Per Tiff - My experience with projects began after I left the Navy and started a landscape construction company. Once I joined the corporate world in1998, I was schooled as a BA/PM through a homegrown process. When I began working for HealthGrades in 2007, there was discussion for a year about switching to Agile. We made the switch to a Scrum and eventually a couple of teams began to use Kanban. The State of Colorado CBMS Team (2013) is working towards utilizing Scrum as much as possible but the impediments require a gradual change rather than a "kitchen sink" approach.