

Lean Blog Interviews - Healthcare, Manufacturing, Business, and Leadership
Mark Graban
Since 2006, the Lean Blog Interviews Podcast has featured thoughtful, in-depth conversations with leaders, authors, executives, and practitioners who are applying Lean thinking and continuous improvement 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 improvement. Episodes span industries including healthcare, manufacturing, startups, technology, and professional services.
This isn’t a podcast about chasing tools, jargon, or “Lean theater.” Instead, guests share candid stories about what actually works—and what doesn’t—when organizations try to improve. You’ll hear honest reflections on leadership, culture, learning from mistakes, and building systems that help people do their best work.
Whether you’re a Lean practitioner, healthcare leader, executive, coach, or someone new to continuous improvement, each episode offers practical insights you can apply immediately.
Common topics include:
Lean as a management system and cultural transformation—not just a toolbox
Continuous improvement, Kaizen, and problem-solving at every level
Leadership behaviors that enable trust, learning, and sustained change
Psychological safety as a foundation for improvement and innovation
Lessons from the Toyota Production System, Lean Startup, and Deming’s thinking
Real-world stories about mistakes, learning, and resilience
You won’t hear much about “Lean Six Sigma” here. But if you believe improvement starts with respect for people—and that better systems beat blaming individuals—this podcast is for you.
Many episodes feature a special focus on Lean in healthcare, reflecting Mark’s long-standing work with hospitals and health systems to improve patient safety, quality, flow, and staff engagement.
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
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 improvement. Episodes span industries including healthcare, manufacturing, startups, technology, and professional services.
This isn’t a podcast about chasing tools, jargon, or “Lean theater.” Instead, guests share candid stories about what actually works—and what doesn’t—when organizations try to improve. You’ll hear honest reflections on leadership, culture, learning from mistakes, and building systems that help people do their best work.
Whether you’re a Lean practitioner, healthcare leader, executive, coach, or someone new to continuous improvement, each episode offers practical insights you can apply immediately.
Common topics include:
Lean as a management system and cultural transformation—not just a toolbox
Continuous improvement, Kaizen, and problem-solving at every level
Leadership behaviors that enable trust, learning, and sustained change
Psychological safety as a foundation for improvement and innovation
Lessons from the Toyota Production System, Lean Startup, and Deming’s thinking
Real-world stories about mistakes, learning, and resilience
You won’t hear much about “Lean Six Sigma” here. But if you believe improvement starts with respect for people—and that better systems beat blaming individuals—this podcast is for you.
Many episodes feature a special focus on Lean in healthcare, reflecting Mark’s long-standing work with hospitals and health systems to improve patient safety, quality, flow, and staff engagement.
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
Mentioned books

Sep 15, 2021 • 59min
Laura Kriska, the First American Woman to Work at Honda HQ in Japan
My guest for Episode #423 of the Lean Blog Interviews Podcast is Laura Kriska, a Cross-Cultural Consultant and the author of the book The Business of We: The Proven Three-Step Process for Closing the Gap Between Us and Them in Your Workplace.
Notes: https://www.leanblog.org/423
She was previously my guest on Episode 61 of the “My Favorite Mistake” podcast.
Laura was previously the author of the book The Accidental Office Lady: An American Woman in Corporate Japan, a book about her time as the first American woman to work for Honda in Tokyo, Japan. We talk about those experiences and so much more today.
Topics and questions:
How did you get to become the first American woman to work at Honda HQ in Japan?
What was it like working in the Ohio factory?
Quality Circles
Kaizen — We can always do things better
What was an “office lady”?
Adjustments to the Japanese working culture?
You initiated a Quality Circle around the uniform for office ladies, tell us about that…
“Let's Abolish Women's Uniforms”
Use of data?
Being careful with assumptions
Studied it for a year
What was the outcome?
You describe Cultural laziness (now, “corporate carelessness”) – what do you mean by that? Can this apply to somebody who is new to a company culture, too??
I hope you enjoy the conversation.
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.

Sep 8, 2021 • 1h 4min
Brant Cooper on Being ”Disruption Proof” in Pandemic Times & Beyond
Author of Disruption Proof and The Lean Entrepreneur
My guest for Episode #422 of the Lean Blog Interviews Podcast is Brant Cooper, appearing for the third time and the first time solo. Brant previously appeared, alongside Patrick Vlaskovits, in Episodes 99 and 162.
Show notes: https://www.leanblog.org/422
Brant is the author of the upcoming book, Disruption Proof: Empower People, Create Value, Drive Change, due out in late October, but is available for pre-order now.
Brant is The New York Times bestselling author of the book The Lean Entrepreneur (now in a 2nd Edition) and he's CEO and founder of the firm Moves the Needle.
He is also organizing a virtual summit — the Endless Disruption Summit — on Sept 30.
Topics and questions:
“One thing in life is certain: Disruption is the new norm.” — Why is that increasingly so?
How can a company become disruption proof?
What's a good example of an Industrial Age company that has transformed to thrive in the Digital Age?
Lessons from the pandemic?
Working from home and now what?
Empathy and restaurant signs
The entire world is understaffed?
The hospital sign about your energy and the workplace
The 5Es: Empathy, Exploration, Evidence, Equillibrium, and Ethics
His experiences in healthcare — cancer
The people are amazing
Ransomware attack affected his radiation care
I hope you enjoy the conversation.
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.

Aug 25, 2021 • 29min
BONUS: John Shook, Revisited from 2009 - Managing to Learn and A3 Problem Solving
We've been on hiatus over the summer here, so I've taken a look back at some of the older episodes from the podcast archives, while being on a bit of a hiatus from recording new episodes. New episodes will be coming again in September
Today we're looking back at the episode that I did with John Shook.
It was Episode #56, released in January 2009.
I hope you enjoy our discussion -- I think it's just as relevant today as it was then even though his book Managing to Learn has been available for more than a decade (it was new when we did this episode).
I had a chance to talk with John a few months back and I'm hoping to do a new episode with him sometime soon.
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.

Aug 17, 2021 • 49min
BONUS: David Meier's "Favorite Mistakes" at Toyota and His Distillery
I don't always share new episodes of the "My Favorite Mistake" podcast with you here, but when I do... it's a Lean practitioner.
Today, that guest is David Meier, a former Toyota team member and leader, author of two https://amzn.to/3xPHcre with Jeffrey Liker, and a TPS/Lean consultant. Oh, and he has a great distillery in Kentucky now called Glenn's Creek Distillery.
Toyota / Lean topics include:
More background about what you learned at Toyota
Hard for people to talk about mistakes, admitting they're human
Blame vs. responsibility?
Toyota teaches that leaders have responsibility
Blame with punishment = "accountability"?
Punishment replaced with learning and improvement?
Hard on the process, not on the people
Mr. Yoshino's mix up with the paint area (Episode #30)
My episode about the nearly lost episodes (Episode #16)
Mistakes made in the distillery
Mistakes about mistakes?

Aug 11, 2021 • 29min
BONUS: Jamie Flinchbaugh, Revisited from 2006
Author of The Hitchhiker's Guide to Lean
We've been on hiatus over the summer here, so I've taken a look back at some of the older episodes from the podcast archives, while being on a bit of a hiatus from recording new episodes.
Today we're looking back at my first episodes with my good friend, Jamie Flinchbaugh.
Show notes: https://www.leanblog.org/2021/08/podcast-bonus-episode-jamie-flinchbaugh-revisited-from-2006/
My voice has gone on hiatus this week… since he can’t talk, he asked me to record this intro for a podcast where we look back at some episodes I’ve been involved in.
Jamie was my guest for Episodes 5 and 6 back in 2006, then again for Episode 10 that year. In 2008, he turned the tables and interviewed me in Episode 50. Then, I interviewed Jamie in Episodes 64 and 261, and Jamie turned the tables once again to interview me, in Episode 316, about my book “Measures of Success.”
In April 2019, Jamie and I started the “Lean Whiskey” podcast and we plan on recording episode #29 of that series on Sunday… if my voice is back to normal.
Today, we’re sharing Episodes 5 and 6 together. The episodes were shorter back then, so combined it’s just under 30 minutes of audio, talking about Waste and the Role of Leadership.
I hope you enjoy our discussion from 2006, lmost exactly 15 years ago. As always, thanks for listening, and please do check out “Lean Whiskey.”
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.

Aug 4, 2021 • 34min
Ryan McCormack on His “Operational Excellence Mixtapes” & More
Links and show notes: https://www.leanblog.org/421
We've been on hiatus over the summer here, but I did a live streaming video the other day with my friend Ryan McCormack, who regular readers of this blog will recognize as the creator of the bi-weekly "Operational Excellence Mixtape" emails that he allows me to publish here on the Lean Blog.
He was also my guest for Episode 12 of the "Lean Whiskey" podcast.
In this 30-minute discussion, Ryan and I chat about:
Why did you start the "mixtapes"?
What are some favorite books and podcasts that you have highlighted recently?
What have been the transferrable Lean lessons going into healthcare and now back out into other settings?
Best Thing / Worst Thing -- What's the best thing about doing OpEx work? The worst thing?
I hope you enjoy the conversation.
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.

Jul 28, 2021 • 8min
BONUS: In Memoriam -- Podcast Guests Who Have Passed Away
During our summer hiatus from releasing new podcast episodes, we're looking back at previous episodes of the podcast.
Today, sadly, we're taking a look back at guests from the past 15 years who have since passed away. May their wisdom and legacy live on through these episodes, as we think about them today.
Links to the episodes and more can be found at https://www.leanblog.org/inmemoriam

Jul 13, 2021 • 1h 2min
Katie Anderson: One Year of "Learning to Lead, Leading to Learn" and the New Audiobook
Author, speaker, coach, publisher, and more
Show notes and links: https://www.leanblog.org/420
My guest for Episode #420 of the Lean Blog Interviews Podcast is Katie Anderson, appearing for the sixth time and the first time as a live-streaming guest! Katie is a leadership & learning coach, consultant, speaker, author | Japan Study Trip Leader. She's the founder and principal consultant at her own firm. You can find previous episodes here.
She's the author of the book Learning to Lead, Leading to Learn: Lessons from Toyota Leader Isao Yoshino on a Lifetime of Continuous Learning. Tomorrow is the first anniversary (or birthday) of the book! To celebrate, there's a short-term Kindle book sale (99 cents or 99 pence in the UK) from Wednesday to Friday this week July 14, 15, 16.
We're also celebrating that tomorrow is the official release date for the audiobook! It's available through Amazon or Audible.
Topics, questions, and links related to today's episode include:
You asked yesterday, in your email newsletter, “What does leadership mean to you?” — how do you answer that question?
How has your answer changed thanks to the influence of Mr. Yoshino?
What have you learned in the past year since the publication of your book? Or I should ask, what stands out most in terms of what you have learned?
Did the audiobook process yield any further content to the print edition?
What was the process for creating and recording the audio book?
Is there something new, work related or otherwise, that you've started learning recently? Has helped you think about learning, coaching, and practicing differently?
You and Mr. Yoshino were guests together on “My Favorite Mistake” — if I had a podcast called “My Most Recent Mistake” — what is one that comes to mind?
Best Thing / Worst Thing — What's the best thing and the worst thing about…
Writing and publishing a book?
Working in healthcare improvement?
Being active on LinkedIn?
Living in Japan full time as an American?
The gelato post that Katie wrote
Tell us about some of the coaching you've been doing, including the K2C2 Coaching Communities…
Leading to Learn Accelerator
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.

Jun 30, 2021 • 30min
Revisiting #124: Paul O'Neill on Habitual Excellence and Safety
Former CEO of Alcoa, U.S. Treasury Secretary
Originally released as Episode #124 in July, 2011
Show notes: https://www.leanblog.org/124
Today’s episode is a bit different than our usual interviews and conversations. Today, I am republishing an interview that Mark Graban did in 2011 with the late Paul O’Neill Sr., the former non-executive chair for the firm Value Capture. He was, of course, so much more than that, (CEO of Alcoa, United States Treasury Secretary, and more), as you’ll hear in this interview that originally appeared as Episode 124.
In summary, Mr. O'Neill talked about:
Leadership mindsets required for dramatic workplace safety and patient safety improvement, including a near 100% reduction in hospital-acquired infections at Pittsburgh's Allegheny General Hospital
Why the United States has accomplished “practically nothing” nationally since the famed 1999 Institute of Medicine report “To Err Is Human”
Why society's most lacking skill is “leadership”
Alternative ways of compensating patients who are harmed by the healthcare system while ensuring real improvements are made by learning from each problem
Why leaders in Washington D.C., at the time, should have shifted from “financial engineering” to visiting ThedaCare to learn about “the real way” we should improve health care.
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.

Jun 23, 2021 • 55min
Lean Six Sigma and Continuous Improvement from Railroads to Pageants: Allison Greco
Founder of Continuous Improvement International
Show notes: https://www.leanblog.org/419
My guest for Episode #419 of the Lean Blog Interviews Podcast is Allison Greco, an industrial engineer, a Six Sigma Black Belt, and the founder of Continuous Improvement International, a professional society that you can join today.
In this episode, we'll hear about her Lean Six Sigma origin story (which was in the railroad industry). We'll also hear, at the end, how she applied continuous improvement thinking to her participation in pageants (winning Mrs. Oklahoma).
Topics, questions, and links related to today's episode include:
How to navigate C.I. in this hybrid work world
Why start Continuous Improvement International (CII)
What's the best thing / worst thing about continuous improvement and entrepreneurship?
Her upcoming conferences in Tulsa and Omaha
Her articles about C.I. and pageants
Continuous Improvement & Beauty Pageants: Making it Stick
Continuous Improvement & Beauty Pageants: Finding the Why
CI & Beauty Pageants: Post-Mortem – Don’t Steal the Crown
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.


