How focusing on a single metric improved team performance – Guest post by Marcus Hammarberg

This is a guest post by Marcus Hammarberg, author of Salvation: The Bungsu Story, How Lean and Kanban saved a small hospital in Indonesia. Twice. And can help you reshape work in your company. (available on Amazon)

This is the third post on a series by Marcus Hammarberg about how metrics can help engage, motivate and ultimately push a team towards success! (See other blog posts in this series here)

When we first started to work with the Bungsu hospital they were in a devasting situation.

Fast forward 1,5 years and you would see a hospital that was making money every day.

In the end, we turned the hospital from a situation where only the director and her closest staff cared, to a situation where 100 people in the hospital were actively engaged in everyday improvements.

How is this possible? What kind of magic was applied?

How focusing on a single metric improved team performance

Now that we had a metric that mattered to everyone and this truly was the “talk of the hospital”, we experienced a wave of change.

Not surprisingly the first groups to engage was the people in charge of bringing more people to the hospital; the marketing team.

It turned out that making the “number of patients served”-metric visible throughout the hospital, was what was needed to get them activated. But when we did, the lid of their passion and creativity jar was blown off! We started to see real ownership in their behavior. As if The Bungsu was their very own hospital.

Before I knew it, I found myself in a workshop where the two ladies of the marketing department blurted out 25 ideas on how to get more patients. And 3 or 4 of them were really low hanging fruit that we could do the very next day. For example:

  • Go to the nearby clinics and advertise our availability for surgery and treatments that the clinics could not handle
  • Offer free transport from the big hospitals to our hospital for treatments that the big hospitals had a waiting list for
  • Suggest that our freelancing doctors would do all their surgery in our hospital

These were very simple changes that had been dragging on in decision-making boards. Now the decisions were quick to make – because the need and impact were clear to see.

Just a few days after we started to track “number of patients served per day” these actions brought the metric up to a whopping 133 patients served per day! Twice the normal number of patients and a level that has not been seen in a long time.

This taught me, in a very impactful way, how a single metric can transform the performance of a team. In this case, the marketing team.

Do you need the one metric that matters to engage your team? This booklet is for you!

In the Bungsu’s Pirate Code for Visualization downloadable booklet I will go into details on how we made this “one metric that matters” engaging, kept it relevant and ultimately saved the hospital by keeping our focus there – using what we referred to as the Bungsu Pirate Code. Click here to download your guide to using the “one metric that matters” in your own team.

This is a very actionable tool that you can you use today in your organisation to make your visualizations matter to everyone all the time.

The Bungsu Story is a fascinating account of a real-life crisis, and how Agile, Lean and Kanban saved the Hospital from bankruptcy! Twice! Get ready for the journey, it’s going to be a bumpy ride!

About Marcus Hammarberg

Marcus is the author of Salvation: The Bungsu Story (available on Amazon), an inspiring and actionable story about how simple tools can help transform the productivity and impact of an organization. The real-life stories in The Bungsu can help you transform the productivity of your team. Marcus is also an renowned author and consultant in the Kanban community, he authored the book Kanban in Action with Joakim Sundén.
You can link with Marcus Hammarberg on LinkedIn, and connect with Marcus Hammarberg on twitter.

How a single metric can help the team members engage and become a real team – Guest post by Marcus Hammarberg

This is a guest post by Marcus Hammarberg, author of Salvation: The Bungsu Story, How Lean and Kanban saved a small hospital in Indonesia. Twice. And can help you reshape work in your company. (available on Amazon)

This is the second post on a series by Marcus Hammarberg about how metrics can help engage, motivate and ultimately push a team towards success!

When we first started to work with the Bungsu hospital they were in a devasting situation.

Fast forward 1,5 years and you would see a hospital that was making money every day.

In the end, we turned the hospital from a situation where only the director and her closest staff cared, to a situation where 100 people in the hospital were actively engaged in everyday improvements.

How is this possible? What kind of magic was applied?

Click to learn more about how you can help your PO

Keeping engagement when the bad news hit – Becoming a team!

Continue reading How a single metric can help the team members engage and become a real team – Guest post by Marcus Hammarberg

How the right metric, communicated the right way can engage your team. By Marcus Hammarberg

This is a guest post by Marcus Hammarberg, author of Salvation: The Bungsu Story, How Lean and Kanban saved a small hospital in Indonesia. Twice. And can help you reshape work in your company. (available on Amazon)

When we first started to work with the Bungsu hospital they were in a devasting situation. Their finances were at an all-time low after years of decline in patient visits. Their operational permit had not been renewed and they were operating on probation, the staff was disengaged and blasé … oh, and one more thing: the roof of the entire second floor had collapsed.

Still, to my great surprise, not many people were upset, engaged or even cared about the survival of the hospital.

Fast forward 1,5 years and you would see a hospital that was making money every day, had not only an operational permit but also got awards for their services, happy and engaged staff … oh yes, and they had a newly renovated roof.

We didn’t hire or fire a single person during this time – and all the work to save The Bungsu was done by the people in the hospital, I merely acted as a guide for new ways of working.

In the end, we turned the hospital from a situation where only the director and her closest staff cared, to a situation where 100 people in the hospital were actively engaged in everyday improvements.

How is this possible? What kind of magic was applied?

We soon realized that the scary state of the hospital’s finances was not only our number one priority but it was also too vague for the staff when expressed in numbers. Billions of rupiah in deficit didn’t mean a thing for the staff.

First of all, those numbers were unrelatable for the average employee, even if we broke it down per day. Saying “we need 18.000.000 rupias per day” to someone that earns 1.000.000 per month doesn’t spark engagement.

We need 18.000.000 rupias per day!

Secondly, and perhaps most important, the staff in the hospital was not interested in budgets, forecasts or financial plans. They worked with patients! We needed something more concrete and closer to their day-to-day reality.

Armed with those two realizations we started to track “the number of patients we served per day”. We hoped this concrete metric would engage the staff. The numbers of presented were truly awful; our financial target was 134 services sold per day and we were averaging on 60-70. Half of what we needed to be able to improve the financial situation!

our financial target was 134 services sold per day and we were averaging on 60-70. Half of what we needed to survive!

I was shocked but the reaction in the room was something very different. Indifferent, unfocused or the occasional shrug. Almost angry, I got up and added a new line, for the number of patients required to break-even; 120. In my upset mood I blurted out:

Below this line we lose money by having the hospital open and we may need to close it!

That got their attention. The jaws of the 70 people in the room dropped to the floor at once. We now had our one metric that matters and most importantly: everyone understood it.

In the next blog post, you will see how this metric, visualized and understandable not only helped us focus on what is important but also made us into a team.

Do you need the one metric that matters to engage your team? This booklet is for you!

In the Bungsu’s Pirate Code for Visualization downloadable booklet I will go into details on how we made this “one metric that matters” engaging, kept it relevant and ultimately saved the hospital by keeping our focus there – using what we referred to as the Bungsu Pirate Code. Click here to download your guide to using the “one metric that matters” in your own team.

This is a very actionable tool that you can you use today in your organisation to make your visualizations matter to everyone all the time.

The Bungsu Story is a fascinating account of a real-life crisis, and how Agile, Lean and Kanban saved the Hospital from bankruptcy! Twice! Get ready for the journey, it’s going to be a bumpy ride!

About Marcus Hammarberg

Marcus is the author of Salvation: The Bungsu Story (available on Amazon), an inspiring and actionable story about how simple tools can help transform the productivity and impact of an organization. The real-life stories in The Bungsu can help you transform the productivity of your team. Marcus is also an renowned author and consultant in the Kanban community, he authored the book Kanban in Action with Joakim Sundén.
You can link with Marcus Hammarberg on LinkedIn, and connect with Marcus Hammarberg on twitter.

BONUS: Marcus Hammarberg talks about simple techniques that can transform your leadership

Marcus is the author of Salvation: The Bungsu Story, a book we here at the Scrum Master Toolbox Podcast are helping to publish. This book is inspiring, and will definitely move you to action.

In this episode, we discuss some of the many techniques Marcus used in Indonesia while he was helping the team at The Bungsu Hospital literally save the hospital from bankruptcy. And that’s not an over-statement!

Click to liste to the interview and read more about the topics of this episode.

Continue reading BONUS: Marcus Hammarberg talks about simple techniques that can transform your leadership

How Agile and Lean saved a hospital from bankruptcy! Twice!

All of us working with Agile and Scrum are used to the (sometimes) large transformations that these approaches can have at work. But it is not everyday we see the impact, the amazing impact, it can have on other types of work. How about this: Marcus Hammarberg, walks into a hospital and the hospital is about the crumble. Literally! The roof has collapsed, there’s dripping water and buckets everywhere and the second floor is overrun with debris. But that is not where the problems end…

A few months later, and using Kanban, Agile and Lean ideas the hospital is saved. But how did that happen?

Marcus explains his story, and the amazing transformation in his latest book: The Bungsu (now available for pre-order at Amazon), and we have a short video to explain the main points of the story right here.

Click on to see the video, and sign-up to get the first chapter of the book.

Continue reading How Agile and Lean saved a hospital from bankruptcy! Twice!

The power of visualization to drive action and manage work

“What’s the most important work to do right now?”

This is a question that every Scrum team should know the answer to. Not knowing the answer means more meetings, more disagreements, more conflicts, and ultimately the wrong work gets done first. But this does not happen because anyone is doing something wrong! It happens because there’s no common, agreed and clear way to decide what is the most important work. How to solve this problem?

Continue reading The power of visualization to drive action and manage work

How trust, kanban and a little structure changed a life

Work life is a serious thing. We spend (at least) one-third of our time awake at work, and in some cases much more time than what we spend with our families most days of the year.

Now imagine what would happen if your work would be falling apart. You have too much work, and are being constanly interrupted. Your authority and ability to contribute is undermined. And on top of it your place of work is literally crumbling: the roof collapsed and what is left is being innudated by dirty water that runs off from the roof’s debri.

Meet Ibu Elsye!  Ibu Elsye is the lady dressed in black in the picture or “Mrs.” Elsye if you don’t speak Indonesian ;).

She’s General Manager of a hospital, Rumah Sakit Bungsu (aka The Bungsu), that Marcus Hammarberg helped, in Indonesia. General Manager; what is that, in a hospital? I’m happy you asked: basically she’s in charge of everything that is not health care. Food, laundry, maintenance, security staff, drivers … you name it.

In The Bungsu, if you need something fixed – go to Ibu Elsye.

But Ibu Elsye’s work life was not going very well…

Continue reading How trust, kanban and a little structure changed a life

Using Lean and Agile to save a hospital from bankruptcy: twice! The Bungsu Hospital Story

When Marcus Hammaberg first started to work with the Bungsu hospital they were in a devastating situation. Their finances were on a bottom low after years of decline of patients visiting, their operational permit had not been renewed and they were operating on a probation, the staff was disengaged and blasé … oh, that’s right – the roof of the entire second floor had collapsed.

Read on for more…

Continue reading Using Lean and Agile to save a hospital from bankruptcy: twice! The Bungsu Hospital Story

Marcus Hammarberg explains his recipe for team success

Many management approaches settle for measuring activity instead of outcomes. Marcus asks us to focus more on outcomes to be able to investigate the system conditions. After all it is outcomes that matter. He also asks us to be so precise about outcomes that we can measure it with a single metric. His process is:

  1. Go for smaller and smaller iterations as a way to help teams “own” their work
  2. Bring the outcome definition down to ground-level, so that everyone understands it
  3. Everyone needs to understand the metric. Simplify it.
  4. The metric needs to be one that changes often, so that we can use it as feedback.
  5. Update the metric daily
  6. Celebrate success

Marcus shared with us a discount code for all that purchase his book until October 14th, 2015. Don’t miss it, purchase the book at http://bit.ly/theKanbanBook, and use the code scrumkan.

Marcus is the Author of Salvation:The Bungsu Story, a fascinating account of a real-life crisis, and how Agile, Lean and Kanban saved the Hospital from bankruptcy! Twice! Get ready for the journey, it’s going to be a bumpy ride!

About Marcus Hammarberg

Marcus is a Software / agile consultant from Sweden on IT-sabatical leave in Indonesia, working for the Salvation Army hospitals there. And yes, using techniques from agile in that work even in non-software environments.
One of those approaches he is using is Kanban, as Marcus is the author of the book Kanban in Action with Joakim Sundén, don’t forget to go to http://bit.ly/theKanbanBook, and get the book with the discount code scrumkan.
You can link with Marcus Hammarberg on LinkedIn, and connect with Marcus Hammarberg on twitter.

Marcus Hammarberg measures his success in happiness points

Scrum Masters measure their success in many different ways, Marcus chose happiness in his last project with a software team. He walks us through that and suggests that we use Niko, Niko index as a tool to measure happiness.

Marcus shared with us a discount code for all that purchase his book until October 14th, 2015. Don’t miss it, purchase the book at http://bit.ly/theKanbanBook, and use the code scrumkan.

Marcus is the author of Salvation:The Bungsu Story, a fascinating account of a real-life crisis, and how Agile, Lean and Kanban saved the Hospital from bankruptcy! Twice! Get ready for the journey, it’s going to be a bumpy ride!

About Marcus Hammarberg

Marcus is a Software / agile consultant from Sweden on IT-sabatical leave in Indonesia, working for the Salvation Army hospitals there. And yes, using techniques from agile in that work even in non-software environments.
One of those approaches he is using is Kanban, as Marcus is the author of the book Kanban in Action with Joakim Sundén, don’t forget to go to http://bit.ly/theKanbanBook, and get the book with the discount code scrumkan.
You can link with Marcus Hammarberg on LinkedIn, and connect with Marcus Hammarberg on twitter.