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1Qlik as a functional clinical decision support engine for the healthcare industry aginic.com
2Qlik as a functional clinical decision support engine for the healthcare industry aginic.com 2AginicDS
James Hayes
Agile Coach and Delivery Leader
Game of Thrones Fan
james@aginicds.com
@aginicds
3Qlik as a functional clinical decision support engine for the healthcare industry aginic.com 3AginicDS
The golden rule of today….
Copyright HBO. Images sourced from Wikipedia
4Qlik as a functional clinical decision support engine for the healthcare industry aginic.com
A quick intro to GoT
Images sourced from Wikipedia
5Qlik as a functional clinical decision support engine for the healthcare industry aginic.com 5AginicDS
Each team has a different focus
Copyright HBO. Images sourced from Wikipedia
6Qlik as a functional clinical decision support engine for the healthcare industry aginic.com 6AginicDS
There’s even operational support
7Qlik as a functional clinical decision support engine for the healthcare industry aginic.com 7AginicDS
There are many competitors
8Qlik as a functional clinical decision support engine for the healthcare industry aginic.com 8AginicDS
Disruptive threats to the market
Copyright HBO. Images sourced from Wikipedia
9Qlik as a functional clinical decision support engine for the healthcare industry aginic.com 9AginicDS
Complex, changing landscape
10Qlik as a functional clinical decision support engine for the healthcare industry aginic.com
They should collaborate…
Copyright HBO.
11Qlik as a functional clinical decision support engine for the healthcare industry aginic.com
But instead they fight over this..
Copyright HBO.
Inward focus limits
understanding of
true context
Individual Tribe
goals take priority
over the collective
good
12Qlik as a functional clinical decision support engine for the healthcare industry aginic.comAginicDS 12
Luckily, we have shared values
13Qlik as a functional clinical decision support engine for the healthcare industry aginic.com 13AginicDS
Our end result?
14Qlik as a functional clinical decision support engine for the healthcare industry aginic.com 14AginicDS
What our “clans” might look like:
Image Credit: Henrik Kniberg and Anders Ivarsson
15Qlik as a functional clinical decision support engine for the healthcare industry aginic.com 15AginicDS
Starting point: high performing teams
● Identity and Culture
● Common Purpose
● Established cadence
● Tacit knowledge
● So…..Why bother speaking to anyone
else?
Copyright HBO. Low res screenshot sourced from Pinterest
16Qlik as a functional clinical decision support engine for the healthcare industry aginic.com 16AginicDS
Tribalism starts to emerge
● Cliques form
● Inward focus
● Trust degrades
● Divergent from wider purpose
● What happens when we need to collaborate?
17Qlik as a functional clinical decision support engine for the healthcare industry aginic.com 17AginicDS
Cross team collaboration
Images sourced from Wikipedia
18Qlik as a functional clinical decision support engine for the healthcare industry aginic.com 18AginicDS
Organisational response
● Program Managers arrive
● “Agile doesn’t scale”
● Frameworks applied
● Process wars erupt
● Agile vs Design Thinking vs Product
Copyright HBO. Low res screenshot sourced from
Pinterest
19Qlik as a functional clinical decision support engine for the healthcare industry aginic.com
20Qlik as a functional clinical decision support engine for the healthcare industry aginic.comAginicDS 20
Preventing the Game of Scrums
21Qlik as a functional clinical decision support engine for the healthcare industry aginic.com 21AginicDS
Integral Agile: some examples
4. Lean
UX
3.OKRs &
Hackdays
Agile
Organisations
2. The Quad 1. Boomerangs
22Qlik as a functional clinical decision support engine for the healthcare industry aginic.com 22AginicDS
1. Encouraging collaboration
Practices Image sourced from Wikipedia
23Qlik as a functional clinical decision support engine for the healthcare industry aginic.com 23AginicDS
1. Encouraging collaboration:
Boomerangs
Practices
24Qlik as a functional clinical decision support engine for the healthcare industry aginic.com 24AginicDS
2. Balanced perspectives:
The Quad
Delivery
Leader
UX
(or Architect for
non customer facing)
Technical
Lead
Product Owner
People
&
Mindset
25Qlik as a functional clinical decision support engine for the healthcare industry aginic.com 25AginicDS
2. The Quad: example
People
&
Mindset
26Qlik as a functional clinical decision support engine for the healthcare industry aginic.com 26AginicDS
3. Visions from the fire?
Team
Culture
Images sourced from pixabay.com
27Qlik as a functional clinical decision support engine for the healthcare industry aginic.com 27AginicDS
3. OKRs encourage focus
• Co-creation
• Targets that create excitement
• Clear measures and Focus
• Cadence for measurement &
reflection
Team
Culture
28Qlik as a functional clinical decision support engine for the healthcare industry aginic.com 28AginicDS
3. Shared hackday
• Understand the Problem
• Challenge Assumptions
• Art of the Possible
• Build Collaboration
Team
Culture
29Qlik as a functional clinical decision support engine for the healthcare industry aginic.com 29AginicDS
3. Hackdays: some lessons learned
• Invest in the setup
• Set Expectations
• Share & Act on Outcomes
Team
Culture
30Qlik as a functional clinical decision support engine for the healthcare industry aginic.com 30AginicDS
4. Beyond the wall: engaging with
customers
● Regular contact with customers
● Small frequent customer research
● Aligning Design Thinking, Product
and Agile
Environment
31Qlik as a functional clinical decision support engine for the healthcare industry aginic.com 31AginicDS
Recap: when doing this..
Image Credit: Henrik Kniberg and Anders Ivarsson
32Qlik as a functional clinical decision support engine for the healthcare industry aginic.com 32AginicDS
Consider this
33Qlik as a functional clinical decision support engine for the healthcare industry aginic.com 33AginicDS
Less of this
34Qlik as a functional clinical decision support engine for the healthcare industry aginic.com 34AginicDS
More of this
35Qlik as a functional clinical decision support engine for the healthcare industry aginic.comAginicDS 35
Any Questions?
?
36Qlik as a functional clinical decision support engine for the healthcare industry aginic.comaginic.com 36
Thank
you!

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Game of Scrums

  • 1. 1Qlik as a functional clinical decision support engine for the healthcare industry aginic.com
  • 2. 2Qlik as a functional clinical decision support engine for the healthcare industry aginic.com 2AginicDS James Hayes Agile Coach and Delivery Leader Game of Thrones Fan james@aginicds.com @aginicds
  • 3. 3Qlik as a functional clinical decision support engine for the healthcare industry aginic.com 3AginicDS The golden rule of today…. Copyright HBO. Images sourced from Wikipedia
  • 4. 4Qlik as a functional clinical decision support engine for the healthcare industry aginic.com A quick intro to GoT Images sourced from Wikipedia
  • 5. 5Qlik as a functional clinical decision support engine for the healthcare industry aginic.com 5AginicDS Each team has a different focus Copyright HBO. Images sourced from Wikipedia
  • 6. 6Qlik as a functional clinical decision support engine for the healthcare industry aginic.com 6AginicDS There’s even operational support
  • 7. 7Qlik as a functional clinical decision support engine for the healthcare industry aginic.com 7AginicDS There are many competitors
  • 8. 8Qlik as a functional clinical decision support engine for the healthcare industry aginic.com 8AginicDS Disruptive threats to the market Copyright HBO. Images sourced from Wikipedia
  • 9. 9Qlik as a functional clinical decision support engine for the healthcare industry aginic.com 9AginicDS Complex, changing landscape
  • 10. 10Qlik as a functional clinical decision support engine for the healthcare industry aginic.com They should collaborate… Copyright HBO.
  • 11. 11Qlik as a functional clinical decision support engine for the healthcare industry aginic.com But instead they fight over this.. Copyright HBO. Inward focus limits understanding of true context Individual Tribe goals take priority over the collective good
  • 12. 12Qlik as a functional clinical decision support engine for the healthcare industry aginic.comAginicDS 12 Luckily, we have shared values
  • 13. 13Qlik as a functional clinical decision support engine for the healthcare industry aginic.com 13AginicDS Our end result?
  • 14. 14Qlik as a functional clinical decision support engine for the healthcare industry aginic.com 14AginicDS What our “clans” might look like: Image Credit: Henrik Kniberg and Anders Ivarsson
  • 15. 15Qlik as a functional clinical decision support engine for the healthcare industry aginic.com 15AginicDS Starting point: high performing teams ● Identity and Culture ● Common Purpose ● Established cadence ● Tacit knowledge ● So…..Why bother speaking to anyone else? Copyright HBO. Low res screenshot sourced from Pinterest
  • 16. 16Qlik as a functional clinical decision support engine for the healthcare industry aginic.com 16AginicDS Tribalism starts to emerge ● Cliques form ● Inward focus ● Trust degrades ● Divergent from wider purpose ● What happens when we need to collaborate?
  • 17. 17Qlik as a functional clinical decision support engine for the healthcare industry aginic.com 17AginicDS Cross team collaboration Images sourced from Wikipedia
  • 18. 18Qlik as a functional clinical decision support engine for the healthcare industry aginic.com 18AginicDS Organisational response ● Program Managers arrive ● “Agile doesn’t scale” ● Frameworks applied ● Process wars erupt ● Agile vs Design Thinking vs Product Copyright HBO. Low res screenshot sourced from Pinterest
  • 19. 19Qlik as a functional clinical decision support engine for the healthcare industry aginic.com
  • 20. 20Qlik as a functional clinical decision support engine for the healthcare industry aginic.comAginicDS 20 Preventing the Game of Scrums
  • 21. 21Qlik as a functional clinical decision support engine for the healthcare industry aginic.com 21AginicDS Integral Agile: some examples 4. Lean UX 3.OKRs & Hackdays Agile Organisations 2. The Quad 1. Boomerangs
  • 22. 22Qlik as a functional clinical decision support engine for the healthcare industry aginic.com 22AginicDS 1. Encouraging collaboration Practices Image sourced from Wikipedia
  • 23. 23Qlik as a functional clinical decision support engine for the healthcare industry aginic.com 23AginicDS 1. Encouraging collaboration: Boomerangs Practices
  • 24. 24Qlik as a functional clinical decision support engine for the healthcare industry aginic.com 24AginicDS 2. Balanced perspectives: The Quad Delivery Leader UX (or Architect for non customer facing) Technical Lead Product Owner People & Mindset
  • 25. 25Qlik as a functional clinical decision support engine for the healthcare industry aginic.com 25AginicDS 2. The Quad: example People & Mindset
  • 26. 26Qlik as a functional clinical decision support engine for the healthcare industry aginic.com 26AginicDS 3. Visions from the fire? Team Culture Images sourced from pixabay.com
  • 27. 27Qlik as a functional clinical decision support engine for the healthcare industry aginic.com 27AginicDS 3. OKRs encourage focus • Co-creation • Targets that create excitement • Clear measures and Focus • Cadence for measurement & reflection Team Culture
  • 28. 28Qlik as a functional clinical decision support engine for the healthcare industry aginic.com 28AginicDS 3. Shared hackday • Understand the Problem • Challenge Assumptions • Art of the Possible • Build Collaboration Team Culture
  • 29. 29Qlik as a functional clinical decision support engine for the healthcare industry aginic.com 29AginicDS 3. Hackdays: some lessons learned • Invest in the setup • Set Expectations • Share & Act on Outcomes Team Culture
  • 30. 30Qlik as a functional clinical decision support engine for the healthcare industry aginic.com 30AginicDS 4. Beyond the wall: engaging with customers ● Regular contact with customers ● Small frequent customer research ● Aligning Design Thinking, Product and Agile Environment
  • 31. 31Qlik as a functional clinical decision support engine for the healthcare industry aginic.com 31AginicDS Recap: when doing this.. Image Credit: Henrik Kniberg and Anders Ivarsson
  • 32. 32Qlik as a functional clinical decision support engine for the healthcare industry aginic.com 32AginicDS Consider this
  • 33. 33Qlik as a functional clinical decision support engine for the healthcare industry aginic.com 33AginicDS Less of this
  • 34. 34Qlik as a functional clinical decision support engine for the healthcare industry aginic.com 34AginicDS More of this
  • 35. 35Qlik as a functional clinical decision support engine for the healthcare industry aginic.comAginicDS 35 Any Questions? ?
  • 36. 36Qlik as a functional clinical decision support engine for the healthcare industry aginic.comaginic.com 36 Thank you!