces latency

Transactions queuing up TX’s taking longer than 100 milliseconds

Transactions Takes longer to process

“Futures” transactions

Takes longer to process

Thinking more specifically… Incident Statement

Technical Cause

Root Cause

Internet Banking Degrading

New browser configuration issue

Integrative testing not done properly

Encrypted “hello” message not returned

‘Beta’ Certificate used

Policy requirements for “production” environment not adhered to

Thinking more specifically…

Incident  Statement   Technical  Cause   Root  Cause  

G-­‐Force  System  Freezing  

High  volume   Too  many  users  allowed  access  

G-­‐Force  SQL  DB  thread  count  exceeding  maximum  count  

G-­‐Force  program  not  closing  out  threads  

Vendor  implemented  an  untested  program  update    

Crea:ng  Intelligence  

DATA  

IS  

Internet  Banking  

Slow  

APAC  users  

Started  Oct  1  

ConBnuous  

INFORMATION  

BUT  NOT  

Intranet  Banking  

Freezing  

USA,  UK  

Before  

Awer  4pm    

KNOWLEDGE  

WHY  NOT  

Different  rouBng  SSL  handshake  

Volume?  

ADSL  lines  

New  passwords  

Different  rouBng  

Unexpected Outcomes • “BUT NOT” clarifies the facts • Creates a curious “contrast” • Looking at answers at a “granular level” • Stimulates deductive reasoning

Example of templates with questions

“Minimalistic principle”.. •  Only need to analyse the information that

would be relevant to the incident •  Worked questions within a customised

“factor analysis” framework •  Get a quick factual “snapshot” of the

characteristics of the incident and then use SME experience and gut feel to explain the snapshot

•  Test SME inputs against logic of snapshot

“Too much information can cause confusion.

The key is to get all the relevant information only

and that is normally substantially less than

gathering all the Information.”

Innovation – the FreeZone thinking experience. by Kepner & Fourie

Snapshot info for causes IS   BUT  

NOT  WHY  NOT  

OBJECT  

FAULT  

USERS  

WHERE  

TIMING  

PATTERN  

CYCLE  

OBJECT – What object and which other object(s) not?

FAULT – What fault and which other typical faults not?

USERS – Who has the problem and who does not?

WHERE – Where are these users and where could they have been but are not?

TIMING – When did it happen first time and when not?

PATTERN – What is the pattern of faults and what could it have been but is not?

CYCLE – In which cycle does the problem occur and in which cycle does it not occur?

CauseWise sample  DIMENSION  

IS   BUT  NOT   WHY  NOT   Possible  Causes  &  Tes:ng  

Object  

Fault  

Loc  of  Object  

Timing  

Pahern  

Life  Cycle  

Phase  of  Work  

CauseWise sample  DIMENSION  

IS   BUT  NOT   WHY  NOT   Possible  Causes  &  Tes:ng  

Object   Fireburst  V2.0  connecBon    

Fault  

Loc  of  Object  

Timing  

Pahern  

Life  Cycle  

Phase  of  Work  

 DIMENSION  

IS   BUT  NOT   WHY  NOT   Possible  Causes  &  Tes:ng  

Object   Fireburst  V2.0  connecBon    

E-­‐Express,  Mango  connecBons  

Fault  

Loc  of  Object  

Timing  

Pahern  

Life  Cycle  

Phase  of  Work  

 DIMENSION  

IS   BUT  NOT   WHY  NOT   Possible  Causes  &  Tes:ng  

Object   Fireburst  V2.0  connecBon    

E-­‐Express,  Mango  connecBons  

F/B  upgrade  from  V1  to  V2,  Poor  tesBng  issue  

Fault  

Loc  of  Object  

Timing  

Pahern  

Life  Cycle  

Phase  of  Work  

DIMENSION

IS BUT NOT WHY NOT Possible Causes & Testing

Object

Fireburst V2.0 connection

E-Express, Mango connections

F/B upgrade from V1 to V2, Poor testing issue

Fault dropping Freezing, slow Time out settings, configuration of drivers

Loc of Object

Timing

Pattern

Life Cycle

Phase of Work

DIMENSION

IS BUT NOT WHY NOT Possible Causes & Testing

Object

Fireburst V2.0 connection

E-Express, Mango connections

F/B upgrade from V1 to V2, Poor testing issue

Fault dropping Freezing, slow Time out settings, configuration of drivers

Loc of Object

ANZ, USA, UK

Asia LAN, Proxy server issues, F/Wall rules

Timing

Pattern

Life Cycle

Phase of Work

DIMENSION

IS BUT NOT WHY NOT Possible Causes & Testing

Object

Fireburst V2.0 connection

E-Express, Mango connections

F/B upgrade from V1 to V2, Poor testing issue

Fault dropping Freezing, slow Time out settings, configuration of drivers

Loc of Object

ANZ, USA, UK

Asia LAN, Proxy server issues, F/Wall rules

Timing

Monday, Sept 2nd with SOB

Any time earlier than Sept 2nd

Java upgrade, Netscape upgrade

Pattern

Life Cycle

Phase of Work

DIMENSION

IS BUT NOT WHY NOT Possible Causes & Testing

Object

Fireburst V2.0 connection

E-Express, Mango connections

F/B upgrade from V1 to V2, Poor testing issue

Fault dropping Freezing, slow Time out settings, configuration of drivers

Loc of Object

ANZ, USA, UK

Asia LAN, Proxy server issues, F/Wall rules

Timing

Monday, Sept 2nd with SOB

Any time earlier than Sept 2nd

Java upgrade, Netscape upgrade

Pattern

Continuous Sporadic, Periodic

Don’t know

Life Cycle

Phase of Work

DIMENSION

IS BUT NOT WHY NOT Possible Causes & Testing

Object

Fireburst V2.0 connection

E-Express, Mango connections

F/B upgrade from V1 to V2, Poor testing issue

Fault dropping Freezing, slow Time out settings, configuration of drivers

Loc of Object

ANZ, USA, UK

Asia LAN, Proxy server issues, F/Wall rules

Timing

Monday, Sept 2nd with SOB

Any time earlier than Sept 2nd

Java upgrade, Netscape upgrade

Pattern

Continuous Sporadic, Periodic

Don’t know

Life Cycle

When doing a transaction

“x” time into transaction

Operator error, Code error on a specific page

Phase of Work

DIMENSION

IS BUT NOT WHY NOT Possible Causes & Testing

Object

Fireburst V2.0 connection

E-Express, Mango connections

F/B upgrade from V1 to V2, Poor testing issue

Fault dropping Freezing, slow Time out settings, configuration of drivers

Loc of Object

ANZ, USA, UK

Asia LAN, Proxy server issues, F/Wall rules

Timing

Monday, Sept 2nd with SOB

Any time earlier than Sept 2nd

Java upgrade, Netscape upgrade

Pattern

Continuous Sporadic, Periodic

Don’t know

Life Cycle

When doing a transaction

“x” time into transaction

Operator error, Code error on a specific page

Phase of Work

Just after logging in

Logging in or out

OS configuration issue, DNS issue

DIMENSION

IS BUT NOT WHY NOT Possible Causes & Testing

Object

Fireburst V2.0 connection

E-Express, Mango connections

F/B upgrade from V1 to V2, Poor testing issue

1. Proxy server tampered with during the Java upgrade on the LAN

Fault dropping Freezing, slow Time out settings, configuration of drivers

Loc of Object

ANZ, USA, UK

Asia LAN, Proxy server issues, F/Wall rules

Timing

Monday, Sept 2nd with SOB

Any time earlier than Sept 2nd

Java upgrade, Netscape upgrade

Pattern

Continuous Sporadic, Periodic

Don’t know

Life Cycle

When doing a transaction

“x” time into transaction

Operator error, Code error on a specific page

Phase of Work

Just after logging in

Logging in or out

OS configuration issue, DNS issue

DIMENSION

IS BUT NOT WHY NOT Possible Causes & Testing

Object

Fireburst V2.0 connection

E-Express, Mango connections

F/B upgrade from V1 to V2, Poor testing issue

1. Proxy server tampered with during the Java upgrade on the LAN

Fault dropping Freezing, slow Time out settings, configuration of drivers

Loc of Object

ANZ, USA, UK

Asia LAN, Proxy server issues, F/Wall rules

2. Java upgrade caused driver incompatibility with Fireburst website V2.0

Timing

Monday, Sept 2nd with SOB

Any time earlier than Sept 2nd

Java upgrade, Netscape upgrade

Pattern

Continuous Sporadic, Periodic

Don’t know

Life Cycle

When doing a transaction

“x” time into transaction

Operator error, Code error on a specific page

Phase of Work

Just after logging in

Logging in or out

OS configuration issue, DNS issue

DIMENSION

IS BUT NOT WHY NOT Possible Causes & Testing

Object

Fireburst V2.0 connection

E-Express, Mango connections

F/B upgrade from V1 to V2, Poor testing issue

1. Proxy server tampered with during the Java upgrade on the LAN

Fault dropping Freezing, slow Time out settings, configuration of drivers

Loc of Object

ANZ, USA, UK

Asia LAN, Proxy server issues, F/Wall rules

2. Java upgrade caused driver incompatibility with Fireburst website V2.0

Timing

Monday, Sept 2nd with SOB

Any time earlier than Sept 2nd

Java upgrade, Netscape upgrade

Pattern

Continuous Sporadic, Periodic

Don’t know 3. Netscape upgrade caused driver incompatibility with Fireburst website V2.0

Life Cycle

When doing a transaction

“x” time into transaction

Operator error, Code error on a specific page

Phase of Work

Just after logging in

Logging in or out

OS configuration issue, DNS issue

DIMENSION

IS BUT NOT WHY NOT Possible Causes & Testing

Object

Fireburst V2.0 connection

E-Express, Mango connections

F/B upgrade from V1 to V2, Poor testing issue

1. Proxy server tampered with during the Java upgrade on the LAN

Fault dropping Freezing, slow Time out settings, configuration of drivers

X

Loc of Object

ANZ, USA, UK

Asia LAN, Proxy server issues, F/Wall rules

2. Java upgrade caused driver incompatibility with Fireburst website V2.0

Timing

Monday, Sept 2nd with SOB

Any time earlier than Sept 2nd

Java upgrade, Netscape upgrade

Pattern

Continuous Sporadic, Periodic

Don’t know 3. Netscape upgrade caused driver incompatibility with Fireburst website V2.0

Life Cycle

When doing a transaction

“x” time into transaction

Operator error, Code error on a specific page

Phase of Work

Just after logging in

Logging in or out

OS configuration issue, DNS issue

DIMENSION

IS BUT NOT WHY NOT Possible Causes & Testing

Object

Fireburst V2.0 connection

E-Express, Mango connections

F/B upgrade from V1 to V2, Poor testing issue

1. Proxy server tampered with during the Java upgrade on the LAN

Fault dropping Freezing, slow Time out settings, configuration of drivers

X

Loc of Object

ANZ, USA, UK

Asia LAN, Proxy server issues, F/Wall rules

2. Java upgrade caused driver incompatibility with Fireburst website V2.0

Timing

Monday, Sept 2nd with SOB

Any time earlier than Sept 2nd

Java upgrade, Netscape upgrade

√ √ X

Pattern

Continuous Sporadic, Periodic

Don’t know 3. Netscape upgrade caused driver incompatibility with Fireburst website V2.0

Life Cycle

When doing a transaction

“x” time into transaction

Operator error, Code error on a specific page

Phase of Work

Just after logging in

Logging in or out

OS configuration issue, DNS issue

DIMENSION

IS BUT NOT WHY NOT Possible Causes & Testing

Object

Fireburst V2.0 connection

E-Express, Mango connections

F/B upgrade from V1 to V2, Poor testing issue

1. Proxy server tampered with during the Java upgrade on the LAN

Fault dropping Freezing, slow Time out settings, configuration of drivers

X

Loc of Object

ANZ, USA, UK

Asia LAN, Proxy server issues, F/Wall rules

2. Java upgrade caused driver incompatibility with Fireburst website V2.0

Timing

Monday, Sept 2nd with SOB

Any time earlier than Sept 2nd

Java upgrade, Netscape upgrade

√ √ X

Pattern

Continuous Sporadic, Periodic

Don’t know 3. Netscape upgrade caused driver incompatibility with Fireburst website V2.0

Life Cycle

When doing a transaction

“x” time into transaction

Operator error, Code error on a specific page

√ √ A1 √ √ √ √

A1- Only if the staff in Asia did not upgrade to Netscape

Phase of Work

Just after logging in

Logging in or out

OS configuration issue, DNS issue

AGENDA “Most incident

investigators ask the wrong

questions, so do not change your people

but change the questions they are

asking”

•  Introduction •  Introduce Client Situation •  The Three Skills sets •  The Common Process and Language •  Technical Cause Analysis •  Root Cause Components •  Client outcomes •  Questions & answers

Stair stepping… 3. Netscape upgrade caused driver incompatibility with Fireburst website V2.0

Installed the wrong driver WHY?  

WHY?   Driver Specs not correct

Don’t Know WHY?  

COMPONENT CAUSAL FACTORS Decision Making DM Process and Collaboration for inputs

Implementation issues Resourcing Issues and Scope & Definition of project

Standard Operating Procedures

Applicability of SOP, Awareness of SOP and Documentation

Management Management of Work and Management of Staff

Measurement Key Performance Indicators (KPI’s) and Roles & Responsibilities

Support Internal Support and External Vendor support

Communications Clarity of communications and verbal instructions

Work Environment Task Interference and consequences of doing the task

Skills Complexity needed and applicability of person to task

Testing Practices Testing Procedures and Testing Requirements

Personal Aptitude for job and Attitude towards the job

Root Cause Analysis Components

COMPONENT CAUSAL FACTORS Decision Making DM Process and Collaboration for inputs

Implementation issues Resourcing Issues and Scope & Definition of project

Standard Operating Procedures

Applicability of SOP, Awareness of SOP and Documentation

Management Management of Work and Management of Staff

Measurement Key Performance Indicators (KPI’s) and Roles & Responsibilities

Support Internal Support and External Vendor support

Communications Clarity of communications and verbal instructions

Work Environment Task Interference and consequences of doing the task

Skills Complexity needed and applicability of person to task

Testing Practices Testing Procedures and Testing Requirements

Personal Aptitude for job and Attitude towards the job

Root Cause Analysis Components

COMPONENT CAUSAL FACTORS Decision Making DM Process and Collaboration for inputs

Implementation issues Resourcing Issues and Scope & Definition of project

Standard Operating Procedures

Applicability of SOP, Awareness of SOP and Documentation

Management Management of Work and Management of Staff

Measurement Key Performance Indicators (KPI’s) and Roles & Responsibilities

Support Internal Support and External Vendor support

Communications Clarity of communications and verbal instructions

Work Environment Task Interference and consequences of doing the task

Skills Complexity needed and applicability of person to task

Testing Practices Testing Procedures and Testing Requirements

Personal Aptitude for job and Attitude towards the job

Root Cause Analysis Components

Snapshot info for Solutions Key  Requirements  1  Best  data  transfer  rate  

2    No  loss  of  data  

3    Improve  system  up-­‐Bme  

4  Improve  trickle  &  purge  

5  Reduce  DR  Bme  

6  Capex  <  $2m  

7  Implement  <  3  mos  

Four Question Drill •  What are the results you want to

achieve with this solution? •  What are the existing problems you

would like to remove with this solution?

•  What are the potential risks you would like to avoid with this solution?

•  What money and time do you have or do you need to preserve? What are the restrictions out of your control?

Snapshot info for Solutions Key  Requirements  1  Best  data  transfer  rate  

2    No  loss  of  data  

3    Improve  system  up-­‐Bme  

4  Improve  trickle  &  purge  

5  Reduce  DR  Bme  

6  Capex  <  $2m  

7  Implement  <  3  mos  

Questions for Actions •  What action can we take today and

implement tomorrow that would meet the 1st requirement? (repeat)

•  What action can we take today and implement tomorrow that would meet the 2nd requirement? (repeat)

•  Looking at all the actions, which one(s) would satisfy the 1st requirement best?

•  Which actions has got nothing to do with the 1st requirement?

•  Looking at all the actions, which one(s) would satisfy the 2st requirement best?

•  Repeat for each requirement…

Snapshot info for Solutions Key  Requirements  

1   2   3   4   5   6   7   8  

1  Best  data  transfer  rate  

2    No  loss  of  data  

3    Improve  system  up-­‐Bme  

4  Improve  trickle  &  purge  

5  Reduce  DR  Bme  

6  Capex  <  $2m  

7  Implement  <  3  mos  

Questions for Actions •  What action can we take today and

implement tomorrow that would meet the 1st requirement? (repeat)

•  What action can we take today and implement tomorrow that would meet the 2nd requirement? (repeat)

•  Looking at all the actions, which one(s) would satisfy the 1st requirement best?

•  Which actions has got nothing to do with the 1st requirement?

•  Looking at all the actions, which one(s) would satisfy the 2st requirement best?

•  Repeat for each requirement…

Snapshot info for Solutions Key  Requirements  

1   2   3   4   5   6   7   8  

1  Best  data  transfer  rate  

3   3  

2    No  loss  of  data  

3    Improve  system  up-­‐Bme  

4  Improve  trickle  &  purge  

5  Reduce  DR  Bme  

6  Capex  <  $2m  

7  Implement  <  3  mos  

Questions for Actions •  What action can we take today and

implement tomorrow that would meet the 1st requirement? (repeat)

•  What action can we take today and implement tomorrow that would meet the 2nd requirement? (repeat)

•  Looking at all the actions, which one(s) would satisfy the 1st requirement best?

•  Which actions has got nothing to do with the 1st requirement?

•  Looking at all the actions, which one(s) would satisfy the 2st requirement best?

•  Repeat for each requirement…

Snapshot info for Solutions Key  Requirements  

1   2   3   4   5   6   7   8  

1  Best  data  transfer  rate  

3   3   0   0   0   0   0  

2    No  loss  of  data  

3    Improve  system  up-­‐Bme  

4  Improve  trickle  &  purge  

5  Reduce  DR  Bme  

6  Capex  <  $2m  

7  Implement  <  3  mos  

Questions for Actions •  What action can we take today and

implement tomorrow that would meet the 1st requirement? (repeat)

•  What action can we take today and implement tomorrow that would meet the 2nd requirement? (repeat)

•  Looking at all the actions, which one(s) would satisfy the 1st requirement best?

•  Which actions has got nothing to do with the 1st requirement?

•  Looking at all the actions, which one(s) would satisfy the 2st requirement best?

•  Repeat for each requirement…

Snapshot info for Solutions Key  Requirements  

1   2   3   4   5   6   7   8  

1  Best  data  transfer  rate  

3   3   0   1   0   0   0   0  

2    No  loss  of  data  

3    Improve  system  up-­‐Bme  

4  Improve  trickle  &  purge  

5  Reduce  DR  Bme  

6  Capex  <  $2m  

7  Implement  <  3  mos  

Questions for Actions •  What action can we take today and

implement tomorrow that would meet the 1st requirement? (repeat)

•  What action can we take today and implement tomorrow that would meet the 2nd requirement? (repeat)

•  Looking at all the actions, which one(s) would satisfy the 1st requirement best?

•  Which actions has got nothing to do with the 1st requirement?

•  Looking at all the actions, which one(s) would satisfy the 2st requirement best?

•  Repeat for each requirement…

Snapshot info for Solutions Key  Requirements  

1   2   3   4   5   6   7   8  

1  Best  data  transfer  rate  

3   3   0   1   0   0   0   0  

2    No  loss  of  data   0   3   3   0   0   1   2   2  

3    Improve  system  up-­‐Bme  

1   2   1   0   3   1   2   1  

4  Improve  trickle  &  purge  

2   2   3   1   0   0   0   0  

5  Reduce  DR  Bme   1   1   3   2   1   1   3   1  

6  Capex  <  $2m   3   1   2   2   1   0   3   1  

7  Implement  <  3  mos   0   3   0   0   0   1   3   3  

Questions for Actions •  What action can we take today and

implement tomorrow that would meet the 1st requirement? (repeat)

•  What action can we take today and implement tomorrow that would meet the 2nd requirement? (repeat)

•  Looking at all the actions, which one(s) would satisfy the 1st requirement best?

•  Which actions has got nothing to do with the 1st requirement?

•  Looking at all the actions, which one(s) would satisfy the 2st requirement best?

•  Repeat for each requirement…

Snapshot info for Solutions Key  Requirements  

1   2   3   4   5   6   7   8  

1  Best  data  transfer  rate  

3   3   0   1   0   0   0   0  

2    No  loss  of  data   0   3   3   0   0   1   2   2  

3    Improve  system  up-­‐Bme  

1   2   1   0   3   1   2   1  

4  Improve  trickle  &  purge  

2   2   3   1   0   0   0   0  

5  Reduce  DR  Bme   1   1   3   2   1   1   3   1  

6  Capex  <  $2m   3   1   2   2   1   0   3   1  

7  Implement  <  3  mos   0   3   0   0   0   1   3   3  

Develop the new solution •  Circle the best performing areas to

give you a visual impact of best performing actions.

Snapshot info for Solutions Key  Requirements  

1   2   3   4   5   6   7   8  

1  Best  data  transfer  rate  

3   3   0   1   0   0   0   0  

2    No  loss  of  data   0   3   3   0   0   1   2   2  

3    Improve  system  up-­‐Bme  

1   2   1   0   3   1   2   1  

4  Improve  trickle  &  purge  

2   2   3   1   0   0   0   0  

5  Reduce  DR  Bme   1   1   3   2   1   1   3   1  

6  Capex  <  $2m   3   1   2   2   1   0   3   1  

7  Implement  <  3  mos   0   3   0   0   0   1   3   3  

Develop the new solution •  Circle the best performing areas to

give you a visual impact of best performing actions.

•  ASK: Which combination of actions would give you at least one [3] for each requirement? Look for at least 3-4 actions to combine

•  Lastly, which action(s) do we have to add to the mix to make the suggested solution even more effective?

Snapshot info for Solutions Key  Requirements  

1   2   3   4   5   6   7   8  

1  Best  data  transfer  rate  

3   3   0   1   0   0   0   0  

2    No  loss  of  data   0   3   3   0   0   1   2   2  

3    Improve  system  up-­‐Bme  

1   2   1   0   3   1   2   1  

4  Improve  trickle  &  purge  

2   2   3   1   0   0   0   0  

5  Reduce  DR  Bme   1   1   3   2   1   1   3   1  

6  Capex  <  $2m   3   1   2   2   1   0   3   1  

7  Implement  <  3  mos   0   3   0   0   0   1   3   3  

The  Solu.on!    •  Which  combinaBon  of  acBons  makes  

the  best  sense  and  would  provide  the  best  chance  of  success?  

•  Check  whether  your  suggested  soluBon  would  saBsfy  all  the  requirements.  Also  check  impact  on  implementaBon  costs  

•  How  would  you  suggest  we  implement  these  acBons?  

AGENDA “Most incident

investigators ask the wrong

questions, so do not change your people

but change the questions they are

asking”

•  Introduction •  Introduce Client Situation •  The Three Skills sets •  The Common Process and Language •  Technical Cause Analysis •  Root Cause Components •  Client outcomes •  Questions & answers

Application Performance results

0  

10  

20  

30  

40  

50  

60  

70  

80  

90  

100  

Mean-­‐Bme-­‐to-­‐repair  

Improvement  m-­‐t-­‐t-­‐r  

Availability  

Our client’s systems availability went from 76% at the end of 2009 to 88% end 2010 to eventually 95% at the end of 2012 – A gain of 19%

2009                    2010                      2012  

Improvement in escalations

0  

10  

20  

30  

40  

50  

60  

70  

80  

90  

Sev  3  to  Sev  2   Sev2  to  Sev  1   Recurring  problems  

Vendor  Interven:ons  

In our client’s case the P2 to P1 escalations dropped by 38% Recurring incidents dropped by 21% P3 to P2 escalations dropped by 19%

Lessons learned.. •  Most of the recurring incidents and problems are caused by “out of date

procedures” and lack of proper documentation •  TCA is a “mental orientation” which people have to get trained in – “does not

come with experience” •  IT professionals need a “thinking approach” that could be applied in most

situations •  Rules of Engagement to become a standing order •  Encourage use in all incident investigation meetings – ask for the

paperwork/evidence •  Sponsors continuous TCA/RCA training •  Regular email communications to publish successes

Questions & Answers

I thank you for your time!