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
Oct 12, 2016 • 40min
Bernita Biekmann on Lean Design for Hospitals
Joining me for Episode #265 of the podcast is Bernita Beikmann, AIA, EDAC, LSSBB, a Principal and Director of Lean Strategy at HKS, an international architecture firm. Bernita is originally from Kansas and has a Bachelor of Architecture from Kansas State University and a Certificate in Regional and Community Planning. She moved to Dallas in 1996 and has been employed by HKS, Inc in Dallas since that time. We first crossed paths when we had the opportunity to work together on a project for Riley Hospital for Children in Indianapolis to work with staff and leaders on designing parts of a new patient tower. You can read a bit about that work here. I hope you enjoy our conversation.
Sep 26, 2016 • 1h 2min
Tyrone Butler on Lean, Six Sigma & More
My guest for Episode #264 is a friend from here in the Dallas / Fort Worth area, Tyrone Butler. He is LSS Managing Partner at his company, Butler Active Business Solutions LLC. He has a background in the Air Force, he pre-dated me at Dell Computer in the 1990s, and he's being doing a lot of work all over the world with Lean, Six Sigma, and other methodologies for improving software and project delivery, like ITIL. Tyrone is one of the first to hold the "Certified Executive Master Black Belt (CEMBB)" certification through Mikel J. Harry, PhD. We first met probably back in 2010 when we were both part of a Lean group that went to visit the Toyota plant in San Antonio (which I blogged about here and here). In this episode, he'll share some of his experiences, including a presentation to Michael Dell, his thoughts on the combination of Lean and Six Sigma, and methods that he has seen work in software development and other settings.
Sep 21, 2016 • 45min
Pascal Dennis, "Andy & Me and the Hospital"
My guest for Episode #263 is another returning guest, Pascal Dennis (@AuthorPascal on Twitter). He was previously a guest on Episodes #96 and #239, talking about two of his previous books (see a full list here). Today, we're talking about his most recent book, a business novel called Andy & Me and the Hospital: Further Adventures on the Lean Journey. I don't normally read much fiction, and I generally don't read business novels, but I really enjoyed this book and tore through it in a few days. It was really compelling and many of the scenarios felt quite familiar. I think this is a helpful book for painting a picture of what it could feel like to start a Lean journey in healthcare. The book is, of course, a sequel to his earlier book Andy & Me, Second Edition: Crisis & Transformation on the Lean Journey.
Sep 12, 2016 • 44min
Steven J. Spear, "Beyond the Jargon" of Lean and Improvement
My guest for Episode #262 is Steven J. Spear (@stevenjspear on Twitter). He is author of the fantastic book The High-Velocity Edge: How Market Leaders Leverage Operational Excellence to Beat the Competition. He's a Senior Lecturer at the MIT Sloan School of Management and recently taught a summer course on Lean and Six Sigma for the Leaders for Global Operations program (I graduated from that program in 1999 when MIT was teaching TQM in that summer course) and he also teaches executive education programs for MIT Sloan. Steve was previously a guest in Episodes #58 and 87. I'm glad to have him back on the show after six years. Steve is going to be one of the keynote speakers at the upcoming Northeast L.E.A.N. Conference, being held October 4th and 5th in Massachusetts. I hope you'll check it out, as I've participated in past years and it's always been great (and you get to meet Bruce Hamilton of "Toast Kaizen" fame).
Aug 30, 2016 • 48min
Jamie Flinchbaugh, Talking About Lean
Joining me for Episode #261 is an old friend and trusted mentor, Jamie Flinchbaugh. Among other things, he's the co-author of the book The Hitchhiker's Guide to Lean. He writes for a number of publications, has his own blog, and was previously a guest blogger here on LeanBlog.org. He's a speaker, investor (including in KaiNexus), and a great guy. Jamie was previously a guest on episodes #5, #6, #10, #50 (where he interviewed me), and #64. We were long overdue for another one. This episode is intentionally more conversational than most, with no more of a plan than me asking Jamie, "What's new?" He's also in final editing of a chapter for the book Practicing Lean, so I'm happy to be adding that to the book. Jamie is also going to be giving a keynote talk at our upcoming KaiNexus User Conference.
Aug 22, 2016 • 44min
Brad White, on Lean Daily Management for Healthcare
See http://www.leanblog.org/260 My guest for Episode #260 of the podcast is Brad White, author of the recently-released book Lean Daily Management for Healthcare: A Strategic Guide to Implementing Lean for Hospital Leaders. He is currently a Senior Process Improvement Advisor at Grady Health System in Atlanta, but I first met Brad a few years back when we were both in San Antonio and he was working for a health system there. In San Antonio, Brad helped spread these "Lean Daily Management" practices at the Baptist system and University Health System. I was able to come visit and see how this process was engaging leaders and staff at UHS (see photos below). You can learn more about Brad's book at his website, which includes a two-page PDF on how these methods can improve patient flow. http://leandailymanagement.com/
Aug 9, 2016 • 39min
* Steve Bera, Reflections on NUMMI and Lean, Part 2
See http://www.leanblog.org/259
Remastered audio 2025
Today's episode #259 is Part 2 of a discussion I started with Steve Bera in episode #256. Steve was one of the original 16 “NUMMI Commandos” that General Motors sent to work with Toyota in the 1980s, as discussed in the outstanding book Comeback: The Fall & Rise of the American Automobile Industry.
In Part 1, we talked about his experience at NUMMI. Today, we talk about what happened after his two years at NUMMI, why he feared getting lost back in the regular old GM, what he's done to teach and spread Lean in various industries over the past 30 years, and other thoughts on the current state of Lean.
A transcript of the discussion can be found at the bottom of the post. You can also read a summary I wrote of the two posts on LinkedIn.
Topics Covered In This Episode:
The book describes the confusion about the lack of a “repatriation plan” – what happened? To you? At GM? Why was it hard to spread lessons back into GM?
What have you done since leaving GM?
How do you see the “state of Lean/TPS” in America? How much progress are we making?
Do you have any experience working with healthcare or seeing the opportunity for Lean as a patient?
What's the “risk” of a poorly executed Lean initiative?
Aug 1, 2016 • 45min
Jim Huntzinger on Deflation, Lean Management & Lean Accounting
Joining me for Episode #258 is a many times returning guest, Jim Huntzinger, the President and Founder of Lean Frontiers (check out Episodes 8, 15, 33, 196, and 251, his with Russ Scaffede). Jim has written two eBooks, The Roots of Lean: Training Within Industry: The Origin of Japanese Management & Kaizen and Deflation: The Road to Prosperity. We'll talk about that second book and topic in the podcast today. We're also going to talk about Lean Accounting and Lean Management, the related topics at the upcoming Summits in San Antonio later this month. I hope you can join us, as I'll be giving a talk on "Practicing Lean" to kick off the event and I'll be around that whole day. Lean Frontiers produces many great events and I hope you can check one out some time.
Jul 26, 2016 • 43min
Tania Lyon, #Lean at St. Clair Hospital & KaiNexus
My guest for episode #257 is somebody I've known for a while in the Lean healthcare community, Tania Lyon. She's the Director of Organizational Performance Improvement at St. Clair Hospital in Pittsburgh. She has a PhD in sociology (like Jeff Liker, author of the Toyota Way book series) and she initially got involved with Lean through PRHI, a common connection to previous podcast guests Paul O'Neill and Naida Grunden. St. Clair is a KaiNexus customer and Tania has played a major role in their rollout of our software to support their ongoing spread of continuous improvement. Regular readers of the blog know my part time role with KaiNexus, as the VP of Improvement and Innovation Services. We initially recorded this to be a podcast and blog posts for our customers, but I thought this was a conversation that would be of interest to a wider audience, as we're talking mainly about Lean and improvement strategies, with a little bit of KaiNexus talk thrown in.
Jul 19, 2016 • 38min
* Steve Bera, Reflections on NUMMI and #Lean, Part 1
See http://www.leanblog.org/256
Remastered audio 2025
I'm really excited to have Steve Bera as my guest for episode #256 of the podcast. I read about him as he was featured prominently in a chapter of the 1994 Pulitzer-Prize winning book Comeback: The Fall & Rise of the American Automobile Industry. I just finished it during my recent flight back from China.
The book is about the struggles of the Detroit automakers in the 1980s and early '90s. Steve was featured in the book as he was one of the first 16 GM managers and leaders to be sent to work with Toyota at the famed NUMMI joint venture factory in California. Steve was also part of the “This American Life” episode that looked back at the lessons from NUMMI. If you're not familiar with the NUMMI story, you might want to listen to that first.
He learned some amazing lessons from Toyota… but left GM after his two-year NUMMI stint, as he was concerned that he wouldn't be effective back within the traditional GM (you'll hear about that in Part 2). So, since then, Steve has worked as a consultant and leader in many industries, including some recent time working for large retailers, working to create Lean supply chains.
We had a very long chat, so I'm releasing two parts to this discussion in separate episodes (see also Episode #259). I am also sharing a transcript for the episode at the end of this post. I hope you enjoy the reflections as much as I did. You can also read a summary I wrote of the two posts on LinkedIn.
