The document discusses creating an integrated ICT value stream using Lean and Agile thinking. It addresses separating myths from reality, the problems with traditional approaches, and managing and measuring for value. Specifically, it notes that the traditional functional unit approach can create an infeasible whole. It also discusses that Lean and Agile aim to surface problems so teams can solve them, rather than hiding problems. Finally, it introduces the CORE profile for defining and measuring value in a Lean environment.