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Care and Collaboration
How the right Agile outsourcing approach
helped transform the way care homes work
Ric Hill @ric_at_ghyston
2
THE CHALLENGE
A GENUINE “DIGITAL TRANSFORMATION”
Remove stacks of paper
“care plans” from the
organisation
Make it easier for carers to see what
they need to do
Give carers more time to care
Allow management to see and act
on any issues
THE INITIAL CONUNDRUM
PROJECT BACKGROUND
3
≠
Buyer User
The #1 success factor in software
projects is user adoption, which
is driven by collaboration
Traditional procurement
methods are transactional
and distant from users
HOW AN OUTSOURCE APPROACH
NORMALLY WORKS
4
THE OLD WAY
Define
Requirements
RFI/RFP
Process
Implement
Go Live
MISSED OPPORTUNITIES
5
THE OLD WAY
Define
Requirements
Based on the
current way of
working
Little analysis
of user needs
Current issues
destined to be
repeated
Lack of
knowledge of
what digitisation
can bring
No “blue sky”
thinking
Failure to
maximise
efficiency
MISSED OPPORTUNITIES
6
THE OLD WAY
RFI/RFP
Process
Get very varied
options
Struggle to
compare apples
with oranges
Failure to
capture “value
add” points
Lack of challenge
to the
requirements
Low benefit, high
cost features
included
Sub-optimal ROI
MISSED OPPORTUNITIES
7
THE OLD WAY
Implement
Distant
client/supplier
relationship
Lack of
feedback
Poor fit to user
needs
Fixed
specification
Painful change
control process
Slow and
expensive to
adapt
MISSED OPPORTUNITIES
8
THE OLD WAY
Go Live
Big impact
issues
Delays and
costly
rework
Late and
over budget
Poor user
adoption
Costly
training,
dirty data
Less benefit
than
expected
9
THE OLD WAY
Source: CIO.com
10
THERE IS
ANOTHER WAY!
It’s time to think differently
Deliver
(WHAT)
Plan
(WHEN)
Process
(HOW)
Team
(WHO)
Goals
(WHY)
START WITH WHY
11
GOALS
Define Goals
and Objectives
Quantify
benefits
Verify that costs
can be contained
Make a rough
specification
Guess at the
costs
Justify that
benefits>costs
BUILD THE DREAM TEAM
12
TEAM
FORM-
FILLING
PRICE
FIXED
CRITERIA
NAMED
TECHNOLOGY
SPECIFIC
EXPERIENCE
CONVERSATION VALUE
APPROACH EXPERTISE
TRACK RECORD
BUILD THE DREAM TEAM
13
TEAM
Project Board
Cross-Company
Product
Owner
Commissioning Authority
Business
Implementers
Cross-Company
UX
Consultants
Cross-Company
Project
Manager(s)
Cross-Company
Quality
Assurers
Cross-Company
Technical
Implementers
Cross-Company
Technical
Leadership
Cross-Company
Project
Sponsor
Commissioning Authority
BUILD THE DREAM TEAM
14
TEAM
• Personal Interactions
• Joint responsibility
• Aligned incentives
• Mutual respect
START WITH CARE (not data)
15
PROCESS
The purpose is to improve care
Success relies on usability
Functionality gives usefulness
The data is a means to an end
Care
Usability
Functionality
Data
START WITH CARE (not data)
16
PROCESS
Data requirement
Form design
Application design
Build and test in isolation
User imposition
Assess needs
Prototype and user test
Build functionality
Pilot and refine
Release incrementally
PLAN FOR FEEDBACK
17
PLAN
DISCOVER REVIEW
REVIEW
HYPERCARE
BUILD
REVIEWBUILD
REVIEWBUILD
REVIEWBUILD
REVIEWBUILD
PLAN FOR FEEDBACK
18
PLAN
• Real users in real scenarios
• Professionally-led
• Relaxed and informal
• Outcome-focussed
PLAN FOR FEEDBACK
19
PLAN
FIXED
COST RESOURCE TIME QUALITY
VARIABLE
SCOPE
DELIVER INCREMENTALLY
20
PLAN
Learn
Build
Use
ACHIEVE THE GOAL
21
DELIVER
“It’s been a really
positive experience.”
“The reception to the
system is amazing!”“They love it, it’s
so great to see!”
ACHIEVE THE GOAL
22
DELIVER
“The impact on the business has been transformational. Staff are happier
because they have more time to care, and managers have more visibility of
care quality. Homes are chomping at the bit to take on the new system.”
Mark McCarthy, Managing Director, Sanctuary Care
“Ghyston have integrated seamlessly with our internal staff to deliver great
results. Their high-quality, user-centric, Agile approach has led to an
incredibly low defect rate.”
Kevin Heslop, Director of Technology, Sanctuary Group
23
REMEMBER THE
OTHER WAY!
SUMMARY
Deliver
(WHAT)
Plan
(WHEN)
Process
(HOW)
Team
(WHO)
Goals
(WHY)
Use and
grow
Fix cost
not
scope
Regular
review
One
team
Benefits
first
Ric Hill @ric_at_ghyston

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Care and Collaboration: how the right agile outsourcing setup transformed the way care homes work

  • 1. Care and Collaboration How the right Agile outsourcing approach helped transform the way care homes work Ric Hill @ric_at_ghyston
  • 2. 2 THE CHALLENGE A GENUINE “DIGITAL TRANSFORMATION” Remove stacks of paper “care plans” from the organisation Make it easier for carers to see what they need to do Give carers more time to care Allow management to see and act on any issues
  • 3. THE INITIAL CONUNDRUM PROJECT BACKGROUND 3 ≠ Buyer User The #1 success factor in software projects is user adoption, which is driven by collaboration Traditional procurement methods are transactional and distant from users
  • 4. HOW AN OUTSOURCE APPROACH NORMALLY WORKS 4 THE OLD WAY Define Requirements RFI/RFP Process Implement Go Live
  • 5. MISSED OPPORTUNITIES 5 THE OLD WAY Define Requirements Based on the current way of working Little analysis of user needs Current issues destined to be repeated Lack of knowledge of what digitisation can bring No “blue sky” thinking Failure to maximise efficiency
  • 6. MISSED OPPORTUNITIES 6 THE OLD WAY RFI/RFP Process Get very varied options Struggle to compare apples with oranges Failure to capture “value add” points Lack of challenge to the requirements Low benefit, high cost features included Sub-optimal ROI
  • 7. MISSED OPPORTUNITIES 7 THE OLD WAY Implement Distant client/supplier relationship Lack of feedback Poor fit to user needs Fixed specification Painful change control process Slow and expensive to adapt
  • 8. MISSED OPPORTUNITIES 8 THE OLD WAY Go Live Big impact issues Delays and costly rework Late and over budget Poor user adoption Costly training, dirty data Less benefit than expected
  • 10. 10 THERE IS ANOTHER WAY! It’s time to think differently Deliver (WHAT) Plan (WHEN) Process (HOW) Team (WHO) Goals (WHY)
  • 11. START WITH WHY 11 GOALS Define Goals and Objectives Quantify benefits Verify that costs can be contained Make a rough specification Guess at the costs Justify that benefits>costs
  • 12. BUILD THE DREAM TEAM 12 TEAM FORM- FILLING PRICE FIXED CRITERIA NAMED TECHNOLOGY SPECIFIC EXPERIENCE CONVERSATION VALUE APPROACH EXPERTISE TRACK RECORD
  • 13. BUILD THE DREAM TEAM 13 TEAM Project Board Cross-Company Product Owner Commissioning Authority Business Implementers Cross-Company UX Consultants Cross-Company Project Manager(s) Cross-Company Quality Assurers Cross-Company Technical Implementers Cross-Company Technical Leadership Cross-Company Project Sponsor Commissioning Authority
  • 14. BUILD THE DREAM TEAM 14 TEAM • Personal Interactions • Joint responsibility • Aligned incentives • Mutual respect
  • 15. START WITH CARE (not data) 15 PROCESS The purpose is to improve care Success relies on usability Functionality gives usefulness The data is a means to an end Care Usability Functionality Data
  • 16. START WITH CARE (not data) 16 PROCESS Data requirement Form design Application design Build and test in isolation User imposition Assess needs Prototype and user test Build functionality Pilot and refine Release incrementally
  • 17. PLAN FOR FEEDBACK 17 PLAN DISCOVER REVIEW REVIEW HYPERCARE BUILD REVIEWBUILD REVIEWBUILD REVIEWBUILD REVIEWBUILD
  • 18. PLAN FOR FEEDBACK 18 PLAN • Real users in real scenarios • Professionally-led • Relaxed and informal • Outcome-focussed
  • 19. PLAN FOR FEEDBACK 19 PLAN FIXED COST RESOURCE TIME QUALITY VARIABLE SCOPE
  • 21. ACHIEVE THE GOAL 21 DELIVER “It’s been a really positive experience.” “The reception to the system is amazing!”“They love it, it’s so great to see!”
  • 22. ACHIEVE THE GOAL 22 DELIVER “The impact on the business has been transformational. Staff are happier because they have more time to care, and managers have more visibility of care quality. Homes are chomping at the bit to take on the new system.” Mark McCarthy, Managing Director, Sanctuary Care “Ghyston have integrated seamlessly with our internal staff to deliver great results. Their high-quality, user-centric, Agile approach has led to an incredibly low defect rate.” Kevin Heslop, Director of Technology, Sanctuary Group
  • 23. 23 REMEMBER THE OTHER WAY! SUMMARY Deliver (WHAT) Plan (WHEN) Process (HOW) Team (WHO) Goals (WHY) Use and grow Fix cost not scope Regular review One team Benefits first Ric Hill @ric_at_ghyston