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Making Connections Visible: How to Defrag your ...

Making Connections Visible: How to Defrag your Value Stream

The hardest thing we do is communicate across teams. In order to solve this problem, it helps to find and fix the broken handoffs that occur between specialists on different teams. This talk addresses the challenges teams experience from fragmented value streams and offers up an experiment for teams to visualize and manage disconnected workflow.

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Dominica DeGrandis

May 29, 2019
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  1. @dominicad © Tasktop 2018 Making Connections Visible: How to Defrag

    your Value Stream . Dominica DeGrandis Director, Digital Transformation
  2. @dominicad © Tasktop 2018 Three Things Complexity drives necessary specialization

    Specialization causes expensive disconnects Make connections visible to reduce communication debt.
  3. @dominicad © Tasktop 2018 WHAT’S THE POINT? A defragged value

    stream improves flow Value Stream: all activities done to plan, design, build & deliver items that provides biz value The hardest thing we do is communicate across teams. Delivering value to customers quickly requires fast, smooth, flow of work.
  4. @dominicad © Tasktop 2018 • Speech therapist • Physical Therapist

    • Occupational therapist • Neurologist Primary care physician is just the first stop.
  5. @dominicad © Tasktop 2018 More & more security layers &

    policies bolted on to defend the network & assets from cyber threats, This increases complexity. Different expertise is required for each vendor. 95% of organizations use network security devices from multiple vendors. https://www.wired.com/insights/2013/01/uncovering-the-dangers-of-network-security-complexity/
  6. @dominicad © Tasktop 2018 “Code will be used in ways

    we cannot anticipate, in ways it was never designed for, and for longer than it was ever intended.” ~ Joshua Corman https://www.iamthecavalry.org/about/overview/
  7. @dominicad © Tasktop 2018 Hackable infusion pumps used to deliver

    meds directly into bloodstream of patients. FDA and DHS discovered thru @iamthecalvary
  8. @dominicad © Tasktop 2018 Go to www.menti.com and use code:

    68 51 36 How much time do you spend on security?
  9. @dominicad © Tasktop 2018 “The more we scale, the more

    we need specialized people. The growing division of labor in IT results in the specialization” ~ Mik Kersten With scale comes complexity which drives specialization
  10. @dominicad © Tasktop 2018 Adenosine* heart stress test Healthcare costs

    from disconnect workflow Dr’s orders: “No caffeine 24 hours prior to test.” Nurse: “Would you like some coffee?” https://www.hopkinsmedicine.org/news/media/releases/study_suggests_medical_errors_now_third_leading_cause_of_death_in_the_us US medical errors cause > 250k deaths/yr, 3rd leading cause of death * pharmaceutical used to assess blood flow to the heart. Pharmacy tech handed nuclear medicine tech wrong stuff. Instead of heart tracker injection the Dr ordered, my mom was injected with a bone tracker. oops! oops!
  11. @dominicad © Tasktop 2018 • Unhappy employees • Unhappy customers

    • Burnout/Chronic depression • Where’s my thing? • Inaccurate estimates • You want what when?!?!? IT costs from disconnected workflow Cost center or profit center?
  12. @dominicad © Tasktop 2018 How to deal with the communication

    debt related to complexity & specialization Thing #3
  13. @dominicad © Tasktop 2018 Jan. 30. Amazon collaborates w/ Berkshire

    Hathaway & JPMorgan to launch a company aimed at cutting healthcare costs for their U.S. employees. Shares of other healthcare companies plummet. Feb. 13. Sources familiar with Amazon's plans say it is pushing to turn its medical supplies business into a major supplier to U.S. hospitals and outpatient clinics. The idea is to establish a one-stop-shop for health systems. March 21. The U.S. Patent & Trademark Office grants Amazon a patent for a delivery drone. Experts say this delivery service may disrupt supply chains across all industries. https://www.beckershospitalreview.com/finance/amazon-jpmorgan-and-berkshire-hathaway-to-launch-healthcare-company-6-things-to-know.html https://www.beckershospitalreview.com/healthcare-information-technology/here-s-what-we-know-about-amazon-s-foray-into-healthcare.html Healthcare Disruption - integrated view of patient
  14. @dominicad © Tasktop 2018 consolidation, replication, and strangle approach. epics

    reqs features stories defects test cases incidents problems vulnerabilities Rfc’s gantt charts ryg rpts time sheets Tool fights break out due to inability to share knowledge, understand work capacity and improve workflow.
  15. @dominicad © Tasktop 2018 “Things take too long” is a

    universal problem work request Disconnects in communication interferes with collaboration & delays delivery
  16. @dominicad © Tasktop 2018 Go to www.menti.com and use code:

    68 51 36 How do you communicate handoff info?
  17. @dominicad © Tasktop 2018 Value Stream Canvas Exercise Incidents Let’s

    start with a Production Incident When production is down or unstable, it creates the biggest risk to customer satisfaction and business well-being. ? Discuss how a typical production issue arrives. How does the issue get detected? 01
  18. @dominicad © Tasktop 2018 Value Stream Canvas Exercise Production Issues

    How is information communicated when the issue is escalated if development changes are needed? ? OPs DEV ? How is the information analyzed? ? What additional work items are created? ? What other communications occur? 01
  19. @dominicad © Tasktop 2018 IDEATE CREATE RELEASE OPERATE Incident Problem

    Defect Risk Commit Build Scan Test Run Deploy Exercise 1 – Issue Found in Production
  20. @dominicad © Tasktop 2018 Consider a Feature Request from the

    Business Discuss how a typical business request is handled starting with the work intake process. Value Stream Canvas Exercise Business Request 02 ? How does the feature arrive? ? Do features arrive via some work intake tool? ? Do you have a project or product management organization that plans work that flows to development teams? ? Where does this happen? Email? Salesforce? Then what? Does someone create a work item?
  21. @dominicad © Tasktop 2018 Value Stream Canvas Exercise Canvas Exercise

    How is information communicated when a Business Feature is requested? ? Biz DEV ? How is the information analyzed? ? What additional work items are created? ? What other communications occur? 02
  22. @dominicad © Tasktop 2018 IDEATE CREATE RELEASE OPERATE Commit Build

    Scan Test Run Deploy Request Feature Feature Story Test Case Exercise 2 – Business Feature Request
  23. @dominicad © Tasktop 2018 IDEATE CREATE RELEASE OPERATE Incident Problem

    Defect Risk Commit Build Scan Test Run Deploy Request Feature Feature Story Test Case All in One
  24. @dominicad © Tasktop 2018 Value Stream Canvas Exercise Purpose Help

    teams visualize problems that occur during handoffs as work flows across a value stream Make connections visible to provoke necessary conversations for change Provide practical learning opportunity for teams to apply Flow practices.
  25. @dominicad © Tasktop 2018 • Improve flow time • visibility

    of progress • Traceability of info from handoffs • Communication debt relief BENEFITS
  26. @dominicad © Tasktop 2018 Email: [email protected] Subject: flow To receive:

    • copy of this presentation deck • excerpts of Making Work Visible • Flow 101 workshop info • Value Stream Canvas exercise