{"id":14191,"date":"2019-04-29T11:18:00","date_gmt":"2019-04-29T17:18:00","guid":{"rendered":"https:\/\/scaledagile.wpengine.com\/?post_type=case_study&#038;p=14191"},"modified":"2024-09-23T16:08:12","modified_gmt":"2024-09-23T22:08:12","slug":"centers-for-medicare-medicaid-services","status":"publish","type":"case_study","link":"https:\/\/scaledagile.com\/case_study\/centers-for-medicare-medicaid-services\/","title":{"rendered":"CMS\u00a0\u2013\u00a0Approach to Scaling Agile Using SAFe"},"content":{"rendered":"\n<div class=\"wp-block-media-text is-stacked-on-mobile\" style=\"grid-template-columns:23% auto\"><figure class=\"wp-block-media-text__media\"><img loading=\"lazy\" decoding=\"async\" width=\"352\" height=\"123\" src=\"https:\/\/scaledagile.com\/wp-content\/uploads\/2023\/11\/Centers_for_Medicare_and_Medicaid_Services_logo.svg\" alt=\"\" class=\"wp-image-179997 size-full\"\/><\/figure><div class=\"wp-block-media-text__content\">\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">Nearly 140 million Americans rely on Medicare, Medicaid, the Children\u2019s Health Insurance Program, and the health insurance exchanges\u2014all programs administered by the Centers for Medicare &amp; Medicaid Services (CMS). The agency pays out approximately $767 billion in benefits annually and employs 4,100 people to administer programs in partnership with state governments.<\/p>\n<\/div><\/div>\n\n\n\n<div style=\"height:48px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-columns border-b border-gray is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-top is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:25%\">\n<h3 class=\"wp-block-heading mb-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\" id=\"h-challenge\">Challenge:<\/h3>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\">\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">Isolated <a href=\"https:\/\/scaledagile.com\/training\/safe-scrum-master\/\">Scrum teams<\/a> didn\u2019t make much progress within a deeply ingrained waterfall culture and against long-range planning and budgeting.<\/p>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns border-b border-gray mt-6 is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-top is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:25%\">\n<h3 class=\"wp-block-heading mb-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\" id=\"h-industry\">Industry:<\/h3>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\">\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">Government, Healthcare<\/p>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns border-b border-gray mt-6 is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-top is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:25%\">\n<h3 class=\"wp-block-heading mb-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\" id=\"h-results\">Results:<\/h3>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\">\n<ul id=\"block-e09a6937-03bf-4fa0-9ee6-45328c8ac0ef\" class=\"wp-block-list\">\n<li>CMS shifted the budget from 100% dedicated to system maintenance to a 40\/60 split between maintenance and innovation<\/li>\n\n\n\n<li>Help desk tickets decreased by 55%<\/li>\n\n\n\n<li>Surveys show a 27% increase in employee satisfaction<\/li>\n<\/ul>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns are-vertically-aligned-top mt-6 is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-top is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:25%\">\n<h3 class=\"wp-block-heading mb-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\" id=\"h-best-practices\">Best Practices:<\/h3>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-top is-layout-flow wp-block-column-is-layout-flow\">\n<ul id=\"block-f9117a6b-0f4e-4a33-aef7-cade3bb8add1\" class=\"wp-block-list mb-0\">\n<li><strong>Prepare for face-to-face events <\/strong>&#8211; CMS found the SAFe Implementation Roadmap and training invaluable to smooth-running PI planning events<\/li>\n\n\n\n<li><strong>Establish transparency<\/strong>&nbsp;&#8211; Stress the importance of open, honest discussion and engagement<\/li>\n\n\n\n<li><strong>Communicate the vision<\/strong>&nbsp;&#8211; In opening remarks at PI events, CMS reminded team members that their work directly impacts people&#8217;s health and lives<\/li>\n<\/ul>\n<\/div>\n<\/div>\n\n\n\n<div style=\"height:48px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity is-style-wide\"\/>\n\n\n\n<h2 class=\"wp-block-heading has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\" id=\"h-introduction\">Introduction<\/h2>\n\n\n\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">Amid the pressures of increasing citizen expectations, the CMS environment is complex and ever-changing as budgets and legislation fluctuate\u2014making for a perfect setting to introduce <a href=\"https:\/\/scaledagile.com\/training\/lean-portfolio-management\/\">Lean-Agile principles<\/a>. A few isolated programs had begun using Scrum practices, but given the size and complexity of programs at CMS, Scrum did not lend itself well to longer-range planning and the identification and mitigation of dependencies among the Scrum teams. In addition, the organization still had cultural battles to overcome.<\/p>\n\n\n\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">\u201cWe were still suffering from a \u2018throw-everything-over-the-wall\u2019 mentality,\u2019\u201d explained Brent Weaver, Director of Systems Implementation at CMS. \u201cThe few Agile teams were requiring more of programs and that created more frustration on both sides. There was no vision or framework where everyone saw how they fit together. As a result, what they delivered was late, with defects\u2014and not what the market needed.\u201d<\/p>\n\n\n\n<div style=\"height:48px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading has-margin-top-5 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\" id=\"h-safe-systems-thinking-for-a-complex-organization\">SAFe: Systems Thinking for a Complex Organization<\/h2>\n\n\n\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">In 2017, Weaver arrived with the charge of improving the Agile transformation for the Center of Clinical Standards and Quality (CCSQ) within CMS. In the search for a new approach, the Scaled Agile Framework<sup>\u00ae<\/sup>&nbsp;(SAFe<sup>\u00ae<\/sup>) resonated as the right option.<\/p>\n\n\n\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">\u201cSAFe brought a much-needed approach to scaling Agile and systems thinking that was critical to an organization of our size and complexity,\u201d Weaver said.<\/p>\n\n\n\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">In preparation to obtain buy-in and funding, Weaver built his knowledge of SAFe by taking some initial courses: Leading SAFe\u00ae, and later, Implementing SAFe\u00ae. Following the Leading SAFe\u00ae course, he made the case for the Framework for leadership and earned the full support of Steve Davidson and Mark Plaugher, Directors of the Information Systems Group within CCSQ. Additionally, Debra Santos, Director of Hospitals, ASC, and QIO Systems was also willing to support the SAFe adoption for one of her systems.<\/p>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"wp-block-media-text alignwide is-stacked-on-mobile is-image-fill\" style=\"grid-template-columns:35% auto\"><figure class=\"wp-block-media-text__media\" style=\"background-image:url(https:\/\/scaledagile.com\/wp-content\/uploads\/2019\/04\/GettyImages-1227611791-1-scaled-adj.jpg);background-position:50% 50%\"><img loading=\"lazy\" decoding=\"async\" width=\"570\" height=\"380\" src=\"https:\/\/scaledagile.com\/wp-content\/uploads\/2019\/04\/GettyImages-1227611791-1-scaled-adj.jpg\" alt=\"Case Study: CMS Approach to Scaling Agile Using SAFe\" class=\"wp-image-184886 size-full\" srcset=\"https:\/\/scaledagile.com\/wp-content\/uploads\/2019\/04\/GettyImages-1227611791-1-scaled-adj.jpg 570w, https:\/\/scaledagile.com\/wp-content\/uploads\/2019\/04\/GettyImages-1227611791-1-scaled-adj-300x200.jpg 300w, https:\/\/scaledagile.com\/wp-content\/uploads\/2019\/04\/GettyImages-1227611791-1-scaled-adj-50x33.jpg 50w\" sizes=\"auto, (max-width: 570px) 100vw, 570px\" \/><\/figure><div class=\"wp-block-media-text__content\">\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">For help, Weaver tapped Scaled Agile Partner, Agile Six Applications, Inc. With Agile Six, CMS decided to implement SAFe first in a group brand-new to Lean-Agile concepts, rather than with those already using Scrum, for a chance to start from scratch. The first teams on SAFe would be those working on CMS\u2019s Hospital Quality Reporting (HQR) system, which healthcare facilities use to report data to CMS.<\/p>\n\n\n\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">With leadership backing, they secured the budget and marked the calendar for the first face-to-face Program Increment (PI) planning event\u2014to take place just six weeks in the future.<\/p>\n<\/div><\/div>\n\n\n\n<div style=\"height:48px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\" id=\"h-pi-planning-day-one-messy-and-chaotic\">PI Planning Day One: Messy and Chaotic<\/h2>\n<\/div>\n<\/div>\n\n\n\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">To meet the timeframe, CMS decided to shortcut the recommendations from the SAFe Implementation Roadmap and skip SAFe training\u2014a decision that created significant challenges and that, in hindsight, they wouldn\u2019t recommend to other organizations. The fact that many team members were located outside the area, and many were contractors, played into that decision.<\/p>\n\n\n\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">To help prepare for PI planning, HQR conducted a four-hour, half-day mock PI session with about 20 percent of team members to give them an idea of what to expect.<\/p>\n\n\n\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">For the actual PI Planning event, CMS brought together more than 120 people, with approximately a quarter of them coming from out of town. The first day, unfortunately, proved to be chaotic and more challenging than expected for several reasons, according to Weaver and Ernie Ramirez, President of Agile Six Applications:<\/p>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:100%\">\n<ul class=\"wp-block-list\">\n<li>They underestimated the refinement status of the backlog and didn\u2019t follow all relevant parts of the SAFe Implementation Roadmap<br><\/li>\n\n\n\n<li>They had a single Certified SAFe<sup>\u00ae<\/sup>&nbsp;Program Consultant (SPC) in Ramirez (the recommendation is 3 \u2013 5 per 100 development practitioners)<br><\/li>\n\n\n\n<li>The agency skipped Leading SAFe<sup>\u00ae<\/sup>, SAFe<sup>\u00ae<\/sup>&nbsp;for Teams, and SAFe<sup>\u00ae<\/sup>&nbsp;Product Owner\/Product Manager training<br><\/li>\n\n\n\n<li>They did not identify Value Streams<br><\/li>\n\n\n\n<li>CMS simultaneously created the implementation plan and prepared for the Agile Release Train (ART) launch<\/li>\n<\/ul>\n\n\n\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">\u201cIt cannot be overstated how horrible day one of that PI went,\u201d Ramirez said. \u201cWe didn\u2019t lay out an implementation plan as well as we should have, and the development contractor didn\u2019t have the resources or roles we thought they did.\u201d<\/p>\n<\/div>\n<\/div>\n\n\n\n<div style=\"height:48px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading has-margin-top-5 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\" id=\"h-pi-planning-day-two-quarter-million-dollar-conversations\">PI Planning Day Two: \u2018Quarter-Million-Dollar Conversations\u2019<\/h2>\n\n\n\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">Day two, however, could not have played out more differently. \u201cAt the end of day one, rather than throw in the towel, we rolled up our sleeves, and resolved to do better in day 2. We came out of day two with a plan that the teams would ultimately deliver on over the next 12 weeks,\u201d Ramirez said.<\/p>\n\n\n\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">Ramirez points to a few reasons for the turnaround. After the first day, people returned knowing more of what to expect and came more prepared. Also, the two-day format created a sense of urgency to make progress. Additionally, Ramirez walked around troubleshooting any issues immediately as they arose.<\/p>\n\n\n\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">\u201cAfter the first day, everyone had an opportunity to \u2018sleep on it,\u2019\u201d he said. \u201cA lot of the frustration at the end of the first day kind of washed out and everyone came back with a renewed focus and commitment to get the plan done,\u201d Ramirez said.<\/p>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"wp-block-media-text alignwide has-media-on-the-right is-stacked-on-mobile is-image-fill\" style=\"grid-template-columns:auto 41%\"><div class=\"wp-block-media-text__content\">\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">Team members and program managers alike left the event more hopeful than ever before, believing they could actually hit the plan\u2019s targets. Most promising, Weaver and Ramirez noticed productive discussions happening throughout the room\u2014often between people who had worked together for several years, but had never actually met one another in person.<\/p>\n\n\n\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">\u201cWe witnessed a lot of team and cross-team bonding that just cannot be replicated over WebEx, Hangouts or Zoom,\u201d Ramirez said. \u201cThere is something immeasurably valuable about being in the same room with someone, laughing, joking and yes, respectfully arguing. A lot of trust was earned and built on day two.\u201d<\/p>\n\n\n\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">\u201cQuarter-million-dollar conversations were happening all over the place,\u201d Weaver said. \u201cThat\u2019s what it would have cost to fix problems down the road if those conversations had not happened.\u201d<\/p>\n<\/div><figure class=\"wp-block-media-text__media\" style=\"background-image:url(https:\/\/scaledagile.com\/wp-content\/uploads\/2021\/07\/GettyImages-1242485859-1024x683.jpg);background-position:72% 50%\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"https:\/\/scaledagile.com\/wp-content\/uploads\/2021\/07\/GettyImages-1242485859-1024x683.jpg\" alt=\"SAFe case study\" class=\"wp-image-118353 size-full\" srcset=\"https:\/\/scaledagile.com\/wp-content\/uploads\/2021\/07\/GettyImages-1242485859-1024x683.jpg 1024w, https:\/\/scaledagile.com\/wp-content\/uploads\/2021\/07\/GettyImages-1242485859-300x200.jpg 300w, https:\/\/scaledagile.com\/wp-content\/uploads\/2021\/07\/GettyImages-1242485859-768x512.jpg 768w, https:\/\/scaledagile.com\/wp-content\/uploads\/2021\/07\/GettyImages-1242485859-1536x1025.jpg 1536w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure><\/div>\n<\/div>\n<\/div>\n\n\n\n<div style=\"height:48px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading has-margin-top-5 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\" id=\"h-communication-collaboration-across-cms-contractors\">Communication, Collaboration across CMS + Contractors<\/h2>\n\n\n\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">Following that first PI, CMS began adhering to the SAFe Implementation Roadmap. They delivered Leading SAFe<sup>\u00ae<\/sup>, SAFe<sup>\u00ae<\/sup>&nbsp;for Teams, and SAFe<sup>\u00ae<\/sup>&nbsp;Product Owner\/Product Manager training. Unlike the first PI, they identified Value Streams.<\/p>\n\n\n\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">\u201cFor the second PI, we found a lot of value in identifying Value Streams and ARTs, which helped people understand where they fit in and how teams fit together,\u201d Ramirez said.<\/p>\n\n\n\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">Agile Six also delivered training to external contractors, including Leading SAFe<sup>\u00ae<\/sup>, SAFe<sup>\u00ae<\/sup>&nbsp;for Teams, and SAFe<sup>\u00ae<\/sup>&nbsp;Product Owner\/Product Manager. Several people at contractor organizations earned their SAFe<sup>\u00ae<\/sup>&nbsp;Program Consultant (SPC) certification and began training their own people\u2014knowing that it is likely to give them one more strength to promote as they seek to win future contracts with CMS.<\/p>\n\n\n\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">During RFPs, contract organizations routinely compete against each other. However, once on contract, they must work with team members from competing firms. As an unexpected benefit, SAFe helped unify CMS team members and contractors, as well as contractors from various companies. Face-to-face, they collaborate more effectively and come to personally know the people behind the roles, developing comfortable working relationships with each other.<\/p>\n\n\n\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">\u201cIt\u2019s fundamentally better for American taxpayers that teams work together and break those walls down,\u201d Weaver said. \u201cI\u2019m really proud of contractors\u2019 ability to collaborate, share information, and work as a single team. Doing so has helped us reduce trouble tickets, so we know we\u2019re delivering higher-quality solutions.<\/p>\n\n\n\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">Because of CMS\u2019s heavy use of contractors, each ART is comprised of people from numerous organizations. That required transformation leaders to be sensitive to job functions and responsibilities across the different companies on a single ART to foster trust and teamwork instead of competition. Having a single backlog for an ART creates further harmony among diverse team members.<\/p>\n\n\n\n<div style=\"height:48px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:100%\">\n<div class=\"wp-block-group has-border-color has-object-object-border-color border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\"><div class=\"wp-block-group__inner-container is-layout-flow wp-block-group-is-layout-flow\">\n<h2 class=\"wp-block-heading has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\" id=\"h-27-boost-in-employee-satisfaction\">27% Boost in Employee Satisfaction<\/h2>\n\n\n\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">So far, CMS has trained more than 200 people, including 25 \u2013 30 Certified SAFe<sup>\u00ae<\/sup>&nbsp;Program Consultants (SPCs). The agency has also since launched four more Agile Release Trains (ARTs).<\/p>\n\n\n\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">With training and preparation, participants have been more engaged in PI Planning events after that first learning experience. Communication, says Weaver and Ramirez, has been critical to the acceptance of the new way of working. Especially in the early days, they had to communicate clearly and persistently to convince people to join in the effort and assuage fears about what this meant for their futures.<\/p>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"wp-block-media-text alignwide is-stacked-on-mobile is-vertically-aligned-center is-image-fill\" style=\"grid-template-columns:35% auto\"><figure class=\"wp-block-media-text__media\" style=\"background-image:url(https:\/\/scaledagile.com\/wp-content\/uploads\/2021\/07\/GettyImages-1265620914-1024x683.jpg);background-position:50% 50%\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"https:\/\/scaledagile.com\/wp-content\/uploads\/2021\/07\/GettyImages-1265620914-1024x683.jpg\" alt=\"SAFe Case Study\n\" class=\"wp-image-118352 size-full\" srcset=\"https:\/\/scaledagile.com\/wp-content\/uploads\/2021\/07\/GettyImages-1265620914-1024x683.jpg 1024w, https:\/\/scaledagile.com\/wp-content\/uploads\/2021\/07\/GettyImages-1265620914-300x200.jpg 300w, https:\/\/scaledagile.com\/wp-content\/uploads\/2021\/07\/GettyImages-1265620914-768x512.jpg 768w, https:\/\/scaledagile.com\/wp-content\/uploads\/2021\/07\/GettyImages-1265620914-1536x1024.jpg 1536w, https:\/\/scaledagile.com\/wp-content\/uploads\/2021\/07\/GettyImages-1265620914-2048x1365.jpg 2048w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure><div class=\"wp-block-media-text__content\">\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">\u201cWe really had to do a lot of selling on SAFe to get people comfortable,\u201d Weaver said. \u201cPeople were genuinely apprehensive about changing the way they have worked for so long, but as they have seen results, they have embraced it.\u201d<\/p>\n\n\n\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">And over time, HQR has implemented other SAFe concepts such as Weighted Shortest Job First (WSJF). Well ahead of a PI, the primary stakeholder has time to weigh the value of work and prioritize\u2014which takes some of the emotion out of the decision, Ramirez says.<\/p>\n\n\n\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">They are also in the process of adjusting budgets to fit more with shorter-term planning. Instead of years in advance, they began thinking in terms of three-month increments, in which Ramirez called a halfway step between the traditional approach and the \u2018wild west\u2019 of Scrum.<\/p>\n<\/div><\/div>\n<\/div>\n<\/div>\n\n\n\n<div style=\"height:75px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<\/div><\/div>\n\n\n\n<h2 class=\"wp-block-heading has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\" id=\"h-higher-quality-happier-people\">Higher Quality, Happier People<\/h2>\n\n\n\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">After a bumpy beginning, CMS points to measurable progress:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Budget shift to modernization versus maintenance<\/strong>&nbsp;\u2013 Instead of 100% of the budget going to maintain the existing HQR system, now only 40% is dedicated to it. A full 60% of the budget goes toward innovation for the system, helping the agency deliver on citizen expectations.<br><\/li>\n\n\n\n<li><strong>Higher quality<\/strong>&nbsp;\u2013 The HQR group reports a 55% decrease in help desk tickets from hospitals\u2014demonstrating a direct impact to customer satisfaction.<br><\/li>\n\n\n\n<li><strong>Happier people<\/strong>&nbsp;\u2013 Surveys conducted before and after SAFe show a 27% increase in employee satisfaction.<\/li>\n<\/ul>\n\n\n\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">While CMS can\u2019t yet measure customer satisfaction gains directly, they know that fewer quality issues and more innovation contribute to that goal.<\/p>\n\n\n\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">\u201cSAFe provided a map that enabled us to shift to modernizing versus just maintaining the status quo,\u201d Weaver said. \u201cBeneficiaries will ultimately benefit from more user-friendly, human-centered design systems, which will allow us to reduce the burden on our providers.\u201d<\/p>\n\n\n\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">The group\u2019s success has caught the attention of others, with trains now starting in other CMS groups. \u201cOther programs within CMS have approached HQR asking us how to drive the same outcomes,\u201d Santos said. \u201cIt\u2019s a testament to how far we\u2019ve come in the past year.\u201d<\/p>\n\n\n\n<div style=\"height:75px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Transformation starts with leadership<\/strong>&nbsp;\u2013 Ideally, you need two to three leaders who are fully committed to the change. If possible, send them through SPC training.<br><\/li>\n\n\n\n<li><strong>Coaches are a MUST<\/strong>&nbsp;\u2013 CMS found substantial value in them<br><\/li>\n\n\n\n<li><strong>Agile contracting is necessary<\/strong>&nbsp;\u2013 Rigid contracts that have highly specific deliverables can be an obstacle to agility and to embracing shifting priorities as new data emerges<br><\/li>\n\n\n\n<li><strong>Use contractors that understand Lean-Agile principle<\/strong>s \u2013 Hire teams that truly understand what this means, not just those who can talk the talk<br><\/li>\n\n\n\n<li><strong>Find collaborative work space<\/strong>&nbsp;\u2013 From PI planning events to day-to-day work, collaborative work space enables teams to capture the value of face-to-face interaction<br><\/li>\n\n\n\n<li><strong>Just do it!<\/strong>&nbsp;\u2013 \u201cIf we could time-travel and do it again, we would emphasize a sense of urgency to get going,\u201d Weaver said. \u201cSet a near-term date and follow the roadmap.\u201d<br><\/li>\n\n\n\n<li><strong>Engage employees<\/strong>&nbsp;\u2013 Any effort is only as strong as its people. Approach the change with empathy for what your team is undergoing and leverage the support of management and coaches to keep employees engaged and excited.<br><\/li>\n\n\n\n<li><strong>Start with Essential SAFe<sup>\u00ae<\/sup><\/strong>&nbsp;\u2013 CMS found it valuable to simplify as much as possible and started with a program that lent itself to Essential SAFe. The learnings they achieved will influence larger programs, which will require multiple Value Streams.<\/li>\n<\/ul>\n\n\n\n<div style=\"height:24px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-group has-border-color has-object-object-border-color border-0 has-margin-top-5 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\"><div class=\"wp-block-group__inner-container is-layout-flow wp-block-group-is-layout-flow\">\n<h4 class=\"wp-block-heading has-medium-font-size has-margin-top-0 has-margin-right-0 has-margin-bottom-1 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\" id=\"h-share\">Share:<\/h4>\n\n\n\n<ul class=\"wp-block-social-links is-layout-flex wp-block-social-links-is-layout-flex\"><li class=\"wp-social-link wp-social-link-linkedin  wp-block-social-link\"><a href=\"https:\/\/www.linkedin.com\" 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s-0.009,2.688-0.052,3.637c-0.04,0.877-0.187,1.354-0.31,1.671c-0.163,0.42-0.358,0.72-0.673,1.035 c-0.315,0.315-0.615,0.51-1.035,0.673c-0.317,0.123-0.794,0.27-1.671,0.31c-0.949,0.043-1.233,0.052-3.637,0.052 s-2.688-0.009-3.637-0.052c-0.877-0.04-1.354-0.187-1.671-0.31c-0.42-0.163-0.72-0.358-1.035-0.673 c-0.315-0.315-0.51-0.615-0.673-1.035c-0.123-0.317-0.27-0.794-0.31-1.671C4.631,14.688,4.622,14.403,4.622,12 s0.009-2.688,0.052-3.637c0.04-0.877,0.187-1.354,0.31-1.671c0.163-0.42,0.358-0.72,0.673-1.035 c0.315-0.315,0.615-0.51,1.035-0.673c0.317-0.123,0.794-0.27,1.671-0.31C9.312,4.631,9.597,4.622,12,4.622 M12,3 C9.556,3,9.249,3.01,8.289,3.054C7.331,3.098,6.677,3.25,6.105,3.472C5.513,3.702,5.011,4.01,4.511,4.511 c-0.5,0.5-0.808,1.002-1.038,1.594C3.25,6.677,3.098,7.331,3.054,8.289C3.01,9.249,3,9.556,3,12c0,2.444,0.01,2.751,0.054,3.711 c0.044,0.958,0.196,1.612,0.418,2.185c0.23,0.592,0.538,1.094,1.038,1.594c0.5,0.5,1.002,0.808,1.594,1.038 c0.572,0.222,1.227,0.375,2.185,0.418C9.249,20.99,9.556,21,12,21s2.751-0.01,3.711-0.054c0.958-0.044,1.612-0.196,2.185-0.418 c0.592-0.23,1.094-0.538,1.594-1.038c0.5-0.5,0.808-1.002,1.038-1.594c0.222-0.572,0.375-1.227,0.418-2.185 C20.99,14.751,21,14.444,21,12s-0.01-2.751-0.054-3.711c-0.044-0.958-0.196-1.612-0.418-2.185c-0.23-0.592-0.538-1.094-1.038-1.594 c-0.5-0.5-1.002-0.808-1.594-1.038c-0.572-0.222-1.227-0.375-2.185-0.418C14.751,3.01,14.444,3,12,3L12,3z M12,7.378 c-2.552,0-4.622,2.069-4.622,4.622S9.448,16.622,12,16.622s4.622-2.069,4.622-4.622S14.552,7.378,12,7.378z M12,15 c-1.657,0-3-1.343-3-3s1.343-3,3-3s3,1.343,3,3S13.657,15,12,15z M16.804,6.116c-0.596,0-1.08,0.484-1.08,1.08 s0.484,1.08,1.08,1.08c0.596,0,1.08-0.484,1.08-1.08S17.401,6.116,16.804,6.116z\"><\/path><\/svg><span class=\"wp-block-social-link-label screen-reader-text\">Instagram<\/span><\/a><\/li>\n\n<li class=\"wp-social-link wp-social-link-twitter  wp-block-social-link\"><a href=\"https:\/\/www.linkedin.com\" 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55%<\/p>\n","protected":false},"author":316,"featured_media":184885,"template":"","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"116769,116724,86458,119331,56425,116762","_relevanssi_noindex_reason":"","footnotes":""},"categories":[765,381,754,749,756,561,766],"tags":[],"industry":[267,270],"role":[],"sizes":[884],"country":[564],"topic":[938,936,937],"region":[874],"class_list":["post-14191","case_study","type-case_study","status-publish","has-post-thumbnail","hentry","category-country","category-customer-story","category-government","category-healthcare","category-nonprofit","category-resources","category-united-states","industry-government","industry-healthcare","size-large-enterprise","country-united-states","topic-integrating-contractors","topic-learning-from-failures","topic-value-stream-identification","region-north-america"],"acf":{"case_study_content":[{"case_study_content":"<p>Nearly 140 million Americans rely on Medicare, Medicaid, the Children\u2019s Health Insurance Program, and the health insurance exchanges\u2014all programs administered by the Centers for Medicare &amp; Medicaid Services (CMS). The agency pays out approximately $767 billion in benefits annually and employs 4,100 people to administer programs in partnership with state governments.<\/p>\n<p>Amid the pressures of increasing citizen expectations, the CMS environment is complex and ever-changing as budgets and legislation fluctuate\u2014making for a perfect setting to introduce Lean-Agile principles. A few isolated programs had begun using Scrum practices, but given the size and complexity of programs at CMS, Scrum did not lend itself well to longer-range planning and the identification and mitigation of dependencies among the Scrum teams. In addition, the organization still had cultural battles to overcome.<\/p>\n<p>\u201cWe were still suffering from a \u2018throw-everything-over-the-wall\u2019 mentality,\u2019\u201d explained Brent Weaver, Director of Systems Implementation at CMS. \u201cThe few Agile teams were requiring more of programs and that created more frustration on both sides. There was no vision or framework where everyone saw how they fit together. As a result, what they delivered was late, with defects\u2014and not what the market needed.\u201d<\/p>\n"},{"case_study_content":"<h3>SAFe: Systems Thinking for a Complex Organization<\/h3>\n<p>In 2017, Weaver arrived with the charge of improving the Agile transformation for the Center of Clinical Standards and Quality (CCSQ) within CMS. In the search for a new approach, the Scaled Agile Framework<sup>\u00ae<\/sup> (SAFe<sup>\u00ae<\/sup>) resonated as the right option.<\/p>\n<p>\u201cSAFe brought a much-needed approach to scaling Agile and systems thinking that was critical to an organization of our size and complexity,\u201d Weaver said.<\/p>\n<p>In preparation to obtain buy-in and funding, Weaver built his knowledge of SAFe by taking some initial courses: Leading SAFe<sup>\u00ae<\/sup>, and later, Implementing SAFe<sup>\u00ae<\/sup>. Following the Leading SAFe<sup>\u00ae<\/sup> course, he made the case for the Framework to leadership and earned the full support of Steve Davidson and Mark Plaugher, Directors of the Information Systems Group within CCSQ. Additionally, Debra Santos, Director of Hospitals, ASC, and QIO Systems was also willing to support the adoption of SAFe for one of her systems.<\/p>\n<p>For help, Weaver tapped Scaled Agile Partner, Agile Six Applications, Inc. With Agile Six, CMS decided to implement SAFe first in a group brand-new to Lean-Agile concepts, rather than with those already using Scrum, for a chance to start from scratch. The first teams on SAFe would be those working on CMS\u2019s Hospital Quality Reporting (HQR) system, which healthcare facilities use to report data to CMS.<\/p>\n<p>With leadership backing, they secured the budget and marked the calendar for the first face-to-face Program Increment (PI) planning event\u2014to take place just six weeks in the future.<\/p>\n"},{"case_study_content":"<h3>PI Planning Day One: Messy and Chaotic<\/h3>\n<p>To meet the timeframe, CMS decided to shortcut the recommendations from the SAFe Implementation Roadmap and skip SAFe training\u2014a decision that created significant challenges and that, in hindsight, they wouldn\u2019t recommend to other organizations. The fact that many team members were located outside the area, and many were contractors, played into that decision.<\/p>\n<p>To help prepare for PI planning, HQR conducted a four-hour, half-day mock PI session with about 20 percent of team members to give them an idea of what to expect.<\/p>\n<p>For the actual PI Planning event, CMS brought together more than 120 people, with approximately a quarter of them coming from out of town. The first day, unfortunately, proved to be chaotic and more challenging than expected for several reasons, according to Weaver and Ernie Ramirez, President of Agile Six Applications:<\/p>\n<ul>\n<li>They underestimated the refinement status of the backlog and didn\u2019t follow all relevant parts of the SAFe Implementation Roadmap<\/li>\n<li>They had a single Certified SAFe<sup>\u00ae<\/sup> Program Consultant (SPC) in Ramirez (the recommendation is 3 \u2013 5 per 100 development practitioners)<\/li>\n<li>The agency skipped Leading SAFe<sup>\u00ae<\/sup>, SAFe<sup>\u00ae<\/sup> for Teams, and SAFe<sup>\u00ae<\/sup> Product Owner\/Product Manager training<\/li>\n<li>They did not identify Value Streams<\/li>\n<li>CMS simultaneously created the implementation plan and prepared for the Agile Release Train (ART) launch<\/li>\n<\/ul>\n<p>\u201cIt cannot be overstated how horrible day one of that PI went,\u201d Ramirez said. \u201cWe didn\u2019t lay out an implementation plan as well as we should have, and the development contractor didn\u2019t have the resources or roles we thought they did.\u201d<\/p>\n"},{"case_study_content":"<h3>PI Planning Day Two: \u2018Quarter-Million-Dollar Conversations\u2019<\/h3>\n<p>Day two, however, could not have played out more differently. \u201cAt the end of day one, rather than throw in the towel, we rolled up our sleeves, and resolved to do better in day 2. We came out of day two with a plan that the teams would ultimately deliver on over the next 12 weeks,\u201d Ramirez said.<\/p>\n<p>Ramirez points to a few reasons for the turnaround. After the first day, people returned knowing more of what to expect and came more prepared. Also, the two-day format created a sense of urgency to make progress. Additionally, Ramirez walked around troubleshooting any issues immediately as they arose.<\/p>\n<p>\u201cAfter the first day, everyone had an opportunity to &#8216;sleep on it,&#8217;\u201d he said. \u201cA lot of the frustration at the end of the first day kind of washed out and everyone came back with a renewed focus and commitment to get the plan done,\u201d Ramirez said.<\/p>\n<p>Team members and program managers alike left the event more hopeful than ever before, believing they could actually hit the plan\u2019s targets. Most promising, Weaver and Ramirez noticed productive discussions happening throughout the room\u2014often between people who had worked together for several years, but had never actually met one another in person.<\/p>\n<p>\u201cWe witnessed a lot of team and cross-team bonding that just cannot be replicated over WebEx, Hangouts or Zoom,\u201d Ramirez said. \u201cThere is something immeasurably valuable about being in the same room with someone, laughing, joking and yes, respectfully arguing. A lot of trust was earned and built on day two.\u201d<\/p>\n<p>\u201cQuarter-million-dollar conversations were happening all over the place,\u201d Weaver said. \u201cThat\u2019s what it would have cost to fix problems down the road if those conversations had not happened.\u201d<\/p>\n"},{"case_study_content":"<h3>Communication, Collaboration across CMS + Contractors<\/h3>\n<p>Following that first PI, CMS began adhering to the SAFe Implementation Roadmap. They delivered Leading SAFe<sup>\u00ae<\/sup>, SAFe<sup>\u00ae<\/sup> for Teams, and SAFe<sup>\u00ae<\/sup> Product Owner\/Product Manager training. Unlike the first PI, they identified Value Streams.<\/p>\n<p>\u201cFor the second PI, we found a lot of value in identifying Value Streams and ARTs, which helped people understand where they fit in and how teams fit together,\u201d Ramirez said.<\/p>\n<p>Agile Six also delivered training to external contractors, including Leading SAFe<sup>\u00ae<\/sup>, SAFe<sup>\u00ae<\/sup> for Teams, and SAFe<sup>\u00ae<\/sup> Product Owner\/Product Manager. Several people at contractor organizations earned their SAFe<sup>\u00ae<\/sup> Program Consultant (SPC) certification and began training their own people\u2014knowing that it is likely to give them one more strength to promote as they seek to win future contracts with CMS.<\/p>\n<p>During RFPs, contract organizations routinely compete against each other. However, once on contract, they must work with team members from competing firms. As an unexpected benefit, SAFe helped unify CMS team members and contractors, as well as contractors from various companies. Face-to-face, they collaborate more effectively and come to personally know the people behind the roles, developing comfortable working relationships with each other.<\/p>\n<p>\u201cIt\u2019s fundamentally better for American taxpayers that teams work together and break those walls down,\u201d Weaver said. \u201cI\u2019m really proud of contractors\u2019 ability to collaborate, share information, and work as a single team. Doing so has helped us reduce trouble tickets, so we know we\u2019re delivering higher-quality solutions.<\/p>\n<p>Because of CMS\u2019s heavy use of contractors, each ART is comprised of people from numerous organizations. That required transformation leaders to be sensitive to job functions and responsibilities across the different companies on a single ART to foster trust and teamwork instead of competition. Having a single backlog for an ART creates further harmony among diverse team members.<\/p>\n"},{"case_study_content":"<h3>27% Boost in Employee Satisfaction<\/h3>\n<p>So far, CMS has trained more than 200 people, including 25 \u2013 30 Certified SAFe<sup>\u00ae<\/sup> Program Consultants (SPCs). The agency has also since launched four more Agile Release Trains (ARTs).<\/p>\n<p>With training and preparation, participants have been more engaged in PI Planning events after that first learning experience. Communication, say Weaver and Ramirez, has been critical to acceptance of the new way of working. Especially in the early days, they had to communicate clearly and persistently to convince people to join in the effort and assuage fears about what this meant for their futures.<\/p>\n<p>\u201cWe really had to do a lot of selling on SAFe to get people comfortable,\u201d Weaver said. \u201cPeople were genuinely apprehensive about changing the way they have worked for so long, but as they have seen results, they have embraced it.\u201d<\/p>\n<p>And over time, HQR has implemented other SAFe concepts such as Weighted Shortest Job First (WSJF). Well ahead of a PI, the primary stakeholder has time to weigh the value of work and prioritize\u2014which takes some of the emotion out of the decision, Ramirez says.<\/p>\n<p>They are also in the process of adjusting budgets to fit more with shorter-term planning. Instead of years in advance, they began thinking in terms of three-month increments, in which Ramirez called a halfway step between the traditional approach and the &#8216;wild west&#8217; of Scrum.<\/p>\n"},{"case_study_content":"<h3>Higher Quality, Happier People<\/h3>\n<p>After a bumpy beginning, CMS points to measurable progress:<\/p>\n<ul>\n<li><strong>Budget shift to modernization versus maintenance<\/strong> &#8211; Instead of 100% of the budget going to maintain the existing HQR system, now only 40% is dedicated to it. A full 60% of the budget goes toward innovation for the system, helping the agency deliver on citizen expectations.<\/li>\n<li><strong>Higher quality<\/strong> &#8211; The HQR group reports a 55% decrease in help desk tickets from hospitals\u2014demonstrating a direct impact to customer satisfaction.<\/li>\n<li><strong>Happier people<\/strong> &#8211; Surveys conducted before and after SAFe show a 27% increase in employee satisfaction.<\/li>\n<\/ul>\n<p>While CMS can\u2019t yet measure customer satisfaction gains directly, they know that fewer quality issues and more innovation contribute to that goal.<\/p>\n<p>\u201cSAFe provided a map that enabled us to shift to modernizing versus just maintaining the status quo,\u201d Weaver said. \u201cBeneficiaries will ultimately benefit from more user-friendly, human-centered design systems, which will allow us to reduce the burden on our providers.\u201d<\/p>\n<p>The group\u2019s success has caught the attention of others, with trains now starting in other CMS groups. \u201cOther programs within CMS have approached HQR asking us how to drive the same outcomes,\u201d Santos said. \u201cIt\u2019s a testament to how far we\u2019ve come in the past year.\u201d<\/p>\n"},{"case_study_content":"<h2>8 Tips for a Successful Government SAFe Transformation<\/h2>\n<ul>\n<li><strong>Transformation starts with leadership<\/strong> &#8211; Ideally, you need two to three leaders who are fully committed to the change. If possible, send them through SPC training.<\/li>\n<li><strong>Coaches are a MUST<\/strong> &#8211; CMS found substantial value in them<\/li>\n<li><strong>Agile contracting is necessary<\/strong> &#8211; Rigid contracts that have highly specific deliverables can be an obstacle to agility and to embracing shifting priorities as new data emerges<\/li>\n<li><strong>Use contractors that understand Lean-Agile principle<\/strong>s &#8211; Hire teams that truly understand what this means, not just those who can talk the talk<\/li>\n<li><strong>Find collaborative work space<\/strong> &#8211; From PI planning events to day-to-day work, collaborative work space enables teams to capture the value of face-to-face interaction<\/li>\n<li><strong>Just do it!<\/strong> &#8211; \u201cIf we could time-travel and do it again, we would emphasize a sense of urgency to get going,\u201d Weaver said. \u201cSet a near-term date and follow the roadmap.\u201d<\/li>\n<li><strong>Engage employees<\/strong> &#8211; Any effort is only as strong as its people. Approach the change with empathy for what your team is undergoing and leverage the support of management and coaches to keep employees engaged and excited.<\/li>\n<li><strong>Start with Essential SAFe<sup>\u00ae<\/sup><\/strong> &#8211; CMS found it valuable to simplify as much as possible and started with a program that lent itself to Essential SAFe. The learnings they achieved will influence larger programs, which will require multiple Value Streams.<\/li>\n<\/ul>\n"}],"case_study_file":false,"case_study_challenge":"<p>Isolated Scrum teams didn\u2019t make much progress within a deeply ingrained waterfall culture and against long-range planning and budgeting.<\/p>\n","case_study_solution":"<p>SAFe<sup>\u00ae<\/sup><\/p>\n","case_study_results":"<ul>\n<li>CMS shifted the budget from 100% dedicated to system maintenance to a 40\/60 split between maintenance and innovation<\/li>\n<li>Help desk tickets decreased by 55%<\/li>\n<li>Surveys show a 27% increase in employee satisfaction<\/li>\n<\/ul>\n","case_study_best_practices":"<ul>\n<li><strong>Prepare for face-to-face event<\/strong>s - CMS found the SAFe Implementation Roadmap and training invaluable to smooth-running PI planning events<\/li>\n<li><strong>Establish transparency<\/strong> - Stress the importance of open, honest discussion and engagement<\/li>\n<li><strong>Communicate the vision<\/strong> - In opening remarks at PI events, CMS reminded team members that their work directly impacts peoples\u2019 health and lives<\/li>\n<\/ul>\n","case_study_partner":false,"page_header_content":"","audio_link":"","video_link":"","related_posts":false,"page_header_background":false,"page_header_title":"","show_on_blog":true,"customer_logo":"https:\/\/scaledagile.com\/wp-content\/uploads\/2019\/03\/logo_cms.png","is_featured":false,"add_intercom":true},"has_blocks":true,"block_data":[{"blockName":"core\/media-text","attrs":{"align":"","mediaId":179997,"mediaLink":"https:\/\/scaledagile.com\/case_study\/centers-for-medicare-medicaid-services\/centers_for_medicare_and_medicaid_services_logo\/","mediaType":"image","mediaWidth":23,"imageFill":false,"mediaAlt":"","mediaPosition":"left","mediaUrl":"","linkDestination":"","linkTarget":"","href":"","rel":"","linkClass":"","mediaSizeSlug":"","isStackedOnMobile":true,"verticalAlignment":"","focalPoint":[],"allowedBlocks":[],"useFeaturedImage":false,"lock":[],"metadata":[],"className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","openPopupId":"","anchor":""},"innerBlocks":[{"blockName":"core\/paragraph","attrs":{"align":"","content":"Nearly 140 million Americans rely on Medicare, Medicaid, the Children\u2019s Health Insurance Program, and the health insurance exchanges\u2014all programs administered by the Centers for Medicare & Medicaid Services (CMS). The agency pays out approximately $767 billion in benefits annually and employs 4,100 people to administer programs in partnership with state governments.","dropCap":false,"placeholder":"","direction":"","lock":[],"metadata":[],"className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","openPopupId":"","anchor":""},"innerBlocks":[],"innerHTML":"\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">Nearly 140 million Americans rely on Medicare, Medicaid, the Children\u2019s Health Insurance Program, and the health insurance exchanges\u2014all programs administered by the Centers for Medicare &amp; Medicaid Services (CMS). The agency pays out approximately $767 billion in benefits annually and employs 4,100 people to administer programs in partnership with state governments.<\/p>\n","innerContent":["\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">Nearly 140 million Americans rely on Medicare, Medicaid, the Children\u2019s Health Insurance Program, and the health insurance exchanges\u2014all programs administered by the Centers for Medicare &amp; Medicaid Services (CMS). The agency pays out approximately $767 billion in benefits annually and employs 4,100 people to administer programs in partnership with state governments.<\/p>\n"],"rendered":"\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">Nearly 140 million Americans rely on Medicare, Medicaid, the Children\u2019s Health Insurance Program, and the health insurance exchanges\u2014all programs administered by the Centers for Medicare &amp; Medicaid Services (CMS). The agency pays out approximately $767 billion in benefits annually and employs 4,100 people to administer programs in partnership with state governments.<\/p>\n"}],"innerHTML":"\n<div class=\"wp-block-media-text is-stacked-on-mobile\" style=\"grid-template-columns:23% auto\"><figure class=\"wp-block-media-text__media\"><img src=\"https:\/\/scaledagile.com\/wp-content\/uploads\/2023\/11\/Centers_for_Medicare_and_Medicaid_Services_logo.svg\" alt=\"\" class=\"wp-image-179997 size-full\"\/><\/figure><div class=\"wp-block-media-text__content\"><\/div><\/div>\n","innerContent":["\n<div class=\"wp-block-media-text is-stacked-on-mobile\" style=\"grid-template-columns:23% auto\"><figure class=\"wp-block-media-text__media\"><img src=\"https:\/\/scaledagile.com\/wp-content\/uploads\/2023\/11\/Centers_for_Medicare_and_Medicaid_Services_logo.svg\" alt=\"\" class=\"wp-image-179997 size-full\"\/><\/figure><div class=\"wp-block-media-text__content\">",null,"<\/div><\/div>\n"],"rendered":"\n<div class=\"wp-block-media-text is-stacked-on-mobile\" style=\"grid-template-columns:23% auto\"><figure class=\"wp-block-media-text__media\"><img src=\"https:\/\/scaledagile.com\/wp-content\/uploads\/2023\/11\/Centers_for_Medicare_and_Medicaid_Services_logo.svg\" alt=\"\" class=\"wp-image-179997 size-full\"\/><\/figure><div class=\"wp-block-media-text__content\">\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">Nearly 140 million Americans rely on Medicare, Medicaid, the Children\u2019s Health Insurance Program, and the health insurance exchanges\u2014all programs administered by the Centers for Medicare &amp; Medicaid Services (CMS). The agency pays out approximately $767 billion in benefits annually and employs 4,100 people to administer programs in partnership with state governments.<\/p>\n<\/div><\/div>\n"},{"blockName":"core\/spacer","attrs":{"height":"48px","width":"","lock":[],"metadata":[],"className":"","style":[],"openPopupId":"","anchor":""},"innerBlocks":[],"innerHTML":"\n<div style=\"height:48px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n","innerContent":["\n<div style=\"height:48px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n"],"rendered":"\n<div style=\"height:48px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n"},{"blockName":"core\/columns","attrs":{"className":"border-b border-gray","verticalAlignment":"","isStackedOnMobile":true,"templateLock":null,"lock":[],"metadata":[],"align":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","layout":[],"openPopupId":"","anchor":""},"innerBlocks":[{"blockName":"core\/column","attrs":{"verticalAlignment":"top","width":"25%","allowedBlocks":[],"templateLock":null,"lock":[],"metadata":[],"className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","layout":[],"openPopupId":"","anchor":""},"innerBlocks":[{"blockName":"core\/heading","attrs":{"level":3,"className":"mb-0","textAlign":"","content":"Challenge:","levelOptions":[],"placeholder":"","lock":[],"metadata":[],"align":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","openPopupId":"","anchor":"h-challenge"},"innerBlocks":[],"innerHTML":"\n<h3 class=\"wp-block-heading mb-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\" id=\"h-challenge\">Challenge:<\/h3>\n","innerContent":["\n<h3 class=\"wp-block-heading mb-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\" id=\"h-challenge\">Challenge:<\/h3>\n"],"rendered":"\n<h3 class=\"wp-block-heading mb-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\" id=\"h-challenge\">Challenge:<\/h3>\n"}],"innerHTML":"\n<div class=\"wp-block-column is-vertically-aligned-top\" style=\"flex-basis:25%\"><\/div>\n","innerContent":["\n<div class=\"wp-block-column is-vertically-aligned-top\" style=\"flex-basis:25%\">",null,"<\/div>\n"],"rendered":"\n<div class=\"wp-block-column is-vertically-aligned-top is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:25%\">\n<h3 class=\"wp-block-heading mb-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\" id=\"h-challenge\">Challenge:<\/h3>\n<\/div>\n"},{"blockName":"core\/column","attrs":{"verticalAlignment":"center","width":"","allowedBlocks":[],"templateLock":null,"lock":[],"metadata":[],"className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","layout":[],"openPopupId":"","anchor":""},"innerBlocks":[{"blockName":"core\/paragraph","attrs":{"align":"","content":"Isolated <a href=\"https:\/\/scaledagile.com\/training\/safe-scrum-master\/\">Scrum teams<\/a> didn\u2019t make much progress within a deeply ingrained waterfall culture and against long-range planning and budgeting.","dropCap":false,"placeholder":"","direction":"","lock":[],"metadata":[],"className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","openPopupId":"","anchor":""},"innerBlocks":[],"innerHTML":"\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">Isolated <a href=\"https:\/\/scaledagile.com\/training\/safe-scrum-master\/\">Scrum teams<\/a> didn\u2019t make much progress within a deeply ingrained waterfall culture and against long-range planning and budgeting.<\/p>\n","innerContent":["\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">Isolated <a href=\"https:\/\/scaledagile.com\/training\/safe-scrum-master\/\">Scrum teams<\/a> didn\u2019t make much progress within a deeply ingrained waterfall culture and against long-range planning and budgeting.<\/p>\n"],"rendered":"\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">Isolated <a href=\"https:\/\/scaledagile.com\/training\/safe-scrum-master\/\">Scrum teams<\/a> didn\u2019t make much progress within a deeply ingrained waterfall culture and against long-range planning and budgeting.<\/p>\n"}],"innerHTML":"\n<div class=\"wp-block-column is-vertically-aligned-center\"><\/div>\n","innerContent":["\n<div class=\"wp-block-column is-vertically-aligned-center\">",null,"<\/div>\n"],"rendered":"\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\">\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">Isolated <a href=\"https:\/\/scaledagile.com\/training\/safe-scrum-master\/\">Scrum teams<\/a> didn\u2019t make much progress within a deeply ingrained waterfall culture and against long-range planning and budgeting.<\/p>\n<\/div>\n"}],"innerHTML":"\n<div class=\"wp-block-columns border-b border-gray\">\n\n<\/div>\n","innerContent":["\n<div class=\"wp-block-columns border-b border-gray\">",null,"\n\n",null,"<\/div>\n"],"rendered":"\n<div class=\"wp-block-columns border-b border-gray is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-top is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:25%\">\n<h3 class=\"wp-block-heading mb-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\" id=\"h-challenge\">Challenge:<\/h3>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\">\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">Isolated <a href=\"https:\/\/scaledagile.com\/training\/safe-scrum-master\/\">Scrum teams<\/a> didn\u2019t make much progress within a deeply ingrained waterfall culture and against long-range planning and budgeting.<\/p>\n<\/div>\n<\/div>\n"},{"blockName":"core\/columns","attrs":{"className":"border-b border-gray mt-6","verticalAlignment":"","isStackedOnMobile":true,"templateLock":null,"lock":[],"metadata":[],"align":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","layout":[],"openPopupId":"","anchor":""},"innerBlocks":[{"blockName":"core\/column","attrs":{"verticalAlignment":"top","width":"25%","allowedBlocks":[],"templateLock":null,"lock":[],"metadata":[],"className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","layout":[],"openPopupId":"","anchor":""},"innerBlocks":[{"blockName":"core\/heading","attrs":{"level":3,"className":"mb-0","textAlign":"","content":"Industry:","levelOptions":[],"placeholder":"","lock":[],"metadata":[],"align":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","openPopupId":"","anchor":"h-industry"},"innerBlocks":[],"innerHTML":"\n<h3 class=\"wp-block-heading mb-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\" id=\"h-industry\">Industry:<\/h3>\n","innerContent":["\n<h3 class=\"wp-block-heading mb-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\" id=\"h-industry\">Industry:<\/h3>\n"],"rendered":"\n<h3 class=\"wp-block-heading mb-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\" id=\"h-industry\">Industry:<\/h3>\n"}],"innerHTML":"\n<div class=\"wp-block-column is-vertically-aligned-top\" style=\"flex-basis:25%\"><\/div>\n","innerContent":["\n<div class=\"wp-block-column is-vertically-aligned-top\" style=\"flex-basis:25%\">",null,"<\/div>\n"],"rendered":"\n<div class=\"wp-block-column is-vertically-aligned-top is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:25%\">\n<h3 class=\"wp-block-heading mb-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\" id=\"h-industry\">Industry:<\/h3>\n<\/div>\n"},{"blockName":"core\/column","attrs":{"verticalAlignment":"center","width":"","allowedBlocks":[],"templateLock":null,"lock":[],"metadata":[],"className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","layout":[],"openPopupId":"","anchor":""},"innerBlocks":[{"blockName":"core\/paragraph","attrs":{"align":"","content":"Government, Healthcare","dropCap":false,"placeholder":"","direction":"","lock":[],"metadata":[],"className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","openPopupId":"","anchor":""},"innerBlocks":[],"innerHTML":"\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">Government, Healthcare<\/p>\n","innerContent":["\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">Government, Healthcare<\/p>\n"],"rendered":"\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">Government, Healthcare<\/p>\n"}],"innerHTML":"\n<div class=\"wp-block-column is-vertically-aligned-center\"><\/div>\n","innerContent":["\n<div class=\"wp-block-column is-vertically-aligned-center\">",null,"<\/div>\n"],"rendered":"\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\">\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">Government, Healthcare<\/p>\n<\/div>\n"}],"innerHTML":"\n<div class=\"wp-block-columns border-b border-gray mt-6\">\n\n<\/div>\n","innerContent":["\n<div class=\"wp-block-columns border-b border-gray mt-6\">",null,"\n\n",null,"<\/div>\n"],"rendered":"\n<div class=\"wp-block-columns border-b border-gray mt-6 is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-top is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:25%\">\n<h3 class=\"wp-block-heading mb-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\" id=\"h-industry\">Industry:<\/h3>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\">\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">Government, Healthcare<\/p>\n<\/div>\n<\/div>\n"},{"blockName":"core\/columns","attrs":{"className":"border-b border-gray mt-6","verticalAlignment":"","isStackedOnMobile":true,"templateLock":null,"lock":[],"metadata":[],"align":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","layout":[],"openPopupId":"","anchor":""},"innerBlocks":[{"blockName":"core\/column","attrs":{"verticalAlignment":"top","width":"25%","allowedBlocks":[],"templateLock":null,"lock":[],"metadata":[],"className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","layout":[],"openPopupId":"","anchor":""},"innerBlocks":[{"blockName":"core\/heading","attrs":{"level":3,"className":"mb-0","textAlign":"","content":"Results:","levelOptions":[],"placeholder":"","lock":[],"metadata":[],"align":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","openPopupId":"","anchor":"h-results"},"innerBlocks":[],"innerHTML":"\n<h3 class=\"wp-block-heading mb-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\" id=\"h-results\">Results:<\/h3>\n","innerContent":["\n<h3 class=\"wp-block-heading mb-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\" id=\"h-results\">Results:<\/h3>\n"],"rendered":"\n<h3 class=\"wp-block-heading mb-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\" id=\"h-results\">Results:<\/h3>\n"}],"innerHTML":"\n<div class=\"wp-block-column is-vertically-aligned-top\" style=\"flex-basis:25%\"><\/div>\n","innerContent":["\n<div class=\"wp-block-column is-vertically-aligned-top\" style=\"flex-basis:25%\">",null,"<\/div>\n"],"rendered":"\n<div class=\"wp-block-column is-vertically-aligned-top is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:25%\">\n<h3 class=\"wp-block-heading mb-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\" id=\"h-results\">Results:<\/h3>\n<\/div>\n"},{"blockName":"core\/column","attrs":{"verticalAlignment":"center","width":"","allowedBlocks":[],"templateLock":null,"lock":[],"metadata":[],"className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","layout":[],"openPopupId":"","anchor":""},"innerBlocks":[{"blockName":"core\/list","attrs":{"ordered":false,"values":"\n\n\n\n","type":"","start":0,"reversed":false,"placeholder":"","lock":[],"metadata":[],"className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","openPopupId":"","anchor":"block-e09a6937-03bf-4fa0-9ee6-45328c8ac0ef"},"innerBlocks":[{"blockName":"core\/list-item","attrs":{"placeholder":"","content":"CMS shifted the budget from 100% dedicated to system maintenance to a 40\/60 split between maintenance and innovation","lock":[],"metadata":[],"className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","openPopupId":"","anchor":""},"innerBlocks":[],"innerHTML":"\n<li>CMS shifted the budget from 100% dedicated to system maintenance to a 40\/60 split between maintenance and innovation<\/li>\n","innerContent":["\n<li>CMS shifted the budget from 100% dedicated to system maintenance to a 40\/60 split between maintenance and innovation<\/li>\n"],"rendered":"\n<li>CMS shifted the budget from 100% dedicated to system maintenance to a 40\/60 split between maintenance and innovation<\/li>\n"},{"blockName":"core\/list-item","attrs":{"placeholder":"","content":"Help desk tickets decreased by 55%","lock":[],"metadata":[],"className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","openPopupId":"","anchor":""},"innerBlocks":[],"innerHTML":"\n<li>Help desk tickets decreased by 55%<\/li>\n","innerContent":["\n<li>Help desk tickets decreased by 55%<\/li>\n"],"rendered":"\n<li>Help desk tickets decreased by 55%<\/li>\n"},{"blockName":"core\/list-item","attrs":{"placeholder":"","content":"Surveys show a 27% increase in employee satisfaction","lock":[],"metadata":[],"className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","openPopupId":"","anchor":""},"innerBlocks":[],"innerHTML":"\n<li>Surveys show a 27% increase in employee satisfaction<\/li>\n","innerContent":["\n<li>Surveys show a 27% increase in employee satisfaction<\/li>\n"],"rendered":"\n<li>Surveys show a 27% increase in employee satisfaction<\/li>\n"}],"innerHTML":"\n<ul id=\"block-e09a6937-03bf-4fa0-9ee6-45328c8ac0ef\" class=\"wp-block-list\">\n\n\n\n<\/ul>\n","innerContent":["\n<ul id=\"block-e09a6937-03bf-4fa0-9ee6-45328c8ac0ef\" class=\"wp-block-list\">",null,"\n\n",null,"\n\n",null,"<\/ul>\n"],"rendered":"\n<ul id=\"block-e09a6937-03bf-4fa0-9ee6-45328c8ac0ef\" class=\"wp-block-list\">\n<li>CMS shifted the budget from 100% dedicated to system maintenance to a 40\/60 split between maintenance and innovation<\/li>\n\n\n\n<li>Help desk tickets decreased by 55%<\/li>\n\n\n\n<li>Surveys show a 27% increase in employee satisfaction<\/li>\n<\/ul>\n"}],"innerHTML":"\n<div class=\"wp-block-column is-vertically-aligned-center\"><\/div>\n","innerContent":["\n<div class=\"wp-block-column is-vertically-aligned-center\">",null,"<\/div>\n"],"rendered":"\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\">\n<ul id=\"block-e09a6937-03bf-4fa0-9ee6-45328c8ac0ef\" class=\"wp-block-list\">\n<li>CMS shifted the budget from 100% dedicated to system maintenance to a 40\/60 split between maintenance and innovation<\/li>\n\n\n\n<li>Help desk tickets decreased by 55%<\/li>\n\n\n\n<li>Surveys show a 27% increase in employee satisfaction<\/li>\n<\/ul>\n<\/div>\n"}],"innerHTML":"\n<div class=\"wp-block-columns border-b border-gray mt-6\">\n\n<\/div>\n","innerContent":["\n<div class=\"wp-block-columns border-b border-gray mt-6\">",null,"\n\n",null,"<\/div>\n"],"rendered":"\n<div class=\"wp-block-columns border-b border-gray mt-6 is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-top is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:25%\">\n<h3 class=\"wp-block-heading mb-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\" id=\"h-results\">Results:<\/h3>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\">\n<ul id=\"block-e09a6937-03bf-4fa0-9ee6-45328c8ac0ef\" class=\"wp-block-list\">\n<li>CMS shifted the budget from 100% dedicated to system maintenance to a 40\/60 split between maintenance and innovation<\/li>\n\n\n\n<li>Help desk tickets decreased by 55%<\/li>\n\n\n\n<li>Surveys show a 27% increase in employee satisfaction<\/li>\n<\/ul>\n<\/div>\n<\/div>\n"},{"blockName":"core\/columns","attrs":{"verticalAlignment":"top","className":"mt-6","isStackedOnMobile":true,"templateLock":null,"lock":[],"metadata":[],"align":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","layout":[],"openPopupId":"","anchor":""},"innerBlocks":[{"blockName":"core\/column","attrs":{"verticalAlignment":"top","width":"25%","allowedBlocks":[],"templateLock":null,"lock":[],"metadata":[],"className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","layout":[],"openPopupId":"","anchor":""},"innerBlocks":[{"blockName":"core\/heading","attrs":{"level":3,"className":"mb-0","textAlign":"","content":"Best Practices:","levelOptions":[],"placeholder":"","lock":[],"metadata":[],"align":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","openPopupId":"","anchor":"h-best-practices"},"innerBlocks":[],"innerHTML":"\n<h3 class=\"wp-block-heading mb-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\" id=\"h-best-practices\">Best Practices:<\/h3>\n","innerContent":["\n<h3 class=\"wp-block-heading mb-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\" id=\"h-best-practices\">Best Practices:<\/h3>\n"],"rendered":"\n<h3 class=\"wp-block-heading mb-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\" id=\"h-best-practices\">Best Practices:<\/h3>\n"}],"innerHTML":"\n<div class=\"wp-block-column is-vertically-aligned-top\" style=\"flex-basis:25%\"><\/div>\n","innerContent":["\n<div class=\"wp-block-column is-vertically-aligned-top\" style=\"flex-basis:25%\">",null,"<\/div>\n"],"rendered":"\n<div class=\"wp-block-column is-vertically-aligned-top is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:25%\">\n<h3 class=\"wp-block-heading mb-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\" id=\"h-best-practices\">Best Practices:<\/h3>\n<\/div>\n"},{"blockName":"core\/column","attrs":{"verticalAlignment":"top","width":"","allowedBlocks":[],"templateLock":null,"lock":[],"metadata":[],"className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","layout":[],"openPopupId":"","anchor":""},"innerBlocks":[{"blockName":"core\/list","attrs":{"className":"mb-0","ordered":false,"values":"\n\n\n\n","type":"","start":0,"reversed":false,"placeholder":"","lock":[],"metadata":[],"style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","openPopupId":"","anchor":"block-f9117a6b-0f4e-4a33-aef7-cade3bb8add1"},"innerBlocks":[{"blockName":"core\/list-item","attrs":{"placeholder":"","content":"<strong>Prepare for face-to-face events <\/strong>- CMS found the SAFe Implementation Roadmap and training invaluable to smooth-running PI planning events","lock":[],"metadata":[],"className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","openPopupId":"","anchor":""},"innerBlocks":[],"innerHTML":"\n<li><strong>Prepare for face-to-face events <\/strong>- CMS found the SAFe Implementation Roadmap and training invaluable to smooth-running PI planning events<\/li>\n","innerContent":["\n<li><strong>Prepare for face-to-face events <\/strong>- CMS found the SAFe Implementation Roadmap and training invaluable to smooth-running PI planning events<\/li>\n"],"rendered":"\n<li><strong>Prepare for face-to-face events <\/strong>- CMS found the SAFe Implementation Roadmap and training invaluable to smooth-running PI planning events<\/li>\n"},{"blockName":"core\/list-item","attrs":{"placeholder":"","content":"<strong>Establish transparency<\/strong>\u00a0- Stress the importance of open, honest discussion and engagement","lock":[],"metadata":[],"className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","openPopupId":"","anchor":""},"innerBlocks":[],"innerHTML":"\n<li><strong>Establish transparency<\/strong>&nbsp;- Stress the importance of open, honest discussion and engagement<\/li>\n","innerContent":["\n<li><strong>Establish transparency<\/strong>&nbsp;- Stress the importance of open, honest discussion and engagement<\/li>\n"],"rendered":"\n<li><strong>Establish transparency<\/strong>&nbsp;- Stress the importance of open, honest discussion and engagement<\/li>\n"},{"blockName":"core\/list-item","attrs":{"placeholder":"","content":"<strong>Communicate the vision<\/strong>\u00a0- In opening remarks at PI events, CMS reminded team members that their work directly impacts people's health and lives","lock":[],"metadata":[],"className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","openPopupId":"","anchor":""},"innerBlocks":[],"innerHTML":"\n<li><strong>Communicate the vision<\/strong>&nbsp;- In opening remarks at PI events, CMS reminded team members that their work directly impacts people's health and lives<\/li>\n","innerContent":["\n<li><strong>Communicate the vision<\/strong>&nbsp;- In opening remarks at PI events, CMS reminded team members that their work directly impacts people's health and lives<\/li>\n"],"rendered":"\n<li><strong>Communicate the vision<\/strong>&nbsp;- In opening remarks at PI events, CMS reminded team members that their work directly impacts people's health and lives<\/li>\n"}],"innerHTML":"\n<ul id=\"block-f9117a6b-0f4e-4a33-aef7-cade3bb8add1\" class=\"wp-block-list mb-0\">\n\n\n\n<\/ul>\n","innerContent":["\n<ul id=\"block-f9117a6b-0f4e-4a33-aef7-cade3bb8add1\" class=\"wp-block-list mb-0\">",null,"\n\n",null,"\n\n",null,"<\/ul>\n"],"rendered":"\n<ul id=\"block-f9117a6b-0f4e-4a33-aef7-cade3bb8add1\" class=\"wp-block-list mb-0\">\n<li><strong>Prepare for face-to-face events <\/strong>- CMS found the SAFe Implementation Roadmap and training invaluable to smooth-running PI planning events<\/li>\n\n\n\n<li><strong>Establish transparency<\/strong>&nbsp;- Stress the importance of open, honest discussion and engagement<\/li>\n\n\n\n<li><strong>Communicate the vision<\/strong>&nbsp;- In opening remarks at PI events, CMS reminded team members that their work directly impacts people's health and lives<\/li>\n<\/ul>\n"}],"innerHTML":"\n<div class=\"wp-block-column is-vertically-aligned-top\"><\/div>\n","innerContent":["\n<div class=\"wp-block-column is-vertically-aligned-top\">",null,"<\/div>\n"],"rendered":"\n<div class=\"wp-block-column is-vertically-aligned-top is-layout-flow wp-block-column-is-layout-flow\">\n<ul id=\"block-f9117a6b-0f4e-4a33-aef7-cade3bb8add1\" class=\"wp-block-list mb-0\">\n<li><strong>Prepare for face-to-face events <\/strong>- CMS found the SAFe Implementation Roadmap and training invaluable to smooth-running PI planning events<\/li>\n\n\n\n<li><strong>Establish transparency<\/strong>&nbsp;- Stress the importance of open, honest discussion and engagement<\/li>\n\n\n\n<li><strong>Communicate the vision<\/strong>&nbsp;- In opening remarks at PI events, CMS reminded team members that their work directly impacts people's health and lives<\/li>\n<\/ul>\n<\/div>\n"}],"innerHTML":"\n<div class=\"wp-block-columns are-vertically-aligned-top mt-6\">\n\n<\/div>\n","innerContent":["\n<div class=\"wp-block-columns are-vertically-aligned-top mt-6\">",null,"\n\n",null,"<\/div>\n"],"rendered":"\n<div class=\"wp-block-columns are-vertically-aligned-top mt-6 is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-top is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:25%\">\n<h3 class=\"wp-block-heading mb-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\" id=\"h-best-practices\">Best Practices:<\/h3>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-top is-layout-flow wp-block-column-is-layout-flow\">\n<ul id=\"block-f9117a6b-0f4e-4a33-aef7-cade3bb8add1\" class=\"wp-block-list mb-0\">\n<li><strong>Prepare for face-to-face events <\/strong>- CMS found the SAFe Implementation Roadmap and training invaluable to smooth-running PI planning events<\/li>\n\n\n\n<li><strong>Establish transparency<\/strong>&nbsp;- Stress the importance of open, honest discussion and engagement<\/li>\n\n\n\n<li><strong>Communicate the vision<\/strong>&nbsp;- In opening remarks at PI events, CMS reminded team members that their work directly impacts people's health and lives<\/li>\n<\/ul>\n<\/div>\n<\/div>\n"},{"blockName":"core\/spacer","attrs":{"height":"48px","width":"","lock":[],"metadata":[],"className":"","style":[],"openPopupId":"","anchor":""},"innerBlocks":[],"innerHTML":"\n<div style=\"height:48px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n","innerContent":["\n<div style=\"height:48px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n"],"rendered":"\n<div style=\"height:48px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n"},{"blockName":"core\/separator","attrs":{"className":"is-style-wide","opacity":"alpha-channel","tagName":"hr","lock":[],"metadata":[],"align":"","style":[],"backgroundColor":"","gradient":"","openPopupId":"","anchor":""},"innerBlocks":[],"innerHTML":"\n<hr class=\"wp-block-separator has-alpha-channel-opacity is-style-wide\"\/>\n","innerContent":["\n<hr class=\"wp-block-separator has-alpha-channel-opacity is-style-wide\"\/>\n"],"rendered":"\n<hr class=\"wp-block-separator has-alpha-channel-opacity is-style-wide\"\/>\n"},{"blockName":"core\/heading","attrs":{"textAlign":"","content":"Introduction","level":2,"levelOptions":[],"placeholder":"","lock":[],"metadata":[],"align":"","className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","openPopupId":"","anchor":"h-introduction"},"innerBlocks":[],"innerHTML":"\n<h2 class=\"wp-block-heading has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\" id=\"h-introduction\">Introduction<\/h2>\n","innerContent":["\n<h2 class=\"wp-block-heading has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\" id=\"h-introduction\">Introduction<\/h2>\n"],"rendered":"\n<h2 class=\"wp-block-heading has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\" id=\"h-introduction\">Introduction<\/h2>\n"},{"blockName":"core\/paragraph","attrs":{"align":"","content":"Amid the pressures of increasing citizen expectations, the CMS environment is complex and ever-changing as budgets and legislation fluctuate\u2014making for a perfect setting to introduce <a href=\"https:\/\/scaledagile.com\/training\/lean-portfolio-management\/\">Lean-Agile principles<\/a>. A few isolated programs had begun using Scrum practices, but given the size and complexity of programs at CMS, Scrum did not lend itself well to longer-range planning and the identification and mitigation of dependencies among the Scrum teams. In addition, the organization still had cultural battles to overcome.","dropCap":false,"placeholder":"","direction":"","lock":[],"metadata":[],"className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","openPopupId":"","anchor":""},"innerBlocks":[],"innerHTML":"\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">Amid the pressures of increasing citizen expectations, the CMS environment is complex and ever-changing as budgets and legislation fluctuate\u2014making for a perfect setting to introduce <a href=\"https:\/\/scaledagile.com\/training\/lean-portfolio-management\/\">Lean-Agile principles<\/a>. A few isolated programs had begun using Scrum practices, but given the size and complexity of programs at CMS, Scrum did not lend itself well to longer-range planning and the identification and mitigation of dependencies among the Scrum teams. In addition, the organization still had cultural battles to overcome.<\/p>\n","innerContent":["\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">Amid the pressures of increasing citizen expectations, the CMS environment is complex and ever-changing as budgets and legislation fluctuate\u2014making for a perfect setting to introduce <a href=\"https:\/\/scaledagile.com\/training\/lean-portfolio-management\/\">Lean-Agile principles<\/a>. A few isolated programs had begun using Scrum practices, but given the size and complexity of programs at CMS, Scrum did not lend itself well to longer-range planning and the identification and mitigation of dependencies among the Scrum teams. In addition, the organization still had cultural battles to overcome.<\/p>\n"],"rendered":"\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">Amid the pressures of increasing citizen expectations, the CMS environment is complex and ever-changing as budgets and legislation fluctuate\u2014making for a perfect setting to introduce <a href=\"https:\/\/scaledagile.com\/training\/lean-portfolio-management\/\">Lean-Agile principles<\/a>. A few isolated programs had begun using Scrum practices, but given the size and complexity of programs at CMS, Scrum did not lend itself well to longer-range planning and the identification and mitigation of dependencies among the Scrum teams. In addition, the organization still had cultural battles to overcome.<\/p>\n"},{"blockName":"core\/paragraph","attrs":{"align":"","content":"\u201cWe were still suffering from a \u2018throw-everything-over-the-wall\u2019 mentality,\u2019\u201d explained Brent Weaver, Director of Systems Implementation at CMS. \u201cThe few Agile teams were requiring more of programs and that created more frustration on both sides. There was no vision or framework where everyone saw how they fit together. As a result, what they delivered was late, with defects\u2014and not what the market needed.\u201d","dropCap":false,"placeholder":"","direction":"","lock":[],"metadata":[],"className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","openPopupId":"","anchor":""},"innerBlocks":[],"innerHTML":"\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">\u201cWe were still suffering from a \u2018throw-everything-over-the-wall\u2019 mentality,\u2019\u201d explained Brent Weaver, Director of Systems Implementation at CMS. \u201cThe few Agile teams were requiring more of programs and that created more frustration on both sides. There was no vision or framework where everyone saw how they fit together. As a result, what they delivered was late, with defects\u2014and not what the market needed.\u201d<\/p>\n","innerContent":["\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">\u201cWe were still suffering from a \u2018throw-everything-over-the-wall\u2019 mentality,\u2019\u201d explained Brent Weaver, Director of Systems Implementation at CMS. \u201cThe few Agile teams were requiring more of programs and that created more frustration on both sides. There was no vision or framework where everyone saw how they fit together. As a result, what they delivered was late, with defects\u2014and not what the market needed.\u201d<\/p>\n"],"rendered":"\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">\u201cWe were still suffering from a \u2018throw-everything-over-the-wall\u2019 mentality,\u2019\u201d explained Brent Weaver, Director of Systems Implementation at CMS. \u201cThe few Agile teams were requiring more of programs and that created more frustration on both sides. There was no vision or framework where everyone saw how they fit together. As a result, what they delivered was late, with defects\u2014and not what the market needed.\u201d<\/p>\n"},{"blockName":"core\/spacer","attrs":{"height":"48px","width":"","lock":[],"metadata":[],"className":"","style":[],"openPopupId":"","anchor":""},"innerBlocks":[],"innerHTML":"\n<div style=\"height:48px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n","innerContent":["\n<div style=\"height:48px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n"],"rendered":"\n<div style=\"height:48px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n"},{"blockName":"core\/heading","attrs":{"marginTop":5,"textAlign":"","content":"SAFe: Systems Thinking for a Complex Organization","level":2,"levelOptions":[],"placeholder":"","lock":[],"metadata":[],"align":"","className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","openPopupId":"","anchor":"h-safe-systems-thinking-for-a-complex-organization"},"innerBlocks":[],"innerHTML":"\n<h2 class=\"wp-block-heading has-margin-top-5 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\" id=\"h-safe-systems-thinking-for-a-complex-organization\">SAFe: Systems Thinking for a Complex Organization<\/h2>\n","innerContent":["\n<h2 class=\"wp-block-heading has-margin-top-5 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\" id=\"h-safe-systems-thinking-for-a-complex-organization\">SAFe: Systems Thinking for a Complex Organization<\/h2>\n"],"rendered":"\n<h2 class=\"wp-block-heading has-margin-top-5 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\" id=\"h-safe-systems-thinking-for-a-complex-organization\">SAFe: Systems Thinking for a Complex Organization<\/h2>\n"},{"blockName":"core\/paragraph","attrs":{"align":"","content":"In 2017, Weaver arrived with the charge of improving the Agile transformation for the Center of Clinical Standards and Quality (CCSQ) within CMS. In the search for a new approach, the Scaled Agile Framework<sup>\u00ae<\/sup>\u00a0(SAFe<sup>\u00ae<\/sup>) resonated as the right option.","dropCap":false,"placeholder":"","direction":"","lock":[],"metadata":[],"className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","openPopupId":"","anchor":""},"innerBlocks":[],"innerHTML":"\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">In 2017, Weaver arrived with the charge of improving the Agile transformation for the Center of Clinical Standards and Quality (CCSQ) within CMS. In the search for a new approach, the Scaled Agile Framework<sup>\u00ae<\/sup>&nbsp;(SAFe<sup>\u00ae<\/sup>) resonated as the right option.<\/p>\n","innerContent":["\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">In 2017, Weaver arrived with the charge of improving the Agile transformation for the Center of Clinical Standards and Quality (CCSQ) within CMS. In the search for a new approach, the Scaled Agile Framework<sup>\u00ae<\/sup>&nbsp;(SAFe<sup>\u00ae<\/sup>) resonated as the right option.<\/p>\n"],"rendered":"\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">In 2017, Weaver arrived with the charge of improving the Agile transformation for the Center of Clinical Standards and Quality (CCSQ) within CMS. In the search for a new approach, the Scaled Agile Framework<sup>\u00ae<\/sup>&nbsp;(SAFe<sup>\u00ae<\/sup>) resonated as the right option.<\/p>\n"},{"blockName":"core\/paragraph","attrs":{"align":"","content":"\u201cSAFe brought a much-needed approach to scaling Agile and systems thinking that was critical to an organization of our size and complexity,\u201d Weaver said.","dropCap":false,"placeholder":"","direction":"","lock":[],"metadata":[],"className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","openPopupId":"","anchor":""},"innerBlocks":[],"innerHTML":"\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">\u201cSAFe brought a much-needed approach to scaling Agile and systems thinking that was critical to an organization of our size and complexity,\u201d Weaver said.<\/p>\n","innerContent":["\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">\u201cSAFe brought a much-needed approach to scaling Agile and systems thinking that was critical to an organization of our size and complexity,\u201d Weaver said.<\/p>\n"],"rendered":"\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">\u201cSAFe brought a much-needed approach to scaling Agile and systems thinking that was critical to an organization of our size and complexity,\u201d Weaver said.<\/p>\n"},{"blockName":"core\/paragraph","attrs":{"align":"","content":"In preparation to obtain buy-in and funding, Weaver built his knowledge of SAFe by taking some initial courses: Leading SAFe\u00ae, and later, Implementing SAFe\u00ae. Following the Leading SAFe\u00ae course, he made the case for the Framework for leadership and earned the full support of Steve Davidson and Mark Plaugher, Directors of the Information Systems Group within CCSQ. Additionally, Debra Santos, Director of Hospitals, ASC, and QIO Systems was also willing to support the SAFe adoption for one of her systems.","dropCap":false,"placeholder":"","direction":"","lock":[],"metadata":[],"className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","openPopupId":"","anchor":""},"innerBlocks":[],"innerHTML":"\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">In preparation to obtain buy-in and funding, Weaver built his knowledge of SAFe by taking some initial courses: Leading SAFe\u00ae, and later, Implementing SAFe\u00ae. Following the Leading SAFe\u00ae course, he made the case for the Framework for leadership and earned the full support of Steve Davidson and Mark Plaugher, Directors of the Information Systems Group within CCSQ. Additionally, Debra Santos, Director of Hospitals, ASC, and QIO Systems was also willing to support the SAFe adoption for one of her systems.<\/p>\n","innerContent":["\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">In preparation to obtain buy-in and funding, Weaver built his knowledge of SAFe by taking some initial courses: Leading SAFe\u00ae, and later, Implementing SAFe\u00ae. Following the Leading SAFe\u00ae course, he made the case for the Framework for leadership and earned the full support of Steve Davidson and Mark Plaugher, Directors of the Information Systems Group within CCSQ. Additionally, Debra Santos, Director of Hospitals, ASC, and QIO Systems was also willing to support the SAFe adoption for one of her systems.<\/p>\n"],"rendered":"\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">In preparation to obtain buy-in and funding, Weaver built his knowledge of SAFe by taking some initial courses: Leading SAFe\u00ae, and later, Implementing SAFe\u00ae. Following the Leading SAFe\u00ae course, he made the case for the Framework for leadership and earned the full support of Steve Davidson and Mark Plaugher, Directors of the Information Systems Group within CCSQ. Additionally, Debra Santos, Director of Hospitals, ASC, and QIO Systems was also willing to support the SAFe adoption for one of her systems.<\/p>\n"},{"blockName":"core\/columns","attrs":{"verticalAlignment":"","isStackedOnMobile":true,"templateLock":null,"lock":[],"metadata":[],"align":"","className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","layout":[],"openPopupId":"","anchor":""},"innerBlocks":[{"blockName":"core\/column","attrs":{"verticalAlignment":"","width":"","allowedBlocks":[],"templateLock":null,"lock":[],"metadata":[],"className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","layout":[],"openPopupId":"","anchor":""},"innerBlocks":[{"blockName":"core\/media-text","attrs":{"align":"wide","mediaId":184886,"mediaLink":"https:\/\/scaledagile.com\/case_study\/centers-for-medicare-medicaid-services\/gettyimages-1227611791-1-scaled-adj\/","mediaType":"image","mediaWidth":35,"imageFill":true,"mediaAlt":"Case Study: CMS Approach to Scaling Agile Using SAFe","mediaPosition":"left","mediaUrl":"","linkDestination":"","linkTarget":"","href":"","rel":"","linkClass":"","mediaSizeSlug":"","isStackedOnMobile":true,"verticalAlignment":"","focalPoint":[],"allowedBlocks":[],"useFeaturedImage":false,"lock":[],"metadata":[],"className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","openPopupId":"","anchor":""},"innerBlocks":[{"blockName":"core\/paragraph","attrs":{"align":"","content":"For help, Weaver tapped Scaled Agile Partner, Agile Six Applications, Inc. With Agile Six, CMS decided to implement SAFe first in a group brand-new to Lean-Agile concepts, rather than with those already using Scrum, for a chance to start from scratch. The first teams on SAFe would be those working on CMS\u2019s Hospital Quality Reporting (HQR) system, which healthcare facilities use to report data to CMS.","dropCap":false,"placeholder":"","direction":"","lock":[],"metadata":[],"className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","openPopupId":"","anchor":""},"innerBlocks":[],"innerHTML":"\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">For help, Weaver tapped Scaled Agile Partner, Agile Six Applications, Inc. With Agile Six, CMS decided to implement SAFe first in a group brand-new to Lean-Agile concepts, rather than with those already using Scrum, for a chance to start from scratch. The first teams on SAFe would be those working on CMS\u2019s Hospital Quality Reporting (HQR) system, which healthcare facilities use to report data to CMS.<\/p>\n","innerContent":["\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">For help, Weaver tapped Scaled Agile Partner, Agile Six Applications, Inc. With Agile Six, CMS decided to implement SAFe first in a group brand-new to Lean-Agile concepts, rather than with those already using Scrum, for a chance to start from scratch. The first teams on SAFe would be those working on CMS\u2019s Hospital Quality Reporting (HQR) system, which healthcare facilities use to report data to CMS.<\/p>\n"],"rendered":"\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">For help, Weaver tapped Scaled Agile Partner, Agile Six Applications, Inc. With Agile Six, CMS decided to implement SAFe first in a group brand-new to Lean-Agile concepts, rather than with those already using Scrum, for a chance to start from scratch. The first teams on SAFe would be those working on CMS\u2019s Hospital Quality Reporting (HQR) system, which healthcare facilities use to report data to CMS.<\/p>\n"},{"blockName":"core\/paragraph","attrs":{"align":"","content":"With leadership backing, they secured the budget and marked the calendar for the first face-to-face Program Increment (PI) planning event\u2014to take place just six weeks in the future.","dropCap":false,"placeholder":"","direction":"","lock":[],"metadata":[],"className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","openPopupId":"","anchor":""},"innerBlocks":[],"innerHTML":"\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">With leadership backing, they secured the budget and marked the calendar for the first face-to-face Program Increment (PI) planning event\u2014to take place just six weeks in the future.<\/p>\n","innerContent":["\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">With leadership backing, they secured the budget and marked the calendar for the first face-to-face Program Increment (PI) planning event\u2014to take place just six weeks in the future.<\/p>\n"],"rendered":"\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">With leadership backing, they secured the budget and marked the calendar for the first face-to-face Program Increment (PI) planning event\u2014to take place just six weeks in the future.<\/p>\n"}],"innerHTML":"\n<div class=\"wp-block-media-text alignwide is-stacked-on-mobile is-image-fill\" style=\"grid-template-columns:35% auto\"><figure class=\"wp-block-media-text__media\" style=\"background-image:url(https:\/\/scaledagile.com\/wp-content\/uploads\/2019\/04\/GettyImages-1227611791-1-scaled-adj.jpg);background-position:50% 50%\"><img src=\"https:\/\/scaledagile.com\/wp-content\/uploads\/2019\/04\/GettyImages-1227611791-1-scaled-adj.jpg\" alt=\"Case Study: CMS Approach to Scaling Agile Using SAFe\" class=\"wp-image-184886 size-full\"\/><\/figure><div class=\"wp-block-media-text__content\">\n\n<\/div><\/div>\n","innerContent":["\n<div class=\"wp-block-media-text alignwide is-stacked-on-mobile is-image-fill\" style=\"grid-template-columns:35% auto\"><figure class=\"wp-block-media-text__media\" style=\"background-image:url(https:\/\/scaledagile.com\/wp-content\/uploads\/2019\/04\/GettyImages-1227611791-1-scaled-adj.jpg);background-position:50% 50%\"><img src=\"https:\/\/scaledagile.com\/wp-content\/uploads\/2019\/04\/GettyImages-1227611791-1-scaled-adj.jpg\" alt=\"Case Study: CMS Approach to Scaling Agile Using SAFe\" class=\"wp-image-184886 size-full\"\/><\/figure><div class=\"wp-block-media-text__content\">",null,"\n\n",null,"<\/div><\/div>\n"],"rendered":"\n<div class=\"wp-block-media-text alignwide is-stacked-on-mobile is-image-fill\" style=\"grid-template-columns:35% auto\"><figure class=\"wp-block-media-text__media\" style=\"background-image:url(https:\/\/scaledagile.com\/wp-content\/uploads\/2019\/04\/GettyImages-1227611791-1-scaled-adj.jpg);background-position:50% 50%\"><img src=\"https:\/\/scaledagile.com\/wp-content\/uploads\/2019\/04\/GettyImages-1227611791-1-scaled-adj.jpg\" alt=\"Case Study: CMS Approach to Scaling Agile Using SAFe\" class=\"wp-image-184886 size-full\"\/><\/figure><div class=\"wp-block-media-text__content\">\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">For help, Weaver tapped Scaled Agile Partner, Agile Six Applications, Inc. With Agile Six, CMS decided to implement SAFe first in a group brand-new to Lean-Agile concepts, rather than with those already using Scrum, for a chance to start from scratch. The first teams on SAFe would be those working on CMS\u2019s Hospital Quality Reporting (HQR) system, which healthcare facilities use to report data to CMS.<\/p>\n\n\n\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">With leadership backing, they secured the budget and marked the calendar for the first face-to-face Program Increment (PI) planning event\u2014to take place just six weeks in the future.<\/p>\n<\/div><\/div>\n"},{"blockName":"core\/spacer","attrs":{"height":"48px","width":"","lock":[],"metadata":[],"className":"","style":[],"openPopupId":"","anchor":""},"innerBlocks":[],"innerHTML":"\n<div style=\"height:48px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n","innerContent":["\n<div style=\"height:48px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n"],"rendered":"\n<div style=\"height:48px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n"},{"blockName":"core\/heading","attrs":{"textAlign":"","content":"PI Planning Day One: Messy and Chaotic","level":2,"levelOptions":[],"placeholder":"","lock":[],"metadata":[],"align":"","className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","openPopupId":"","anchor":"h-pi-planning-day-one-messy-and-chaotic"},"innerBlocks":[],"innerHTML":"\n<h2 class=\"wp-block-heading has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\" id=\"h-pi-planning-day-one-messy-and-chaotic\">PI Planning Day One: Messy and Chaotic<\/h2>\n","innerContent":["\n<h2 class=\"wp-block-heading has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\" id=\"h-pi-planning-day-one-messy-and-chaotic\">PI Planning Day One: Messy and Chaotic<\/h2>\n"],"rendered":"\n<h2 class=\"wp-block-heading has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\" id=\"h-pi-planning-day-one-messy-and-chaotic\">PI Planning Day One: Messy and Chaotic<\/h2>\n"}],"innerHTML":"\n<div class=\"wp-block-column\">\n\n\n\n<\/div>\n","innerContent":["\n<div class=\"wp-block-column\">",null,"\n\n",null,"\n\n",null,"<\/div>\n"],"rendered":"\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"wp-block-media-text alignwide is-stacked-on-mobile is-image-fill\" style=\"grid-template-columns:35% auto\"><figure class=\"wp-block-media-text__media\" style=\"background-image:url(https:\/\/scaledagile.com\/wp-content\/uploads\/2019\/04\/GettyImages-1227611791-1-scaled-adj.jpg);background-position:50% 50%\"><img src=\"https:\/\/scaledagile.com\/wp-content\/uploads\/2019\/04\/GettyImages-1227611791-1-scaled-adj.jpg\" alt=\"Case Study: CMS Approach to Scaling Agile Using SAFe\" class=\"wp-image-184886 size-full\"\/><\/figure><div class=\"wp-block-media-text__content\">\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">For help, Weaver tapped Scaled Agile Partner, Agile Six Applications, Inc. With Agile Six, CMS decided to implement SAFe first in a group brand-new to Lean-Agile concepts, rather than with those already using Scrum, for a chance to start from scratch. The first teams on SAFe would be those working on CMS\u2019s Hospital Quality Reporting (HQR) system, which healthcare facilities use to report data to CMS.<\/p>\n\n\n\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">With leadership backing, they secured the budget and marked the calendar for the first face-to-face Program Increment (PI) planning event\u2014to take place just six weeks in the future.<\/p>\n<\/div><\/div>\n\n\n\n<div style=\"height:48px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\" id=\"h-pi-planning-day-one-messy-and-chaotic\">PI Planning Day One: Messy and Chaotic<\/h2>\n<\/div>\n"}],"innerHTML":"\n<div class=\"wp-block-columns\"><\/div>\n","innerContent":["\n<div class=\"wp-block-columns\">",null,"<\/div>\n"],"rendered":"\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"wp-block-media-text alignwide is-stacked-on-mobile is-image-fill\" style=\"grid-template-columns:35% auto\"><figure class=\"wp-block-media-text__media\" style=\"background-image:url(https:\/\/scaledagile.com\/wp-content\/uploads\/2019\/04\/GettyImages-1227611791-1-scaled-adj.jpg);background-position:50% 50%\"><img src=\"https:\/\/scaledagile.com\/wp-content\/uploads\/2019\/04\/GettyImages-1227611791-1-scaled-adj.jpg\" alt=\"Case Study: CMS Approach to Scaling Agile Using SAFe\" class=\"wp-image-184886 size-full\"\/><\/figure><div class=\"wp-block-media-text__content\">\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">For help, Weaver tapped Scaled Agile Partner, Agile Six Applications, Inc. With Agile Six, CMS decided to implement SAFe first in a group brand-new to Lean-Agile concepts, rather than with those already using Scrum, for a chance to start from scratch. The first teams on SAFe would be those working on CMS\u2019s Hospital Quality Reporting (HQR) system, which healthcare facilities use to report data to CMS.<\/p>\n\n\n\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">With leadership backing, they secured the budget and marked the calendar for the first face-to-face Program Increment (PI) planning event\u2014to take place just six weeks in the future.<\/p>\n<\/div><\/div>\n\n\n\n<div style=\"height:48px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\" id=\"h-pi-planning-day-one-messy-and-chaotic\">PI Planning Day One: Messy and Chaotic<\/h2>\n<\/div>\n<\/div>\n"},{"blockName":"core\/paragraph","attrs":{"align":"","content":"To meet the timeframe, CMS decided to shortcut the recommendations from the SAFe Implementation Roadmap and skip SAFe training\u2014a decision that created significant challenges and that, in hindsight, they wouldn\u2019t recommend to other organizations. The fact that many team members were located outside the area, and many were contractors, played into that decision.","dropCap":false,"placeholder":"","direction":"","lock":[],"metadata":[],"className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","openPopupId":"","anchor":""},"innerBlocks":[],"innerHTML":"\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">To meet the timeframe, CMS decided to shortcut the recommendations from the SAFe Implementation Roadmap and skip SAFe training\u2014a decision that created significant challenges and that, in hindsight, they wouldn\u2019t recommend to other organizations. The fact that many team members were located outside the area, and many were contractors, played into that decision.<\/p>\n","innerContent":["\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">To meet the timeframe, CMS decided to shortcut the recommendations from the SAFe Implementation Roadmap and skip SAFe training\u2014a decision that created significant challenges and that, in hindsight, they wouldn\u2019t recommend to other organizations. The fact that many team members were located outside the area, and many were contractors, played into that decision.<\/p>\n"],"rendered":"\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">To meet the timeframe, CMS decided to shortcut the recommendations from the SAFe Implementation Roadmap and skip SAFe training\u2014a decision that created significant challenges and that, in hindsight, they wouldn\u2019t recommend to other organizations. The fact that many team members were located outside the area, and many were contractors, played into that decision.<\/p>\n"},{"blockName":"core\/paragraph","attrs":{"align":"","content":"To help prepare for PI planning, HQR conducted a four-hour, half-day mock PI session with about 20 percent of team members to give them an idea of what to expect.","dropCap":false,"placeholder":"","direction":"","lock":[],"metadata":[],"className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","openPopupId":"","anchor":""},"innerBlocks":[],"innerHTML":"\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">To help prepare for PI planning, HQR conducted a four-hour, half-day mock PI session with about 20 percent of team members to give them an idea of what to expect.<\/p>\n","innerContent":["\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">To help prepare for PI planning, HQR conducted a four-hour, half-day mock PI session with about 20 percent of team members to give them an idea of what to expect.<\/p>\n"],"rendered":"\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">To help prepare for PI planning, HQR conducted a four-hour, half-day mock PI session with about 20 percent of team members to give them an idea of what to expect.<\/p>\n"},{"blockName":"core\/paragraph","attrs":{"align":"","content":"For the actual PI Planning event, CMS brought together more than 120 people, with approximately a quarter of them coming from out of town. The first day, unfortunately, proved to be chaotic and more challenging than expected for several reasons, according to Weaver and Ernie Ramirez, President of Agile Six Applications:","dropCap":false,"placeholder":"","direction":"","lock":[],"metadata":[],"className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","openPopupId":"","anchor":""},"innerBlocks":[],"innerHTML":"\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">For the actual PI Planning event, CMS brought together more than 120 people, with approximately a quarter of them coming from out of town. The first day, unfortunately, proved to be chaotic and more challenging than expected for several reasons, according to Weaver and Ernie Ramirez, President of Agile Six Applications:<\/p>\n","innerContent":["\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">For the actual PI Planning event, CMS brought together more than 120 people, with approximately a quarter of them coming from out of town. The first day, unfortunately, proved to be chaotic and more challenging than expected for several reasons, according to Weaver and Ernie Ramirez, President of Agile Six Applications:<\/p>\n"],"rendered":"\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">For the actual PI Planning event, CMS brought together more than 120 people, with approximately a quarter of them coming from out of town. The first day, unfortunately, proved to be chaotic and more challenging than expected for several reasons, according to Weaver and Ernie Ramirez, President of Agile Six Applications:<\/p>\n"},{"blockName":"core\/columns","attrs":{"verticalAlignment":"","isStackedOnMobile":true,"templateLock":null,"lock":[],"metadata":[],"align":"","className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","layout":[],"openPopupId":"","anchor":""},"innerBlocks":[{"blockName":"core\/column","attrs":{"width":"100%","verticalAlignment":"","allowedBlocks":[],"templateLock":null,"lock":[],"metadata":[],"className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","layout":[],"openPopupId":"","anchor":""},"innerBlocks":[{"blockName":"core\/list","attrs":{"ordered":false,"values":"\n\n\n\n\n\n\n\n","type":"","start":0,"reversed":false,"placeholder":"","lock":[],"metadata":[],"className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","openPopupId":"","anchor":""},"innerBlocks":[{"blockName":"core\/list-item","attrs":{"placeholder":"","content":"They underestimated the refinement status of the backlog and didn\u2019t follow all relevant parts of the SAFe Implementation Roadmap<br \/>","lock":[],"metadata":[],"className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","openPopupId":"","anchor":""},"innerBlocks":[],"innerHTML":"\n<li>They underestimated the refinement status of the backlog and didn\u2019t follow all relevant parts of the SAFe Implementation Roadmap<br><\/li>\n","innerContent":["\n<li>They underestimated the refinement status of the backlog and didn\u2019t follow all relevant parts of the SAFe Implementation Roadmap<br><\/li>\n"],"rendered":"\n<li>They underestimated the refinement status of the backlog and didn\u2019t follow all relevant parts of the SAFe Implementation Roadmap<br><\/li>\n"},{"blockName":"core\/list-item","attrs":{"placeholder":"","content":"They had a single Certified SAFe<sup>\u00ae<\/sup>\u00a0Program Consultant (SPC) in Ramirez (the recommendation is 3 \u2013 5 per 100 development practitioners)<br \/>","lock":[],"metadata":[],"className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","openPopupId":"","anchor":""},"innerBlocks":[],"innerHTML":"\n<li>They had a single Certified SAFe<sup>\u00ae<\/sup>&nbsp;Program Consultant (SPC) in Ramirez (the recommendation is 3 \u2013 5 per 100 development practitioners)<br><\/li>\n","innerContent":["\n<li>They had a single Certified SAFe<sup>\u00ae<\/sup>&nbsp;Program Consultant (SPC) in Ramirez (the recommendation is 3 \u2013 5 per 100 development practitioners)<br><\/li>\n"],"rendered":"\n<li>They had a single Certified SAFe<sup>\u00ae<\/sup>&nbsp;Program Consultant (SPC) in Ramirez (the recommendation is 3 \u2013 5 per 100 development practitioners)<br><\/li>\n"},{"blockName":"core\/list-item","attrs":{"placeholder":"","content":"The agency skipped Leading SAFe<sup>\u00ae<\/sup>, SAFe<sup>\u00ae<\/sup>\u00a0for Teams, and SAFe<sup>\u00ae<\/sup>\u00a0Product Owner\/Product Manager training<br \/>","lock":[],"metadata":[],"className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","openPopupId":"","anchor":""},"innerBlocks":[],"innerHTML":"\n<li>The agency skipped Leading SAFe<sup>\u00ae<\/sup>, SAFe<sup>\u00ae<\/sup>&nbsp;for Teams, and SAFe<sup>\u00ae<\/sup>&nbsp;Product Owner\/Product Manager training<br><\/li>\n","innerContent":["\n<li>The agency skipped Leading SAFe<sup>\u00ae<\/sup>, SAFe<sup>\u00ae<\/sup>&nbsp;for Teams, and SAFe<sup>\u00ae<\/sup>&nbsp;Product Owner\/Product Manager training<br><\/li>\n"],"rendered":"\n<li>The agency skipped Leading SAFe<sup>\u00ae<\/sup>, SAFe<sup>\u00ae<\/sup>&nbsp;for Teams, and SAFe<sup>\u00ae<\/sup>&nbsp;Product Owner\/Product Manager training<br><\/li>\n"},{"blockName":"core\/list-item","attrs":{"placeholder":"","content":"They did not identify Value Streams<br \/>","lock":[],"metadata":[],"className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","openPopupId":"","anchor":""},"innerBlocks":[],"innerHTML":"\n<li>They did not identify Value Streams<br><\/li>\n","innerContent":["\n<li>They did not identify Value Streams<br><\/li>\n"],"rendered":"\n<li>They did not identify Value Streams<br><\/li>\n"},{"blockName":"core\/list-item","attrs":{"placeholder":"","content":"CMS simultaneously created the implementation plan and prepared for the Agile Release Train (ART) launch","lock":[],"metadata":[],"className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","openPopupId":"","anchor":""},"innerBlocks":[],"innerHTML":"\n<li>CMS simultaneously created the implementation plan and prepared for the Agile Release Train (ART) launch<\/li>\n","innerContent":["\n<li>CMS simultaneously created the implementation plan and prepared for the Agile Release Train (ART) launch<\/li>\n"],"rendered":"\n<li>CMS simultaneously created the implementation plan and prepared for the Agile Release Train (ART) launch<\/li>\n"}],"innerHTML":"\n<ul class=\"wp-block-list\">\n\n\n\n\n\n\n\n<\/ul>\n","innerContent":["\n<ul class=\"wp-block-list\">",null,"\n\n",null,"\n\n",null,"\n\n",null,"\n\n",null,"<\/ul>\n"],"rendered":"\n<ul class=\"wp-block-list\">\n<li>They underestimated the refinement status of the backlog and didn\u2019t follow all relevant parts of the SAFe Implementation Roadmap<br><\/li>\n\n\n\n<li>They had a single Certified SAFe<sup>\u00ae<\/sup>&nbsp;Program Consultant (SPC) in Ramirez (the recommendation is 3 \u2013 5 per 100 development practitioners)<br><\/li>\n\n\n\n<li>The agency skipped Leading SAFe<sup>\u00ae<\/sup>, SAFe<sup>\u00ae<\/sup>&nbsp;for Teams, and SAFe<sup>\u00ae<\/sup>&nbsp;Product Owner\/Product Manager training<br><\/li>\n\n\n\n<li>They did not identify Value Streams<br><\/li>\n\n\n\n<li>CMS simultaneously created the implementation plan and prepared for the Agile Release Train (ART) launch<\/li>\n<\/ul>\n"},{"blockName":"core\/paragraph","attrs":{"align":"","content":"\u201cIt cannot be overstated how horrible day one of that PI went,\u201d Ramirez said. \u201cWe didn\u2019t lay out an implementation plan as well as we should have, and the development contractor didn\u2019t have the resources or roles we thought they did.\u201d","dropCap":false,"placeholder":"","direction":"","lock":[],"metadata":[],"className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","openPopupId":"","anchor":""},"innerBlocks":[],"innerHTML":"\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">\u201cIt cannot be overstated how horrible day one of that PI went,\u201d Ramirez said. \u201cWe didn\u2019t lay out an implementation plan as well as we should have, and the development contractor didn\u2019t have the resources or roles we thought they did.\u201d<\/p>\n","innerContent":["\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">\u201cIt cannot be overstated how horrible day one of that PI went,\u201d Ramirez said. \u201cWe didn\u2019t lay out an implementation plan as well as we should have, and the development contractor didn\u2019t have the resources or roles we thought they did.\u201d<\/p>\n"],"rendered":"\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">\u201cIt cannot be overstated how horrible day one of that PI went,\u201d Ramirez said. \u201cWe didn\u2019t lay out an implementation plan as well as we should have, and the development contractor didn\u2019t have the resources or roles we thought they did.\u201d<\/p>\n"}],"innerHTML":"\n<div class=\"wp-block-column\" style=\"flex-basis:100%\">\n\n<\/div>\n","innerContent":["\n<div class=\"wp-block-column\" style=\"flex-basis:100%\">",null,"\n\n",null,"<\/div>\n"],"rendered":"\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:100%\">\n<ul class=\"wp-block-list\">\n<li>They underestimated the refinement status of the backlog and didn\u2019t follow all relevant parts of the SAFe Implementation Roadmap<br><\/li>\n\n\n\n<li>They had a single Certified SAFe<sup>\u00ae<\/sup>&nbsp;Program Consultant (SPC) in Ramirez (the recommendation is 3 \u2013 5 per 100 development practitioners)<br><\/li>\n\n\n\n<li>The agency skipped Leading SAFe<sup>\u00ae<\/sup>, SAFe<sup>\u00ae<\/sup>&nbsp;for Teams, and SAFe<sup>\u00ae<\/sup>&nbsp;Product Owner\/Product Manager training<br><\/li>\n\n\n\n<li>They did not identify Value Streams<br><\/li>\n\n\n\n<li>CMS simultaneously created the implementation plan and prepared for the Agile Release Train (ART) launch<\/li>\n<\/ul>\n\n\n\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">\u201cIt cannot be overstated how horrible day one of that PI went,\u201d Ramirez said. \u201cWe didn\u2019t lay out an implementation plan as well as we should have, and the development contractor didn\u2019t have the resources or roles we thought they did.\u201d<\/p>\n<\/div>\n"}],"innerHTML":"\n<div class=\"wp-block-columns\"><\/div>\n","innerContent":["\n<div class=\"wp-block-columns\">",null,"<\/div>\n"],"rendered":"\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:100%\">\n<ul class=\"wp-block-list\">\n<li>They underestimated the refinement status of the backlog and didn\u2019t follow all relevant parts of the SAFe Implementation Roadmap<br><\/li>\n\n\n\n<li>They had a single Certified SAFe<sup>\u00ae<\/sup>&nbsp;Program Consultant (SPC) in Ramirez (the recommendation is 3 \u2013 5 per 100 development practitioners)<br><\/li>\n\n\n\n<li>The agency skipped Leading SAFe<sup>\u00ae<\/sup>, SAFe<sup>\u00ae<\/sup>&nbsp;for Teams, and SAFe<sup>\u00ae<\/sup>&nbsp;Product Owner\/Product Manager training<br><\/li>\n\n\n\n<li>They did not identify Value Streams<br><\/li>\n\n\n\n<li>CMS simultaneously created the implementation plan and prepared for the Agile Release Train (ART) launch<\/li>\n<\/ul>\n\n\n\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">\u201cIt cannot be overstated how horrible day one of that PI went,\u201d Ramirez said. \u201cWe didn\u2019t lay out an implementation plan as well as we should have, and the development contractor didn\u2019t have the resources or roles we thought they did.\u201d<\/p>\n<\/div>\n<\/div>\n"},{"blockName":"core\/spacer","attrs":{"height":"48px","width":"","lock":[],"metadata":[],"className":"","style":[],"openPopupId":"","anchor":""},"innerBlocks":[],"innerHTML":"\n<div style=\"height:48px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n","innerContent":["\n<div style=\"height:48px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n"],"rendered":"\n<div style=\"height:48px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n"},{"blockName":"core\/heading","attrs":{"marginTop":5,"textAlign":"","content":"PI Planning Day Two: \u2018Quarter-Million-Dollar Conversations\u2019","level":2,"levelOptions":[],"placeholder":"","lock":[],"metadata":[],"align":"","className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","openPopupId":"","anchor":"h-pi-planning-day-two-quarter-million-dollar-conversations"},"innerBlocks":[],"innerHTML":"\n<h2 class=\"wp-block-heading has-margin-top-5 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\" id=\"h-pi-planning-day-two-quarter-million-dollar-conversations\">PI Planning Day Two: \u2018Quarter-Million-Dollar Conversations\u2019<\/h2>\n","innerContent":["\n<h2 class=\"wp-block-heading has-margin-top-5 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\" id=\"h-pi-planning-day-two-quarter-million-dollar-conversations\">PI Planning Day Two: \u2018Quarter-Million-Dollar Conversations\u2019<\/h2>\n"],"rendered":"\n<h2 class=\"wp-block-heading has-margin-top-5 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\" id=\"h-pi-planning-day-two-quarter-million-dollar-conversations\">PI Planning Day Two: \u2018Quarter-Million-Dollar Conversations\u2019<\/h2>\n"},{"blockName":"core\/paragraph","attrs":{"align":"","content":"Day two, however, could not have played out more differently. \u201cAt the end of day one, rather than throw in the towel, we rolled up our sleeves, and resolved to do better in day 2. We came out of day two with a plan that the teams would ultimately deliver on over the next 12 weeks,\u201d Ramirez said.","dropCap":false,"placeholder":"","direction":"","lock":[],"metadata":[],"className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","openPopupId":"","anchor":""},"innerBlocks":[],"innerHTML":"\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">Day two, however, could not have played out more differently. \u201cAt the end of day one, rather than throw in the towel, we rolled up our sleeves, and resolved to do better in day 2. We came out of day two with a plan that the teams would ultimately deliver on over the next 12 weeks,\u201d Ramirez said.<\/p>\n","innerContent":["\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">Day two, however, could not have played out more differently. \u201cAt the end of day one, rather than throw in the towel, we rolled up our sleeves, and resolved to do better in day 2. We came out of day two with a plan that the teams would ultimately deliver on over the next 12 weeks,\u201d Ramirez said.<\/p>\n"],"rendered":"\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">Day two, however, could not have played out more differently. \u201cAt the end of day one, rather than throw in the towel, we rolled up our sleeves, and resolved to do better in day 2. We came out of day two with a plan that the teams would ultimately deliver on over the next 12 weeks,\u201d Ramirez said.<\/p>\n"},{"blockName":"core\/paragraph","attrs":{"align":"","content":"Ramirez points to a few reasons for the turnaround. After the first day, people returned knowing more of what to expect and came more prepared. Also, the two-day format created a sense of urgency to make progress. Additionally, Ramirez walked around troubleshooting any issues immediately as they arose.","dropCap":false,"placeholder":"","direction":"","lock":[],"metadata":[],"className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","openPopupId":"","anchor":""},"innerBlocks":[],"innerHTML":"\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">Ramirez points to a few reasons for the turnaround. After the first day, people returned knowing more of what to expect and came more prepared. Also, the two-day format created a sense of urgency to make progress. Additionally, Ramirez walked around troubleshooting any issues immediately as they arose.<\/p>\n","innerContent":["\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">Ramirez points to a few reasons for the turnaround. After the first day, people returned knowing more of what to expect and came more prepared. Also, the two-day format created a sense of urgency to make progress. Additionally, Ramirez walked around troubleshooting any issues immediately as they arose.<\/p>\n"],"rendered":"\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">Ramirez points to a few reasons for the turnaround. After the first day, people returned knowing more of what to expect and came more prepared. Also, the two-day format created a sense of urgency to make progress. Additionally, Ramirez walked around troubleshooting any issues immediately as they arose.<\/p>\n"},{"blockName":"core\/paragraph","attrs":{"align":"","content":"\u201cAfter the first day, everyone had an opportunity to \u2018sleep on it,\u2019\u201d he said. \u201cA lot of the frustration at the end of the first day kind of washed out and everyone came back with a renewed focus and commitment to get the plan done,\u201d Ramirez said.","dropCap":false,"placeholder":"","direction":"","lock":[],"metadata":[],"className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","openPopupId":"","anchor":""},"innerBlocks":[],"innerHTML":"\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">\u201cAfter the first day, everyone had an opportunity to \u2018sleep on it,\u2019\u201d he said. \u201cA lot of the frustration at the end of the first day kind of washed out and everyone came back with a renewed focus and commitment to get the plan done,\u201d Ramirez said.<\/p>\n","innerContent":["\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">\u201cAfter the first day, everyone had an opportunity to \u2018sleep on it,\u2019\u201d he said. \u201cA lot of the frustration at the end of the first day kind of washed out and everyone came back with a renewed focus and commitment to get the plan done,\u201d Ramirez said.<\/p>\n"],"rendered":"\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">\u201cAfter the first day, everyone had an opportunity to \u2018sleep on it,\u2019\u201d he said. \u201cA lot of the frustration at the end of the first day kind of washed out and everyone came back with a renewed focus and commitment to get the plan done,\u201d Ramirez said.<\/p>\n"},{"blockName":"core\/columns","attrs":{"verticalAlignment":"","isStackedOnMobile":true,"templateLock":null,"lock":[],"metadata":[],"align":"","className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","layout":[],"openPopupId":"","anchor":""},"innerBlocks":[{"blockName":"core\/column","attrs":{"verticalAlignment":"","width":"","allowedBlocks":[],"templateLock":null,"lock":[],"metadata":[],"className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","layout":[],"openPopupId":"","anchor":""},"innerBlocks":[{"blockName":"core\/media-text","attrs":{"align":"wide","mediaPosition":"right","mediaId":118353,"mediaLink":"https:\/\/scaledagile.com\/case_study\/centers-for-medicare-medicaid-services\/female-doctor-holding-hands-of-her-patient-at-hospital-room\/","mediaType":"image","mediaWidth":41,"imageFill":true,"focalPoint":{"x":"0.72","y":"0.50"},"mediaAlt":"SAFe case study","mediaUrl":"","linkDestination":"","linkTarget":"","href":"","rel":"","linkClass":"","mediaSizeSlug":"","isStackedOnMobile":true,"verticalAlignment":"","allowedBlocks":[],"useFeaturedImage":false,"lock":[],"metadata":[],"className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","openPopupId":"","anchor":""},"innerBlocks":[{"blockName":"core\/paragraph","attrs":{"align":"","content":"Team members and program managers alike left the event more hopeful than ever before, believing they could actually hit the plan\u2019s targets. Most promising, Weaver and Ramirez noticed productive discussions happening throughout the room\u2014often between people who had worked together for several years, but had never actually met one another in person.","dropCap":false,"placeholder":"","direction":"","lock":[],"metadata":[],"className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","openPopupId":"","anchor":""},"innerBlocks":[],"innerHTML":"\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">Team members and program managers alike left the event more hopeful than ever before, believing they could actually hit the plan\u2019s targets. Most promising, Weaver and Ramirez noticed productive discussions happening throughout the room\u2014often between people who had worked together for several years, but had never actually met one another in person.<\/p>\n","innerContent":["\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">Team members and program managers alike left the event more hopeful than ever before, believing they could actually hit the plan\u2019s targets. Most promising, Weaver and Ramirez noticed productive discussions happening throughout the room\u2014often between people who had worked together for several years, but had never actually met one another in person.<\/p>\n"],"rendered":"\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">Team members and program managers alike left the event more hopeful than ever before, believing they could actually hit the plan\u2019s targets. Most promising, Weaver and Ramirez noticed productive discussions happening throughout the room\u2014often between people who had worked together for several years, but had never actually met one another in person.<\/p>\n"},{"blockName":"core\/paragraph","attrs":{"align":"","content":"\u201cWe witnessed a lot of team and cross-team bonding that just cannot be replicated over WebEx, Hangouts or Zoom,\u201d Ramirez said. \u201cThere is something immeasurably valuable about being in the same room with someone, laughing, joking and yes, respectfully arguing. A lot of trust was earned and built on day two.\u201d","dropCap":false,"placeholder":"","direction":"","lock":[],"metadata":[],"className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","openPopupId":"","anchor":""},"innerBlocks":[],"innerHTML":"\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">\u201cWe witnessed a lot of team and cross-team bonding that just cannot be replicated over WebEx, Hangouts or Zoom,\u201d Ramirez said. \u201cThere is something immeasurably valuable about being in the same room with someone, laughing, joking and yes, respectfully arguing. A lot of trust was earned and built on day two.\u201d<\/p>\n","innerContent":["\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">\u201cWe witnessed a lot of team and cross-team bonding that just cannot be replicated over WebEx, Hangouts or Zoom,\u201d Ramirez said. \u201cThere is something immeasurably valuable about being in the same room with someone, laughing, joking and yes, respectfully arguing. A lot of trust was earned and built on day two.\u201d<\/p>\n"],"rendered":"\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">\u201cWe witnessed a lot of team and cross-team bonding that just cannot be replicated over WebEx, Hangouts or Zoom,\u201d Ramirez said. \u201cThere is something immeasurably valuable about being in the same room with someone, laughing, joking and yes, respectfully arguing. A lot of trust was earned and built on day two.\u201d<\/p>\n"},{"blockName":"core\/paragraph","attrs":{"align":"","content":"\u201cQuarter-million-dollar conversations were happening all over the place,\u201d Weaver said. \u201cThat\u2019s what it would have cost to fix problems down the road if those conversations had not happened.\u201d","dropCap":false,"placeholder":"","direction":"","lock":[],"metadata":[],"className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","openPopupId":"","anchor":""},"innerBlocks":[],"innerHTML":"\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">\u201cQuarter-million-dollar conversations were happening all over the place,\u201d Weaver said. \u201cThat\u2019s what it would have cost to fix problems down the road if those conversations had not happened.\u201d<\/p>\n","innerContent":["\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">\u201cQuarter-million-dollar conversations were happening all over the place,\u201d Weaver said. \u201cThat\u2019s what it would have cost to fix problems down the road if those conversations had not happened.\u201d<\/p>\n"],"rendered":"\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">\u201cQuarter-million-dollar conversations were happening all over the place,\u201d Weaver said. \u201cThat\u2019s what it would have cost to fix problems down the road if those conversations had not happened.\u201d<\/p>\n"}],"innerHTML":"\n<div class=\"wp-block-media-text alignwide has-media-on-the-right is-stacked-on-mobile is-image-fill\" style=\"grid-template-columns:auto 41%\"><div class=\"wp-block-media-text__content\">\n\n\n\n<\/div><figure class=\"wp-block-media-text__media\" style=\"background-image:url(https:\/\/scaledagile.com\/wp-content\/uploads\/2021\/07\/GettyImages-1242485859-1024x683.jpg);background-position:72% 50%\"><img src=\"https:\/\/scaledagile.com\/wp-content\/uploads\/2021\/07\/GettyImages-1242485859-1024x683.jpg\" alt=\"SAFe case study\" class=\"wp-image-118353 size-full\"\/><\/figure><\/div>\n","innerContent":["\n<div class=\"wp-block-media-text alignwide has-media-on-the-right is-stacked-on-mobile is-image-fill\" style=\"grid-template-columns:auto 41%\"><div class=\"wp-block-media-text__content\">",null,"\n\n",null,"\n\n",null,"<\/div><figure class=\"wp-block-media-text__media\" style=\"background-image:url(https:\/\/scaledagile.com\/wp-content\/uploads\/2021\/07\/GettyImages-1242485859-1024x683.jpg);background-position:72% 50%\"><img src=\"https:\/\/scaledagile.com\/wp-content\/uploads\/2021\/07\/GettyImages-1242485859-1024x683.jpg\" alt=\"SAFe case study\" class=\"wp-image-118353 size-full\"\/><\/figure><\/div>\n"],"rendered":"\n<div class=\"wp-block-media-text alignwide has-media-on-the-right is-stacked-on-mobile is-image-fill\" style=\"grid-template-columns:auto 41%\"><div class=\"wp-block-media-text__content\">\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">Team members and program managers alike left the event more hopeful than ever before, believing they could actually hit the plan\u2019s targets. Most promising, Weaver and Ramirez noticed productive discussions happening throughout the room\u2014often between people who had worked together for several years, but had never actually met one another in person.<\/p>\n\n\n\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">\u201cWe witnessed a lot of team and cross-team bonding that just cannot be replicated over WebEx, Hangouts or Zoom,\u201d Ramirez said. \u201cThere is something immeasurably valuable about being in the same room with someone, laughing, joking and yes, respectfully arguing. A lot of trust was earned and built on day two.\u201d<\/p>\n\n\n\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">\u201cQuarter-million-dollar conversations were happening all over the place,\u201d Weaver said. \u201cThat\u2019s what it would have cost to fix problems down the road if those conversations had not happened.\u201d<\/p>\n<\/div><figure class=\"wp-block-media-text__media\" style=\"background-image:url(https:\/\/scaledagile.com\/wp-content\/uploads\/2021\/07\/GettyImages-1242485859-1024x683.jpg);background-position:72% 50%\"><img src=\"https:\/\/scaledagile.com\/wp-content\/uploads\/2021\/07\/GettyImages-1242485859-1024x683.jpg\" alt=\"SAFe case study\" class=\"wp-image-118353 size-full\"\/><\/figure><\/div>\n"}],"innerHTML":"\n<div class=\"wp-block-column\"><\/div>\n","innerContent":["\n<div class=\"wp-block-column\">",null,"<\/div>\n"],"rendered":"\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"wp-block-media-text alignwide has-media-on-the-right is-stacked-on-mobile is-image-fill\" style=\"grid-template-columns:auto 41%\"><div class=\"wp-block-media-text__content\">\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">Team members and program managers alike left the event more hopeful than ever before, believing they could actually hit the plan\u2019s targets. Most promising, Weaver and Ramirez noticed productive discussions happening throughout the room\u2014often between people who had worked together for several years, but had never actually met one another in person.<\/p>\n\n\n\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">\u201cWe witnessed a lot of team and cross-team bonding that just cannot be replicated over WebEx, Hangouts or Zoom,\u201d Ramirez said. \u201cThere is something immeasurably valuable about being in the same room with someone, laughing, joking and yes, respectfully arguing. A lot of trust was earned and built on day two.\u201d<\/p>\n\n\n\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">\u201cQuarter-million-dollar conversations were happening all over the place,\u201d Weaver said. \u201cThat\u2019s what it would have cost to fix problems down the road if those conversations had not happened.\u201d<\/p>\n<\/div><figure class=\"wp-block-media-text__media\" style=\"background-image:url(https:\/\/scaledagile.com\/wp-content\/uploads\/2021\/07\/GettyImages-1242485859-1024x683.jpg);background-position:72% 50%\"><img src=\"https:\/\/scaledagile.com\/wp-content\/uploads\/2021\/07\/GettyImages-1242485859-1024x683.jpg\" alt=\"SAFe case study\" class=\"wp-image-118353 size-full\"\/><\/figure><\/div>\n<\/div>\n"}],"innerHTML":"\n<div class=\"wp-block-columns\"><\/div>\n","innerContent":["\n<div class=\"wp-block-columns\">",null,"<\/div>\n"],"rendered":"\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"wp-block-media-text alignwide has-media-on-the-right is-stacked-on-mobile is-image-fill\" style=\"grid-template-columns:auto 41%\"><div class=\"wp-block-media-text__content\">\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">Team members and program managers alike left the event more hopeful than ever before, believing they could actually hit the plan\u2019s targets. Most promising, Weaver and Ramirez noticed productive discussions happening throughout the room\u2014often between people who had worked together for several years, but had never actually met one another in person.<\/p>\n\n\n\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">\u201cWe witnessed a lot of team and cross-team bonding that just cannot be replicated over WebEx, Hangouts or Zoom,\u201d Ramirez said. \u201cThere is something immeasurably valuable about being in the same room with someone, laughing, joking and yes, respectfully arguing. A lot of trust was earned and built on day two.\u201d<\/p>\n\n\n\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">\u201cQuarter-million-dollar conversations were happening all over the place,\u201d Weaver said. \u201cThat\u2019s what it would have cost to fix problems down the road if those conversations had not happened.\u201d<\/p>\n<\/div><figure class=\"wp-block-media-text__media\" style=\"background-image:url(https:\/\/scaledagile.com\/wp-content\/uploads\/2021\/07\/GettyImages-1242485859-1024x683.jpg);background-position:72% 50%\"><img src=\"https:\/\/scaledagile.com\/wp-content\/uploads\/2021\/07\/GettyImages-1242485859-1024x683.jpg\" alt=\"SAFe case study\" class=\"wp-image-118353 size-full\"\/><\/figure><\/div>\n<\/div>\n<\/div>\n"},{"blockName":"core\/spacer","attrs":{"height":"48px","width":"","lock":[],"metadata":[],"className":"","style":[],"openPopupId":"","anchor":""},"innerBlocks":[],"innerHTML":"\n<div style=\"height:48px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n","innerContent":["\n<div style=\"height:48px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n"],"rendered":"\n<div style=\"height:48px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n"},{"blockName":"core\/heading","attrs":{"marginTop":5,"textAlign":"","content":"Communication, Collaboration across CMS + Contractors","level":2,"levelOptions":[],"placeholder":"","lock":[],"metadata":[],"align":"","className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","openPopupId":"","anchor":"h-communication-collaboration-across-cms-contractors"},"innerBlocks":[],"innerHTML":"\n<h2 class=\"wp-block-heading has-margin-top-5 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\" id=\"h-communication-collaboration-across-cms-contractors\">Communication, Collaboration across CMS + Contractors<\/h2>\n","innerContent":["\n<h2 class=\"wp-block-heading has-margin-top-5 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\" id=\"h-communication-collaboration-across-cms-contractors\">Communication, Collaboration across CMS + Contractors<\/h2>\n"],"rendered":"\n<h2 class=\"wp-block-heading has-margin-top-5 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\" id=\"h-communication-collaboration-across-cms-contractors\">Communication, Collaboration across CMS + Contractors<\/h2>\n"},{"blockName":"core\/paragraph","attrs":{"align":"","content":"Following that first PI, CMS began adhering to the SAFe Implementation Roadmap. They delivered Leading SAFe<sup>\u00ae<\/sup>, SAFe<sup>\u00ae<\/sup>\u00a0for Teams, and SAFe<sup>\u00ae<\/sup>\u00a0Product Owner\/Product Manager training. Unlike the first PI, they identified Value Streams.","dropCap":false,"placeholder":"","direction":"","lock":[],"metadata":[],"className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","openPopupId":"","anchor":""},"innerBlocks":[],"innerHTML":"\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">Following that first PI, CMS began adhering to the SAFe Implementation Roadmap. They delivered Leading SAFe<sup>\u00ae<\/sup>, SAFe<sup>\u00ae<\/sup>&nbsp;for Teams, and SAFe<sup>\u00ae<\/sup>&nbsp;Product Owner\/Product Manager training. Unlike the first PI, they identified Value Streams.<\/p>\n","innerContent":["\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">Following that first PI, CMS began adhering to the SAFe Implementation Roadmap. They delivered Leading SAFe<sup>\u00ae<\/sup>, SAFe<sup>\u00ae<\/sup>&nbsp;for Teams, and SAFe<sup>\u00ae<\/sup>&nbsp;Product Owner\/Product Manager training. Unlike the first PI, they identified Value Streams.<\/p>\n"],"rendered":"\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">Following that first PI, CMS began adhering to the SAFe Implementation Roadmap. They delivered Leading SAFe<sup>\u00ae<\/sup>, SAFe<sup>\u00ae<\/sup>&nbsp;for Teams, and SAFe<sup>\u00ae<\/sup>&nbsp;Product Owner\/Product Manager training. Unlike the first PI, they identified Value Streams.<\/p>\n"},{"blockName":"core\/paragraph","attrs":{"align":"","content":"\u201cFor the second PI, we found a lot of value in identifying Value Streams and ARTs, which helped people understand where they fit in and how teams fit together,\u201d Ramirez said.","dropCap":false,"placeholder":"","direction":"","lock":[],"metadata":[],"className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","openPopupId":"","anchor":""},"innerBlocks":[],"innerHTML":"\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">\u201cFor the second PI, we found a lot of value in identifying Value Streams and ARTs, which helped people understand where they fit in and how teams fit together,\u201d Ramirez said.<\/p>\n","innerContent":["\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">\u201cFor the second PI, we found a lot of value in identifying Value Streams and ARTs, which helped people understand where they fit in and how teams fit together,\u201d Ramirez said.<\/p>\n"],"rendered":"\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">\u201cFor the second PI, we found a lot of value in identifying Value Streams and ARTs, which helped people understand where they fit in and how teams fit together,\u201d Ramirez said.<\/p>\n"},{"blockName":"core\/paragraph","attrs":{"align":"","content":"Agile Six also delivered training to external contractors, including Leading SAFe<sup>\u00ae<\/sup>, SAFe<sup>\u00ae<\/sup>\u00a0for Teams, and SAFe<sup>\u00ae<\/sup>\u00a0Product Owner\/Product Manager. Several people at contractor organizations earned their SAFe<sup>\u00ae<\/sup>\u00a0Program Consultant (SPC) certification and began training their own people\u2014knowing that it is likely to give them one more strength to promote as they seek to win future contracts with CMS.","dropCap":false,"placeholder":"","direction":"","lock":[],"metadata":[],"className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","openPopupId":"","anchor":""},"innerBlocks":[],"innerHTML":"\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">Agile Six also delivered training to external contractors, including Leading SAFe<sup>\u00ae<\/sup>, SAFe<sup>\u00ae<\/sup>&nbsp;for Teams, and SAFe<sup>\u00ae<\/sup>&nbsp;Product Owner\/Product Manager. Several people at contractor organizations earned their SAFe<sup>\u00ae<\/sup>&nbsp;Program Consultant (SPC) certification and began training their own people\u2014knowing that it is likely to give them one more strength to promote as they seek to win future contracts with CMS.<\/p>\n","innerContent":["\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">Agile Six also delivered training to external contractors, including Leading SAFe<sup>\u00ae<\/sup>, SAFe<sup>\u00ae<\/sup>&nbsp;for Teams, and SAFe<sup>\u00ae<\/sup>&nbsp;Product Owner\/Product Manager. Several people at contractor organizations earned their SAFe<sup>\u00ae<\/sup>&nbsp;Program Consultant (SPC) certification and began training their own people\u2014knowing that it is likely to give them one more strength to promote as they seek to win future contracts with CMS.<\/p>\n"],"rendered":"\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">Agile Six also delivered training to external contractors, including Leading SAFe<sup>\u00ae<\/sup>, SAFe<sup>\u00ae<\/sup>&nbsp;for Teams, and SAFe<sup>\u00ae<\/sup>&nbsp;Product Owner\/Product Manager. Several people at contractor organizations earned their SAFe<sup>\u00ae<\/sup>&nbsp;Program Consultant (SPC) certification and began training their own people\u2014knowing that it is likely to give them one more strength to promote as they seek to win future contracts with CMS.<\/p>\n"},{"blockName":"core\/paragraph","attrs":{"align":"","content":"During RFPs, contract organizations routinely compete against each other. However, once on contract, they must work with team members from competing firms. As an unexpected benefit, SAFe helped unify CMS team members and contractors, as well as contractors from various companies. Face-to-face, they collaborate more effectively and come to personally know the people behind the roles, developing comfortable working relationships with each other.","dropCap":false,"placeholder":"","direction":"","lock":[],"metadata":[],"className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","openPopupId":"","anchor":""},"innerBlocks":[],"innerHTML":"\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">During RFPs, contract organizations routinely compete against each other. However, once on contract, they must work with team members from competing firms. As an unexpected benefit, SAFe helped unify CMS team members and contractors, as well as contractors from various companies. Face-to-face, they collaborate more effectively and come to personally know the people behind the roles, developing comfortable working relationships with each other.<\/p>\n","innerContent":["\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">During RFPs, contract organizations routinely compete against each other. However, once on contract, they must work with team members from competing firms. As an unexpected benefit, SAFe helped unify CMS team members and contractors, as well as contractors from various companies. Face-to-face, they collaborate more effectively and come to personally know the people behind the roles, developing comfortable working relationships with each other.<\/p>\n"],"rendered":"\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">During RFPs, contract organizations routinely compete against each other. However, once on contract, they must work with team members from competing firms. As an unexpected benefit, SAFe helped unify CMS team members and contractors, as well as contractors from various companies. Face-to-face, they collaborate more effectively and come to personally know the people behind the roles, developing comfortable working relationships with each other.<\/p>\n"},{"blockName":"core\/paragraph","attrs":{"align":"","content":"\u201cIt\u2019s fundamentally better for American taxpayers that teams work together and break those walls down,\u201d Weaver said. \u201cI\u2019m really proud of contractors\u2019 ability to collaborate, share information, and work as a single team. Doing so has helped us reduce trouble tickets, so we know we\u2019re delivering higher-quality solutions.","dropCap":false,"placeholder":"","direction":"","lock":[],"metadata":[],"className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","openPopupId":"","anchor":""},"innerBlocks":[],"innerHTML":"\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">\u201cIt\u2019s fundamentally better for American taxpayers that teams work together and break those walls down,\u201d Weaver said. \u201cI\u2019m really proud of contractors\u2019 ability to collaborate, share information, and work as a single team. Doing so has helped us reduce trouble tickets, so we know we\u2019re delivering higher-quality solutions.<\/p>\n","innerContent":["\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">\u201cIt\u2019s fundamentally better for American taxpayers that teams work together and break those walls down,\u201d Weaver said. \u201cI\u2019m really proud of contractors\u2019 ability to collaborate, share information, and work as a single team. Doing so has helped us reduce trouble tickets, so we know we\u2019re delivering higher-quality solutions.<\/p>\n"],"rendered":"\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">\u201cIt\u2019s fundamentally better for American taxpayers that teams work together and break those walls down,\u201d Weaver said. \u201cI\u2019m really proud of contractors\u2019 ability to collaborate, share information, and work as a single team. Doing so has helped us reduce trouble tickets, so we know we\u2019re delivering higher-quality solutions.<\/p>\n"},{"blockName":"core\/paragraph","attrs":{"align":"","content":"Because of CMS\u2019s heavy use of contractors, each ART is comprised of people from numerous organizations. That required transformation leaders to be sensitive to job functions and responsibilities across the different companies on a single ART to foster trust and teamwork instead of competition. Having a single backlog for an ART creates further harmony among diverse team members.","dropCap":false,"placeholder":"","direction":"","lock":[],"metadata":[],"className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","openPopupId":"","anchor":""},"innerBlocks":[],"innerHTML":"\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">Because of CMS\u2019s heavy use of contractors, each ART is comprised of people from numerous organizations. That required transformation leaders to be sensitive to job functions and responsibilities across the different companies on a single ART to foster trust and teamwork instead of competition. Having a single backlog for an ART creates further harmony among diverse team members.<\/p>\n","innerContent":["\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">Because of CMS\u2019s heavy use of contractors, each ART is comprised of people from numerous organizations. That required transformation leaders to be sensitive to job functions and responsibilities across the different companies on a single ART to foster trust and teamwork instead of competition. Having a single backlog for an ART creates further harmony among diverse team members.<\/p>\n"],"rendered":"\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">Because of CMS\u2019s heavy use of contractors, each ART is comprised of people from numerous organizations. That required transformation leaders to be sensitive to job functions and responsibilities across the different companies on a single ART to foster trust and teamwork instead of competition. Having a single backlog for an ART creates further harmony among diverse team members.<\/p>\n"},{"blockName":"core\/spacer","attrs":{"height":"48px","width":"","lock":[],"metadata":[],"className":"","style":[],"openPopupId":"","anchor":""},"innerBlocks":[],"innerHTML":"\n<div style=\"height:48px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n","innerContent":["\n<div style=\"height:48px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n"],"rendered":"\n<div style=\"height:48px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n"},{"blockName":"core\/columns","attrs":{"verticalAlignment":"","isStackedOnMobile":true,"templateLock":null,"lock":[],"metadata":[],"align":"","className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","layout":[],"openPopupId":"","anchor":""},"innerBlocks":[{"blockName":"core\/column","attrs":{"width":"100%","verticalAlignment":"","allowedBlocks":[],"templateLock":null,"lock":[],"metadata":[],"className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","layout":[],"openPopupId":"","anchor":""},"innerBlocks":[{"blockName":"core\/group","attrs":{"tagName":"div","templateLock":null,"allowedBlocks":[],"lock":[],"metadata":[],"align":"","className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","layout":[],"ariaLabel":"","openPopupId":"","anchor":""},"innerBlocks":[{"blockName":"core\/heading","attrs":{"textAlign":"","content":"27% Boost in Employee Satisfaction","level":2,"levelOptions":[],"placeholder":"","lock":[],"metadata":[],"align":"","className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","openPopupId":"","anchor":"h-27-boost-in-employee-satisfaction"},"innerBlocks":[],"innerHTML":"\n<h2 class=\"wp-block-heading has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\" id=\"h-27-boost-in-employee-satisfaction\">27% Boost in Employee Satisfaction<\/h2>\n","innerContent":["\n<h2 class=\"wp-block-heading has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\" id=\"h-27-boost-in-employee-satisfaction\">27% Boost in Employee Satisfaction<\/h2>\n"],"rendered":"\n<h2 class=\"wp-block-heading has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\" id=\"h-27-boost-in-employee-satisfaction\">27% Boost in Employee Satisfaction<\/h2>\n"},{"blockName":"core\/paragraph","attrs":{"align":"","content":"So far, CMS has trained more than 200 people, including 25 \u2013 30 Certified SAFe<sup>\u00ae<\/sup>\u00a0Program Consultants (SPCs). The agency has also since launched four more Agile Release Trains (ARTs).","dropCap":false,"placeholder":"","direction":"","lock":[],"metadata":[],"className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","openPopupId":"","anchor":""},"innerBlocks":[],"innerHTML":"\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">So far, CMS has trained more than 200 people, including 25 \u2013 30 Certified SAFe<sup>\u00ae<\/sup>&nbsp;Program Consultants (SPCs). The agency has also since launched four more Agile Release Trains (ARTs).<\/p>\n","innerContent":["\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">So far, CMS has trained more than 200 people, including 25 \u2013 30 Certified SAFe<sup>\u00ae<\/sup>&nbsp;Program Consultants (SPCs). The agency has also since launched four more Agile Release Trains (ARTs).<\/p>\n"],"rendered":"\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">So far, CMS has trained more than 200 people, including 25 \u2013 30 Certified SAFe<sup>\u00ae<\/sup>&nbsp;Program Consultants (SPCs). The agency has also since launched four more Agile Release Trains (ARTs).<\/p>\n"},{"blockName":"core\/paragraph","attrs":{"align":"","content":"With training and preparation, participants have been more engaged in PI Planning events after that first learning experience. Communication, says Weaver and Ramirez, has been critical to the acceptance of the new way of working. Especially in the early days, they had to communicate clearly and persistently to convince people to join in the effort and assuage fears about what this meant for their futures.","dropCap":false,"placeholder":"","direction":"","lock":[],"metadata":[],"className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","openPopupId":"","anchor":""},"innerBlocks":[],"innerHTML":"\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">With training and preparation, participants have been more engaged in PI Planning events after that first learning experience. Communication, says Weaver and Ramirez, has been critical to the acceptance of the new way of working. Especially in the early days, they had to communicate clearly and persistently to convince people to join in the effort and assuage fears about what this meant for their futures.<\/p>\n","innerContent":["\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">With training and preparation, participants have been more engaged in PI Planning events after that first learning experience. Communication, says Weaver and Ramirez, has been critical to the acceptance of the new way of working. Especially in the early days, they had to communicate clearly and persistently to convince people to join in the effort and assuage fears about what this meant for their futures.<\/p>\n"],"rendered":"\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">With training and preparation, participants have been more engaged in PI Planning events after that first learning experience. Communication, says Weaver and Ramirez, has been critical to the acceptance of the new way of working. Especially in the early days, they had to communicate clearly and persistently to convince people to join in the effort and assuage fears about what this meant for their futures.<\/p>\n"},{"blockName":"core\/columns","attrs":{"verticalAlignment":"","isStackedOnMobile":true,"templateLock":null,"lock":[],"metadata":[],"align":"","className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","layout":[],"openPopupId":"","anchor":""},"innerBlocks":[{"blockName":"core\/column","attrs":{"verticalAlignment":"","width":"","allowedBlocks":[],"templateLock":null,"lock":[],"metadata":[],"className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","layout":[],"openPopupId":"","anchor":""},"innerBlocks":[{"blockName":"core\/media-text","attrs":{"align":"wide","mediaId":118352,"mediaLink":"https:\/\/scaledagile.com\/case_study\/centers-for-medicare-medicaid-services\/doctor\/","mediaType":"image","mediaWidth":35,"verticalAlignment":"center","imageFill":true,"mediaAlt":"SAFe Case Study\n","mediaPosition":"left","mediaUrl":"","linkDestination":"","linkTarget":"","href":"","rel":"","linkClass":"","mediaSizeSlug":"","isStackedOnMobile":true,"focalPoint":[],"allowedBlocks":[],"useFeaturedImage":false,"lock":[],"metadata":[],"className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","openPopupId":"","anchor":""},"innerBlocks":[{"blockName":"core\/paragraph","attrs":{"align":"","content":"\u201cWe really had to do a lot of selling on SAFe to get people comfortable,\u201d Weaver said. \u201cPeople were genuinely apprehensive about changing the way they have worked for so long, but as they have seen results, they have embraced it.\u201d","dropCap":false,"placeholder":"","direction":"","lock":[],"metadata":[],"className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","openPopupId":"","anchor":""},"innerBlocks":[],"innerHTML":"\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">\u201cWe really had to do a lot of selling on SAFe to get people comfortable,\u201d Weaver said. \u201cPeople were genuinely apprehensive about changing the way they have worked for so long, but as they have seen results, they have embraced it.\u201d<\/p>\n","innerContent":["\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">\u201cWe really had to do a lot of selling on SAFe to get people comfortable,\u201d Weaver said. \u201cPeople were genuinely apprehensive about changing the way they have worked for so long, but as they have seen results, they have embraced it.\u201d<\/p>\n"],"rendered":"\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">\u201cWe really had to do a lot of selling on SAFe to get people comfortable,\u201d Weaver said. \u201cPeople were genuinely apprehensive about changing the way they have worked for so long, but as they have seen results, they have embraced it.\u201d<\/p>\n"},{"blockName":"core\/paragraph","attrs":{"align":"","content":"And over time, HQR has implemented other SAFe concepts such as Weighted Shortest Job First (WSJF). Well ahead of a PI, the primary stakeholder has time to weigh the value of work and prioritize\u2014which takes some of the emotion out of the decision, Ramirez says.","dropCap":false,"placeholder":"","direction":"","lock":[],"metadata":[],"className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","openPopupId":"","anchor":""},"innerBlocks":[],"innerHTML":"\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">And over time, HQR has implemented other SAFe concepts such as Weighted Shortest Job First (WSJF). Well ahead of a PI, the primary stakeholder has time to weigh the value of work and prioritize\u2014which takes some of the emotion out of the decision, Ramirez says.<\/p>\n","innerContent":["\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">And over time, HQR has implemented other SAFe concepts such as Weighted Shortest Job First (WSJF). Well ahead of a PI, the primary stakeholder has time to weigh the value of work and prioritize\u2014which takes some of the emotion out of the decision, Ramirez says.<\/p>\n"],"rendered":"\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">And over time, HQR has implemented other SAFe concepts such as Weighted Shortest Job First (WSJF). Well ahead of a PI, the primary stakeholder has time to weigh the value of work and prioritize\u2014which takes some of the emotion out of the decision, Ramirez says.<\/p>\n"},{"blockName":"core\/paragraph","attrs":{"align":"","content":"They are also in the process of adjusting budgets to fit more with shorter-term planning. Instead of years in advance, they began thinking in terms of three-month increments, in which Ramirez called a halfway step between the traditional approach and the \u2018wild west\u2019 of Scrum.","dropCap":false,"placeholder":"","direction":"","lock":[],"metadata":[],"className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","openPopupId":"","anchor":""},"innerBlocks":[],"innerHTML":"\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">They are also in the process of adjusting budgets to fit more with shorter-term planning. Instead of years in advance, they began thinking in terms of three-month increments, in which Ramirez called a halfway step between the traditional approach and the \u2018wild west\u2019 of Scrum.<\/p>\n","innerContent":["\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">They are also in the process of adjusting budgets to fit more with shorter-term planning. Instead of years in advance, they began thinking in terms of three-month increments, in which Ramirez called a halfway step between the traditional approach and the \u2018wild west\u2019 of Scrum.<\/p>\n"],"rendered":"\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">They are also in the process of adjusting budgets to fit more with shorter-term planning. Instead of years in advance, they began thinking in terms of three-month increments, in which Ramirez called a halfway step between the traditional approach and the \u2018wild west\u2019 of Scrum.<\/p>\n"}],"innerHTML":"\n<div class=\"wp-block-media-text alignwide is-stacked-on-mobile is-vertically-aligned-center is-image-fill\" style=\"grid-template-columns:35% auto\"><figure class=\"wp-block-media-text__media\" style=\"background-image:url(https:\/\/scaledagile.com\/wp-content\/uploads\/2021\/07\/GettyImages-1265620914-1024x683.jpg);background-position:50% 50%\"><img src=\"https:\/\/scaledagile.com\/wp-content\/uploads\/2021\/07\/GettyImages-1265620914-1024x683.jpg\" alt=\"SAFe Case Study\n\" class=\"wp-image-118352 size-full\"\/><\/figure><div class=\"wp-block-media-text__content\">\n\n\n\n<\/div><\/div>\n","innerContent":["\n<div class=\"wp-block-media-text alignwide is-stacked-on-mobile is-vertically-aligned-center is-image-fill\" style=\"grid-template-columns:35% auto\"><figure class=\"wp-block-media-text__media\" style=\"background-image:url(https:\/\/scaledagile.com\/wp-content\/uploads\/2021\/07\/GettyImages-1265620914-1024x683.jpg);background-position:50% 50%\"><img src=\"https:\/\/scaledagile.com\/wp-content\/uploads\/2021\/07\/GettyImages-1265620914-1024x683.jpg\" alt=\"SAFe Case Study\n\" class=\"wp-image-118352 size-full\"\/><\/figure><div class=\"wp-block-media-text__content\">",null,"\n\n",null,"\n\n",null,"<\/div><\/div>\n"],"rendered":"\n<div class=\"wp-block-media-text alignwide is-stacked-on-mobile is-vertically-aligned-center is-image-fill\" style=\"grid-template-columns:35% auto\"><figure class=\"wp-block-media-text__media\" style=\"background-image:url(https:\/\/scaledagile.com\/wp-content\/uploads\/2021\/07\/GettyImages-1265620914-1024x683.jpg);background-position:50% 50%\"><img src=\"https:\/\/scaledagile.com\/wp-content\/uploads\/2021\/07\/GettyImages-1265620914-1024x683.jpg\" alt=\"SAFe Case Study\n\" class=\"wp-image-118352 size-full\"\/><\/figure><div class=\"wp-block-media-text__content\">\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">\u201cWe really had to do a lot of selling on SAFe to get people comfortable,\u201d Weaver said. \u201cPeople were genuinely apprehensive about changing the way they have worked for so long, but as they have seen results, they have embraced it.\u201d<\/p>\n\n\n\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">And over time, HQR has implemented other SAFe concepts such as Weighted Shortest Job First (WSJF). Well ahead of a PI, the primary stakeholder has time to weigh the value of work and prioritize\u2014which takes some of the emotion out of the decision, Ramirez says.<\/p>\n\n\n\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">They are also in the process of adjusting budgets to fit more with shorter-term planning. Instead of years in advance, they began thinking in terms of three-month increments, in which Ramirez called a halfway step between the traditional approach and the \u2018wild west\u2019 of Scrum.<\/p>\n<\/div><\/div>\n"}],"innerHTML":"\n<div class=\"wp-block-column\"><\/div>\n","innerContent":["\n<div class=\"wp-block-column\">",null,"<\/div>\n"],"rendered":"\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"wp-block-media-text alignwide is-stacked-on-mobile is-vertically-aligned-center is-image-fill\" style=\"grid-template-columns:35% auto\"><figure class=\"wp-block-media-text__media\" style=\"background-image:url(https:\/\/scaledagile.com\/wp-content\/uploads\/2021\/07\/GettyImages-1265620914-1024x683.jpg);background-position:50% 50%\"><img src=\"https:\/\/scaledagile.com\/wp-content\/uploads\/2021\/07\/GettyImages-1265620914-1024x683.jpg\" alt=\"SAFe Case Study\n\" class=\"wp-image-118352 size-full\"\/><\/figure><div class=\"wp-block-media-text__content\">\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">\u201cWe really had to do a lot of selling on SAFe to get people comfortable,\u201d Weaver said. \u201cPeople were genuinely apprehensive about changing the way they have worked for so long, but as they have seen results, they have embraced it.\u201d<\/p>\n\n\n\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">And over time, HQR has implemented other SAFe concepts such as Weighted Shortest Job First (WSJF). Well ahead of a PI, the primary stakeholder has time to weigh the value of work and prioritize\u2014which takes some of the emotion out of the decision, Ramirez says.<\/p>\n\n\n\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">They are also in the process of adjusting budgets to fit more with shorter-term planning. Instead of years in advance, they began thinking in terms of three-month increments, in which Ramirez called a halfway step between the traditional approach and the \u2018wild west\u2019 of Scrum.<\/p>\n<\/div><\/div>\n<\/div>\n"}],"innerHTML":"\n<div class=\"wp-block-columns\"><\/div>\n","innerContent":["\n<div class=\"wp-block-columns\">",null,"<\/div>\n"],"rendered":"\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"wp-block-media-text alignwide is-stacked-on-mobile is-vertically-aligned-center is-image-fill\" style=\"grid-template-columns:35% auto\"><figure class=\"wp-block-media-text__media\" style=\"background-image:url(https:\/\/scaledagile.com\/wp-content\/uploads\/2021\/07\/GettyImages-1265620914-1024x683.jpg);background-position:50% 50%\"><img src=\"https:\/\/scaledagile.com\/wp-content\/uploads\/2021\/07\/GettyImages-1265620914-1024x683.jpg\" alt=\"SAFe Case Study\n\" class=\"wp-image-118352 size-full\"\/><\/figure><div class=\"wp-block-media-text__content\">\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">\u201cWe really had to do a lot of selling on SAFe to get people comfortable,\u201d Weaver said. \u201cPeople were genuinely apprehensive about changing the way they have worked for so long, but as they have seen results, they have embraced it.\u201d<\/p>\n\n\n\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">And over time, HQR has implemented other SAFe concepts such as Weighted Shortest Job First (WSJF). Well ahead of a PI, the primary stakeholder has time to weigh the value of work and prioritize\u2014which takes some of the emotion out of the decision, Ramirez says.<\/p>\n\n\n\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">They are also in the process of adjusting budgets to fit more with shorter-term planning. Instead of years in advance, they began thinking in terms of three-month increments, in which Ramirez called a halfway step between the traditional approach and the \u2018wild west\u2019 of Scrum.<\/p>\n<\/div><\/div>\n<\/div>\n<\/div>\n"},{"blockName":"core\/block","attrs":{"ref":116054,"content":[],"lock":[],"metadata":[],"openPopupId":""},"innerBlocks":[],"innerHTML":"","innerContent":[],"rendered":"\n<div style=\"height:75px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n"}],"innerHTML":"\n<div class=\"wp-block-group has-border-color has-object-object-border-color border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">\n\n\n\n\n\n\n\n<\/div>\n","innerContent":["\n<div class=\"wp-block-group has-border-color has-object-object-border-color border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">",null,"\n\n",null,"\n\n",null,"\n\n",null,"\n\n",null,"<\/div>\n"],"rendered":"\n<div class=\"wp-block-group has-border-color has-object-object-border-color border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\"><div class=\"wp-block-group__inner-container is-layout-flow wp-block-group-is-layout-flow\">\n<h2 class=\"wp-block-heading has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\" id=\"h-27-boost-in-employee-satisfaction\">27% Boost in Employee Satisfaction<\/h2>\n\n\n\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">So far, CMS has trained more than 200 people, including 25 \u2013 30 Certified SAFe<sup>\u00ae<\/sup>&nbsp;Program Consultants (SPCs). The agency has also since launched four more Agile Release Trains (ARTs).<\/p>\n\n\n\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">With training and preparation, participants have been more engaged in PI Planning events after that first learning experience. Communication, says Weaver and Ramirez, has been critical to the acceptance of the new way of working. Especially in the early days, they had to communicate clearly and persistently to convince people to join in the effort and assuage fears about what this meant for their futures.<\/p>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"wp-block-media-text alignwide is-stacked-on-mobile is-vertically-aligned-center is-image-fill\" style=\"grid-template-columns:35% auto\"><figure class=\"wp-block-media-text__media\" style=\"background-image:url(https:\/\/scaledagile.com\/wp-content\/uploads\/2021\/07\/GettyImages-1265620914-1024x683.jpg);background-position:50% 50%\"><img src=\"https:\/\/scaledagile.com\/wp-content\/uploads\/2021\/07\/GettyImages-1265620914-1024x683.jpg\" alt=\"SAFe Case Study\n\" class=\"wp-image-118352 size-full\"\/><\/figure><div class=\"wp-block-media-text__content\">\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">\u201cWe really had to do a lot of selling on SAFe to get people comfortable,\u201d Weaver said. \u201cPeople were genuinely apprehensive about changing the way they have worked for so long, but as they have seen results, they have embraced it.\u201d<\/p>\n\n\n\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">And over time, HQR has implemented other SAFe concepts such as Weighted Shortest Job First (WSJF). Well ahead of a PI, the primary stakeholder has time to weigh the value of work and prioritize\u2014which takes some of the emotion out of the decision, Ramirez says.<\/p>\n\n\n\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">They are also in the process of adjusting budgets to fit more with shorter-term planning. Instead of years in advance, they began thinking in terms of three-month increments, in which Ramirez called a halfway step between the traditional approach and the \u2018wild west\u2019 of Scrum.<\/p>\n<\/div><\/div>\n<\/div>\n<\/div>\n\n\n\n<div style=\"height:75px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<\/div><\/div>\n"},{"blockName":"core\/heading","attrs":{"textAlign":"","content":"Higher Quality, Happier People","level":2,"levelOptions":[],"placeholder":"","lock":[],"metadata":[],"align":"","className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","openPopupId":"","anchor":"h-higher-quality-happier-people"},"innerBlocks":[],"innerHTML":"\n<h2 class=\"wp-block-heading has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\" id=\"h-higher-quality-happier-people\">Higher Quality, Happier People<\/h2>\n","innerContent":["\n<h2 class=\"wp-block-heading has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\" id=\"h-higher-quality-happier-people\">Higher Quality, Happier People<\/h2>\n"],"rendered":"\n<h2 class=\"wp-block-heading has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\" id=\"h-higher-quality-happier-people\">Higher Quality, Happier People<\/h2>\n"},{"blockName":"core\/paragraph","attrs":{"align":"","content":"After a bumpy beginning, CMS points to measurable progress:","dropCap":false,"placeholder":"","direction":"","lock":[],"metadata":[],"className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","openPopupId":"","anchor":""},"innerBlocks":[],"innerHTML":"\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">After a bumpy beginning, CMS points to measurable progress:<\/p>\n","innerContent":["\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">After a bumpy beginning, CMS points to measurable progress:<\/p>\n"],"rendered":"\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">After a bumpy beginning, CMS points to measurable progress:<\/p>\n"},{"blockName":"core\/list","attrs":{"ordered":false,"values":"\n\n\n\n","type":"","start":0,"reversed":false,"placeholder":"","lock":[],"metadata":[],"className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","openPopupId":"","anchor":""},"innerBlocks":[{"blockName":"core\/list-item","attrs":{"placeholder":"","content":"<strong>Budget shift to modernization versus maintenance<\/strong>\u00a0\u2013 Instead of 100% of the budget going to maintain the existing HQR system, now only 40% is dedicated to it. A full 60% of the budget goes toward innovation for the system, helping the agency deliver on citizen expectations.<br \/>","lock":[],"metadata":[],"className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","openPopupId":"","anchor":""},"innerBlocks":[],"innerHTML":"\n<li><strong>Budget shift to modernization versus maintenance<\/strong>&nbsp;\u2013 Instead of 100% of the budget going to maintain the existing HQR system, now only 40% is dedicated to it. A full 60% of the budget goes toward innovation for the system, helping the agency deliver on citizen expectations.<br><\/li>\n","innerContent":["\n<li><strong>Budget shift to modernization versus maintenance<\/strong>&nbsp;\u2013 Instead of 100% of the budget going to maintain the existing HQR system, now only 40% is dedicated to it. A full 60% of the budget goes toward innovation for the system, helping the agency deliver on citizen expectations.<br><\/li>\n"],"rendered":"\n<li><strong>Budget shift to modernization versus maintenance<\/strong>&nbsp;\u2013 Instead of 100% of the budget going to maintain the existing HQR system, now only 40% is dedicated to it. A full 60% of the budget goes toward innovation for the system, helping the agency deliver on citizen expectations.<br><\/li>\n"},{"blockName":"core\/list-item","attrs":{"placeholder":"","content":"<strong>Higher quality<\/strong>\u00a0\u2013 The HQR group reports a 55% decrease in help desk tickets from hospitals\u2014demonstrating a direct impact to customer satisfaction.<br \/>","lock":[],"metadata":[],"className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","openPopupId":"","anchor":""},"innerBlocks":[],"innerHTML":"\n<li><strong>Higher quality<\/strong>&nbsp;\u2013 The HQR group reports a 55% decrease in help desk tickets from hospitals\u2014demonstrating a direct impact to customer satisfaction.<br><\/li>\n","innerContent":["\n<li><strong>Higher quality<\/strong>&nbsp;\u2013 The HQR group reports a 55% decrease in help desk tickets from hospitals\u2014demonstrating a direct impact to customer satisfaction.<br><\/li>\n"],"rendered":"\n<li><strong>Higher quality<\/strong>&nbsp;\u2013 The HQR group reports a 55% decrease in help desk tickets from hospitals\u2014demonstrating a direct impact to customer satisfaction.<br><\/li>\n"},{"blockName":"core\/list-item","attrs":{"placeholder":"","content":"<strong>Happier people<\/strong>\u00a0\u2013 Surveys conducted before and after SAFe show a 27% increase in employee satisfaction.","lock":[],"metadata":[],"className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","openPopupId":"","anchor":""},"innerBlocks":[],"innerHTML":"\n<li><strong>Happier people<\/strong>&nbsp;\u2013 Surveys conducted before and after SAFe show a 27% increase in employee satisfaction.<\/li>\n","innerContent":["\n<li><strong>Happier people<\/strong>&nbsp;\u2013 Surveys conducted before and after SAFe show a 27% increase in employee satisfaction.<\/li>\n"],"rendered":"\n<li><strong>Happier people<\/strong>&nbsp;\u2013 Surveys conducted before and after SAFe show a 27% increase in employee satisfaction.<\/li>\n"}],"innerHTML":"\n<ul class=\"wp-block-list\">\n\n\n\n<\/ul>\n","innerContent":["\n<ul class=\"wp-block-list\">",null,"\n\n",null,"\n\n",null,"<\/ul>\n"],"rendered":"\n<ul class=\"wp-block-list\">\n<li><strong>Budget shift to modernization versus maintenance<\/strong>&nbsp;\u2013 Instead of 100% of the budget going to maintain the existing HQR system, now only 40% is dedicated to it. A full 60% of the budget goes toward innovation for the system, helping the agency deliver on citizen expectations.<br><\/li>\n\n\n\n<li><strong>Higher quality<\/strong>&nbsp;\u2013 The HQR group reports a 55% decrease in help desk tickets from hospitals\u2014demonstrating a direct impact to customer satisfaction.<br><\/li>\n\n\n\n<li><strong>Happier people<\/strong>&nbsp;\u2013 Surveys conducted before and after SAFe show a 27% increase in employee satisfaction.<\/li>\n<\/ul>\n"},{"blockName":"core\/paragraph","attrs":{"align":"","content":"While CMS can\u2019t yet measure customer satisfaction gains directly, they know that fewer quality issues and more innovation contribute to that goal.","dropCap":false,"placeholder":"","direction":"","lock":[],"metadata":[],"className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","openPopupId":"","anchor":""},"innerBlocks":[],"innerHTML":"\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">While CMS can\u2019t yet measure customer satisfaction gains directly, they know that fewer quality issues and more innovation contribute to that goal.<\/p>\n","innerContent":["\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">While CMS can\u2019t yet measure customer satisfaction gains directly, they know that fewer quality issues and more innovation contribute to that goal.<\/p>\n"],"rendered":"\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">While CMS can\u2019t yet measure customer satisfaction gains directly, they know that fewer quality issues and more innovation contribute to that goal.<\/p>\n"},{"blockName":"core\/paragraph","attrs":{"align":"","content":"\u201cSAFe provided a map that enabled us to shift to modernizing versus just maintaining the status quo,\u201d Weaver said. \u201cBeneficiaries will ultimately benefit from more user-friendly, human-centered design systems, which will allow us to reduce the burden on our providers.\u201d","dropCap":false,"placeholder":"","direction":"","lock":[],"metadata":[],"className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","openPopupId":"","anchor":""},"innerBlocks":[],"innerHTML":"\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">\u201cSAFe provided a map that enabled us to shift to modernizing versus just maintaining the status quo,\u201d Weaver said. \u201cBeneficiaries will ultimately benefit from more user-friendly, human-centered design systems, which will allow us to reduce the burden on our providers.\u201d<\/p>\n","innerContent":["\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">\u201cSAFe provided a map that enabled us to shift to modernizing versus just maintaining the status quo,\u201d Weaver said. \u201cBeneficiaries will ultimately benefit from more user-friendly, human-centered design systems, which will allow us to reduce the burden on our providers.\u201d<\/p>\n"],"rendered":"\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">\u201cSAFe provided a map that enabled us to shift to modernizing versus just maintaining the status quo,\u201d Weaver said. \u201cBeneficiaries will ultimately benefit from more user-friendly, human-centered design systems, which will allow us to reduce the burden on our providers.\u201d<\/p>\n"},{"blockName":"core\/paragraph","attrs":{"align":"","content":"The group\u2019s success has caught the attention of others, with trains now starting in other CMS groups. \u201cOther programs within CMS have approached HQR asking us how to drive the same outcomes,\u201d Santos said. \u201cIt\u2019s a testament to how far we\u2019ve come in the past year.\u201d","dropCap":false,"placeholder":"","direction":"","lock":[],"metadata":[],"className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","openPopupId":"","anchor":""},"innerBlocks":[],"innerHTML":"\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">The group\u2019s success has caught the attention of others, with trains now starting in other CMS groups. \u201cOther programs within CMS have approached HQR asking us how to drive the same outcomes,\u201d Santos said. \u201cIt\u2019s a testament to how far we\u2019ve come in the past year.\u201d<\/p>\n","innerContent":["\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">The group\u2019s success has caught the attention of others, with trains now starting in other CMS groups. \u201cOther programs within CMS have approached HQR asking us how to drive the same outcomes,\u201d Santos said. \u201cIt\u2019s a testament to how far we\u2019ve come in the past year.\u201d<\/p>\n"],"rendered":"\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">The group\u2019s success has caught the attention of others, with trains now starting in other CMS groups. \u201cOther programs within CMS have approached HQR asking us how to drive the same outcomes,\u201d Santos said. \u201cIt\u2019s a testament to how far we\u2019ve come in the past year.\u201d<\/p>\n"},{"blockName":"core\/block","attrs":{"ref":116054,"content":[],"lock":[],"metadata":[],"openPopupId":""},"innerBlocks":[],"innerHTML":"","innerContent":[],"rendered":"\n<div style=\"height:75px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n"},{"blockName":"core\/list","attrs":{"ordered":false,"values":"\n\n\n\n\n\n\n\n\n\n\n\n\n\n","type":"","start":0,"reversed":false,"placeholder":"","lock":[],"metadata":[],"className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","openPopupId":"","anchor":""},"innerBlocks":[{"blockName":"core\/list-item","attrs":{"placeholder":"","content":"<strong>Transformation starts with leadership<\/strong>\u00a0\u2013 Ideally, you need two to three leaders who are fully committed to the change. If possible, send them through SPC training.<br \/>","lock":[],"metadata":[],"className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","openPopupId":"","anchor":""},"innerBlocks":[],"innerHTML":"\n<li><strong>Transformation starts with leadership<\/strong>&nbsp;\u2013 Ideally, you need two to three leaders who are fully committed to the change. If possible, send them through SPC training.<br><\/li>\n","innerContent":["\n<li><strong>Transformation starts with leadership<\/strong>&nbsp;\u2013 Ideally, you need two to three leaders who are fully committed to the change. If possible, send them through SPC training.<br><\/li>\n"],"rendered":"\n<li><strong>Transformation starts with leadership<\/strong>&nbsp;\u2013 Ideally, you need two to three leaders who are fully committed to the change. If possible, send them through SPC training.<br><\/li>\n"},{"blockName":"core\/list-item","attrs":{"placeholder":"","content":"<strong>Coaches are a MUST<\/strong>\u00a0\u2013 CMS found substantial value in them<br \/>","lock":[],"metadata":[],"className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","openPopupId":"","anchor":""},"innerBlocks":[],"innerHTML":"\n<li><strong>Coaches are a MUST<\/strong>&nbsp;\u2013 CMS found substantial value in them<br><\/li>\n","innerContent":["\n<li><strong>Coaches are a MUST<\/strong>&nbsp;\u2013 CMS found substantial value in them<br><\/li>\n"],"rendered":"\n<li><strong>Coaches are a MUST<\/strong>&nbsp;\u2013 CMS found substantial value in them<br><\/li>\n"},{"blockName":"core\/list-item","attrs":{"placeholder":"","content":"<strong>Agile contracting is necessary<\/strong>\u00a0\u2013 Rigid contracts that have highly specific deliverables can be an obstacle to agility and to embracing shifting priorities as new data emerges<br \/>","lock":[],"metadata":[],"className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","openPopupId":"","anchor":""},"innerBlocks":[],"innerHTML":"\n<li><strong>Agile contracting is necessary<\/strong>&nbsp;\u2013 Rigid contracts that have highly specific deliverables can be an obstacle to agility and to embracing shifting priorities as new data emerges<br><\/li>\n","innerContent":["\n<li><strong>Agile contracting is necessary<\/strong>&nbsp;\u2013 Rigid contracts that have highly specific deliverables can be an obstacle to agility and to embracing shifting priorities as new data emerges<br><\/li>\n"],"rendered":"\n<li><strong>Agile contracting is necessary<\/strong>&nbsp;\u2013 Rigid contracts that have highly specific deliverables can be an obstacle to agility and to embracing shifting priorities as new data emerges<br><\/li>\n"},{"blockName":"core\/list-item","attrs":{"placeholder":"","content":"<strong>Use contractors that understand Lean-Agile principle<\/strong>s \u2013 Hire teams that truly understand what this means, not just those who can talk the talk<br \/>","lock":[],"metadata":[],"className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","openPopupId":"","anchor":""},"innerBlocks":[],"innerHTML":"\n<li><strong>Use contractors that understand Lean-Agile principle<\/strong>s \u2013 Hire teams that truly understand what this means, not just those who can talk the talk<br><\/li>\n","innerContent":["\n<li><strong>Use contractors that understand Lean-Agile principle<\/strong>s \u2013 Hire teams that truly understand what this means, not just those who can talk the talk<br><\/li>\n"],"rendered":"\n<li><strong>Use contractors that understand Lean-Agile principle<\/strong>s \u2013 Hire teams that truly understand what this means, not just those who can talk the talk<br><\/li>\n"},{"blockName":"core\/list-item","attrs":{"placeholder":"","content":"<strong>Find collaborative work space<\/strong>\u00a0\u2013 From PI planning events to day-to-day work, collaborative work space enables teams to capture the value of face-to-face interaction<br \/>","lock":[],"metadata":[],"className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","openPopupId":"","anchor":""},"innerBlocks":[],"innerHTML":"\n<li><strong>Find collaborative work space<\/strong>&nbsp;\u2013 From PI planning events to day-to-day work, collaborative work space enables teams to capture the value of face-to-face interaction<br><\/li>\n","innerContent":["\n<li><strong>Find collaborative work space<\/strong>&nbsp;\u2013 From PI planning events to day-to-day work, collaborative work space enables teams to capture the value of face-to-face interaction<br><\/li>\n"],"rendered":"\n<li><strong>Find collaborative work space<\/strong>&nbsp;\u2013 From PI planning events to day-to-day work, collaborative work space enables teams to capture the value of face-to-face interaction<br><\/li>\n"},{"blockName":"core\/list-item","attrs":{"placeholder":"","content":"<strong>Just do it!<\/strong>\u00a0\u2013 \u201cIf we could time-travel and do it again, we would emphasize a sense of urgency to get going,\u201d Weaver said. \u201cSet a near-term date and follow the roadmap.\u201d<br \/>","lock":[],"metadata":[],"className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","openPopupId":"","anchor":""},"innerBlocks":[],"innerHTML":"\n<li><strong>Just do it!<\/strong>&nbsp;\u2013 \u201cIf we could time-travel and do it again, we would emphasize a sense of urgency to get going,\u201d Weaver said. \u201cSet a near-term date and follow the roadmap.\u201d<br><\/li>\n","innerContent":["\n<li><strong>Just do it!<\/strong>&nbsp;\u2013 \u201cIf we could time-travel and do it again, we would emphasize a sense of urgency to get going,\u201d Weaver said. \u201cSet a near-term date and follow the roadmap.\u201d<br><\/li>\n"],"rendered":"\n<li><strong>Just do it!<\/strong>&nbsp;\u2013 \u201cIf we could time-travel and do it again, we would emphasize a sense of urgency to get going,\u201d Weaver said. \u201cSet a near-term date and follow the roadmap.\u201d<br><\/li>\n"},{"blockName":"core\/list-item","attrs":{"placeholder":"","content":"<strong>Engage employees<\/strong>\u00a0\u2013 Any effort is only as strong as its people. Approach the change with empathy for what your team is undergoing and leverage the support of management and coaches to keep employees engaged and excited.<br \/>","lock":[],"metadata":[],"className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","openPopupId":"","anchor":""},"innerBlocks":[],"innerHTML":"\n<li><strong>Engage employees<\/strong>&nbsp;\u2013 Any effort is only as strong as its people. Approach the change with empathy for what your team is undergoing and leverage the support of management and coaches to keep employees engaged and excited.<br><\/li>\n","innerContent":["\n<li><strong>Engage employees<\/strong>&nbsp;\u2013 Any effort is only as strong as its people. Approach the change with empathy for what your team is undergoing and leverage the support of management and coaches to keep employees engaged and excited.<br><\/li>\n"],"rendered":"\n<li><strong>Engage employees<\/strong>&nbsp;\u2013 Any effort is only as strong as its people. Approach the change with empathy for what your team is undergoing and leverage the support of management and coaches to keep employees engaged and excited.<br><\/li>\n"},{"blockName":"core\/list-item","attrs":{"placeholder":"","content":"<strong>Start with Essential SAFe<sup>\u00ae<\/sup><\/strong>\u00a0\u2013 CMS found it valuable to simplify as much as possible and started with a program that lent itself to Essential SAFe. The learnings they achieved will influence larger programs, which will require multiple Value Streams.","lock":[],"metadata":[],"className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","openPopupId":"","anchor":""},"innerBlocks":[],"innerHTML":"\n<li><strong>Start with Essential SAFe<sup>\u00ae<\/sup><\/strong>&nbsp;\u2013 CMS found it valuable to simplify as much as possible and started with a program that lent itself to Essential SAFe. The learnings they achieved will influence larger programs, which will require multiple Value Streams.<\/li>\n","innerContent":["\n<li><strong>Start with Essential SAFe<sup>\u00ae<\/sup><\/strong>&nbsp;\u2013 CMS found it valuable to simplify as much as possible and started with a program that lent itself to Essential SAFe. The learnings they achieved will influence larger programs, which will require multiple Value Streams.<\/li>\n"],"rendered":"\n<li><strong>Start with Essential SAFe<sup>\u00ae<\/sup><\/strong>&nbsp;\u2013 CMS found it valuable to simplify as much as possible and started with a program that lent itself to Essential SAFe. The learnings they achieved will influence larger programs, which will require multiple Value Streams.<\/li>\n"}],"innerHTML":"\n<ul class=\"wp-block-list\">\n\n\n\n\n\n\n\n\n\n\n\n\n\n<\/ul>\n","innerContent":["\n<ul class=\"wp-block-list\">",null,"\n\n",null,"\n\n",null,"\n\n",null,"\n\n",null,"\n\n",null,"\n\n",null,"\n\n",null,"<\/ul>\n"],"rendered":"\n<ul class=\"wp-block-list\">\n<li><strong>Transformation starts with leadership<\/strong>&nbsp;\u2013 Ideally, you need two to three leaders who are fully committed to the change. If possible, send them through SPC training.<br><\/li>\n\n\n\n<li><strong>Coaches are a MUST<\/strong>&nbsp;\u2013 CMS found substantial value in them<br><\/li>\n\n\n\n<li><strong>Agile contracting is necessary<\/strong>&nbsp;\u2013 Rigid contracts that have highly specific deliverables can be an obstacle to agility and to embracing shifting priorities as new data emerges<br><\/li>\n\n\n\n<li><strong>Use contractors that understand Lean-Agile principle<\/strong>s \u2013 Hire teams that truly understand what this means, not just those who can talk the talk<br><\/li>\n\n\n\n<li><strong>Find collaborative work space<\/strong>&nbsp;\u2013 From PI planning events to day-to-day work, collaborative work space enables teams to capture the value of face-to-face interaction<br><\/li>\n\n\n\n<li><strong>Just do it!<\/strong>&nbsp;\u2013 \u201cIf we could time-travel and do it again, we would emphasize a sense of urgency to get going,\u201d Weaver said. \u201cSet a near-term date and follow the roadmap.\u201d<br><\/li>\n\n\n\n<li><strong>Engage employees<\/strong>&nbsp;\u2013 Any effort is only as strong as its people. Approach the change with empathy for what your team is undergoing and leverage the support of management and coaches to keep employees engaged and excited.<br><\/li>\n\n\n\n<li><strong>Start with Essential SAFe<sup>\u00ae<\/sup><\/strong>&nbsp;\u2013 CMS found it valuable to simplify as much as possible and started with a program that lent itself to Essential SAFe. The learnings they achieved will influence larger programs, which will require multiple Value Streams.<\/li>\n<\/ul>\n"},{"blockName":"core\/spacer","attrs":{"height":"24px","width":"","lock":[],"metadata":[],"className":"","style":[],"openPopupId":"","anchor":""},"innerBlocks":[],"innerHTML":"\n<div style=\"height:24px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n","innerContent":["\n<div style=\"height:24px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n"],"rendered":"\n<div style=\"height:24px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n"},{"blockName":"core\/group","attrs":{"marginTop":5,"tagName":"div","templateLock":null,"allowedBlocks":[],"lock":[],"metadata":[],"align":"","className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","layout":[],"ariaLabel":"","openPopupId":"","anchor":""},"innerBlocks":[{"blockName":"core\/heading","attrs":{"level":4,"fontSize":"medium","marginBottom":1,"textAlign":"","content":"Share:","levelOptions":[],"placeholder":"","lock":[],"metadata":[],"align":"","className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontFamily":"","borderColor":"","openPopupId":"","anchor":"h-share"},"innerBlocks":[],"innerHTML":"\n<h4 class=\"wp-block-heading has-medium-font-size has-margin-top-0 has-margin-right-0 has-margin-bottom-1 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\" id=\"h-share\">Share:<\/h4>\n","innerContent":["\n<h4 class=\"wp-block-heading has-medium-font-size has-margin-top-0 has-margin-right-0 has-margin-bottom-1 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\" id=\"h-share\">Share:<\/h4>\n"],"rendered":"\n<h4 class=\"wp-block-heading has-medium-font-size has-margin-top-0 has-margin-right-0 has-margin-bottom-1 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\" id=\"h-share\">Share:<\/h4>\n"},{"blockName":"core\/social-links","attrs":{"iconColor":"","customIconColor":"","iconColorValue":"","iconBackgroundColor":"","customIconBackgroundColor":"","iconBackgroundColorValue":"","openInNewTab":false,"showLabels":false,"size":"","lock":[],"metadata":[],"align":"","className":"","style":[],"backgroundColor":"","gradient":"","borderColor":"","layout":[],"openPopupId":"","anchor":""},"innerBlocks":[{"blockName":"core\/social-link","attrs":{"url":"https:\/\/www.linkedin.com","service":"linkedin","label":"","rel":"","lock":[],"metadata":[],"className":"","openPopupId":""},"innerBlocks":[],"innerHTML":"","innerContent":[],"rendered":"<li class=\"wp-social-link wp-social-link-linkedin  wp-block-social-link\"><a href=\"https:\/\/www.linkedin.com\" class=\"wp-block-social-link-anchor\"><svg width=\"24\" height=\"24\" viewBox=\"0 0 24 24\" version=\"1.1\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" aria-hidden=\"true\" focusable=\"false\"><path 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class=\"wp-block-social-link-anchor\"><svg width=\"24\" height=\"24\" viewBox=\"0 0 24 24\" version=\"1.1\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" aria-hidden=\"true\" focusable=\"false\"><path d=\"M5.27 9.221A2.775 2.775 0 0 0 2.498 11.993a2.785 2.785 0 0 0 1.6 2.511 5.337 5.337 0 0 0 2.374 4.11 9.386 9.386 0 0 0 5.539 1.7 9.386 9.386 0 0 0 5.541-1.7 5.331 5.331 0 0 0 2.372-4.114 2.787 2.787 0 0 0 1.583-2.5 2.775 2.775 0 0 0-2.772-2.772 2.742 2.742 0 0 0-1.688.574 9.482 9.482 0 0 0-4.637-1.348v-.008a2.349 2.349 0 0 1 2.011-2.316 1.97 1.97 0 0 0 1.926 1.521 1.98 1.98 0 0 0 1.978-1.978 1.98 1.98 0 0 0-1.978-1.978 1.985 1.985 0 0 0-1.938 1.578 3.183 3.183 0 0 0-2.849 3.172v.011a9.463 9.463 0 0 0-4.59 1.35 2.741 2.741 0 0 0-1.688-.574Zm6.736 9.1a3.162 3.162 0 0 1-2.921-1.944.215.215 0 0 1 .014-.2.219.219 0 0 1 .168-.106 27.327 27.327 0 0 1 2.74-.133 27.357 27.357 0 0 1 2.74.133.219.219 0 0 1 .168.106.215.215 0 0 1 .014.2 3.158 3.158 0 0 1-2.921 1.944Zm3.743-3.157a1.265 1.265 0 0 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d=\"M15.6,7.2H14v1.5h1.6c2,0,3.7,1.7,3.7,3.7s-1.7,3.7-3.7,3.7H14v1.5h1.6c2.8,0,5.2-2.3,5.2-5.2,0-2.9-2.3-5.2-5.2-5.2zM4.7,12.4c0-2,1.7-3.7,3.7-3.7H10V7.2H8.4c-2.9,0-5.2,2.3-5.2,5.2,0,2.9,2.3,5.2,5.2,5.2H10v-1.5H8.4c-2,0-3.7-1.7-3.7-3.7zm4.6.9h5.3v-1.5H9.3v1.5z\"><\/path><\/svg><span class=\"wp-block-social-link-label screen-reader-text\">Link<\/span><\/a><\/li>"}],"innerHTML":"\n<ul class=\"wp-block-social-links\">\n\n\n\n\n\n\n\n\n\n\n\n<\/ul>\n","innerContent":["\n<ul class=\"wp-block-social-links\">",null,"\n\n",null,"\n\n",null,"\n\n",null,"\n\n",null,"\n\n",null,"\n\n",null,"<\/ul>\n"],"rendered":"\n<ul class=\"wp-block-social-links is-layout-flex wp-block-social-links-is-layout-flex\"><li class=\"wp-social-link wp-social-link-linkedin  wp-block-social-link\"><a href=\"https:\/\/www.linkedin.com\" class=\"wp-block-social-link-anchor\"><svg width=\"24\" height=\"24\" viewBox=\"0 0 24 24\" version=\"1.1\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" aria-hidden=\"true\" focusable=\"false\"><path d=\"M19.7,3H4.3C3.582,3,3,3.582,3,4.3v15.4C3,20.418,3.582,21,4.3,21h15.4c0.718,0,1.3-0.582,1.3-1.3V4.3 C21,3.582,20.418,3,19.7,3z M8.339,18.338H5.667v-8.59h2.672V18.338z M7.004,8.574c-0.857,0-1.549-0.694-1.549-1.548 c0-0.855,0.691-1.548,1.549-1.548c0.854,0,1.547,0.694,1.547,1.548C8.551,7.881,7.858,8.574,7.004,8.574z M18.339,18.338h-2.669 v-4.177c0-0.996-0.017-2.278-1.387-2.278c-1.389,0-1.601,1.086-1.601,2.206v4.249h-2.667v-8.59h2.559v1.174h0.037 c0.356-0.675,1.227-1.387,2.526-1.387c2.703,0,3.203,1.779,3.203,4.092V18.338z\"><\/path><\/svg><span class=\"wp-block-social-link-label screen-reader-text\">LinkedIn<\/span><\/a><\/li>\n\n<li class=\"wp-social-link wp-social-link-facebook  wp-block-social-link\"><a href=\"https:\/\/www.linkedin.com\" class=\"wp-block-social-link-anchor\"><svg width=\"24\" height=\"24\" viewBox=\"0 0 24 24\" version=\"1.1\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" aria-hidden=\"true\" focusable=\"false\"><path d=\"M12 2C6.5 2 2 6.5 2 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c0.592-0.23,1.094-0.538,1.594-1.038c0.5-0.5,0.808-1.002,1.038-1.594c0.222-0.572,0.375-1.227,0.418-2.185 C20.99,14.751,21,14.444,21,12s-0.01-2.751-0.054-3.711c-0.044-0.958-0.196-1.612-0.418-2.185c-0.23-0.592-0.538-1.094-1.038-1.594 c-0.5-0.5-1.002-0.808-1.594-1.038c-0.572-0.222-1.227-0.375-2.185-0.418C14.751,3.01,14.444,3,12,3L12,3z M12,7.378 c-2.552,0-4.622,2.069-4.622,4.622S9.448,16.622,12,16.622s4.622-2.069,4.622-4.622S14.552,7.378,12,7.378z M12,15 c-1.657,0-3-1.343-3-3s1.343-3,3-3s3,1.343,3,3S13.657,15,12,15z M16.804,6.116c-0.596,0-1.08,0.484-1.08,1.08 s0.484,1.08,1.08,1.08c0.596,0,1.08-0.484,1.08-1.08S17.401,6.116,16.804,6.116z\"><\/path><\/svg><span class=\"wp-block-social-link-label screen-reader-text\">Instagram<\/span><\/a><\/li>\n\n<li class=\"wp-social-link wp-social-link-twitter  wp-block-social-link\"><a href=\"https:\/\/www.linkedin.com\" class=\"wp-block-social-link-anchor\"><svg width=\"24\" height=\"24\" viewBox=\"0 0 24 24\" version=\"1.1\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" aria-hidden=\"true\" focusable=\"false\"><path d=\"M22.23,5.924c-0.736,0.326-1.527,0.547-2.357,0.646c0.847-0.508,1.498-1.312,1.804-2.27 c-0.793,0.47-1.671,0.812-2.606,0.996C18.324,4.498,17.257,4,16.077,4c-2.266,0-4.103,1.837-4.103,4.103 c0,0.322,0.036,0.635,0.106,0.935C8.67,8.867,5.647,7.234,3.623,4.751C3.27,5.357,3.067,6.062,3.067,6.814 c0,1.424,0.724,2.679,1.825,3.415c-0.673-0.021-1.305-0.206-1.859-0.513c0,0.017,0,0.034,0,0.052c0,1.988,1.414,3.647,3.292,4.023 c-0.344,0.094-0.707,0.144-1.081,0.144c-0.264,0-0.521-0.026-0.772-0.074c0.522,1.63,2.038,2.816,3.833,2.85 c-1.404,1.1-3.174,1.756-5.096,1.756c-0.331,0-0.658-0.019-0.979-0.057c1.816,1.164,3.973,1.843,6.29,1.843 c7.547,0,11.675-6.252,11.675-11.675c0-0.178-0.004-0.355-0.012-0.531C20.985,7.47,21.68,6.747,22.23,5.924z\"><\/path><\/svg><span class=\"wp-block-social-link-label screen-reader-text\">Twitter<\/span><\/a><\/li>\n\n<li class=\"wp-social-link wp-social-link-reddit  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3.158 3.158 0 0 1-2.921 1.944Zm3.743-3.157a1.265 1.265 0 0 1-1.4-1.371 1.954 1.954 0 0 1 .482-1.442 1.15 1.15 0 0 1 .842-.379 1.7 1.7 0 0 1 1.49 1.777 1.323 1.323 0 0 1-.325 1.015 1.476 1.476 0 0 1-1.089.4Zm-7.485 0a1.476 1.476 0 0 1-1.086-.4 1.323 1.323 0 0 1-.325-1.016 1.7 1.7 0 0 1 1.49-1.777 1.151 1.151 0 0 1 .843.379 1.951 1.951 0 0 1 .481 1.441 1.276 1.276 0 0 1-1.403 1.373Z\"><\/path><\/svg><span class=\"wp-block-social-link-label screen-reader-text\">Reddit<\/span><\/a><\/li>\n\n<li class=\"wp-social-link wp-social-link-mail  wp-block-social-link\"><a href=\"https:\/\/www.linkedin.com\" class=\"wp-block-social-link-anchor\"><svg width=\"24\" height=\"24\" viewBox=\"0 0 24 24\" version=\"1.1\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" aria-hidden=\"true\" focusable=\"false\"><path d=\"M19,5H5c-1.1,0-2,.9-2,2v10c0,1.1.9,2,2,2h14c1.1,0,2-.9,2-2V7c0-1.1-.9-2-2-2zm.5,12c0,.3-.2.5-.5.5H5c-.3,0-.5-.2-.5-.5V9.8l7.5,5.6,7.5-5.6V17zm0-9.1L12,13.6,4.5,7.9V7c0-.3.2-.5.5-.5h14c.3,0,.5.2.5.5v.9z\"><\/path><\/svg><span class=\"wp-block-social-link-label screen-reader-text\">Mail<\/span><\/a><\/li>\n\n<li class=\"wp-social-link wp-social-link-chain  wp-block-social-link\"><a href=\"https:\/\/www.linkedin.com\" class=\"wp-block-social-link-anchor\"><svg width=\"24\" height=\"24\" viewBox=\"0 0 24 24\" version=\"1.1\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" aria-hidden=\"true\" focusable=\"false\"><path d=\"M15.6,7.2H14v1.5h1.6c2,0,3.7,1.7,3.7,3.7s-1.7,3.7-3.7,3.7H14v1.5h1.6c2.8,0,5.2-2.3,5.2-5.2,0-2.9-2.3-5.2-5.2-5.2zM4.7,12.4c0-2,1.7-3.7,3.7-3.7H10V7.2H8.4c-2.9,0-5.2,2.3-5.2,5.2,0,2.9,2.3,5.2,5.2,5.2H10v-1.5H8.4c-2,0-3.7-1.7-3.7-3.7zm4.6.9h5.3v-1.5H9.3v1.5z\"><\/path><\/svg><span class=\"wp-block-social-link-label screen-reader-text\">Link<\/span><\/a><\/li><\/ul>\n"}],"innerHTML":"\n<div class=\"wp-block-group has-border-color has-object-object-border-color border-0 has-margin-top-5 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">\n\n<\/div>\n","innerContent":["\n<div class=\"wp-block-group has-border-color has-object-object-border-color border-0 has-margin-top-5 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">",null,"\n\n",null,"<\/div>\n"],"rendered":"\n<div class=\"wp-block-group has-border-color has-object-object-border-color border-0 has-margin-top-5 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\"><div class=\"wp-block-group__inner-container is-layout-flow wp-block-group-is-layout-flow\">\n<h4 class=\"wp-block-heading has-medium-font-size has-margin-top-0 has-margin-right-0 has-margin-bottom-1 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\" id=\"h-share\">Share:<\/h4>\n\n\n\n<ul class=\"wp-block-social-links is-layout-flex wp-block-social-links-is-layout-flex\"><li class=\"wp-social-link wp-social-link-linkedin  wp-block-social-link\"><a href=\"https:\/\/www.linkedin.com\" class=\"wp-block-social-link-anchor\"><svg width=\"24\" height=\"24\" viewBox=\"0 0 24 24\" version=\"1.1\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" aria-hidden=\"true\" focusable=\"false\"><path d=\"M19.7,3H4.3C3.582,3,3,3.582,3,4.3v15.4C3,20.418,3.582,21,4.3,21h15.4c0.718,0,1.3-0.582,1.3-1.3V4.3 C21,3.582,20.418,3,19.7,3z M8.339,18.338H5.667v-8.59h2.672V18.338z M7.004,8.574c-0.857,0-1.549-0.694-1.549-1.548 c0-0.855,0.691-1.548,1.549-1.548c0.854,0,1.547,0.694,1.547,1.548C8.551,7.881,7.858,8.574,7.004,8.574z M18.339,18.338h-2.669 v-4.177c0-0.996-0.017-2.278-1.387-2.278c-1.389,0-1.601,1.086-1.601,2.206v4.249h-2.667v-8.59h2.559v1.174h0.037 c0.356-0.675,1.227-1.387,2.526-1.387c2.703,0,3.203,1.779,3.203,4.092V18.338z\"><\/path><\/svg><span class=\"wp-block-social-link-label screen-reader-text\">LinkedIn<\/span><\/a><\/li>\n\n<li class=\"wp-social-link wp-social-link-facebook  wp-block-social-link\"><a href=\"https:\/\/www.linkedin.com\" class=\"wp-block-social-link-anchor\"><svg width=\"24\" height=\"24\" viewBox=\"0 0 24 24\" version=\"1.1\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" aria-hidden=\"true\" focusable=\"false\"><path d=\"M12 2C6.5 2 2 6.5 2 12c0 5 3.7 9.1 8.4 9.9v-7H7.9V12h2.5V9.8c0-2.5 1.5-3.9 3.8-3.9 1.1 0 2.2.2 2.2.2v2.5h-1.3c-1.2 0-1.6.8-1.6 1.6V12h2.8l-.4 2.9h-2.3v7C18.3 21.1 22 17 22 12c0-5.5-4.5-10-10-10z\"><\/path><\/svg><span class=\"wp-block-social-link-label screen-reader-text\">Facebook<\/span><\/a><\/li>\n\n<li class=\"wp-social-link wp-social-link-instagram  wp-block-social-link\"><a href=\"https:\/\/www.linkedin.com\" class=\"wp-block-social-link-anchor\"><svg width=\"24\" height=\"24\" viewBox=\"0 0 24 24\" version=\"1.1\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" aria-hidden=\"true\" focusable=\"false\"><path d=\"M12,4.622c2.403,0,2.688,0.009,3.637,0.052c0.877,0.04,1.354,0.187,1.671,0.31c0.42,0.163,0.72,0.358,1.035,0.673 c0.315,0.315,0.51,0.615,0.673,1.035c0.123,0.317,0.27,0.794,0.31,1.671c0.043,0.949,0.052,1.234,0.052,3.637 s-0.009,2.688-0.052,3.637c-0.04,0.877-0.187,1.354-0.31,1.671c-0.163,0.42-0.358,0.72-0.673,1.035 c-0.315,0.315-0.615,0.51-1.035,0.673c-0.317,0.123-0.794,0.27-1.671,0.31c-0.949,0.043-1.233,0.052-3.637,0.052 s-2.688-0.009-3.637-0.052c-0.877-0.04-1.354-0.187-1.671-0.31c-0.42-0.163-0.72-0.358-1.035-0.673 c-0.315-0.315-0.51-0.615-0.673-1.035c-0.123-0.317-0.27-0.794-0.31-1.671C4.631,14.688,4.622,14.403,4.622,12 s0.009-2.688,0.052-3.637c0.04-0.877,0.187-1.354,0.31-1.671c0.163-0.42,0.358-0.72,0.673-1.035 c0.315-0.315,0.615-0.51,1.035-0.673c0.317-0.123,0.794-0.27,1.671-0.31C9.312,4.631,9.597,4.622,12,4.622 M12,3 C9.556,3,9.249,3.01,8.289,3.054C7.331,3.098,6.677,3.25,6.105,3.472C5.513,3.702,5.011,4.01,4.511,4.511 c-0.5,0.5-0.808,1.002-1.038,1.594C3.25,6.677,3.098,7.331,3.054,8.289C3.01,9.249,3,9.556,3,12c0,2.444,0.01,2.751,0.054,3.711 c0.044,0.958,0.196,1.612,0.418,2.185c0.23,0.592,0.538,1.094,1.038,1.594c0.5,0.5,1.002,0.808,1.594,1.038 c0.572,0.222,1.227,0.375,2.185,0.418C9.249,20.99,9.556,21,12,21s2.751-0.01,3.711-0.054c0.958-0.044,1.612-0.196,2.185-0.418 c0.592-0.23,1.094-0.538,1.594-1.038c0.5-0.5,0.808-1.002,1.038-1.594c0.222-0.572,0.375-1.227,0.418-2.185 C20.99,14.751,21,14.444,21,12s-0.01-2.751-0.054-3.711c-0.044-0.958-0.196-1.612-0.418-2.185c-0.23-0.592-0.538-1.094-1.038-1.594 c-0.5-0.5-1.002-0.808-1.594-1.038c-0.572-0.222-1.227-0.375-2.185-0.418C14.751,3.01,14.444,3,12,3L12,3z M12,7.378 c-2.552,0-4.622,2.069-4.622,4.622S9.448,16.622,12,16.622s4.622-2.069,4.622-4.622S14.552,7.378,12,7.378z M12,15 c-1.657,0-3-1.343-3-3s1.343-3,3-3s3,1.343,3,3S13.657,15,12,15z M16.804,6.116c-0.596,0-1.08,0.484-1.08,1.08 s0.484,1.08,1.08,1.08c0.596,0,1.08-0.484,1.08-1.08S17.401,6.116,16.804,6.116z\"><\/path><\/svg><span class=\"wp-block-social-link-label screen-reader-text\">Instagram<\/span><\/a><\/li>\n\n<li class=\"wp-social-link wp-social-link-twitter  wp-block-social-link\"><a href=\"https:\/\/www.linkedin.com\" class=\"wp-block-social-link-anchor\"><svg width=\"24\" height=\"24\" viewBox=\"0 0 24 24\" version=\"1.1\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" aria-hidden=\"true\" focusable=\"false\"><path d=\"M22.23,5.924c-0.736,0.326-1.527,0.547-2.357,0.646c0.847-0.508,1.498-1.312,1.804-2.27 c-0.793,0.47-1.671,0.812-2.606,0.996C18.324,4.498,17.257,4,16.077,4c-2.266,0-4.103,1.837-4.103,4.103 c0,0.322,0.036,0.635,0.106,0.935C8.67,8.867,5.647,7.234,3.623,4.751C3.27,5.357,3.067,6.062,3.067,6.814 c0,1.424,0.724,2.679,1.825,3.415c-0.673-0.021-1.305-0.206-1.859-0.513c0,0.017,0,0.034,0,0.052c0,1.988,1.414,3.647,3.292,4.023 c-0.344,0.094-0.707,0.144-1.081,0.144c-0.264,0-0.521-0.026-0.772-0.074c0.522,1.63,2.038,2.816,3.833,2.85 c-1.404,1.1-3.174,1.756-5.096,1.756c-0.331,0-0.658-0.019-0.979-0.057c1.816,1.164,3.973,1.843,6.29,1.843 c7.547,0,11.675-6.252,11.675-11.675c0-0.178-0.004-0.355-0.012-0.531C20.985,7.47,21.68,6.747,22.23,5.924z\"><\/path><\/svg><span class=\"wp-block-social-link-label screen-reader-text\">Twitter<\/span><\/a><\/li>\n\n<li class=\"wp-social-link wp-social-link-reddit  wp-block-social-link\"><a href=\"https:\/\/www.linkedin.com\" class=\"wp-block-social-link-anchor\"><svg width=\"24\" height=\"24\" viewBox=\"0 0 24 24\" version=\"1.1\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" aria-hidden=\"true\" focusable=\"false\"><path d=\"M5.27 9.221A2.775 2.775 0 0 0 2.498 11.993a2.785 2.785 0 0 0 1.6 2.511 5.337 5.337 0 0 0 2.374 4.11 9.386 9.386 0 0 0 5.539 1.7 9.386 9.386 0 0 0 5.541-1.7 5.331 5.331 0 0 0 2.372-4.114 2.787 2.787 0 0 0 1.583-2.5 2.775 2.775 0 0 0-2.772-2.772 2.742 2.742 0 0 0-1.688.574 9.482 9.482 0 0 0-4.637-1.348v-.008a2.349 2.349 0 0 1 2.011-2.316 1.97 1.97 0 0 0 1.926 1.521 1.98 1.98 0 0 0 1.978-1.978 1.98 1.98 0 0 0-1.978-1.978 1.985 1.985 0 0 0-1.938 1.578 3.183 3.183 0 0 0-2.849 3.172v.011a9.463 9.463 0 0 0-4.59 1.35 2.741 2.741 0 0 0-1.688-.574Zm6.736 9.1a3.162 3.162 0 0 1-2.921-1.944.215.215 0 0 1 .014-.2.219.219 0 0 1 .168-.106 27.327 27.327 0 0 1 2.74-.133 27.357 27.357 0 0 1 2.74.133.219.219 0 0 1 .168.106.215.215 0 0 1 .014.2 3.158 3.158 0 0 1-2.921 1.944Zm3.743-3.157a1.265 1.265 0 0 1-1.4-1.371 1.954 1.954 0 0 1 .482-1.442 1.15 1.15 0 0 1 .842-.379 1.7 1.7 0 0 1 1.49 1.777 1.323 1.323 0 0 1-.325 1.015 1.476 1.476 0 0 1-1.089.4Zm-7.485 0a1.476 1.476 0 0 1-1.086-.4 1.323 1.323 0 0 1-.325-1.016 1.7 1.7 0 0 1 1.49-1.777 1.151 1.151 0 0 1 .843.379 1.951 1.951 0 0 1 .481 1.441 1.276 1.276 0 0 1-1.403 1.373Z\"><\/path><\/svg><span class=\"wp-block-social-link-label screen-reader-text\">Reddit<\/span><\/a><\/li>\n\n<li class=\"wp-social-link wp-social-link-mail  wp-block-social-link\"><a href=\"https:\/\/www.linkedin.com\" class=\"wp-block-social-link-anchor\"><svg width=\"24\" height=\"24\" viewBox=\"0 0 24 24\" version=\"1.1\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" aria-hidden=\"true\" focusable=\"false\"><path d=\"M19,5H5c-1.1,0-2,.9-2,2v10c0,1.1.9,2,2,2h14c1.1,0,2-.9,2-2V7c0-1.1-.9-2-2-2zm.5,12c0,.3-.2.5-.5.5H5c-.3,0-.5-.2-.5-.5V9.8l7.5,5.6,7.5-5.6V17zm0-9.1L12,13.6,4.5,7.9V7c0-.3.2-.5.5-.5h14c.3,0,.5.2.5.5v.9z\"><\/path><\/svg><span class=\"wp-block-social-link-label screen-reader-text\">Mail<\/span><\/a><\/li>\n\n<li class=\"wp-social-link wp-social-link-chain  wp-block-social-link\"><a href=\"https:\/\/www.linkedin.com\" class=\"wp-block-social-link-anchor\"><svg width=\"24\" height=\"24\" viewBox=\"0 0 24 24\" version=\"1.1\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" aria-hidden=\"true\" focusable=\"false\"><path d=\"M15.6,7.2H14v1.5h1.6c2,0,3.7,1.7,3.7,3.7s-1.7,3.7-3.7,3.7H14v1.5h1.6c2.8,0,5.2-2.3,5.2-5.2,0-2.9-2.3-5.2-5.2-5.2zM4.7,12.4c0-2,1.7-3.7,3.7-3.7H10V7.2H8.4c-2.9,0-5.2,2.3-5.2,5.2,0,2.9,2.3,5.2,5.2,5.2H10v-1.5H8.4c-2,0-3.7-1.7-3.7-3.7zm4.6.9h5.3v-1.5H9.3v1.5z\"><\/path><\/svg><span class=\"wp-block-social-link-label screen-reader-text\">Link<\/span><\/a><\/li><\/ul>\n<\/div><\/div>\n"}],"innerHTML":"\n<div class=\"wp-block-column\" style=\"flex-basis:100%\">\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n<\/div>\n","innerContent":["\n<div class=\"wp-block-column\" style=\"flex-basis:100%\">",null,"\n\n",null,"\n\n",null,"\n\n",null,"\n\n",null,"\n\n",null,"\n\n",null,"\n\n",null,"\n\n",null,"\n\n",null,"\n\n",null,"<\/div>\n"],"rendered":"\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:100%\">\n<div class=\"wp-block-group has-border-color has-object-object-border-color border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\"><div class=\"wp-block-group__inner-container is-layout-flow wp-block-group-is-layout-flow\">\n<h2 class=\"wp-block-heading has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\" id=\"h-27-boost-in-employee-satisfaction\">27% Boost in Employee Satisfaction<\/h2>\n\n\n\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">So far, CMS has trained more than 200 people, including 25 \u2013 30 Certified SAFe<sup>\u00ae<\/sup>&nbsp;Program Consultants (SPCs). The agency has also since launched four more Agile Release Trains (ARTs).<\/p>\n\n\n\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">With training and preparation, participants have been more engaged in PI Planning events after that first learning experience. Communication, says Weaver and Ramirez, has been critical to the acceptance of the new way of working. Especially in the early days, they had to communicate clearly and persistently to convince people to join in the effort and assuage fears about what this meant for their futures.<\/p>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"wp-block-media-text alignwide is-stacked-on-mobile is-vertically-aligned-center is-image-fill\" style=\"grid-template-columns:35% auto\"><figure class=\"wp-block-media-text__media\" style=\"background-image:url(https:\/\/scaledagile.com\/wp-content\/uploads\/2021\/07\/GettyImages-1265620914-1024x683.jpg);background-position:50% 50%\"><img src=\"https:\/\/scaledagile.com\/wp-content\/uploads\/2021\/07\/GettyImages-1265620914-1024x683.jpg\" alt=\"SAFe Case Study\n\" class=\"wp-image-118352 size-full\"\/><\/figure><div class=\"wp-block-media-text__content\">\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">\u201cWe really had to do a lot of selling on SAFe to get people comfortable,\u201d Weaver said. \u201cPeople were genuinely apprehensive about changing the way they have worked for so long, but as they have seen results, they have embraced it.\u201d<\/p>\n\n\n\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">And over time, HQR has implemented other SAFe concepts such as Weighted Shortest Job First (WSJF). Well ahead of a PI, the primary stakeholder has time to weigh the value of work and prioritize\u2014which takes some of the emotion out of the decision, Ramirez says.<\/p>\n\n\n\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">They are also in the process of adjusting budgets to fit more with shorter-term planning. Instead of years in advance, they began thinking in terms of three-month increments, in which Ramirez called a halfway step between the traditional approach and the \u2018wild west\u2019 of Scrum.<\/p>\n<\/div><\/div>\n<\/div>\n<\/div>\n\n\n\n<div style=\"height:75px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<\/div><\/div>\n\n\n\n<h2 class=\"wp-block-heading has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\" id=\"h-higher-quality-happier-people\">Higher Quality, Happier People<\/h2>\n\n\n\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">After a bumpy beginning, CMS points to measurable progress:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Budget shift to modernization versus maintenance<\/strong>&nbsp;\u2013 Instead of 100% of the budget going to maintain the existing HQR system, now only 40% is dedicated to it. A full 60% of the budget goes toward innovation for the system, helping the agency deliver on citizen expectations.<br><\/li>\n\n\n\n<li><strong>Higher quality<\/strong>&nbsp;\u2013 The HQR group reports a 55% decrease in help desk tickets from hospitals\u2014demonstrating a direct impact to customer satisfaction.<br><\/li>\n\n\n\n<li><strong>Happier people<\/strong>&nbsp;\u2013 Surveys conducted before and after SAFe show a 27% increase in employee satisfaction.<\/li>\n<\/ul>\n\n\n\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">While CMS can\u2019t yet measure customer satisfaction gains directly, they know that fewer quality issues and more innovation contribute to that goal.<\/p>\n\n\n\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">\u201cSAFe provided a map that enabled us to shift to modernizing versus just maintaining the status quo,\u201d Weaver said. \u201cBeneficiaries will ultimately benefit from more user-friendly, human-centered design systems, which will allow us to reduce the burden on our providers.\u201d<\/p>\n\n\n\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">The group\u2019s success has caught the attention of others, with trains now starting in other CMS groups. \u201cOther programs within CMS have approached HQR asking us how to drive the same outcomes,\u201d Santos said. \u201cIt\u2019s a testament to how far we\u2019ve come in the past year.\u201d<\/p>\n\n\n\n<div style=\"height:75px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Transformation starts with leadership<\/strong>&nbsp;\u2013 Ideally, you need two to three leaders who are fully committed to the change. If possible, send them through SPC training.<br><\/li>\n\n\n\n<li><strong>Coaches are a MUST<\/strong>&nbsp;\u2013 CMS found substantial value in them<br><\/li>\n\n\n\n<li><strong>Agile contracting is necessary<\/strong>&nbsp;\u2013 Rigid contracts that have highly specific deliverables can be an obstacle to agility and to embracing shifting priorities as new data emerges<br><\/li>\n\n\n\n<li><strong>Use contractors that understand Lean-Agile principle<\/strong>s \u2013 Hire teams that truly understand what this means, not just those who can talk the talk<br><\/li>\n\n\n\n<li><strong>Find collaborative work space<\/strong>&nbsp;\u2013 From PI planning events to day-to-day work, collaborative work space enables teams to capture the value of face-to-face interaction<br><\/li>\n\n\n\n<li><strong>Just do it!<\/strong>&nbsp;\u2013 \u201cIf we could time-travel and do it again, we would emphasize a sense of urgency to get going,\u201d Weaver said. \u201cSet a near-term date and follow the roadmap.\u201d<br><\/li>\n\n\n\n<li><strong>Engage employees<\/strong>&nbsp;\u2013 Any effort is only as strong as its people. Approach the change with empathy for what your team is undergoing and leverage the support of management and coaches to keep employees engaged and excited.<br><\/li>\n\n\n\n<li><strong>Start with Essential SAFe<sup>\u00ae<\/sup><\/strong>&nbsp;\u2013 CMS found it valuable to simplify as much as possible and started with a program that lent itself to Essential SAFe. The learnings they achieved will influence larger programs, which will require multiple Value Streams.<\/li>\n<\/ul>\n\n\n\n<div style=\"height:24px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-group has-border-color has-object-object-border-color border-0 has-margin-top-5 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\"><div class=\"wp-block-group__inner-container is-layout-flow wp-block-group-is-layout-flow\">\n<h4 class=\"wp-block-heading has-medium-font-size has-margin-top-0 has-margin-right-0 has-margin-bottom-1 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\" id=\"h-share\">Share:<\/h4>\n\n\n\n<ul class=\"wp-block-social-links is-layout-flex wp-block-social-links-is-layout-flex\"><li class=\"wp-social-link wp-social-link-linkedin  wp-block-social-link\"><a href=\"https:\/\/www.linkedin.com\" 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s-0.009,2.688-0.052,3.637c-0.04,0.877-0.187,1.354-0.31,1.671c-0.163,0.42-0.358,0.72-0.673,1.035 c-0.315,0.315-0.615,0.51-1.035,0.673c-0.317,0.123-0.794,0.27-1.671,0.31c-0.949,0.043-1.233,0.052-3.637,0.052 s-2.688-0.009-3.637-0.052c-0.877-0.04-1.354-0.187-1.671-0.31c-0.42-0.163-0.72-0.358-1.035-0.673 c-0.315-0.315-0.51-0.615-0.673-1.035c-0.123-0.317-0.27-0.794-0.31-1.671C4.631,14.688,4.622,14.403,4.622,12 s0.009-2.688,0.052-3.637c0.04-0.877,0.187-1.354,0.31-1.671c0.163-0.42,0.358-0.72,0.673-1.035 c0.315-0.315,0.615-0.51,1.035-0.673c0.317-0.123,0.794-0.27,1.671-0.31C9.312,4.631,9.597,4.622,12,4.622 M12,3 C9.556,3,9.249,3.01,8.289,3.054C7.331,3.098,6.677,3.25,6.105,3.472C5.513,3.702,5.011,4.01,4.511,4.511 c-0.5,0.5-0.808,1.002-1.038,1.594C3.25,6.677,3.098,7.331,3.054,8.289C3.01,9.249,3,9.556,3,12c0,2.444,0.01,2.751,0.054,3.711 c0.044,0.958,0.196,1.612,0.418,2.185c0.23,0.592,0.538,1.094,1.038,1.594c0.5,0.5,1.002,0.808,1.594,1.038 c0.572,0.222,1.227,0.375,2.185,0.418C9.249,20.99,9.556,21,12,21s2.751-0.01,3.711-0.054c0.958-0.044,1.612-0.196,2.185-0.418 c0.592-0.23,1.094-0.538,1.594-1.038c0.5-0.5,0.808-1.002,1.038-1.594c0.222-0.572,0.375-1.227,0.418-2.185 C20.99,14.751,21,14.444,21,12s-0.01-2.751-0.054-3.711c-0.044-0.958-0.196-1.612-0.418-2.185c-0.23-0.592-0.538-1.094-1.038-1.594 c-0.5-0.5-1.002-0.808-1.594-1.038c-0.572-0.222-1.227-0.375-2.185-0.418C14.751,3.01,14.444,3,12,3L12,3z M12,7.378 c-2.552,0-4.622,2.069-4.622,4.622S9.448,16.622,12,16.622s4.622-2.069,4.622-4.622S14.552,7.378,12,7.378z M12,15 c-1.657,0-3-1.343-3-3s1.343-3,3-3s3,1.343,3,3S13.657,15,12,15z M16.804,6.116c-0.596,0-1.08,0.484-1.08,1.08 s0.484,1.08,1.08,1.08c0.596,0,1.08-0.484,1.08-1.08S17.401,6.116,16.804,6.116z\"><\/path><\/svg><span class=\"wp-block-social-link-label screen-reader-text\">Instagram<\/span><\/a><\/li>\n\n<li class=\"wp-social-link wp-social-link-twitter  wp-block-social-link\"><a href=\"https:\/\/www.linkedin.com\" 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27.327 0 0 1 2.74-.133 27.357 27.357 0 0 1 2.74.133.219.219 0 0 1 .168.106.215.215 0 0 1 .014.2 3.158 3.158 0 0 1-2.921 1.944Zm3.743-3.157a1.265 1.265 0 0 1-1.4-1.371 1.954 1.954 0 0 1 .482-1.442 1.15 1.15 0 0 1 .842-.379 1.7 1.7 0 0 1 1.49 1.777 1.323 1.323 0 0 1-.325 1.015 1.476 1.476 0 0 1-1.089.4Zm-7.485 0a1.476 1.476 0 0 1-1.086-.4 1.323 1.323 0 0 1-.325-1.016 1.7 1.7 0 0 1 1.49-1.777 1.151 1.151 0 0 1 .843.379 1.951 1.951 0 0 1 .481 1.441 1.276 1.276 0 0 1-1.403 1.373Z\"><\/path><\/svg><span class=\"wp-block-social-link-label screen-reader-text\">Reddit<\/span><\/a><\/li>\n\n<li class=\"wp-social-link wp-social-link-mail  wp-block-social-link\"><a href=\"https:\/\/www.linkedin.com\" class=\"wp-block-social-link-anchor\"><svg width=\"24\" height=\"24\" viewBox=\"0 0 24 24\" version=\"1.1\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" aria-hidden=\"true\" focusable=\"false\"><path 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screen-reader-text\">Link<\/span><\/a><\/li><\/ul>\n<\/div><\/div>\n<\/div>\n"}],"innerHTML":"\n<div class=\"wp-block-columns\"><\/div>\n","innerContent":["\n<div class=\"wp-block-columns\">",null,"<\/div>\n"],"rendered":"\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:100%\">\n<div class=\"wp-block-group has-border-color has-object-object-border-color border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\"><div class=\"wp-block-group__inner-container is-layout-flow wp-block-group-is-layout-flow\">\n<h2 class=\"wp-block-heading has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\" id=\"h-27-boost-in-employee-satisfaction\">27% Boost in Employee Satisfaction<\/h2>\n\n\n\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">So far, CMS has trained more than 200 people, including 25 \u2013 30 Certified SAFe<sup>\u00ae<\/sup>&nbsp;Program Consultants (SPCs). The agency has also since launched four more Agile Release Trains (ARTs).<\/p>\n\n\n\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">With training and preparation, participants have been more engaged in PI Planning events after that first learning experience. Communication, says Weaver and Ramirez, has been critical to the acceptance of the new way of working. Especially in the early days, they had to communicate clearly and persistently to convince people to join in the effort and assuage fears about what this meant for their futures.<\/p>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"wp-block-media-text alignwide is-stacked-on-mobile is-vertically-aligned-center is-image-fill\" style=\"grid-template-columns:35% auto\"><figure class=\"wp-block-media-text__media\" style=\"background-image:url(https:\/\/scaledagile.com\/wp-content\/uploads\/2021\/07\/GettyImages-1265620914-1024x683.jpg);background-position:50% 50%\"><img src=\"https:\/\/scaledagile.com\/wp-content\/uploads\/2021\/07\/GettyImages-1265620914-1024x683.jpg\" alt=\"SAFe Case Study\n\" class=\"wp-image-118352 size-full\"\/><\/figure><div class=\"wp-block-media-text__content\">\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">\u201cWe really had to do a lot of selling on SAFe to get people comfortable,\u201d Weaver said. \u201cPeople were genuinely apprehensive about changing the way they have worked for so long, but as they have seen results, they have embraced it.\u201d<\/p>\n\n\n\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">And over time, HQR has implemented other SAFe concepts such as Weighted Shortest Job First (WSJF). Well ahead of a PI, the primary stakeholder has time to weigh the value of work and prioritize\u2014which takes some of the emotion out of the decision, Ramirez says.<\/p>\n\n\n\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">They are also in the process of adjusting budgets to fit more with shorter-term planning. Instead of years in advance, they began thinking in terms of three-month increments, in which Ramirez called a halfway step between the traditional approach and the \u2018wild west\u2019 of Scrum.<\/p>\n<\/div><\/div>\n<\/div>\n<\/div>\n\n\n\n<div style=\"height:75px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<\/div><\/div>\n\n\n\n<h2 class=\"wp-block-heading has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\" id=\"h-higher-quality-happier-people\">Higher Quality, Happier People<\/h2>\n\n\n\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">After a bumpy beginning, CMS points to measurable progress:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Budget shift to modernization versus maintenance<\/strong>&nbsp;\u2013 Instead of 100% of the budget going to maintain the existing HQR system, now only 40% is dedicated to it. A full 60% of the budget goes toward innovation for the system, helping the agency deliver on citizen expectations.<br><\/li>\n\n\n\n<li><strong>Higher quality<\/strong>&nbsp;\u2013 The HQR group reports a 55% decrease in help desk tickets from hospitals\u2014demonstrating a direct impact to customer satisfaction.<br><\/li>\n\n\n\n<li><strong>Happier people<\/strong>&nbsp;\u2013 Surveys conducted before and after SAFe show a 27% increase in employee satisfaction.<\/li>\n<\/ul>\n\n\n\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">While CMS can\u2019t yet measure customer satisfaction gains directly, they know that fewer quality issues and more innovation contribute to that goal.<\/p>\n\n\n\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">\u201cSAFe provided a map that enabled us to shift to modernizing versus just maintaining the status quo,\u201d Weaver said. \u201cBeneficiaries will ultimately benefit from more user-friendly, human-centered design systems, which will allow us to reduce the burden on our providers.\u201d<\/p>\n\n\n\n<p class=\"border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">The group\u2019s success has caught the attention of others, with trains now starting in other CMS groups. \u201cOther programs within CMS have approached HQR asking us how to drive the same outcomes,\u201d Santos said. \u201cIt\u2019s a testament to how far we\u2019ve come in the past year.\u201d<\/p>\n\n\n\n<div style=\"height:75px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Transformation starts with leadership<\/strong>&nbsp;\u2013 Ideally, you need two to three leaders who are fully committed to the change. If possible, send them through SPC training.<br><\/li>\n\n\n\n<li><strong>Coaches are a MUST<\/strong>&nbsp;\u2013 CMS found substantial value in them<br><\/li>\n\n\n\n<li><strong>Agile contracting is necessary<\/strong>&nbsp;\u2013 Rigid contracts that have highly specific deliverables can be an obstacle to agility and to embracing shifting priorities as new data emerges<br><\/li>\n\n\n\n<li><strong>Use contractors that understand Lean-Agile principle<\/strong>s \u2013 Hire teams that truly understand what this means, not just those who can talk the talk<br><\/li>\n\n\n\n<li><strong>Find collaborative work space<\/strong>&nbsp;\u2013 From PI planning events to day-to-day work, collaborative work space enables teams to capture the value of face-to-face interaction<br><\/li>\n\n\n\n<li><strong>Just do it!<\/strong>&nbsp;\u2013 \u201cIf we could time-travel and do it again, we would emphasize a sense of urgency to get going,\u201d Weaver said. \u201cSet a near-term date and follow the roadmap.\u201d<br><\/li>\n\n\n\n<li><strong>Engage employees<\/strong>&nbsp;\u2013 Any effort is only as strong as its people. Approach the change with empathy for what your team is undergoing and leverage the support of management and coaches to keep employees engaged and excited.<br><\/li>\n\n\n\n<li><strong>Start with Essential SAFe<sup>\u00ae<\/sup><\/strong>&nbsp;\u2013 CMS found it valuable to simplify as much as possible and started with a program that lent itself to Essential SAFe. The learnings they achieved will influence larger programs, which will require multiple Value Streams.<\/li>\n<\/ul>\n\n\n\n<div style=\"height:24px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-group has-border-color has-object-object-border-color border-0 has-margin-top-5 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\"><div class=\"wp-block-group__inner-container is-layout-flow wp-block-group-is-layout-flow\">\n<h4 class=\"wp-block-heading has-medium-font-size has-margin-top-0 has-margin-right-0 has-margin-bottom-1 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\" id=\"h-share\">Share:<\/h4>\n\n\n\n<ul class=\"wp-block-social-links is-layout-flex wp-block-social-links-is-layout-flex\"><li class=\"wp-social-link wp-social-link-linkedin  wp-block-social-link\"><a href=\"https:\/\/www.linkedin.com\" 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s-0.009,2.688-0.052,3.637c-0.04,0.877-0.187,1.354-0.31,1.671c-0.163,0.42-0.358,0.72-0.673,1.035 c-0.315,0.315-0.615,0.51-1.035,0.673c-0.317,0.123-0.794,0.27-1.671,0.31c-0.949,0.043-1.233,0.052-3.637,0.052 s-2.688-0.009-3.637-0.052c-0.877-0.04-1.354-0.187-1.671-0.31c-0.42-0.163-0.72-0.358-1.035-0.673 c-0.315-0.315-0.51-0.615-0.673-1.035c-0.123-0.317-0.27-0.794-0.31-1.671C4.631,14.688,4.622,14.403,4.622,12 s0.009-2.688,0.052-3.637c0.04-0.877,0.187-1.354,0.31-1.671c0.163-0.42,0.358-0.72,0.673-1.035 c0.315-0.315,0.615-0.51,1.035-0.673c0.317-0.123,0.794-0.27,1.671-0.31C9.312,4.631,9.597,4.622,12,4.622 M12,3 C9.556,3,9.249,3.01,8.289,3.054C7.331,3.098,6.677,3.25,6.105,3.472C5.513,3.702,5.011,4.01,4.511,4.511 c-0.5,0.5-0.808,1.002-1.038,1.594C3.25,6.677,3.098,7.331,3.054,8.289C3.01,9.249,3,9.556,3,12c0,2.444,0.01,2.751,0.054,3.711 c0.044,0.958,0.196,1.612,0.418,2.185c0.23,0.592,0.538,1.094,1.038,1.594c0.5,0.5,1.002,0.808,1.594,1.038 c0.572,0.222,1.227,0.375,2.185,0.418C9.249,20.99,9.556,21,12,21s2.751-0.01,3.711-0.054c0.958-0.044,1.612-0.196,2.185-0.418 c0.592-0.23,1.094-0.538,1.594-1.038c0.5-0.5,0.808-1.002,1.038-1.594c0.222-0.572,0.375-1.227,0.418-2.185 C20.99,14.751,21,14.444,21,12s-0.01-2.751-0.054-3.711c-0.044-0.958-0.196-1.612-0.418-2.185c-0.23-0.592-0.538-1.094-1.038-1.594 c-0.5-0.5-1.002-0.808-1.594-1.038c-0.572-0.222-1.227-0.375-2.185-0.418C14.751,3.01,14.444,3,12,3L12,3z M12,7.378 c-2.552,0-4.622,2.069-4.622,4.622S9.448,16.622,12,16.622s4.622-2.069,4.622-4.622S14.552,7.378,12,7.378z M12,15 c-1.657,0-3-1.343-3-3s1.343-3,3-3s3,1.343,3,3S13.657,15,12,15z M16.804,6.116c-0.596,0-1.08,0.484-1.08,1.08 s0.484,1.08,1.08,1.08c0.596,0,1.08-0.484,1.08-1.08S17.401,6.116,16.804,6.116z\"><\/path><\/svg><span class=\"wp-block-social-link-label screen-reader-text\">Instagram<\/span><\/a><\/li>\n\n<li class=\"wp-social-link wp-social-link-twitter  wp-block-social-link\"><a href=\"https:\/\/www.linkedin.com\" 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text-primary text-xl m-0 has-x-large-font-size border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\"><strong><span class=\"has-inline-color has-sai-navy-color\">Suggested Case Study: <\/span><\/strong><\/p>\n"},{"blockName":"core\/paragraph","attrs":{"className":"font-headline text-primary text-xl m-0","fontSize":"x-large","align":"","content":"NHS Blood and Transplant","dropCap":false,"placeholder":"","direction":"","lock":[],"metadata":[],"style":[],"backgroundColor":"","textColor":"","gradient":"","fontFamily":"","borderColor":"","openPopupId":"","anchor":""},"innerBlocks":[],"innerHTML":"\n<p class=\"font-headline text-primary text-xl m-0 has-x-large-font-size border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">NHS Blood and Transplant<\/p>\n","innerContent":["\n<p class=\"font-headline text-primary text-xl m-0 has-x-large-font-size border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">NHS Blood and Transplant<\/p>\n"],"rendered":"\n<p class=\"font-headline text-primary text-xl m-0 has-x-large-font-size border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">NHS Blood and Transplant<\/p>\n"},{"blockName":"core\/buttons","attrs":{"layout":{"type":"flex","justifyContent":"left","orientation":"horizontal"},"lock":[],"metadata":[],"align":"","className":"","style":[],"backgroundColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","openPopupId":"","anchor":""},"innerBlocks":[{"blockName":"core\/button","attrs":{"className":"is-style-link-button","icon":"forward","iconPosition":"after","tagName":"a","type":"button","textAlign":"","url":"https:\/\/scaledagile.com\/case_study\/nhs-blood-and-transplant\/","title":"","text":"Read the Case Study","linkTarget":"","rel":"https:\/\/scaledagile.com\/case_study\/nhs-blood-and-transplant\/","placeholder":"","backgroundColor":"","textColor":"","gradient":"","width":0,"gutenaOpenTab":"none","lock":[],"metadata":[],"style":[],"fontSize":"","fontFamily":"","borderColor":"","openPopupId":"","anchor":""},"innerBlocks":[],"innerHTML":"\n<div class=\"wp-block-button is-style-link-button has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\"><a class=\"wp-block-button__link wp-element-button has-icon has-icon--forward icon-position--after\" href=\"https:\/\/scaledagile.com\/case_study\/nhs-blood-and-transplant\/\" rel=\"https:\/\/scaledagile.com\/case_study\/nhs-blood-and-transplant\/\">Read the Case Study<\/a><\/div>\n","innerContent":["\n<div class=\"wp-block-button is-style-link-button has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\"><a class=\"wp-block-button__link wp-element-button has-icon has-icon--forward icon-position--after\" href=\"https:\/\/scaledagile.com\/case_study\/nhs-blood-and-transplant\/\" rel=\"https:\/\/scaledagile.com\/case_study\/nhs-blood-and-transplant\/\">Read the Case Study<\/a><\/div>\n"],"rendered":"\n<div class=\"wp-block-button is-style-link-button has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\"><a class=\"wp-block-button__link wp-element-button has-icon has-icon--forward icon-position--after\" href=\"https:\/\/scaledagile.com\/case_study\/nhs-blood-and-transplant\/\" rel=\"https:\/\/scaledagile.com\/case_study\/nhs-blood-and-transplant\/\">Read the Case Study<\/a><\/div>\n"}],"innerHTML":"\n<div class=\"wp-block-buttons has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\"><\/div>\n","innerContent":["\n<div class=\"wp-block-buttons has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">",null,"<\/div>\n"],"rendered":"\n<div class=\"wp-block-buttons is-content-justification-left has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0 is-horizontal is-content-justification-left is-layout-flex wp-container-core-buttons-is-layout-7e5fce0a wp-block-buttons is-content-justification-left-is-layout-flex\">\n<div class=\"wp-block-button is-style-link-button has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\"><a class=\"wp-block-button__link wp-element-button has-icon has-icon--forward icon-position--after\" href=\"https:\/\/scaledagile.com\/case_study\/nhs-blood-and-transplant\/\" rel=\"https:\/\/scaledagile.com\/case_study\/nhs-blood-and-transplant\/\">Read the Case Study<\/a><\/div>\n<\/div>\n"}],"innerHTML":"\n<div class=\"wp-block-group box-border border-solid border border-gray rounded-md shadow-inner-left-sai-gold p-8 has-border-color has-object-object-border-color has-white-background-color has-background border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">\n\n\n\n<\/div>\n","innerContent":["\n<div class=\"wp-block-group box-border border-solid border border-gray rounded-md shadow-inner-left-sai-gold p-8 has-border-color has-object-object-border-color has-white-background-color has-background border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">",null,"\n\n",null,"\n\n",null,"<\/div>\n"],"rendered":"\n<div class=\"wp-block-group box-border border-solid border border-gray rounded-md shadow-inner-left-sai-gold p-8 has-border-color has-object-object-border-color has-white-background-color has-background border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\"><div class=\"wp-block-group__inner-container is-layout-flow wp-block-group-is-layout-flow\">\n<p class=\"font-headline text-primary text-xl m-0 has-x-large-font-size border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\"><strong><span class=\"has-inline-color has-sai-navy-color\">Suggested Case Study: <\/span><\/strong><\/p>\n\n\n\n<p class=\"font-headline text-primary text-xl m-0 has-x-large-font-size border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">NHS Blood and Transplant<\/p>\n\n\n\n<div class=\"wp-block-buttons is-content-justification-left has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0 is-horizontal is-content-justification-left is-layout-flex wp-container-core-buttons-is-layout-7e5fce0a wp-block-buttons is-content-justification-left-is-layout-flex\">\n<div class=\"wp-block-button is-style-link-button has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\"><a class=\"wp-block-button__link wp-element-button has-icon has-icon--forward icon-position--after\" href=\"https:\/\/scaledagile.com\/case_study\/nhs-blood-and-transplant\/\" rel=\"https:\/\/scaledagile.com\/case_study\/nhs-blood-and-transplant\/\">Read the Case Study<\/a><\/div>\n<\/div>\n<\/div><\/div>\n"}],"innerHTML":"\n<div class=\"wp-block-column mt-4 lg:mt-0\"><\/div>\n","innerContent":["\n<div class=\"wp-block-column mt-4 lg:mt-0\">",null,"<\/div>\n"],"rendered":"\n<div class=\"wp-block-column mt-4 lg:mt-0 is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"wp-block-group box-border border-solid border border-gray rounded-md shadow-inner-left-sai-gold p-8 has-border-color has-object-object-border-color has-white-background-color has-background border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\"><div class=\"wp-block-group__inner-container is-layout-flow wp-block-group-is-layout-flow\">\n<p class=\"font-headline text-primary text-xl m-0 has-x-large-font-size border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\"><strong><span class=\"has-inline-color has-sai-navy-color\">Suggested Case Study: <\/span><\/strong><\/p>\n\n\n\n<p class=\"font-headline text-primary text-xl m-0 has-x-large-font-size border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">NHS Blood and Transplant<\/p>\n\n\n\n<div class=\"wp-block-buttons is-content-justification-left has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0 is-horizontal is-content-justification-left is-layout-flex wp-container-core-buttons-is-layout-7e5fce0a wp-block-buttons is-content-justification-left-is-layout-flex\">\n<div class=\"wp-block-button is-style-link-button has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\"><a class=\"wp-block-button__link wp-element-button has-icon has-icon--forward icon-position--after\" href=\"https:\/\/scaledagile.com\/case_study\/nhs-blood-and-transplant\/\" rel=\"https:\/\/scaledagile.com\/case_study\/nhs-blood-and-transplant\/\">Read the Case Study<\/a><\/div>\n<\/div>\n<\/div><\/div>\n<\/div>\n"}],"innerHTML":"\n<div class=\"wp-block-columns\">\n\n<\/div>\n","innerContent":["\n<div class=\"wp-block-columns\">",null,"\n\n",null,"<\/div>\n"],"rendered":"\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"wp-block-group box-border border-solid border border-gray rounded-md shadow-inner-left-sai-green p-8 has-border-color has-object-object-border-color has-white-background-color has-background border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\"><div class=\"wp-block-group__inner-container is-layout-flow wp-block-group-is-layout-flow\">\n<p class=\"font-headline text-primary text-xl m-0 has-x-large-font-size border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\"><strong><span class=\"has-inline-color has-sai-navy-color\">Back to: All Case Studies <\/span><\/strong><\/p>\n\n\n\n<div class=\"wp-block-buttons is-content-justification-left has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0 is-horizontal is-content-justification-left is-layout-flex wp-container-core-buttons-is-layout-7e5fce0a wp-block-buttons is-content-justification-left-is-layout-flex\">\n<div class=\"wp-block-button is-style-link-button has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\"><a class=\"wp-block-button__link wp-element-button has-icon has-icon--forward icon-position--after\" href=\"https:\/\/scaledagile.com\/insights-customer-stories\/\">Explore more Case Studies<\/a><\/div>\n<\/div>\n<\/div><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column mt-4 lg:mt-0 is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"wp-block-group box-border border-solid border border-gray rounded-md shadow-inner-left-sai-gold p-8 has-border-color has-object-object-border-color has-white-background-color has-background border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\"><div class=\"wp-block-group__inner-container is-layout-flow wp-block-group-is-layout-flow\">\n<p class=\"font-headline text-primary text-xl m-0 has-x-large-font-size border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\"><strong><span class=\"has-inline-color has-sai-navy-color\">Suggested Case Study: <\/span><\/strong><\/p>\n\n\n\n<p class=\"font-headline text-primary text-xl m-0 has-x-large-font-size border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">NHS Blood and Transplant<\/p>\n\n\n\n<div class=\"wp-block-buttons is-content-justification-left has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0 is-horizontal is-content-justification-left is-layout-flex wp-container-core-buttons-is-layout-7e5fce0a wp-block-buttons is-content-justification-left-is-layout-flex\">\n<div class=\"wp-block-button is-style-link-button has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\"><a class=\"wp-block-button__link wp-element-button has-icon has-icon--forward icon-position--after\" href=\"https:\/\/scaledagile.com\/case_study\/nhs-blood-and-transplant\/\" rel=\"https:\/\/scaledagile.com\/case_study\/nhs-blood-and-transplant\/\">Read the Case Study<\/a><\/div>\n<\/div>\n<\/div><\/div>\n<\/div>\n<\/div>\n"}],"innerHTML":"\n<div class=\"wp-block-group alignfull py-12 has-border-color has-object-object-border-color border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\"><\/div>\n","innerContent":["\n<div class=\"wp-block-group alignfull py-12 has-border-color has-object-object-border-color border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">",null,"<\/div>\n"],"rendered":"\n<div class=\"wp-block-group alignfull py-12 has-border-color has-object-object-border-color border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\"><div class=\"wp-block-group__inner-container is-layout-flow wp-block-group-is-layout-flow\">\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"wp-block-group box-border border-solid border border-gray rounded-md shadow-inner-left-sai-green p-8 has-border-color has-object-object-border-color has-white-background-color has-background border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\"><div class=\"wp-block-group__inner-container is-layout-flow wp-block-group-is-layout-flow\">\n<p class=\"font-headline text-primary text-xl m-0 has-x-large-font-size border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\"><strong><span class=\"has-inline-color has-sai-navy-color\">Back to: All Case Studies <\/span><\/strong><\/p>\n\n\n\n<div class=\"wp-block-buttons is-content-justification-left has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0 is-horizontal is-content-justification-left is-layout-flex wp-container-core-buttons-is-layout-7e5fce0a wp-block-buttons is-content-justification-left-is-layout-flex\">\n<div class=\"wp-block-button is-style-link-button has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\"><a class=\"wp-block-button__link wp-element-button has-icon has-icon--forward icon-position--after\" href=\"https:\/\/scaledagile.com\/insights-customer-stories\/\">Explore more Case Studies<\/a><\/div>\n<\/div>\n<\/div><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column mt-4 lg:mt-0 is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"wp-block-group box-border border-solid border border-gray rounded-md shadow-inner-left-sai-gold p-8 has-border-color has-object-object-border-color has-white-background-color has-background border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\"><div class=\"wp-block-group__inner-container is-layout-flow wp-block-group-is-layout-flow\">\n<p class=\"font-headline text-primary text-xl m-0 has-x-large-font-size border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\"><strong><span class=\"has-inline-color has-sai-navy-color\">Suggested Case Study: <\/span><\/strong><\/p>\n\n\n\n<p class=\"font-headline text-primary text-xl m-0 has-x-large-font-size border-0 has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\">NHS Blood and Transplant<\/p>\n\n\n\n<div class=\"wp-block-buttons is-content-justification-left has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0 is-horizontal is-content-justification-left is-layout-flex wp-container-core-buttons-is-layout-7e5fce0a wp-block-buttons is-content-justification-left-is-layout-flex\">\n<div class=\"wp-block-button is-style-link-button has-margin-top-0 has-margin-right-0 has-margin-bottom-0 has-margin-left-0 has-padding-top-0 has-padding-right-0 has-padding-bottom-0 has-padding-left-0\"><a class=\"wp-block-button__link wp-element-button has-icon has-icon--forward icon-position--after\" href=\"https:\/\/scaledagile.com\/case_study\/nhs-blood-and-transplant\/\" rel=\"https:\/\/scaledagile.com\/case_study\/nhs-blood-and-transplant\/\">Read the Case Study<\/a><\/div>\n<\/div>\n<\/div><\/div>\n<\/div>\n<\/div>\n<\/div><\/div>\n"}],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v24.6 (Yoast SEO v26.6) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>How CMS Transformed Healthcare IT with SAFe and Agile<\/title>\n<meta name=\"description\" content=\"SAFe brought a much-needed approach to scaling Agile and the system of CMS environment that was critical to an organization of big size.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/scaledagile.com\/case_study\/centers-for-medicare-medicaid-services\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"CMS\u00a0\u2013\u00a0Approach to Scaling Agile Using SAFe\" \/>\n<meta property=\"og:description\" content=\"SAFe brought a 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