Fred IT Delivers Timely e-Prescription Solution with SAFe®

“e-Prescribing is probably the biggest example of a SAFe outcome for Fred IT. It was a real shake-up, quite transformative for our whole industry. And we were the leaders and able to pull it off!”

Zoe Walters, Product Manager

Challenge:

Siloed development and a need to meet rapidly changing demands proved challenging for a business whose product suite is an end-to-end solution.

Industry:

Pharmaceutical, IT

Results:

  • Faster time-to-market
  • Predictability improved to 82%
  • Bugs decreased by 50%
  • Backlog reduced from 160 support items to under 20
  • Improved top-down engagement with the stakeholders

Best Practices:

  • Train leadership – Fred IT trained the executive leadership team first, which helped drive complete business transformation
  • Train extensively – most people within the company have completed an average of two courses, including everyone in the leadership team, all the way to the CEO
  • Get expert help – Pretty Agile had an engagement with Fred that went beyond initial training. Their consultants were embedded to support continuous improvement and provide team guidance through more advanced practices up to PI6 results

The Partner that Made it Happen


Introduction

Fred IT Group is Australia’s largest provider of pharmacy IT solutions servicing more than 3000 pharmacies. The company was launched out of a deep commitment to the role of technological leadership in improving patient outcomes whilst making it easier and more efficient for health professionals to run their businesses.

Building an end-to-end solution in a siloed work culture

Over the years, Fred IT used a mix of Agile and Waterfall methodologies. However, neither approach addressed the need to respond quickly to continually changing demands or the siloed development approach across their teams.

e-Prescription Solution with SAFe®

“If you were in a team for a specific product, there was limited cross-over and discussion with other teams. Sharing of knowledge across products was ad-hoc and team members were often only expected to be skilled on one product,” says Fred IT product manager, Zoe Walters.

This was a problem for a business whose product suite is an end-to-end solution. “All of the products in our suite are fully integrated,” says Walters. “But our approach made it difficult to do this well. For example, a dispensary and back-office product might have the same reports. But, because they were developed in isolation, they were inconsistent in looks and the data captured and reported on. It was the same company, solution and report—but two different outputs.”

To transform their way of working and harmonize the development of their product suite, Fred decided to adopt SAFe®.

Training leaders first leads to early wins

With the help of Scaled Agile Transformation Partner, Pretty Agile, Fred started training people in 2018 with a goal of launching SAFe in 2019. The new initiative primarily included people from Product and Engineering, with HR, Finance, Security, and Infrastructure teams supporting the operational and strategic work. They decided to train leadership first, and then move to development teams. This approach quickly paid off. “Getting the executive leadership team in a Leading SAFe® class was regarded as a key success factor for Fred and is one of those things that made a difference to them,” says Pretty Agile founder, Em Campbell-Pretty.

“Getting the executive leadership team in a Leading SAFe® class was regarded as a key success factor for Fred and is one of those things that made a difference to them.”

Em Campbell-Pretty, Founder, pretty agile

As soon as the teams began planning and collaborating through SAFe practices, the organization experienced a noticeable difference. “The impact on prioritization was a massive eye-opener,” observed Walters. “It no longer became a matter of who screamed loudest determining what got done first, but making better decisions based on business value and impact based on the effort required. We knew in theory that it would happen, but to see it happen in reality was interesting. It became clear what needed to happen first, and made us examine the business reasoning behind it, and document and capture features and expected outcomes so we had a yardstick to measure what we’d achieved.”

One method that Fred IT uses in this decision-making process is to assess each feature/epic against the strategic investment, tech debt, maintenance, and other costs to the business. They then decide how they want to distribute that work across each PI. These guardrails allow the Lean Portfolio Manager (LPM) to manage the train capacity dedicated to each area.

 Taking the market lead in times of COVID

Adopting SAFe made a business-critical difference for Fred when COVID-19 hit Australia. Due to government mandates, citizens could not visit their doctors, so the pressure was on Fred to quickly deliver an e-Prescription solution

“COVID fast-tracked the forward momentum of the Australian e-Health industry,” says Walters. “Critically, conversations we’d been having about moving from paper prescriptions to electronic scripts for several years became concrete projects that needed to be delivered urgently.”

Already mid-way through launching a new dispense product, Fred needed to pivot its attention to successfully delivering a second product which would result in significant changes in deadlines.

“We had plans and extensive roadmaps for the dispense product in place, and the teams were already locked in,” says Walters. “But with SAFe, we could quickly and effectively change tack to deliver the e-Prescription product, despite the huge list of requirements.”

e-Prescription Solution with SAFe®

“SAFe enabled us to estimate the effort and time required, form teams, align them to the work, show the business how we’d achieve delivery, and then go ahead,” added Walters. “Using our previous approach, we’d have had no capability or ability to manage that. Instead, we would have just had a pile of work to chip away at—and hope for the best.”

“SAFe enabled us to estimate the effort and time required, form teams, align them to the work, show the business how we’d achieve delivery, and then go ahead.”

Zoe Walters, Product Manager

Practicing SAFe, the organization became more efficient and effective. They improved planning and road mapping with the Program Increment (PI) cycles and had transparency across the teams. Walters added, “As a result, they were able to plan and deliver last-minute changes to requirements and meet those fast-tracked milestones. So, it enabled us to get two different sustainable products up and running fast!”

Significant business outcomes

Fred has realized myriad benefits from adopting the SAFe way of working, from product development and delivery to cultural shifts:

  • Faster time-to-market: “e-Prescribing is probably the biggest example of a SAFe outcome for Fred IT,” says Walters. “It was a real shake-up, quite transformative for our whole industry. And we were the leaders and able to pull it off! Perhaps we could have done it without SAFe, but it would have been high risk, and supporting and maintaining the system would have been difficult. But with SAFe, we succeeded.”
  • Predictability: After several PIs, Fred achieved an average of 82% predictability on features and enablers.
  • Improvements in quality: SAFe introduced a big shift in the ownership of quality. Prior to SAFe, one person with a quality assurance title would attempt to address quality issues at the end of the development cycle. With SAFe, the entire team took ownership, and quality became embedded in the process. That approach paid off. Based on customer feedback, the quality of Fred’s products has dramatically improved and introduced bugs have dropped more than 50%.
  • Backlog reduction: Fred’s support backlog has also been significantly impacted. “We had an overall backlog of around 160 support items that needed to be reduced, and that number just never seemed to go down,” says Walters. “After a few PIs, the backlog dropped to under 20. It was a massive reduction.”
  • Cultural Shifts: “Since adopting SAFe, I feel like Fred’s a more collaborative place than before,” says Walters. “Our teams are more integrated, and there are stronger relationships between them because they’re part of every activity and process. We are sharing more, so we all know more about what’s happening across the business – and with more transparency. People are putting up their hands to help get projects across the line. We’ve become more understanding and supportive. That has been a big step forward for us as a company.”

“We’ve become more understanding and supportive. That has been a big step forward for us as a company.”

Zoe Walters, Product Manager

A transformative way of working

The SAFe way of working has significantly impacted the way Fred’s teams communicate, and it has improved their ability to adapt and pivot, manage quality standards, and coordinate the flow of work.

“Every single person at Fred IT who is using the SAFe way of working agrees that the transparency of the work and the ability to adapt quickly to changes in the market and be more agile is certainly tenfold,” says Walters.

“The difference now is that we have regular stand-ups together and can coordinate work across the board. So, for example, if we need a field change on Fred Dispense and the back-office report, the conversation is out in the open and can be planned and coordinated. It’s a massive improvement on past processes.”

The new visibility and transparency are also having an effect on future development work. Many of Fred’s government initiatives involve two different products, and one team might start before the other. With SAFe, the first team now shares all their learnings with the next team before they start. It allows for a much smoother approach and typically helps the teams avoid any potential issues.

“We now have predictability of our estimates,” says Walters. “We know how fast work can be achieved, which we didn’t know before. Previously we could only estimate delivery/release dates and resource requirements.

“SAFe was also a big shift in the team ownership of quality. Rather it being the responsibility of one person who landed the quality assurance title, it became embedded in the process – and has become a focus.

“Having SAFe processes in place means that everyone now knows what will happen each week, each month, and in each cycle.”

Summary

With the help of SAFe, Fred IT successfully overcame the challenges associated with developing a critical, time-sensitive end-to-end ePrescription solution, despite existing commitments. Previously siloed teams worked together with transparency and collaboration, and the product was successfully delivered despite significantly abbreviated timelines and a plethora of on-the-go changes to requirements.

e-Prescription Solution with SAFe®

Training At-a-Glance

Says Walters, “The enthusiasm for SAFe training is such that most people average a minimum of two courses. Tom Boswell, Enterprise Agile Coach and Release Train Engineer, added, “We’re very proud of where we got to with SAFe training. All of our leadership team—right up to the CEO—trained, which is unusual in my experience. It shows that they understood the value of investing in SAFe. We now have the capabilities to provide SAFe training and certification internally but continue to be supported by Pretty Agile for advanced courses.”

PI Planning
PI Planning at Fred IT
PI Planning
Kaizen dragon at Fred IT PI Planning

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CVS Health Tackles COVID Response by Adopting SAFe – SAFe for Healthcare

When empowerment and urgency come together, anything is possible.

Share:

Join four Agile leaders from CVS Health to learn how they banded together to form teams out of existing trains in order to tackle their monumental, and ever-evolving COVID response with the help of SAFe.

What does it look like when all roles across an operational value stream truly come together without the usual complexity and roadblocks that come with being in a large organization? How did they show up, lead with heart, and truly live their values? And what lessons were learned that other organizations can take away from this extraordinary experience?

Having scaled Agile in place already prior to this happening helps create a lot of clarity and transparency on where we should identify people who already had all the skill sets that we needed to really achieve this. And then it set up like a common language to talk about things like priority and how to sequence work. And honestly just really live the values of SAFe even more so than the process of SAFe which I think is just a beautiful place to be.”

Presented at the 2021 Global SAFe Summit, October 2021 by:

  • Caitlin Clifford, Senior Director of Digital Health Services /CVS Health
  • Rebecca Davis, CVS Health Digital Lean Agile Practice Leader /CVS Health
  • Matthew Huang, Senior Product Manager of Immunizations /CVS Health
  • Randy Kendel, Release Train Engineer of Immunizations /CVS Health
  • Interviewer: Michael Clarkin, CMO, Scaled Agile Inc.

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MetLife – Embracing SAFe Enterprise Agility

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Gaining C-Suite support for SAFe Enterprise Agility

MetLife is one of 12 Fortune 500 companies to thrive for over 150 years. Met has scale and a proud history … and the many challenges of incumbency including legacy systems and challenges to speed. Agile is quickly being embraced as the way to achieve speed in innovation.

In this 45-minute video, Cheryl Crupi shares the story of how a small team sold MetLife’s new CEO and his new executive group on SAFe Enterprise Agility. This short, immersive session enabled this executive group to experience Agile for themselves and resulted in a third of the group requesting individual follow-up on how they can embrace Enterprise Agility, including HR, Legal, Marketing and regional business presidents.

Cheryl Crupi, MetLife

Presented at 2019 Global SAFe Summit by:
Cheryl Crupi, Assistant Vice President, Global LACE MetLife

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pôle emploi – Benefits of Using SAFe in an Employment Agency

pôle emploi - Benefits of Using SAFe in Employment Agency

Pôle emploi is the French national employment agency tasked with providing and processing benefits for the unemployed and seniors, helping the unemployed find jobs, and providing employers with recruitment resources. They employ over 54,000 civil servants through 900+ agencies, and publish more than 4 million job offers annually.

Industry:

Government

Overview

In 2014, the agency processed 8 million requests for financial aid, distributing $31.7 billion euros in benefits.

In early 2015, pôle emploi was asked to develop a new process for job seekers, no small feat given that the organization was operating in a legacy environment which included a 1600-member IT Department comprised of Scrum and waterfall teams, working with new technology as well as COBOL systems, and integrating work from several external suppliers

They first met with key stakeholders to create the program context and agree on realistic scope, then explored options to fulfill the commitment, and sought a solution to meet the needs of these key areas:

  • What can we do to meet our commitments ?
  • What can we do to stay in sync?
  • What can we do to increase team collaboration?
  • What can we do to reduce integration risks on such a large scope ?
  • How can we maintain a good vision of the product?
  • How can we track the progress of so many teams?
Benefits of Using SAFe in Employment Agency

In early 2015, pôle emploi launched a SAFe pilot program to see how the Framework would work within their unique context. As part of this effort, they launched an Agile Release Train (ART) with 5 Scrum teams running on 3-week sprints, managing five cross-functional initiatives. Through Program Increment planning, they brought together all the key actors in the same room to identify key features that needed to be integrated, and dependencies between the different software components. pôle emploi created a new role, Delivery Manager, to track overall progress, and used IBM’s Rational Team Concert (RTC) to track team progress.

After the first few months, they were able to identify where the Framework mapped easily to their context, where it didn’t, and how to reconcile some of those differences. For instance, they opted to move from the Delivery Manager role to a Release Train Engineer (RTE) role, as defined in SAFe and began using SAFe-recommended templates to increase the visibility of the new business requirements. They also decided to align ART with their business program.

Today, the IT organization operates with both agile and non-agile teams collaborating, and is transitioning the non-agile teams to agile practices through their participation in the SAFe ART. They are working within the Framework to identify areas for continuous improvement and address questions such as:

  • How do we manage to take the business further within Agility?
  • Could WSJF help our prioritization process?
  • Who should assume the Product Management role in our organization?
  • How can we move forward with the system team?
  • Should we organize PO sync?
  • Who can be assigned the System Architect role?
  • Who should deal with the enablers and stories?
  • Will we be able to dissociate PI from our quarterly IT releases?
  • What do we need to do to move more teams to an agile cycle?

Get the rest of the story—including the update—below.

Many thanks to the team at pôle emploi for providing the study, and sharing your experience with the SAFe Community: Cécile Auret (SPC4), Methods Engineer, Jerome Froville (SPC4), Methods Engineer, and Michel Levaslot, Manager.

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