Lean Blog Interviews - Healthcare, Manufacturing, Business, and Leadership
Since 2006, the Lean Blog Interviews podcast has featured in-depth, candid conversations with leaders, thinkers, and doers in the world of Lean and continuous improvement. Hosted by Mark Graban—author, consultant, and longtime Lean practitioner—the show explores how Lean principles are being applied across industries, including healthcare, manufacturing, startups, and more.
What sets this podcast apart? We go beyond tools and buzzwords. Our guests share real-world stories of success, struggle, learning, and leadership. Whether you’re a seasoned Lean veteran or just getting started, you’ll gain practical insights and fresh perspectives that you can take back to your own organization.
Topics include:
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Lean as a management system and cultural transformation—not just a toolbox
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Continuous improvement and problem-solving, at every level
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Leadership behaviors that support real change
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Psychological safety as a foundation for improvement
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Lessons from the Toyota Production System, Lean Startup, and beyond
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Candid stories about mistakes—and what we learn from them
We don’t talk much about “Lean Six Sigma” here. But if you believe improvement is about people first—this podcast is for you.
Many episodes feature a special focus on Lean in healthcare, reflecting Mark’s deep work in that field. Hear from leaders working to improve patient safety, reduce waste, and build cultures of respect and learning.
Find all episodes and show notes at www.LeanCast.org.
Learn more about Mark and his work at www.LeanBlog.org.
Questions or feedback? Email mark@leanblog.org
Episodes

Tuesday Nov 17, 2020
Woody Zuill on Mob Programming and the Power of Flow
Tuesday Nov 17, 2020
Tuesday Nov 17, 2020
Speaker, consultant, and coach in the world of software
https://www.leanblog.org/393
Joining me for Episode #393 of the podcast is Woody Zuill, who does "Mob Programming workshops, talks and presentations on agile topics," and "coaches and guides folks interested in creating a wonderful workplace where people can excel in their work, and in their life."
I had a chance to meet Woody last year when I saw him speak at an Agile conference and I really enjoyed his perspectives. Woody has also participated quite a bit in a "Lean Consultants Stuck at Home" group that I had organized earlier in the pandemic times.
Topics today include "flow" in software development, the difference between "mob programming" and "paired programming," and the "no estimates movement" and why that is important. I hope you'll find this interesting even if you don't work in software.

Wednesday Nov 11, 2020
Mike Leigh on Breaking Down Barriers, Lessons from the Navy, and More
Wednesday Nov 11, 2020
Wednesday Nov 11, 2020
Lean consultant and contributor to "Practicing Lean"
http://www.leanblog.org/392
Joining me for Episode #392 is Mike Leigh, the President of his firm OpX Solutions, LLC. Mike was one of the contributors, writing a chapter for our anthology book Practicing Lean.
Some highlights from Mike's career, from his bio:
Began his career as an officer in the US Navy in the late ‘80s, specializing in nuclear propulsion and surface warfare
Mike spent 13 years with General Electric and held various leadership and senior management positions at several different manufacturing sites
During his last five years with GE, Mike was an internal lean consultant and helped over 25 GE factories/suppliers and hundreds of work teams become more productive, reduce costs, and improve their bottom line
Had 45 weeks of training by mentors from Shingijutsu, considered by many as the best Lean consultants in the world
Today, we have a wide-ranging conversation, starting off by talking about the need for leaders to "break down barriers" (and to understand what those barriers really are). What lessons did Mike learn about leadership from the Navy? What leadership behaviors are really problematic? And what are the root causes of those behaviors? We talk about all of this and more.
https://vurbl.com/station/5vxV3TPwDGW/

Wednesday Nov 04, 2020
Mary and Tom Poppendieck on #Lean Software & More
Wednesday Nov 04, 2020
Wednesday Nov 04, 2020
Authors and innovators in Lean Software development, Lean thinkers
https://www.leanblog.org/391
My guests for Episode #391 are Mary Poppendieck and Tom Poppendieck, the authors of books including Lean Software Development: An Agile Toolkit, Implementing Lean Software Development, and The Lean Mindset: Ask the Right Questions.
In the episode, we'll hear their thoughts on Lean as "a way of thinking that values people" and how teamwork, problem solving, and customer focus are integral to Lean -- in software or otherwise. How can we build capabilities for problem solving ("producing people") and how can we "learn how to learn"?
Questions, Links, and More
How did you first discover Lean? How did you come to see the potential applications to software development?
You published Lean Software Development in 2003 -- how do you define that term “Lean” and what does it mean to you?
How has your view of Lean evolved over those 17 years?
What have you learned about Lean / TPS from visiting Japan?
Your 2013 book is called "The Lean Mindset" -- as the subtitle says, asking the right questions is important... why so? How do we know what the right questions are?
2009 -- Leading Lean Software Development -- another provocative subtitle... "results are not the point" -- what do you mean?
LeanEssays.com
Their website: http://poppendieck.com/
Mary on Twitter

Tuesday Oct 27, 2020
Tuesday Oct 27, 2020
Manager at Raymond Corporation (part of Toyota)
Show notes, with transcript and more: https://www.leanblog.org/390
My guest for Episode #390 is Keith Ingels, the TPS (Toyota Production System) Manager for Raymond Corporation -- Raymond is part of Toyota Material Handling North America, which is part of Toyota Industries.
Wait, so a Toyota company needs a "TPS Manager?" Yes, when that company was acquired by Toyota, which creates a need to "become more like Toyota" instead of just "being Toyota." What are the differences between TPS and the Raymond Lean Management System, if any, and why does that terminology matter? What is the "adopt and adapt" strategy and why is that so important?
I want to thank Raymond Corp. for making Keith available and for sharing the videos and resources that I've linked to below. Also, here is an article that Keith had published recently on shifting to a culture of continuous improvement.

Tuesday Oct 20, 2020
Tuesday Oct 20, 2020
Author, podcaster, and consultant
https://www.leanblog.org/389
My guest for Episode #389 is Elisabeth Swan. She is the co-author of The Problem-Solver's Toolkit and co-host of the Just-in-Time Cafe Podcast. As her bio says, she's "been helping people successfully build their problem-solving muscles for over 30 years, and she loves what she does every single day."
In the episode, we discuss brainstorming, using an article she wrote for GoLeanSixSigma.com as the starting point: "Green Belts: Group Brainstorming Is a Waste of Time." Why has classic brainstorming proven to be ineffective, especially in the context of Lean, Six Sigma, or process improvement? And how can it be better given the reality of remote teams?
The conversation also veers into talking about Elisabeth's history in improv comedy and how lessons from the improv approach influence her to this day. Why does "structure set you free" in improv or Lean Six Sigma? We'll talk about that and more.

Tuesday Oct 13, 2020
Michael Lombard on Kata, Crises, and his AME Conference Keynote
Tuesday Oct 13, 2020
Tuesday Oct 13, 2020
Healthcare leader, coach, and Kata Geek
https://www.leanblog.org/388
My guest for Episode #388 is my friend Michael Lombard. I first met Michael when he lived in the DFW area and first got into healthcare. He has been a Lean facilitator / coach in numerous healthcare organizations and has been a hospital CEO in Louisiana before taking his current role, again focusing on process improvement, at Kaiser Permanente in California.
Michael is doing a unique and, I think, groundbreaking keynote talk at the upcoming AME Virtual Conference. The session, which he invited me to moderate, is called "Striving together in a crisis: How improvement science can build resiliency in a crisis and perhaps even progress complex social issues." These crises include Covid-19, wildfires, and social injustice and unrest.
He will be incorporating videos by two physicians, Dr. Rita Ng and Dr. Carla Wicks and they will both be participating in the Q&A for this "conversation-style" keynote. Our podcast today is a preview of this session.
Michael and I also talk about how (and why) he got into healthcare and why the Toyota Kata methodology is so important to him.

Sunday Oct 04, 2020
Seán Paul Teeling on Lean Healthcare and Covid-19 Treatment in Ireland
Sunday Oct 04, 2020
Sunday Oct 04, 2020
Irish Lean healthcare leader and nurse
Show notes: https://www.leanblog.org/387
My guest for Episode #387 of the podcast is Sán Paul Teeling, who joins us from Dublin, Ireland. He is the Programme Director for the Professional Certificate and Graduate Diploma in Lean Healthcare at UCD Health Systems. Seán Paul is also an Assistant Professor in Health Systems/Mater Lean Academy. He was previously Lean Manager at the Mater Misericordiae University Hospital Dublin. You can read his full bio here.
Seán Paul and I have collaborated a few times — I was invited to give a virtual lecture last year and I had the opportunity to visit the hospital and the Lean Academy last November, leading a workshop for a group there about continuous improvement and the methods from Measures of Success (yes, I had my “red bead game” kit with me).
Seán Paul also invited me to review articles and to contribute an editorial to a special supplement about Lean and Six Sigma in the journal International Journal for Quality in Health Care.
In the episode, we discuss the Irish health system and his experience practicing and teaching Lean. We also have the unique opportunity to chat with somebody who designed a Covid-19 clinic and then got treatment in that same clinic (thankfully, he has now recovered).
I hope you enjoy the conversation like I did.

Friday Oct 02, 2020
Bonus: Billy Taylor's "Favorite Mistake"
Friday Oct 02, 2020
Friday Oct 02, 2020
I'm crossposting Episode #5 of my new podcast series "My Favorite Mistake."
My guest here is Billy Taylor, who was my guest on episodes #293 and 298 of this series, Lean Blog Interviews. Billy is a retired operations executive with Goodyear who now has his own consulting group.
In this episode, Billy talks about how he learned from mistakes related to not respecting standards -- when he was a kid and when he was a rising operations leader at Goodyear.
I know you'll enjoy this episode as a Lean practitioner and I think you'll like the whole "My Favorite Mistake" series on the theme of learning from mistakes.

Tuesday Sep 29, 2020
Steven J. Spear Remembers Hajime Oba of Toyota
Tuesday Sep 29, 2020
Tuesday Sep 29, 2020
MIT professor, author, and consultant
http://www.leanblog.org/386
Joining me again for Episode #386 is Steve Spear, who reached out to share recollections of one of his most influential teachers and mentors, Hajime Oba, who passed away earlier this month at 75.
I never had the chance to learn directly from Mr. Oba, but he is legendary in Lean circles and I know many people who were deeply influenced by Mr. Oba. I hope to interview more of them in the near future. My deepest condolences go out to Mr. Oba's family, friends, and colleagues.
Here is a classic 2001 WSJ article that features him:
"How Does Toyota Maintain Quality? Mr. Oba's Hair Dryer Offers a Clue"
In today's episode, Steve talks about meeting Mr. Oba and how he learned from him as a PhD student. One story that Steve shares was about sitting at his desk, thinking about a problem, and Mr. Oba told him:
"Don't think -- do!"
Hajime Oba
You'll hear more from Steve talking about the need to learn by doing and to test changes in an experimental fashion. It's not just "do" --- it's Plan Do Check Act (or Plan Do Study Adjust or even Plan Test Study Adjust).

Monday Sep 21, 2020
Emily Elrod on What it Means to Work "WISE"
Monday Sep 21, 2020
Monday Sep 21, 2020
Coach and entrepreneur
http://www.leanblog.org/385
My guest for Episode #385 of the podcast is Emily Elrod, the president of the firm Workzbe, based in Georgia.
We have shared interests in Lean, ergonomics, healthcare and creating better workplaces. We met earlier this year and she was kind enough to interview me for her YouTube channel.
As she describes in the episode, her career has evolved from designing equipment, to wellness and Lean in a health system, to her own firm. Her WISE framework means to work Well, Intelligent, Safe, and Empowered.
We'll talk about the need to be “HOT” (Humble, Open, and Transparent), the psychology of change, and more.
“I think the biggest threat to health promotion is doing things to people instead of with them.”
Emily Elrod
I hope you enjoy the conversation like I did.

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.