Post on 14-Apr-2017
How kanban saved a Salvation Army hospital in Indonesia
Twice!
Marcus Hammarberg@marcusoftnet
ØreDev 2016
Cash flow
Cash flow
Salaries
Cash flow
Salaries
Operational permit
How kanban saved a
Salvation Army hospital in Indonesia
Twice!
Bandung
- Start with what you do now
- Agree to pursue evolutionary change
- Initially, respect current roles, responsibilities and job titles
- 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/
http://blogs.ubc.ca/qualresearch/narrative-inquiry/the-storyteller/
Inspired!
http://blogs.ubc.ca/qualresearch/narrative-inquiry/the-storyteller/
Taking notesLearning kanban
Inspired!
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!
By Joe LoongUsed under CC
?Start where
you are!
?Start where
you are!
Start where you are!
Start where you are!
Start where you are!
Visualize
Visualize
Visualize
Visualize
Visualize
12.500.240.000 Rp
Visualize
Visualize
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
RS Bungsu visualisation pirate code
Visualize
BIG
RS Bungsu visualisation pirate code
Visualize
BIG
Easy RS Bungsu visualisation pirate code
Visualize
BIG
Easy
TrendsRS Bungsu
visualisation pirate code
Visualize
BIG
Easy
Trends
Target
RS Bungsu visualisation pirate code
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
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
Move authority to the information
Make Process Policies Explicit
Structure and communication
Make Process Policies Explicit
Limit work in process
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
Make Process Policies Explicit
What happened here, really?
Make Process Policies Explicit
What happened here, really?
Move authority to the information
Make Process Policies Explicit
What happened here, really?
Move authority to the informationTrust, transparency & accountability
Make Process Policies Explicit
What happened here, really?
Move authority to the informationTrust, transparency & accountability
Make 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
Implement Feedback Loops
Implement Feedback Loops
Implement Feedback Loops
What is the goalof a hospital?
Implement Feedback Loops
Cure patients
Implement Feedback Loops
Make money
Cure patients
Implement Feedback Loops
Make moneyHappystaff
Cure patients
Implement Feedback Loops
Make money
Serve with quality
Happystaff
Cure patients
Implement Feedback Loops
Implement Feedback Loops
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
IncomeCost
Profit - Yah!
Improve Collaboratively,
Evolve Experimentally
Income
Cost
Profit - Yah!
Improve Collaboratively,
Evolve Experimentally
Income
Cost
Improve Collaboratively,
Evolve Experimentally
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
www.marcusoft.net@marcusoftnet
marcus.hammarberg@aptitud.se