

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

Nov 26, 2018 • 60min
Andrea Hardaway, Making Metrics Matter
Joining me for Episode #325 of the podcast is Andrea Hardaway, an operational leader and the executive director of the Association for Vocal Disorders. Andrea and I first crossed paths through LinkedIn, seeing what she shares there and vice versa. We also had a chance to visit a hospital together in Florida last year to learn about their Lean improvement work. We have enough professional interests in common, I thought it made sense to record a conversation and share it here with the listeners. Andrea has worked in manufacturing, healthcare, and other parts of the service sector and has seen common themes across industries. This includes the opportunity to better use metrics in a way that resonates with staff and is connected to improvement work, something I'm also very interested in. So, we talk about that and more in this episode.

Nov 13, 2018 • 1h 7min
Art Smalley, “Four Types of Problems”
My guest for Episode #324 of the podcast is Art Smalley. Art was one of the first Americans to work for Toyota Motor Corporation in Japan and, since then, has been helping other organizations with the Toyota Production System (a.k.a. “Lean”) methods and approaches. You can also visit his website to learn more, www.ArtOfLean.com.
Art is a fellow faculty member at the Lean Enterprise Institute. He has written two Shingo Publication Award-winning books: Creating Level Pull and (co-authored with Durward Sobek) Understanding A3 Thinking. Art later wrote Toyota's Kaizen Methods: Six Steps to Improvement with Isao Kato.
I own all of these books and have only met Art briefly in the past, so I'm happy to finally have him here as a guest. Today, we'll talk about Art's career and his most recent book, Four Types of Problems, published by the Lean Enterprise Institute (note: LEI provided me a free electronic copy of the book).
I hope you enjoy the conversation as much as I did.

Nov 5, 2018 • 50min
Davis Balestracci on “Data Sanity”
I first met Davis Balestracci at a conference a few years back, where I heard him give a very spirited and insightful presentation. That's why I'm happy to have him as my guest for Episode #323 of the podcast.
We'll talk about a range of topics, including some of the key lessons that you'll find in his book (as a much deeper dive than we can get into here) Data Sanity: A Quantum Leap to Unprecedented Results (2nd edition). Davis has been a long-time columnist for Quality Digest, and you'll hear his thoughts on Process Behavior Charts, W. Edwards Deming, Lean Six Sigma, and more.
From his bio: “Davis has a BS degree in chemical engineering and an MS degree in statistics, yet describes himself as a “right-brained” statistician: his Myers-Briggs profile is INFP and he is a pipe organist who done graduate work in conducting.”

Oct 29, 2018 • 26min
Samuel Selay's Reflections on Lean
Today's podcast is a departure from the usual interview format. As I blogged about last week, the Lean community has lost a young, thoughtful, inquisitive, and reflective member -- Samuel Selay. I regret not having Sam on the podcast to talk about our learning and reflections. He was a guest of Ron Pereira's on the Gemba Academy podcast in 2016, talking about Lean in the Department of Defense. Today, I'm doing a reading of a blog post that Sam wrote for this site back in August. I'm also sharing the audiobook version of his chapter from the book Practicing Lean (which is read by our audiobook narrator). It's not his voice, but it's his words and thoughts. As the Marines say (Sam was an active duty Marine for 13 years), Semper Fi. There is a GoFundMe page that was set up by Sam's sister-in-law to provide financial support to the family — his wife and four children under 18. I've donated and I hope you might consider doing the same.

Oct 16, 2018 • 52min
Mark Hamel on "Lean Math" and People, Too
My guest for episode #321 of the podcast is Mark Hamel, He is a partner and COO with The Murli Group. Mark is a two-time recipient of the Shingo Research and Professional Publication Award for his books The Kaizen Event Fieldbook and his most recent book Lean Math, the main subject of this episode. I hope you enjoy the discussion, which is about people as much as it is about math.

Oct 9, 2018 • 54min
Skip Steward on Deming, Wheeler, Metrics, and More
Skip Steward, the Chief Improvement Officer at Baptist Memorial Health Care in Tennessee, was a guest on Episode #314 of the podcast talking about TWI and Toyota Kata in healthcare (he was joined by Brandon Brown). Today, I've asked Skip to come back and chat 1x1, in Episode #320, about his experience with Don Wheeler, learning from W. Edwards Deming, and more. I hope you enjoy his reflections, our discussions about healthcare, and connections to my book Measures of Success (Skip undoubtedly has a book in him too).

Oct 1, 2018 • 48min
Karen Martin on "Clarity First" and More
My guest for Episode #319 is Karen Martin, whose most recent book is Clarity First: How Smart Leaders and Organizations Achieve Outstanding Performance. She was previously a guest on Episodes #151, #190, and #285. Karen is an author of many books on Lean, quality, and performance excellence. She is also a speaker and a consultant with a B.S. in Microbiology from Pennsylvania State University and an M.A. in Education from California State University, Bakersfield. Read her full bio. What is clarity? How can we work toward creating less fog and more clarity in organizations? We'll talk about that, along with a bit of discussion about clarity in metrics, as I write about in my book Measures of Success.

Sep 17, 2018 • 56min
Marcus Hammarberg, How Lean & Kanban...
318 - Marcus Hammarberg, How Lean & Kanban Saved an Indonesian Hospital Joining me from Sweden for Episode 318 of the podcast is Marcus Hammarberg, author of the fascinating book Salvation: The Bungsu Story: How Lean and Kanban saved a small hospital in Indonesia. Twice. And can help you reshape work in your company. Marcus is a software developer, consultant, lean/agile coach, speaker, and author. He ended up with an opportunity to work with a hospital in Indonesia and he tells that compelling story in the book. How did a huge hole in the roof help trigger a change in culture and results? You'll hear about that and more in this episode. I hope you enjoy it and find it inspirational, as I did.

Sep 4, 2018 • 49min
Patricia Morrill, “The Perils of Uncoordinated Care”
My guest for Episode #317 of the podcast is Patricia Morrill, a speaker, trainer, consultant, researcher, and author of the book The Perils of Un-Coordinated Healthcare: A Strategic Approach toward Eliminating Preventable Harm.
With 30 years of experience in the healthcare industry, she has focused on blending operational efficiencies with healing environments. Patricia has successfully integrated Lean and Project Management methodologies with organizational strategic goals to build roadmaps for execution. Check out her website and her blog.
In today's episode, we discuss her personal story about her mother's death that came as the result of a preventable medical error. What can be done to prevent medical errors, harm, and death?

Aug 28, 2018 • 49min
Jamie Flinchbaugh Interviews Mark Graban
@Flinchbaugh Interviews @MarkGraban About "Measures of Success"
Today's episode is the second time that friend and podcast guest Jamie Flinchbaugh has turned the tables by playing host to interview me about my new book, Measures of Success: React Less, Lead Better, Improve More, which has recently been the #1 best selling book in Amazon's Total Quality Management category. Jamie is very knowledgeable on these topics, so he was a great person to interview me and to have more of a conversation about choosing the right metrics and then managing them the right way. I hope you enjoy the conversation and future podcasts will return to the usual format where I interview guests and try to let them do most of the talking.


