The document discusses best practices for aligning IT service management (ITSM) with agile and DevOps approaches to improve outcomes. It recommends taking a Lean startup mindset and assessing key services to identify the most important ones for customers. A guiding coalition of process owners should be formed to break down silos. Strategic initiatives should define end states and key performance indicators for processes like incident management, availability management, and security management. The focus should be on iterating quickly, continuously improving through measurements, and celebrating wins to accelerate and institutionalize changes. An agile and scrum process development approach can help transform ITSM by identifying metrics and iterating services rapidly.