

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

Dec 4, 2009 • 18min
Joan Wellman, a Pioneer of the Application Lean in Healthcare
Episode page
This episode is a discussion with Joan Wellman, of the consulting firm Joan Wellman & Associates.
Joan is a real pioneer in the lean healthcare arena, having started her initial work with a hospital in 1995 — I haven't found anybody who started this work earlier than her. We first met in Seattle a few months back and I'm thrilled to bring you this discussion about the early days of lean healthcare and her thoughts on the potential for the future.

Nov 15, 2009 • 18min
Eve Yen, CEO of Diamond Wipes on Manufacturing Close to the Customer
Episode page
Eve Yen, founder and CEO of Diamond Wipes, is our guest for episode #79 of the podcast. In this podcast, Eve discusses her company and how manufacturing in the United States provides a strong competitive advantage. While not explicitly “Lean,” Eve articulates a value proposition that any Lean Thinker would recognize: manufacturing close to the customer allows for shorter lead times and, for these products, better quality and freshness. Her strategy also allows for just-in-time delivery and ready customization for customers.
Her story is an inspiring one for many reasons, as an entrepreneur and an immigrant who has made the most of her opportunities in America. Eve believes strongly that manufacturing is critically important for our nation's economy and she's working to build her company, serve her customers, and spread that message.
You can read about her story at the following links:
Woman finds success making wipes for restaurants, more
IndustryWeek column by Eve

Nov 3, 2009 • 20min
Sorrel King, "Josie's Story" and Patient Safety
Episode #78 brings a very special guest, Sorrel King, to talk about systems, communication, and patient safety. Sorrel's 18-month old daughter, Josie, was the victim of a series of preventable medical errors at a world-renowned hospital, passing away in the hospital's ICU. Sorrel channeled her grief and energy into the Josie King Foundation, which works to educate healthcare providers, patients, and families about the patient safety and systems improvement. From their website: The Josie King Foundation’s mission (www.josieking.org) is to prevent others from dying or being harmed by medical errors. By uniting healthcare providers and consumers, and funding innovative safety programs, we hope to create a culture of patient safety, together. Sorrel is also the author of the recently released book, Josie's Story: A Mother's Inspiring Crusade to Make Medical Care Safe. I think much of what she talks about will resonate with Lean thinkers, as well as anyone with an interest in safer healthcare 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.

Oct 20, 2009 • 23min
Bob Emiliani, Lean and Frank Woollard
A returning guest (episodes #30, #38, and #48), Bob Emiliani is again featured in episode #77 of the LeanBlog Podcast. Bob is the President of The Center for Lean Business Management, LLC. He is a leading authority on Lean management, who since 1995 has focused his efforts on de-mystifying the "black art" of Lean leadership through his "Real Lean" series of books. Today, we talk about his most recent work - the republication (with additional material and commentary from Bob) of a book by Frank Wollard called Principles of Mass and Flow Production. You can read more about the book here on Bob's web site: www.theclbm.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.

Oct 13, 2009 • 20min
Dr. David Jaques, Lean in Surgical Services
Episode #76 is a discussion with Dr. David Jaques, VP of Surgical Services at Barnes-Jewish Hospital in St. Louis, MO. Dr. Jaques is a skilled surgical oncologist and surgery department administrator. He came to Barnes-Jewish after serving as vice chairman of the department of surgery and director of graduate education at Memorial Sloan-Kettering Cancer Center in New York. He received his medical degree at the University of Michigan, Ann Arbor, which was followed by a distinguished career in the U.S. Army Medical Corps. He served as a combat surgeon in the Persian Gulf War and was later chief of surgery at Walter Reed Army Medical Center as an oncologist. He served as the senior medical officer during Operation Desert Shield/Desert Storm. Honors during Dr. Jaques' time in the U.S. Army Medical Corps include the Legion of Merit, the Bronze Star Medal, and the Army Commendation Medal. In this podcast, Dr. Jaques talks about how he has led Lean efforts that involve physicians in a unique "6/3" format that helps solve tightly-scoped problems without the need to have surgeons and clinicians for a full 4-day kaizen event. We discuss how he got started with Lean, improvements that were made in the "Mass Transfusion Protocol," and their broader Lean and physician engagement efforts. Really fascinating and innovative stuff. 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.

Oct 5, 2009 • 22min
Peter T. Ward, Lean Education Academic Network
Our guest today for Episode #75 is Peter T. Ward, a professor at Ohio State University’s Fisher College Business and Chair of the Department of Management Sciences. Professor Ward is a leading expert in lean management and is president of the Lean Education Academic Network. His research has been published in a number of journals, including Decision Sciences, Journal of Operations Management and Production and Operations Management. He is research director for the Center for Operational Excellence, associate editor of the Journal of Operations Management and Decisions Sciences. Among other distinctions, he serves as a judge for Industry Week’s Best Plants program. In this podcast, we talk about efforts to standardize and improve formal education about lean in universities and other academic settings. 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.

Sep 13, 2009 • 27min
Roy Vasher, Toyota Supply Chain Management
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.

Aug 22, 2009 • 20min
Doug Burgess, Xerox Lean Six Sigma
Episode #73 is a conversation with Doug Burgess, Senior VP of Corporate Lean Six Sigma for Xerox. We talk about the Lean Six Sigma approach at Xerox, how they've used it internally and how they have used it to help customers improve processes and eliminate waste. The Xerox corporate website is: http://www.consulting.xerox.com/lean-six-sigma/enus.html 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.

Aug 11, 2009 • 21min
John Toussaint, MD on Lean Healthcare Reform and Fixing a Broken System
Our returning guest is John S. Toussaint, MD, the CEO emeritus of ThedaCare, and CEO of the ThedaCare Center for Healthcare Value. In the interest of disclosure, he is a partner in our Lean Enterprise Institute efforts to promote Lean in healthcare.
Dr. Toussaint has been the guest previously for episodes #54 and #62 where he talks about ThedaCare's lean journey.
Dr. Toussaint is very well known for his leadership of the Lean efforts in the ThedaCare system, done under the heading of the ThedaCare Improvement System. ThedaCare has been profiled in the WSJ and many other articles about the quality and cost improvements they have achieved.
In this podcast, Dr. Toussaint talks about the current health reform efforts in Washington -- what is lacking and how Lean can contribute to fixing our broken healthcare system.
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.

Aug 8, 2009 • 21min
Patrick Anderson, Chugatchmiut, Part 2
Episode #71 is the second part of a discussion with Patrick M. Anderson, the Executive Director of Chugachmiut, the Tribal consortium created to promote self-determination to the seven Native communities of the Chugach Region. I met Patrick at a Lean conference last year where he shared their experiences with applying Lean principles to healthcare delivery in Alaska. Part 1 of the discussion was Episode #53. 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.


