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Hospital El Pilar: Improving Patient Care With Disciplined Agile For more than 5 0 years, Hospital El Pilar has been providing the highest level of

Hospital El Pilar: Improving Patient Care With Disciplined Agile
For more than 50 years, Hospital El Pilar has been providing the highest level of comprehensive care to patients in
Guatemala City, Guatemala. The private hospital which offers a range of medical services including pediatrics,
intensive care, oncology, cardiology and outpatient care is now one of the best hospitals in the country, thanks to its
commitment to quality care and continuous improvement.
As part of this commitment, Hospital El Pilar is focused on driving innovation by investing in the latest technology to
better serve both patients and staff.
Challenge
Solution
Results
Challenge:
The hospitals application development team, which works within the technology department to build solutions and
strategies that aid hospital operations and outcomes, was experiencing stalled progress on projects due to several
obstacles, including:
Unclear priorities. Every project was defined as urgent, which ultimately left the team unsure of how to focus its efforts
and prioritize needs.
A lack of visibility. We had little visibility into the progress of projects and requirements, which led us to try to cover a
lot and, in the end, there was no progress at all, said Adolfo Enrique Galn Paz, manager of IT.
Little interaction with users. We only had interaction with users at the beginning and end of projects, Galn said.
That caused us not to deliver what the client really required and drove errors in production when publishing
developments.
Competing demands. The application development team also served as user support, which hindered the progress of
coding and development since the process was constantly interrupted to help users troubleshoot.
To improve how projects were being managed and how key stakeholders and users were involved in the process, the
team made up of a development manager and five developers selected Disciplined Agile(DA) as the best path
forward.
Solution:
To improve project outcomes, the development team ultimately needed to improve how their projects were being
managed without recreating the wheel. Project efforts had to continue even as the team worked to improve its processes.
This journey began by separating the support functionality from the application development team in order to allow the
team to better focus on their core purpose.
From there, the team which was using what Galn describes as some form of Scrum began learning and applying
DA.
The advantage of Disciplined Agile is that you can start at the moment exactly where you are, said Miguel Angel Garcia
Trujillo, PMI Disciplined Agile Coach (DAC) and instructor, and CEO of Ditrats, Aguascalientes, Mexico, who provided
DA training and certification to Galn and his team. This way they can start where they are with the technologies and
systems that are already part of the hospital and still create an immediate impact. In general, Disciplined Agile can
optimize anything that can be managed.
As part of their DA adoption, the application development team made some key changes, including:
Prioritizing user stories. Before using DA, the team did not have documentation of user stories, which meant they did not
have properly defined user criteria or a definition of done (DoD) for the project. In addition, they decided to include
stakeholders in the team. According to Galn, this promotes transparency, makes the work more focused, and ultimately
makes the user feel like part of the team that is building the solution.
Implementing a monitoring dashboard. This dashboard provides the team greater visibility into:
Working speed.
Average days to complete stories.
Average days to complete tasks.
Number of tasks and stories pending in an iteration.
Burndown iterations.
Redefining the way of working (WoW). The application development team ultimately selected the DA Agile life cycle as its
WoW, which they broke down further to include:
Holding daily coordination meetings
Improves task tracking
Enables the team to solve problems in real time
Enables the team to be flexible with priorities as needed
Helps the team remain aware of any delays that may occur
Serves as a renewal of the team's commitment on a daily basis
Scheduling retrospective meetings
Captures minutes with solutions to reported problems
Includes the development team in the improvements
Takes self-assessments and prioritizes a positive attitude
Improves how the team works together for future iterations
Taking requirements
Ensures the team understands stakeholder objectives
Allows project teams to more deeply understand the whole process to design a better product
Establishes a relationship of trust with the hospital staff
Prioritizes communication with the hospital staff
Organizing planning meetings
Helps gain agreement on the effort required for each user story
Assists the te

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