Multi-level Transparency

• Visibility at all levels from strategic Epics to team tasks
• Both IT and clinical management have project status overview
• Common artifacts (backlogs, boards, reviews) create shared language
• Regular ceremonies foster culture of openness

Value Stream Alignment

• Organization around value rather than departments
• Teams aligned with overarching Value Streams
• Example value streams in hospitals:
  • "Making patient data available anywhere, anytime"
  • "Seamless patient journey across care settings"
  • "Digital admission to discharge management"

Strategic Coherence

• Clear line of sight from enterprise strategy to team execution
• Portfolio Kanban connects strategic initiatives to delivery
• Strategic themes guide decision-making at all levels
• IT and clinical departments "pull together" toward common goals

Empowered Decision-Making

• Decisions made at appropriate levels
• Clear guardrails for autonomous teams
• Escalation paths for impediments
• Better coordination between clinical and IT governance

"SAFe creates unprecedented transparency between hospital leadership, IT, and clinical departments, replacing silos with shared visibility and goals."