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

Podcast #81 is an interview with Rob Bryant, VP for Quality with CSC (Computer Sciences Corporation). In this podcast, we talk about how CSC, being outside of manufacturing, uses Lean in their business and for their customers. Rob shares some insights on Lean, an outlook for 2010, and finishes our discussion with an inspiring story about how he got into the quality field. You can visit Rob's website at http://www.robbryant.com/ to learn more about his work and his public speaking appearances and more. As the vice president for quality, Bryant has: * Assisted DynCorp in increasing its revenue from $900M to $2.1B in just four years as a direct report to the President * Led over 100 teams and studies resulting in over $100M in savings/revenue/improvements for all divisions of CSC as a certified Six Sigma Master Black Belt Trainer * Received the Malcolm Baldridge Sr., Examiner for the National MB Award * Served on the “President Bush Business Advisory Council” for two years * Served as an editor for a book called Quality for Dummies and has written several published articles/papers for journals such as Quality Digest, Six Sigma Magazine, and others * Quality Certifications include ISO-9001:2000, TQM, Process Management, ITIL, CMMI, Six Sigma Master Black Belt, Business Excellence, and Malcolm Baldridge 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.

A special holiday treat for my Lean Blog readers and podcast listeners, "Gemba Claus is Comin' to Town." Lyrics by Mark Graban, Performance by Steve Sholtes (http://www.stevesholtes.com/). Webpage for the song

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.

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

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 [email protected] 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.

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 [email protected] 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.

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 [email protected] 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.

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 [email protected] 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.

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 [email protected] 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.

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 [email protected] 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.

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 [email protected] 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.

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 [email protected] 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.

Episode #70 is an interview with Tamra Kaplan, the COO of Long Beach Memorial Medical Center. We talk about the lean transformation work being done in the hospital and Ms. Kaplan's experience in leading this effort. For an earlier blog post about her promotion to COO and Lean at LBMMC, visit http://ow.ly/gyeX. 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 [email protected] 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.

* Remastered audio June 2021 Show notes: https://www.leanblog.org/69 This is an interview with Dr. Sami Bahri, D.D.S., a dentist from Jacksonville, Florida. He is a pioneer in using Lean methods in the management of his dental practice. The book documents his learning journey for himself and his office staff as they learned how to apply Lean in a very non-traditional setting. His book, Follow the Learner, is available from the Lean Enterprise Institute. You can also watch a webinar that he presented (archive here), along with some text Q&A follow ups that were recently posted. There is also a video podcast version of this discussion available as episode #5 of my video podcast series.

Podcast #68 is a discussion with Benjamin G. Harrison, President & CEO of Kaysun, a privately-held manufacturer that, for over 60 years, has designed and manufactured complex, high-tolerance plastic injection molded products and assemblies. In his role as CEO, Ben is the champion for Kaysun's lean strategy and efforts and we discuss his support for lean in this episode. Kaysun was just named Lean Initiative and Plastics Supplier of the Year by Rockwell Collins, so congratulations to them for that award. 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 [email protected] 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.

This podcast is an interview with Matt May, author of the Shingo Prize winning book The Elegant Solution: Toyota's Formula for Mastering Innovation. Available May 19 is his new book In Pursuit of Elegance. Matt's website is www.inpursuitofelegance.com. Come back for a 2nd conversation with Matt next week. There is also a video podcast version of this discussion available as episode #4 at www.leanvideopodcast.org. 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 [email protected] 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.

SPONSOR: MIT Professional Education - Short Programs: MIT will be holding three short courses on campus this July focused on various lean concepts geared towards busy professionals (Lean Academy® Course, Lean Engineering Seminar, Lean Healthcare Academy). To learn more visit them on the web at http://shortprograms.mit.edu/lean. CONTENT: LeanBlog Podcast #66 This is a discussion with Joe Rizzo, Chairman of the Association for Manufacturing Excellence (AME) Annual Conference, to be held in Covington, Kentucky. The dates are October 19 to 23, 2009. For more info, visit http://www.ameconference.org. In this podcast, Joe talks about his lean background and what to expect if you attend the event. 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 [email protected] 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.

LeanBlog Podcast #65 is a discussion with Kevin Frieswick, a Lean Process Manager, with MetroWest Medical Center in Framingham, MA. I found Kevin earlier this year when I discovered their YouTube video about innovations at MWMC, which included a unique error proofing device to help encourage handwashing by staff and physicians before entering patient rooms. I recommend you first watch the video here (http://www.leanblog.org/2009/02/error-proofing-handwashing.html) before listening to the podcast. In this podcast, Kevin gives us more details behind the invention of the device and how it has been received in the hospital. 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 [email protected] 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.

Episode #56 of the podcast is a discussion with John Shook, one of my absolute favorite people in the Lean world. Show notes: https://www.leanblog.org/56 Remastered August 2021 Episode #56 of the podcast is a discussion with John Shook, one of my absolute favorite people in the Lean world. The few times I've seen John present or had the chance to chat in person, I've learned more in that amount of time than from anyone else, so I'm thrilled to have him here. John has a new book, published by the Lean Enterprise Institute, about the “A3” problem solving process called Managing to Learn: Using the A3 Management Process to Solve Problems, Gain Agreement, Mentor, and Lead. John also has a new blog on the LEI website, which is exciting to see. In the podcast, we discuss the story behind the book and some thoughts on how to get started with A3 thinking from scratch in your organization. Episode #56 Key Words and Links: About A3s (via John's blog) Lean Enterprise Institute John Shook's Lean Management Column (blog) Problem solving, kaizen, A3 thinking, A3 reports

Here is LeanBlog Podcast #64, again with Jamie Flinchbaugh, Founder of and Partner with the Lean Learning Center and co-author of The Hitchhiker's Guide to Lean. In this Podcast, we talk about the role of coaching in a Lean transformation effort. What is the difference between coaching toward a solution and coaching to learn a method, for example? This was also the first attempt at a "video podcast", this is the audio from that. The video, if desired, can be found at this address: http://www.leanblog.org/2009/03/video-podcast-beta-v-10-jamie.html . The video admittedly doesn't add too much to the discussion, but it's an experiment and I'll continue to put audio from the discussions here in the audio podcast series if I do more videos. For past episodes, please visit www.leanpodcast.org. If you have feedback on the podcast, or any questions for me or my guests, you can email me at [email protected] 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.

Episode Page I have a very special guest today… it's a very spur of the moment podcast with L.A. mayoral candidate, David “Zuma Dogg” Saltsburg. This went from email, to phone call, to podcast all in a few hours. He is running on a platform is using Dr. W. Edwards Deming's 14 points for management. It's very interesting listening — David paid his own way to a Dr. Deming 4-day seminar in Houston in 1991 and it changed his life. He's talking about Dr. Deming on TV and all the media — what a great service to Dr. Deming and hopefully to the residents of Los Angeles. Check out my earlier blog post with him and his videos. For earlier episodes, visit the main Podcast page, which includes information on how to subscribe via RSS or via Apple Podcasts.

Show notes: https://www.leanblog.org/57 Audio remastered July 2021 My guest for LeanBlog Podcast #57 is Alfie Kohn, an author and lecturer in the fields of education, parenting, and human behavior. His books include Punished By Rewards: The Trouble with Gold Stars, Incentive Plans, A's, Praise, and Other Bribes and The Homework Myth: Why Our Kids Get Too Much of a Bad Thing. I reached out to Alfie after there was some very good discussion on the blog about Chicago Public Schools giving incentive payments to high school students earning A's, B's, and C's. Many of the arguments that Alfie makes are reminiscent of Dr. W. Edwards Deming and can be applied, more generally, to many organization settings where rewards and incentives are used. I hope you find this interesting and thought provoking. If anything, the Dr. Deming fans will want to listen to the end of the Podcast where Alfie does a dead-on impression of Dr. Deming. To read more articles, Alfie's website is http://www.alfiekohn.org/ . 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. The podcast is available there in MP3 or AAC formats.

Episode #58 of the LeanBlog Podcast brings us Steven J. Spear as our guest. Spear is a Senior Researcher at MIT, a Senior Fellow at the Institute for Healthcare Improvement, and is the author of the new book Chasing the Rabbit: How Market Leaders Outdistance the Competition and How Great Companies Can Catch Up and Win. Today, we talk about he started studying Toyota and his new book, which includes examples from many high-performing organizations in manufacturing, healthcare, and other industries - fascinating reading. If you have feedback on the podcast, or any questions for me or my guests, you can email me at [email protected] 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.

Episode Page Episode #59 of the LeanBlog Podcast is here and our guest is Robert Miller, Executive Director of the Shingo Prize for Operational Excellence. We are discussing the Prize, some of the recent changes made in its criteria, and some future directions for the Prize named after Dr. Shigeo Shingo, of Toyota Production System fame. For earlier episodes, visit the main Podcast page, which includes information on how to subscribe via RSS or via Apple Podcasts.

Once again, our guest for Episode #62 is John S. Toussaint, MD, the CEO emeritus of ThedaCare, and CEO of the ThedaCare Center for Healthcare Value. 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. This is the first of two podcast discussions we recorded (Part 1 is episode #54). In this podcast Dr. Toussaint talks about the ThedaCare Center for Healthcare Value and some big picture issues related to Lean and healthcare improvement. For past episodes, please visit www.leanpodcast.org. If you have feedback on the podcast, or any questions for me or my guests, you can email me at [email protected] 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.

Show notes: https://www.leanblog.org/61 Remastered audio June 2021 Norman Bodek is once again back for episode #61 of the LeanBlog Podcast, talking about his discovery of a unique system in Japan, at Canon, called the “Super Meister” system that trains employees to be able to build an entire copier on their own. This was introduced in Episode #55 of the Podcast. Norman also talks a little more about Gerry Corrigan and his Lean/5S work in Ireland, employee ideas, and his video terminal that allows him to teach people remotely. Episode #61 Key Words and Links: Canon, Japan, “Super Meister” Tony Corrigan Institute for Lean Systems

Podcast Episode #60 is the second part of a two-parter with retired Lt. Randy Russell of the Jacksonville Sheriff's Office, an innovator in the use of Lean methods for improving law enforcement (Part 1, Episode #51 is here). In this episode, Randy discusses some really interesting examples of how Lean methods are helpful in law enforcement and how 5S or standardized work can help save a life. Very powerful stuff. Randy’s company, Hyperformance Enterprises, LLC, operates a Lean consulting and training division that can be found online at www.improvementors.com. Randy's interests include waste identification and elimination, process improvement, transactional systems, and strategic alignment. His hands-on experience with Lean in a broad array of settings as the former Chairman of the (47+ member) Jacksonville Lean Consortium and his two decade career as a law enforcement commander and lead security planner for a Super Bowl provides valuable added experience and insights when it comes to dealing with sensitive and complex projects. If you have feedback on the podcast, or any questions for me or my guests, you can email me at [email protected] 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.

Show notes: https://www.leanblog.org/55 Audio remastered June 2021 Norman Bodek is once again back for episode #55 of the LeanBlog Podcast, talking about his recent trip to Ireland. If you're a fan of Norman, his books and his podcasts, be sure to check out the special charity auction that's running on www.leanblog.org through December 19. You can get a specially autographed CD set of Norman's previous Podcasts along with an autographed book. You'll see links to the auction on the Lean Blog, so visit today. The auction benefits the Josie King Foundation, a group that supports improvements for patient safety in hospitals and healthcare, a very important cause. For earlier episodes, visit the main Podcast page, which includes information on how to subscribe via RSS or via Apple Podcasts. Episode #55 Key Words and Links: Lean in Ireland Tony Corrigan Institute for Lean Systems If you have feedback on the podcast, or any questions for me or my guests, you can email me at [email protected] or you can call and leave a voicemail by calling the “Lean Line” at (817) 993-0630 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.

Show notes: https://www.leanblog.org/54 Remastered August 2021 Our guest for Episode #54 is John S. Toussaint, MD, the CEO emeritus of ThedaCare, and CEO of the ThedaCare Center for Healthcare Value. 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. This is the first of two podcast discussions we recorded, so check back for the second by visiting and coming back to www.leanpodcast.org. In this podcast Dr. Toussaint looks back at ThedaCare's accomplishments, reflects on their journey, and shares his advice for other hospitals. For earlier episodes, visit the main Podcast page, which includes information on how to subscribe via RSS or via Apple Podcasts. Episode #54 Key Words and Links: ThedaCare Center for Healthcare Value Blog The importance of going to the “gemba“

LeanBlog Podcast Episode #53 is a conversation 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 where he shared their experiences with applying Lean principles to healthcare delivery in Alaska. I am happy to bring their story to you, here in the first part of a two-part Podcast discussion. If you have feedback on the podcast, or any questions for me or my guests, you can email me at [email protected] 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.

Show notes: https://www.leanblog.org/52 Remastered July 2021 Podcast Episode #52 is a discussion with a good friend (and sometimes contributor) to the Lean Blog, Dan Markovitz, founder and President of Markovitz Consulting. Markovitz Consulting is a corporate efficiency-training firm specializing in the application of Lean manufacturing principles to business processes. The company's WorkLean program helps knowledge workers reduce the hidden waste in the way they manage information and improves the flow of value to the customer. As such, the WorkLean program supports companies in their Lean journey. In this podcast episode, we talk about applications of Lean and 5S principles in office and administrative settings. Episode 52 Key Points and Links: How to address situations where the activity in your workday adds no value to customers or clients? Identifying and removing waste from business processes Lean in a legal/law firm setting Office 5S and Visual Management Bad Office 5S example from the UK Tips for managing email

Podcast Episode #51 is the first part of a two-parter with retired Lt. Randy Russell of the Jacksonville Sheriff's Office, an innovator in the use of Lean methods for improving law enforcement. Starting in 2004, the Jacksonville Sheriff's Office began using Lean as a continuous improvement program. In the podcast, Randy describes their journey and the improvements that have greatly contributed to providing more time and resources for the officers to use in protecting the community. As in healthcare, the real opportunity for Lean is not using isolated tools in a trivial way, but rather in ways that save lives and provide more time for officers to be out on the streets adding value, instead of dealing with waste. It sounds like a nearly direct parallel to using Lean in hospitals to free up time for nurses to care for patients. Randy’s company, Hyperformance Enterprises, LLC, operates a Lean consulting and training division that can be found online at www.improvementors.com. Randy's interests include waste identification and elimination, process improvement, transactional systems, and strategic alignment. His hands-on experience with Lean in a broad array of settings as the former Chairman of the (47+ member) Jacksonville Lean Consortium and his two decade career as a law enforcement commander and lead security planner for a Super Bowl provides valuable added experience and insights when it comes to dealing with sensitive and complex projects. If you have feedback on the podcast, or any questions for me or my guests, you can email me at [email protected] 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.

https://leanblog.org/50 To celebrate the 50th LeanBlog Podcast, the tables are turned. Guest host Jamie Flinchbaugh chats with me, Mark Graban, about the history of my blog, my podcasts, and how this led into my new book, Lean Hospitals. This was Jamie's idea (thanks). I normally try not to be the center of attention on the podcasts, letting my guests do most of the talking (so I can learn), so I'm a bit uncomfortable talking about myself… but here it is. Topics include why I started the blog, what I've learned along the way, how I got started with Lean, and how I transitioned into healthcare. You won't learn as much in this as a typical podcast with Jamie, Jeff Liker, or Norm Bodek. But, if you're interested… here you go! We get to the meat of the healthcare discussion and about the book about 20 minutes in. For earlier episodes, visit the main Podcast page, which includes information on how to subscribe via RSS or via Apple Podcasts.

Episode #49 is another conversation with Dr. Gwendolyn Galsworth, who you might remember from Episode #26 last year and Episode #45, which was the first part of this conversation. In this episode, we talk about "Visual Displays," a topic from her Shingo Prize-winning book Visual Workplace, Visual Thinking: Creating Enterprise Excellence Through the Technologies of the Visual Workplace. Gwendolyn established Quality Methods International (QMI) in 1991 as a consulting, training and research firm, specializing in the Visual Workplace. If you have feedback on the podcast, or any questions for me or my guests, you can email me at [email protected] or you can call and leave a voicemail 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.

Episode Page A returning guest (episodes #30 and #38), Bob Emiliani is again featured in episode #48 of the LeanBlog Podcast. He has, since 1995, focused his efforts on what he describes as de-mystifying the “black art” of Lean leadership. In this episode, we talk about his “Real Lean” series of books. A returning guest (episodes #30 and #38), Bob Emiliani is again featured in episode #48 of the LeanBlog Podcast. He has, since 1995, focused his efforts on what he describes as de-mystifying the “black art” of Lean leadership. In this episode, we talk about his “Real Lean” series of books.

Show notes: https://www.leanblog.org/47 Remastered audio June 2021 Norman Bodek is once again back for episode #47 of the LeanBlog Podcast, talking about his most recent trip to Japan (his 68th trip!). He poses the question, "What can we do to leapfrog Toyota?" Norman asks important questions about how we can help people, in any role, enjoy their work, rather than dreading Mondays. Why does Norman think the Canon photocopier plant he just toured is the best he's ever seen? Why does Norman disagree with the phrase, "Work smarter, not harder"?? If you have feedback on the podcast, or any questions for me or my guests, you can email me at [email protected] or you can call and leave a voicemail 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. Episode #47 Key Words and Links: Ideas Are Free: How the Idea Revolution Is Liberating People and Transforming Organizations, by Alan Robinson Do 60 or 80% of people “hate” their job? How can we help people enjoy their work? What is a “supermeister” in a Canon factory?

Episode #46 is a chat with a good friend of the Lean Blog, Dean Bliss, a Lean Improvement Specialist with the Iowa Health System. Like myself, Dean made a transition in from manufacturing into health care a few years back, he'll share some of his experiences and recommendations for how to use Lean in a hospital and how to make that transition. He will also share some stories about how his hospital prioritized what problems to solve with the Lean methodology. If you have feedback on the podcast, or any questions for me or my guests, you can email me at [email protected] or you can call and leave a voicemail 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.

Episode #45 is another conversation with Dr. Gwendolyn Galsworth, who you might remember from Episode #26 last year. In this episode, we talk about “Visual Displays,” a topic from her Shingo Award-winning book Visual Workplace, Visual Thinking: Creating Enterprise Excellence Through the Technologies of the Visual Workplace. Gwendolyn established Quality Methods International (QMI) in 1991 as a consulting, training and research firm, specializing in the Visual Workplace.

Episode #44 of the LeanBlog Podcast is a conversation with Ralph Keller, the President of AME, the Association for Manufacturing Excellence. Today, we're discussing AME and their upcoming regional conference in San Diego, to be held June 9 to 11, 2008. If you have feedback on the podcast, or any questions for me or my guests, you can email me at [email protected] or you can call and leave a voicemail 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.

Episode #43 of LeanBlog Podcast is a very special one. My guest is Mike Mickleright, writer, consultant, and performer -- most interesting to me is his impersonation of Dr. W. Edwards Deming. As I wrote about before, I've seen his DVD and Mike agreed to create this podcast with me. We start off talking with Mike about his background with Dr. Deming and how he created the impersonation. Then, we shift into me interviewing Mike as Dr. Deming, asking him some questions on modern quality approaches including Lean and Six Sigma. His website is www.mikemick.com. If you have feedback on the podcast, or any questions for me or my guests, you can email me at [email protected] 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.

This is LeanBlog Podcast episode #42 with Dr. C. Martin Hinckley, of the firm Assured Quality. Re-mastered audio, January 2024 He is the author of the book "Make No Mistake!: An Outcome-Based Approach to Mistake-Proofing," available through Productivity Press. We'll talk about his book and approaches for teaching people how to develop mistake proofing in processes. If you have feedback on the podcast, or any questions for me or my guests, you can email me at [email protected] or you can call and leave a voicemail 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.

Episode page Here is LeanBlog Podcast #41 with Dr. Jeffrey Liker, Professor of Industrial and Operations Engineering at the University of Michigan. Dr. Liker is most recently the co-author (with Michael Hoseus) of Toyota Culture: The Heart and Soul of the Toyota Way and many other books, which can be found here on Amazon.com. This is part 3 of our recent series. Today, we talk about the development of managers within a Lean organization. For earlier episodes, visit the main Podcast page, which includes information on how to subscribe via RSS or via Apple Podcasts. LeanBlog Podcast #41 Key Points & Links From a listener: Many companies shift managers around almost constantly. How does Toyota develop their managers in a way that helps encourage “respect for people?” Other companies where Toyota can find similar leaders: NUMMI, Subaru Developing vs hiring leaders — does your culture just evolve or do you teach the culture? 3 years is typically the rule of thumb for how long a manager should be in place, more important, though, is who is there in the workgroup who provides leadership? Is there someone to pick up the leadership gap if one person leavfes? Toyota does rotate leaders to develop people With the “quality people value stream,” you should be developing people every day Dr. Liker talks about his firm Optiprise

Episode page: leanblog.org/40 Here is LeanBlog Podcast #40, an interview with a retired UAW/GM employee who wishes to remain anonymous, at this point. We have traded many emails over the past year, about Lean, and I'm impressed with this individual's true passion for Lean and Toyota Production System concepts. We both agree that the “root cause” of many Lean struggles comes back to management's inability to create trust and to give up some control to the employees who actually do the work. The intent here, from my perspective, is not “management bashing,” but rather to illustrate that there are some on the UAW side who “get it” and success is going to require true cooperation and sacrifices on both sides. LeanBlog Podcast #40 Key Points & Key Words “Quality Network” – GM and the UAW GM had been working with Lean methods since the early 1990's, but not associating it with “Lean” (Toyota) until this decade The need for trust and culture change — changing the “them vs. us” attitude

Episode page Here is LeanBlog Podcast #39, once again featuring Dr. Jeffrey Liker, Professor of Industrial and Operations Engineering at the University of Michigan. Dr. Liker is most recently the co-author (with Michael Hoseus) of Toyota Culture: The Heart and Soul of the Toyota Way and many other books, which can be found here on amazon.com. This is part 2 of what will be a 3-part podcast series, so be sure to check back. Today, we talk about some of the challenges that organizations face in trying to adopt a Lean Culture. Click for the entire series with Prof. Liker. For earlier episodes, visit the main Podcast page, which includes information on how to subscribe via RSS or via Apple Podcasts. LeanBlog Podcast #39 Key Points & Links Will Dr. Liker be writing more about companies who have gone through the Lean culture transformation, examples other than Toyota, ala his earlier book, Becoming Lean: Inside Stories of U.S. Manufacturers? Bob Emiliani's book on Wiremold: Better Thinking, Better Results Case Study and Analysis of an Enterprise-Wide Lean Transformation Why is it so hard to find examples of companies that have really adopted a Lean culture? Thoughts on the impact of top American leaders departing Toyota (Jim Press and Gary Convis)

Episode page Here is LeanBlog Podcast #38, our guest today is Bob Emiliani, the author of Practical Lean Leadership: A Strategic Leadership Guide For Executives. It's a workbook-style guide that forces you to think through your own leadership approach and your own situation. In this podcast, we talk about “lean leadership,” “value added behaviors,” and some pitfalls to avoid in lean implementations. LeanBlog Podcast #38 Key Points & Key Words How Bob first got involved with Lean and, especially, the leadership component. What's different about this new Lean book? What are some examples of “non-value-added” management activities or behaviors? A definition of kaizen that emphasizes that kaizen cannot be sub-optimizing, you must look at the whole Some errors to avoid in Lean implementation, avoiding “fake Lean”

Episode page Here is LeanBlog Podcast #37, once again featuring Dr. Jeffrey Liker, Professor of Industrial and Operations Engineering at the University of Michigan. Dr. Liker is most recently the co-author (with Michael Hoseus) of Toyota Culture: The Heart and Soul of the Toyota Way and many other books, which can be found here on amazon.com. This is part 1 of what will be a 3-part podcast series. Listen to part 2 and part 3. For earlier episodes, visit the main Podcast page, which includes information on how to subscribe via RSS or via Apple Podcasts. LeanBlog Podcast #37 Key Points Overview of the book, how it builds on the previous books. The people part is such a foundation of the Toyota Way, had to expand upon it. Looking at the cultural assumptions in the 14 principles. In the book, seeing a “day in the life” of a Toyota supervisor. Get a clearer picture of the “respect for people” principle throughout the book Thoughts on implementing Lean the “wrong way.”

Episode page: https://leanblog.org/36 LeanBlog Podcast #36 once again features our friend and frequent guest, Norman Bodek, noted lean author, consultant, and President of PCS Press. In this episode, Norman talks about his most recent publication, a text by the legendary Shigeo Shingo, called Kaizen and the Art of Creative Thinking – The Scientific Thinking Mechanism, as well as future publications he is working on. This was recorded back in 2007, before the book was published (it has now been out in publication for a few months, I apologize for the delay in getting this podcast released). If you enjoy this podcast, I hope you'll check out the rest of the series by visiting the LeanBlog podcast main page. Keywords and Main Points, Episode #36 You can find the book here via enna.com, or amazon.com.

Episode Page LeanBlog Podcast #35 is another discussion with David Meier, co-author of the book Toyota Talent, written with Dr. Jeffrey Liker. In this podcast, we follow up our previous discussion (Podcast #31) to talk about the upcoming Toyota books, as well as some of the leadership challenges that companies face with working with Lean. If you enjoy this podcast, I hope you'll check out the rest of the series by visiting the LeanBlog podcast main page at http://www.leanpodcast.org/. Keywords and Main Points, Episode #35 The next books coming in the series – Toyota Culture, Toyota Process, Toyota Problem Solving Hearing comments about how companies have trouble sustaining Lean after 3 or 5 years — why is that happening and what's missing? Talking about the LEI survey on why companies struggle with Lean How is the Toyota San Antonio plant creating a system of systematic continuous improvement? Following the stand problem solving methodology to find out why a company is struggling with Lean… Instead of being punitive, leaders need to be more inspirational Need to move away from blaming Leadership has to communicate the message His website: http://www.thetoyotaway.org/

Episode page LeanBlog Podcast #34 is a discussion with Chris Harris, from Harris Lean Systems, and co-author of the book Developing a Lean Workforce: A Guide for Human Resources, Plant Managers and Lean Coordinators. If you enjoy this podcast, I hope you'll check out the rest of the series by visiting the LeanBlog podcast main page. Now that my book manuscript is done, I'm going to get back into regular podcasting, with episodes in the coming weeks featuring Norman Bodek, David Meier, and Jeffrey Liker. Let me know if you have questions for Dr. Liker, using the contact info at the bottom of this post. Keywords and Main Points, Episode #34 Chris started working the assembly line at Toyota, then became a production supervisor at both Toyota and a different Tier 1 auto supplier. Focusing on the people is key, assuming most people want to do a good job. What's the proper role of a “Lean Coordinator”? What's the right role for a supervisor or a team leader? How do you make that transition? “The same reason Lean succeeds is the same reason it fails…. leadership.”

Episode Page Here is LeanBlog Podcast #33, a new interview with Jim Huntzinger, the President of the Lean Accounting Summit. In this Podcast, Jim gives us an update on the recent Summit and talks about some of the latest trends in Lean Accounting.