Lean Blog Interviews: Real-World Lean Leadership Conversations in Healthcare and Beyond

Katie Anderson, A Lean Thinker Living in Japan

Today's guest is Katie Anderson, and we're talking about her experiences living in Tokyo for 18 months and what she's learning about Lean culture, Japanese culture, and how those aren't always one and the same. I first met Katie through the Healthcare Value Network and our participation in that collaborative. She's an experienced Lean healthcare practitioner, coach, consultant, having worked for Stanford Children's Hospital and the Palo Alto Medical Foundation before starting her own consulting practice. Katie has been generously sharing her experiences in Japan and her reflections on her blog, which I highly recommend. You can also find her on Twitter and LinkedIn. For a link to this episode, refer people to www.leanblog.org/233. Podcasts are sponsored by KaiNexus and their software that helps spread continuous improvement -- Learn more at http://www.KaiNexus.com

Remembering Dr. Michel Tétrault

Today's podcast, #232, is presented with a heavy heart, after the recent passing of my friend Dr. Michel Téatrault, the CEO of St. Boniface General Hospital and a great Lean leader. He was a friend to many in the Healthcare Value Network and the broader Lean healthcare community. As I was remembering Michel, it occurred to me that I had recorded a podcast with him, back in 2010, as part of a series that I was doing for the Healthcare Value Network. I never shared that audio as part of my main podcast series, so I'm doing so today. In the episode, we talk about "Lean from the CEO perspective." I hope Michel's words and experiences at St. Boniface continue to help and inspire people. For a link to this episode, refer people to www.leanblog.org/232.

Dr. Eric Dickson, Starting with Lean at UMass Memorial

Today's guest is Eric Dickson,MD, MHCM, FACEP, the president and CEO of UMass Medical Center. Episode #231 of the podcast is a little different than the usual. Normally, I record a podcast interview via Skype or a phone call. Today's podcast is a recording of an interview that I did on stage at the 2015 Lean Healthcare Transformation Summit, as part of the CEO panel I was moderating. Eric was one of three CEOs who did a 10-minute interview with me, then we had them take questions as a panel group. The audio quality isn't as good as normal, so there's a transcript of the conversation below. Eric tells what I think is an important story about why UMass Medical Center used Lean and Kaizen as an important strategy for the challenges and crisis they faced at the time. For a link to this episode, refer people to www.leanblog.org/231.

* Paul DeChant, MD, MBA on Reducing Burnout Through Lean

Audio remastered May 2025
Episode page
Joining me for episode #230 is Paul DeChant, MD, MBA to talk about reducing burnout, especially physician burnout, through Lean. Paul (see his bio here) is the former CEO of Sutter Gould Medical Foundation, a 300-physician multispecialty medical group in California's Central Valley. Before that, he had stints at organizations including Geisinger Health System and the Palo Alto Medical Foundation. He is now a consultant and executive coach for Simpler Healthcare. For a link to this episode, refer people to www.leanblog.org/230.
In the podcast, we talk about questions and topics including: Tell us about your career... how did you get involved in healthcare leadership and how did you get exposed to Lean? What problems or opportunities were you trying to address with Lean? How did you see your role and participation as CEO? As a physician leader? You recently wrote a blog post "why is physician engagement even an issue?" How would you describe the current state of life for an MD before Lean? Can Lean help prevent burnout for MDs or others? Is there a point where somebody gets "too burned out" and can't be turned?

John Dyer, Reflections on Deming, Six Sigma, and More

My guest for episode #229 is John Dyer, president of his consulting firm, JD&A, Inc., and a contributor for IndustryWeek.com. John started his career at General Electric and later moved to Ingersoll-Rand, where he was VP of Operations for their Security and Safety sector. John had the good fortune to learn directly from W. Edwards Deming, as he took the famed four-day seminar (that included the Red Bead Experiment) and was also invited to take the follow on course with a smaller group. You'll also want to scroll down to see the great picture that he posted on Twitter of him and Dr. Deming. For a link to this episode, refer people to www.leanblog.org/229. In the podcast, we talk about questions and topics including: Tell us about the early days of your career in manufacturing engineering and management... how did you get involved in operational excellence? While at GE, you had some experience with W. Edwards Deming, tell us about that... What are some of the key lessons from Dr. Deming that stick with you today? GE's CEO Jack Welch had once derided Deming as "too theoretical." Was it that or did Deming's concrete suggestions just fly in the face of Jack's way? What did John recently witness when a relative was a hospital inpatient? How did that compared to some things Dr. Deming saw and reported as a patient in 1987?

Zeynep Ton: The Good Jobs Strategy, Lean Thinking, and Respect for People *

Remastered January 2022
Episode page: https://www.leanblog.org/228
Labor Day is Monday, so maybe it's appropriate that my guest for episode #228 of the podcast is Zeynep Ton, an Adjunct Associate Professor of Operations Management at the MIT Sloan School of Management. You may have recently seen her being interviewed by Fareed Zakaria on CNN. Read her full bio here.
She is author of the 2014 book The Good Jobs Strategy: How the Smartest Companies Invest in Employees to Lower Costs and Boost Profits.
I saw Ton give a lecture at an MIT alumni event back in June and immediately bought and read the book (read my blog post about the book and parallels to Lean and healthcare). I highly recommend it and I wish more hospitals and health systems would pursue this “good jobs strategy” instead of being so focused on cutting labor costs. As Ton explains in the book and our discussion, this strategy is not about being kind or nice — it's just good business that drives better long-term results for all.
 
In the podcast, we talk about:
How she transitioned from industrial engineering and supply chain management to studying retail companies.
In the vicious cycle of the “bad jobs strategy, ” why is this considered conventional wisdom that the way to maximize profits in a low-margin industry is to offer minimal pay, training, and hours?
What are the components (and system) of “the good jobs strategy?”
What connections do you draw between the good jobs strategy and Toyota or Lean?
Do the companies or founders that have a good jobs strategy sort of naturally embrace it?
Of the “good jobs” components, is it most difficult to help people see that 100% utilization is often very harmful and that “slack” is necessary?
Is it easier for privately held companies to pursue the good jobs strategy having less quarterly financial pressure?
Any thoughts on why society focuses so much on wages, while seemingly ignoring other aspects of workplace conditions that need to be improved?

Ruthie Davis & Steve Cook on "Do The Right Thing"

Joining me for episode #227 are Ruthie Davis and Stephen Cook, talking about the book that they edited, Do the Right Thing: Real Life Stories of Leaders Facing Tough Choices.'
Episode page: https://www.leanblog.org/227 
While this episode isn't focused on Lean, per se, I think you'll enjoy the discussion and I highly recommend the book, which highlights the role of ethics and integrity in leadership… hence “doing the right thing” and being a great leader who others chose to follow.
The book is inspired by the life and lessons of Don Davis, who served as CEO of Stanley Works (now Stanley Black & Decker) from 1966 to 1988. After retiring as CEO, Don volunteered to teach a leadership seminar for the MIT Leaders for Global Operations program, which I was fortunate to take as a student there. You can read his obituary here.
Ruthie is Don's daughter and Steve was, like me, a student of Don's at MIT, so they combined their efforts to publish a compilation of compelling stories from Don's students about real life leadership challenges that they faced and how Don's “leadership mantras“ helped them in those times.
Stephen Cook is currently a co-founder and Executive Managing Director of the private equity firm, LFM Capital. Previously, he was a Principal with TVV Capital, following his role as COO of MFG.com, and 11 years of operations leadership roles at Dell. Prior to joining Dell, Steve served as a Lieutenant in the United States Navy, where he flew combat missions in support of Desert Shield. He is a fellow graduate of the MIT Leaders for Global Operations program, a year ahead of me, and we worked together at Dell at the turn of the century and have kept in touch since. Read his bio.
Ruthie Davis is an entrepreneur and designer, the founder and CEO of the high-fashion Ruthie Davis shoes. Her shoes are a “top choice of celebrities and fashion tastemakers including… Beyoncé, Lady Gaga, and Jennifer Lopez; Halle Berry, Sofia Vergara, Taraji P. Henson and Shailene Woodley… and Emma Roberts, Zendaya Coleman, and Rumer Willis.” Ruthie was a recipient of Babson College's “Entrepreneur Hall of Fame” award in 2015. Read her full bio here.

Steve Hoeft and Dr. Bob Pryor, "The Power of Ideas to...

My guests for episode #226 are Steve Hoeft and Dr. Robert (Bob) Pryor from Baylor Scott & White Health in Texas. Bob serves as President, Chief Operating Officer and Chief Medical Officer for the system and was formerly CEO of Scott & White Health before their merger with Baylor Health Care System. Steve is the Chief of Operations Excellence for the system. hoeft-pryor bookThey are co-authors of a recently released book that I think is outstanding: The Power of Ideas to Transform Healthcare: Engaging Staff by Building Daily Lean Management Systems. Steve is also previously author of another book I really like, Stories from My Sensei: Two Decades of Lessons Learned Implementing Toyota-Style Systems. I'm sure you'll enjoy the podcast, as they combine the perspectives of an industrial engineer and Toyota-influenced automotive guy (Steve) and a pediatrician and physician executive (Bob). They share a passion for healthcare improvement AND a belief that we need to respect and engage everybody who works in healthcare as a way to better serve patients. For a link to this episode, refer people to www.leanblog.org/226. Podcasts are sponsored by KaiNexus and their software that helps spread continuous improvement -- Learn more at http://www.KaiNexus.com

John Toussaint on Lean Healthcare Leadership and Management on the Mend

Joining me once again on the podcast today is John Toussaint, MD, the founder and CEO of the ThedaCare Center for Healthcare Value. We're talking about his latest book, Management on the Mend. John wrote this new book to document "core elements of successful Lean transformations" that he's seen, not just at ThedaCare, but at other organizations around the world. The book outlines a "transformation model" that can be used to structure a Lean transformation, while John admits there's not just one prescription or framework that could work. John was previously a guest for episodes #184, #159, #146, #72, #62, and #54 going back to 2008. His previous books, which I highly recommend, are On the Mend and the follow up Potent Medicine, both are Shingo Research Award recipients. For a link to this episode, refer people to www.leanblog.org/225. Podcasts are sponsored by KaiNexus and their software that helps spread continuous improvement -- Learn more at http://www.KaiNexus.com

Mike Grogan, Lean and Mentoring

My guest for episode #224 of my podcast is a returning guest, Mike Grogan. About two years ago, we talked about his Lean work in Tanzanian healthcare, in episode #182. Mike is an international trainer, coach, and speaker, who works with successful but overwhelmed management teams, to help them understand the technical and behavioral elements of Lean leadership, so that they can realize a culture of constant and never-ending improvement in their organization. In this eposide, we talk about his experience with mentoring, in Tanzania and other settings. For a link to this episode, refer people to www.leanblog.org/224. Podcasts are sponsored by KaiNexus and their continuous improvement software platform -- www.KaiNexus.com