National Health Care HMO Case Study

The Challenge:

This national HMO had been using their legacy Pharmacy operation application platform for over a decade. It was not able to continue to evolve and scale to meet their growth and needs of the Pharmacy business and needed to be replaced. The replacement program had been ongoing for over 5 years, with various fits and starts. The new platform will include a third party Pharmacy operations package that will be customized to this clients needs as well many client developed and maintained interfaces between the new pharmacy operations application and their internal electronic medical record application, membership data application, laboratory application, point of sale application, inventory application, and many others.

This client had been attempting to execute this project for many years, but had been unable to accomplish it for a number of factors. One impediment has been that the client has had only mixed success developing complex applications on tight time frames with its standard, in house waterfall application development methodology. Therefore all the pharmacy group had never used the Agile / Scrum product development methodology, they decided to attempt to use Scrum for this very large and very risky program.

Our Approach

Based on client needs and requests, Scott Dunn and Paul Reed worked as Scrum mentors, Scrum Masters and class room trainers for the clients Pharmacy Replacement Platform program. Paul and Scott help mentor and train many client and vendor scrum teams over a six month period. Training included Scrum Overview, Product owner, backlog development, agile development and testing and Scrum team building. Paul also worked with the program management and the Rally company to adopt the use of the Rallydev scrum management tool ( to manage the iterations, user stories, tasks, test cases, test results and defects associated with the sprints.

The Results

Paul and Scott mentored about one dozen Scrum teams on the scrum process, agile best practices; team building and self managed teams, etc. These teams were based in California, Texas and Chennai India. As a result of excellent teamwork, hard work and effective agile / scrum training provided by Paul and Scott, the scrum teams have succeeded in meeting and exceeding their sprint development goals. In addition to being well received by the scrum technical team members, Paul and Scott were able to develop trust and effective relationships with key program product owners and other business stakeholders.