Evaluating the Impact of Converting to Agile on Small and Medium-Sized Enterprises (SMEs): Is It Always a Positive Move? Kingsley Nnaemeka Nwaigbo MBAR 661 (HBD-SUMMER25-02) : Academic Research Project Dr. Khazraei, Ali Backup – Role of Change Management Industry High-Impact Practices Metric I Watch Health Risk-based testing, compliance-by-design, cross- Cycle time to release; defects in clinical functional reviews with clinicians. scenarios. CI/CD, trunk-based development, automated testing; Deployment frequency; lead time; change strong backlog hygiene. fail rate. Kanban with WIP caps, supplier collaboration, and on- Throughput; first-pass yield; downtime style escalation. MTTR. Permit/HSSE integrated into flow, risk pre-mortems for Risk burndown; schedule adherence; high-stakes work. incident rate. Model-based systems engineering, rigorous change Nonconformance trends; verification pass control, verification early. rate. Iterative trials, farmer feedback loops, simple mobile Time-to-validate; adoption rate; cost per data capture. outcome. IT/Software Manufacturing Energy Aerospace Agriculture References • Agbejule, A., & Lehtineva, L. (2022). The relationship between traditional project management, agile project management and teamwork quality on project success. International Journal of Organizational Analysis, 30(7), 124–136. https://doi.org/10.1108/IJOA-02-2022-3149 • Ahmad, S., & Wasim, S. (2023). AGILE Methodology in Healthcare and Medical Practices: A Narrative Review. Scholars International Journal of Chemistry and Material Sciences, 6(08), 129– 133. https://doi.org/10.36348/sijtcm.2023.v06i08.002 • Alotaibi, F., & Almudhi, R. (2023). Application of Agile Methodology in Managing the Healthcare Sector. iRASD Journal of Management, 5(3), 147–160. https://doi.org/10.52131/jom.2023.0503.0114 • Amazon Web Services. (2023). Benefits of AWS cloud computing Services—Amazon Web Services (AWS). Amazon Web Services, Inc. https://aws.amazon.com/ • Amin Hakim. (2019). Amin Hakim, MD, FIDSA, CPE, FACPE, is a member of the Physician Leadership Journal editorial board. He has been a physician l eader at numerous institutions during his career, responsible for clinical operations, quality and cost. • AWSAmazonRDS. (2025, August). Amazon Relational Database Service (Amazon RDS) Features – Amazon Web Services. Amazon Web Services, Inc. https://aws.amazon.com/rds/features/ • AWSBilling&Cost. (2025, August). What is AWS Billing and Cost Management? - AWS Cost Management. https://docs.aws.amazon.com/cost-management/latest/userguide/what-iscostmanagement.html • AWSElasticBeanstalk. (2025, August). Web App Deployment—AWS Elastic Beanstalk—AWS. Amazon Web Services, Inc. https://aws.amazon.com/elasticbeanstalk/ • Bartlett, B. N., Vanhoudt, N. N., Wang, H., Anderson, A. A., Juliar, D. L., Bartelt, J. M., Lanz, A. D., Bhandari, P., & Anil, G. (2023). Optimizing inpatient bed management in a rural communitybased hospital: A quality improvement initiative. BMC Health Services Research, 23(1), 1000. https://doi.org/10.1186/s12913-023-10008-6 • Benjamin, K., & Potts, H. W. (2018). Digital transformation in government: Lessons for digital health? DIGITAL HEALTH, 4, 2055207618759168. https://doi.org/10.1177/2055207618759168 • Boehm, B., & Turner, R. (2005). Management challenges to implementing agile processes in traditional development organizations. IEEE Software, 22(5), 30–39. https://doi.org/10.1109/MS.2005.129 • Bogumił, H. (2020). Dissimilarities between applied methods of project management impacting regression in business processes and technical architecture. Journal of Entrepreneurship, Management and Innovation, 16(1), 133–168.