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
Mar 5, 2019 • 59min
Barry O’Reilly on the Need to “Unlearn”
It's two Barrys in a row on the podcast, as my guest for Episode #335 is Barry O'Reilly and we're talking, in depth, about his latest book, Unlearn: Let Go of Past Success to Achieve Extraordinary Results. Barry is a business advisor, entrepreneur, and author who has pioneered the intersection of business model innovation, product development, organizational design, and culture transformation. See his full bio. Last week, I shared a shorter discussion with Barry that served as a preview of the webinar that he's presenting on Wednesday. You can find a link to register for the live webinar (or to view the recording) at leanblog.org/335. Barry and I chat about topics including 1) experimental approaches to entrepreneurship, 2) how leaders need to make it safe for people to try new things, and 3) why you have to unlearn before you can learn something new – that's the pathway that allows you to then achieve breakthrough results. These are good ideas in business and they also talk about the interesting case of tennis legend Serena Williams and how she reinvented her game to extend her greatness. I hope you enjoy the conversation as much as I did and do hope you'll pick up the book.
Feb 28, 2019 • 1h 9min
Barry McCarthy, Toyota as a Development Company
Joining me for Episode #334, all the way from Australia, is Barry McCarthy. Barry spent more than 15 years in leadership roles with Toyota in Australia and now works as an Associate with consulting firm Honsha. We were able to spend a lot of time talking when I participated in Honsha’s Executive Development Mission trip to Japan late last year. One thing we talked about quite a bit was Barry’s experience with Toyota being “a development company,” as I blogged about here. In our discussion, Barry talks about why he was “skeptical” about Lean before he joined Toyota. But, he evolved as Toyota continues to evolve. Why is Barry afraid that Lean (outside of Toyota) might get stuck in the past? We’ll talk about all of that and more.
Feb 18, 2019 • 57min
The Toyota Kata Memory Jogger
Episode 333 - Jean-Marc Legentil and Marc-Olivier Legentil, The Toyota Kata Memory Jogger My guests for Episode #333 are Jean-Marc Legentil and Marc-Olivier Legentil, father-and-son Lean consultants from Montreal, Quebec, Canada. They work together in the firm Bell-Nordic Consulting. I've had the pleasure of meeting both of them on numerous trips to Montreal and was happy to hear they were part of the team that created the latest book in the excellent “Memory Jogger” series: The Toyota Kata Memory Jogger I hope you enjoy our conversation about Toyota Kata, improvement, leadership, and more.
Feb 14, 2019 • 56min
Jason Burt, on Being Coached by Toyota
Joining me today for Episode #332 is Jason Burt, owner of EHIP Consulting. Jason is a Lean consultant and business coach with an extensive and diverse background, including a manufacturing career where he has led and coached organizations to increased levels of efficiency and performance. Using the Toyota Production System (TPS) approach has allowed him to positively change cultures to achieve sustainable improvements. During his time at Herman Miller, Jason spent 18 months learning TPS directly from Toyota as a Toyota Lean Consultant. Toyota and Herman Miller were in a partnership during his time with the company, which allowed him to receive direct coaching from Toyota Senseis for the entire 16 years. I was interested in talking with Jason about what it was like learning from Toyota's TSSC organization (a group that has done great work with a UCLA eye clinic and a food bank, to name two that I've featured on the blog). We talk about a wide range of topics, including common misunderstandings about TPS and Lean, the Toyota goals of developing people and their clients (knowing results will follow), and how he sometimes has to adapt to work with clients and their expectations. I hope you enjoy the conversation!
Feb 4, 2019 • 56min
Dr. Eric Dickson, a CEO's Perspective on Lean and Ever
My guest today for Episode #331 is Eric W. Dickson, MD, MHCM, FACEP, a Professor of Emergency Medicine at UMass Medical School and Chief Executive Officer of the UMass Memorial Health Care system. You might have heard Dr. Dickson speak in Episode #231 of the podcast, which was audio from the CEO panel at the 2015 Lean Healthcare Transformation Summit. By the way, I hope you can join me at this year's Summit. In that audio, Dr. Dickson talked about the beginning of what has been quite an impressive turnaround at UMass Memorial Health Care. I invited him to formally be a guest on the podcast to talk about their progress, and what it means for him to be creating a culture of “Everyday Innovators: Everywhere, Every Day,” which has led to over 65,000 ideas being implemented in five years. This is also a topic he blogs about quite a bit. In our conversation, we discuss how he found Lean originally “almost out of desperation.” How can we shift from “knowing the answer” to “continuous experiments?” Why is it important that he, as CEO, not be “throwing solutions out” when working with people? Does it help that he works a few shifts a month as an emergency medicine doc? We talk about that and more.
Jan 28, 2019 • 52min
Christoph Roser, His Grand Tour of Japanese Automakers
Joining me today for Episode #330 of the podcast is Christoph Roser, a professor of production management at the Karlsruhe University of Applied Sciences in Germany. He has decades of experience with Lean manufacturing including time with Toyota in Japan, as a consultant at McKinsey & Company, and as a Lean expert and manager at Robert Bosch GmbH. He earned a Ph.D. from the University of Massachusetts. He is author of the book Faster, Better, Cheaper in the History of Manufacturing: From the Stone Age to Lean Manufacturing and Beyond. You can read his full bio here, via his excellent blog AllAboutLean.com. Today's discussion was sparked by his series of blog posts about his “grand tour” of automotive factories in Japan. You can read those or check out his overview blog post here. We'll talk about the differences between some of these companies, a bit about Lean in healthcare, and we'll discuss Christoph's concerns about the way Toyota's culture might be changing under CEO Akio Toyoda.
Jan 21, 2019 • 1h 1min
Mike Eisenberg, The Film “To Err is Human” and the Patient Safety Emergency
Joining me today for Episode #329 of the podcast is Mike Eisenberg, the director, editor, and producer of the film “To Err is Human,” a documentary about the incredibly important issue of patient safety. The film shares a title with the groundbreaking 1999 report from the Institute of Medicine.
The film is available on as a digital download (through iTunes and other platforms) and a Blu-ray or DVD (through Amazon) and there also screenings taking place around the country (and you can arrange one at your organization).
In our conversation, Mike and I talk about the scale and breadth of patient safety problems, some of the systemic causes, and some of the solutions that are being tried and used in healthcare. The term “Lean” is not a part of the film, but Mike said he's become aware of the alignment between Lean and systemic patient safety improvement, but there are limitations to what could be put into a 77-minute film. But, there are common themes including not blaming “bad apples” and improving the way care is delivered in a systematic way.
I had the opportunity to watch the film before the interview — it's very powerful and well produced. I hope you'll check out the film, whether you are a patient or a healthcare professional (or leader). It's important that we help the public understand that patient safety can't be taken for granted… and it's important that hospitals step up their efforts on this front.
Jan 15, 2019 • 55min
Bette Gardner and Jeff Heil, Friday Night at the ER
My guests for Episode #328 are Bette Gardner and Jeff Heil, of the company Breakthrough Learning. Bette is the creator of a fantastic simulation called "Friday Night at the ER" -- which I've blogged about. When we recorded the webinar, Bette was CEO and Jeff was COO, but recently Jeff took over the CEO role. They are also, as they mention, mother and son... which will be followed by an upcoming podcast with a father and son team (two of the authors of this book). In this episode, we talk about Bette's inspiration for the simulation, systems thinking, and healthcare improvement. We'll also talk about how the simulation is used by organizations in many industries as a way of teaching systems thinking principles.
Dec 17, 2018 • 46min
Marc Rouppe van der Voort, Lean in Dutch Healthcare
My guest for Episode #327 of the podcast is Marc Rouppe van der Voort, Ph.D., who is joining me from Utrecht in the Netherlands. We first met back in 2009 when he invited me to come speak at a Dutch Lean Healthcare conference (which I blogged about here). We've crossed paths many times, as Marc has frequently visited the U.S. for the annual Lean Healthcare Transformation Summit, coming with a large group of Dutch Lean healthcare practitioners from many organizations (they collaborate through an organization he chairs called Lidz, which has 60 organizations as members). I've also had the chance to go back to visit and teach at Marc's current employer, St. Antonius Hospital, where he is vice president of operations management and leads the application of Lean principles and several supporting teams. He has also written three practical books on the application of Lean in healthcare. Today, we'll be talking about his learning and his experience with Lean in Dutch healthcare organizations -- what are the differences in the Dutch system and what are the ways in which it's similar to the American system? We'll also discuss the connections between Value Based Healthcare and Lean, with the focus on patient outcomes and quality of life... and other topics related to Lean and leadership.
Dec 11, 2018 • 49min
Katie Anderson on Lean Collaboration Within Healthcare and Beyond
Joining me for the fourth time, here for Episode #326 of the podcast, is my friend and colleague Katie Anderson, a leadership coach, Lean consultant, speaker and writer from the San Francisco area. Hear our previous podcasts about visiting and living in Japan.
Today, we're talking about a number of topics related to learning and collaboration: Her upcoming book with Isao Yoshino, the local San Francisco Bay area AME consortium that she is leading, her next trip to Japan (which you can join), and more.
I hope you enjoy our conversation as much as we did. For some other resources, and to enter to win a copy of my book Lean Hospitals (and a copy of Measures of Success) that Katie is giving away, visit kbjanderson.com/mark. Thanks, Katie!
