SAFe offers four configurations to meet different organizational needs:

Essential SAFe

• Core configuration with minimum necessary elements
• Team and Program levels only
• Ideal starting point for hospitals beginning agile transformation
• Focuses on getting an initial Agile Release Train running

Large Solution SAFe

• For complex solutions requiring multiple ARTs
• Adds Solution level coordination
• Suitable for large hospital information systems with many modules
• Coordinates multiple teams without full portfolio management

Portfolio SAFe

• Adds enterprise-wide strategic alignment
• Includes Lean Portfolio Management
• Budget allocation as Lean Budgets with guardrails
• Manages enterprise Epics across the organization

Full SAFe

• Complete configuration with all levels
• For largest healthcare organizations
• Integrates Team, Program, Solution, and Portfolio levels
• End-to-end agile transformation across the enterprise

SAFe Levels:

• Team Level: Where agile teams perform the work
• Program Level: Multiple teams form Agile Release Trains (ARTs)
• Solution Level: Coordinates multiple ARTs on large initiatives
• Portfolio Level: Manages strategy and investment across the enterprise

The central concept is the Agile Release Train (ART) – a virtual team-of-teams (50-125+ people) delivering value in a synchronized cadence.