Lean Blog Interviews - Healthcare, Manufacturing, Business, and Leadership
Started in 2006, the ”Lean Blog Interviews” podcast, hosted by Mark Graban, brings you conversations with leading experts, authors, and thought leaders in lean manufacturing and management. As a Lean practitioner, consultant, and author, Mark Graban offers deep insights, real-world experiences, and practical tips for implementing and enhancing Lean practices across various industries. The Podcast Experience Mark Graban engages his guests in a conversational format, covering a wide array of topics related to Lean. Guests come from diverse backgrounds, including healthcare, manufacturing, and service industries, sharing their unique experiences and perspectives on Lean implementation. Core Topics Lean Principles and History: Dive into the foundational aspects of Lean, its history, and core principles. Industry Applications: Explore how Lean is applied in different industries, such as healthcare, manufacturing, and startups. Continuous Improvement: Learn about value stream mapping, process improvement, and culture change. Leadership and Management Systems: Gain insights into the Toyota Production System and related methodologies, focusing on Lean as a culture, philosophy, and management system rather than just a set of tools. Unique Features Focus on Healthcare: Mark Graban, a renowned advocate for Lean in healthcare, frequently features experts who discuss patient safety, quality improvement, and waste reduction in healthcare settings. Hear success stories and practical advice on implementing Lean in hospitals, clinics, and other healthcare organizations. Practical Advice and Real-World Examples: Guests share their experiences and insights into what works and what doesn’t in Lean implementation. Overcome common challenges and get inspired by success stories. Inclusivity and Diversity: The podcast features a range of guests from diverse backgrounds, enriching discussions and providing a comprehensive understanding of Lean’s challenges and opportunities. While we don’t talk much about Lean Six Sigma, we hope the podcast is helpful to you anyway. Why Listen? Whether you’re new to Lean or a seasoned practitioner, the ”Lean Blog Interviews” podcast is a valuable resource offering insights, tips, and inspiration for improving your organization’s performance and achieving Lean goals. With its engaging format, practical advice, and diverse range of guests, this podcast is essential for anyone interested in continuous improvement and operational excellence. Connect and Explore More Visit the blog at www.leanblog.org. For feedback, email mark@leanblog.org. Access all past episodes, show notes, and more at www.leancast.org. Subscribe to the ”Lean Blog Interviews” podcast today and join the journey toward Lean mastery and continuous improvement.
Episodes

Tuesday Apr 06, 2021
Katie Labedz on "How to Improve Absolutely Anything"
Tuesday Apr 06, 2021
Tuesday Apr 06, 2021
Author of new book, trainer, consultant
My guest for Episode #408 of the Lean Blog Interviews podcast is Katie Labedz, the author of the new book How to Improve Absolutely Anything: Continuous Improvement in Your Home, Office and Family Life.
Katie Labedz is a Lean Six Sigma Master Black Belt with over 20 years of experience implementing continuous improvement solutions within non-manufacturing and manufacturing environments. Her company is Learning to Lean.
Katie also has her Master's certification in instructional design, her Project Management Professional (PMP) certification through PMI and is a certified instructor/facilitator through Langevin.
Topics and questions in today's episode include:
What's your Lean origin story?
What did you learn moving from IT to manufacturing to working with Lean in office settings?
How is Lean different with “carpet walkers”?
How do you define “continuous improvement”?
When do you need to take a break from improvement to stabilize things?
Lessons from working on virtual improvement this year?
Why write the book?
Favorite practical tips and tricks (Lean methods at home) from the book?
Lessons about motivations and “resistance to change”?
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 Mar 30, 2021
Joy Mason on Optimism and Lean Instead of Layoffs
Tuesday Mar 30, 2021
Tuesday Mar 30, 2021
Show notes: https://www.leanblog.org/407
My guest for Episode #407 is Joy Mason, a Strategist, Author, Speaker, and Entrepreneur based in Indianapolis. He is President and Senior Business Strategist at her company, Optimist Business Solutions, that she started after 18 years at Eli Lilly.
She is the author of the book The Optimist Workbook: 5 Steps to Sustainable Solutions for Women In Business and also Purpose: A Shift from Driving It to Embracing It.
Topics and questions in today's episode include:
How Joy got started with continuous improvement
Being introduced to Six Sigma first… then Lean tools… then looking beyond the tools
How did “scientific problem solving” resonate with scientists (and others) at Eli Lilly?
How can you “break down silos” (or is it better to “work across silos”)?
“Lean before layoffs” or “Lean instead of layoffs”?
What does being an optimist mean to Joy and why is that important?
Joy talks about the work she does now, in particular with non-profits
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 Mar 23, 2021
Ivan Zak, DVM on Using Lean to Address Burnout in Veterinary Medicine
Tuesday Mar 23, 2021
Tuesday Mar 23, 2021
Veterinarian & Entrepreneur, Ivan Zakharenkov, DVM
My guest for Episode #406 is Dr. Ivan Zakharenkov, he's a doctor of veterinary medicine and he's Chief Executive Officer at the company Veterinary Integration Solutions. He goes by Dr. Zak for short and he's based in Brantford, Ontario, Canada.
I'm joined, as my co-host, by Chip Ponsford, DVM — he was also co-host of Episode #254 with a veterinarian as our guest then, as well. Chip also has a blog called Lean Vets and a book titled Lean Veterinary Practice Management.
Today, we all talk about the important issue of burnout — Ivan wrote a whitepaper on the subject and you can download that as a PDF: “Lean Thinking in Veterinary Organizations to Improve Employee Experience.” He also wrote an MBA dissertation of the same name. In that research, he considered a correlation between human and animal healthcare and proposed that lean thinking can help reduce burnout.
This is a topic that we've explored twice on the podcast with Dr. Paul DeChant, looking at it in the realm of “human healthcare.” I agree that Lean can be part of the solution, in these settings and elsewhere!!
Topics and questions include:
Tell us about your background as a veterinarian and entrepreneur
How did you get introduced to Lean?
The Goal by Eli Goldratt
John Toussaint, MD and the Catalysis Summit
How bad is the burnout problem? Is it worse for women?
Female vets 3.5x rate in society, male vets it's 2.5x
Spectrum of burnout?
What is compassion fatigue vs. burnout?
“Compassion fatigue goes away on vacation, burnout is deeper”
What other conclusions did you draw from your dissertation?
What are the six triggers of burnout?
How does Lean address burnout?
Lean as a technical and social system?

Monday Mar 22, 2021
Monday Mar 22, 2021
I interviewed Adam a year ago... and his concept (The Wheel of Sustainability) is now a book!
Check out the original episode and enter to win here:
https://www.leanblog.org/2020/03/podcast-362-adam-lawrence-on-kaizen-events-the-wheel-of-sustainability/

Thursday Mar 11, 2021
A Kata Geek in the Communities: Deondra Wardelle
Thursday Mar 11, 2021
Thursday Mar 11, 2021
CEO at DeondraWardelle.com, Co-host of "KataCon7"
For show notes and discount codes for KataCon7 and for Deondra's workshop, go to http://leanblog.org/405 or scroll down.
My guest for Episode #405 is Deondra Wardelle, CEO of her own company and one of the hosts of next week's virtual KataCon7 event. She is, among other things, a Visionary, Coach, Strategist, Speaker, Consultant, Kata Geek, Leader of the #RootCauseRacism Movement. Her mission is developing a world of problem-solvers.
You can register for 10% off of KataCon7 by using code LF10 (thanks to Lean Frontiers for that code). Deondra is also doing a Strategic Vision Board Workshop on Saturday and you can register with a 20% discount by using code LEANBLOG.
In today's episode, Deondra shares how and why she became a “Kata Geek” and how that built upon her continuous improvement foundations from her time in manufacturing. We'll talk about the similarities with Lean across industries (“it's always going back to the people”) and what “Respect for People” means to her. Deondra shares stories about how Kata helped her become a better manager — less of a micromanager. We also discuss communities including Lean Communicators and Women in Lean.
All of that — and more — in this episode… released early because of the timing with these two events — KataCon7 and Deondra's workshop.
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.

Tuesday Mar 09, 2021
Covid Testing, Treatment, and Vaccination at Cleveland Clinic: Nate Hurle
Tuesday Mar 09, 2021
Tuesday Mar 09, 2021
Senior Director, Enterprise Continuous Improvement at Cleveland Clinic
Show notes: https://www.leanblog.org/404
My guest for Episode #404 is Nate Hurle, a Senior Director of Enterprise Continuous Improvement at Cleveland Clinic. He was previously a guest on Episode 282. He was also recently a virtual keynote speaker for the Society for Health Systems annual conference.
Today, Nate shares stories and reflections from the past year — the pandemic year — and how Cleveland Clinic quickly stood up drive-thru testing, how they built a 1000-bed hospital (that thankfully wasn't needed), and how they've been ramping up Covid vaccination.
What happened when Nate got a surprise phone call about the need for testing to be up and running “in a few days.” Why was the approach of “get it up and running… then make it better” a useful one and how were mockups and other methods used to put safety first, given the cars and people on foot.
How did they utilize effective standardized work and training methods, huddles, and continuous improvement methods? Why was the question of “What's the most important problem to solve?” such a useful one?
How are they balancing the need for higher throughput with having a patient experience that's not too rushed? How did Cleveland Clinic get so much done in such a short period of time, and what were the lessons learned that could be applied in more normal times? Why is Cleveland Clinic now looking to continuously improve (again) their Cleveland Clinic Improvement Model?
We also chat a bit about their adoption of “Process Behavior Charts” (as I have written about) and we'll talk about that more in a future episode.
Thanks for listening! Please subscribe (or follow), rate, and review!

Wednesday Mar 03, 2021
Arnout Orelio: A Dutch Engineer Now Working in Lean Healthcare
Wednesday Mar 03, 2021
Wednesday Mar 03, 2021
Show notes: https://leanblog.org/403
My guest for Episode #403 is Arnout Orelio, author of the book Lean Thinking for Emerging Healthcare Leaders: How to Develop Yourself and Implement Process Improvements.
Arnout is from the Netherlands, but we have crossed paths a number of times when he and many of his Dutch colleagues have come to the U.S. for events like the Lean Healthcare Transformation Summit, produced by Catalysis. His book, written in English, has a lot of great lessons for leaders and Lean practitioners in American healthcare and beyond. He has also written two books in Dutch.
Arnout and I have strikingly similar professional backgrounds and paths, which we discuss in the episode. We are both engineers who progressed from the automotive industry into healthcare. We talk about how he shifted into healthcare (in 2005, same year as me) and how this experience has reinforced that:
“Leadership is not a person, it’s a process. Everyone can be a leader if you want to change something.”
We talk about the differences in the Dutch healthcare system, at a high level, and the similarities in how Lean can be applied. We also discuss topics near and dear to my heart:
Why Lean should keep employees (and patients) happy
Process Behavior Charts
Training Within Industry / Job Instruction
Eliminating overburden for healthcare staff (see the first bullet point)
The relevance of TWI to Covid vaccination
Here are his website and his publisher's websites, so please take a look.
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 Feb 23, 2021
Jay Hodge: Going From GM to Toyota to Healthcare and Beyond
Tuesday Feb 23, 2021
Tuesday Feb 23, 2021
Founder & President, Jay Hodge & Associates
Show notes: https://www.leanblog.org/402
My guest for Episode #402 is Jay Hodge, the founder and CEO of Jay Hodge & Associates. He has over 25 years of operational leadership experience in companies such as Toyota, General Motors, Caterpillar, and Tenet Healthcare. Jay is also the author of The Lean Treasure Chest.
We talk about Jay's career — going from teaching the Toyota Production System at General Motors to then actually going and working at Toyota. What did Jay first learn about “efficient operations” and leadership in the United States Marine Corps?
What did Jay learn about culture and servant leadership? What was the most difficult thing about leaving Toyota and going to other environments, including healthcare? How do we teach somebody to manage and to lead instead of just promoting them?
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 Feb 17, 2021
Jim Benson, Talking About Humane Management
Wednesday Feb 17, 2021
Wednesday Feb 17, 2021
Co-author of the book Personal Kanban
Show notes: http://www.leanblog.org/401
My guest for Episode #401 is my friend Jim Benson, who you might know as the co-author of the book Personal Kanban (and we talked about that in Episode 155, back in 2012). He was also a guest on Episode #4 of "My Favorite Mistake" with me.
We recorded this using the LinkedIn Live platform. Jim and I have talked a lot (and collaborated) over the years, so we intentionally went into this conversation without much of a plan.
The main theme is "humane management," a phrase of Jim's that I really like. We talk about workplaces, psychological safety (listen to my episode with Amy Edmondson on that), learned helplessness, respect, autonomy, systems thinking, and more.
We also jokingly brainstorm titles for a hypothetical podcast that we would do together. He is going to join me and Jamie Flinchbaugh for the next episode of the "Lean Whiskey" podcast, by the way. Is "Mark and Jim's Vomitorium of Management Ideas" a good name? Probably not.
Jim's company, Modus Institute, has a new "Lean Agile Visual Management Certification and Accreditation Series," so please check it out.
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 Feb 10, 2021
Jeff Liker on the Second Edition of "The Toyota Way"
Wednesday Feb 10, 2021
Wednesday Feb 10, 2021
Author of the newly-updated book, available now.
Show notes and more: http://www.leanblog.org/400
Wow, 400 Episodes!! 400 episodes in roughly 15.5 years… that's about 800 weeks, or one episode every two weeks, on average, over that time. Thanks again to the late Norm Bodek for the idea to get this podcast started, as I talk about in this memorial video. Thanks to everybody who has listened or participated as a guest!!
My guest for Episode #400 is Jeffrey Liker, the retired University of Michigan professor who has recently released the second updated and revised version of his seminal book The Toyota Way: 14 Management Principles from the World's Greatest Manufacturer. The new edition has more examples from the service sector, including healthcare, and it incorporates “Toyota Kata” approaches (and he credits his former student Mike Rother).
Today, we talk about why he wrote a new edition and what he's learned since the publication of the original back in 2004. We talk about combining the perspectives of industrial engineering and sociology — the mechanistic vs. the organic views of a system like Lean/TPS. What is “coercive bureaucracy” vs. “enabling bureaucracy”? What's the difference between “being Toyota” and “emulating Toyota”?
We also learn a little bit about the musical instrument that Jeff has started playing again. We need to form a Lean band! Maybe not.
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.
Jeff was previously a guest on episodes 3, 4, 37, 39, 41, and 111

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.