Making Connections Visible: How to Defrag your Value Stream | Tasktop Connect 2018
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How many different siloes is your organization at the mercy of? How much time theft occurs from chasing down data in separate systems? Measuring performance is a challenge when work is disconnected. Connecting missing links in the flow of work reveals the elusive big picture. This talk addresses the challenges of a fragmented value stream and provides guidance on how to improve your organizations performance with connectivity. Dominica DeGrandis Director, Digital Transformation - Tasktop Dominica DeGrandis is Director of Digital Transformation at Tasktop, where she helps customers improve the flow of work across value streams. Responsible for introducing customers to flow-based aspects of digital transformation, she guides IT teams and business teams to understand and adopt new ways of working to improve performance. Dominica is the author of “Making Work Visible: Exposing Time Theft to Optimize Work & Flow.” She is a huge fan of using visual cues to inspire change and spur alignment across organizations. She lives in Seattle with her husband and extended family. She blogs at tasktop.com and ddegrandis.com. Follow her on twitter @dominicad Tasktop Connect 2018 connect.tasktop.com www.tasktop.com
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Making Connections Visible: How to Defrag your Value Stream | Tasktop Connect 2018
- 1. @dominicad© Tasktop 2018 Making Connections Visible: How to Defrag your Value Stream . Dominica DeGrandis Director, Digital Transformation
- 2. @dominicad© Tasktop 2018 3 THINGS • Complexity drives necessary specialization • Specialization causes expensive disconnects • How to deal with the resulting communication debt
- 3. @dominicad© Tasktop 2018 WHAT’S THE POINT? A defragged value stream improves flow Value Stream: all activities done to plan, design, build & deliver items that provides biz value The hardest thing we do is communicate across teams.
- 4. @dominicad© Tasktop 2018 Complexity drives necessary specializationThing #1
- 5. @dominicad© Tasktop 2018 • Speech therapist • Physical Therapist • Occupational therapist • Neurologist Primary care physician is just the first stop.
- 7. @dominicad© Tasktop 2018 https://informationisbeautiful.net/ visualizations/worlds-biggest- data-breaches-hacks/ World's Biggest Data Breaches & Hacks
- 8. @dominicad© Tasktop 2018 https://informationisbeautiful.net/ visualizations/worlds-biggest- data-breaches-hacks/ World's Biggest Data Breaches & Hacks
- 9. @dominicad© Tasktop 2018 To defend the network & assets from cyber threats, we bolt on more & more security layers & policies. This increases complexity. Different expertise is required for each vendor. 95% of organizations use network security devices from multiple vendors. https://www.wired.com/insights/2013/01/uncovering-the-dangers-of-network-security-complexity/
- 10. @dominicad© Tasktop 2018 Forbes article predicting global shortage of two million cyber security professionals by 2019. https://www.forbes.com/sites/jeffkauflin/2017/03/16/the-fast-growing-job-with-a-huge-skills-gap-cyber-security/#32c6bb455163
- 11. @dominicad© Tasktop 2018 “Code will be used in ways we cannot anticipate, in ways it was never designed for, and for longer than it was ever intended.” ~ Joshua Corman https://www.iamthecavalry.org/about/overview/
- 12. @dominicad© Tasktop 2018https://www.reuters.com/article/us-hospira-fda-cybersecurity/fda-warns-of-security-flaw-in-hospira-infusion-pumps-idUSKCN0Q52GJ20150731 BOSTON (Reuters) - The U.S. Food and Drug Administration on Friday advised hospitals not to use Hospira Inc’s Symbiq infusion system, saying a security vulnerability could allow cyber attackers to take remote control of the system. The agency issued the advisory some 10 days after the U.S. Department of Homeland Security warned of the vulnerability in the pump, which is used to deliver medications directly into the bloodstream of patients
- 13. @dominicad© Tasktop 2018https://medium.com/signal-sciences-labs/securitys-shift-right-b3448cb94fc9 DevSecOps Community Survey results
- 14. @dominicad© Tasktop 2018 “The more we scale, the more we need specialized people. The growing division of labor in IT results in the specialization” ~ Mik Kersten With scale comes complexity which drives specialization
- 15. @dominicad© Tasktop 2018 Specialization causes expensive disconnects Thing #2
- 16. @dominicad© Tasktop 2018 Healthcare Delivery Roadmap
- 17. @dominicad© Tasktop 2018 Adenosine* heart stress test Healthcare costs from disconnect workflow Dr’s orders: “No caffeine 24 hours prior to test.” Nurse: “Would you like some coffee?” https://www.hopkinsmedicine.org/news/media/releases/study_suggests_medical_errors_now_third_leading_cause_of_death_in_the_us US medical errors cause > 250k deaths/yr, 3rd leading cause of death * pharmaceutical used to assess blood flow to the heart. Pharmacy tech handed nuclear medicine tech wrong stuff. Instead of heart tracker injection the Dr ordered, my mom was injected with a bone tracker. oops! oops!
- 20. @dominicad© Tasktop 2018 Dependencies have high coordination costs The more teams, the higher probability of more dependencies.
- 21. @dominicad© Tasktop 2018 • Unhappy employees • Unhappy customers • Things take too long! • Where’s my thing? • Inaccurate estimates • You want what when?!?!? IT costs from disconnected workflow Cost center or profit center?
- 22. @dominicad© Tasktop 2018 How to deal with the communication debt related to complexity & specialization Thing #3
- 23. @dominicad© Tasktop 2018 Jan. 30. Amazon announces collaboration with Berkshire Hathaway & JPMorgan to launch a company aimed at cutting healthcare costs for their U.S. employees. Shares of other healthcare companies plummet shortly after the announcement. Feb. 13. Sources familiar with Amazon's plans say it is pushing to turn its medical supplies business into a major supplier to U.S. hospitals and outpatient clinics. The idea is to establish a one-stop-shop for health systems. March 21. The U.S. Patent and Trademark Office grants Amazon a new patent for a delivery drone that can respond to human gestures. This is not Amazon's only patent to expand its air delivery service. Experts say this delivery service may disrupt supply chains across all industries. https://www.beckershospitalreview.com/finance/amazon-jpmorgan-and-berkshire-hathaway-to-launch-healthcare-company-6-things-to-know.html https://www.beckershospitalreview.com/healthcare-information-technology/here-s-what-we-know-about-amazon-s-foray-into-healthcare.html Healthcare Disruption - integrated view of patient
- 24. @dominicad© Tasktop 2018 53,308 security incidents, 2,216 data breaches, Technology Disruption
- 25. @dominicad© Tasktop 2018 consolidation, replication, and strangle approach. The reality of the situation
- 26. @dominicad© Tasktop 2018 consolidation, replication, and strangle approach. epics reqs features stories defects test cases incidents problems vulnerabilities Rfc’s gantt charts ryg rpts time sheets Tool fights break out due to inability to share knowledge, understand work capacity and improve workflow.
- 27. @dominicad© Tasktop 2018 “Things take too long” is a universal problem work request Disconnects in communication interferes with collaboration & delays delivery
- 28. @dominicad© Tasktop 2018 Make Connections Visible Start with prod
- 33. @dominicad© Tasktop 2018 • Improve flow time • visibility of progress • Traceability of info from handoffs • Communication debt relief BENEFITS
- 34. @dominicad© Tasktop 2018 Synchronize Coordination Make Visible
- 35. @dominicad© Tasktop 2018 Email: dominica@SendYourSlides.com Subject: flow To receive: • copy of this presentation deck • excerpts of Making Work Visible • Flow 101 workshop - Fundamentals of Flow
Hinweis der Redaktion
- define “defrag” for the younger crowd Back in the day, before solid-state drives, files on the disk become fragmented over time. Sectors that made up a file scattered all over the disk. OS had to race all over the disk to retrieve file. That took a lot of time. Defragging made accessing files on disk faster. Looking at a value stream – when ppl have to go chasing all around to get what they need to do their job, it takes a lot of time.
- Today – address 3 things
- What your trying to do in enterprise IT is really hard. Mergers & acquisitions,1000’s of engineers bldg 100’s of features across dozens of diff tools. b/c work is complex – as humans, deal with that by breaking things down into pieces - which is how specialization gets introduced. “The hardest thing we do is communicate across teams.” In order to solve that problem, need to find & fix the fragmented work – the broken handoffs – the disconnected communication (communication debt) that occurs between diff ppl across VS. This is how we start defragging! By defragging vs, we can find & fix Flow probs
- Work is getting more & more complex, “drives necessary specialization”.
- This is Kamele. 4 therapists….. and everywhere you go, got to fill out diff forms with same info. These all recommended by primary care physician – just 1st stop. b/c they don’t have all the knowledge & experience for everything that impacts the human body. But the therapists that Mele didn’t help. A yr ago, stumbled on TED talk fr Dr Karen Pape who specializes in CP. After research, recognized that Mele’s symptoms mimicked, ever-so-slightly, some symptoms of a special form of CP. Dr Pape’s clinic in NY. We live in SEA. Mele goes to #stepbystepintensives clinic for 5 days. _________________
- On day 2, after correcting her form w/ compression arm sleeve & a hand brace that aligned her thumb, she’s able to maintain a beautiful pencil grip when writing. Similar exp w/ her speech on day 4. My daughter spent 7 yrs… and everywhere you go, got to fill out diff forms with same info. So frustrating and time consuming. Repeating symptoms over and over. Mele’s complex mix of health issues were discovered primarily by daughter & then significantly improved by highly skilled specialists at “Step by Step.” We need specialists to deal w/ complexity. 100 yrs ago, 2 health practitioners – Dr & nurse. Today, got 120.
- Similar thing with technology – back in early 2000’s – a lot fewer security specialists. David McCandless – TED talk speaker Interactive visuals to help ppl understand the impacts and relevance of things. Here – size of circle is # ppl impacted and color is seriousness. Lg orange is recent Marriott hotel breach. https://informationisbeautiful.net/visualizations/worlds-biggest-data-breaches-hacks/
- Similar thing with technology – back in early 2000’s – a lot fewer security specialists. https://informationisbeautiful.net/visualizations/worlds-biggest-data-breaches-hacks/
- More & more security layers & policies now – which increases complexity. Wired article talks abt diff expertise needed for ea diff network security device. 95% of orgs use ….
- Even as more policies, vendors and devices have been added to increasingly complex environments, an estimated 75% of organizations still manually manage network security. Sent article to my 2 youngest sons – good opportunity to do the right thing. Inspired by Josh Corman’s work.
- Quote as chap introduction – b/c so true.! Temp band aid to do x and 3 yrs later, still in use. The Cavalry focuses on issues where computer security intersect public safety & human life. medical devices, automobiles, home electronics, public infrastructure. An example of their work is infusion pump used in hospitals that allowed cyber attackers to take remote control of it.
- This is a pump “used to deliver medications directly into the bloodstream of patients.” The FDA & DHS found out abt this from I am the Calvary. This world need specialists like Josh Corman & Billy Rios.
- But Devs don’t have time. Not all Devs wants to do security – 20% in this survey saying not my job. Like Primary care physicians, developers don’t have time to know everything. It’s hard enough just to stay current. Fr containers to Kubernetes to Go. Constant learning & training to remain relevant. But again, not everyone wants to configure kubernetes yaml files.
- Ask Mik Kersten says in his awesome new book, “…
- Option2: Specialization increases with scale, causing higher coordination costs
- Each medical specialist requires new form with same info. No holistic big picture view of the patient. Burden lies on individual to communicate info between specialists & primary physician, b/c Info rarely flows between specialists. It’s disconnected. The handoffs aren’t as clean as they should be, & there’s a cost to to this. ______________________ The healthcare delivery system is not a one dimensional way of looking at things, but rather a complicated environment of many different moving stakeholders and parts that come together.
- mom admitted to hospital due to a heart condition. Dr Doctor adenosine stress test to check her heart. pharmaceutical used to assess blood flow to heart. Per Dr’s orders, “No caffeine 24 hours prior to the test”. But on the morning of the test, the RN gave my mom coffee, (no doubt because my mom is impossible without coffee.) So, the test couldn’t happen and she had to stay another night at the hospital (not the least expensive place). Mom made it through the following morning without coffee prior to being wheeled off to the nuclear medicine department. There, a pharmacy tech handed the nuclear medicine tech the wrong stuff. Instead of the heart tracker injection that the Dr ordered, mom was injected with a bone tracker and once again, she was unable to complete the test. John Hopkins study… On IT side ____________________ While medical specialization has resulted in progress over the years, the resulting fragmentation of knowledge flow is a problem. Specialization in medical disciplines creates disconnects between the different specializations of medical practitioners. The lack of a reliable and automated way for information to flow across a patient’s history of treatment results in medical errors.
- Details can get lost as work is assigned down and spread across 100’s of agile teams.
- Working at huge retail – away stories from so many dependencies. The disconnected workflow made big pic impossible to see let alone hear all the communication that impacts diff teams.
- Nothing beats a talented motivated, cohesive team that makes fast decisions. As long as they have everything they need to design, build & deploy. Enterprises with a lot of 2-pizza teams and a lot of dependencies between them have high coordination costs By moving fast as an individual team, you’re paying a price of not moving very fast as a whole organization.
- How can ppl anticipate unplanned work headed their way?
- If you don’t solve prob in 1 & 2 , someone is going to exploit it. It’s already happening Complexity increases with accumulated debt from integration issues – need synch integration.
- Customers frustrated – expensive – complicated insurance process – lack of integrated view of patient - seek other options Jeff Bezos taking on healthcare w/ help fr Jamie Dimon & Warren Buffet. ___________________________________ Problem is out of control in the healthcare delivery space. - Warren Buffet "Our people want transparency, knowledge & control when it comes to managing their healthcare” - Jamie Dimon "Hard as it might be, reducing healthcare's burden on the economy while improving outcomes for employees & their families would be worth the effort.” - Jeff Bezos Feb. 21. Reports surface that Amazon has quietly launched an exclusive line of 60 over-the-counter healthcare products. The line is a private label brand called Basic Care and has products ranging from ibuprofen to hair regrowth treatment. March 9. Amazon poaches software engineers, data analysts and business strategists with years of experience in healthcare or pharmaceutical industries. March 19. Former FDA Chief Health Informatics Officer Taha Kasshout joins Amazon's healthcare tm
- 100 yrs ago – had 2 health practitioners - now have 120 Late 80’s – doing blds on IBM mainframes. Assembly lang, JCL, Cobol. Now > 120 tools
- Ppl busy working w/ their team in their tool. Ea team use diff tools. Tools don’t talk to each other, hence communication debt. This is story of my career – I’ve always been a boundary between different functions. Dev & Test, Engineering & Ops, Mktg/Customer Success, SalesOps & Sales, Product & Dev. Often the intersection was invisible and I’d ask others to open up tickets so work didn’t get lost. Otherwise, you get this.
- Communication debt – spreadsheets, emails, and status mtgs. b/c ppl refuse to use each others tools – Dev argues that Ops should use jira, and Ops argues that Dev should use SN. See this on biz side too.
- SalesOPs work intake process - email but Sales can’t see it. Handoffs aren’t clear or clean as they should be. Details lost in email. “impacts communication & collaboration & delays delivery. Things take too long is a problem every company grumbles abt. What to do?
- Here’s an ex of how to MCV. Looks like a kanban board, but not. Think of this as a blank canvas where you show how demand arrives in your org. Start with Prod. Why? b/c prod carries the highest risk.
- Then – capture demand that stems from Biz. And draw how this communication occurs. If that thru email, then include an email to signal that.
- The benefits are transformative. You get speed Where’s my thing Don’t have to dig thru email to find important info. You don’t have to race around the disk drive to collect the info you need. Making connections visible help diff teams become aware of mutually critical information sooner – communication debt relief. ___________________________ Visualizing connections – where handoffs occur -- provokes conversations on what to do to reduce costs. Today - share secrets I’ve learned about how Making Connections Visible helps you improve alignment and performance Less duplication, less mgmt. via email/spread sheets/status mtgs Specifically, address challenges arnd Specialization & Complexity, Give you ways to defrag your VS by making connections visible at key handoff points. NtS – Netflix doesn’t worry abt their dependencies. https://medium.com/netflix-techblog/towards-true-continuous-integration-distributed-repositories-and-dependencies-2a2e3108c051 Visualizing connections provokes conversations on what to do to deliver faster & reduce costs. While service teams do have the flexibility to release as they please, their velocity can often be hampered by updates to any of the libraries they depend on. An upcoming product feature may require a number of microservices to pick up the latest version of a shared library or client library. Updating dependency versions carries risk.
- In my career, every chance to find an interface between 2 siloes, I’ve been there. The problem is so important, that you have to do that communication manually if there is no other way. This is what attracted me to Tasktop – they solve the communication debt prob from fragmented handoffs. They make connections visible. Just like Cirque du Soleil trapeze artists have synchronized handoffs, so should your VS.