Implementing Agile at an Enterprise Level

This case study details the implementation of Agile methodologies within a five-hospital academic health system that faced significant operational challenges, including unmanageable workloads and a siloed structure. The organization struggled with high turnover among external consultants and difficulties in keeping pace with the Epic EHR release cycle while managing other critical initiatives. The case study outlines the adoption of the Scaled Agile Framework (SAFe) to enhance business agility and operational efficiency. It describes how Impact Advisors provided SAFe training and coaching to leadership and staff, resulting in a multi-year transformation roadmap. The study highlights the successful alignment of agile teams with value streams rather than individual projects, leading to improved predictability and transparency in project delivery. The engagement fostered a better understanding among operational stakeholders regarding IT priorities and processes, ultimately driving accountability and effectiveness across the organization.