{"id":28737,"date":"2025-08-01T06:28:41","date_gmt":"2025-08-01T13:28:41","guid":{"rendered":"https:\/\/www.scrumatscale.com\/?p=28737"},"modified":"2025-08-04T10:13:59","modified_gmt":"2025-08-04T17:13:59","slug":"delivering-what-matters-most-at-msa","status":"publish","type":"post","link":"https:\/\/www.scrumatscale.com\/es\/delivering-what-matters-most-at-msa\/","title":{"rendered":"Ofrecer lo que m\u00e1s importa: El caso del Value Stream Management en MSA"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; custom_padding_last_edited=&#8221;off|desktop&#8221; admin_label=&#8221;Hero&#8221; _builder_version=&#8221;3.27.3&#8243; use_background_color_gradient=&#8221;on&#8221; background_color_gradient_start=&#8221;#000000&#8243; background_color_gradient_end=&#8221;#e0261d&#8221; background_color_gradient_direction=&#8221;60deg&#8221; background_image=&#8221;https:\/\/siscrumatscale.wpengine.com\/wp-content\/uploads\/2019\/12\/licensed-scrum-trainer-teaches-class_scruminc.jpg&#8221; box_shadow_style=&#8221;preset7&#8243; box_shadow_horizontal=&#8221;0px&#8221; box_shadow_vertical=&#8221;0px&#8221; box_shadow_color=&#8221;#ffffff&#8221; max_width_last_edited=&#8221;on|phone&#8221; min_height=&#8221;578.4px&#8221; min_height_last_edited=&#8221;on|phone&#8221; height_tablet=&#8221;460px&#8221; height_phone=&#8221;656px&#8221; height_last_edited=&#8221;on|tablet&#8221; custom_margin=&#8221;||1px||false|false&#8221; custom_margin_last_edited=&#8221;on|desktop&#8221; custom_padding=&#8221;||||false|false&#8221; fb_built=&#8221;1&#8243; _i=&#8221;0&#8243; _address=&#8221;0&#8243;][et_pb_row column_structure=&#8221;3_5,2_5&#8243; _builder_version=&#8221;3.27.3&#8243; width=&#8221;100%&#8221; custom_margin=&#8221;||||false|false&#8221; custom_padding=&#8221;||||false|false&#8221; hover_transition_duration=&#8221;0ms&#8221; _i=&#8221;0&#8243; _address=&#8221;0.0&#8243;][et_pb_column type=&#8221;3_5&#8243; _builder_version=&#8221;3.25&#8243; custom_padding=&#8221;||60px|&#8221; padding_bottom=&#8221;60px&#8221; _i=&#8221;0&#8243; _address=&#8221;0.0.0&#8243; custom_padding__hover=&#8221;|||&#8221;][et_pb_text _builder_version=&#8221;3.27.3&#8243; text_font=&#8221;||||||||&#8221; text_font_size=&#8221;16px&#8221; text_line_height=&#8221;1.4em&#8221; header_font=&#8221;Poppins|600||on|on|||#d6d6d6|solid&#8221; header_font_size=&#8221;18px&#8221; header_line_height=&#8221;1.8em&#8221; header_2_font=&#8221;Open Sans|700|||||||&#8221; header_2_font_size=&#8221;45px&#8221; background_layout=&#8221;dark&#8221; max_width_tablet=&#8221;90%&#8221; max_width_phone=&#8221;80%&#8221; max_width_last_edited=&#8221;on|desktop&#8221; module_alignment=&#8221;center&#8221; min_height_tablet=&#8221;auto&#8221; min_height_last_edited=&#8221;on|tablet&#8221; custom_margin=&#8221;10px||||false|false&#8221; custom_margin_phone=&#8221;||||false|false&#8221; custom_margin_last_edited=&#8221;on|desktop&#8221; custom_padding=&#8221;||0px||false|false&#8221; hover_transition_duration=&#8221;0ms&#8221; _i=&#8221;0&#8243; _address=&#8221;0.0.0.0&#8243;]<\/p>\n<h1 class=\"title style-scope ytd-video-primary-info-renderer\">Agile Education Case Study<\/h1>\n<h2>Delivering What Matters Most: The Case for Value Stream Management at MSA<\/h2>\n<p>The Medical Schools Association (MSA) transformed its operations by applying Lean and Agile practices through a value stream mapping initiative and a Kaizen Katalog. This effort aligned teams, closed service gaps, and improved efficiency\u2014resulting in a 23% cost reduction, 35% revenue growth, and a $51M financial turnaround in five years.[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;2_5&#8243; _builder_version=&#8221;3.25&#8243; custom_padding=&#8221;|||&#8221; _i=&#8221;1&#8243; _address=&#8221;0.0.1&#8243; custom_padding__hover=&#8221;|||&#8221;][et_pb_cta title=&#8221;CASE STUDY SNAPSHOT&#8221; disabled_on=&#8221;on|on|off&#8221; admin_label=&#8221;Call To Action&#8221; _builder_version=&#8221;3.27.3&#8243; header_font=&#8221;Poppins|600||on|||||&#8221; header_font_size=&#8221;18px&#8221; header_line_height=&#8221;1.8em&#8221; body_font=&#8221;Open Sans||||||||&#8221; body_font_size=&#8221;16px&#8221; body_line_height=&#8221;2em&#8221; background_color=&#8221;#ffffff&#8221; border_radii=&#8221;on|10px|10px|10px|10px&#8221; button_icon=&#8221;%%22%%&#8221; button_icon_color=&#8221;#ffffff&#8221; button_on_hover=&#8221;off&#8221; button_alignment=&#8221;left&#8221; box_shadow_style=&#8221;preset3&#8243; box_shadow_vertical=&#8221;30px&#8221; box_shadow_blur=&#8221;40px&#8221; box_shadow_color=&#8221;rgba(11,9,26,0.1)&#8221; text_orientation=&#8221;left&#8221; background_layout=&#8221;light&#8221; width=&#8221;99.9%&#8221; max_width_phone=&#8221;100%&#8221; max_width_last_edited=&#8221;on|desktop&#8221; custom_margin=&#8221;||||false|false&#8221; custom_margin_tablet=&#8221;-46px||28px|39px|false|false&#8221; custom_margin_phone=&#8221;0px||0px|0px|false|false&#8221; custom_margin_last_edited=&#8221;on|phone&#8221; custom_padding=&#8221;||||false|false&#8221; animation_direction=&#8221;top&#8221; hover_transition_duration=&#8221;0ms&#8221; locked=&#8221;off&#8221; _i=&#8221;0&#8243; _address=&#8221;0.0.1.0&#8243; button_text_size__hover_enabled=&#8221;off&#8221; button_one_text_size__hover_enabled=&#8221;off&#8221; button_two_text_size__hover_enabled=&#8221;off&#8221; button_text_color__hover_enabled=&#8221;off&#8221; button_one_text_color__hover_enabled=&#8221;off&#8221; button_two_text_color__hover_enabled=&#8221;off&#8221; button_border_width__hover_enabled=&#8221;off&#8221; button_one_border_width__hover_enabled=&#8221;off&#8221; button_two_border_width__hover_enabled=&#8221;off&#8221; button_border_color__hover_enabled=&#8221;off&#8221; button_one_border_color__hover_enabled=&#8221;off&#8221; button_two_border_color__hover_enabled=&#8221;off&#8221; button_border_radius__hover_enabled=&#8221;off&#8221; button_one_border_radius__hover_enabled=&#8221;off&#8221; button_two_border_radius__hover_enabled=&#8221;off&#8221; button_letter_spacing__hover_enabled=&#8221;off&#8221; button_one_letter_spacing__hover_enabled=&#8221;off&#8221; button_two_letter_spacing__hover_enabled=&#8221;off&#8221; button_bg_color__hover_enabled=&#8221;off&#8221; button_one_bg_color__hover_enabled=&#8221;off&#8221; button_two_bg_color__hover_enabled=&#8221;off&#8221; button_bg_enable_color=&#8221;on&#8221;]<strong>Trainer Name:<\/strong> Donald Patti<br \/>\n<strong>Industry: <\/strong>Nonprofit 501(c)(3)<br \/>\n<strong>Organization Size: <\/strong>Large<br \/>\n<strong>Topic: <\/strong>Cost Reduction,\u00a0Organizational Refactoring, Value Stream Management<br \/>\n<strong>Date: <\/strong>2024<strong><br \/>\n<\/strong><strong>LinkedIn:\u00a0<\/strong><a href=\"https:\/\/www.linkedin.com\/in\/delplayadon\/\">https:\/\/www.linkedin.com\/in\/delplayadon\/<\/a>[\/et_pb_cta][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;Case Studies&#8221; _builder_version=&#8221;3.27.3&#8243; background_color=&#8221;#fafafc&#8221; custom_padding=&#8221;5%|0px|0px|0px|false|false&#8221; fb_built=&#8221;1&#8243; _i=&#8221;1&#8243; _address=&#8221;1&#8243;][et_pb_row _builder_version=&#8221;3.27.3&#8243; custom_padding=&#8221;||50px|0px|false|false&#8221; locked=&#8221;off&#8221; _i=&#8221;0&#8243; _address=&#8221;1.0&#8243;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;3.27.3&#8243; _i=&#8221;0&#8243; _address=&#8221;1.0.0&#8243;][et_pb_video src=&#8221;https:\/\/youtu.be\/m3EYL8dVZXw&#8221; play_icon_color=&#8221;#e02b20&#8243; _builder_version=&#8221;3.27.3&#8243; _i=&#8221;0&#8243; _address=&#8221;1.0.0.0&#8243;][\/et_pb_video][et_pb_image show_bottom_space=&#8221;off&#8221; align=&#8221;center&#8221; _builder_version=&#8221;3.27.3&#8243; custom_margin=&#8221;10px||||false|false&#8221; custom_padding=&#8221;||||false|false&#8221; _i=&#8221;1&#8243; _address=&#8221;1.0.0.1&#8243;][\/et_pb_image][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8221;3.27.3&#8243; _i=&#8221;1&#8243; _address=&#8221;1.1&#8243;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;3.27.3&#8243; _i=&#8221;0&#8243; _address=&#8221;1.1.0&#8243;][et_pb_button button_url=&#8221;@ET-DC@eyJkeW5hbWljIjp0cnVlLCJjb250ZW50IjoicG9zdF9saW5rX3VybF9hdHRhY2htZW50Iiwic2V0dGluZ3MiOnsicG9zdF9pZCI6IjI4NzQxIn19@&#8221; url_new_window=&#8221;on&#8221; button_text=&#8221;Download the Slides&#8221; button_alignment=&#8221;center&#8221; _builder_version=&#8221;3.27.3&#8243; _dynamic_attributes=&#8221;button_url&#8221; custom_button=&#8221;on&#8221; button_text_color=&#8221;#ffffff&#8221; button_bg_color=&#8221;#cc0000&#8243; button_border_color=&#8221;rgba(0,0,0,0)&#8221; custom_margin=&#8221;-45px||10px||false|false&#8221; custom_padding=&#8221;||10px||false|false&#8221; button_bg_enable_color=&#8221;on&#8221; _i=&#8221;0&#8243; _address=&#8221;1.1.0.0&#8243;][\/et_pb_button][et_pb_text ul_position=&#8221;inside&#8221; ul_item_indent=&#8221;20px&#8221; admin_label=&#8221;Write up&#8221; _builder_version=&#8221;3.27.3&#8243; text_font_size=&#8221;16px&#8221; text_line_height=&#8221;1.6em&#8221; ul_font_size=&#8221;16px&#8221; ul_line_height=&#8221;1.8em&#8221; header_2_font=&#8221;Open Sans|700|||||||&#8221; header_2_text_align=&#8221;left&#8221; header_2_font_size=&#8221;28px&#8221; header_2_line_height=&#8221;2em&#8221; header_3_font=&#8221;Open Sans|700|||||||&#8221; header_3_font_size=&#8221;18px&#8221; _i=&#8221;1&#8243; _address=&#8221;1.1.0.1&#8243;]<\/p>\n<h3><\/h3>\n<h3>Organization Background<\/h3>\n<p>The Medical Schools Association (MSA), a prominent, Washington, DC-based nonprofit, represents medical schools across North America. In 2012, with annual revenues of $123 million, the organization brought in new leadership and faced a dual threat: outdated internal processes and the pressure to outsource key functions.<\/p>\n<h3><\/h3>\n<h3>Challenge<\/h3>\n<p>MSA&#8217;s leadership sought to maintain control over its core services while improving operational efficiency. While they assessed their existing delivery model, they embarked on a value stream mapping initiative, which included charting their current state to a desired future state. This surfaced significant gaps and inefficiencies in service delivery, payment management, and outcome verification.<\/p>\n<h3><\/h3>\n<h3>Approach<\/h3>\n<p>MSA created a Kaizen Katalog, a list of improvements that they could implement over time to improve performance and alignment through Lean and Agile practices. The Kaizen Katalog included:<\/p>\n<ol>\n<li>Sharing steps across value streams<\/li>\n<li>Adding and iterating new steps as needs emerged<\/li>\n<li>Identifying and closing critical gaps<\/li>\n<li>Consolidating platforms and teams to improve service and reduce costs<\/li>\n<li>Developing T-shaped teams to broaden individual skill sets<\/li>\n<li>Optimizing processes for sustained improvement<\/li>\n<\/ol>\n<p>These improvements were deeply informed by hands-on learning, including supplier visits, Gemba walks, and progress monitoring, with an emphasis on fun and engagement.<\/p>\n<h3><\/h3>\n<h3>Outcomes<\/h3>\n<p>This approach yielded immediate and long-term results:<\/p>\n<ul>\n<li>Aligned teams around delivering value<\/li>\n<li>Exposed gaps in value streams, allowing for corrective action<\/li>\n<li>Introduced Lean principles across the organization<\/li>\n<li>Empowered teams through T-shaped skill development<\/li>\n<li>Implemented value stream metrics for empirical process contol<\/li>\n<li>Significantly improved team efficiency and effectiveness<\/li>\n<\/ul>\n<h3><\/h3>\n<h3>Unexpected Wins<\/h3>\n<ul>\n<li>Unified the entire organization around value delivery<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Enhanced understanding of individual roles within the broader ecosystem<\/span><span style=\"font-weight: 400;\"><br \/> <\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Identified smaller value streams, leading to knowledge sharing and collaboration<\/span><span style=\"font-weight: 400;\"><br \/> <\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Supported strategic decision-making with data-driven insights<\/span><span style=\"font-weight: 400;\"><br \/> <\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Improved overall organizational efficiency and effectiveness<\/span><\/li>\n<\/ul>\n<h3><\/h3>\n<h3>Business Impact<\/h3>\n<p>The transformation at MSA was profound:<\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Net Promoter Score (NPS) jumped from 30% to 70% in just one year<\/span><span style=\"font-weight: 400;\"><br \/> <\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Operational costs dropped 23% over two years<\/span><span style=\"font-weight: 400;\"><br \/> <\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Revenue increased by 35% in the same period<\/span><span style=\"font-weight: 400;\"><br \/> <\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Financial health shifted dramatically\u2014from a $2 million deficit to a $49 million surplus within five years<\/span><\/li>\n<\/ul>\n<h3><\/h3>\n<h3>Conclusion<\/h3>\n<p>Through value stream management, MSA restored operational efficiency and fiscal stability. Moreover, they regained the trust of its members and student community, providing the power of systemic, value-driven change.<\/p>\n<p>&nbsp;<\/p>\n<p>[\/et_pb_text][et_pb_text ul_position=&#8221;inside&#8221; ul_item_indent=&#8221;20px&#8221; admin_label=&#8221;Write up&#8221; _builder_version=&#8221;3.27.3&#8243; text_font_size=&#8221;16px&#8221; text_line_height=&#8221;1.6em&#8221; ul_font_size=&#8221;16px&#8221; ul_line_height=&#8221;1.8em&#8221; header_2_font=&#8221;Open Sans|700|||||||&#8221; header_2_text_align=&#8221;left&#8221; header_2_font_size=&#8221;28px&#8221; header_2_line_height=&#8221;2em&#8221; header_3_font=&#8221;Open Sans|700|||||||&#8221; header_3_font_size=&#8221;18px&#8221; _i=&#8221;2&#8243; _address=&#8221;1.1.0.2&#8243;]<\/p>\n<h3 style=\"text-align: center;\"><b>About Donald Patti<\/b><\/h3>\n<p><a href=\"https:\/\/www.scrumatscale.com\/become-a-trainer\/\">Registered Scrum@Scale\u00a0Trainer\u2122<\/a>\u00a0<a href=\"https:\/\/agileeducation.org\/trainer\/donald-patti\/\" target=\"_blank\" rel=\"noopener noreferrer\">Donald Patti<\/a> is an Agile Coach and Trainer for <a href=\"https:\/\/cedarpointconsulting.com\/\" target=\"_blank\" rel=\"noopener noreferrer\">Cedar Point Consulting<\/a>, where he assists organizations in applying Lean and Agile to develop new products and services as well as improve organizational performance. Additionally, he is the creator of Lean Strategy, a lightweight approach for small businesses to develop and execute their business strategy. Known for his strong business and technology acumen, Don has successfully founded and grown two entrepreneurial businesses during his career and consulted organizations including HP, Daimler Benz, JPMorgan Chase, Marriott, Verizon, and the US Federal Government.<\/p>\n<p>[\/et_pb_text][et_pb_divider color=&#8221;#cc0000&#8243; divider_weight=&#8221;2px&#8221; _builder_version=&#8221;3.27.3&#8243; width=&#8221;20%&#8221; module_alignment=&#8221;center&#8221; _i=&#8221;3&#8243; _address=&#8221;1.1.0.3&#8243;][\/et_pb_divider][et_pb_text ul_position=&#8221;inside&#8221; ul_item_indent=&#8221;20px&#8221; admin_label=&#8221;More S@S Case Studies&#8221; _builder_version=&#8221;3.27.3&#8243; text_font_size=&#8221;16px&#8221; text_line_height=&#8221;1.6em&#8221; ul_font_size=&#8221;16px&#8221; ul_line_height=&#8221;1.8em&#8221; header_2_font=&#8221;Open Sans|700|||||||&#8221; header_2_text_align=&#8221;left&#8221; header_2_font_size=&#8221;28px&#8221; header_2_line_height=&#8221;2em&#8221; 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_address=&#8221;2&#8243;][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; custom_padding_last_edited=&#8221;off|desktop&#8221; admin_label=&#8221;Hero&#8221; _builder_version=&#8221;3.27.3&#8243; use_background_color_gradient=&#8221;on&#8221; background_color_gradient_start=&#8221;#000000&#8243; background_color_gradient_end=&#8221;#e0261d&#8221; background_color_gradient_direction=&#8221;60deg&#8221; background_image=&#8221;https:\/\/siscrumatscale.wpengine.com\/wp-content\/uploads\/2019\/12\/licensed-scrum-trainer-teaches-class_scruminc.jpg&#8221; box_shadow_style=&#8221;preset7&#8243; box_shadow_horizontal=&#8221;0px&#8221; box_shadow_vertical=&#8221;0px&#8221; box_shadow_color=&#8221;#ffffff&#8221; max_width_last_edited=&#8221;on|phone&#8221; min_height=&#8221;578.4px&#8221; min_height_last_edited=&#8221;on|phone&#8221; height_tablet=&#8221;460px&#8221; height_phone=&#8221;656px&#8221; 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[&hellip;]<\/p>\n","protected":false},"author":18,"featured_media":28742,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","footnotes":""},"categories":[21,101],"tags":[116,149,120,113,111,112,115,179],"class_list":["post-28737","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-case-study","category-nonprofit-501c3","tag-agile","tag-delivery","tag-prioritization","tag-scalingscrum","tag-scrum","tag-scrumscale","tag-scruminc","tag-valuestreammanagement-2"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>The Case for Value Stream Management at MSA<\/title>\n<meta name=\"description\" content=\"A large nonprofit used value stream management to restore operational efficiency, fiscal stability, and regained the trust of its community.\" \/>\n<meta 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