Liz Heier discusses how to implement Scrum successfully with distributed teams across multiple locations. She emphasizes that it requires having the right process, the right people, and the right tools. For the process, she recommends estimating backlogs, identifying minimum viable products, and using burn-up charts to monitor scope. For people, key roles include the Scrum Master, Product Owner, and development team. Effective communication across all teams is also important. For tools, she suggests using project management software for documentation, collaboration, code reviews, and ensuring transparency. With the right approach in these three areas, Scrum can be implemented effectively even with remote and distributed teams.