Agile principles can be applied to large--even very large--groups of people, allowing them to be more connected to their work and its impact, despite being part of a huge system.
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A recent Harvard Business Review article revealed that one in six IT projects has a cost overrun of 200%. That's a pretty high rate of failure for estimation. To minimize the risk of having your next technical project go awry, stop estimating and start budgeting.
To some of you, this may not be new. But to many of the people preaching "Agile Software Development", Agile is not what you think it is. Let me say that again, because it's important: You're Doing Agile Wrong.
Building capable project management systems in a rural hospital is about saving lives, which is the strategic purpose of a hospital. Fortunately, quality standards like OPM3 can help. But aligning a quality improvement initiative to the strategic priorities of one’s organization is no guarantee that stakeholders will provide their support.