
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

Jan 11, 2017 • 4min
Marie Osmond and The Excuses for Not Getting Lean
It's a weight loss program called "Lean 13." It's the everyday use of the word "lean," as in thinner, that has nothing to do with the Lean methodology and the Toyota Production System. They're promising that you'll lose 13 pounds in the first month.As with the Lean methodology, in hospitals, factories, or wherever, your results might vary based on a number of factors. For example, Nutrisystem can't stop a customer from supplementing their food with Buffalo wings and chocolate milkshakes.
We have situations out there where people say, "We tried Lean and it didn't work." Maybe it was because they were cherry picking a few Lean tools or they just thought Lean was about cost cutting, instead of focusing on safety, quality, patient flow, and employee engagement.

Jan 9, 2017 • 7min
Better Metrics & "Understanding Variation"
My favorite book, as I've written about before, is not a "Lean book" -- it's Understanding Variation: The Key to Managing Chaos by Donald J. Wheeler, PhD. It might look like a book about statistics...
http://www.leanblog.org/audio170

Jan 6, 2017 • 9min
My Post for the Deming Institute Blog:
I'm extremely honored that The W. Edwards Deming Institute published my first blog post in a series of three that I've written for them, to be published over the next month or so.The post is titled:
"Why Dr. Deming's Work is So Important to Me"
http://www.leanblog.org/audio169

Jan 4, 2017 • 6min
What the World's Best Organizations...
Before Christmas, I was listening to the Dan Le Batard Show and their guest for the day was former NFL player Domonique Foxworth, pictured at left. Foxworth earned an MBA from Harvard Business School after his playing days. He's the perfect participant in a smart show about sports and whatever.During one segment, they all talked about NFL offensive and defensive coordinators and how they often fail when promoted to a head coach position.... and the discussion seemed relevant to other types of organizations.
http://www.leanblog.org/audio168

Jan 2, 2017 • 11min
My Visit to Cleveland Clinic
I had a chance to visit one of their community hospitals, Hillcrest Hospital, as well as the main campus. It was a very stimulating visit and it was great to see the progress they were making in building a "culture of improvement."
http://www.leanblog.org/audio167

Jan 1, 2017 • 3min
Food for Thought on Mistakes and Perfection
"Making mistakes is better than faking perfection."I saw this quote the other day and tweeted it. It seemed like food for thought and something to reflect on for a new year. A Google search doesn’t lead to a clear creator of this quote… it’s a common thought that has been around a long time, I guess.

Dec 20, 2016 • 5min
Examples of Corporate Speak Masking Reality
http://www.leanblog.org/audio165
I get annoyed by corporate euphemisms, such as referring to people as "resources," the term "right-sizing" for layoffs, and the type of jargon and babble parodied in the Weird Al song "Mission Statement."Using unclear language can intentionally mask and hide reality, or sometimes it's just another form of incompetence.
You might know about the recent Wells Fargo scandal (as I blogged about here).
The bank is trying to make amends for customers being harmed by unnecessary fees and the hit to their credit score that resulted from accounts being opened in their name without authorization (because employees were under pressure to hit unrealistic goals).
I can't find the commercial online, but Wells Fargo has been running ads that sort of apologize and promise to make things right (better latethan never).
The ad says something like:
"... customers who were impacted..."
They don't say WHAT the customers were impacted by. They make it sound like a tornado or some other natural disaster impacted those customers.

Dec 18, 2016 • 4min
Bringing Me Problems is OK, We'll Find Solutions Together
It's a bit of a modern management cliché to say "Don't bring problems! Bring me solutions!"
I think what that means is "Don't just complain! Think about improving things!"
It's good to think about improvement, but sometimes (if not often!) that improvement process starts by identifying problems.
In a "Kaizen" process in a team, I encourage people to bring problems forward even if they do NOT have a solution or "countermeasure" in mind. When somebody points out a problem, that can prompt discussion or brainstorming (with the manager and colleagues) about what solutions could be tested.
Here's an article from Harvard Business Review that delves into this same topic:
"Don't Bring Me Problems--Bring Me Solutions!"

Dec 14, 2016 • 10min
#TBT: What CFO Magazine Wrote About #Lean in 2009
I first blogged about this article back in 2009 and it's still online:"Keen to Be Lean"
The sub headline talks about hospitals being "desperate to cut costs." Has that changed?
I wish the motivation was more often about hospitals being "desperate to improve patient safety and quality." Lean can address that too and should be mentioned, even in a publication for CFOs.

Dec 12, 2016 • 9min
Human Nature Around Incentives & Rewards
Brian Joiner, an influential figure in management and author of 'Fourth Generation Management,' shares insights from his work with W. Edwards Deming. He discusses how extrinsic rewards can undermine intrinsic motivation, detailing the pitfalls of targets and quotas. Joiner highlights real-world examples like the VA waiting times and Wells Fargo to illustrate how people often manipulate systems rather than genuinely improve them. He challenges the effectiveness of traditional incentive programs, urging a reevaluation of what truly drives employee engagement and performance.