

Lean Blog Interviews: Real-World Lean Leadership Conversations in Healthcare and Beyond
Mark Graban
Lean Blog Interviews: Real-World Lean Leadership Conversations features thoughtful, in-depth discussions with leaders, authors, executives, and practitioners who are applying Lean thinking 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 continuous improvement.
Episodes span healthcare, manufacturing, startups, technology, and professional services. Guests share candid stories about what actually works—and what doesn’t—when organizations try to improve.
This is not a podcast about chasing tools, jargon, or “Lean theater.” Instead, you’ll hear honest conversations about leadership behaviors, culture, psychological safety, learning from mistakes, and building systems that help people do their best work.
If you believe improvement starts with respect for people—and that better systems beat blaming individuals—this podcast is for you.
Find show notes and all episodes at LeanCast.org.Learn more about Mark Graban at MarkGraban.com.
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 continuous improvement.
Episodes span healthcare, manufacturing, startups, technology, and professional services. Guests share candid stories about what actually works—and what doesn’t—when organizations try to improve.
This is not a podcast about chasing tools, jargon, or “Lean theater.” Instead, you’ll hear honest conversations about leadership behaviors, culture, psychological safety, learning from mistakes, and building systems that help people do their best work.
If you believe improvement starts with respect for people—and that better systems beat blaming individuals—this podcast is for you.
Find show notes and all episodes at LeanCast.org.Learn more about Mark Graban at MarkGraban.com.
Episodes
Mentioned books

Sep 19, 2025 • 14min
Previewing the LPPDE 2025 Conference with Geoff Neiley & Andrew Wagner
In this bonus episode of Lean Blog Interviews, host Mark Graban is joined by Geoff Neiley (chair) and Andrew Wagner (co-chair) of the Lean Product & Process Development Exchange (LPPDE).
The 2025 North America Conference will be held October 27–30 in Milwaukee, bringing together Lean practitioners, leaders, and innovators to share insights on reducing waste in product development, improving collaboration, and accelerating learning cycles.
Geoff and Andy share their Lean journeys, the history of LPPDE, and what attendees can expect this year. From keynote speakers to interactive sessions, they highlight why LPPDE continues to be a hub for cross-industry learning and continuous improvement.
Episode Highlights
What is LPPDE, and why was it founded in 2008?
How Lean principles apply to product and process development
The role of community and peer learning in driving improvement
Geoff and Andy’s personal reflections on attending and leading LPPDE
What’s in store for the Milwaukee 2025 conference
👉 Special offer: Use code LEANBLOG for 20% off registration https://lppde.org/event/lppde-north-america-2025-milwaukee/
Links & Resources
🎟️ Register for LPPDE 2025 – Use discount code LEANBLOG
🌐 Jim Morgan on Lean Product Development]
About LPPDE
The Lean Product & Process Development Exchange (LPPDE) is a nonprofit organization dedicated to advancing Lean thinking in product development. Since 2008, LPPDE has hosted global conferences to connect practitioners and share practical, real-world lessons.

Sep 17, 2025 • 47min
Profitable at Any Price: Lessons from Toyota, Daily Kaizen, and Safer Workplaces with Gregg Stocker
Episode blog post with video, transcript, and more
My guest for Episode #535 of the Lean Blog Interviews Podcast is Gregg Stocker, a seasoned Lean practitioner, consultant, and author. Over the past 30+ years, Gregg has worked across industries, including oil and gas, energy services, manufacturing, and construction, guiding both independent operators and major corporations on their Lean journeys.
He is the author of Profitable at Any Price: Lean Thinking for Safer, Cheaper, and More Responsible Oil and Gas Production and is revising his earlier book Avoiding the Corporate Death Spiral.
In this conversation, Gregg shares his Lean origin story, which began with exposure to Dr. W. Edwards Deming's teachings in college and later expanded through hands-on work with Toyota. We discuss the importance of daily Kaizen, the influence of Deming's philosophy of profound knowledge, and why psychological safety and systems thinking are essential to effective Lean leadership.
Gregg also reflects on his experiences helping organizations in high-risk industries such as oil and gas. He explains how Lean thinking can simultaneously drive improvements in safety, cost, and reliability -- showing that these are not trade-offs, but outcomes of a stronger system. Listeners will hear stories of transformation, lessons from Toyota, and practical insights on structured problem-solving, leadership behaviors, and building a culture where people feel safe speaking up.
Whether you work in energy, healthcare, manufacturing, or any other sector, Gregg's insights are broadly applicable. This episode is a reminder that Lean isn't just about tools -- it's about leadership, systems thinking, and creating conditions for continuous improvement.
Questions, Notes, and Highlights:
How did you first get introduced to Lean and Deming?
What did you learn from Toyota about shifting from TQM to daily Kaizen?
How did senior leaders in your early company become engaged in Lean?
What were your experiences attending Dr. Deming's four-day seminars?
Which of Deming's principles do you wish leaders better understood today?
How do systems thinking and psychology apply in high-risk industries like oil and gas?
What are some Lean approaches to improving both safety and performance?
What's the origin story behind your book Profitable at Any Price?
How do oil and gas companies typically react to fluctuating prices, and how does Lean help?
How has Lean adoption in oil and gas evolved over the past 15 years?
When starting a Lean transformation, what should leaders do -- and avoid?
How do you define better problem solving, beyond just tools and structure?
What leadership behaviors help create psychological safety and encourage people to speak up?
Can you tell us about your upcoming books and where your writing is headed next?
This podcast is part of the #LeanCommunicators network.

Sep 3, 2025 • 58min
Dale Lucht on Leadership Habits That Sustain Lean Transformations
My guest for Episode #534 of the Lean Blog Interviews Podcast is Dale Lucht, co-author of the new book Don't Repeat Our Mistakes: Nine Lessons for Leaders Championing Cultural Transformations.
Episode page with video, transcript, and more
Dale has led Lean transformations in manufacturing, healthcare, and financial services, and he brings decades of leadership experience shaped by mentors such as George Koenigsaecker and the Shingijutsu consultants.
In our conversation, Dale reflects on what it takes for a senior leader to go beyond being a "sponsor" of Lean to becoming a true champion. He shares stories of learning by doing, coaching from mentors, and mistakes that became turning points. We talk about leadership habits such as visibility, simplicity, curiosity, and the shift from solving problems yourself to developing others as problem solvers. Dale also discusses how to sustain progress and avoid the common plateau many organizations hit after a few years of Lean practice.
Dale and his co-authors, Peter Barnett and Morgan Jones, wrote Don't Repeat Our Mistakes not just to highlight what works, but also to candidly share lessons learned when things didn't go as planned. With proceeds from the book supporting the Michael J. Fox Foundation, it's both a professional guide and a personal legacy project. Whether you're a senior executive, a Lean coach, or someone working to influence leadership in your organization, this episode o
Questions, Notes, and Highlights:
Early Career & Lean Origins
What's your Lean origin story, and how did you get started?
What was it like learning from George Koenigsaecker and Shingijutsu?
Can you share an example of the "homework" they gave you as a plant GM?
How did those early lessons shape your leadership approach?
Leadership Lessons & Mistakes
What mistakes or challenges did you experience that led to learning?
Why do so many organizations plateau after a few years of Lean?
What distinguishes improvement from true transformation?
How can leaders practice self-coaching before coaching others?
What shifts do leaders need to make--from solving problems themselves to coaching others?
Why is curiosity such an essential leadership habit?
Cross-Industry Experience
How did your transition from manufacturing into healthcare come about?
Did you see the same progression from tools to leadership change in healthcare?
How did you approach leading change in financial services?
The Book: Don't Repeat Our Mistakes
What did you and your co-authors hope to capture in Don't Repeat Our Mistakes?
How did the title and focus on mistakes come about?
Were the leaders you interviewed open to sharing their own mistakes?
Practical Advice for Leaders
How can someone move from being a Lean sponsor to being a true champion?
How should leaders pick which habits or lessons to focus on first?
What advice do you have for influencing senior leaders when coaching "up" isn't invited?
How do organizations prevent backsliding when leadership changes?
This podcast is part of the #LeanCommunicators network.

Aug 29, 2025 • 14min
Previewing the AME 2025 International Conference & Workshops with William Harvey
In this bonus episode of Lean Blog Interviews, Mark Graban is joined by William Harvey, AME 2025 Workshop Chair (and 2026 Conference Chair), to preview the AME Annual Conference coming up in St. Louis, October 6–9, 2025.
Topics We Discuss
✅ Why AME is for all continuous improvement leaders—not just manufacturing
✅ The 2025 conference theme: Gateway to the Future – AI and Beyond
✅ How AME is blending AI and people integration into learning and networking
✅ Four key workshop tracks, including coaching, TWI, AI, and process excellence
✅ Mark’s own Deming Red Bead Game & Process Behavior Charts workshop
Whether you’re in healthcare, services, or manufacturing, AME offers a unique chance to learn from practitioners, connect with peers, and gain new insights into operational and leadership excellence.
🔗 Links & Resources
Conference details
Workshop registration
Special discount code for Lean Blog listeners:
NP-MARKG25
We hope to see you in St. Louis!

Aug 20, 2025 • 54min
Building Independent, Empowered Teams Through 6 Transformational Leadership Habits, with Cheryl Jekiel
My guest for Episode #533 of the Lean Blog Interviews Podcast is Cheryl Jekiel, founder of the Lean Leadership Center and a longtime advocate for aligning continuous improvement with people-centered leadership.
Episode page with video, transcript, and more
Cheryl is the author of Lean Human Resources, and her latest book, Let Go to Lead: Six Habits for Happier, More Independent Teams (with Less Stress and More Time for Yourself), offers a practical and deeply human approach to modern leadership. With a background in HR and operations, Cheryl has spent decades helping organizations shift from hierarchical control to empowering, team-driven excellence.
In this episode, Cheryl shares her "Lean origin story," which began with a broken-down Ford and a transformative experience at Sweetheart Cup, where she witnessed firsthand how Lean thinking and redefined leadership roles could enhance both performance and the quality of work life. We discuss the importance of clarity in leadership--why vague directives like "take ownership" or "be proactive" often fail without behavioral specificity--and how shifting from being the problem-solver to being the coach can help leaders reduce stress and build truly independent teams. Cheryl also highlights how many organizations discuss empowerment but lack the necessary structures or shared understanding to actually enable it.
"We keep saying 'empower people,' but most organizations haven't defined what that actually means."
We also explore topics like vulnerability in leadership, the power of peer support communities, and how concepts like motivational interviewing--borrowed from healthcare and addiction counseling--can help leaders foster meaningful behavior change. Cheryl makes a compelling case for leadership as a practiced skill, not a fixed trait, and she encourages organizations to treat leadership development as an ongoing discipline. Whether you're an executive, HR leader, or improvement coach, this conversation offers actionable insight into how leaders can truly "let go to lead."
Questions, Notes, and Highlights:
What's your Lean origin story, and how did it shape your thinking?
How did your early experience at Sweetheart Cup influence your views on leadership and improvement?
Did you start your career in HR, or was that a later shift?
What led you to write Lean Human Resources and later start the Lean Leadership Center?
What was the inspiration for your new book, Let Go to Lead?
Are the six habits in your book rooted in traditional Lean leadership concepts, or do they expand on them?
Why is clarity such a critical leadership skill, and why do so many leaders struggle with it?
How do vague directives like "be proactive" or "take ownership" get in the way of effective leadership?
What role does psychological safety play in helping teams ask clarifying questions?
What's one of the habits you've found most overlooked or undervalued by leaders?
Why is community and peer support so essential to leadership development?
How do you help leaders embrace vulnerability in a culture that doesn't always reward it?
What's the role of ongoing practice in leadership development, and why isn't it emphasized more?
How does motivational interviewing relate to Lean leadership and coaching?
How can leaders avoid the trap of trying to be "right" rather than being helpful?
Why is "meeting people where they are" such a vital leadership practice?
What advice would you give to leaders who want to let go of control without abdicating responsibility?
What's the connection between letting go and reducing stress for leaders?
Is there anything else you'd like to share about your book or your work?
This podcast is part of the #LeanCommunicators network.

Aug 6, 2025 • 1h 4min
Coaching Relentless Problem Solvers and Building a Culture of Lean Thinking -- Anne Frewin's Leadership Approach
Anne Frewin, a seasoned Lean leader with over a decade of experience, shares her insights on coaching teams to become relentless problem solvers. She discusses the importance of a strong idea system to show respect for frontline staff and how visual management can enhance safety and efficiency. Anne emphasizes the need for balance between autonomy and leadership support, using practical examples like backward process mapping in healthcare. The conversation highlights the human side of continuous improvement and the vital role of ongoing learning.

Aug 3, 2025 • 20min
Patrick Adams Previews the 2025 Lean Solutions Summit in Detroit
In this bonus episode of Lean Blog Interviews, host Mark Graban welcomes back Patrick Adams, founder of the Lean Solutions team and author of Avoiding the Continuous Appearance Trap—a Shingo Publication Award-winning book. Patrick joins the show to preview the 2025 Lean Solutions Summit, taking place September 23–25 in Detroit, Michigan, at the Westin Detroit Airport.
This year’s theme—“Catalysts of Tomorrow: Shaping Future Leaders”—focuses on equipping the next generation of Lean and continuous improvement professionals with the mindset, tools, and leadership capabilities needed to thrive. The summit will feature high-impact keynote presentations, hands-on workshops, and an all-new Executive Track designed specifically for senior leaders.
Patrick and Mark discuss the keynotes from Lean legends and storytellers including Mike Rother, Tom Root of Zingerman’s, Stefan Thurner, and more. Other familiar faces in the Lean community—like Katie Anderson, Billy Taylor, and Tilo Schwarz—will return to lead breakout sessions and support the event’s popular Lean Excellence World Championship. This hands-on competition not only builds problem-solving skills but also supports a local Detroit nonprofit through real impact.
Whether you're a seasoned leader or a student just beginning your Lean journey, the 2025 Lean Solutions Summit promises inspiration, actionable insights, and meaningful connections.
🌐 Learn more & register: findleansolutions.com/lean-solutions-summit

Jul 29, 2025 • 11min
Jared Thatcher on Growing the Global Lean Summit and Partnering with Toyota
In this bonus episode of Lean Blog Interviews, host Mark Graban talks with Jared Thatcher, founder of the Global Lean Summit, to preview the upcoming event taking place September 23–25, 2025 in Bloomington, Indiana.
Jared shares the Summit’s origin story—from a virtual event launched during COVID lockdowns to a high-impact in-person gathering that brings together Lean leaders, practitioners, and learners from a wide range of industries.
This year’s Summit includes:
✅ A site visit and training day at Toyota Material Handling
✅ A new healthcare track, co-hosted with Indiana University’s medical school
✅ A foundational Kaizen facilitation workshop for hands-on learning
✅ Free in-person access for university students
✅ A 30-60-90 day virtual follow-up to help participants apply what they learned
Notable speakers include Phil Wickler (GE Aerospace), Sam McPherson, Mohamed Saleh, Nick Katko, Hide Oba, and Mark Graban, among others.
Whether you’re just starting your Lean journey or looking to deepen your capabilities, the Global Lean Summit is designed to foster meaningful connections, practical learning, and sustained improvement.
🌐 Learn more and register at GlobalLeanSummit.com
💡 Subscribe & catch new episodes at LeanCast.org

8 snips
Jul 23, 2025 • 55min
Melisa Buie on Lean Culture, Scientific Thinking, and Empowering Engineers
In this conversation, Dr. Melisa Buie, an operations leader with a PhD in nuclear engineering, dives into her transition from Six Sigma to a focus on empowering teams through Lean culture. She emphasizes the importance of psychological safety and encourages leadership behaviors that endorse continuous improvement. Sharing insights from her book, Problem Solving for New Engineers, she highlights the gap between academia and real-world engineering challenges. Melisa also explores using scientific thinking and small experiments to foster innovation and resilience in the face of failure.

Jul 9, 2025 • 49min
Lean Healthcare, Zero Harm, and Building a Real Operating System | Ken Segel
My guest for Episode #530 of the Lean Blog Interviews Podcast is Ken Segel, Co-Founder and Chief Relationship Officer at Value Capture.
Episode page with video and more
With over two decades of experience in healthcare improvement, Ken has been instrumental in guiding Value Capture's mission: helping healthcare organizations pursue habitual excellence by applying principles of safety, transparency, and systems thinking. In this episode, Ken shares lessons drawn from his unique and non-traditional journey--from public policy work in Washington, D.C. to transformative partnerships with industry icon Paul O'Neill and the Pittsburgh Regional Health Initiative.
Ken and I explore why world-class safety, quality, and financial performance can and must co-exist, and how starting with safety unlocks powerful learning across any organization. He reflects on how Paul O'Neill inspired leaders to set seemingly audacious goals like "zero harm"--not to punish failure, but to align people around shared purpose and continuous improvement. We also discuss the importance of creating a comprehensive operating system, one that fully integrates work systems, management systems, and improvement systems--not just Lean tools or events in isolation.
Listeners will learn why Ken believes deeply in the Shingo Principles, and why Value Capture remains the only Shingo Affiliate firm dedicated exclusively to healthcare. He also talks about the recent leadership transition at Value Capture, passing the CEO baton to longtime colleague Shanna Padgett. Whether you're a Lean healthcare leader or someone passionate about values-based leadership, this conversation offers rich insights into guiding with purpose, learning from failure, and building systems that support excellence for all.
Ken previously appeared on My Favorite Mistake (Episode 147), where he shared a powerful story about early-career lessons in leadership and systems thinking that helped shape his path into healthcare improvement.
Questions, Notes, and Highlights:
Can you share your Lean origin story?
(How did your unconventional path lead you into this work?)
What was it like working with Paul O'Neill, and how did he influence your thinking?
What was the vision and impact of the Pittsburgh Regional Health Initiative?
Why was setting a goal of zero harm so controversial--and so powerful?
How did leaders like Dr. Richard Shannon apply these principles to dramatically improve patient safety?
Where do you see progress--and continued challenges--around transparency and safety sharing in healthcare?
Why is safety such an effective entry point for broader transformation?
How do you define a "comprehensive operating system" in a healthcare context?
What's the difference between a management system and a full operating system?
How can the Shingo principles support healthcare organizations on their improvement journey?
What does it mean for Value Capture to be a Shingo Affiliate focused solely on healthcare?
What advice would you give to a health system leader who thinks they already have a Lean system in place?
Can you share the recent leadership transition news at Value Capture?
This podcast is part of the #LeanCommunicators network.


