Lean Blog Interviews

Joining me for episode #230 is Paul DeChant, MD, MBA to talk about reducing burnout, especially physician burnout, through Lean. Paul (see his bio here) is the former CEO of Sutter Gould Medical Foundation, a 300-physician multispecialty medical group in California's Central Valley. Before that, he had stints at organizations including Geisinger Health System and the Palo Alto Medical Foundation. He is now a consultant and executive coach for Simpler Healthcare. For a link to this episode, refer people to www.leanblog.org/230. In the podcast, we talk about questions and topics including: Tell us about your career... how did you get involved in healthcare leadership and how did you get exposed to Lean? What problems or opportunities were you trying to address with Lean? How did you see your role and participation as CEO? As a physician leader? You recently wrote a blog post "why is physician engagement even an issue?" How would you describe the current state of life for an MD before Lean? Can Lean help prevent

My guest for episode #229 is John Dyer, president of his consulting firm, JD&A, Inc., and a contributor for IndustryWeek.com. John started his career at General Electric and later moved to Ingersoll-Rand, where he was VP of Operations for their Security and Safety sector. John had the good fortune to learn directly from W. Edwards Deming, as he took the famed four-day seminar (that included the Red Bead Experiment) and was also invited to take the follow on course with a smaller group. You'll also want to scroll down to see the great picture that he posted on Twitter of him and Dr. Deming. For a link to this episode, refer people to www.leanblog.org/229. In the podcast, we talk about questions and topics including: Tell us about the early days of your career in manufacturing engineering and management... how did you get involved in operational excellence? While at GE, you had some experience with W. Edwards Deming, tell us about that... What are some of the key lessons from Dr. Deming that stick with you

Joining me for episode #228 of the podcast is Zeynep Ton, an Adjunct Associate Professor of Operations Management at the MIT Sloan School of Management. You may have recently seen her being interviewed by Fareed Zakaria on CNN. She is author of the 2014 book The Good Jobs Strategy: How the Smartest Companies Invest in Employees to Lower Costs and Boost Profits.For a link to this episode, refer people to www.leanblog.org/228.In this podcast, topics include:How she transitioned from industrial engineering and supply chain management to studying retail companies.In the vicious cycle of the "bad jobs strategy, " why is this considered conventional wisdom that the way to maximize profits in a low-margin industry is to offer minimal pay, training, and hours?What are the components (and system) of "the good jobs strategy?"What connections do you draw between the good jobs strategy and Toyota or Lean?Do the companies or founders that have a good jobs strategy sort of naturally embrace it?Of the "good jobs" components

Joining me for episode #227 are Ruthie Davis and Stephen Cook, talking about the book that they edited, Do the Right Thing: Real Life Stories of Leaders Facing Tough Choices.' Episode page: https://www.leanblog.org/227  While this episode isn't focused on Lean, per se, I think you'll enjoy the discussion and I highly recommend the book, which highlights the role of ethics and integrity in leadership… hence “doing the right thing” and being a great leader who others chose to follow. The book is inspired by the life and lessons of Don Davis, who served as CEO of Stanley Works (now Stanley Black & Decker) from 1966 to 1988. After retiring as CEO, Don volunteered to teach a leadership seminar for the MIT Leaders for Global Operations program, which I was fortunate to take as a student there. You can read his obituary here. Ruthie is Don's daughter and Steve was, like me, a student of Don's at MIT, so they combined their efforts to publish a compilation of compelling stories from Don's students about real

My guests for episode #226 are Steve Hoeft and Dr. Robert (Bob) Pryor from Baylor Scott & White Health in Texas. Bob serves as President, Chief Operating Officer and Chief Medical Officer for the system and was formerly CEO of Scott & White Health before their merger with Baylor Health Care System. Steve is the Chief of Operations Excellence for the system. hoeft-pryor bookThey are co-authors of a recently released book that I think is outstanding: The Power of Ideas to Transform Healthcare: Engaging Staff by Building Daily Lean Management Systems. Steve is also previously author of another book I really like, Stories from My Sensei: Two Decades of Lessons Learned Implementing Toyota-Style Systems. I'm sure you'll enjoy the podcast, as they combine the perspectives of an industrial engineer and Toyota-influenced automotive guy (Steve) and a pediatrician and physician executive (Bob). They share a passion for healthcare improvement AND a belief that we need to respect and engage everybody who works in

Joining me once again on the podcast today is John Toussaint, MD, the founder and CEO of the ThedaCare Center for Healthcare Value. We're talking about his latest book, Management on the Mend.John wrote this new book to document "core elements of successful Lean transformations" that he's seen, not just at ThedaCare, but at other organizations around the world. The book outlines a "transformation model" that can be used to structure a Lean transformation, while John admits there's not just one prescription or framework that could work.John was previously a guest for episodes #184, #159, #146, #72, #62, and #54 going back to 2008. His previous books, which I highly recommend, are On the Mend and the follow up Potent Medicine, both are Shingo Research Award recipients.For a link to this episode, refer people to www.leanblog.org/225. Podcasts are sponsored by KaiNexus and their software that helps spread continuous improvement -- Learn more at http://www.KaiNexus.com

My guest for episode #224 of my podcast is a returning guest, Mike Grogan. About two years ago, we talked about his Lean work in Tanzanian healthcare, in episode #182. Mike is an international trainer, coach, and speaker, who works with successful but overwhelmed management teams, to help them understand the technical and behavioral elements of Lean leadership, so that they can realize a culture of constant and never-ending improvement in their organization. In this eposide, we talk about his experience with mentoring, in Tanzania and other settings. For a link to this episode, refer people to www.leanblog.org/224. Podcasts are sponsored by KaiNexus and their continuous improvement software platform -- www.KaiNexus.com

My guest for podcast episode #223 is Christian Wolcott, a senior advisor and director of Kaizen Institute North America and their director for Japan tours. Christian was an integral part of the team for the Japan Lean Healthcare Tour that I participated in last November as an instructor. Christian taught Lean concepts and facilitated discussions with me and the global attendees.In this podcast, we talk about our reflections on Japan and the tour, lessons learned, and reasons to go (which include wonderful camaraderie, fine cuisine, and evening discussions with the attendees). You can learn the difference between sushi, shabu shabu, and shōchū, in addition to learning about Lean and Kaizen.We're planning another tour in September, so please contact me if you'd like to be sent more information and check out the website I've set up about the tours. See past posts I've written about the tours --- http://www.japanleantrip.com.For a link to this episode, refer people to www.leanblog.org/223. Podcasts are sponsored

Joining me for episode #222 of the podcast is Erin S. DuPree, M.D., FACOG, the Chief Medical Officer and Vice President for the Joint Commission Center for Transforming Healthcare. Dr. DuPree is an OB/GYN by training, was previously the Chief Medical Officer and Senior Vice President for Medical Affairs at The Mount Sinai Medical Center in New York City. She is a certified Six Sigma Green Belt and is also a TeamSTEPPS (Team Strategies and Tools to Enhance Performance and Patient Safety) master trainer. For a link to this episode, refer people to www.leanblog.org/222. One thing we have in common is both growing up around Detroit, being exposed to the auto industry and the ideas of W. Edwards Deming early in life. In this podcast, topics include: Her role in the Center for Transforming Healthcare (the Joint Commission does more than accreditation) How Dr. DuPree first got involved in healthcare quality improvement and, in particular, Lean and Six Sigma (two complementary practices, as we agree) Of the different

My guest for episode #221 is Jacob Stoller, author of a book that was just released: The Lean CEO: Leading the Way to World-Class Excellence. It's available now through Amazon or you can learn more through his book's website. As Jacob explains, he's a journalist, not a Lean practitioner, and he interviewed CEOs across different industries to get their thoughts on Lean management. We discuss topics including how CEOs get exposed to Lean thinking, why humility is so important, what "respect for people" means in the Lean context, and reasons why more CEOs don't embrace Lean. Did Six Sigma and Dr. Deming come up in his interviews? You'll also hear a bit about Bob Brody, the CEO at Franciscan St. Francis Health, which was featured in my Healthcare Kaizen books. For a link to this episode, refer people to www.leanblog.org/221. Podcasts are sponsored by KaiNexus and their continuous improvement software platform -- www.KaiNexus.com

My guest for episode #220 is somebody I've wanted to interview for a long time, Dr. Robert Wachter, one of the leading voices in the modern patient safety movement. He's most recently author of a brand-new book The Digital Doctor: Hope, Hype, and Harm at the Dawn of Medicine's Computer Age. His book was excerpted in this New York Times Op-Ed piece, "Why Health Care Tech Is Still So Bad." In this episode, we cover topics including: How Bob got into the patient safety field Of all of the estimates of patient harm and death caused by medical errors, which does he find most valid? His perspectives on the interface between Lean principles and practices and the modern patient safety movement What were some of the pros and cons of the $30 billion in federal government incentives for EMR/EHR adoption? Is it fair to say that EHR systems solve some patient safety problems while solving others? Some of the new waste introduced by new "meaningful use" regulations The story of a preventable medication error that harmed a

Joining me for episode #219 is Tristan Kromer, a professional "Lean Startup" coach who works with startups around the world and volunteers for the non-profit Lean Startup Circle. In this episode, we discuss topics including how he got involved in the Lean Startup movement, the difference between a coach and a consultant, and lessons from various startups. When are you "pivoting" versus just giving up on an idea? Tristan also talks about why being data driven and scientific "is the aspiration" and why somebody who "starts from a profound state of ignorance" can be helpful by asking the right questions. You can find Tristan on Twitter @trikro and via his blog. Read his bio here. For a link to this episode, refer people to www.leanblog.org/219. Podcasts are sponsored by KaiNexus and their continuous improvement software platform -- www.KaiNexus.com For earlier episodes of the Lean Blog Podcast, visit the main Podcast page at www.leanpodcast.org, which includes information on how to subscribe via RSS or via Apple

My guest for episode #218 is Karen Kiel-Rosser, Vice President/Quality Improvement Officer at Mary Greeley Medical Center in Iowa. You can see her full bio below in this post. You might remember Karen from a recent post where she told a great story about putting patient safety first. We're talking today about the Malcolm Baldrige National Quality Award and how that framework and process is mutually supportive of Lean and quality improvement. In December, Mary Greeley Medical Center was named a recipient of Gold level recognition in the 2014 Iowa Recognition for Performance Excellence (IRPE) program - the state level Baldrige award. They previously received the Silver level in 2011. In the podcast, we talk about why and when Mary Greeley decided to pursue the Baldrige award, what it was like to be reviewed at the state level, and their future plans for applying at the national level. Karen also shares thoughts about how Baldrige ("the what") and Lean ("the how") fit together, some of their key quality outcomes

Podcasts are sponsored by KaiNexus and their continuous improvement software platform -- www.KaiNexus.com Our guest today is Alan G. Robinson, PhD, an award-winning author, educator, researcher and consultant. He has co-authored six books, including Modern Approaches to Manufacturing Improvement: The Shingo System, Ideas Are Free, and his latest, The Idea-Driven Organization. His specialties include managing continuous improvement, creativity, ideas and innovation, and Lean production, being one of the earliest professors to visit Japan to study the Toyota Production System. In this episode, we talk about the history of suggestion programs (and a surprising detail about their history), why 80% of an organization's improvement comes from staff ideas, and why high-performing idea systems are rare. We also talk about some of the pitfalls of traditional cost-benefit analysis, the role of leaders and humility, and a company, Scania, that intentionally overstaffs to provide time for Kaizen, leading to 12-15% annual

Podcasts are sponsored by KaiNexus and their continuous improvement software platform -- www.KaiNexus.com Returning to the podcast after his first appearance in Episode #188 is Daniel T. Jones, founder and chairman of the UK-based Lean Enterprise Academy. You can find him on Twitter now as @DanielJonesLean. Dan collaborated with Jim Womack on the books The Machine That Changed the World, Lean Thinking, and Lean Solutions and published other books through the LEA. He is also a senior advisor to the relatively new website and journal "Planet Lean." In this episode, we talk about some of the progress being made in areas outside of manufacturing. Dan says there's "awareness everywhere" but asks if there's "real depth" in Lean progress? We'll discuss how we can reframe Lean for the public sector and healthcare as a way of going beyond mere cost cutting programs. What does Dan seeing happen in software and startup sectors with Lean in companies like Spotify in Sweden? How is interest in the core "respect for people

Today's guest is my friend John Ervin and we were able to sit down together here in San Antonio to record this episode. John has about 20 years of healthcare leadership experience, including military medicine and the civilian sector. He's been a manager and director of operating rooms in many types of hospital and surgical center settings. We share a passion for Lean and, more importantly, patient safety. We believe strongly that you need the right type of culture and leadership to encourage and support a culture of safety and that's what we'll talk about today. While he's been in San Antonio for about three years, he's currently exploring job opportunities back in Philadelphia. For a link to this episode, refer people to www.leanblog.org/215. For earlier episodes of the Lean Blog Podcast, visit the main Podcast page at www.leanpodcast.org, which includes information on how to subscribe via RSS or via Apple iTunes. Podcasts are sponsored by KaiNexus and their continuous improvement software platform -- www.Ka

Today's guest is Michael Ballé, an author of many novels about Lean management, published by the Lean Enterprise Institute. He joins us for this episode from Paris (he shares many photos of "Paris moments" via his Twitter account @TheGembaCoach). Michael and his father, Freddy, have collaborated on these books and have learned about as directly from Toyota as anybody (Freddy was CEO of the French automotive supplier Sommer-Allibert and was coached by them). The three novels are: - The Gold Mine - The Lean Manager - Lead With Respect As we joke about in the podcast, I'm not a fiction reader, in general, so I don't care for business novels. But, many people do! I read Michael's non-fiction essays and articles, including: - "The Gemba Coach" column on Lean.org - His answers to questions on TheLeanEdge.org (where I'm also a contributor) Michael is a first-time podcast guest (which we were both shocked to discover), but I did host a four-part written Q&A with him back in 2009. For a link to this episode, refer

Podcasts are sponsored by KaiNexus and their continuous improvement software platform -- www.KaiNexus.com Today's podcast is different than my usual interview format. I still plan on continuing this podcast, but I also wanted to try something new. I'm starting a "Lean Blog Audio" podcast, which is basically an "audio book" type reading of blog posts. I won't do it for all posts, but maybe a few a week. I'll also occasionally look back at an old post, as I did in this episode, which is actually #4 in the new series. The episodes in this new series won't have their own page, but the audio will be embedded in the blog post itself. To find all episodes, you can visit www.LeanBlog.org/audio. I realize this won't add value to all readers of the blog or all listeners of this podcast. But, many people tell me they like listening to the podcasts while they drive or workout and this new podcast provides a way to keep up on the blog in addition to or instead of the written word on the blog. These are really easy to do a

Today's guest is David Mann, talking about the new 3rd edition of his Shingo-Award winning book "Creating a Lean Culture." David tells us what's new in the book and we discuss "leader standard work" and other elements of a Lean culture. For a link to this episode, refer people to www.leanblog.org/212. You can find links for buying the book and see a video of David talking about the new edition. For earlier episodes of the Lean Blog Podcast, visit the main Podcast page at www.leanpodcast.org, which includes information on how to subscribe via RSS or via Apple iTunes. Podcasts are sponsored by KaiNexus and their continuous improvement software platform -- www.KaiNexus.com

Today's episode is actually the republication of an episode of the "Healthcare Tech Talk" podcast, #23, where I was a guest of Terry Baker and Kelley Hill, talking about Lean healthcare for an audience of healthcare IT and IS people. This is being shared here with their permission. I hope you'll check out their entire podcast series at http://healthcaretechtalk.net/ or via iTunes and other places to get podcasts. For a link to this episode, refer people to www.leanblog.org/211. For earlier episodes of the Lean Blog Podcast, visit the main Podcast page at www.leanpodcast.org, which includes information on how to subscribe via RSS or via Apple iTunes. Podcasts are sponsored by KaiNexus and their continuous improvement software platform -- www.KaiNexus.com