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 14, 2020
Mitch Cahn on Lean and Pivoting to Shields & Gowns at Unionwear
Tuesday Apr 14, 2020
Tuesday Apr 14, 2020
Joining me for Episode #364 is a returning guest, Mitch Cahn, the president of Unionwear, a Newark-based company. Back in Episode #234, we talked about how Lean manufacturing has helped them be competitive in the labor-intensive apparel industry, sewing goods in a union shop.
Today (in an episode that is also a video podcast), Mitch tells us how, a month ago, orders for political campaign hats and items evaporated as the Democratic presidential field consolidated. So, Unionwear needed to pivot and they started calling hospitals to find out how they might be able to help by making personal protective equipment (PPE) to help in the Covid-19 crisis.
In the episode, you'll hear about the creation (and continued refinement) of face shields and gowns. These items were made using materials that they normally used for hats, backpacks, and plastic binders. Mitch also talks about how they've had to adapt their factory for social distancing and how some employees are sewing at home (and what they need to do to support the flow of materials and products). We'll also discuss how Lean methods have helped them in this new journey.

Monday Apr 06, 2020
Crystal Y. Davis on the Business Impact of Covid-19, and More
Monday Apr 06, 2020
Monday Apr 06, 2020
http://www.leanblog.org/363
For Episode #363, I'm joined by Crystal Davis as we discuss:
What are you seeing in terms of how Covid-19 is disrupting businesses?
How do we move from crisis mode, to survival mode, to recovery mode?
Why do we need courageous leadership during these challenging times?
This is also the first video podcast that I've done in a while. See the show notes page for the video: HTTP://www.leanblog.org/363
We share a background as industrial engineers who started our Lean careers at General Motors, and we both moved on to do work with other types of businesses.
Crystal has many roles today: The Lean Coach, Inc. - Founder, CEO, Principal Lean Practitioner; DisruptHER Coach; Managing Partner at MPlus Her website is http://theleancoachinc.com/.
I hope you enjoy the conversation!

Tuesday Mar 31, 2020
Adam Lawrence on Kaizen Events & The Wheel of Sustainability
Tuesday Mar 31, 2020
Tuesday Mar 31, 2020
http://www.leanblog.org/362
My guest for Episode #362 is Adam Lawrence, managing partner with Process Improvement Partners LLC.
He's an industrial engineer who had a long career working with TQM, Six Sigma, and Lean at Thomasvile Furniture and other Armstrong World Industries companies.
Today, we'll talk about setting kaizen events up for success with effective charter documents and team selection. What's the role of leadership? Adam will also talk about the "wheel of sustainability" (scroll down for an image and a PDF that he provided).
Adam will also mention a free virtual workshop that he's doing on Monday, April 6th. It was supposed to be done in person at a conference... but given the current circumstances, he's trying to make lemons into lemonade and I appreciate that he's offering up that opportunity for folks.

Thursday Mar 19, 2020
Ask Docs Anything on Covid-19 / Coronavirus
Thursday Mar 19, 2020
Thursday Mar 19, 2020
http://www.leanblog.org/361
Episode #361 of the podcast is admittedly not about Lean, but it's an important topic that I think needs to be shared in these times.
I'm sharing audio that came from a KaiNexus webinar yesterday that we called "Ask Docs Anything" and the topic was, of course, coronavirus and Covid-19. We put out a call for questions and got more than 100 questions for our customers and our community.
For the webinar, we focused the questions mainly on personal health and things you can (or must) do to protect your families and others in society. If you'd rather read synopsis answers to the questions, you can do so here. The video of the session is also embedded in that page, or it's also available through YouTube.
You can also find more links to resources, articles, and information through this page.

Sunday Mar 15, 2020
@LeahBinder of @LeapfrogGroup on Coronavirus Prep & #PatientSafety Progress
Sunday Mar 15, 2020
Sunday Mar 15, 2020
http://www.leanblog.org/360
Returning for Episode #360 of the podcast is Leah Binder, the president and CEO of Leapfrog Group. We last talked four years ago in Episode #240 about the patient safety crisis and efforts to improve.
Today, we'll talk about hospitals' preparation for the Covid-19 / Coronavirus threat. Read her statement on this topic and stay tuned for announcements about free webinars and resources that Leapfrog Group will be providing.
We'll also discuss safety (and the lack of reporting and data) in the outpatient (ambulatory) surgery setting -- where 60% of procedures are done today in the U.S. We'll also talk about the progress that's been made in the last four years on the patient safety front, in general.
Please check out Leapfrog Group and their Hospital Safety Score website. How does your hospital measure up? How do the hospitals in your community compare? What can hospitals be doing to close their gaps so they get an "A"? How can large businesses who pay for healthcare and have their employees' interest in mind, like manufacturers, help put positive pressure on healthcare to improve?

Monday Mar 02, 2020
Alfred Angerer on Lean Healthcare in Switzerland
Monday Mar 02, 2020
Monday Mar 02, 2020
My guest for Episode #359 of the podcast is Prof. Dr. Alfred Angerer, joining me from Switzerland to talk about Lean healthcare.
I had a chance to visit a hospital with Alfred, in Switzerland, late last year, as we discussed in this episode of his podcast (which we recorded together in his office).
In today's episode, he joins me via the internet and we'll talk about his path into studying, teaching, and consulting on Lean healthcare. We'll chat about what's different (and what's similar) in Swiss healthcare and we'll touch on his books and articles in the conversation.

Monday Feb 10, 2020
Steve Spear on Evolving our Knowledge and Learning on #Lean
Monday Feb 10, 2020
Monday Feb 10, 2020
http://www.leanblog.org/358
Returning to the podcast for Episode #358 is Steve Spear, a senior lecturer at MIT and author of the book The High-Velocity Edge: How Market Leaders Leverage Operational Excellence to Beat the Competition. He's also the founder and co-creator of a software company and product called See to Solve.
He's also the author of two outstanding Harvard Business Review articles: “Decoding the DNA of the Toyota Production System" and "Fixing Healthcare from the Inside, Today," both of which we'll discuss today. One of the themes for this episode is the evolution of knowledge. What does that mean for a company and what does that mean for an esteemed researcher and professor like Steve?
Steve has a BS in economics from Princeton University, an MA in management and an MS in mechanical engineering from MIT, and a PhD from Harvard Business School. He was previously a guest in episodes #58, 87, and 262. I hope you enjoy the conversation as much as I did!

Monday Feb 03, 2020
Dr. Michael Conroy on Lean as a Chief Medical Officer
Monday Feb 03, 2020
Monday Feb 03, 2020
http://leanblog.org/357
Joining me today for episode #357 is Michael Conroy, M.D., the Chief Medical Officer of Sutter Medical Group in northern California.
Mike was previously the Medical Director of the Lean Promotion Office for the Palo Alto Medical Foundation and he was in that role when we first met about a decade ago. We collaborated on some Lean workshop training material for him to deliver to other physicians, through my role at Catalysis at the time.
In today's episode, we'll talk about how he was first exposed to Lean, we'll take a few metaphorical elevator rides to talk about how Lean benefits patients and physicians, and shifting from Lean as tools or events to being a way of thinking and a common operating system for an organization.
Mike is board certified in Internal Medicine and is a Fellow in the American College of Physicians. After medical school at the University of Illinois College of Medicine, he did his residency at Virginia Mason Medical Center where he worked with Dr. Gary Kaplan, a well-known Lean leader who is now CEO of that system. Small world!

Wednesday Jan 22, 2020
Amy C. Edmondson on Psychological Safety and "The Fearless Organization"
Wednesday Jan 22, 2020
Wednesday Jan 22, 2020
http://www.leanblog.org/356
My guest for episode #356 of the podcast is Amy C. Edmondson, PhD, the Novartis Professor of Leadership and Management at the Harvard Business School. She is the author of three books on teaming and her most recent book is the topic of conversation today: The Fearless Organization: Creating Psychological Safety in the Workplace for Learning, Innovation, and Growth.
In the episode, we explore the incredibly important concept of "psychological safety," which means, as Edmondson defines it:
"...a climate in which people are comfortable expressing and being themselves."
This is necessary for Kaizen (continuous improvement) and it's also a huge contributor to people being able to speak up about patient safety risks (or other problems in the workplace).
One thing I love about her book is that she doesn't just diagnose the problem (that fear of speaking up is bad), but she also lays out a plan for how leaders can create a more psychologically-safe environment and culture.
From her bio: "Edmondson received her PhD in organizational behavior, AM in psychology, and AB in engineering and design from Harvard University."

Wednesday Jan 15, 2020
An Engineer, an Architect, and a Nurse on Healthcare Improvement
Wednesday Jan 15, 2020
Wednesday Jan 15, 2020
Http://www.leanblog.org/355
So, an engineer, an architect, and a nurse walk into a hospital... no, that's not a setup for the punchline to a joke.
Today, in episode #355 of the podcast, I'm sharing three short conversations with three people who have very different backgrounds, but they still all ended up working to improve healthcare.
We have a Toyota-trained engineer (Isaac Mitchell), who transitioned (like me) from manufacturing to healthcare.
We are also joined by an architect (Laura Silvoy) who got a master's degree in health systems engineering and helps an architecture firm in the improvement and design of healthcare facilities.
And, we have a business student (Darrin Judkins) who then got a nursing degree and, after years of providing patient care at the bedside, also got into Lean and healthcare improvement.
We all know each other through our involvement in the Society for Health Systems (a part of the Institute of Industrial & Systems Engineers) and the annual Healthcare Systems Process Improvement Conference. The event is being held February 26 to 28 this year in Savannah, Georgia. I love this event -- the learning, the networking, the friends... and I highly recommend it. We'll chat about that a bit too.
This episode is a little different... but I think you'll like it.

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.