SlideShare a Scribd company logo
How kanban saved a Salvation
Army hospital in Indonesia
Twice!
Marcus Hammarberg
@marcusoftnet
Cash flow
Salaries
Operational permit
How kanban 

saved a 

Salvation Army
hospital in Indonesia

Twice!
Use code
ctwlkce16
at manning.com
39% off
Bandung
- Start with what you do
now
- Agree to pursue
evolutionary change
- Initially, respect current
roles, responsibilities and
job titles
- Visualize
- Limit WIP
- Manage Flow
- Make Process Policies
Explicit
- Implement Feedback
Loops
- Improve Collaboratively,
Evolve Experimentally
- Start with what you do
now
- Agree to pursue
evolutionary change
- Initially, respect current
roles, responsibilities and
job titles
http://blogs.ubc.ca/qualresearch/narrative-inquiry/the-storyteller/
Taking notes
Learning kanban
Inspired!
Runs hospital.
Just wet himself
in horror
Start where
you are!
Start where
you are!
By Joe Loong
Used under CC
? Start where
you are!
Start where
you are!
Start where
you are!
Start where
you are!
Visualize
Visualize
Visualize
Visualize
12.500.240.000 Rp
Visualize
Visualize
Visualize
Visualize
Transparency
Visualised
Start where you are
Understandable
Indicator and trends
Visualize
The code is more
what you'd call
"guidelines" than
actual rules
Visualize
BIG
Easy
Trends
Target
Moves fast
RS Bungsu
visualisation
pirate code
Limit WIP
Limit WIP
Limit WIP
Limit WIP
Limit WIP
Limit WIP
Limit WIP
Manage Flow
Manage Flow
or
how to gain
from your
WIP pain
Manage Flow
Manage Flow
Make Process
Policies Explicit
Make Process
Policies Explicit
Make Process
Policies Explicit
Make Process
Policies Explicit
Move authority to the information
Make Process
Policies Explicit
Structure and communication
Make Process
Policies Explicit
Limit work in process
Make Process
Policies Explicit
Make policies explicit
Make Process
Policies Explicit
The outcome?
Make Process
Policies Explicit
Make Process
Policies Explicit
What happened here, really?
Move authority to the information
Trust, transparency & accountability
Make policies explicit
Limit work in process
Initially, respect
current roles,
responsibilities
and job titles
Implement
Feedback Loops
Implement
Feedback Loops
Implement
Feedback Loops
What is the goal
of a hospital?
Implement
Feedback Loops
Make money
Serve with
quality
Happy
staff
Cure patients
Implement
Feedback Loops
Implement
Feedback Loops
Implement
Feedback Loops
Visualize
BIG
Easy
Trends
Target
Moves fast
RS Bungsu
visualisation
pirate code
Implement
Feedback Loops
Implement
Feedback Loops
Improve
Collaboratively,
Evolve
Experimentally
Improve
Collaboratively,
Evolve
Experimentally
Income
Cost
Profit - Yah!
Improve
Collaboratively,
Evolve
Experimentally
Improve
Collaboratively,
Evolve
Experimentally
Improve
Collaboratively,
Evolve
Experimentally
Agree to pursue
evolutionary
change
Agree to pursue
evolutionary
change
Agree to pursue
evolutionary
change
The End
http://bit.ly/bungsustory
www.marcusoft.net
@marcusoftnet
marcus.hammarberg@aptitud.se
LKCE16 - How Kanban saved a Salvation Army hospital in Indonesia by Marcus Hammarberg

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