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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 hospital in Indoneisa LKNA2016

Apr 21, 2017

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Page 1: How kanban saved a hospital in Indoneisa LKNA2016

How kanban saved a Salvation Army hospital in Indonesia

Twice!

Marcus Hammarberg@marcusoftnet

Page 2: How kanban saved a hospital in Indoneisa LKNA2016
Page 3: How kanban saved a hospital in Indoneisa LKNA2016

Cash flow

Page 4: How kanban saved a hospital in Indoneisa LKNA2016

Cash flow

Salaries

Page 5: How kanban saved a hospital in Indoneisa LKNA2016

Cash flow

Salaries

Operational permit

Page 6: How kanban saved a hospital in Indoneisa LKNA2016
Page 7: How kanban saved a hospital in Indoneisa LKNA2016
Page 8: How kanban saved a hospital in Indoneisa LKNA2016
Page 9: How kanban saved a hospital in Indoneisa LKNA2016
Page 10: How kanban saved a hospital in Indoneisa LKNA2016
Page 11: How kanban saved a hospital in Indoneisa LKNA2016
Page 12: How kanban saved a hospital in Indoneisa LKNA2016
Page 13: How kanban saved a hospital in Indoneisa LKNA2016
Page 14: How kanban saved a hospital in Indoneisa LKNA2016
Page 15: How kanban saved a hospital in Indoneisa LKNA2016
Page 16: How kanban saved a hospital in Indoneisa LKNA2016
Page 17: How kanban saved a hospital in Indoneisa LKNA2016

How kanban saved a Salvation Army hospital

in Indonesia

Twice!

Page 18: How kanban saved a hospital in Indoneisa LKNA2016
Page 19: How kanban saved a hospital in Indoneisa LKNA2016
Page 20: How kanban saved a hospital in Indoneisa LKNA2016
Page 21: How kanban saved a hospital in Indoneisa LKNA2016
Page 22: How kanban saved a hospital in Indoneisa LKNA2016
Page 23: How kanban saved a hospital in Indoneisa LKNA2016
Page 24: How kanban saved a hospital in Indoneisa LKNA2016
Page 25: How kanban saved a hospital in Indoneisa LKNA2016
Page 26: How kanban saved a hospital in Indoneisa LKNA2016
Page 27: How kanban saved a hospital in Indoneisa LKNA2016
Page 28: How kanban saved a hospital in Indoneisa LKNA2016

Use codectwlkna16

at manning.com 40% off

Page 29: How kanban saved a hospital in Indoneisa LKNA2016

Bandung

Page 30: How kanban saved a hospital in Indoneisa LKNA2016
Page 31: How kanban saved a hospital in Indoneisa LKNA2016

- Start with what you do now

- Agree to pursue evolutionary change

- Initially, respect current roles, responsibilities and job titles

Page 32: How kanban saved a hospital in Indoneisa LKNA2016

- Start with what you do now

- Agree to pursue evolutionary change

- Initially, respect current roles, responsibilities and job titles

Page 33: How kanban saved a hospital in Indoneisa LKNA2016

- 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

Page 34: How kanban saved a hospital in Indoneisa LKNA2016

http://blogs.ubc.ca/qualresearch/narrative-inquiry/the-storyteller/

Page 35: How kanban saved a hospital in Indoneisa LKNA2016

Start where you are!

Page 37: How kanban saved a hospital in Indoneisa LKNA2016

Start where you are!

Page 38: How kanban saved a hospital in Indoneisa LKNA2016

Start where you are!

Page 39: How kanban saved a hospital in Indoneisa LKNA2016

Start where you are!

Page 40: How kanban saved a hospital in Indoneisa LKNA2016

Visualize

Page 41: How kanban saved a hospital in Indoneisa LKNA2016

Visualize

Page 42: How kanban saved a hospital in Indoneisa LKNA2016

Visualize

Page 43: How kanban saved a hospital in Indoneisa LKNA2016

Visualize

Page 44: How kanban saved a hospital in Indoneisa LKNA2016

Visualize

12.500.240.000 Rp.

Page 45: How kanban saved a hospital in Indoneisa LKNA2016

Visualize

Page 46: How kanban saved a hospital in Indoneisa LKNA2016

Visualize

Page 47: How kanban saved a hospital in Indoneisa LKNA2016

Visualize

Page 48: How kanban saved a hospital in Indoneisa LKNA2016

Visualize

Page 49: How kanban saved a hospital in Indoneisa LKNA2016

Visualize

Transparency

Visualised

Start where you areUnderstandable

Indicator and trends

Page 50: How kanban saved a hospital in Indoneisa LKNA2016

Visualize

Page 51: How kanban saved a hospital in Indoneisa LKNA2016

Visualize

The code is more what you'd call

"guidelines" than actual rules

Page 52: How kanban saved a hospital in Indoneisa LKNA2016

Visualize

RS Bungsu visualisation pirate code

Page 53: How kanban saved a hospital in Indoneisa LKNA2016

Visualize

BIG

RS Bungsu visualisation pirate code

Page 54: How kanban saved a hospital in Indoneisa LKNA2016

Visualize

BIG

Easy RS Bungsu visualisation pirate code

Page 55: How kanban saved a hospital in Indoneisa LKNA2016

Visualize

BIG

Easy

TrendsRS Bungsu

visualisation pirate code

Page 56: How kanban saved a hospital in Indoneisa LKNA2016

Visualize

BIG

Easy

Trends

Target

RS Bungsu visualisation pirate code

Page 57: How kanban saved a hospital in Indoneisa LKNA2016

Visualize

BIG

Easy

Trends

Target

Moves fast

RS Bungsu visualisation pirate code

Page 58: How kanban saved a hospital in Indoneisa LKNA2016

Limit WIP

Page 59: How kanban saved a hospital in Indoneisa LKNA2016

Limit WIP

Page 60: How kanban saved a hospital in Indoneisa LKNA2016

Limit WIP

Page 61: How kanban saved a hospital in Indoneisa LKNA2016

Limit WIP

Page 62: How kanban saved a hospital in Indoneisa LKNA2016

Limit WIP

Page 63: How kanban saved a hospital in Indoneisa LKNA2016

Limit WIP

Page 64: How kanban saved a hospital in Indoneisa LKNA2016

Limit WIP

Page 65: How kanban saved a hospital in Indoneisa LKNA2016

Limit WIP

Page 66: How kanban saved a hospital in Indoneisa LKNA2016

Limit WIP

Page 67: How kanban saved a hospital in Indoneisa LKNA2016

Limit WIP

Page 68: How kanban saved a hospital in Indoneisa LKNA2016

Limit WIP

Page 69: How kanban saved a hospital in Indoneisa LKNA2016

Manage Flow

Page 70: How kanban saved a hospital in Indoneisa LKNA2016

Manage FlowHow to gain from

your WIP pain

Page 71: How kanban saved a hospital in Indoneisa LKNA2016

Manage Flow

Page 72: How kanban saved a hospital in Indoneisa LKNA2016

Manage Flow

Page 73: How kanban saved a hospital in Indoneisa LKNA2016

Manage Flow

Page 74: How kanban saved a hospital in Indoneisa LKNA2016

Make Process Policies Explicit

Page 75: How kanban saved a hospital in Indoneisa LKNA2016

Make Process Policies Explicit

Page 76: How kanban saved a hospital in Indoneisa LKNA2016

Make Process Policies Explicit

Page 77: How kanban saved a hospital in Indoneisa LKNA2016

Make Process Policies Explicit

Move authority to the information

Page 78: How kanban saved a hospital in Indoneisa LKNA2016

Make Process Policies Explicit

Move authority to the information

Page 79: How kanban saved a hospital in Indoneisa LKNA2016

Make Process Policies Explicit

Structure and communication

Page 80: How kanban saved a hospital in Indoneisa LKNA2016

Make Process Policies Explicit

Make policies explicit

Page 81: How kanban saved a hospital in Indoneisa LKNA2016

Make Process Policies Explicit

Limit work in process

Page 82: How kanban saved a hospital in Indoneisa LKNA2016

Make Process Policies Explicit

Limit work in process

Page 83: How kanban saved a hospital in Indoneisa LKNA2016

Make Process Policies Explicit

The outcome?

Page 84: How kanban saved a hospital in Indoneisa LKNA2016

Make Process Policies Explicit

Page 85: How kanban saved a hospital in Indoneisa LKNA2016

Make Process Policies Explicit

Page 86: How kanban saved a hospital in Indoneisa LKNA2016

Make Process Policies Explicit

What happened here, really?

Page 87: How kanban saved a hospital in Indoneisa LKNA2016

Make Process Policies Explicit

What happened here, really?

Move authority to the information

Page 88: How kanban saved a hospital in Indoneisa LKNA2016

Make Process Policies Explicit

What happened here, really?

Move authority to the informationTrust, transparency & accountability

Page 89: How kanban saved a hospital in Indoneisa LKNA2016

Make Process Policies Explicit

What happened here, really?

Move authority to the informationTrust, transparency & accountability

Make policies explicit

Page 90: How kanban saved a hospital in Indoneisa LKNA2016

Make Process Policies Explicit

What happened here, really?

Move authority to the informationTrust, transparency & accountability

Make policies explicitLimit work in process

Page 91: How kanban saved a hospital in Indoneisa LKNA2016

Initially, respect current roles,

responsibilities and job titles

Page 92: How kanban saved a hospital in Indoneisa LKNA2016

Implement Feedback Loops

Page 93: How kanban saved a hospital in Indoneisa LKNA2016

Implement Feedback Loops

Page 94: How kanban saved a hospital in Indoneisa LKNA2016

Implement Feedback Loops

Page 95: How kanban saved a hospital in Indoneisa LKNA2016

Implement Feedback Loops

Page 96: How kanban saved a hospital in Indoneisa LKNA2016

Implement Feedback Loops

Page 97: How kanban saved a hospital in Indoneisa LKNA2016

Implement Feedback Loops

What is the goal of a hospital?

Page 98: How kanban saved a hospital in Indoneisa LKNA2016

Implement Feedback Loops

Page 99: How kanban saved a hospital in Indoneisa LKNA2016

Implement Feedback Loops

Page 100: How kanban saved a hospital in Indoneisa LKNA2016

Implement Feedback Loops

Page 101: How kanban saved a hospital in Indoneisa LKNA2016

Implement Feedback Loops

Page 102: How kanban saved a hospital in Indoneisa LKNA2016

Implement Feedback Loops

Page 103: How kanban saved a hospital in Indoneisa LKNA2016

Implement Feedback Loops

Page 104: How kanban saved a hospital in Indoneisa LKNA2016

Implement Feedback Loops

Page 105: How kanban saved a hospital in Indoneisa LKNA2016

Implement Feedback Loops

Page 106: How kanban saved a hospital in Indoneisa LKNA2016

Implement Feedback Loops

Page 107: How kanban saved a hospital in Indoneisa LKNA2016

Improve Collaboratively,

Evolve Experimentally

Page 108: How kanban saved a hospital in Indoneisa LKNA2016

Improve Collaboratively,

Evolve Experimentally

Income

Cost

Profit - Yah!

Page 109: How kanban saved a hospital in Indoneisa LKNA2016

Improve Collaboratively,

Evolve Experimentally

IncomeCost

Profit - Yah!

Page 110: How kanban saved a hospital in Indoneisa LKNA2016

Improve Collaboratively,

Evolve Experimentally

Income

CostProfit - Yah!

Page 111: How kanban saved a hospital in Indoneisa LKNA2016

Improve Collaboratively,

Evolve Experimentally

Income

Cost

Page 112: How kanban saved a hospital in Indoneisa LKNA2016

Improve Collaboratively,

Evolve Experimentally

Page 113: How kanban saved a hospital in Indoneisa LKNA2016

Improve Collaboratively,

Evolve Experimentally

Page 114: How kanban saved a hospital in Indoneisa LKNA2016

Improve Collaboratively,

Evolve Experimentally

Page 115: How kanban saved a hospital in Indoneisa LKNA2016

Improve Collaboratively,

Evolve Experimentally

Page 116: How kanban saved a hospital in Indoneisa LKNA2016

Agree to pursue evolutionary

change

Page 117: How kanban saved a hospital in Indoneisa LKNA2016

Agree to pursue evolutionary

change

Page 118: How kanban saved a hospital in Indoneisa LKNA2016

Agree to pursue evolutionary

change

Page 119: How kanban saved a hospital in Indoneisa LKNA2016

The End

Page 120: How kanban saved a hospital in Indoneisa LKNA2016
Page 121: How kanban saved a hospital in Indoneisa LKNA2016

http://bit.ly/bungsustory

Page 122: How kanban saved a hospital in Indoneisa LKNA2016

www.marcusoft.net@marcusoftnet

[email protected]

Page 123: How kanban saved a hospital in Indoneisa LKNA2016