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Business
Management

Lean Blog Interviews

Updated 4 days ago

Business
Management
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Mark Graban interviews leaders and innovators in the Lean thinking world. Topics will include Lean manufacturing, Lean healthcare, Lean production, Lean startups, and Lean enterprise. Visit the blog at www.leanblog.org. For feedback, email mark@leanblog.org. All past episodes, with show notes and more, can be found at www.leancast.org.

Read more

Mark Graban interviews leaders and innovators in the Lean thinking world. Topics will include Lean manufacturing, Lean healthcare, Lean production, Lean startups, and Lean enterprise. Visit the blog at www.leanblog.org. For feedback, email mark@leanblog.org. All past episodes, with show notes and more, can be found at www.leancast.org.

iTunes Ratings

30 Ratings
Average Ratings
27
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1
1
1

It will make you think differently about work

By David Siegler - Apr 14 2019
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Mark’s interviews shares success stories and lessons learned with those who have studied and practiced Lean. I have not had formal Lean training, but Mark makes clear that you do not need certifications to apply the principles of Lean. Listening to episodes over the past two years has made me view my own work differently, and think about how to systematically improve.

Value added

By Curt the brewer - Oct 10 2017
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Invaluable podcast! Mark is a seasoned lean practitioner and author. He delivers thoughtful interviews with leading lean thinkers. I often listen to episodes more than once to really grasp the concepts discussed.

iTunes Ratings

30 Ratings
Average Ratings
27
0
1
1
1

It will make you think differently about work

By David Siegler - Apr 14 2019
Read more
Mark’s interviews shares success stories and lessons learned with those who have studied and practiced Lean. I have not had formal Lean training, but Mark makes clear that you do not need certifications to apply the principles of Lean. Listening to episodes over the past two years has made me view my own work differently, and think about how to systematically improve.

Value added

By Curt the brewer - Oct 10 2017
Read more
Invaluable podcast! Mark is a seasoned lean practitioner and author. He delivers thoughtful interviews with leading lean thinkers. I often listen to episodes more than once to really grasp the concepts discussed.

Listen to:

Cover image of Lean Blog Interviews

Lean Blog Interviews

Updated 4 days ago

Read more

Mark Graban interviews leaders and innovators in the Lean thinking world. Topics will include Lean manufacturing, Lean healthcare, Lean production, Lean startups, and Lean enterprise. Visit the blog at www.leanblog.org. For feedback, email mark@leanblog.org. All past episodes, with show notes and more, can be found at www.leancast.org.

Dr. Tom Evans, Improving Healthcare Quality in Iowa

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See http://www.leanblog.org/245Today is the first of two episodes that I'll post here during Patient Safety Awareness Week. I agree with the National Patient Safety Foundation that every day should be patient safety day.I'm sure my guest for episode #245 would agree with that. He is Tom Evans, MD, FAAFP, the President and CEO of the Iowa Healthcare Collaborative. I've know Dr. Evans for many years, but was prompted to do the podcast by this editorial he wrote in the Des Moines Register: "Iowa hospitals succeed at keeping patients safe."In this episode, we talk about the progress being made in Iowa hospitals, what they are doing, and the lessons learned.

Mar 15 2016

23mins

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Robert Maurer, PhD, "One Small Step"

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Joining me for Podcast #153 is Robert Maurer, PhD, Director of Behavioral Sciences for the Family Practice Residency Program at Santa Monica-UCLA Medical Center and a faculty member with the UCLA School of Medicine. We are talking about his excellent book titled, One Small Step Can Change Your Life: The Kaizen Way.I discovered Maurer's book when doing research for our recently-published Healthcare Kaizen. It's really interesting to hear about applying the Kaizen approach in the realm of psychology and therapy instead of the workplace. Maurer writes about the brain chemistry that causes people to "fear change" - except when it's small change. Fascinating stuff and I'm thrilled to have spoken with him a few months back.To point others to this, use the simple URL: www.leanblog.org/153. Please leave a comment and join the discussion about the podcast episode.For earlier episodes of the Lean Blog Podcast, visit the main Podcast page at www.leanpodcast.org, which includes information on how to subscribe via RSS or via Apple iTunes.You can also listen to streaming episodes of the podcast via Stitcher: http://landing.stitcher.com/?vurl=leanblogIf you have feedback on the podcast, or any questions for me or my guests, you can email me at leanpodcast@gmail.com or you can call and leave a voicemail by calling the "Lean Line" at (817) 776-LEAN (817-776-5326) or contact me via Skype id "mgraban". Please give your location and your first name. Any comments (email or voicemail) might be used in follow ups to the podcast.

Jul 24 2012

23mins

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Dan Markovitz, Office Lean

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Podcast Episode #52 is a discussion with a good friend (and sometimes contributor) to the Lean Blog, Dan Markovitz, founder and President of TimeBack Management. TimeBack Management is a corporate efficiency-training firm specializing in the application of Lean manufacturing principles to business processes. The company’s WorkLean program helps knowledge workers reduce the hidden waste in the way they manage information and improves the flow of value to the customer. As such, the WorkLean program supports companies in their Lean journey.In this podcast episode, we talk about applications of Lean and 5S principles in office and administrative settings.For earlier episodes, visit the main Podcast page at www.leanpodcast.org.If you have feedback on the podcast, or any questions for me or my guests, you can email me at leanpodcast@gmail.com or you can call and leave a voicemail by calling the "Lean Line" at (817) 776-LEAN (817-776-5326) or contact me via Skype id "mgraban". Please give your location and your first name. Any comments (email or voicemail) might be used in follow ups to the podcast.

Nov 01 2008

23mins

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Andy Sheppard, #Lean, Change Management & More

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My guest for Episode #276 is a Lean consultant (although he might not prefer that term) and an author, A J (Andy) Sheppard.Andy is the author of The Incredible Transformation of Gregory Todd: A Novel about Leadership and Managing Change. He also contributed a chapter to my Practicing Lean book project. You can download the PDF of his chapter here and I hope you'll consider buying the book (it's for a good cause).He is a coach for leaders of change. His core expertise is helping workforces to quickly achieve systematic change in practice. A former McKinsey & Company consultant, he has now spent eighteen years working out this art of transformation in diverse industrial environments across the USA, Europe and Asia. He also continues to draw from prior experience of navigating change in corporate environments and experiencing it on shop floors. Further information about Andy can be found on www.ajsheppard.com. Andy is also happy to take any follow-up questions about leading change on his Goodreads Author Page. I hope you enjoy the conversation, which touches on Lean, change management, the need to balance empathy and urgency, and more.

Mar 07 2017

42mins

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Karen Kiel-Rosser, Baldrige & Mary Greeley Medical Center

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My guest for episode #218 is Karen Kiel-Rosser, Vice President/Quality Improvement Officer at Mary Greeley Medical Center in Iowa. You can see her full bio below in this post. You might remember Karen from a recent post where she told a great story about putting patient safety first.We're talking today about the Malcolm Baldrige National Quality Award and how that framework and process is mutually supportive of Lean and quality improvement. In December, Mary Greeley Medical Center was named a recipient of Gold level recognition in the 2014 Iowa Recognition for Performance Excellence (IRPE) program - the state level Baldrige award. They previously received the Silver level in 2011.In the podcast, we talk about why and when Mary Greeley decided to pursue the Baldrige award, what it was like to be reviewed at the state level, and their future plans for applying at the national level.Karen also shares thoughts about how Baldrige ("the what") and Lean ("the how") fit together, some of their key quality outcomes measures, and how the recognition has helped internally with staff. She also talks about their safety huddles, the importance of "engaging those closest to the work," and the need for a "systematic approach" to capture Rapid Improvement Events and daily improvement work and how their use of KaiNexus has supported those efforts.The hospital was previously featured in episode #201: Ron Smith & Suz Kaprich, the KaiNexus WorkOut at Mary Greeley Medical Center.For a link to this episode, refer people to www.leanblog.org/218. Podcasts are sponsored by KaiNexus and their continuous improvement software platform -- www.KaiNexus.comFor earlier episodes of the Lean Blog Podcast, visit the main Podcast page at www.leanpodcast.org, which includes information on how to subscribe via RSS or via Apple iTunes.

Mar 16 2015

33mins

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Dr. Richard Shannon, Lean, Quality & Patient Safety

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Podcast #127 is a very special conversation with a leader and a hero of mine in the world of patient safety, Richard P. Shannon, MD. Dr. Shannon is a cardiologist and is Chair, Department of Medicine, University of Pennsylvania School of Medicine and the Hospital of the University of Pennsylvania as well as the Senior Vice Chair for Clinical Affairs, Department of Medicine.

Dr. Shannon was an early pioneer in the use of Lean and Toyota methods to improve outcomes and patient safety, namely the reduction of hospital acquired central line bloodstream infections when he was at Allegheny General Hospital, near Pittsburgh, as documented in Naida Grunden’s book "The Pittsburgh Way to Efficient Healthcare: Improving Patient Care Using Toyota-Based Methods. Dr. Shannon learned from PRHI and Paul O’Neill, my guest In episode #124 (www.leanblog.org/124) This podcast was produced in conjunction with the Healthcare Value Network. Visit their website at http://www.healthcarevalueleaders.org.

To point others to this, use the simple URL: www.leanblog.org/127.

You can leave comments there, as well. For earlier episodes of the Lean Blog Podcast, visit the main Podcast page at www.leanpodcast.org, which includes information on how to subscribe via RSS or via Apple iTunes. If you have feedback on the podcast, or any questions for me or my guests, you can email me at leanpodcast@gmail.com or you can call and leave a voicemail by calling the "Lean Line" at (817) 776-LEAN (817-776-5326) or contact me via Skype id "mgraban". Please give your location and your first name. Any comments (email or voicemail) might be used in follow ups to the podcast.

Aug 18 2011

20mins

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Audiobook Excerpt of "Measures of Success"

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Today's episode (#313) of the podcast is a bit of a departure from the norm. Instead of interviewing a guest about their book or other work, I'm reading what's basically an audiobook-style excerpt of the first part of my new book Measures of Success: React Less, Lead Better, Improve More. I say "audiobook-style" because it's not professionally produced and my voice has been bad after being sick last week... but I thought this would be one way to share some of this material and promote the book. I won't be doing a full-blown audiobook because the book is so full of charts, I don't think it all translates well to the audiobook format. But, here I'm reading the foreword, the preface, the introduction, and part of Chapter 1.

Aug 07 2018

38mins

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Steven J. Spear, Lean Healthcare

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#87 is a discussion with a returning guest, Steven J. Spear, PhD, author of the outstanding book "Chasing the Rabbit." The book is due to be re-released in May under a new title, "The High-Velocity Edge." In this podcast, we talk about an upcoming workshop Spear is doing for the Institute for Healthcare Improvement, lessons that healthcare can learn from other industries, and the reaction of healthcare leaders to Toyota's recent quality problems.For earlier episodes, visit the main Podcast page at www.leanpodcast.org, which includes information on how to subscribe via RSS or via Apple iTunes.If you have feedback on the podcast, or any questions for me or my guests, you can email me at leanpodcast@gmail.com or you can call and leave a voicemail by calling the "Lean Line" at (817) 776-LEAN (817-776-5326) or contact me via Skype id "mgraban". Please give your location and your first name. Any comments (email or voicemail) might be used in follow ups to the podcast.

Mar 26 2010

13mins

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Dr. Joe Guarisco, E.D. Process Improvement

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My guest for podcast #160 is Joseph S. Guarisco, M.D., FAAEM, FACEP. Dr. Guarisco is currently Chairman of the Department of Emergency Medicine and System Chief of Emergency Services for the Ochsner Health System. Dr. Guarisco is a keynote speaker at the upcoming Society for Health Systems conference (which I'll be attending) and we are both part of the American Academy of Emergency Physicians annual scientific assembly in February (where I'll be co-presenting with my Healthcare Kaizen co-author Joe Swartz on E.D. process improvement strategies). Here is a Q&A, hosted by SHS, with Dr. Guarisco.In this episode, we talk about Dr. Guarisco's process improvement efforts at Oschner and how that was made necessary by Hurricane Katrina and the aftermath, where demand TRIPLED in their E.D. We also chat about standardized work and variation reduction fit in with the practice of medicine and improving E.D patient flow.

Jan 03 2013

29mins

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Karyn Ross on Lean for Service Excellence

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My guest for Episode #266 of the podcast is Karyn Ross (KRCLean4Service on Twitter), co-author of the new book (with Jeff Liker): The Toyota Way to Service Excellence: Lean Transformation in Service Organizations.Karen first learned about and applied Lean in companies like Paychex, Zurich Insurance, and Liberty Mutual Insurance and has worked with other service sector companies as a consultant.In this episode, we'll discuss her book and the important applications of Lean in service settings. Karyn says delighting customers requires something different than a "mechanistic Lean implementation" approach - and I agree, completely. I hope you enjoy the conversation as much as I did.

Oct 25 2016

54mins

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Mike Micklewright, "What Would Deming Say?"

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Episode #43 of LeanBlog Podcast is a very special one. My guest is Mike Mickleright, writer, consultant, and performer -- most interesting to me is his impersonation of Dr. W. Edwards Deming. As I wrote about before, I've seen his DVD and Mike agreed to create this podcast with me. We start off talking with Mike about his background with Dr. Deming and how he created the impersonation. Then, we shift into me interviewing Mike as Dr. Deming, asking him some questions on modern quality approaches including Lean and Six Sigma. His website is www.mikemick.com.If you have feedback on the podcast, or any questions for me or my guests, you can email me at leanpodcast@gmail.com or you can call and leave a voicemail by calling the "Lean Line" at (817) 776-LEAN (817-776-5326) or contact me via Skype id "mgraban". Please give your location and your first name. Any comments (email or voicemail) might be used in follow ups to the podcast.

May 18 2008

24mins

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Gemba Claus is Comin' to Town

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A special holiday treat for my Lean Blog readers and podcast listeners, "Gemba Claus is Comin' to Town." Lyrics by Mark Graban, Performance by Steve Sholtes (http://www.stevesholtes.com/).

Dec 22 2009

1min

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Paul DeChant, MD, MBA on Reducing Burnout Through Lean

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Joining me for episode #230 is Paul DeChant, MD, MBA to talk about reducing burnout, especially physician burnout, through Lean.Paul (see his bio here) is the former CEO of Sutter Gould Medical Foundation, a 300-physician multispecialty medical group in California's Central Valley. Before that, he had stints at organizations including Geisinger Health System and the Palo Alto Medical Foundation. He is now a consultant and executive coach for Simpler Healthcare.For a link to this episode, refer people to www.leanblog.org/230.In the podcast, we talk about questions and topics including:Tell us about your career... how did you get involved in healthcare leadership and how did you get exposed to Lean?What problems or opportunities were you trying to address with Lean?How did you see your role and participation as CEO? As a physician leader?You recently wrote a blog post "why is physician engagement even an issue?" How would you describe the current state of life for an MD before Lean?Can Lean help prevent burnout for MDs or others?Is there a point where somebody gets "too burned out" and can't be turned?

Sep 23 2015

42mins

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Brad White, on Lean Daily Management for Healthcare

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See http://www.leanblog.org/260My guest for Episode #260 of the podcast is Brad White, author of the recently-released book Lean Daily Management for Healthcare: A Strategic Guide to Implementing Lean for Hospital Leaders. He is currently a Senior Process Improvement Advisor at Grady Health System in Atlanta, but I first met Brad a few years back when we were both in San Antonio and he was working for a health system there. In San Antonio, Brad helped spread these "Lean Daily Management" practices at the Baptist system and University Health System. I was able to come visit and see how this process was engaging leaders and staff at UHS (see photos below).You can learn more about Brad's book at his website, which includes a two-page PDF on how these methods can improve patient flow.http://leandailymanagement.com/

Aug 22 2016

44mins

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John Dyer, Reflections on Deming, Six Sigma, and More

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My guest for episode #229 is John Dyer, president of his consulting firm, JD&A, Inc., and a contributor for IndustryWeek.com. John started his career at General Electric and later moved to Ingersoll-Rand, where he was VP of Operations for their Security and Safety sector.John had the good fortune to learn directly from W. Edwards Deming, as he took the famed four-day seminar (that included the Red Bead Experiment) and was also invited to take the follow on course with a smaller group. You'll also want to scroll down to see the great picture that he posted on Twitter of him and Dr. Deming.For a link to this episode, refer people to www.leanblog.org/229.In the podcast, we talk about questions and topics including:Tell us about the early days of your career in manufacturing engineering and management... how did you get involved in operational excellence?While at GE, you had some experience with W. Edwards Deming, tell us about that...What are some of the key lessons from Dr. Deming that stick with you today?GE's CEO Jack Welch had once derided Deming as "too theoretical." Was it that or did Deming's concrete suggestions just fly in the face of Jack's way?What did John recently witness when a relative was a hospital inpatient? How did that compared to some things Dr. Deming saw and reported as a patient in 1987?

Sep 07 2015

45mins

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Art Smalley, “Four Types of Problems”

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My guest for Episode #324 of the podcast is Art Smalley. Art was one of the first Americans to work for Toyota Motor Corporation in Japan and, since then, has been helping other organizations with the Toyota Production System (a.k.a. “Lean”) methods and approaches. You can also visit his website to learn more, www.ArtOfLean.com.

Art is a fellow faculty member at the Lean Enterprise Institute. He has written two Shingo Publication Award-winning books: Creating Level Pull and (co-authored with Durward Sobek) Understanding A3 Thinking. Art later wrote Toyota's Kaizen Methods: Six Steps to Improvement with Isao Kato.

I own all of these books and have only met Art briefly in the past, so I'm happy to finally have him here as a guest. Today, we'll talk about Art's career and his most recent book, Four Types of Problems, published by the Lean Enterprise Institute (note: LEI provided me a free electronic copy of the book).

I hope you enjoy the conversation as much as I did.

Nov 13 2018

1hr 7mins

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Dan Jones, Lean Outside of Manufacturing

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Podcasts are sponsored by KaiNexus and their continuous improvement software platform -- www.KaiNexus.comReturning to the podcast after his first appearance in Episode #188 is Daniel T. Jones, founder and chairman of the UK-based Lean Enterprise Academy. You can find him on Twitter now as @DanielJonesLean.Dan collaborated with Jim Womack on the books The Machine That Changed the World, Lean Thinking, and Lean Solutions and published other books through the LEA. He is also a senior advisor to the relatively new website and journal "Planet Lean."In this episode, we talk about some of the progress being made in areas outside of manufacturing. Dan says there's "awareness everywhere" but asks if there's "real depth" in Lean progress? We'll discuss how we can reframe Lean for the public sector and healthcare as a way of going beyond mere cost cutting programs. What does Dan seeing happen in software and startup sectors with Lean in companies like Spotify in Sweden? How is interest in the core "respect for people" leading to a search for "more holistic management methods?"For a link to this episode, refer people to www.leanblog.org/216. For earlier episodes of the Lean Blog Podcast, visit the main Podcast page at www.leanpodcast.org, which includes information on how to subscribe via RSS or via Apple iTunes.

Feb 19 2015

45mins

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Ted Stiles & Dr. John Toussaint Discussing #Lean

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For episode #236, things are a little different than usual. Today, I wanted to share a video discussion between my friends Ted Stiles and John Toussaint, MD.Ted is a partner with the recruiting firm Stiles & Associates. John, of course, is the president of the ThedaCare Center for Healthcare Value and has been a frequent guest in my podcast series.John's most recent book is Management on the Mend.For a link to this episode, refer people to www.leanblog.org/236.

Dec 16 2015

45mins

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Paul Akers, "Lean Health"

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Episode #237 is, like the last episode, a bit different... but in a different way. My guest is my friend Paul Akers, author of the new book Lean Health. Paul was previously a guest for Episode 133, where he talked about his book 2 Second Lean and also for Episode 122. Today, we're talking about his new book, just released.What's different about this podcast is that I attempted to broadcast it live via YouTube. We eventually got there, but not until after some errors I made (and reflected upon here). What appears here is an edited audio-only version of our conversation, which includes some questions from live viewers.Paul has put a lot of time and money into this book. You can buy it on Amazon or download a FREE version as a PDF or audiobook via his webpage.

Jan 04 2016

43mins

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Skip Steward on Deming, Wheeler, Metrics, and More

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Skip Steward, the Chief Improvement Officer at Baptist Memorial Health Care in Tennessee, was a guest on Episode #314 of the podcast talking about TWI and Toyota Kata in healthcare (he was joined by Brandon Brown).Today, I've asked Skip to come back and chat 1x1, in Episode #320, about his experience with Don Wheeler, learning from W. Edwards Deming, and more. I hope you enjoy his reflections, our discussions about healthcare, and connections to my book Measures of Success (Skip undoubtedly has a book in him too).

Oct 09 2018

54mins

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Quint Studer on Tips for Busy Leaders in Healthcare and Beyond

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Links and full transcript: http://www.leanblog.org/353

My guest for Episode #353 of the podcast is somebody whose work I've appreciated for a long time -- Quint Studer. I was first introduced to his book Hardwiring Excellence back in 2005 and I've been following his work (and reading his books) ever since.

Today, we'll talk about "hardwiring" and other concepts from his first book. We will also explore his latest book, The Busy Leader's Handbook: How To Lead People and Places That Thrive, a book intended for leaders in all industries.

Dec 01 2019

1hr 2mins

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Dr. Fred Southwick, Teaching Quality, Patient Safety & Lean

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http://www.leanblog.org/352

Joining me for Episode #352 of the podcast is Frederick Southwick, M.D. He is a Professor of Medicine and is also Director of Patient Care Quality and Safety in the Division of Hospitalist Medicine at the University of Florida in Gainesville.

Fred is the author of many books including Critically Ill: A 5-Point Plan to Cure Healthcare Delivery. In the podcast, Fred will talk about why he shifted from infectious diseases to focusing on hospital medicine and healthcare improvement. This was driven partially by two very personal episodes with problems in the healthcare system that his then-wife and he both suffered from. Fred was appointed as a Harvard University Advanced Leadership fellow, where he studied business and public health.

Fred was exposed to Lean through MIT Prof. Steven Spear and they have published an article together, where they call for "all academic physicians caring for patients to focus on systems and quality improvement." In the episode, Fred reflects on how he personally shifted from blaming doctors to looking at systems as the primary driver of quality and safety problems.

He also teaches Lean to medical students and has two public classes on "Fixing Healthcare" (including one with a deeper focus on Lean) through Coursera.

I hope you enjoy the conversation as much as I did.

Nov 18 2019

55mins

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Joel Tosi and Dion Stewart, "Creating Your Dojo"

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http://www.leanblog.org/351

Joining me for Episode #351 of the podcast are my friends Joel Tosi and Dion Stewart, co-founders of the company Dojo & Co.

They're the authors of the new book (to be released on November 19) called Creating Your Dojo: Upskill Your Organization for Digital Evolution

A "dojo" is a learning environment -- whether that's for the martial arts or if it's a "safety dojo" in a Toyota factory. Today, we talk about what it means to create an "immersive learning environment" in a workplace, such as a software company or a product development group within a larger company -- the goal is more effective learning, progress, and adoption of new methods or products. It's interesting to think about how one might use a "dojo" in the context of Lean design or improvement efforts in a hopsital or other settings. 

Joel, Dion, and I have collaborated before on a few events, including our Learning Symposium where we visited Toyota and Garrison Brothers Distillery last year.

Nov 12 2019

54mins

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Tim Turner - Building Lexus, Leaving Toyota, and Helping Elsewhere

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http://www.leanblog.org/350

Our guest today is Tim Turner, who joined us previously in 2010 for episode #90. Tim was the lead author for a book called One Team on All Levels that was about the Toyota plant and its people in Kentucky. Tim was involved in the ramp up of Kentucky Lexus production and then left Toyota after 22 years. He was at another manufacturing company and now works as a consultant, so it's interesting to hear about all of those different experiences. 

Nov 04 2019

1hr 11mins

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John Dyer, "The Facade of Excellence"

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http://www.leanblog.org/349

My guest for episode #349 is John Dyer, president of his consulting firm, John Dyer & Associates, Inc., and author of the new book, The Façade of Excellence: Defining a New Normal of Leadership, which will be released on October 1, 2019.

John has been a guest previously in episodes #229 and #280, talking about Dr. W. Edwards Deming, "The Red Bead Experiment," and more.

Today, we talk about the book, how to find out of there is a "facade" of excellence, and why "fear makes good people do stupid things," as John says. What's a façade? "A false appearance that makes someone or something seem more pleasant or better than they really are."

Sep 23 2019

1hr

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Cinnamon Dixon, Tiered Huddles at Cleveland Clinic

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http://www.leanblog.org/348

Our guest today for Episode 348 is Cinnamon Dixon, Director Of Continuous Improvement at Cleveland Clinic. I interviewed her for the KaiNexus Continuous Improvement Podcast series and I'm cross posting that interview here to give it more exposure.

Our KaiNexus team members who were at the Lean Healthcare Transformation Summit in June were really impressed with Cinnamon's presentation on their "tiered huddle" process that's part of their Lean methodology. So, we asked her to do the podcast.

You can a full transcript via the KaiNexus blog.

I recently had a chance to visit Cleveland Clinic and I spent the morning observing their tiered huddles, so I'll be writing a blog post about that soon. Thanks to Cinnamon and Cleveland Clinic for being so willing to share!

Sep 17 2019

44mins

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Brad Parsons, Hospital CEO & Co-Author of "Creating an Effective Management System"

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http://www.leanblog.org/347

Our guest today for Episode 347 is Brad Parsons, the CEO of NEA Baptist, in Jonesboro, Arkansas. NEA Baptist is a 228-bed hospital and 140-provider medical group serving northeast Arkansas -- part of Baptist Memorial Health Care Corporation.

Brad is also the co-author of the new book Creating an Effective Management System: Integrating Policy Deployment, TWI, and Kata. His co-authors have been guests on the podcast before -- Patrick Graupp and Skip Steward.

In this episode, we'll talk about core themes from the book, including his role as the leader of their transformational efforts to implement and continue improving an effective management system -- something that's important for so many reasons. We'll also talk about "Process Behavior Charts" and his experience with Don Wheeler.

Sep 09 2019

1hr 2mins

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Mark Ryan, Transformation, Kaizen, and Management at Franciscan St. Francis Health

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http://www.leanblog.org/346

Joining me for Episode 346 of the podcast is Mark Ryan, a Transformation Coach and Lean Six Sigma Black Belt at Franciscan Health.

Mark will be one of the hosts and facilitators at our upcoming "Kaizen Live!" site visit event at Franciscan St. Francis Health in Indianapolis. Only two spots remain, so register today if you'd like to join us.

As we talk about in the episode, Franciscan does much more than daily Kaizen. They've built upon that foundation of staff engagement to add other Lean practices -- under the banner of what they call "Managing for Daily Improvement," or MDI. They use "strategy deployment" and other methods to align the organization in their goals and improvement efforts.

I hope you enjoy the discussion, whether you are joining us in Indianapolis or not.

Aug 24 2019

52mins

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Edward Niedermeyer on "Ludicrous" Stories About Tesla & Toyota

Aug 12 2019

1hr 23mins

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David B. Reid, P.E., Lean & Kaizen at Chick-fil-A

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http://www.leanblog.org/344

Joining me for Episode #344 is David Reid, a mechanical engineer whose career has taken him from improvement work at Michelin Tire, to being a pastor, to now helping the Chick-fil-A restaurant chain improve through Lean and Kaizen practices and mindsets.

I was really excited to see the cover story that was in the May 2019 issue of ISE Magazine (Industrial & Systems Engineering). The headline inside reads, “From lean modules to a lean mindset — Chick-fil-A's success shows how leveraging your greatest asset speeds up cultural change.”

In this episode, I get to ask David about some of the drivers for Lean at Chick-fil-A, which is already a high-growth company with many happy customers and employees.

How do they influence the owner/operators of stores to embrace Lean and to engage every employee in continuous improvement? Why did they learn that a top-down engineering-driven model couldn't possibly drive enough improvement? How does a Facebook page enter the equation for employees (and note that using Facebook was an employee idea) instead of “building an app.”

There are many great “nuggets” of wisdom here from David, pun absolutely intended. I hope you enjoy the episode!

Jul 02 2019

1hr

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Amanda Mewborn, Combining Engineering and Nursing

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My guest for Episode #343 of the podcast is Amanda Mewborn, an executive director of project management for Piedmont Health.

I've known Amanda through the Society for Health Systems and she's one of the very small number of people I know with both engineering and nursing degrees. She has a B.S. in Industrial and Systems Engineering and an M.S. in Health Systems from Georgia Tech and a B.S. in nursing from Georgia State University.

So, in today's episode, we talk about that interesting combination of skill sets and why she got a nursing degree. We also chat about her career in healthcare, along with some of the facility design and construction work she has been involved with. We also hear her thoughts on why it's important to have the engagement and involvement of front-line staff (and patients) in the design process.

Jun 05 2019

59mins

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Adam Ward (@adz_mikl) on Lean Design in Healthcare

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For links and more, go to http://www.leanblog.org/342

My guest for Episode #342 of the podcast is Adam Ward, the author of Lean Design in Healthcare: A Journey to Improve Quality and Process of Care.

Adam is an innovation process expert and independent advisor. He spent the first 12 years of his career designing cars for Honda and the next 12 years working with Fortune 500 companies to turn around their product development process. A resident Buckeye, he coaches students at Ohio State's MBOE program.

In this episode, we discuss his early days at Honda and how he made a career transition into healthcare. We'll talk about the story behind his book and some of his experiences and practices that are transferrable — going from “simultaneous engineering” to “Lean design.” What are some of the most common failures? How can we coach leaders so they aren't giving just lip service to these methodologies? We discuss all of that and more…

May 21 2019

48mins

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Dr. Rob Hackett (@patientsafe3) on #TheatreCapChallenge & Change in Healthcare

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http://www.leanblog.org/341

My guest for Episode #341 of the podcast is Dr. Rob Hackett, an anaesthesiologist in Sydney, Australia. Rob has become known around the world for his role in what's now called the “Theatre Cap Challenge” — a method for improving communication and, thereby, improving patient safety and outcomes.

As we talk about today, Rob had the idea of writing his name and role on his surgical cap with a sharpie. Eventually, he (and others) have gotten printed caps made as shown below in my LinkedIn post about our discussion (it has received 200,000 views and counting).

As I wrote on LinkedIn, Rob has, unfortunately, been trolled, threatened, and bullied for this seemingly benign and obvious improvement idea — both in the workplace and online. It seems that outsiders to healthcare and those who are new to medicine find an idea like this to be obviously helpful, but those who have been in healthcare the longest struggle to accept it.

I appreciate Rob's perspective that those who oppose this innovation, for whatever reason, probably aren't bad people — they just have a different view and, possibly, some old habits or cognitive biases that they are stuck in.

The interview goes for over an hour. One thing I'd like to do is produce a shorter audio piece that's more like an NPR news story. See below for a full transcript and for links, videos, and more. His website is www.psnetwork.org.

May 15 2019

1hr 6mins

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Preview: "Lean Whiskey" Podcast

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Here is a special sample preview of a new podcast... the “Lean Whiskey” Podcast

If you like it, please subscribe by searching your podcast directory for "Lean Whiskey" or go to www.LeanWhiskey.com.

About the Podcast

Mark Graban and Jamie Flinchbaugh are two guys with a lot in common: Lean, writing books, speaking, consulting... and a love of good whiskey. Like the Car Talk guys, they both went to MIT... but Lean isn't rocket science. Let's hope they can hold their liquor, because they're not holding back on sharing their opinions... it's time for Lean Whiskey... Lean talk with a fun spirit!

May 04 2019

47mins

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@JoyFurnival, Lean in NHS England

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Joining me for Episode #340 of the podcast is Dr. Joy Furnival CEng MIET, an experienced senior NHS manager, improvement leader, and chartered engineer. I first crossed paths with Joy at a Lean healthcare event in England back in 2007. At the time, she was working for David Fillingham and the Bolton NHS Trust, which was an early adopter of Lean in the NHS.

In this episode, we talk about how we are, in some ways, “Lean twins,” as we both started our careers as engineers in manufacturing. Our career paths then diverged when she joined the NHS whilst I've worked as an outside consultant.

I very much appreciate her perspectives as we talk about her roles in a few different hospitals and as a “national improvement advisor” for the NHS. I hope you'll enjoy the conversation as much as I did.

Apr 24 2019

1hr

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Charlie Protzman, “Lean BASICS”

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Joining me for Episode #339 of the podcast is Charles Protzman, author of a great number of Lean healthcare books. Today, we are talking about a book that he wrote for a broader audience, The BASICS Lean Implementation Model: Lean Tools to Drive Daily Innovation and Increased Profitability.

I first met Charlie over a decade ago when I worked for Johnson & Johnson's VauMetrix Services consulting group — and he was a big influence on our team and our methodology. I'm glad to finally have him here on the podcast to discuss how he navigates the differences between manufacturing and healthcare settings and why he “looks forward” to questions about patients not being cars. We'll also talk about his BASICS model of Baseline, Assess/Analyze, Suggest Solutions, Implementation, Check, and Sustain.

We also discuss the power of direct workplace observation, something that I wrote about in Lean Hospitals and I discussed with a healthcare CEO, Vance Jackson, in Episode #337.

Apr 10 2019

1hr 7mins

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Grey Dube, Another Lean Healthcare CEO from South Africa

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My guest for Episode #338 is Mr. Grey Dube, the Chief Executive Officer at Leratong Hospital. He has over 40 years' experience in the Public Service, including time as CEO since 2005. Leratong Hospital is an 855 bedded regional hospital with over 1700 staff members, located in Mogale City, Krugersdorp, South Africa (just east of Johannesburg).Grey is the third consecutive hospital CEO guest, including Gladys Bogoshi (also from South Africa) and Vance Jackson (from the U.S.). I think it's interesting to hear similar philosophies and mindsets from these leaders.Like Gladys, Grey is going to be a keynote speaker at this year's Lean Healthcare Transformation Summit, to be held in Washington, DC on June 13 & 14. I'll be there and I hope you can join us. I'll also be teaching a pre-Summit workshop on Measures of Success that I hope you can attend.In this episode, we talk about how he got introduced to Lean and how he leads the Lean transformation efforts, including assessing and modeling behaviors including humility and self-discipline. How is he working to change the culture to one where all people are trained to be scientific problem solvers? Grey shares that, some of their success stories, some of their challenges, and more in this conversation.

Apr 03 2019

42mins

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Vance Jackson, a Lean Healthcare CEO from West Virginia

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It's my second straight podcast with a healthcare CEO. This time, joining me for Episode #337 is Vance Jackson, FACHE, FACMPE, the President & CEO of Davis Health System, based in Elkins, West Virginia.Vance and I talk about how he was admittedly skeptical about Lean at a previous healthcare organization. But, over time, he realized the importance of Lean and the need for him to lead differently — getting input from everybody instead of the old autocratic way that we see in so many healthcare organizations. How does Vance lead by example as a CEO? Why is it so important for him to go to the “gemba” and observe the actual work and the workplace environment?We talk about all of that and more in this episode.

Mar 20 2019

51mins

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Gladys Bogoshi, a Lean Healthcare CEO from South Africa

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My guest for Episode #336 is Gladys Bogoshi, the Chief Executive Officer at Charlotte Maxeke Johannesburg Academic Hospital, one of the ten central hospitals in South Africa and the main teaching platform of the University of the Witwatersrand. The Hospital is situated in Johannesburg and has a bed capacity of 1189. Gladys is going to be a keynote speaker at this year's Lean Healthcare Transformation Summit, to be held in Washington, DC on June 13 & 14. I'll be there and I hope you can join us. I'll also be teaching a pre-Summit workshop on Measures of Success that I hope you can attend. In this episode, we talk about how she got introduced to Lean, some of the improvements that her hospital has driven in surgery, pharmacy, and other areas. What is her role as CEO in a Lean journey? What are some of the fundamental behaviors that are important and how you can coach people on those? We talk about all of that and more.

Mar 14 2019

37mins

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Barry O’Reilly on the Need to “Unlearn”

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It's two Barrys in a row on the podcast, as my guest for Episode #335 is Barry O'Reilly and we're talking, in depth, about his latest book, Unlearn: Let Go of Past Success to Achieve Extraordinary Results. Barry is a business advisor, entrepreneur, and author who has pioneered the intersection of business model innovation, product development, organizational design, and culture transformation. See his full bio. Last week, I shared a shorter discussion with Barry that served as a preview of the webinar that he's presenting on Wednesday. You can find a link to register for the live webinar (or to view the recording) at leanblog.org/335. Barry and I chat about topics including 1) experimental approaches to entrepreneurship, 2) how leaders need to make it safe for people to try new things, and 3) why you have to unlearn before you can learn something new – that's the pathway that allows you to then achieve breakthrough results. These are good ideas in business and they also talk about the interesting case of tennis legend Serena Williams and how she reinvented her game to extend her greatness. I hope you enjoy the conversation as much as I did and do hope you'll pick up the book.

Mar 05 2019

58mins

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