Read the case study below and answer ALL the questions

that follow. 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 thecountry, 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 hospital's application development team, which works within the technology department to build solutions and strategies that aid hospital operations and outcomes, was experiencingstalled 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 Gal$$n Paz, managerof IT$.$ Little interaction with users. $"$We only had interaction

with users at the beginning and end of projects," Gal$$n 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 userstroubleshoot. 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$($DAT$)$ as

the best path forward. Solution: To improve project

outcomes, the development team ultimately needed to

improve how their projects were being managed withoutrecreating 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 Gal$$n describes as "some form ofScrum" $-$ began learning and applying DA$.$ "The advantage of Disciplined Agile is that you can start at the moment exactly where you are," said Miguel Angel Garcia Trujillo, PMI Disciplined Agile$$ Coach $($DAC$)$ and instructor, and CEO of Ditrats, Aguascalientes, Mexico, who provided DA training and certification to Gal$$n 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 immediateimpact. 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, theydecided to include stakeholders in the team. According to

Gal$$n$,$ 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. 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 dailybasis 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 understandthe 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 a QUESTION $1(20$ Marks$)$ There are many project planning methodologies.