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WHO and Unicef Primary health care measurement framework and indicators: monitoring health systems through a primary health care lens publication 28 Feb 2022
Primary Health Care Monitoring and Measurement Framework
This simulation allows you to compare different approaches to influence flow, the Flow Times and the throughput of a work process. The simulation is described in the blog post "Starting late - The Superior Scheduling Approach - How, despite being identical, one company delivers almost 10 times the value of its competitor using flow-oriented project initiation."
By adjusting the slider below you can observe the work process
without any work in process limitations (WIP Limits),
with process step specific WIP Limits* (work state WIP limits),
with Kanban Token and Replenishment Token based on the Tameflow approach (a form of drum-buffer-rope)
with Drum Buffer Rope** scheduling method.
* Well know in (agile) Kanban
** Known in the physical world of factory production
The simulation and the comparison between the different scheduling approaches can be seen here -> https://youtu.be/xXvdVkxeMMQ
The "Tameflow approach" using Kanban Token and Replenishment Token as well as the Drum Buffer Rope method take the Constraint (the weakest link of the work process) into consideration when pulling in new work items into the delivery "system".
Feel free to play around and recognize the different effects of work scheduling methods.
If you have questions or feedback get in touch via twitter @swilluda
The work flow itself
Look at the simulation as if you would look on a kanban board.
The simulation mimics a "typical" feature delivery process on portfolio level.
From left to right you find the following ten process steps.
Ideas
Selected ideas (waiting)
Initiate and pitch
Waiting for preparation
Prepare
Waiting for delivery
Deliver
Waiting for closure
Close and communicate
Closed
[Published] Simulation Starting late - The Superior Scheduling Approach (advanced version)
(cf Thinking in systems, figure 31) Système soumis à des délais qui génèrent des oscillations.
4 scénarios permettent de comparer le comportement selon le délai de réaction aux variations de la demande clients. Plus la réaction est rapide, plus les oscillations sont amples. Pour les atténuer, il faut au contraire réagir plus lentement. C'est un exemple de levier efficace à actionner dans un sens contre-intuitif.