Lean Blog Interviews: Real-World Lean Leadership Conversations in Healthcare and Beyond
Lean Blog Interviews: Real-World Lean Leadership Conversations features thoughtful, in-depth discussions with leaders, authors, executives, and practitioners who are applying Lean thinking in the real world.
Hosted by Mark Graban—author of Lean Hospitals, Measures of Success, and The Mistakes That Make Us—the podcast explores Lean as a management system, a leadership philosophy, and a people-centered approach to continuous improvement.
Episodes span healthcare, manufacturing, startups, technology, and professional services. Guests share candid stories about what actually works—and what doesn’t—when organizations try to improve.
This is not a podcast about chasing tools, jargon, or “Lean theater.” Instead, you’ll hear honest conversations about leadership behaviors, culture, psychological safety, learning from mistakes, and building systems that help people do their best work.
If you believe improvement starts with respect for people—and that better systems beat blaming individuals—this podcast is for you.
Find show notes and all episodes at LeanCast.org.
Learn more about Mark Graban at MarkGraban.com.
Episodes

Tuesday Jan 04, 2022
Ben Bensaou: From Lean Production to ”Built to Innovate”
Tuesday Jan 04, 2022
Tuesday Jan 04, 2022
Professor at INSEAD, author of "Built to Innovate"
Show notes: https://www.leanblog.org/434
My guest for Episode #434 of the Lean Blog Interviews Podcast is Ben Bensaou. He is an INSEAD professor and author of Built to Innovate: Essential Practices to Wire Innovation into Your Company's DNA.
Ben earned his PhD at the MIT Sloan School of Management, where I was an MBA student. He was part of Jim Womack‘s research team that studied the auto industry and that group coined the term “Lean.”
He's joining us from Kobe, Japan, where he is on sabbatical.
Today, we discuss topics and questions including:
I'm curious to hear your memories and reflections of the Womack research era
“Japanese management model”? – how would you describe that?
Jim Womack episode on “Machine Revisited”
Labor / talent shortages — similar challenge in Europe or Japan now?
Was there anything from that research that wasn't widely understood by readers and business leaders?
“It's a mindset” not tools, techniques, and gimmicks
Parallels to innovation? How much is a mindset?
The importance of building trust with suppliers
“Innovation is everybody's job”
“The fundamental is trust in people”
“… permission to innovate” – culture and environment
Is there a spectrum between C.I. and innovation?
Can innovation be taught? Can innovation be a process?
Innovation as a noun vs. innovating as a verb
Why are middle managers so important for innovation and is this surprising to people? Not just the “genius leaders”
“Innovation ambassadors” – coaches working with the middle managers
If people think that Lean (and concepts like standardized work) stifle innovation, what's your response to that?
“The power of process” doesn't stifle innovation… leads to innovation?
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.

Tuesday Dec 07, 2021
Gerard Ibarra on ”Good Decisions, Better Outcomes”
Tuesday Dec 07, 2021
Tuesday Dec 07, 2021
My guest for Episode #433 of the Lean Blog Interviews Podcast is Gerard Ibarra, an author, business consultant, speaker, and entrepreneur.
Show notes: https://www.leanblog.org/433
Gerard is the author of the book Good Decisions, Better Outcomes: A Simple, Five-Step Process to Help You Make Important and Difficult Decisions with Confidence and Clarity, available now.
Gerard received his PhD from Southern Methodist University's (SMU) Lyle School of Engineering with emphasis in Logistics Systems Engineering and Operations Research. He has taught graduate courses in logistics systems engineering at SMU, as well as logistics, supply chain management and e-business courses at the University of Dallas' Graduate School of Management.
He's had executive roles in logistics companies, has had his own consulting firm, and was President and CEO of a company from 2008 to 2010. He was also the CEO of Jaguar Logistics, the largest medical on-demand transport company in Texas until acquired by Dropoff in 2018.
Today, we discuss topics and questions including:
What's your origin story related to continuous improvement? Where and when and why?
The story behind the book — why a book on decision making?
Efficient and effective decision making?
Decision making is not strictly rational, is it? How do emotions influence us and how should we take that info consideration?
What is the P2MODE methodology, in a nutshell?
How much of good decision making is process vs. having the right info?
Evaluating needs vs. wants? How does that enter into decision making?
Group decision making and this framework??
Types of consulting you do — general training? Help with a specific big decision?
My Favorite Mistake guests — often the decision seems like a good one at the time… but later reveals itself to be a “mistake.” How often would you expect this to be the result of a bad decision making process vs. a good process with bad information?
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.

Tuesday Nov 16, 2021
Jamie Flinchbaugh on ”People Solve Problems” - His New Book
Tuesday Nov 16, 2021
Tuesday Nov 16, 2021
Show page: https://www.leanblog.org/432
My guest for Episode #432 of the Lean Blog Interviews Podcast is Jamie Flinchbaugh, an old friend of mine and a frequent guest (Episodes 5, 6, 10, 64, and 261, plus the two times he's interviewed me, Episodes 50 and 316).
He's also the co-creator and frequent co-host with me on the Lean Whiskey podcast series.
Today, the talk is all Lean, no whiskey. We talk about leadership, problem solving, more today — talking about his new book, People Solve Problems: The Power of Every Person, Every Day, Every Problem. I put Jamie on the spot to coach me through some problem solving I'm doing related to podcast growth, and he makes a lot of great points.
Today, we discuss topics and questions including:
So, we don't need to worry about AI problem solving?
The role of software, like KaiNexus
The story behind the book – after The Hitchhiker's Guide to Lean in '06
Why this book? Why now?
Behaviors drive action — what are some of the key behaviors that drive problem solving?
Testing to learn… testing throughout?
Open to the idea you might be WRONG – humility
Entrepreneur — book is a product that scales – thinking about it like a startup?
Book isn't A3 or PDSA or Kata centered… agnostic about the specific method??
A3 — The importance of a good problem statement?
How do we better understand cause and effect in problem solving?
You can coach without being an expert
The role of intuition vs data?
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.

Tuesday Nov 09, 2021
Sonia Singh: From Lean Coach to Leadership Coach, From Consultant to Coach
Tuesday Nov 09, 2021
Tuesday Nov 09, 2021
Show notes and links: https://leanblog.org/431
My guests for Episode #431 of the Lean Blog Interviews Podcast is Sonia Singh, a certified Lean Six Sigma Master Black Belt, executive coach, and professor with 19 years of experience in healthcare operations, management consulting, leadership development, and culture transformation.
She's worked with dozens of companies in improving their performance, resulting in a collective financial impact of $30M. She's trained and coached over 2000 emerging and experienced leaders.
Sonia is the founder of Sonia Singh International, and one of her offerings is the Influential Leadership Academy, where she helps leaders build emotional intelligence and master their influence.
She was previously an employee at some healthcare systems and Cardinal Health.
Sonia holds a degree in Psychology from Northern Illinois University, a Master's degree in Health Administration from Tulane University, and completed her professional coaching training at the University of California, Davis.
Today, we discuss topics and questions including:
How did you first get introduced to Lean or continuous improvement concepts?
What were some of your best experiences working in healthcare improvement?
What was a “school of hard knocks” lesson you gained working in healthcare?
How did you decide to start working independently?
Why go through professional coaching school and how did that change how you coach?
It's hard to just ask questions
To you, what are the differences between the words “coach” vs “consultant?”
What has it been like shifting from lean coach to leadership coach?
Getting to root causes of behaviors or reactions?
How to help people shift from telling to asking questions?
Influential Leadership Academy – who is this targeted to?
“It's a strength when you can share your power.”
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.

Tuesday Nov 02, 2021
The Power of Process: Interview With Matt Zayko and Eric Ethington
Tuesday Nov 02, 2021
Tuesday Nov 02, 2021
Show notes and links: https://www.leanblog.org/430
My guests for Episode #430 of the Lean Blog Interviews Podcast are Eric Ethington and Matt Zayko, the authors of the new book The Power of Process: The Story of of Innovative Lean Process Development. They are both faculty for the Lean Enterprise Institute, among other roles. Eric has a firm called Lean Shift Consulting and Matt has a new role as Lean Leader at GE Hitachi Nuclear Energy.
The book is available now through the publisher, or from Amazon in paperback, hardcover, and Kindle formats.
Today, we discuss their book, with topics and questions including:
I like to ask guests about their “Lean origin stories” — When did you first learn about Lean and what was the context?
Deming's book Out of the Crisis
The way it's always been? – how to get past this?
LEAN PROCESS DESIGN –> There's a lot emphasis on “process improvement” in organizations, often in the context of Lean. How do you define “process development” and why is this so important?
How do we avoid disconnects between process design intent and those running the process?
GO SLOW TO GO FAST? Iterative design and being more ready to launch and go fast in ramp?
Doing something new — A new mass vaccination clinic?
How do you strike the balance between “we've got to design it well” vs. “it's never perfect, but we can improve it”?
If you have flexibility, you don't have to be as perfect
BACK TO SLOGANS — In your book, you talk about process design with “no slogans, no absolutes” — what do you mean by that? What are some slogans or absolutes that have gotten people in trouble?
“Small lot flow” vs. single piece flow (Yamada), as small as possible is what he taught
Who do you expect to be the typical readers of this book? What roles, levels, or industries?
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 Oct 27, 2021
John Chacon on Continuous Improvement and the Dangers of Paying People to Think
Wednesday Oct 27, 2021
Wednesday Oct 27, 2021
Show notes: https://www.leanblog.org/429
My guest for Episode #429 of the Lean Blog Interviews Podcast is John Chacon, the Director of Construction Excellence at Black & Veatch. We've been connected on social media for a while and John's reply to a tweet led to this podcast conversation, where he said:
“If you have read this blog post and are still thinking about incentivizing folks for ideas…stop…give me a call and I will tell you some stories about paying your folks to think.”
Today, we discuss topics and questions including:
John's Lean origin story? In the Marine Corps.
Deployed to Japan – painted a different picture – in what way?
Cultural differences? A different level of respect?
Why didn't you like it at first?
How do you define Kaizen?
Not just the process, it's the people
Continuously improving the people
Later company — “The work was to improve the work”
How do you foster that culture?
Curiosity and genuine wonderment
What does Kaizen (what does John) suggest about how to incentivize people to submit ideas?
DO we need to incentivize?
What happens when you run out of rewards funding? Improvement stops
How do you tap into in intrinsic motivation?
Kaizen and Kata?
Putting things into plain English?
Working in other countries – Thailand, India, China — how does the Lean/Kaizen message get delivered differently?
Marine Corps like Kaizen — the way you are vs something you do
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.

Tuesday Oct 19, 2021
Nick Katko and Mike De Luca Talk About Practicing Lean Accounting
Tuesday Oct 19, 2021
Tuesday Oct 19, 2021
Show notes: https://www.leanblog.org/428
My guests for Episode #428 of the Lean Blog Interviews Podcast are Nick Katko and Mike De Luca. Nick is president and owner of the firm BMA and Mike is a Lean coach, serving as principal and owner of Torre Consulting.
Nick and Mike have a new book out called Practicing Lean Accounting. And I'm thrilled that the title is inspired by the book I edited called Practicing Lean. Their book is available now in paperback and Amazon Kindle formats.
Nick has been practicing lean accounting for over 25 years, both as a CFO and as a lean accounting trainer and coach. Nick is also the author of the book The Lean CFO (2013) and is co-author of The Lean Business Management System (2007).
Mike's lean journey began with implementing lean accounting as a finance leader in the early 2000's – evolving the finance department's role to meet the changing needs of a lean organization.
Today, we talk about the book and more, with topics and questions including:
Nick and then Mike, how did you first get introduced to Lean and what was the context?
Manufacturing and healthcare
How did you come to collaborate on this book?
Budgets – from quarterly batches to daily practice
The “tyranny of budgets” leads to blame?
What is “Lean Accounting” in relation to the accounting function, payroll, paying suppliers, etc.
“Becoming immune to waste”
Why is it important for others to understand “how accounting thinks”??
What does “respect for people” mean to you?
“It's not about the numbers, it's about the people using the numbers”
Lean accounting applications in healthcare? What's uniquely healthcare?
Final tips — How to best engage CFOs?
Is there a clear message about what Lean means to the org?
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 Oct 13, 2021
Karyn Ross, Lean and Kind Leadership
Wednesday Oct 13, 2021
Wednesday Oct 13, 2021
Show notes: https://www.leanblog.org/427
My guest for Episode #427 of the Lean Blog Interviews Podcast is a returning guest, Karyn Ross. She was previously a guest in Episodes 266 and 411. She was also my guest for Episode #3 of My Favorite Mistake.
Karyn has a new book called The Kind Leader: A Practical Guide to Eliminating Fear, Creating Trust, and Leading with Kindness. Scroll down for a 20% coupon you can use if you buy through the publisher. You can also enter to win a copy.
Today, we talk the book and more, with topics and questions including:
How do you define kindness?
NPR story on the kindest family
How do we help people understand that kindness is not a sign of weakness?
My Favorite Mistake (out Thursday) Moses Harris interview Episode #110
How much unkind behavior is driven by people being scared? "Vicious circle of fear"
"Collaboration, cooperation and kindness" chapter heading -- reminds me of how Dr. Deming used to rail against competition -- and I think that's especially true when talking about internal competition
Systemic root causes of fear and unkind behavior -- Kind leaders can affect the system...
Kindness and respect? Connections to Lean in the book
A time when someone was kind to you at work?
Recent KaiNexus webinar on psychological safety... also proven to drive results
Workshop with Jessica House on the topic
Blaming instinct...What do you mean by "always assume positive intent"? - examples?
Negativity bias
"Prefectionism isn't Kind" online workshop with Amy Mervak
Morning session
Afternoon session
Little Kind Words Talk Show -- lessons learned from that?
Doing live streaming -- "practice accepting what is"
We're always learning... what have you learned about kindness since the book was published?
"Pop up kindness stand"? -- WSJ article
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.

Tuesday Oct 05, 2021
John Gallagher, Lean and The Uncommon Leader
Tuesday Oct 05, 2021
Tuesday Oct 05, 2021
CEO of Growing Champions, LLC
Show notes: https://www.leanblog.org/426
My guest for Episode #426 of the Lean Blog Interviews Podcast is John Gallagher, Founder and CEO of Growing Champions, LLC, an Executive Coach, Mentor, and Consultant. John was with Simpler Consulting for over a decade after being an operations manager and a division president for two different companies.
He's also the host of a new podcast called The Uncommon Leader. I'll be John's guest in an episode to be released on October 19th.
Today, we talk about topics and questions including:
Where did you first get exposed to Lean?
Why were you skeptical about Lean at first?
Came from MRP batch & queue world
Rapid Improvement Event or Rapid Planning Event?
His first sensei, the late Bill Moffitt
“Comfort the afflicted or afflict the comforted?”
Who were some of your key mentors?
Lean Thinking was a key book, the first book he read on Lean
Being an operations manager vs. a division president… what did you learn from those roles?
Applying Lean to residential real estate sales
Healthcare? Patients aren't cars?? Addressing that? Cookbook medicine?
“Unique care delivered in a standard way”
Tell us about the podcast… inspired by Tony Dungy's book
Who have been some of your guests? — Including Paul De Chant
Who are some of the “uncommon leaders” you have worked for, worked with, or coached? What made them uncommon?
Posts I was reminded of
Lenny Walls, my trainer
Central Intelligence post
Sushi incrementalism post
Coaching work? Lean coach to exec coach?
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.

Tuesday Sep 28, 2021
Katie Anderson on Breaking the Telling Habit
Tuesday Sep 28, 2021
Tuesday Sep 28, 2021
Show notes, links, and video: https://www.markgraban.com/425
My guest for Episode #425 of the Lean Blog Interviews Podcast is Katie Anderson, who is joining us for the seventh time as a guest.
Katie is, of course, the author of the book Learning to Lead, Leading to Learn: Lessons from Toyota Leader Isao Yoshino on a Lifetime of Continuous Learning. It has now been out over a year as eBook and paperback, and the audiobook is now available.
Today, we sketched out a few topics for a fun conversation. First, we talk about “breaking the telling habit” (get Katie's free guide). When do leaders have to “tell”? Does it get annoying when you only ask questions?
You'll also hear about how Katie “pulled the andon cord” (virtually) when she had a concern about the sound of me typing some notes. So, we'll talk about countermeasures and such related to that, and you'll hear our problem solving minds at work.
Katie then shares a story about the use of “Process Behavior Charts” at a non-profit organization. I share a story about seeing what appeared to be a “signal” in the listener metrics for the My Favorite Mistake podcast, so we again chat about problem solving and causal analysis.
We also talk the “Leading to Learn Accelerator” program that she's running soon.
And I tell an awful joke about asking questions. I'm sorry.
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.

About Mark Graban
Mark Graban is an author, speaker, and consultant, whose latest book, The Mistakes That Make Us: Cultivating a Culture of Learning and Innovation, is available now.
He is also the author of the award-winning book Lean Hospitals: Improving Quality, Patient Safety, and Employee Engagement and others, including Measures of Success: React Less, Lead Better, Improve More.
He serves as a consultant through his company, Constancy, Inc, and is also a Senior Advisor for the technology company KaiNexus.
Mark hosts podcasts, including “Lean Blog Interviews” and “My Favorite Mistake.”
Education: B.S. in Industrial Engineering from Northwestern University; M.S. in Mechanical Engineering, and M.B.A. from the Massachusetts Institute of Technology’s Leaders for Global Operations Program.







