

Lean Blog Interviews - Healthcare, Manufacturing, Business, and Leadership
Mark Graban
Started in 2006, the ”Lean Blog Interviews” podcast, hosted by Mark Graban, brings you conversations with leading experts, authors, and thought leaders in lean manufacturing and management. As a Lean practitioner, consultant, and author, Mark Graban offers deep insights, real-world experiences, and practical tips for implementing and enhancing Lean practices across various industries.
The Podcast Experience
Mark Graban engages his guests in a conversational format, covering a wide array of topics related to Lean. Guests come from diverse backgrounds, including healthcare, manufacturing, and service industries, sharing their unique experiences and perspectives on Lean implementation.
Core Topics
Lean Principles and History: Dive into the foundational aspects of Lean, its history, and core principles.
Industry Applications: Explore how Lean is applied in different industries, such as healthcare, manufacturing, and startups.
Continuous Improvement: Learn about value stream mapping, process improvement, and culture change.
Leadership and Management Systems: Gain insights into the Toyota Production System and related methodologies, focusing on Lean as a culture, philosophy, and management system rather than just a set of tools.
Unique Features
Focus on Healthcare: Mark Graban, a renowned advocate for Lean in healthcare, frequently features experts who discuss patient safety, quality improvement, and waste reduction in healthcare settings. Hear success stories and practical advice on implementing Lean in hospitals, clinics, and other healthcare organizations.
Practical Advice and Real-World Examples: Guests share their experiences and insights into what works and what doesn’t in Lean implementation. Overcome common challenges and get inspired by success stories.
Inclusivity and Diversity: The podcast features a range of guests from diverse backgrounds, enriching discussions and providing a comprehensive understanding of Lean’s challenges and opportunities.
While we don’t talk much about Lean Six Sigma, we hope the podcast is helpful to you anyway.
Why Listen?
Whether you’re new to Lean or a seasoned practitioner, the ”Lean Blog Interviews” podcast is a valuable resource offering insights, tips, and inspiration for improving your organization’s performance and achieving Lean goals. With its engaging format, practical advice, and diverse range of guests, this podcast is essential for anyone interested in continuous improvement and operational excellence.
Connect and Explore More
Visit the blog at www.leanblog.org. For feedback, email mark@leanblog.org. Access all past episodes, show notes, and more at www.leancast.org.
Subscribe to the ”Lean Blog Interviews” podcast today and join the journey toward Lean mastery and continuous improvement.
The Podcast Experience
Mark Graban engages his guests in a conversational format, covering a wide array of topics related to Lean. Guests come from diverse backgrounds, including healthcare, manufacturing, and service industries, sharing their unique experiences and perspectives on Lean implementation.
Core Topics
Lean Principles and History: Dive into the foundational aspects of Lean, its history, and core principles.
Industry Applications: Explore how Lean is applied in different industries, such as healthcare, manufacturing, and startups.
Continuous Improvement: Learn about value stream mapping, process improvement, and culture change.
Leadership and Management Systems: Gain insights into the Toyota Production System and related methodologies, focusing on Lean as a culture, philosophy, and management system rather than just a set of tools.
Unique Features
Focus on Healthcare: Mark Graban, a renowned advocate for Lean in healthcare, frequently features experts who discuss patient safety, quality improvement, and waste reduction in healthcare settings. Hear success stories and practical advice on implementing Lean in hospitals, clinics, and other healthcare organizations.
Practical Advice and Real-World Examples: Guests share their experiences and insights into what works and what doesn’t in Lean implementation. Overcome common challenges and get inspired by success stories.
Inclusivity and Diversity: The podcast features a range of guests from diverse backgrounds, enriching discussions and providing a comprehensive understanding of Lean’s challenges and opportunities.
While we don’t talk much about Lean Six Sigma, we hope the podcast is helpful to you anyway.
Why Listen?
Whether you’re new to Lean or a seasoned practitioner, the ”Lean Blog Interviews” podcast is a valuable resource offering insights, tips, and inspiration for improving your organization’s performance and achieving Lean goals. With its engaging format, practical advice, and diverse range of guests, this podcast is essential for anyone interested in continuous improvement and operational excellence.
Connect and Explore More
Visit the blog at www.leanblog.org. For feedback, email mark@leanblog.org. Access all past episodes, show notes, and more at www.leancast.org.
Subscribe to the ”Lean Blog Interviews” podcast today and join the journey toward Lean mastery and continuous improvement.
Episodes
Mentioned books

9 snips
Nov 29, 2023 • 54min
Wiring the Winning Organization: Authors Steven J. Spear & Gene Kim
Gene Kim and Steve Spear, authors of "Wiring the Winning Organization," discuss integrating practices, designing processes for creativity, and the importance of circuitry in organizations. They explore the danger zone versus the winning zone and the concept of slowing down to speed up. They also discuss their book, which focuses on sloification, simplification, and amplification.

Nov 21, 2023 • 57min
Nick Katko on the Role of the Lean CFO, Lean Accounting, and More
Episode page with video, transcript, and more
My guest for Episode #492 of the Lean Blog Interviews Podcast is Nick Katko, previously here in Episode 428 in 2021 with his co-author Mike DeLuca talking about their book Practicing Lean Accounting.
Today, Nick is here to discuss his book, The Lean CFO: Architect of the Lean Management Accounting System — now in its second edition — released back in February.
Nick also did a webinar earlier this year as part of the KaiNexus Continuous Improvement webinar series.
For over 20 years, Nick has worked at BMA, assisting clients in Lean management implementation by working closely with them to resolve the real-world issues they face.
He holds a BS in accounting and an MBA in finance, both from the University of Kentucky, and is a certified public accountant.
Questions, Notes, and Highlights:
What makes a CFO a “Lean CFO”? Are there “degrees of Lean CFO”??
Are there some wrong things to measure? Things we should start measuring?
Viewing inventory as an asset? How does inventory reduction trip us up potentially?
What is “lean management accounting”??
Robbing Peter to pay Paul – ending that via Lean causes a problem then? Is there a way to ease your way out of that?
Reducing inventory is an outcome of better processes?
Is it better for Lean to be part of a growth strategy?
Chapter 3 – “Lean is the strategy” — are you hearing that more often? Are they walking the talk?? How common is this?
“Knowing what's possible” when you have experience with Lean – and the emotions people feel, regret?
The virtuous cycle of using CI to drive CAPACITY (instead of cost reduction)?
The Lean CFO: Architect of the Lean Management Accounting System — What's different in the 2nd edition?
Tell us about your new BMA Lean Accounting Certification Program…
The podcast is sponsored by Stiles Associates, now in its 30th year of business. They are the go-to Lean recruiting firm serving the manufacturing, private equity, and healthcare industries. Learn more.
This podcast was also brought to you by Arena, a PTC Business. Arena is the proven market leader in Cloud Product Lifecycle Management (PLM) with over 1,400 customers worldwide. Visit the link arenasolutions.com/lean to learn more about how Arena can help speed product releases with one connected system.
This podcast is part of the #LeanCommunicators network.

Nov 15, 2023 • 51min
From Biologist to Black Belt: Sarah Tilkens’ Lean Journey
Episode page with video, transcript, and more
My guest for Episode #491 of the Lean Blog Interviews Podcast is Sarah Tilkens, an experienced Lean Leader with a demonstrated history of working in construction and manufacturing.
She is a senior manager of operational excellence at GE Healthcare.
Sarah's a Six Sigma Black Belt, a certified life coach / executive coach, a lifelong learner, leader, mother, and CEO and Founder of her company, The KPI Lab. She earned her bachelor's in Biological Sciences from the University of Wisconsin-Milwaukee.
Sarah's Lean journey is intriguing as she sculpted her Lean management skills on the manufacturing floor at GE, despite her background in Biological Sciences. Interestingly, her Lean journey extends from being intrigued by her colleagues pursuing Six Sigma certifications to studying at GE's Lean Academy in Japan, where she observed the best Lean practices.
Moreover, she details her unique philosophy about Lean mindset, the significance of continuous improvement, and her holistic approach to coaching--indispensable factors in her role as a Lean Leader. She also talks about her personal transformation during the pandemic, integrating coaching skills into her professional life, and why self-care is a priority. Tune in to this engaging discussion to learn about Sarah's Lean journey as she shares her most significant learnings and experiences.
Questions, Notes, and Highlights:
Tell us your Lean or OpEx origin story...
Did you get exposed to Lean when you worked in construction?
Why construction? - went into sales, to a place of discomfort
How was the shift to manufacturing?
Hired as a Lean Leader - learned it there at GE
How did they educate you about Lean at GE?
You joined GE Healthcare in November 2018 -- right after CEO Larry Culp was brought in as the first outsider CEO, right?
I was able to attend the September event that was hosted by GE (including GE Healthcare) called The Lean Mindset - how do you describe that mindset?
1x1 fit - each coachee as a customer?
Creating PULL for projects?? -- better defining problem statements
Tell us about getting certified as a coach?
How can you take care of yourself so you can better help others as a leader?
How long should we give an experiment before deciding if we should adjust or try something new?
The podcast is sponsored by Stiles Associates, now in its 30th year of business. They are the go-to Lean recruiting firm serving the manufacturing, private equity, and healthcare industries. Learn more.
This podcast was also brought to you by Arena, a PTC Business. Arena is the proven market leader in Cloud Product Lifecycle Management (PLM) with over 1,400 customers worldwide. Visit the link arenasolutions.com/lean to learn more about how Arena can help speed product releases with one connected system.
This podcast is part of the #LeanCommunicators network.

Nov 8, 2023 • 55min
Redefining Excellence: Quint Studer’s Vision for Modern Healthcare, Learning From Mistakes, and More
Episode page with links, transcript, and more
My guest for Episode #490 of the Lean Blog Interviews Podcast is Quint Studer, the co-founder of HealthCare Plus Solutions Group and owner of the minor league baseball team, the Pensacola Blue Wahoos.
He's a returning guest, having joined us in Episode #353 (2019) when we talked about his book, The Busy Leader's Handbook. He's written many other books — his first being Hardwiring Excellence (2003), a book that was recommended to me when I started serving healthcare organizations back in 2005 — and that book made a huge impact on me.
Quint previously founded Studer Group, which received the Malcolm Baldrige National Quality Award in 2011. He's also currently a speaker, an entrepreneur, and a philanthropist.
His most recent previous book is The Calling: Why Healthcare is So Special. His latest book is Rewiring Excellence, a free eBook. The Human Margin: Building the Foundations of Trust, written in partnership with Katherine A. Meese, PhD, is due for publication in March 2024.
In this episode, Quint speaks poignantly about the need to transform rigid practices in healthcare. His clarion call emphasizes the significance of rewriting conventional healthcare procedures to create adaptable strategies. This dynamic conversation also illuminates his concept of ‘rewiring' excellence. Quint challenges the traditional definitions and procedures regarding excellence, maintaining that these outmoded ideologies need to be revamped with modern perspectives for enhanced results. Thus, stay tuned to hear more about how to navigate the changing landscape of healthcare.
Questions, Notes, and Highlights:
What can leaders do to help ensure that the calling doesn't turn into burnout and a loss of that calling?
How can we stop the blame game?
“If you do it right, there should be no turnover” (CNAs)
Focus, fix, and follow up
The need to close the loop…
Blame culture
Assumptions — about why MDs don't refer in house
Quint's excellent article, ‘I may be wrong': The power of admitting our mistakes
Why do people get vilified for saying they were wrong or they changed their minds?
When people hide behind “do you have any research?”
Tell us about your latest book, Rewiring Excellence: Hardwired to Rewired… free eBook now, print book in pre-order status.
How do we decide if a hardwired process needs to be “rewired”?
What is the “Human Capital Ecosystem™ Assessment“?
Looking ahead to your next book — how can leaders build trust?
Hosting a podcast now? The Healthcare Plus Podcast
The podcast is sponsored by Stiles Associates, now in its 30th year of business. They are the go-to Lean recruiting firm serving the manufacturing, private equity, and healthcare industries. Learn more.
This podcast was also brought to you by Arena, a PTC Business. Arena is the proven market leader in Cloud Product Lifecycle Management (PLM) with over 1,400 customers worldwide. Visit the link arenasolutions.com/lean to learn more about how Arena can help speed product releases with one connected system.
This podcast is part of the #LeanCommunicators network.

Nov 1, 2023 • 59min
Ward Vuillemot on the Celebration of Errors and Lean from Aerospace to Tech Companies
This episode will be available to paid Apple Podcasts subscribers only until November 1st, when it will become available to the public.
Ward is a seasoned C-suite executive with over 6 years leading fully remotely while building technology organizations from the ground up for companies 150 to 650 employees in size and 50M to 125M revenue across the Americas and Europe.
He is currently Chief Product Officer and CTO at RealSelf and is a technical advisor with his own company - website is https://wardvuillemot.com - where he advises startup founders and CEOs on technical roadmaps and technology organization along with lean approaches…

Oct 18, 2023 • 59min
D. Lynn Kelley on her Book ”Change Questions,” Lean and Deming
Episode page with video and more
Our guest today is D. Lynn Kelley! She is author, with John Shook (who has been a guest here many times), of the new book, Change Questions: A Playbook for Effective and Lasting Organizational Change.
Lynn currently serves as a senior advisor to BBH Capital Partners.
Following a career highlighted by leadership roles in engineering, supply chain, and continuous improvement in various industries, Kelley retired from Union Pacific Railroad in 2018.
At Union Pacific, she was senior vice president of supply chain and continuous improvement. She was also the executive co-owner of the company’s innovation program.
Before joining Union Pacific, Kelley was vice president of operational excellence, an officer and a member of the executive leadership team at Textron.
Kelley holds a PhD in evaluation and research and taught undergraduate and graduate statistics courses. Before becoming a professor, she held the positions of executive vice president and chief operating officer of Doctors Hospital in Detroit.
The podcast is sponsored by Stiles Associates, now in its 30th year of business. They are the go-to Lean recruiting firm serving the manufacturing, private equity, and healthcare industries. Learn more.
This podcast was also brought to you by Arena, a PTC Business. Arena is the proven market leader in Cloud Product Lifecycle Management (PLM) with over 1,400 customers worldwide. Visit the link arenasolutions.com/lean to learn more about how Arena can help speed product releases with one connected system.
This podcast is part of the #LeanCommunicators network.

Oct 11, 2023 • 41min
Embracing the Lean Mindset in GE Aerospace: A Conversation With Two Leaders
Episode page with transcript and more: https://leanblog.org/487
In today’s episode, we’re joined by two Lean leaders from GE Aerospace:
Sam Ruehle, Lean Operations Leader, Lean Transformation Team
Greg Pothoff, Executive Director – Business Management Aviation Supply Chain
I interviewed them after the GE Lean Mindset event that was held last month in New York. Two separate conversations, but common themes — and the same questions of two Lean leaders at different stages of their careers, Sam being a recent college graduate and Greg having 25 years of Lean experience, starting first in the auto industry (which is actually where I first met him 20 years ago).
I asked the same core questions, found below, but each conversation is unique as we learn about their roles at GE and their reactions to the Lean Mindset event.
Sam emphasizes the importance of the Lean mindset as being framed by three essential pillars: Respect for People, Continuous Improvement, and Customer Focus. As a young leader, she combines this Lean mindset with a touch of humility, an open mind, and an emphasis on collective problem-solving to catalyze impactful changes.
One of Greg's core beliefs is the importance of focusing on the smaller, incremental changes in addition to the larger, more noticeable ones. He also stresses the need for establishing a blame-free learning environment, where employees are encouraged to experiment, make mistakes, and more importantly, learn from them.
Questions, Notes, and Highlights:
How would you describe a "Lean Mindset"?
What is an underappreciated aspect of the "Lean Mindset"?
What surprised you most about the Lean Mindset event?
What advice would you have for others about developing a "Lean Mindset"?
What is one change you have had to personally make to lead in this way?
The podcast is sponsored by Stiles Associates, now in its 30th year of business. They are the go-to Lean recruiting firm serving the manufacturing, private equity, and healthcare industries. Learn more.
This podcast was also brought to you by Arena, a PTC Business. Arena is the proven market leader in Cloud Product Lifecycle Management (PLM) with over 1,400 customers worldwide. Visit the link arenasolutions.com/lean to learn more about how Arena can help speed product releases with one connected system.
This podcast is part of the #LeanCommunicators network.

Oct 4, 2023 • 41min
Mike Kaeding, CEO of Norhart, on Revolutionizing the Housing Industry with Lean
Episode page with transcript, links, and more: https://leanblog.org/486
My guest for Episode #486 of the Lean Blog Interviews Podcast is Mike Kaeding, the CEO of Norhart.
They design, build, and rent apartments. They are transforming the way this is done by incorporating technologies and techniques that have revolutionized other industries. This has resulted in improved quality and reduced cost of housing. Ultimately, they are committed to solving America's housing shortage and affordability crisis. And in doing so they hope to improve the way we all live.
He was previously (May 2023) a guest with me on the My Favorite Mistake podcast.
In today's episode, learn how Kaeding's company, Norhart, applies Lean practices to uplift the housing sector. Their compelling ambition to bridge the labor productivity gap between manufacturing and construction industries lies at the heart of their Lean journey.
From their unique recruitment strategies to their effective lean techniques, Norhart aspires to reshape the housing industry. Kaeding outlines their intrusion on tradition by focusing on continuous improvement rather than mere experience. Discover how their Lean approach emphasizes flow in both construction processes and material delivery, spotlighting Norhart's determination to overhaul established construction norms.
Questions, Notes, and Highlights:
High-reaching mission — similar to Toyota
“The way we've always done it”?? How do you encourage everybody to get past that?
Hiring people who are willing to be different? How to do that?
How do you then maximize their potential?
The appeal of culture in hiring and recruiting?
Netflix “keeper test”?
“We want that person to be happier with us after firing…”
How to balance the right timing of hiring with growth?
Balancing jobs — cycle times and flows across trades? Material flow and synchronizing that
Toyota helping you on JIT — how to find this balance with long lead time or bad availability??
Mike on the My Favorite Mistake podcast
What's your Lean origin story? For you and Norhart?
“Not knowing what I'm doing…” was a benefit
Working with TSSC?
How did they help you frame or choose that initial problem to solve?
“Problems are not a bad thing”
Your role as CEO? Creating that psychological safety?
Wanting to be the best at what you do? You as a CEO? What does that mean to you?
The podcast is sponsored by Stiles Associates, now in its 30th year of business. They are the go-to Lean recruiting firm serving the manufacturing, private equity, and healthcare industries. Learn more.
This podcast was also brought to you by Arena, a PTC Business. Arena is the proven market leader in Cloud Product Lifecycle Management (PLM) with over 1,400 customers worldwide. Visit the link arenasolutions.com/lean to learn more about how Arena can help speed product releases with one connected system.
This podcast is part of the #LeanCommunicators network.

Sep 20, 2023 • 1h
Erica Lee Garcia on Navigating Change, Suggestion Programs, and More
Episode page with transcript and more
Erica Lee Garcia is an entrepreneur, engineer and leader who has managed to create a positive impact in the engineering profession.
Topics in this episode include:
Her lean origin story
Lessons from running a suggestion program for 2.5 years
Shifting to mining, not just a new company but a new industry
Engineers Without Borders participation
For close to a decade now, Erica has been working to tell better stories about engineering so that kids can make better decisions about this little known career path and make them feel welcome in the profession. Her deliberate method of mixing empathy and compassion with real-world experience enables her to tell authentic and relevant stories in a way that is relate-able to everyone listening.
Working as the Chair of her local PEO Chapter, she empowers fellow professionals and impacts change from within.
She also has a unique perspective, having spent years working in the automotive and mining industries as an engineer, and the moving on to become an entreprenuer - starting three companies of her own.
Erica Lee Consulting - supporting businesses implement Lean Six Sigma
Engineer Your Life - coaching new grads through the often stressful and confusing time as they enter the engineering profession
Engineers of Tomorrow - a nationally incorporated not-for-profit which takes a grass-roots approach at delivering engineering outreach to kids
Erica also contributes her insights as a 30 by 30 Champion - an initiative to increase the percentage of licensed female engineers is Canada to 30% by 2030.

Sep 12, 2023 • 28min
Bonus: The GE Lean Mindset Event Post-Game Show Discussion
Episode page with transcript and more
Featuring James P. (Jim) Womack, Katie Anderson, Jamie V Parker, and Mark Graban.
There's more to come from me, Katie, and Jamie about the day.
Jamie's podcast is "Lean Leadership for Ops Managers."
Katie's new podcast is called "Chain of Learning." - Coming soon
Videos from the GE Lean Mindset sessions: https://www.youtube.com/playlist?list=PLxRhTjvLlyoIh7CVg51ZIM5hRl5XOjlgl
**A Candid Conversation on Lean Thinking: Breaking Down the Lean Mindset with Industry Experts**
Join us as we delve into a Deep Dive bonus episode of "Lean Blog Interviews," focusing on the intricacies of Lean Thinking. The thought-provoking analysis of the Lean Mindset is led by four esteemed panelists — Mark Graban, Katie Anderson, Jim Womack, and Jamie V. Parker — who share their takeaways from the 'GE Lean Mindset' event.
Central to Lean Thinking is the relentless pursuit of improvement — a belief that stands tall even amidst failings and setbacks. Coupled with the embracing of failure as a fundamental part of the learning process, the idea of never-ending improvement underscores the Lean Mindset. The panelists share their thoughts and experiences revolving around these integral components of Lean Thinking.