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Hi. My name is Bennett Vallet, and I've been practicing and coaching agile methods for two decades. I'm very happy to present this case study on the implementation of Kanban at Siemens Health Services.
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This case study is a first-hand account describing how a shift from scrum and traditional agile metrics such as burn-ups, story points, and velocity to one of continuous flow using Kanban along with flow metrics of cycle time, throughput and work in progress led to dramatic improvement in efficiency, predictability, and quality. As a director of product development at Siemens at that time, I was integrally involved in planning and rolling out this change. It is also important to note that back in 2011, Kanban was pretty new in the agile world, and the implementation at Siemens was likely the largest implementation of Kanban at scale at that time.
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Siemens Health Services was a health IT business unit of Siemens Healthcare and a global provider of enterprise healthcare information technology solutions. Their customers were some of the largest healthcare systems, hospitals, and physician group practices across the United States. Siemens sold this division in 2016 and is now part of Oracle Health. The presentation today focuses on what was known as the Soarian Revenue Cycle System with a development organization consisting of 25 cross-functional scrum teams with around 500 developers located in India, Pennsylvania, and Europe. The application was complex, highly regulated and mission critical.

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