The SAFe Big Picture is a comprehensive visualization that serves as a guide for implementation and training. It illustrates:

• Levels of the framework from team to portfolio
• Roles at each level with their relationships
• Events and ceremonies that synchronize work
• Artifacts that manage requirements and deliverables
• Flow of value from strategic themes to delivered solutions

Key elements visible in the Big Picture:

• Team Level: Agile teams, Scrum/Kanban, iterations
• Program Level: Agile Release Trains, PI Planning, System Demos
• Solution Level (when needed): Solution Trains, coordination
• Portfolio Level: Strategic themes, epics, Lean Portfolio Management

Value flows through the organization:

• Business needs translate to strategic themes
• Strategic themes generate portfolio epics
• Epics break down into features in program backlogs
• Features become user stories for teams to implement
• Teams deliver value in regular increments

The Big Picture creates a shared mental model for all stakeholders involved in the hospital's digital transformation, from clinical leadership to IT teams.