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

This is a portion of a much longer interview (Lean Blog Interviews Episode #378): I'm joined by Christopher D. Chapman, Senior Lean Transformation Coach at Chapman Lean Enterprise and Dr. Valeria Sinclair-Chapman, a social scientist, Associate Professor, and Director of the Center for Research on Diversity and Inclusion at Purdue University. I was first introduced to Chris through his article that was published on the Lean Enterprise Institute's “The Lean Post” section titled “Lean in Lean Thinkers to Root Out Racial Inequity.” He also has a follow up article called “Our Burning Platform and Using the 5 Whys to Think More Deeply about Corrective Action” with more to come.

https://www.leanblog.org/378 Joining me for Episode #378 are Christopher D. Chapman, Senior Lean Transformation Coach at Chapman Lean Enterprise and Dr. Valeria Sinclair-Chapman, a social scientist, Associate Professor, and Director of the Center for Research on Diversity and Inclusion at Purdue University. I was first introduced to Chris through his article that was published on the Lean Enterprise Institute's "The Lean Post" section titled "Lean in Lean Thinkers to Root Out Racial Inequity." He also has a follow up article called "Our Burning Platform and Using the 5 Whys to Think More Deeply about Corrective Action" with more to come. As he wrote: "Lean leaders have a crucial role to play. We have long practiced and taught clients Respect for People as the moral core of lean thinking. As LEI states, leading respectfully not only improves business results but also the lives of workers, their families, their community, and, ultimately, society." I reached out to Chris to see if he'd want to discuss his article in a podcast and he was quick to bring his wife, Val, into the conversation, given her academic credentials and her experience working with organizations on diversity, equity, and inclusion (DEI). In the episode, all three of us discuss the intersection and overlap between Lean transformation and DEI. Changing the culture of an organization is difficult and it requires a willingness to call out problems as a start. This is a different topic than other podcast episodes. It's also a much longer episode than usual... because it's an important discussion, it was thought provoking, challenging (for me), but it was also friendly and spirited in a positive way. I hope you agree. I invite you to join us. This topic might be outside of your comfort zone... it was for me, but that made it all the more worth doing.

http://www.leanblog.org/377 My guest for Episode #377 is Ritu Ward, an experienced healthcare executive who has had success delivering quality, growth, and strategy while leading high performing teams. We have known each other for a while through Lean healthcare circles and she presented a webinar in our KaiNexus series titled, “Leadership Behaviors to Guide Effective Change.” She was, until recently, the Regional Vice President for Mercy Labs in the West Region. Ritu also worked previously for Carolinas Healthcare, in a Performance Excellence role. She's currently looking for her next opportunity. Today, we'll talk about the leadership styles that help create a Lean culture. She also shares thoughts on how her leadership style had to change during the Covid-19 crisis, thoughts on leading change, and more.

http://www.leanblog.org/376 Joining me for Episode #376 of the podcast is Lauren Hisey, a continuous improvement coach and consultant at her firm, Lauren Hisey Consulting. Before becoming a consultant, Lauren worked for AT&T and Nielsen in various technical and Lean Six Sigma roles. She has a BA in Political Science and Government and an MBA. Read more about Lauren via her bio. Today, we talk about the interface and overlap between concepts like Lean, Six Sigma, and Artificial Intelligence. Why do companies need to avoid jumping to solutions, including technology solutions like Robotic Process Automation? Why does the "respect for people" principle of Lean, from Toyota, mean that we shouldn't focus on replacing people with technology? I hope you enjoy the conversation, whether you listen or watch.

http://www.leanblog.org/375 My guest for Episode #375 of the podcast is Mohamed Saleh, Ph.D. Dr. Saleh has been a practitioner in Lean & Six Sigma transformations, in both manufacturing and service sectors. Mohamed was directly mentored by one of the country’s foremost experts on enterprise-wide Lean transformation and the Toyota Production System (TPS). He has extensive experience in hands-on healthcare, manufacturing, supply chain, network optimization and enterprise information systems. Mohamed’s academic credentials include a Certified Six Sigma Black Belt from Kaplan University, a Masters in Technology Management & Bachelors in Mechanical Engineering from Central Connecticut State University and a PhD in Business Administration from Northcentral University. Mohamed is: Founder of Vizibility llc, a Lean consulting and training company An M Plus Group Managing Partner, an advisory-coaching firm devoted to knowledge sharing, event planning and helping clients achieve organizational transformation. One of his partners, Crystal Y. Davis, was my guest in Episode #363. Today, we talk about his background and education in Lean and we delve into what it was like to lead a Lean transformation at a large health system in Connecticut. Mohamed also shares a little bit about his Ph.D. research. I hope you enjoy the conversation!

http://www.leanblog.org/374 Joining me today for Episode #374 of the podcast are two colleagues, Brittany Wilson and Mark Valenti. The topic, as Mark and I discussed in Episode #306, is "Motivational Interviewing." We will all be exploring this topic in the context of talking to people about wearing masks during the pandemic. But, there are many applications to workplace situations, as well. Mark and Brittany do a series of very engaging webinars, which you can find on their YouTube channel. I hope you enjoy the conversation!

http://www.leanblog.org/373 Joining me today for Episode #373 of the podcast is Professor Peter Hines, author of many books including Staying Lean: Thriving, Not Just Surviving. Peter founded S A Partners in 1994 as a spin-out from his activities in running the Lean Enterprise Research Centre at Cardiff University. Before this, he worked in supply chain and distribution and manufacturing industries. Peter has a degree from Cambridge University and an MBA and PhD from Cardiff University. He is also an accredited Senior Shingo Facilitator and is a Visiting Professor at Waterford Institute of Technology. He is also founder of the Enterprise Excellence Network, which invited me to do a webinar recently. In the episode, we talk about the challenges involved in creating and sustaining a culture of continuous improvement. Who should be the "Lean Champion" for an organization? Are there different success factors in the UK vs other countries? Is humility an innate trait or can it be developed? We talk about that and more. I hope you enjoy the conversation!

http://www.leanblog.org/372 My guest for Episode #372 is Karen Gaudet, author of the excellent book Steady Work, which was published by the Lean Enterprise Institute. In the interest of full disclosure, I am a former employee of LEI and they provided a review copy of the book. In today's episode, we discuss her experience with Lean at Starbucks. It's a fascinating story that includes a transition from the old way (the Seattle HQ figuring out "best practices") to a new way (where store managers and baristas were taught how to design "playbooks" and to continuously improve the way the work is done in a particular store).

http://www.leanblog.org/371 For Episode #371, we bring the discussion back to Lean Manufacturing applications, as our guest is Marc Lushington-Murray. He currently lives in the Fort Worth, Texas area but, as you'll discover from his accent, he was originally born and raised in England. Marc is currently searching for a new opportunity, but he brings a great deal of experience from his time working for Nissan and then Parker Hannifan. He was originally self-taught but then had the opportunity to learn from the famed Shigijitsu consulting group and others. He has worked in internal Lean roles, but has always been pulled into plant management or other direct line management roles. I hope you'll enjoy the conversation as Marc shares his reflections on his career to date and his hopes for what is still yet to come.

http://www.leanblog.org/370 Joining me for Episode #370 is Edward Blackman, the founder and managing partner of Kelda Consulting. He has previously had Lean and process improvement-focused roles at organizations as varied as Whirlpool, Amway, and Spectrum Health. Today, we are discussing behavioral science and the need to combine practices and lessons from that field with Lean and continuous improvement. Edward earned a Masters degree in Behavioral Science, along with undergraduate degrees in Psychology and Mathematics. He is a certified Six Sigma Black Belt by the American Society for Quality; is certified in Labor Standards by HB Maynard; is a Lean (Toyota Production System) Instructor/Coach; a Kata Coach; a certified Scrum Master; and an Agile Coach. Read his full bio.

http://www.leanblog.org/369 Joining me again for Episode #369 of the podcast is Dr. Rachel Mandel, a self-described "healthcare whisperer" and Washington D.C.-based consultant for healthcare organizations. She has her own practice and also works as a Senior Healthcare Advisor for Operational Performance Solutions, Inc. She was a guest recently for Episode #367, but we had recorded that before the pandemic. So, we decided to do another episode, this time as a live YouTube stream, to talk about issues of the moment, and the future, related to Lean and Covid-19 -- leadership, respect, and safety among other themes. Again, she is a physician (OB-GYN) and previously served as the Vice President of Medical Affairs for a health system in Maryland. Read her full bio here.

http://leanblog.org/368 My guest for Episode #368 is somebody I've met fairly recently through his excellent posts on LinkedIn, Steve Feltovich. He is the president of SJF Consulting, Inc. and he previously had a long career in the automotive industry, in particular collision and repair. Steve learned about Dr. Deming's approach and also learned the Toyota Production System from Toyota and Toyota University, so he has an interesting perspective that I really appreciate. I hope you enjoy the discussion!

http://www.leanblog.org/367 Joining me for Episode #367 of the podcast is Dr. Rachel Mandel, a self-described "healthcare whisperer" and Washington D.C.-based consultant for healthcare organizations. She has her own practice and also works as a Senior Healthcare Advisor for Operational Performance Solutions, Inc. She is, of course, a physician (OB-GYN) and previously served as the Vice President of Medical Affairs for a health system in Maryland. Read her full bio here. We recorded this podcast in late February 2020, so much has changed since then. We'll be doing a follow up podcast next week where we'll discuss some of the leadership (and organizational) challenges that health systems face now during the Covid-19 pandemic. Today, we'll talk about her experiences with Lean and how she is an advocate for this methodology, especially around the important issues of safety and quality.

http://www.leanblog.org/366 My guest for Episode #366 is Harry Moser, founder of the Reshoring Initiative. We talk about “reshoring,” in general, and why that's such an important issue in the context of the Covid-19 pandemic and beyond. Harry definitely falls into the category of guests where I wonder, “Why haven't I had this person on the show before?” Harry and his work have been on my radar for a long time. I appreciate the mission and I wish more companies would consider the “Total Cost” (and old Dr. Deming concept) when making manufacturing site location and sourcing decisions instead of focusing only on “unit cost” or “landed cost” (which includes freight and taxes). “The mission of the Reshoring Initiative® is to bring good, well-paying manufacturing jobs back to the United States by assisting companies to more accurately assess their total cost of offshoring, and shift collective thinking from offshoring is cheaper to local reduces the total cost of ownership. “ Harry was inducted into the Industry Week Manufacturing Hall of Fame in 2010, based on his long career in manufacturing. He founded the Reshoring Initiative in 2010. Be sure to check out the TCO Estimator tool that he discusses in the episode. “Most companies make sourcing decisions based solely on price, oftentimes resulting in a 20 to 30 percent miscalculation of actual offshoring costs.” The Reshoring Initiative Website Harry's LinkedIn Profile @HarryMoser on Twitter @ReshoreNow on Twitter The Total Cost of Ownership Estimator Listeners have probably heard of “offshoring” but what is “reshoring”? Why “reshoring”? What is “nearshoring” and is that nearly as good? Tell us about the history of your organization, the Reshoring Initiative… Why should our current Covid-19 crisis be a “wake up call” about where goods are manufactured? Do you think it's fair when analysts or the media blame “just in time” for shortages of goods and equipment during this crisis (in healthcare or retail)? Why or why not? Can Lean take out enough waste to make a high-labor manufacturing site competitive with U.S. wages? Dan Markovitz question (paraphrasing): Is moving production back to the US easier said than done if we don't have the skills or the supply base here anymore? How can we help companies (and investors) realize that “lowest total cost” is the goal, not “lowest labor cost” or “lowest piece price cost”? Why have companies miscalculated when doing the math about moving production to China? How can companies use TCO to increase sales? Can you give some past examples of reshoring and the benefits? What can/should the government do to accelerate the reshoring trend?

Mark Graban interviews Dan Markovitz about his new book. http://www.leanblog.org/365 Joining me again for Episode #365 is Dan Markovitz, now a five-time guest (but he doesn't get a special jacket like SNL). The reason for getting together was to chat about his latest book, "The Conclusion Trap: Four Steps to Better Decisions," now available from Amazon in both paperback and Kindle formats. Why do people jump to conclusions (or solutions), often looking to “shiny new technology, reorganizations, or spending more money” as Dan asks? Why is it better to spend more time on a good problem statement? What's the difference between data and facts? When should we ask questions and when is it OK to make suggestions? When is it OK to “just do it” and when do we need to be more rigorous in setting up our experiments? Dan and I are good friends, so the conversation veers into a breakdown of the show “Bar Rescue” and the problem-solving and leadership methods illustrated there. This is almost an episode of “Lean Whiskey” but there was no whiskey involved. I hope you enjoy the conversation!

Joining me for Episode #364 is a returning guest, Mitch Cahn, the president of Unionwear, a Newark-based company. Back in Episode #234, we talked about how Lean manufacturing has helped them be competitive in the labor-intensive apparel industry, sewing goods in a union shop. Today (in an episode that is also a video podcast), Mitch tells us how, a month ago, orders for political campaign hats and items evaporated as the Democratic presidential field consolidated. So, Unionwear needed to pivot and they started calling hospitals to find out how they might be able to help by making personal protective equipment (PPE) to help in the Covid-19 crisis. In the episode, you'll hear about the creation (and continued refinement) of face shields and gowns. These items were made using materials that they normally used for hats, backpacks, and plastic binders. Mitch also talks about how they've had to adapt their factory for social distancing and how some employees are sewing at home (and what they need to do to support the flow of materials and products). We'll also discuss how Lean methods have helped them in this new journey.

http://www.leanblog.org/363 For Episode #363, I'm joined by Crystal Davis as we discuss: What are you seeing in terms of how Covid-19 is disrupting businesses? How do we move from crisis mode, to survival mode, to recovery mode? Why do we need courageous leadership during these challenging times? This is also the first video podcast that I've done in a while. See the show notes page for the video: HTTP://www.leanblog.org/363 We share a background as industrial engineers who started our Lean careers at General Motors, and we both moved on to do work with other types of businesses. Crystal has many roles today: The Lean Coach, Inc. - Founder, CEO, Principal Lean Practitioner; DisruptHER Coach; Managing Partner at MPlus Her website is http://theleancoachinc.com/. I hope you enjoy the conversation!

http://www.leanblog.org/362 My guest for Episode #362 is Adam Lawrence, managing partner with Process Improvement Partners LLC. He's an industrial engineer who had a long career working with TQM, Six Sigma, and Lean at Thomasvile Furniture and other Armstrong World Industries companies. Today, we'll talk about setting kaizen events up for success with effective charter documents and team selection. What's the role of leadership? Adam will also talk about the "wheel of sustainability" (scroll down for an image and a PDF that he provided). Adam will also mention a free virtual workshop that he's doing on Monday, April 6th. It was supposed to be done in person at a conference... but given the current circumstances, he's trying to make lemons into lemonade and I appreciate that he's offering up that opportunity for folks.

http://www.leanblog.org/361 Episode #361 of the podcast is admittedly not about Lean, but it's an important topic that I think needs to be shared in these times. I'm sharing audio that came from a KaiNexus webinar yesterday that we called "Ask Docs Anything" and the topic was, of course, coronavirus and Covid-19. We put out a call for questions and got more than 100 questions for our customers and our community. For the webinar, we focused the questions mainly on personal health and things you can (or must) do to protect your families and others in society. If you'd rather read synopsis answers to the questions, you can do so here. The video of the session is also embedded in that page, or it's also available through YouTube. You can also find more links to resources, articles, and information through this page.

http://www.leanblog.org/360 Returning for Episode #360 of the podcast is Leah Binder, the president and CEO of Leapfrog Group. We last talked four years ago in Episode #240 about the patient safety crisis and efforts to improve. Today, we'll talk about hospitals' preparation for the Covid-19 / Coronavirus threat. Read her statement on this topic and stay tuned for announcements about free webinars and resources that Leapfrog Group will be providing. We'll also discuss safety (and the lack of reporting and data) in the outpatient (ambulatory) surgery setting -- where 60% of procedures are done today in the U.S. We'll also talk about the progress that's been made in the last four years on the patient safety front, in general. Please check out Leapfrog Group and their Hospital Safety Score website. How does your hospital measure up? How do the hospitals in your community compare? What can hospitals be doing to close their gaps so they get an "A"? How can large businesses who pay for healthcare and have their employees' interest in mind, like manufacturers, help put positive pressure on healthcare to improve?

My guest for Episode #359 of the podcast is Prof. Dr. Alfred Angerer, joining me from Switzerland to talk about Lean healthcare. I had a chance to visit a hospital with Alfred, in Switzerland, late last year, as we discussed in this episode of his podcast (which we recorded together in his office). In today's episode, he joins me via the internet and we'll talk about his path into studying, teaching, and consulting on Lean healthcare. We'll chat about what's different (and what's similar) in Swiss healthcare and we'll touch on his books and articles in the conversation.

http://www.leanblog.org/358 Returning to the podcast for Episode #358 is Steve Spear, a senior lecturer at MIT and author of the book The High-Velocity Edge: How Market Leaders Leverage Operational Excellence to Beat the Competition. He's also the founder and co-creator of a software company and product called See to Solve. He's also the author of two outstanding Harvard Business Review articles: “Decoding the DNA of the Toyota Production System" and "Fixing Healthcare from the Inside, Today," both of which we'll discuss today. One of the themes for this episode is the evolution of knowledge. What does that mean for a company and what does that mean for an esteemed researcher and professor like Steve? Steve has a BS in economics from Princeton University, an MA in management and an MS in mechanical engineering from MIT, and a PhD from Harvard Business School. He was previously a guest in episodes #58, 87, and 262. I hope you enjoy the conversation as much as I did!

http://leanblog.org/357 Joining me today for episode #357 is Michael Conroy, M.D., the Chief Medical Officer of Sutter Medical Group in northern California. Mike was previously the Medical Director of the Lean Promotion Office for the Palo Alto Medical Foundation and he was in that role when we first met about a decade ago. We collaborated on some Lean workshop training material for him to deliver to other physicians, through my role at Catalysis at the time. In today's episode, we'll talk about how he was first exposed to Lean, we'll take a few metaphorical elevator rides to talk about how Lean benefits patients and physicians, and shifting from Lean as tools or events to being a way of thinking and a common operating system for an organization. Mike is board certified in Internal Medicine and is a Fellow in the American College of Physicians. After medical school at the University of Illinois College of Medicine, he did his residency at Virginia Mason Medical Center where he worked with Dr. Gary Kaplan, a well-known Lean leader who is now CEO of that system. Small world!

http://www.leanblog.org/356 My guest for episode #356 of the podcast is Amy C. Edmondson, PhD, the Novartis Professor of Leadership and Management at the Harvard Business School. She is the author of three books on teaming and her most recent book is the topic of conversation today: The Fearless Organization: Creating Psychological Safety in the Workplace for Learning, Innovation, and Growth. In the episode, we explore the incredibly important concept of "psychological safety," which means, as Edmondson defines it: "...a climate in which people are comfortable expressing and being themselves." This is necessary for Kaizen (continuous improvement) and it's also a huge contributor to people being able to speak up about patient safety risks (or other problems in the workplace). One thing I love about her book is that she doesn't just diagnose the problem (that fear of speaking up is bad), but she also lays out a plan for how leaders can create a more psychologically-safe environment and culture. From her bio: "Edmondson received her PhD in organizational behavior, AM in psychology, and AB in engineering and design from Harvard University."

Http://www.leanblog.org/355 So, an engineer, an architect, and a nurse walk into a hospital... no, that's not a setup for the punchline to a joke. Today, in episode #355 of the podcast, I'm sharing three short conversations with three people who have very different backgrounds, but they still all ended up working to improve healthcare. We have a Toyota-trained engineer (Isaac Mitchell), who transitioned (like me) from manufacturing to healthcare. We are also joined by an architect (Laura Silvoy) who got a master's degree in health systems engineering and helps an architecture firm in the improvement and design of healthcare facilities. And, we have a business student (Darrin Judkins) who then got a nursing degree and, after years of providing patient care at the bedside, also got into Lean and healthcare improvement. We all know each other through our involvement in the Society for Health Systems (a part of the Institute of Industrial & Systems Engineers) and the annual Healthcare Systems Process Improvement Conference. The event is being held February 26 to 28 this year in Savannah, Georgia. I love this event -- the learning, the networking, the friends... and I highly recommend it. We'll chat about that a bit too. This episode is a little different... but I think you'll like it.

http://www.leanblog.org/354 Joining me for episode #354 of the podcast is Kim Hollon, the CEO and President of Signature Healthcare, based in Brockton, Massachusetts. I first met Kim about a decade ago and, as we discover during the podcast discussion, one of my Lean healthcare clients in Dallas was later an important influence in Kim's discovery and embrace of Lean. What prompted the podcast interview was Kim's recent article titled "The Health Care Leader's Role in Safety," which I blogged about not long ago. So, in this episode, we talk about the article, his personal history with Lean, and much more. Please rate, review, and subscribe to the podcast!

Links and full transcript: http://www.leanblog.org/353 My guest for Episode #353 of the podcast is somebody whose work I've appreciated for a long time -- Quint Studer. I was first introduced to his book Hardwiring Excellence back in 2005 and I've been following his work (and reading his books) ever since. Today, we'll talk about "hardwiring" and other concepts from his first book. We will also explore his latest book, The Busy Leader's Handbook: How To Lead People and Places That Thrive, a book intended for leaders in all industries.

http://www.leanblog.org/352 Joining me for Episode #352 of the podcast is Frederick Southwick, M.D. He is a Professor of Medicine and is also Director of Patient Care Quality and Safety in the Division of Hospitalist Medicine at the University of Florida in Gainesville. Fred is the author of many books including Critically Ill: A 5-Point Plan to Cure Healthcare Delivery. In the podcast, Fred will talk about why he shifted from infectious diseases to focusing on hospital medicine and healthcare improvement. This was driven partially by two very personal episodes with problems in the healthcare system that his then-wife and he both suffered from. Fred was appointed as a Harvard University Advanced Leadership fellow, where he studied business and public health. Fred was exposed to Lean through MIT Prof. Steven Spear and they have published an article together, where they call for "all academic physicians caring for patients to focus on systems and quality improvement." In the episode, Fred reflects on how he personally shifted from blaming doctors to looking at systems as the primary driver of quality and safety problems. He also teaches Lean to medical students and has two public classes on "Fixing Healthcare" (including one with a deeper focus on Lean) through Coursera. I hope you enjoy the conversation as much as I did.

http://www.leanblog.org/351 Joining me for Episode #351 of the podcast are my friends Joel Tosi and Dion Stewart, co-founders of the company Dojo & Co. They're the authors of the new book (to be released on November 19) called Creating Your Dojo: Upskill Your Organization for Digital Evolution. A "dojo" is a learning environment -- whether that's for the martial arts or if it's a "safety dojo" in a Toyota factory. Today, we talk about what it means to create an "immersive learning environment" in a workplace, such as a software company or a product development group within a larger company -- the goal is more effective learning, progress, and adoption of new methods or products. It's interesting to think about how one might use a "dojo" in the context of Lean design or improvement efforts in a hopsital or other settings. Joel, Dion, and I have collaborated before on a few events, including our Learning Symposium where we visited Toyota and Garrison Brothers Distillery last year.

http://www.leanblog.org/350 Our guest today is Tim Turner, who joined us previously in 2010 for episode #90. Tim was the lead author for a book called One Team on All Levels that was about the Toyota plant and its people in Kentucky. Tim was involved in the ramp up of Kentucky Lexus production and then left Toyota after 22 years. He was at another manufacturing company and now works as a consultant, so it's interesting to hear about all of those different experiences.

http://www.leanblog.org/349 -- show notes My guest for episode #349 is John Dyer, president of his consulting firm, John Dyer & Associates, Inc., and author of the new book, The Façade of Excellence: Defining a New Normal of Leadership, which will be released on October 1, 2019. John has been a guest previously in episodes #229 and #280, talking about Dr. W. Edwards Deming, "The Red Bead Experiment," and more. Today, we talk about the book, how to find out of there is a "facade" of excellence, and why "fear makes good people do stupid things," as John says. What's a façade? "A false appearance that makes someone or something seem more pleasant or better than they really are."

http://www.leanblog.org/348 Our guest today for Episode 348 is Cinnamon Dixon, Director Of Continuous Improvement at Cleveland Clinic. I interviewed her for the KaiNexus Continuous Improvement Podcast series and I'm cross posting that interview here to give it more exposure. Our KaiNexus team members who were at the Lean Healthcare Transformation Summit in June were really impressed with Cinnamon's presentation on their "tiered huddle" process that's part of their Lean methodology. So, we asked her to do the podcast. You can a full transcript via the KaiNexus blog. I recently had a chance to visit Cleveland Clinic and I spent the morning observing their tiered huddles, so I'll be writing a blog post about that soon. Thanks to Cinnamon and Cleveland Clinic for being so willing to share!

http://www.leanblog.org/347 Our guest today for Episode 347 is Brad Parsons, the CEO of NEA Baptist, in Jonesboro, Arkansas. NEA Baptist is a 228-bed hospital and 140-provider medical group serving northeast Arkansas -- part of Baptist Memorial Health Care Corporation. Brad is also the co-author of the new book Creating an Effective Management System: Integrating Policy Deployment, TWI, and Kata. His co-authors have been guests on the podcast before -- Patrick Graupp and Skip Steward. In this episode, we'll talk about core themes from the book, including his role as the leader of their transformational efforts to implement and continue improving an effective management system -- something that's important for so many reasons. We'll also talk about "Process Behavior Charts" and his experience with Don Wheeler.

http://www.leanblog.org/346 Joining me for Episode 346 of the podcast is Mark Ryan, a Transformation Coach and Lean Six Sigma Black Belt at Franciscan Health. Mark will be one of the hosts and facilitators at our upcoming "Kaizen Live!" site visit event at Franciscan St. Francis Health in Indianapolis. Only two spots remain, so register today if you'd like to join us. As we talk about in the episode, Franciscan does much more than daily Kaizen. They've built upon that foundation of staff engagement to add other Lean practices -- under the banner of what they call "Managing for Daily Improvement," or MDI. They use "strategy deployment" and other methods to align the organization in their goals and improvement efforts. I hope you enjoy the discussion, whether you are joining us in Indianapolis or not.

http://www.leanblog.org/345

http://www.leanblog.org/344 Remastered audio June 2021 Joining me for Episode #344 is David Reid, a mechanical engineer whose career has taken him from improvement work at Michelin Tire, to being a pastor, to now helping the Chick-fil-A restaurant chain improve through Lean and Kaizen practices and mindsets. I was really excited to see the cover story that was in the May 2019 issue of ISE Magazine (Industrial & Systems Engineering). The headline inside reads, “From lean modules to a lean mindset — Chick-fil-A's success shows how leveraging your greatest asset speeds up cultural change.” In this episode, I get to ask David about some of the drivers for Lean at Chick-fil-A, which is already a high-growth company with many happy customers and employees. How do they influence the owner/operators of stores to embrace Lean and to engage every employee in continuous improvement? Why did they learn that a top-down engineering-driven model couldn't possibly drive enough improvement? How does a Facebook page enter the equation for employees (and note that using Facebook was an employee idea) instead of “building an app.” There are many great “nuggets” of wisdom here from David, pun absolutely intended. I hope you enjoy the episode!

My guest for Episode #343 of the podcast is Amanda Mewborn, an executive director of project management for Piedmont Health. I've known Amanda through the Society for Health Systems and she's one of the very small number of people I know with both engineering and nursing degrees. She has a B.S. in Industrial and Systems Engineering and an M.S. in Health Systems from Georgia Tech and a B.S. in nursing from Georgia State University. So, in today's episode, we talk about that interesting combination of skill sets and why she got a nursing degree. We also chat about her career in healthcare, along with some of the facility design and construction work she has been involved with. We also hear her thoughts on why it's important to have the engagement and involvement of front-line staff (and patients) in the design process.

For links and more, go to http://www.leanblog.org/342 My guest for Episode #342 of the podcast is Adam Ward, the author of Lean Design in Healthcare: A Journey to Improve Quality and Process of Care. Adam is an innovation process expert and independent advisor. He spent the first 12 years of his career designing cars for Honda and the next 12 years working with Fortune 500 companies to turn around their product development process. A resident Buckeye, he coaches students at Ohio State's MBOE program. In this episode, we discuss his early days at Honda and how he made a career transition into healthcare. We'll talk about the story behind his book and some of his experiences and practices that are transferrable — going from “simultaneous engineering” to “Lean design.” What are some of the most common failures? How can we coach leaders so they aren't giving just lip service to these methodologies? We discuss all of that and more…

http://www.leanblog.org/341 My guest for Episode #341 of the podcast is Dr. Rob Hackett, an anaesthesiologist in Sydney, Australia. Rob has become known around the world for his role in what's now called the “Theatre Cap Challenge” — a method for improving communication and, thereby, improving patient safety and outcomes. As we talk about today, Rob had the idea of writing his name and role on his surgical cap with a sharpie. Eventually, he (and others) have gotten printed caps made as shown below in my LinkedIn post about our discussion (it has received 200,000 views and counting). As I wrote on LinkedIn, Rob has, unfortunately, been trolled, threatened, and bullied for this seemingly benign and obvious improvement idea — both in the workplace and online. It seems that outsiders to healthcare and those who are new to medicine find an idea like this to be obviously helpful, but those who have been in healthcare the longest struggle to accept it. I appreciate Rob's perspective that those who oppose this innovation, for whatever reason, probably aren't bad people — they just have a different view and, possibly, some old habits or cognitive biases that they are stuck in. The interview goes for over an hour. One thing I'd like to do is produce a shorter audio piece that's more like an NPR news story. See below for a full transcript and for links, videos, and more. His website is www.psnetwork.org.

Here is a special sample preview of a new podcast... the “Lean Whiskey” Podcast If you like it, please subscribe by searching your podcast directory for "Lean Whiskey" or go to www.LeanWhiskey.com. About the Podcast Mark Graban and Jamie Flinchbaugh are two guys with a lot in common: Lean, writing books, speaking, consulting... and a love of good whiskey. Like the Car Talk guys, they both went to MIT... but Lean isn't rocket science. Let's hope they can hold their liquor, because they're not holding back on sharing their opinions... it's time for Lean Whiskey... Lean talk with a fun spirit!

Joining me for Episode #340 of the podcast is Dr. Joy Furnival CEng MIET, an experienced senior NHS manager, improvement leader, and chartered engineer. I first crossed paths with Joy at a Lean healthcare event in England back in 2007. At the time, she was working for David Fillingham and the Bolton NHS Trust, which was an early adopter of Lean in the NHS. In this episode, we talk about how we are, in some ways, “Lean twins,” as we both started our careers as engineers in manufacturing. Our career paths then diverged when she joined the NHS whilst I've worked as an outside consultant. I very much appreciate her perspectives as we talk about her roles in a few different hospitals and as a “national improvement advisor” for the NHS. I hope you'll enjoy the conversation as much as I did.

Joining me for Episode #339 of the podcast is Charles Protzman, author of a great number of Lean healthcare books. Today, we are talking about a book that he wrote for a broader audience, The BASICS Lean Implementation Model: Lean Tools to Drive Daily Innovation and Increased Profitability. I first met Charlie over a decade ago when I worked for Johnson & Johnson's VauMetrix Services consulting group — and he was a big influence on our team and our methodology. I'm glad to finally have him here on the podcast to discuss how he navigates the differences between manufacturing and healthcare settings and why he “looks forward” to questions about patients not being cars. We'll also talk about his BASICS model of Baseline, Assess/Analyze, Suggest Solutions, Implementation, Check, and Sustain. We also discuss the power of direct workplace observation, something that I wrote about in Lean Hospitals and I discussed with a healthcare CEO, Vance Jackson, in Episode #337.

My guest for Episode #338 is Mr. Grey Dube, the Chief Executive Officer at Leratong Hospital. He has over 40 years' experience in the Public Service, including time as CEO since 2005. Leratong Hospital is an 855 bedded regional hospital with over 1700 staff members, located in Mogale City, Krugersdorp, South Africa (just east of Johannesburg). Grey is the third consecutive hospital CEO guest, including Gladys Bogoshi (also from South Africa) and Vance Jackson (from the U.S.). I think it's interesting to hear similar philosophies and mindsets from these leaders. Like Gladys, Grey is going to be a keynote speaker at this year's Lean Healthcare Transformation Summit, to be held in Washington, DC on June 13 & 14. I'll be there and I hope you can join us. I'll also be teaching a pre-Summit workshop on Measures of Success that I hope you can attend. In this episode, we talk about how he got introduced to Lean and how he leads the Lean transformation efforts, including assessing and modeling behaviors including humility and self-discipline. How is he working to change the culture to one where all people are trained to be scientific problem solvers? Grey shares that, some of their success stories, some of their challenges, and more in this conversation.

It's my second straight podcast with a healthcare CEO. This time, joining me for Episode #337 is Vance Jackson, FACHE, FACMPE, the President & CEO of Davis Health System, based in Elkins, West Virginia. Vance and I talk about how he was admittedly skeptical about Lean at a previous healthcare organization. But, over time, he realized the importance of Lean and the need for him to lead differently — getting input from everybody instead of the old autocratic way that we see in so many healthcare organizations. How does Vance lead by example as a CEO? Why is it so important for him to go to the “gemba” and observe the actual work and the workplace environment? We talk about all of that and more in this episode.

My guest for Episode #336 is Gladys Bogoshi, the Chief Executive Officer at Charlotte Maxeke Johannesburg Academic Hospital, one of the ten central hospitals in South Africa and the main teaching platform of the University of the Witwatersrand. The Hospital is situated in Johannesburg and has a bed capacity of 1189. Gladys is going to be a keynote speaker at this year's Lean Healthcare Transformation Summit, to be held in Washington, DC on June 13 & 14. I'll be there and I hope you can join us. I'll also be teaching a pre-Summit workshop on Measures of Success that I hope you can attend. In this episode, we talk about how she got introduced to Lean, some of the improvements that her hospital has driven in surgery, pharmacy, and other areas. What is her role as CEO in a Lean journey? What are some of the fundamental behaviors that are important and how you can coach people on those? We talk about all of that and more.

It's two Barrys in a row on the podcast, as my guest for Episode #335 is Barry O'Reilly and we're talking, in depth, about his latest book, Unlearn: Let Go of Past Success to Achieve Extraordinary Results. Barry is a business advisor, entrepreneur, and author who has pioneered the intersection of business model innovation, product development, organizational design, and culture transformation. See his full bio. Last week, I shared a shorter discussion with Barry that served as a preview of the webinar that he's presenting on Wednesday. You can find a link to register for the live webinar (or to view the recording) at leanblog.org/335. Barry and I chat about topics including 1) experimental approaches to entrepreneurship, 2) how leaders need to make it safe for people to try new things, and 3) why you have to unlearn before you can learn something new – that's the pathway that allows you to then achieve breakthrough results. These are good ideas in business and they also talk about the interesting case of tennis legend Serena Williams and how she reinvented her game to extend her greatness. I hope you enjoy the conversation as much as I did and do hope you'll pick up the book.

Joining me for Episode #334, all the way from Australia, is Barry McCarthy. Barry spent more than 15 years in leadership roles with Toyota in Australia and now works as an Associate with consulting firm Honsha. We were able to spend a lot of time talking when I participated in Honsha’s Executive Development Mission trip to Japan late last year. One thing we talked about quite a bit was Barry’s experience with Toyota being “a development company,” as I blogged about here. In our discussion, Barry talks about why he was “skeptical” about Lean before he joined Toyota. But, he evolved as Toyota continues to evolve. Why is Barry afraid that Lean (outside of Toyota) might get stuck in the past? We’ll talk about all of that and more.

Episode 333 - Jean-Marc Legentil and Marc-Olivier Legentil, The Toyota Kata Memory Jogger My guests for Episode #333 are Jean-Marc Legentil and Marc-Olivier Legentil, father-and-son Lean consultants from Montreal, Quebec, Canada. They work together in the firm Bell-Nordic Consulting. I've had the pleasure of meeting both of them on numerous trips to Montreal and was happy to hear they were part of the team that created the latest book in the excellent “Memory Jogger” series: The Toyota Kata Memory Jogger I hope you enjoy our conversation about Toyota Kata, improvement, leadership, and more.

Joining me today for Episode #332 is Jason Burt, owner of EHIP Consulting. Jason is a Lean consultant and business coach with an extensive and diverse background, including a manufacturing career where he has led and coached organizations to increased levels of efficiency and performance. Using the Toyota Production System (TPS) approach has allowed him to positively change cultures to achieve sustainable improvements. During his time at Herman Miller, Jason spent 18 months learning TPS directly from Toyota as a Toyota Lean Consultant. Toyota and Herman Miller were in a partnership during his time with the company, which allowed him to receive direct coaching from Toyota Senseis for the entire 16 years. I was interested in talking with Jason about what it was like learning from Toyota's TSSC organization (a group that has done great work with a UCLA eye clinic and a food bank, to name two that I've featured on the blog). We talk about a wide range of topics, including common misunderstandings about TPS and Lean, the Toyota goals of developing people and their clients (knowing results will follow), and how he sometimes has to adapt to work with clients and their expectations. I hope you enjoy the conversation!

My guest today for Episode #331 is Eric W. Dickson, MD, MHCM, FACEP, a Professor of Emergency Medicine at UMass Medical School and Chief Executive Officer of the UMass Memorial Health Care system. Episode page with links and more You might have heard Dr. Dickson speak in Episode #231 of the podcast, which was audio from the CEO panel at the 2015 Lean Healthcare Transformation Summit. By the way, I hope you can join me at this year's Summit. In that audio, Dr. Dickson talked about the beginning of what has been quite an impressive turnaround at UMass Memorial Health Care. I invited him to formally be a guest on the podcast to talk about their progress, and what it means for him to be creating a culture of “Everyday Innovators: Everywhere, Every Day,” which has led to over 65,000 ideas being implemented in five years. This is also a topic he blogs about quite a bit. In our conversation, we discuss how he found Lean originally “almost out of desperation.” How can we shift from “knowing the answer” to “continuous experiments?” Why is it important that he, as CEO, not be “throwing solutions out” when working with people? Does it help that he works a few shifts a month as an emergency medicine doc? We talk about that and more.