Texas Project Delivery Framework: Fill & Download for Free

Where Did Agile Come From?In 1970, Dr. Winston Royce presented a paper entitled “Managing the Development of Large Software Systems,” which criticized sequential development. He asserted that software should not be developed like an automobile on an assembly line, in which each piece is added in sequential phases. In such sequential phases, every phase of the project must be completed before the next phase can begin.Dr. Royce recommended against the phase based approach in which developers first gather all of a project’s requirements, then complete all of its architecture and design, then write all of the code, and so on. Royce specifically objected to this approach due to the lack of communication between the specialized groups that complete each phase of work. From there concept of Agile had been emergedAgile Based Frameworks1. ScrumDetails: Jeff Sutherland and Ken Schwaber Inventors of the Scrum software development process. They codified Scrum in 1995 in order to present it at the Oopsla conference in Austin, Texas (US) OOPSLA'95 and published the paper “SCRUM Software Development Process”.2. Extreme ProgrammingDetails: It is a software development methodology which is intended to improve software quality and responsiveness to changing customer requirements.It stresses customer satisfaction. Instead of delivering everything you could possibly want on some date far in the future this process delivers the software you need as you need it.Invented by Kent Beck is an American software engineer and the creator of Extreme Programming3. Lean Software DevelopmentDetails: Lean development can be summarized by seven principles, very close in concept to lean manufacturing principles:Eliminate wasteAmplify learningDecide as late as possibleDeliver as fast as possibleEmpower the teamBuild qualityMary Poppendieck author of Lean Software Development4. KanbanDetails: Kanban is a method for managing knowledge work with an emphasis on just-in-time delivery while not overloading the team members.In this approach, the process, from definition of a task to its delivery to the customer, is displayed for participants to see. Team members pull work from a queue.It is visual process-management system that tells what to produce, when to produce it, and how much to produce - inspired by the Toyota Production System and by Lean manufacturingDavid Anderson originator of the Kanban Method5. Crystal Clear (Software development)Details: Crystal methods are a family of methodologies (the Crystal family) that were developed by Alistair Cockburn in the mid-1990s. The methods come from years of study and interviews of teams by Cockburn.Cockburn’s research showed that the teams he interviewed did not follow the formal methodologies yet they still delivered successful projects.Crystal Clear requires the following properties:Frequent delivery of usable code to usersReflective improvementCrystal Clear additionally includes these optional properties:Personal safetyFocusEasy access to expert users6. Adaptive Software DevelopmentDetails: Adaptive software development (ASD) is a software development process that grew out of rapid application developmentIt replaces the traditional waterfall cycle with a repeating series of speculate, collaborate, and learn cycles.This dynamic cycle provides for continuous learning and adaptation to the emergent state of the project. The characteristics of an ASD life cycle are that it is mission focused, feature based, iterative, timeboxed, risk driven, and change tolerant.Originated by Jim Highsmith7. Feature-driven development (FDD)Details: It is an iterative and incremental software development process. It is one of a number of lightweight or Agile methods for developing software.It is very easy to quickly react to these four simple statements."How can following a plan be less important?" or"do we not even plan?" or"I believe and know that good documentation is key,how can that be less important?" and so on.Originated by Jeff De Luca8. Dynamic System Development Method (DSDM)Details: It is a robust Agile project management and delivery framework that delivers the right solution at the right time.The DSDM Philosophy is that any project must be aligned to clearly defined strategic goals and focus upon early delivery of real benefits to the business.Defined by Dane FaulknerPeoples associated withSourcesGoogleWikipedia, the free encyclopedia

Let them eat cheesecake!Wait, what? We’ll get to that.I can’t answer this question with a high degree of confidence for several reasons but I’m not sanguine about this. For one thing I haven’t read his writings extensively much less spoken with him. Perhaps more importantly I don’t know what you mean by “change Healthcare in US for good”. I’m neither being pedantic nor obsessing about grammar here. I don’t know what you would consider better, and that’s just my point.The last of Dr. Gawande’s musings that I did read seemed to suggest that we model our healthcare delivery system on the Cheesecake Factory restaurant franchise. He seemed to be enraptured by the checklist approach to food preparation that ensures that every hot dog has the right amount of mustard on it. Based on this article you’d almost expect him to take time away from saving lives in the operating room to write a book called “The Checklist Manifesto”! Oh, wait, he did do that.Another of Dr. Gawande’s inspired scribblings that I did read addressed the misallocation of resources (my interpretation) in medicine, due to profit seeking behavior, by examining utilization rates of procedures in two Texas towns.Now I may be over interpreting and reading too much between the lines, but it seems that he concludes from these observations that a for profit, market based system, will lead to bad outcomes and inefficiency as illustrated by the Texas example, and that our government can learn from his experience and build a Cheescake Wellness Factory. Pigs will fly, unicorns will thrive and I had a panic attack. I swore to never think about the man again. I considered the two examples he presented and came to a radically different conclusion. The Cheesecake Factory is an amazing example—of what can be accomplished within the framework or a profit seeking market economy. The Texas Two Town was a dance done in response to a tune called by version N-2 of government directed healthcare—just normal people exploiting badly designed government programs and regulations.Healthcare is complicated. Really complicated. Trade offs are and will be necessary. It’s impossible to give every person the absolutely best quality healthcare and to pursue every technological avenue that might improve longevity or quality of life. This should self evident but on the chance it’s not I’ll remind you that we all have varying capabilities. Even if we were to ignore the rest of the economy and through all our resources into healthcare, what research project and what specialties of medicine, and what regions of the country, and which patients, get the best talent? Who gets to decide? And of course you can’t really forget the rest of the economy. After all, people want to eat, they want their internet, their daytime tv (with Atul Gawande interviews) and they want their Incredibles movies streamed to their new iPhone. So, trade offs must be made.You can’t fix a problem without first defining the problem. You can’t define the problem with healthcare until you define what it is that you want it to be—what the ideal or goal is. This pivotal first step in logically approaching the challenge of changing healthcare in the US for the better is ignored by virtually voices in the public discourse. My minimal reading of Dr. Gawande’s writings hasn’t revealed his thoughts in this regard and your question doesn’t make clear your thoughts in this regard.So to finally answer your question, if your idea of good healthcare is cheesecake, I think the doctor has just what you need.

We are proposing a conceptual framework to generate policysolutions for using primary care to address the shortage of resources in U.S.health care. This framework will standardize primary care policy options sothat we can evaluate them consistently within the opportunity of the microcosms that exist in our health care system. Our framework is built on several principles. First, we need to learn through research and development by finding creative solutions that are better, faster, and scalable. In its simplest form, part of the answer is to drive a top-line increase in capacity by finding new ways to create health care workers. However, because there is not nearly enough time even if we had unlimited financial resources, we also need to substitute traditional methods with alternatives. Then, we need to amplify the entire resource pool through increased productivity. Lastly, this process will be most successful if we are able to modify consumer behaviors that lead to poor health.Tangible examples include:Learn through research and developmentEmerging Health Care Delivery Incubator: Last year the California HealthCare Foundation (CHCF) launched its $10-million Health Innovation Fund with the goal of engaging a broad range of entrepreneurs and providing capital to for-profit companies and non-profit organizations to help them finance, sustain, and grow initiatives that are geared toward lowering health care system costs and improving access for the underserved. CHCF will provide investments that take the form of low-cost loans, loan guarantees, or equity, as opposed to grants. The fund will invest in organizations during all stages of growth with a primary focus on early-stage development.We lay out specifics on how to foster an environment in which innovative practice models, payment structures, and advances in technology can be tested, measured, and diffused more rapidly: http://www.hopestreetgroup.org/docs/DOC-2476Create the health care team for the futureFast Track to M.D.: Texas Tech has a program where students graduate in three rather than four years and the training is geared toward entering family practice. One year is eliminated from the program by removing summer breaks and starting clinical rotations earlier. Using a combination of forgiveness of one year of tuition as well as awarding scholarships, students graduate with half of the expected debt. This further enables these students to enter the often lower-paying field of family medicine.We lay out specifics on how to recruit, train, and retain the optimal health care workforce: http://www.hopestreetgroup.org/docs/DOC-2477Substitute with alternativesUse Non-Traditional Sites: The 1,700 School-Based Health Centers (SBHC) operate in over 43 states and provide services to children and adolescents.40 Research and evaluations indicate that school-based health centers greatly enhance children’s access to health care, in some cases as much as 10 per- cent. These studies have found that adolescents are 10–21 times more likely to come to a SBHC for mental health services than a community health center network or health maintenance organization (HMO). Additionally, SBHCs are credited with decreasing absenteeism and tardiness as was widely reported amongst adolescents who received counseling services in a school-based health center.We lay out specifics on how to use new people, places, and tools to achieve greater capacity at lower cost: http://www.hopestreetgroup.org/docs/DOC-2478Amplify our productivityLeverage the functionality of telemedicine: Housed in the University of New Mexico, Project ECHO (Extension for Community Healthcare Outcomes) was founded by Sanjeev Aurora, M.D. The service has pro- vided more than 4,000 consultations for patients with Hepatitis C and given clinicians in rural areas 3,500 hours of continuing medical education credit. Project ECHO leverages technology by using a secure, Inter- net-based audio-visual network to increase access to care and increase the skill level of rural clinicians in New Mexico. The program trains doctors, nurses, physician’s assistants, and other clinicians in rural and underserved areas to collaboratively manage patients, expanding the health system’s capacity to deliver high-quality chronic care to those most in need. Outcome studies show that treatment of Hepatitis C in rural areas using the ECHO model is as safe and effective as in a university-based clinic.We lay out specifics on how to leverage technology, patient engagement, population management, and payment reform to accelerate smart processes: http://www.hopestreetgroup.org/docs/DOC-2479Modify consumer behavior to decrease demandSelf-Care and Patient Engagement Meet: Dr. Sam Pejham developed AsthmaMD, an iPhone application that allows patients to easily track their asthma activity, medications, and triggers through a diary and color graphs that can be sent directly to their personal physician as well as to researchers. Programs such as AsthmaMD provide an unprecedented ability to easily gain and share large amounts of accurate and real-time data about asthma and other health-related issues at the population level.We lay out specifics on how to empower consumers to take personal responsibility for improving their health through education, interactive tools, and incentives: http://www.hopestreetgroup.org/docs/DOC-2480