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Enterprise Agility in Healthcare
Scaling Agile using SAFe to Strengthen Delivery Predictability and Engineering Excellence in a Global Healthcare Organisation
Client Overview
The client is a global leader in healthcare education and resuscitation training, serving healthcare providers, hospitals, voluntary organisations, educational institutions, and military agencies worldwide. Their products, programs, and immersive learning technologies are used by lifesavers and healthcare workers to increase survival rates and improve clinical quality.
With teams distributed across geographies and operating in a post-pandemic hybrid model, the organisation sought to strengthen transparency, visibility, and delivery flow across their product development pipeline. Their leadership aimed to achieve continuous delivery, enhance responsiveness to stakeholders, and provide consistently improved learning experiences to end users.
Business Challenges
NextAgile executed a structured SAFe adoption and coaching journey tailored for a global, hybrid, healthcare-focused product organisation.
Fragmented Delivery Structure
Existing ART operated smoothly, but integrating a new waterfall-oriented ART disrupted cadence and alignment.
Inconsistent Practices Across Teams
Absence of a unified framework led to fragmented processes and uneven delivery outcomes.
Need for Stronger Incremental Delivery
Teams required improved mechanisms to deliver value continuously and accelerate customer-focused feature rollout.
Low Visibility into Priorities and Quality
Inconsistent tooling and dashboards limited transparency in prioritisation, quality tracking, and release planning.
Collaboration Gaps in Hybrid Teams
Distributed teams needed better engineering practices, communication rhythms, and coordination mechanisms.
Leadership Need for Predictability and Insight
Executives required clearer metrics, reporting, and improvement cycles to support data-driven decisions.
Our Approach
NextAgile executed a structured SAFe adoption and coaching journey tailored for a global, hybrid, healthcare-focused product organisation.
- Reviewed existing ART performance, workflow patterns, and release processes to diagnose systemic bottlenecks.
- Identified challenges in cross-team collaboration, backlog readiness, estimation, and documentation standards.
- Assessed gaps in tooling usage, engineering practices, and SAFe event maturity across teams.
- Established a common Agile and SAFe-aligned delivery framework across both ARTs.
- Defined standard processes for PI Planning, backlog management, cadence synchronisation, and release governance.
- Designed artefact guidelines for requirement breakdown, functional/technical documentation, UX workflows, and estimation.
- Launched a new ART with a small initial team and stabilised it through SAFe Essential practices.
- Conducted role-based coaching for Product Owners, Scrum Masters, RTE, and engineering teams.
- Successfully onboarded additional teams into the ART within months, eventually coaching 25+ product and engineering professionals.
- Implemented Scrum across teams and matured their PI experience through hands-on coaching.
- Enhanced collaboration via improved usage of project management tools, Agile boards, async communication norms, and structured team events.
- Implemented metrics and dashboards to track flow, quality, capacity allocation, estimation variance, and work progress.
- Introduced Jira dashboards, ROAM boards, program-level roadmaps, and reporting templates to visualise risks, dependencies, impediments, and PI progress.
- Enabled data-driven decision making through regular translation and retrospection of metrics.
- Standardised system demos, iteration reviews, and outcome-based reporting for leadership.
- Coached teams on engineering excellence practices including automation, pair programming, and quality-first principles.
- Simplified business requirement documentation using mind maps, UX wireframes, mockups, and structured discovery techniques.
- Strengthened pre-PI, PI, and post-PI planning practices to ensure predictable execution.
- Shared periodic executive summaries highlighting value delivered, PI objectives achieved, and continuous improvement opportunities.
Impact & Outcomes
Within a few months, the organisation achieved measurable improvements in delivery rhythm, team maturity, and operational transparency:
Unified SAFe Adoption
Standardised practices created stable cadence, predictable execution, and stronger governance across all teams.
Mature, Self-Managed Teams
Teams developed higher ownership, accountability, and clarity on customer needs, improving overall delivery confidence.
Improved Incremental Delivery
Reliable iteration-based delivery enabled faster releases and more frequent, value-driven system demos.
Enhanced Engineering Excellence
Automation, pairing, and modern engineering practices boosted productivity and elevated product quality.
Streamlined Requirements Flow
Structured documentation and collaboration tools improved clarity, alignment, and end-to-end workflow efficiency.
Data-Driven Execution & Alignment
Metrics across ARTs improved capacity tracking, scope visibility, flow performance, and cross-team alignment during PI Planning.
Testimonial
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If you are navigating Agile adoption in a global, distributed, or highly regulated domain such as healthcare, education, or MedTech, NextAgile can help you scale predictability, flow, and delivery excellence.
