Agile at 20: The Failed Rebellion

[Sam Habiel]

https://www.simplethread.com/agile-at-20-the-failed-rebellion/

This ties in with Roger Baker's article, which complains that
everything has been done as Waterfall methodology
(https://fcw.com/articles/2021/07/26/comment-veterans-affairs-ehrm-roger-baker.aspx).

Those who worked on government contracts (me included) will like
reading that article, as it gives good perspective.

--Sam

[Joseph Dal Molin]

I have yet to see a procurement process and eventually contract that doesn't genetically modify an agile initiative into a set of waterfall deliverables. I keep thinking of SpaceX vs. Boeing.... what VA needs to improve VistA is SpaceX  ....what they keep getting because of the "procurement" process and mindset is Boeing's SLS

J.

[ivaldes]

All software methodologies fail on the Pareto Principle. 

[Steven L]

80% work done by 20% of staff -- check.

Agile is nice.  Centralizing OIT helped some things, but also stifled others.   All the great advances that came out of VA over the decades were local startup and gained momentum to critical mass and dissemination via boards and ultimately CampCPRS.   

That died....along with VistA as we knew it.

Perhaps reincarnation is possible if VA realizes that it needs to reengage the local stakeholders to drive the GUI at the very least.   Cerner may deliver the basic integration with DoD (which Janus did in read fashion); but the ultimate need to deliver efficient AND effective care at the end-user fingertips --- Nope.  :(

  

--
--
http://groups.google.com/group/Hardhats
To unsubscribe, send email to Hardhats+u...@googlegroups.com

---
You received this message because you are subscribed to the Google Groups "Hardhats" group.
To unsubscribe from this group and stop receiving emails from it, send an email to hardhats+u...@googlegroups.com.
To view this discussion on the web visit https://groups.google.com/d/msgid/hardhats/5ea88d8f-b077-45ae-a788-e07581cea61an%40googlegroups.com.

[ivaldes]

The VistA/CPRS VA uses. 1922 Model T Ford (I own one) Reliable, durable, cost-effective, American classic, gets the job done, parts readily available, open architecture:

The VistA/CPRS (Astronaut) I use every day (I don't own this one but am building one): Seriously upgraded for speed and handling, powerful, creature comforts, new clinician features galore while retaining original architecture: