An Adaptive, Entity based Enterprise Architecture Powering Continuous Improvement at Any Scale.

Client Characteristics: Healthcare Aggregator – 35 different healthcare product and service lines, 50+ different Clinical & administrative roles and 5000+ care pathways

The Reference Client was established with a Vision to be – Everything about Health.

Some key facets included:

Integrated Platform: The design principle followed was to have a “SINGLE” platform that caters to every healthcare product and service, covering the entire Prevention, Wellness, Cure & Care spectrum.
Global Scale: The vision was to make this Platform accessible and operational to address the needs of over 4.5 billion people globally. Thus, the Enterprise Architecture and the underlying Technical Architecture was designed for easy globalization, specifically addressing a myriad of regulatory compliances that govern the Healthcare, Pharmaceuticals, and Insurance domains worldwide.
ONEVIEW principle: Each stakeholder (customer, care giver, hospital, pharmacy, insurer, regulator, and the government) journey was crafted leveraging the “ONEVIEW” principle, which enabled the platform to automatically adjust and present a “Singular” view – based on the Information and decision rights of the stakeholder. This enabled the Platform to present the same information but, contextualized to the stakeholder and limited to a need-to-know basis.
Primitives based Architecture: The Architecture was designed to simplify the complexity of a multitude of disparate business workflows by leveraging the principles of “Primitives or the lowest unit of value creation and their orchestration to generate a business outcome”. As represented by this principle, the Architecture provided for agility for decision support, uniform stakeholder experience at any scale, and a continuous self-learning design (the foundations for the GenerativeAI based LLMs). This naturally aligning itself to a future proof design where autonomous machines, artificial intelligence and Natural Language Processing would be the direction of growth for the Platform over the next few decades.

Today, this approach has enabled our reference customer to become the world’s first and only completely integrated Healthcare Platform.

Industry Sector: Healthcare, Wellness and Healthcare Products

Business Driver

The Primary business driver for the adoption of a unique approach to Requirements and derived Enterprise Architecture (and the derived business, technology, and digital architecture) was the wide range of services being orchestrated on a single Platform – Over 35 different healthcare product and service lines, 50+ different Clinical & administrative roles and 5000+ care pathways across three levels of engagement / service delivery:

At Platform – Anything that can be done virtually should be done virtually
At Home – Anything that requires a human touch by a care giver, should be delivered at the convenience of the customer’s home, and,
At Center – Else, facilitate the required care at a hospital or wellness centre

Our Approach to enabling the Business Drivers

In this era of information driven economy paving the path beyond Internet of Things, is the paradigm of Internet of Entities (IOE). These Entities were designed to be at the lowest disaggregation of a value generator that aimed at delivering Stakeholder Delight. This was manifested in Run Time through the orchestration of the entities triggered by a “Doer – either a human or a machine” thus, driving highest level of reuse with the minimal level of technical service design or coding.

This design was amenable to the ensuing data architecture for enabling information and insights and designed on the foundations of value creating Entities.

This design represents the concept of Primitives and formed the basis for the Enterprise Architecture. Thus, all Entities were distinct and at the same time they possess self-similar structures, regardless of level.

Thus, the resultant Enterprise Architecture was designed to provide higher autonomy for decision ability and enable an ecosystem that promotes agility, uniformity of stakeholder experience at any scale, and a continuous self-learning design to ensure Variation limited to Two digits to the right of the decimal (5 Sigma Level or 99.99% defect free operations).

The resultant Enterprise Architecture was expressed through:

A single organization that works as effectively for servicing a single geography or servicing the global market potential ~ from 8 million to >4.5 billion
A continuous self-learning and self-improving design to address the dynamic nature of Business, Sub Business, Roles, Process and Activity without ever impacting agility and stakeholder experience of the services ~ delivered either directly by the client or through alternative delivery models
Clearly defined Value Creating entities, expressed at an instant level (the lowest level possible thus, expressed through billions of instances) that produces data inputs for enabling Information / Intelligence for continuous improvement

The outcome was designed to provide an orchestration of a Graphical Relationship (akin to Graphical Neural Networks) that grows exponentially at a transaction level. This is clearly aligned to the foundations for Artificial Intelligence and actionable insights and follows the principles of the enterprise data models.

To ensure predictability and uniform experience, these Entity were designed at the most granular level of expression. An Entity has relationships to all the resources and stakeholders’ classes – a fundamental construct of the Business Analysis Core Concept ModelTM (BACCM^TM), drawn from BABOK.

The simplicity of the solution aimed to leverage IOE to generate value by transforming inputs and collaborate for resources both in the virtual space and real world and create the desired outputs.

The design guidelines leveraged for the business requirements enumerated as below:

With the disaggregation, the requirements addressed all transformation activities across Virtual (e.g., Tele Consultation), Physical (e.g., care at home) and Information (e.g., Electronic Health Records) dimensions
It was designed to simply have only two actors – The Platform that formed the Stakeholder Interface and triggers an action and, the Ecosystem represented by the Customers and Partners
The Stakeholder Interface was designed as a “Value Exchange” that triggered a “business process or transformation”
The Stakeholder Interface was the “Only” interface / exchange for the Entities to collaborate and produce the desired Transformations to generate desired outcomes
The Platform eliminated organizational hierarchies as it disaggregated all value creation activities to the pre-defined Entities and exchange of the same as warranted (orchestration), as per the directions defined by the Business workflows
6. A Mission Control Center (MCC) for real time visibility into the performance of each of the Entities leveraging our Reference Client’s proprietary 5A Framework (Aspiration, Actual, Analysis, Action & Achievement) driven based on the defined Measurement Filters [covering Quality (Delight), Quantity (Scale), Quick (Speed), Quid (Value), Quiver (Stability) and Quintessence (aggregated)]

Some sample Enterprise Architecture deliverables are enlisted as illustrative Figures.

Outcome delivered

Platform Valuation >$300 million; 100 City Coverage in India and entry into two international locations (designed for a total addressable population of >450 million).

In 2019, December, the Platform was recognized by the Prestigious ICMG Awards for the Best IT Product Architecture, selected by Mr. John Zachman, Father of Modern Enterprise Architecture.

About Us – Vivikta Advisory

Vivikta Advisory: Enterprise Architecture Excellence

Vivikta Advisory embodies the Sanskrit essence of “purity, discernment, and distinguished wisdom” – core attributes of transformative Enterprise Architecture practice. With over 30 years of proven leadership in strategic and tactical organizational transformation, Vivikta delivers business-outcome-focused methodologies across global enterprises.

Proven Global Impact

Portfolio Scale: Led $500M+ transformation programs across 50+ countries, 5 continents
Cross-Disciplinary Expertise: Business Architecture, framework definition, requirements engineering, process reengineering, and digital transformation advisory
Niche Focus: Enterprise Architecture lifecycle governance – Strategy, Capabilities, Governance (excluding solution development/implementation)

AI-Era Architecture Leadership

Vivikta specializes in Business Architecture-led digital transformation, anchoring enterprise-wide:

Capability Mapping & Roadmapping: Aligning business imperatives with architectural foundations
AI/GenAI Readiness: Governance frameworks for responsible AI, MLOps, data architectures
Regulatory Compliance: NIST-aligned risk management, data sovereignty, ethical AI guardrails
Decision Frameworks: Build/Buy, Replace/Reengineer, portfolio rationalization

Methodology Excellence

Anchored in TOGAF, Zachman, Gartner, FEAF best practices, Vivikta’s “Define → Change → Check → Measure → Improve” lifecycle delivers:

20-35% data governance cost reductions through metadata/entity frameworks [from prior analysis]
Sustainability-first, persona-centric process/application designs
ArchOps operationalization for continuous architecture evolution

Vivikta Advisory: Pure EA lifecycle guidance for the intelligent enterprise – where business strategy meets resilient governance in the AI-driven era.

Leveraging these capabilities, we can be our client’s partner of choice for their transformation consulting
initiatives.

Disclaimers

All representative models, delivered architectures, frameworks and artifacts are ownerships of the
represented client. Vivikta Advisory & Creatives has no intellectual property rights on these deliverables. All information provided is to our best knowledge as on date of creating this case representation. Any changes led by business or environmental changes are outside the purview of Vivikta Advisory & Creatives.

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