
Lean Blog Audio
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
Latest episodes

Aug 17, 2017 • 9min
Highlights of "Boss Level Podcast" - Gen. Stan McChrystal
Highlights of "Boss Level Podcast" - Gen. Stan McChrystal and the Book "Team of Teams"
I've read most of retired General Stanley McChrystal's excellent book Team of Teams: New Rules of Engagement for a Complex World (I start a lot of books and finish a few). Amazon reminds me that I bought the book just over two years ago.
I meant to blog about it and never got around to it (I have a lot of ideas about posts and write a few). McChrystal, in connecting his lessons learned from helping reshape the military and, in particular, the special forces, to the business world ends up talking a lot about issues and history near and dear to those of us working with Lean as a methodology.
I'll come back to my thoughts on the book later, but I was thrilled to stumble across a podcast called "Boss Level Podcast," which is hosted by Sami Honkonen from Finland.

Aug 16, 2017 • 10min
My Webinar: Standardize What Makes Sense...
Today at 3 PM, I'm doing a webinar at the invitation of the BC Patient Safety & Quality Council, as part of their "Quality Café" series. Thanks for the invitation!
It's open to the public and it's titled:
"Standardize What Makes Sense... Then Engage Everybody in Improving What You Standardized"
I hope you can join us...

Aug 15, 2017 • 8min
Does Being Giddy With Knowledge About Wine or Lean Cau
I enjoy "gemba visits" (of sorts) to wineries and vacations often focus on this walking, tasting, and learning.
I usually read the wine column that's in the Wall St. Journal each Saturday, and this one stood out to me:
"Do You Have What It Takes to Be a Sommelier?"

Jul 26, 2017 • 6min
Dr. Don Berwick on Respect and Change at the Front Lines
Back in 2012, I blogged twice about aspects of Dr. Donald M. Berwick's 1989 article in the New England Journal of Medicine titled “Continuous Improvement as an Ideal in Health Care.” The full text is only available to subscribers.
As I posted on LinkedIn, another aspect of this article caught my eye when I was reviewing it the other day in advance of my talk at the Studer Group "What's Right in Healthcare" conference next week.

Jul 24, 2017 • 12min
Change: Desire, Ability, Reason, Need, and Commitment
I'm excited to be attending the annual Lean Coaching Summit today through Thursday in Austin. If you're there, please say hi! Today, I've registered to take a class on a topic that I've taken an interest in over the past few years: "Motivational Interviewing," or MI for short. I'm hoping to learn more about coaching people through their stages of "change talk," as related to Lean and organizational change... and that's what today's post is about.

Jul 16, 2017 • 8min
The Conundrum that is Dr. Deming on Metrics, Measures,
There are Dr. W. Edwards Deming quotes that get thrown around... one that sounds incredibly "pro-data" and others that say data and measures are not the only thing... which is it? How do you reconcile that?

Jul 11, 2017 • 11min
Lean Healthcare Featured in Sunday's NY Times Business
An article from this week in 2010... Today's New York Times has an outstanding article about Lean Healthcare and what Seattle Children's Hospital calls C.P.I. or Continuous Performance Improvement.
The article: "Factory Efficiency Comes to the Hospital"
I wish the headline had also addressed quality, waiting time, and staff engagement, but the article body does, at least. The article highlights Seattle Children's Hospital, as well as others, including members of the Healthcare Value Network (Park Nicollet, Akron Children's, and Paul Levy's Beth Israel Deaconess Medical Center), and Virginia Mason Medical Center. Yours truly is quoted in the article, as well.

Jul 11, 2017 • 14min
Is This a 5S Problem or a Broader Healthcare Leadership Issue?
A few of you sent me this sad article from the Wall St. Journal:Â
"'People Are Dying Here': Federal Hospitals Fail Tribes."Â
I feel like I've some variation of this article and exposé many times over. Sometimes, it's some form of government medicine (active duty military medicine, the VA, or another country) or it's a similar sad story from the private healthcare sector (be it non-profit or for-profit).

Jun 20, 2017 • 3min
The Power of "How Might We?"
In this post, I write about a phrase that I heard many times when visiting Franciscan St. Francis Health in Indianapolis. How can this phrase help us challenge ourselves and to find positive solutions instead of barriers and obstacles?

Jun 19, 2017 • 9min
Is it a "Lean Transformation" or a "Lean Metamorphosis"?
Does the Phrase "Lean Transformation" Jump to a Solution?
Another in the series of "do words matter?" posts... do phrases like "Lean Transformation" resonate as much as "Business Transformation?"