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The 40 hour challenge: a first iteration

In the previous blog (French only), we wanted to answer the question “Is it possible to deliver a value increment in just 40 hours of work?” To be able to answer this question, we had to define what is value? So we categorized it into five types: business value, market value, efficiency gain value, customer value and future value. So now the killer question…

Is it possible to deliver a value increment in only 40 hours of work?

YES!

To answer this question in more specifically, we will use a concrete example in the development of an application for the Quebec Lung Association (QLA), the winners of our “Win Your MVP” contest. The application we are developing is for the inspirer center, a kinesiology rehabilitation clinic affiliated with the APQ. The objective of the application is to facilitate the prescription and follow-up of physical activity programs for rehabilitation patients.

To be able to identify how an application can add value in the prescription and follow-up process of patients, one must first understand it and the interactions between the actors.

Here are the main steps of the existing process:

1.the kinesiologist meets with the patient to complete a medical history form.

2.The Kinesiologist conducts an evaluation of the patient’s physical condition.

3.The kinesiologist meets with the patient to discuss the prescription of a training program (warm-up, cardiovascular exercises, muscular exercises, stretching and relaxation).

4.The patient carries out the training program for approximately 8 weeks.

5.When the program is completed, the kinesiologist and the patient meet for a re-evaluation of the physical condition and adjust the program accordingly.

 

Understanding the processes and interactions allows the team to better understand the customer’s needs and to increase its efficiency over the course of the iterations.

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First iteration

So, what do we start with?

As a reminder, we have a total team capacity of at most 40 hours in the first sprint. How can we deliver value in this first iteration?

In planning, we discuss with the customer where the team can deliver value quickly and what kind of value.

The team identified that the new patient onboarding process could be made more efficient by digitizing the paper-based medical history questionnaire that takes 10–20 minutes for each new patient. The result of this iteration was to reduce the time of the first meeting with new patients in order to free up the kinesiologist’s time to accommodate more patients.

Although this is a very small gain, the idea is to gradually germinate our clients’ ideas by continuously creating value. This value will accumulate over time.

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