

Lean Blog Audio
Mark Graban
Lean Blog Audio features Mark Graban reading and expanding on LeanBlog.org posts. Explore real-world lessons on Lean thinking, psychological safety, continuous improvement, and performance metrics like Process Behavior Charts. Learn how leaders in healthcare, manufacturing, and beyond create cultures of learning, reduce fear, and drive better results.
Listen and learn: leanblog.org/audio
Listen and learn: leanblog.org/audio
Episodes
Mentioned books

Jul 23, 2018 • 13min
“ER wait times down, but only slightly” ??
http://leanblog.org/audio258
“ER wait times down, but only slightly” or ER wait times are virtually the same?
This article was sent by a friend and blog reader from Winnipeg the
other day:
“ER wait times down, but only slightly”
Oh good, the waiting times are down. But what does “only slightly”
mean? Have ER wait times gone down in a meaningful way? Or are they
just comparing two data points? Is this “down” a signal or is it just
noise in the system? These are the types of questions that can be
answered by methods in my new book Measures of Success: React Less,
Lead Better, Improve More

Jul 19, 2018 • 7min
The Catch-22 of #Lean & Kaizen: You Get More ROI by NOT...
The Catch-22 of #Lean & Kaizen: You Get More ROI by NOT Focusing Only on High-ROI Projects
http://www.leanblog.org/audio257

Apr 17, 2018 • 10min
Leaders & Lean: We Need to Better Support Doctors and
Leaders & Lean: We Need to Better Support Doctors and Other Providers
When surgeons have no better options than complaining about process problems on LinkedIn, are their leaders and organizations really properly supporting them? In this post, we'll explore questions of blame, accountability, and engaging people in process improvement... being of better service to them.

Apr 3, 2018 • 18min
My Talk in Vegas: Leadership Lessons from Statistics and Psych
My Talk in Vegas: Leadership Lessons from Statistics and Psychology
Today, I’m giving a keynote talk at the Lean & Six Sigma World Conference being held in Las Vegas. I don’t normally attend or speak at “Lean Sigma” events, but I had an opportunity to give a new talk that touches on two of my favorite themes in recent years – the need to apply statistics and psychology to our “Lean Management” practices or Six Sigma or whatever.
I also bury the lede and talk about the soft launch of my book "Measures of Success."

Mar 12, 2018 • 11min
Elon Musk, Safety, and Leadership at Tesla
What's Going on at Tesla? Is @ElonMusk Following up on Employee Injuries?
There's a lot to admire about Elon Musk. I admire his risk taking and his entrepreneurial spirit. I use PayPal a lot (one of his early companies) and I admire the innovation of Tesla and SpaceX. But, I question how much Musk and Tesla have been willing to learn from Toyota.
I saw this article last year and never got around to blogging about it:
"This Email From Elon Musk to Tesla Employees Is a Master Class in Emotional Intelligence"

Feb 16, 2018 • 12min
What's Going on at Whole Foods? It Doesn't Sound Like Lean...
The chain Whole Foods is reportedly having inventory shortages and morale problems. It sounds like a real mess, but thankfully nobody is calling it Lean. Their "Order to Shelf" system reminds me of "Pull to Order" work that I was involved in at Dell about 20 years ago...

Feb 13, 2018 • 10min
Tour Preview: The Japanese Health Care System at a High Level
Tour Preview: The Japanese Health Care System at a High Level
As I prepare to go back to Japan, I'm sharing some insights about the Japanese health system from the excellent book "The Healing of America," by T.R. Reid.

Feb 13, 2018 • 10min
The WSJ Overgeneralizes about The "Japanese Model," Not...
The WSJ Overgeneralizes about The "Japanese Model," Not All Companies Are Toyota
Not all Japanese companies are the same. "Lean isn't easy" if you're a Japanese company. Toyota has created something special, since "Toyota culture" is not exactly the same as "Japanese culture."
The WSJ says the "model is cracking."
Do scandals involving quality and ethical lapses involving companies including those and Nissan tarnish Lean and the Toyota Production System? No. That's as silly as thinking the Wells Fargo banking scandal tarnishes Silicon Valley (although the Valley does enough to tarnish itself).

Feb 5, 2018 • 9min
#Lean Can Be Very Fragile, Especially With Executive Changes
#Lean Can Be Very Fragile, Especially With Executive Changes
Lean can be very fragile. History shows that Lean can fall apart even in an organization that is years into a "Lean journey" with strong CEO involvement.
How is this possible? If often happens when a new CEO is brought in from the outside. In the case of the manufacturing company, Wiremold, it happened when they were acquired by a French company, Legrand.
As an aside, the team that coined the term "Lean" almost used the term "fragile," as I blogged about here.
Back in 2007, Bob Emiliani joined me for Episode #30 of the podcast. As we revisit the podcast and the new transcript I had made, what are the lessons for manufacturers or hospitals?
What's the risk that's created when new leadership takes over?

Feb 4, 2018 • 8min
Employee Complaints About Lean in Healthcare, Even at...
Employee Complaints About Lean in Healthcare, Even at Some of the Best Organizations
Last week, I blogged about some employee complaints related to rotating day and night shifts at the Toyota San Antonio plant. In that post, I mentioned that employees who post on Glassdoor.com and other sites might not be a representative sample of the full employee population.
With that in mind, what happens when we search the Glassdoor surveys of some well-known "Lean hospitals?"
I posted a few of these employee comments on LinkedIn the other day (a short post that has received over 50,000 views and prompted a lot of discussion).