Making Connections Visible: How to Defrag your Value Stream
This talk addressed 3 things:
Complexity drives necessary specialization
Specialization causes expensive disconnects
How to deal with the resulting communication debt
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.
from cyber threats, we bolt on more & more security layers & policies. 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/
two million cyber security professionals by 2019. https://www.forbes.com/sites/jeffkauflin/2017/03/16/the-fast-growing-job-with-a-huge-skills-gap-cyber-security/#32c6bb455163
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/
Food and Drug Administration on Friday advised hospitals not to use Hospira Inc’s Symbiq infusion system, saying a security vulnerability could allow cyber attackers to take remote control of the system. The agency issued the advisory some 10 days after the U.S. Department of Homeland Security warned of the vulnerability in the pump, which is used to deliver medications directly into the bloodstream of patients
we need specialized people. The growing division of labor in IT results in the specialization” ~ Mik Kersten With scale comes complexity which drives specialization
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!
• Things take too long! • Where’s my thing? • Inaccurate estimates • You want what when?!?!? IT costs from disconnected workflow Cost center or profit center?
Berkshire Hathaway & JPMorgan to launch a company aimed at cutting healthcare costs for their U.S. employees. Shares of other healthcare companies plummet shortly after the announcement. 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 and Trademark Office grants Amazon a new patent for a delivery drone that can respond to human gestures. This is not Amazon's only patent to expand its air delivery service. 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
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.
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