"This case study details how a shift from traditional agile metrics (Story Points, Velocity) to actionable flow metrics (Work In Progress, Cycle Time, Throughput) reduced Cycle Times, increased quality, and increased overall predictability at Siemens Health Services. Moving to a continuous flow model augmented Siemens’ agility and explains how predictability is a systemic behavior that one has to manage by understanding and acting in accordance with the assumptions of Little’s Law and the impacts of resource utilization."