Lean Blog Interviews: Real-World Lean Leadership Conversations in Healthcare and Beyond

Episode #198 is a discussion with Harry Kenworthy about his work bringing Lean into local and state governments. We had a great conversation that touches on the influence of Dr. W. Edwards Deming and many other concepts that might be of interest even if you're not interested in “Lean Government” and the work happening there. Harry is Principal and Manager of the Quality and Productivity Improvement Center (QPIC, LLC), a consulting organization he founded in 1984 and has been with full time since 2004. He worked with Dr. Deming in 1983-85 on a series of 2 day seminars throughout the US, sponsored by MIT. He has spoken at over 90 conferences on quality, productivity, Lean, and Six Sigma, and has been published several magazines including Quality Progress and Purchasing. He also had working relationships with Dr. Joseph Juran and Dorian Shainin. He was one of the first practitioners to apply LEAN in the Government sector in the mid-90s. Here is an article by Harry, shared with permission (PDF link): Getting Started on a Lean Government Journey Harry was also a Malcolm Baldrige National Quality Award Examiner from 1989-1991, a licensed Professional Engineer and a Certified Quality Engineer. He worked at a NYSE listed, global manufacturer, for 26 years in a variety of capacities: Operations Manager, Division Manager, Group VP and, for his last 3 years, as Corporate VP, Manufacturing. He was the Executive Lean Six Sigma (LSS) Champion: leading the LSS effort and developing the LSS training program, which incorporated the best of traditional Six Sigma (DMAIC), Lean, and a series of Specialized Problem Solving Techniques. He provided LSS training in the US, Europe, Japan and China.  For 9 years, he was on the Board of Directors of a Japanese Joint Venture based in Nagoya, Japan. The JV was a key supplier to Toyota and Harry was able to learn about Lean through Toyota. He also had a long term relationship with JUSE (Japanese Union of Scientists and Engineers) which administered the Deming Prize in Japan and had the honor of visiting several Deming Prize-winning companies. Harry holds a Bachelor of Science degree in Materials Engineering from Rensselaer Polytechnic Institute and an MBA in Finance from Syracuse University.  For a link to this episode, refer people to  www.leanblog.org/198. For earlier episodes of my podcast, visit the main Podcast page, which includes information on how to subscribe via RSS or via Apple Podcasts.  You can also listen via Stitcher. Podcasts Sponsored by KaiNexus

My guest for episode #197 is a hospital leader I really respect, Kim Barnas, author of the new book Beyond Heroes.  Until very recently, Kim was a Senior VP at ThedaCare, leading Appleton Medical Center and Theda Clark Hospital. I've seen Kim speak to groups at ThedaCare and a few conferences and she has a lot to teach us about Lean leadership, using her stories and experiences in a way that's very powerful. I hope you'll check out the book. Read a press release about it here. In the podcast today, we talk about topics including her initial reactions to Lean when first introduced to it as a hospital leader, why “heroes” are overrated and sometimes create “chaos” in healthcare, and the importance of moving beyond tools and projects to a Lean culture and management system. 2018 Update: What's Going on at ThedaCare? Kim talks about the need to “create more value” (not just reduce waste), saying “just trying to do more with less makes no sense – you need a plan.” We also talk about programs like GM's “Speak up for Safety,” where she says that speaking up “needs to be a conversation, not a reporting” transaction. For a link to this episode, refer people to  www.leanblog.org/197. For earlier episodes of my podcast, visit the main Podcast page, which includes information on how to subscribe via RSS or via Apple Podcasts. 

My guest for episode 196 is Jim Huntzinger, founder of Lean Frontiers. Today, we're talking about the Training Within Industry methodology and his new website WhatIsTWI.com. We are discussing topics including what a typical TWI “journey” looks like for an organization, how TWI is such a fundamental Lean concept/method, and some examples of how TWI is helping organizations in various industries, including healthcare. What's the latest in the seven years since our first podcast on this topic? For a link to this episode, refer people to  www.leanblog.org/196. Previous podcasts and related links: #8: (10/31/06) Jim Huntzinger, Founder of the Lean Accounting Summit #15: (1/7/07) Jim Huntzinger about the “Training Within Industry” program #33: (11/17/07) Jim Huntzinger, on the latest Lean Accounting Summit Training Within Industry: What Rosie the Riveter and IV Med Prep Have in Common Podcast #104 – Dr. Peter Patterson (@IDrPete), Lean in Histopathology\ Society for Health Systems Talk on TWI For earlier episodes of my podcast, visit the main Podcast page, which includes information on how to subscribe via RSS or via Apple Podcasts.   Podcasts Sponsored by KaiNexus

Joining me for episode #195 is my friend Steve Montague from LifeWings. Steve and I met initially through our shared interest in Lean and, like Ron Pereira, we discovered we both lived in Keller, Texas (I've since moved to San Antonio). Steve is a retired Navy pilot and currently flies for a major commercial airline. He's also been involved, through LifeWings, in the movement to bring aviation safety practices (and culture) to healthcare via "Crew Resource Management" or "TeamSTEPPS." He's also been on the forefront of combining Lean and TeamSTEPPS, something we both agree is a great idea. In honor of National Patient Safety Awareness Week, we talk about topics including: - Steve's background with CRM in aviation and healthcare - Why CRM isn't just about checklists, but also learning how to "communicate more assertively" in the cockpit or operating room... - How Lean and CRM / TeamSTEPPS fit together conceptually - How standardization and iterative improvement fit together There's so much we could talk about, so we barely scratched the surface on this topic. If you have questions, we can do another podcast. Please post them as comments on this post. For a link to this episode, refer people to www.leanblog.org/195 -- go there for some links and material that Mark wrote to share with the listeners (and he'll have a guest post soon that expands on the thoughts in the podcast). Please leave a comment and join the discussion about the podcast by visiting the blog page for this episode. For earlier episodes of the Lean Blog Podcast, visit the main Podcast page at www.leanpodcast.org, which includes information on how to subscribe via RSS or via Apple iTunes. You can also listen to streaming episodes of the podcast via Stitcher: http://landing.stitcher.com/?vurl=leanblog If you have feedback on the podcast, or any questions for me or my guests, you can email me at leanpodcast@gmail.com or you can call and leave a voicemail by calling the "Lean Line" at (817) 776-LEAN (817-776-5326) or contact me via Skype id "mgraban". Please give your location and your first name. Any comments (email or voicemail) might be used in follow ups to the podcast.

My guest for episode #194 is Paul Piechota, Director for the Center for Competitive Change at the University of Dayton School of Engineering. Piechota has authored over 30 publications with such titles as Transforming the Enterprise, Getting to the Future First!, and Establishing a Method for Process and Culture Change in the Military. His most recent publication is the book titled, Keeping Your Business in the U.S.A.: Profit Globally While Operating Locally. In this episode, we'll talk about topics including how the university is using Lean and Six Sigma to improve their own operations, how they are getting students involved, and their attempts to engage professors to improve their work in the classroom. This all follows up a blog post I wrote about their press release on this topic. For a link to this episode, refer people to www.leanblog.org/194 -- go there for some links and material that Mark wrote to share with the listeners (and he'll have a guest post soon that expands on the thoughts in the podcast). Please leave a comment and join the discussion about the podcast by visiting the blog page for this episode. For earlier episodes of the Lean Blog Podcast, visit the main Podcast page at www.leanpodcast.org, which includes information on how to subscribe via RSS or via Apple iTunes. You can also listen to streaming episodes of the podcast via Stitcher: http://landing.stitcher.com/?vurl=leanblog If you have feedback on the podcast, or any questions for me or my guests, you can email me at leanpodcast@gmail.com or you can call and leave a voicemail by calling the "Lean Line" at (817) 776-LEAN (817-776-5326) or contact me via Skype id "mgraban". Please give your location and your first name. Any comments (email or voicemail) might be used in follow ups to the podcast.

My guest for episode #193 is Mark Jaben, MD, talking about our brains, Lean, and change. Mark has been a guest blogger for me before and it's great to talk to him today about his research and experiences. In our conversation, Mark talks about "the troublesome features of our brain's operating system" (such as our "hidden brain"), how the A3 problem solving process fits with the way our brains work, and how to deal with "resistance" to change. Mark has also helped talk to some healthcare organizations about KaiNexus and we both presented at a conference last year. For a link to this episode, refer people to www.leanblog.org/193 -- go there for some links and material that Mark wrote to share with the listeners (and he'll have a guest post soon that expands on the thoughts in the podcast). Please leave a comment and join the discussion about the podcast by visiting the blog page for this episode. For earlier episodes of the Lean Blog Podcast, visit the main Podcast page at www.leanpodcast.org, which includes information on how to subscribe via RSS or via Apple iTunes. You can also listen to streaming episodes of the podcast via Stitcher: http://landing.stitcher.com/?vurl=leanblog If you have feedback on the podcast, or any questions for me or my guests, you can email me at leanpodcast@gmail.com or you can call and leave a voicemail by calling the "Lean Line" at (817) 776-LEAN (817-776-5326) or contact me via Skype id "mgraban". Please give your location and your first name. Any comments (email or voicemail) might be used in follow ups to the podcast.

Joining me for podcast #192 is John Torinus, author of the excellent book, The Company That Solved Health Care: How Serigraph Dramatically Reduced Skyrocketing Costs While Providing Better Care, and How Every Company Can Do the Same. John is the chairman of Wisconsin-based Serigraph Inc., a graphics parts manufacturer with ownership in ten plants in the U.S., Mexico, China and India with over $130M in annual sales. John has served as business editor and columnist at the Milwaukee Journal Sentinel. John is collaborating with the ThedaCare Center for Healthcare Value for a new workshop: “Solving the Employer Healthcare Crisis,” to be held in Phoenix on January 28 (and hopefully again in the future). In this episode, we talk about how Serigraph has kept healthcare costs under control while improving the health of their employees. How do concepts of consumer choice, data transparency, and focusing on preventive care help to “engage all employees in the healthcare challenge”? For example, 90% of their diabetic employees have their disease “under control” as compared to about 30% nationally. What is this “grass roots revolution” in healthcare? For a link to this episode, refer people to  www.leanblog.org/192. For earlier episodes of my podcast, visit the main Podcast page, which includes information on how to subscribe via RSS or via Apple Podcasts.   Podcasts Sponsored by KaiNexus

Joining me for podcast #191 is my friend and fellow LEI faculty member Mike Orzen (@MikeOrzen), co-author of the Shingo Award-winning book Lean IT: Enabling and Sustaining Your Lean Transformation. I recently crossed paths with Mike in Columbus, Ohio, because we're both mentoring students in the Ohio State University MBOE program. We have a lot in common, it seems! Mike is also collaborating with the ThedaCare Center for Healthcare Value for a new workshop: “Leveraging Information, People & Systems in Healthcare,” to be held in Phoenix on January 28 and 29. In this episode, we talk about topics including an overview of “Lean IT,” how Lean is different compared to manufacturing and other service settings, how healthcare organizations can benefit from Lean IT, and the potential for kaizen and continuous improvement in IT. For a link to this episode, refer people to  www.leanblog.org/191. Mike and I wrote an article in 2011 on using Lean to meet the IHI “Triple Aim” goals in healthcare (PDF link). For earlier episodes of my podcast, visit the  main Podcast page, which includes information on how to  subscribe via RSS  or  via Apple Podcasts. Podcasts Sponsored by KaiNexus

My guest for episode #190 is a returning guest (from episode #151), my friend Karen Martin, talking about her (co-authored by Mike Osterling) newly-released book, Value Stream Mapping: How to Visualize Work and Align Leadership for Organizational Transformation. You can order via Amazon and can learn more via Karen's website. In the episode, we talk about topics including how this book fits with her others, some common struggles that people face when mapping value streams, why it's important for senior leaders to be involved with VSM work, how long mapping should take, the publishing value stream, and the use of VSM in different industries. I hope you enjoy the conversation! For a link to this episode, refer people to  www.leanblog.org/190. Here is the endorsement I gave for the book based on my reading of a pre-publication version of the book: “Value Stream Mapping is a wise and practical guide that will help you lead transformation efforts in your organization. While some think of value stream mapping as a ‘lean tool,' Martin and Osterling rightly emphasize the strategic value of looking at the big picture and improving your entire value stream from suppliers to the customer and all points in between. The book is full of tips and lessons learned to help you avoid mistakes and maximize the results that you get from the time invested into proper value stream mapping.” You can read the introduction (PDF) or the executive reading guide (PDF) online. You can also view webinars Karen has done on this topic: Value Stream Mapping – Strategy Before Tactics Value Stream Mapping: How to Visualize Work & Align Leadership for Organizational Transformation You can also sign up for a new webinar being done tomorrow, Jan 7 2014: Value Stream Analysis: Beyond the Mechanics – Part 1 (Planning) For earlier episodes of my podcast, visit the main Podcast page, which includes information on how to  subscribe via RSS  or via Apple Podcasts. Podcasts Sponsored by KaiNexus

Audio remastered June 2022 Episode page Joining me as my guest for episode #189 is Rich Sheridan, CEO and Chief Storyteller at Menlo Innovations, a software development company in Ann Arbor, Michigan. Rich is author of the new book that I'm really enjoying: Joy, Inc.: How We Built a Workplace People Love. Learn more about the author and the book at www.menloinnovations.com/joyinc. You can also download a free chapter here. There's so much to love about his book and what they are doing at Menlo. I think it's great to start a new year, 2014, with a look at a book that gives us hope about creating workplaces where employees are fully engaged and everybody wins – customers, company, and employees. I'll have a chance to visit Menlo in about two weeks when I'll be in Michigan for my public Kaizen workshop, so I'll report back on what I see during that visit. For a link to this episode, refer people to  www.leanblog.org/189. Some of the topics I was taking notes on as I read the book (through chapter six): “You can be joyful without being happy all the time” Menlo has built upon “extreme programming” and Kent Beck‘s work there Their “Menlo Way” is worth looking at As Toyota has done, Menlo doesn't mind teaching competitors about their methods (because this serves their mission to reduce suffering in the world, including the suffering in bad workplaces) They work really hard to break down “towers of knowledge” in the organization Menlo emphasizes direct customer contact and understanding their problems and what they need (often better than the customers could articulate on their own in a traditional software approach) Their “high tech anthropology” approach (HTA) starts with understanding customers better and then iterating and testing designs (often starting with crude prototypes and mockups) Their QA process focuses on reducing delays and shortening lead time (along with other approaches that are different than traditional QA) A reader will recognize ideas that are similar to Deming, Lean, Lean Startup, Agile, and more… combined into a powerful and cohesive articulation of culture and strategy