Lean Blog Interviews - Healthcare, Manufacturing, Business, and Leadership

In this series, started in 2006, Mark Graban interviews leaders, practitioners, authors, innovators, and legends in the Lean community. Topics include the Lean methodology in manufacturing, healthcare, startups, and other settings. Particular emphasis is given to leadership and management system concepts, including the Toyota Production System and related methods. But, we don‘t talk about ”Lean Six Sigma” much around here, if that interests you... but if you agree that Lean is more than ”just a bunch of tools in the improvement toolbox,” this is the place for you. We focus more on Lean as a culture, a philosophy, and a management system. You’ll learn, and our guests will inspire you. 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.

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Episodes

Tuesday Mar 14, 2023

Co-founder, chairman and CEO of BCT Partners
Episode page with links and more
Joining us for Episode #471 of the Lean Blog Interviews Podcast is Dr. Randel Pinkett. He was a guest in Episode 380 in 2020, with Prof. Jeffrey Robinson, his co-author for the book Black Faces in White Places.
Today, I'm honored to be joined by Randal again to talk about his new book, his fifth book —  Data-Driven DEI: The Tools and Metrics You Need to Measure, Analyze, and Improve Diversity, Equity, and Inclusion, released yesterday, March 14th. 
Randal is an entrepreneur, innovator, speaker, author, media personality and DEI expert who is leading the way in business, technology and equity for all. He is the co-founder, chairman and CEO of BCT Partners, a global, multimillion-dollar research, training, consulting, technology, and data analytics firm whose mission is to provide insights about diverse people that lead to equity.  
He's a graduate of the MIT Leaders for Global Operations Program. He's a Rhodes Scholar with a PhD also from MIT. As we talked about a little bit last time, Randal was the winner of Season 4 of The Apprentice.

Wednesday Mar 01, 2023

Episode page with video, transcript and more
Joining us for Episode #470 of the Lean Blog Interviews Podcast is Gary Michel.
He was Chairman and CEO of JELD-WEN, Inc. until August 2022 and, just after that, I saw him give an outstanding keynote talk at the AME annual conference in Dallas.
Gary was previously President and CEO of Honeywell Home and Building Technologies (HBT) and President and CEO of ClubCar. He also led the Trane HVAC business, among other executive roles.
He has a BS in Mechanical Engineering from Virginia Tech and an MBA from the University of Phoenix.
His book, Decomplify: How Simplicity Drives Stability, Innovation, and Transformation, will be available later this year.
In this episode, Gary discusses his Lean origin story and how he views and drives Lean as a CEO. He reflects on the importance of strategy deployment and Lean as an enterprise approach, and shares his approach to Lean problem solving as a CEO. Gary emphasizes the impact of taking a “fresh eyes” approach to Gemba walks, and talks about the importance of being inquisitive and taking responsibility for simplifying processes (or “decomplifying” them).
Questions, Notes, and highlights:
What's your Lean origin story?
Lower volume business – how to make it flow? We're not Toyota?
Strategy deployment… lean as an enterprise
How to be focused on most pressing needs?
Reaction to the John Toussaint quote – “you've seen one lean transformation….”
“I teach problem solving a lot”
Who were your teachers, guides and coaches?
Shedding Old habits and old philosophies
How did you drive Lean problem solving from the CEO seat?
How to coach others away from bad habits?
Culture impact of coaching leaders vs. selecting the right ones for promotion?
Having a rallying cry to set direction
Working to reduce fear of speaking up
Get out there… those closest to the work
How to get other leaders out to the Gemba?
The impact of taking leaders out on a Gemba walk??
Some are afraid of that, making mistakes?
The importance of taking a “Fresh Eyes” approach??
Why should leaders be inquisitive when things don't look the way they're supposed to look?
What's your definition of a “great company”?
Problem Solving AND communication as much as anything else
Influencing other CEOs to take interest in Lean yet alone drive it?
Gets asked – What if my CEO isn't driving this?
Decomplifying annual planning and strategy cycles?
The podcast is sponsored by Stiles Associates, now in its 30th year of business. They are the go-to Lean recruiting firm serving the manufacturing, private equity, and healthcare industries. Learn more.
This podcast is part of the #LeanCommunicators network. 

Wednesday Feb 22, 2023

I'm sorry for mistakenly releasing two episodes on the same day... now three.
Blog post related to this bonus episode

Wednesday Feb 22, 2023

New book, available now!
For links, video, transcript, and more visit the episode page 
Joining us for Episode #469 of the Lean Blog Interviews Podcast are Matt May and Pablo Dominguez, the authors of the new book What a Unicorn Knows: How Leading Entrepreneurs Use Lean Principles to Drive Sustainable Growth. It's available now!
Matt has been before, in episodes 67 and 103… and he was my guest for episode 39 of My Favorite Mistake.
Pablo Dominguez is an Operating Partner at Insight Partners, a leading global venture capital and private equity firm investing in high-growth technology and software ScaleUp companies that drive transformative change in their industries.
Pablo has spent his entire career as a go-to-market and sales-focused operator, working in consulting, public companies, startups, and, most recently, ScaleUps. The application of lean principles has figured centrally in driving sustainable growth in each of these ventures.
Matthew E. May leads the Lean ScaleUp program at Insight Partners, with Pablo.  His mastery of lean principles and methodologies comes from spending nearly a decade inside the Toyota organization, where he played an integral part in launching the University of Toyota, a corporate university dedicated to teaching, preserving, and expanding the Toyota Way. Previously the author of many great books, including The Elegant Solution and, most recently, Winning the Brain Game.
In this episode, we discuss their new book and how they are both influenced by Toyota and broader Lean thinking, including the Lean Startup methodology — and we discuss the questions and topics listed below:
Questions, Notes, and highlights:
Pablo, since this is your first time here, it would be great to hear your “Lean origin story”
Helping people cope with the discovery of waste and opportunities to improve? Feeling bad about it before moving forward?
Congratulations on the release of the book… in startup circles, what's meant by the term “Unicorn”?
What's a ScaleUp compared to a startup?
What is product-market fit? An example?
Risk of trying to scale prematurely?
One of the core themes in your model is “Constant experimentation” 
Investors – do they want to hear about “constant experimentation”? Do they want certainty?
How to prevent Big Company Syndrome (a.k.a., Big Company Disease)?
What is meant by “Lean ScaleUp”?
How do you react when you hear this aversion to “process” in agile or startup circles, as if process means being inflexible?
What's a “lean kaizen sprint”?
Applying this to the sales process?
Lessons Toyota about “building team spirit”?
Building teamwork across silos?
The podcast is sponsored by Stiles Associates, now in its 30th year of business. They are the go-to Lean recruiting firm serving the manufacturing, private equity, and healthcare industries. Learn more.
This podcast is part of the #LeanCommunicators network. 

Wednesday Feb 01, 2023

Chief Medical Officer of TeamHealth 
Episode page with video, transcript, and more
Joining us for Episode #468 of the Lean Blog Interviews Podcast is Jody Crane, M.D. He's the Chief Medical Officer for TeamHealth, and he was previously a guest for Episode 120.
As a proven leader, Dr. Jody Crane, M.D. is considered one of the leading experts in emergency department operations in the United States. Dr. Crane has taught and led healthcare and emergency department improvement efforts with hundreds of organizations in a wide variety of settings on six continents. In this role, he supports clinical quality and safety and performance improvement initiatives for all clinical service lines.
We're talking today because he's a keynote speaker at the upcoming Healthcare Systems Process Improvement conference, which is brought to us by the Society for Health Systems. I'm a member, and I'll be there at the event this year as usual, February 15 to 17 in Louisville, Kentucky. See Jody's full bio and more about his keynote talk.
His book, co-authored with Chuck Noon is The Definitive Guide to Emergency Department Operational Improvement: Employing Lean Principles with Current ED Best Practices to Create the “No Wait” Department.
Questions, Notes, and highlights:
First off, give us a bit of a preview of the core messages for your keynote talk…
It's a tough time in healthcare — three big issues
The impact of pay, culture, and working conditions?
Moral Injury vs. Burnout?
Fixing an imperfect system — broader value stream issues that aren't in our control?
Transitions between facilities and communication across shift handoffs – process improvement opportunities?
Helping people see improvement opportunity vs. “this is just the way it's meant to be”
Framing the problem as “not enough nurses” or “too much waste”?
The impact of Lean? The untapped potential of Lean?
Two questions for executives – Have you heard of Lean? Have you been part of a Kaizen Event?
The podcast is sponsored by Stiles Associates, now in their 30th year of business. They are the go-to Lean recruiting firm serving the manufacturing, private equity, and healthcare industries. Learn more.
This podcast is part of the #LeanCommunicators network. 
 

Wednesday Jan 25, 2023

Coach at www.TheLearningFactor.ca
Joining us for Episode #467 of the Lean Blog Interviews Podcast is Tracy Defoe.
She is an adult education consultant and researcher specializing in workplace education. For parts of the last 10 years, she has been puzzling over the challenges of participation and leadership in continuous improvement.  
She has taught communication, writing, teamwork, and cross-cultural communication as well as teaching methods to adults in colleges, universities, and the workplace. A regular consultant to business, labour, and government, Tracy is also an advocate for plain language and clear design.
Questions, Notes, and highlights:
Her website
Your origin story for C.I., Lean, Kata…?
How to navigate the distribution of varied mix-level knowledge / experience in a room when it's not 1×1?
How much can somebody absorb at once when learning?
“I don't know Yeti” – the mascot for Kata School Cascadia
The benefit of making learning fun?
Starter Kata questions – when is it OK to move beyond the rigid starter questions?
Teaching and coaching through questions
Being a 2nd coach? Mentor for the coach
Difficult to not jump in with advice when you DO know the process — for kata coaching?
Intervening vs. allowing them to make the mistake?
Being heard vs. feeling heard
The power of plain language… as opposed to jargon? What example comes to mind? Kata / Kaizen?
“Problem solving” sounds too definitive
Kaizen Events off track… Kata goes off track how?
Having a “third coach”?
Tell us about Kata Girl Geeks
Master Class with Tracy and Tilo Schwarz
Time in the coaching dojo and how you learn every time?
The podcast is sponsored by Stiles Associates, now in their 30th year of business. They are the go-to Lean recruiting firm serving the manufacturing, private equity, and healthcare industries. Learn more.
This podcast is part of the #LeanCommunicators network. 

Wednesday Jan 11, 2023

Episode page with video, transcript and more
My guest for Episode #466 of the Lean Blog Interviews Podcast is a returning guest, Billy Taylor. Since his last appearance, Billy has written and released a great book titled The Winning Link: A Proven Process to Define, Align, and Execute Strategy at Every Level.
Billy had a long career at Goodyear Tire & Rubber Company, where he served as plant director for both union and non-union facilities, leading lean transformations in Goodyear's largest and most complex tire-producing sites. Billy more recently founded his firm LinkedXL, where he is CEO.
He was previously a guest in Episodes 293 and 298, back in 2017. He was also a guest on Episode 5 of “My Favorite Mistake.”
Questions, Notes, and highlights:
Before we talk about your book, what stood out to you most at the AME conference this year?
How to understand the level of trust? How do build it??
“Coaching leaders on how to show up”
Productive huddles – Key Performance Actions (KPA)
What is “title-itis”?
Best people… best processes
Defining winning — why is that a challenge for some organizations? Lack of agreement on what winning means?
Purpose mapping – agreeing on this first?
Developing your strategy — how do we know if a strategy is the “right” strategy?? Truly differentiating??
What's your CPI – critical performance indicator? 
“Have you defined what winning means to you?”
SOAP – Strategy on a Page
Aligning to win — As you write — Making jobs better not making jobs go away?
“America… not a hiring problem… a retention problem”
Psychological Safety
“Covid changed the way we do business”
The podcast is sponsored by Stiles Associates, now in their 30th year of business. They are the go-to Lean recruiting firm serving the manufacturing, private equity, and healthcare industries. Learn more.
This podcast is part of the #LeanCommunicators network. 

Thursday Dec 22, 2022

Here's a musical holiday treat for my regular Lean Blog readers and podcast listeners, a song parody, originally released in 2009... remastered a bit here in 2022.
https://www.leanblog.org/2022/12/gemba-claus-comin-town-song/ 
Gemba Claus is Comin' to Town
Lyrics by Mark GrabanPerformance by Steve Sholtes
Oh, you'd better watch outYou'd better kaizenYou'd better not pout, I'm tellin' ya thenGemba Claus is comin' to town
He's making a listJust checking it onceDoin' it twice would waste a whole bunchGemba Clause is comin' to town
He sees you when you're waitin'He knows when your work flowsHe knows if changeovers are too longSo do SMED  for goodness sake
Oh, you'd watch outYou'd better not pauseYou'd better not poutFind the real root causeGemba Claus is comin' to Town!
For voiceover work, music, or more, you can contact Steve via his website, www.stevesholtes.com.
Merry Christmas and Happy Holidays!

Tuesday Dec 13, 2022

Episode page with transcript, video, and more
My guest for Episode #465 of the Lean Blog Interviews Podcast is the legendary (my word, not his) author, consultant, and speaker — Tom Peters. His new book is Tom Peters's Compact Guide to Excellence.
Click here to enter to win a paperback copy (through December 20).
He was previously a guest in Episode 382 of this podcast and My Favorite Mistake Episode 58. See previous blog posts about Tom and his ideas.
Today, Tom and I talk about some core concepts from his book, but we also weave through many topics including leadership that demonstrates “extreme humanism” (and leaders who do not, such as Elon Musk). As always, it's a fun, free-wheeling, and thought-provoking conversation when Tom is involved.
Note: Tom says he swears like a sailor… there are a few occasional mild curse words, so please be warned about that.
Questions, Notes, and highlights:
The moral bankruptcy of “maximizing shareholder value” — are we really moving away from that? Getting lip service from the Conference Board and others?
“People got ‘the brand called you' all wrong — it's not about self-marketing”
“Being good is good business. When you take the high moral ground it is difficult for anyone to object without sounding like a complete fool.”
Caring about people… Reminds me of Paul O'Neill saying nobody should ever get hurt at work (Alcoa) — “habitual excellence“
The HP Way – Management By Wandering Around (MBWA) is an “intimate act”
Following up on our Aug 2020 discussion about leading during Covid… how is MBZA (management by zooming around) working out?
You've been very active on Twitter — still there? Should we still be using Twitter, even the free service?
The podcast is sponsored by Stiles Associates, now in their 30th year of business. They are the go-to Lean recruiting firm serving the manufacturing, private equity, and healthcare industries. Learn more.
This podcast is part of the #LeanCommunicators network. 
 

Wednesday Nov 30, 2022

Katie Anderson, her 6th appearance
Episode page with video, photos, transcript, and more
My guest for Episode #464 of the Lean Blog Interviews Podcast is Katie Anderson, who is, among other things, the author of the book Learning to Lead, Leading to Learn.
She has previously been a guest here in Episodes 233, 275, 302, 326, and 425. Katie has also been a guest twice on “My Favorite Mistake” — once with Isao Yoshino and once on her own.
Today, Katie and I talk about the recent AME annual conference that was held in Dallas. We both heard Larry Culp, CEO of General Electric (and GE Aviation) speak for 15 minutes, and we discuss that here today. We also recap highlights from (and our reflections about) the fireside chat that Katie had with Larry on stage.
Notes and highlights:
Listen to Katie on the internal GE podcast (named “Andon That Note”) she mentions in this episode
Discussing the panel discussion that I moderated with Deondra Wardelle and Amy Gowder
Gary Michel, another great CEO speaker at the event
Larry: “This is how we manage” (Lean)
Going to the gemba? Why? Process and people
Top down and bottom up – operationalizing Hoshin Kanri
Learning from mistakes, how a leader reacts to bad news
From telling to asking questions – breaking the telling habit
Having a coach as CEO… why Larry thinks that's so important
Larry: “You don't go to HBS to learn how to ask questions”
The podcast is sponsored by Stiles Associates, now in their 30th year of business. They are the go-to Lean recruiting firm serving the manufacturing, private equity, and healthcare industries. Learn more.
This podcast is part of the #LeanCommunicators network. 

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