A Gradual Path to Digital Excellence

Phase 1: Foundation (3-6 months)

• Form initial cross-functional team with key capabilities
• Establish development infrastructure and practices
• Train core team in agile methods and SAFe principles
• Select initial pilot project with high visibility but manageable risk
• Develop first MVP to demonstrate in-house capability

Phase 2: Expansion (6-12 months)

• Scale to multiple teams forming first Agile Release Train
• Implement formal SAFe roles and ceremonies
• Conduct first Program Increment planning
• Expand development to multiple value streams
• Build DevOps capabilities for continuous delivery

Phase 3: Optimization (12-24 months)

• Refine SAFe implementation based on experience
• Implement Lean Portfolio Management
• Develop centers of excellence for key technologies
• Begin strategic insourcing of critical applications
• Measure and optimize value delivery and flow

Phase 4: Transformation (24+ months)

• Extend agile principles to non-IT hospital processes
• Establish innovation practices for continuous improvement
• Develop potential commercialization of proprietary solutions
• Become regional leader in healthcare technology
• Continuously evolve practices as organization matures