

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

May 10, 2011 • 29min
Jim Womack on GM, Toyota & Lean Six Sigma *
Show notes: https://www.leanblog.org/118
Remastered July 2021
Episode #118 is a follow up to podcast #116 with Jim Womack, founder and former Chairman of the Lean Enterprise Institute, now their Senior Advisor and author of the new book Gemba Walks, available in paperback, Kindle format, iBooks, and other formats.
In this episode, we talk about both GM and Toyota – their challenges, Jim's reflections on the companies, and thoughts about where they are headed in the future. Jim also answers reader questions about the word “lean” itself and the combination of the Lean and Six Sigma methodologies.

Apr 5, 2011 • 31min
Prof. Samuel A. Culbert on Getting Rid of the Performance Review
Episode Page
Episode #117 is a conversation with Prof. Samuel A. Culbert of the UCLA Anderson School of Management.
Along with Daniel Pink, he is a fellow alum of Northwestern University. Prof. Culbert has a BS in Systems Engineering, the precursor of the Industrial Engineering department in which I was a student. Dr. Culbert then earned a PhD in clinical psychology from UCLA.
Today, we are talking about his most recent book, Get Rid of the Performance Review!: How Companies Can Stop Intimidating, Start Managing–and Focus on What Really Matters.
Much like Dan Pink's take on incentives in the workplace, Culbert is a contrarian about the generally accepted (yet dysfunctional) practice of the “annual performance review.” In his writing, Culbert calls them “corporate theatre,” as well as a “sham,” a “facade,” “immoral,” and “intimidating.” In the podcast, we talk about the problems and alternatives to this common management practice.
For a link to episode, refer people to www.leanblog.org/117.
Recent articles by Prof. Culbert via my blog posts:
Professor Channels Dr. Deming and Writes “Get Rid of the Annual Review”
New Book Gives Negative Review to Performance Reviews
Prof. Culbert mentioned that he only discovered the work of Dr. W. Edwards Deming a few years back, although they were both railing against the annual performance review in 1980. They must be “long lost cousins,” Culbert says, and I would agree.

Mar 23, 2011 • 25min
Gemba Walks and Lean Leadership Lessons with Jim Womack *
Show notes: https://www.leanblog.org/116
Remastered July 2021
Episode #116 brings us Jim Womack, founder and former Chairman of the Lean Enterprise Institute, now their Senior Advisor and author of the new book "Gemba Walks," available in paperback, Kindle format, iBooks, and other formats (see lean.org for a link). Here, we talk about the new book, how a gemba walk differs from "management by walking around," some of his most memorable walks, progress in lean healthcare, and other topics. We recorded two podcasts in the same sitting. The next one will be out in a few weeks, with his thoughts on recent developments with GM and Toyota, his reflections on the word "lean," his thoughts on six sigma, and more. To point others to this, use the simple URL: www.leanblog.org/116. You can leave comments there, as well. 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. 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.

Mar 10, 2011 • 25min
Eric Ries on The Lean Startup Methodology and How to Build Successful Businesses with Continuous Innovation *
Episode #115 is a discussion with Eric Ries (@ericries), entrepreneur and author of the book The Lean Startup: How Today's Entrepreneurs Use Continuous Innovation to Create Radically Successful Businesses.
Remastered August 2021
Show notes: https://www.leanblog.org/115
You can also read a partial transcript of the podcast.
Today, we talk about how got introduced to Lean, core materials like books by Womack and Jones and Jeff Liker, and how he has put a lot of thought into how to take proven Lean principles – such as reduced batch sizes, 5 whys analysis, and faster time to market – and applied them to startups.
We both agree there are a lot of applications of these Lean Startup principles even if you are working on new products in larger, older, manufacturing settings – so I hope you'll take 20 minutes to listen regardless of your background, as Eric's work has pushed my attempts at Lean thinking in new directions.
You might also be interested in Podcast #99 with Brant Cooper and Patrick Vlaskovits on “Customer Development.“
To point others to this episode, use the simple URL: www.leanblog.org/115.
Book website: http://www.lean.st/
Buy the Book via Amazon: The Lean Startup: How Today's Entrepreneurs Use Continuous Innovation to Create Radically Successful Businesses

Mar 3, 2011 • 24min
John Kim, Lean and Executive Healthcare Leadership
Episode #114 is a conversation with John Kim, of the firm John Kim & Associates. John is a recognized leader in the Design, Development, Implementation and Deployment of Enterprise Wide Lean Transformations. As an executive at The HON Company and Danaher Corporation, John learned the keys to implementing Lean while running multiple operations across the US. With over 20 years of Lean Transformation experience, John has spent the last 12+ years in executive consulting, implementing Lean in various sectors, including healthcare, which we are talking about today. His website is www.johnkimconsulting.com. To point others to this, use the simple URL: www.leanblog.org/114. You can leave comments there, as well. 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. 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.

Feb 28, 2011 • 7min
Special - Charlie Sheen Calls the Lean Line
Now actor Charlie Sheen has been all over the news lately, giving interviews to practically anyone with a microphone. This is the type of "news" I normally try to tune out, yet alone blog about.
Somehow, he stumbled across my "Lean Line" phone number to talk about Lean Healthcare, although I suspect he may have been looking for the street drug called "lean."
He claimed to have spent his hiatus from TV working to teach and implement the "Lean" methodology at hospitals around Los Angeles. Listen to the audio and judge for yourself - is he pulling our legs? Is this just another Hollywood publicity stunt? Is he the type of Lean consultant you would want around?
Ok, it's an early April Fool's Joke.... that was audio taken from an interview he gave to ABC's Good Morning America show.

Feb 21, 2011 • 23min
Aubrey Daniels PhD, "Safe by Accident?"
Episode #113 is a discussion with Aubrey Daniels, PhD, the founder and chairman of his firm Aubrey Daniels International. Today, we are talking about his most recent book titled Safe By Accident?, a book I really enjoyed, so I was happy to speak with him about creating an effective safety culture culture in an organization - what doesn't work and what does work? To point others to this, use the simple URL: www.leanblog.org/113. Visit Aubrey's website at www.aubreydaniels.com. For earlier episodes, visit the main Podcast page at www.leanpodcast.org, which includes information on how to subscribe via RSS or via Apple iTunes. 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.

Feb 9, 2011 • 25min
Naida Grunden, A Discussion About Lean, Aviation Safety, Captain Sullenberger, and Checklists *
Episode #112 is a chat with Naida Grunden, the author of the outstanding book The Pittsburgh Way to Efficient Healthcare: Improving Patient Care Using Toyota Based Methods.
Remastered Oct 2022 - the audio quality isn't great, but you can read the transcript here:
https://leanblog.org/112
Here we talk about her experiences in Pittsburgh and her “small world” connection to Captain Chesley Sullenberger (a.k.a. “Sully”) and the connections between Lean, aviation safety, and checklists.
To point others to this episode, use this URL: www.leanblog.org/112.
In the podcast, Naida talks about three key components, via Capt. Sullenberger, of aviation safety that we would need in healthcare:
A non-punitive national reporting system (the ASRS)
Crew Resource Management (standardized work, checklists… in a less hierarchical environment)
Culture change
For earlier episodes, visit the main Podcast page, which includes information on how to subscribe via RSS or via Apple Podcasts.

Feb 1, 2011 • 32min
Jeffrey Liker on Toyota’s Crisis and the Toyota Way
Episode #111 brings us some time with Professor Jeffrey Liker from the University of Michigan, the well-known author of many books in the The Toyota Way series. You can see Dr. Liker talk at the upcoming Shingo Prize Conference (hope to see you there!). Today, we are talking about his TWO upcoming books: The Toyota Way to Continuous Improvement: Linking Strategy and Operational Excellence to Achieve Superior Performance and Toyota Under Fire: Lessons for Turning Crisis into Opportunity. The second book was clearly written in response to Toyota's recent challenges and Dr. Liker has some very strong perspectives to share here in this podcast. What was his take on Toyota's recalls and quality problems? Why does he think that Toyota was singled out as a "scapegoat" to be "taken down"? Does he think Toyota really will emerge stronger from these challenges? To point others to this, use the simple URL: www.leanblog.org/111. You can leave comments there, as well. 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. 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.

Jan 27, 2011 • 23min
Dr. Jack Billi, University of Michigan Professor, on Applications of Lean in Medicine
Episode page
Episode #110 is a chat with Dr. Jack Billi from the University of Michigan Health System and Medical School.
Here, we talk about their lean work and how Dr. Billi works with physicians to engage them in lean, tying lean problem solving methods, including the A3 approach, to the scientific method and medical thinking. Dr. Billi talks about the right approach to the lean concept of “standardized work” in a way that works for medicine and complex patient situations.
More about Dr. Billi, Associate Dean for Clinical Affairs, Medical School and Associate Vice President, Medical Affairs:
Dr. Billi is Professor of Internal Medicine and Medical Education. He leads the Michigan Quality System, the University of Michigan Health System's unified approach to improve quality, safety, efficiency, appropriateness and service using lean tools and philosophy. Dr. Billi's research and leadership interests are in health services delivery and the use of community consortia for quality improvement. He is active on statewide and regional groups affecting quality of care, pay-for-performance and public reporting. He chairs the Michigan State Medical Society's Committee on Quality, Efficiency and Economics and the Essential Benefit Design Work Group and is a member of MSMS's Board of Directors. Dr. Billi co-chairs the Medical Director Committee for the Michigan Quality Improvement Consortium which develops and disseminates evidence-based practice guidelines used by Blue Cross Blue Shield of Michigan and 15 other health plans representing over six million members.
To point others to this episode, use the simple URL: www.leanblog.org/110.
For earlier episodes, visit the main Podcast page, which includes information on how to subscribe via RSS or via Apple Podcasts.


