Joining me for Episode #269 are Brian MacNeice & James Bowen, co-authors of the recently released book Powerhouse: Insider Accounts into the World's Top High-performance Organizations. They are founders of the international Kotinos Partners consultancy. In this episode, we talk about the book and take a deeper dive into two of the organizations they profiled: Toyota and Mayo Clinic. I think it's always interesting to see what people outside of our "Lean community" see when they study Toyota. They describe how "continuous improvement is at the heart of Toyota's high-performance model." And, as somebody committed to healthcare improvement, I'm always curious to learn lessons from organizations like Mayo Clinic. The authors write about a key driver of the Mayo Clinic's success being its "commitment to collaborative medicine."