lkce16 - how kanban saved a salvation army hospital in indonesia by marcus hammarberg

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How kanban saved a Salvation Army hospital in Indonesia Twice! Marcus Hammarberg @marcusoftnet

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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!

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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 notesLearning kanban

Inspired! Runs hospital.

Just wet himselfin horror

Start where you are!

?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 areUnderstandable

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 Flowor

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 informationTrust, transparency & accountability

Make policies explicitLimit work in process

Initially, respect current roles,

responsibilities and job titles

Implement Feedback Loops

Implement Feedback Loops

Implement Feedback Loops

What is the goalof a hospital?

Implement Feedback Loops

Make money

Serve with quality

Happystaff

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

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www.marcusoft.net@marcusoftnet

[email protected]