The article by my friend Mannu Thareja on Process Management is informative and may be useful to follow when processes are to be designed ab-initio.
My only contention in process focussed improvement is - if it is not flowing through system thinking - an approach where processes interact and are looked at from a complexity perspective, one may optimize a process at the cost of system degradation.
First step is really the system study - rather than process study.
Once we have chosen the process - may be the methodology or set of methodologies can lead to holistic management.
My Book on Strategic Decision Making
Applying the Analytic Hierarchy Process
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