

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 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.

Sep 7, 2023 • 59min
Keith Ingels on Developing Your People and Making Lean / TPS Your Own
Episode page with transcript and more
My guest for Episode #484 of the Lean Blog Interviews Podcast is Keith Ingels, who previously joined us in Episode 390. He's the RLM Manager of Solutions & Support Centers — RLM being the Raymond Lean Management system.
He was also a guest with me for Episode 62 of “My Favorite Mistake.” His story and insights were also featured in Chapter 8 of my book, The Mistakes That Make Us: Cultivating a Culture of Learning and Innovation.
In today's episode, we discuss how the Raymond Corporation makes Lean / TPS their own management system, even while being under the Toyota corporate umbrella. RLM focuses on developing people and that starts with leaders. Why does a culture of continuous improvement start with small steps and not requiring ROI calculations for every improvement? We discuss how kaizen participation rates are a leading indicator of employee morale and how absenteeism and turnover are lagging indicators. We talk about that and more…
“Critique the process, not the people.”
Questions, Notes, and Highlights:
Tell us about Raymond Corporation and its place within Toyota Industries
The fit of products with Toyota branded forklifts?
Back in 2020 your title was TPS Manager — has some of the language evolved?
Minor differences? More English words, advising customers to do that and to own their own system
TPS House – foundations
Flow AND quality
Helping people unlearn??
“It's about developing your people” —
If you can see a problem, you can solve a problem
“Critique the process, not the people”
Assumptions vs. real knowledge
“What are you hoping to achieve?” vs. “what problem are you trying to solve?”
Coat hooks – not requiring ROI? – starting with small steps
“You can't put a meter on morale”
Utilizing fresh eyes and new employees for Kaizen
“problem seeing eyes”
Making it safe — problem speaking mouths?
How to help people feel safe to speak up?
Tell us about your “Microburst teaching” approach…
“You have to reinvent that safe environment every day” (psych safety)
How do leaders cultivate the conditions for people to learn from mistakes? Same habits for building trust and kaizen? Anything different?
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.

Aug 23, 2023 • 1h
Amanda Zimmerman & Dominic Stokes Discuss ”Squishy Lean”
Amanda Zimmerman and Dominic Stokes discuss their new podcast 'Squishy Lean' and the concept behind it. They share their backgrounds in Lean Six Sigma, their experiences with implementing lean practices in oil and gas industries, and the challenges they faced. They also explore the benefits of using podcasts for communication and how non-traditional experiences can contribute to continuous improvement.

Aug 16, 2023 • 7min
Audiobook Sample: ”The Mistakes That Make Us: Cultivating a Culture of Learning and Innovation”
Hey audiobook fans! The audiobook version of my book is available now!
It's just over five hours long, professionally produced, and read by me.
It's available through:
Amazon
Audible – free with a trial membership
Apple Books
If you're one of the first 3 people to email me (mark@leanblog.org) and you live in the US or UK, I'll email you a code to get a free copy of the audiobook via Audible.

Aug 9, 2023 • 1h 4min
”Kata Girl Geek” Gemma Jones on Lean, Improvement, and Mental Health
Episode page with video, transcript, and more
CONTENT WARNING: Today's episode includes discussions about a death by suicide and mental health issues. Help is available. In the U.S., call 988. In the U.K., call 116 123. These calls are free from any phone.
My guest for Episode #482 of the Lean Blog Interviews Podcast is Gemma Jones.
Gemma is an Improvement Coach, Trainer, and Visual Facilitator, based in the UK and working globally. Gemma started her career in Engineering and quickly found a passion for Improvement. She spent 20 years in Manufacturing across numerous industries, then in 2018 she left employment to build her own business. Gemma's mission is to help organisations and individuals be the BEST they can be, by helping people SEE, helping people THINK, and helping people CHANGE.
In today's episode, Gemma brings up important topics related to Lean and mental health, and we discuss parallels between "mental health first aid" and physical first aid. How can we learn how to help others when they might be struggling? What signs should we look for?
We also discuss her origin story in Lean and Continuous Improvement, the POWER of coaching and asking questions, how the Kata Girl Geeks global group started and grown over the past 3 years, and how her mission now is to encourage and enable the global community of CI Practitioners and Leaders to actively tune in to HELP people.
Questions, Notes, and Highlights:
What's your Lean / C.I. origin story??
Tell us about that Kata Girl Geeks
Tracy Defoe – Episode 467
Coaching and asking questions?
The benefits of having groups for women?
You're very interested in the overlap in mental health and continuous improvement… you did a keynote talk recently on this… tell us about that.
We don't know really that much about the totality of people's lives, stress, and other factors
Got trained in “mental health first aid“
What signs might you look for? Who needs mental health first aid if somebody's not asking for it?
Good ways of bringing up this up with people?
“I noticed you're not seeming yourself…”
Value Stream / Process Mapping and asking people to add emojis
How are you helping people on this topic and incorporated into C.I.?
Why avoid the question why? Defensiveness
Incorporating this into workplace safety discussions and focus? A broader view of safety?
Parallels to physical first aid
Website – resources page for C.I. — “how to help”
Free training recommended by Gemma
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 is part of the #LeanCommunicators network.

Jul 26, 2023 • 51min
George Saiz on ”We Started With Respect” and His Career Focused on Improvement
Episode page with video, transcript, and more
My guest for Episode #481 of the Lean Blog Interviews Podcast is George Saiz.
As a coach, writer, and speaker, George Saiz actively promotes enterprise excellence through a people-centric culture to the next generation of leaders.
In his new business novel, We Started with Respect, he shares from his executive experience in the medical device industry and the many best-practices sites he visited as president and CEO of the Association for Manufacturing Excellence. He is retired and currently resides with his wife in Carlsbad, California.
Questions, Notes, and Highlights:
What's your Lean origin story?
The Goal — a business novel
The leader going first with the learning??
Compliance vs Commitment
Using Lean as business problem solving vs. tools for operations?
Exposure then to Lean / TPS?
The need to focus on process AND people (culture)
What aspects of Lean don't work without a high enough level of mutual trust?
Gallup surveys show that two out of three employees are disengaged to some degree –causes or root causes?
Examples of companies that invest well in supervisor and manager training?
The need to DESIGN culture?
Tim Clark's podcast, “Culture by Design“
Tearing down the walls — starts with executive leadership team
Looking back — key Influences and mentors?
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 is part of the #LeanCommunicators network.

Jul 21, 2023 • 1min
Trailer - Lean Blog Interviews
Visit our website at www.leancast.org.
Lean Blog Interviews is hosted and produced by Mark Graban.

Jul 12, 2023 • 54min
Paul Critchley Interviews Mark Graban About “The Mistakes That Make Us”
Episode page with transcript, video, and more
For Episode #480 of the Lean Blog Interviews Podcast turns the tables, as regular host Mark Graban is interviewed today by a guest host, his friend Paul Critchley.
Paul was previously the host of the New England Lean Podcast and he's been a guest of Mark's in Episode #5 of the Lean Whiskey podcast series.
Today, Paul asks Mark questions about his new book, The Mistakes That Make Us: Cultivating a Culture of Learning and Innovation, the general topic of learning from mistakes, and more.
Questions, Notes, and Highlights:
What was the origin of the My Favorite Mistake podcast?
What have you learned from your guests about PDCA / PDSA and learning from mistakes?
What's your favorite mistake?
Iterating on improvements and engaging people in that process
What advice would you give to leaders and managers so they can incorporate a culture that encourages risk takin… that mistakes are okay with psychological safety?
Saying “I'm sorry” shows strength not weakness
What'd you wanna be when you were little?
What inspires you?
What's one thing nobody knows about you?
What superpower do you wish you had?
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 is part of the #LeanCommunicators network.

Jul 5, 2023 • 56min
Arnout Orelio on Lean Thinking in Healthcare: The Netherlands and Beyond
Episode page with video, transcript, and more
Joining us for Episode #479 of the Lean Blog Interviews Podcast is Arnout Orelio, a returning guest (from Episode 403 in 2021). He has been working with Lean management since 1995, the last 15 years as a trainer, coach, and consultant in healthcare.
He is the owner of The Lean Mentor, where he helps people who want to (learn to) improve healthcare. Arnout focuses on teaching lean leadership, as an author, speaker, and mentor, bringing top performance and high levels of productivity within everyone's reach. His mission is to make “more time for better health care.”
His first book was Lean Thinking for Emerging Healthcare Leaders and, today, we're discussing his brand new book, Lean Thinking in Healthcare.
Questions, Notes, and Highlights:
How do you summarize your 25 years of learning how to improve?
Creating more time for better healthcare?
Problem and productivity as dirty words?
Similarities between Dutch and US health systems / payers?
What's the general state of healthcare in the Netherlands right now?
It's hard to manage the work when you don't understand the work
From the cover — 4 things… do they represent “True North” to you? At your hospital?
Right care, right place, right time for the right patient
Zero Waste – resource efficiency vs flow efficiency?
How to engage everybody in improvement, every day? Fixing or redesigning the system vs. improving the system?
Learn to change small systems first
Cycle of continuous misery?
Not just what are we moving from, but also what are we moving to?
What does it mean to “learn from the best” in your experience? The best hospitals? The best organizations?
Two problems with learning from others?
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 is part of the #LeanCommunicators network.


