Lean Blog Interviews

Steve Shortell, The Impact of #Lean on Healthcare Quality http://leanblog.org/310 Joining me again for Episode 310 is Stephen M. Shortell Ph.D., MPH, MBA. He is Blue Cross of California Distinguished Professorship, HPM and is a Professor of Organizational Behavior at the University of California, Berkeley School of Public Health.  He was previously a guest on Episode 267 talking about the establishment of the Center for Lean Engagement and Research (CLEAR) at the University of California, Berkeley, where he is the director.  In this episode, we talk about some initial research that they released in a paper that was published in The Joint Commision Journal on Quality and Patient Safety: "Use of Lean and Related Transformational Performance Improvement Systems in Hospitals in the United States: Results From a National Survey"

Back on the podcast for the sixth time is my friend David Meier, a Lean / TPS consultant who is a former Toyota leader at their plant in Georgetown, Kentucky. As we mentioned in our April episode (#304), he's gotten into what's, perhaps, the most Kentucky of industries... distilling bourbon (and more) at Glenn's Creek Distillery. In this episode, there's a lot of bourbon talk, with some Lean concepts thrown in. If you share our interest in Lean and whiskey, then this might be your most favorite episode ever. Of course, if` you don't have any interest in bourbon, you might well skip this one.

Joining me again for Episode #308 is Mike Grogan, a previous guest in episodes #182 (from Tanzania) and #224. Mike now lives in the Philippines, where he's helping and coaching many people and has written a new book, The MESSI Way.In this episode, we talk about the idea of "personal Lean" and being the best version of yourself. I appreciate Mike's reflections and honesty and I think we had a great conversation that was very thought provoking. What are your fears? Your failures? What have you learned about yourself in the last 12 months? What's a "thinking partner?" Those are just a few of things we discuss here today.

Joining me for Episode #307 of the podcast is my friend Andre DeMerchant, the President of DeMerchant Healthcare Solutions Inc., based in Kitchener, Ontario. We first crossed paths when we had the chance to work together with an American healthcare client via our then-affiliation with Pascal Dennis and Lean Pathways.  In today's episode, we talk about Andre's history working for Toyota in Canada and what he learned there -- and why it's important that he learned about "how flow works" at Toyota. We chat about the terms "Lean" and "The Toyota Production System" and what those words mean to him. How does TPS "transcend culture and language," as well as industries? We then shift to talking about healthcare and some of the common challenges, including "financial hardships," that are faced in many countries. Why are hospitals "poorly prepared for change" in many cases? Another main theme is "cost cutting" and why you can't cut your way to success. 

Podcast #306 - Mark D. Valenti, Motivational Interviewing and Health System Improvement My guest for Episode #306 is Mark D. Valenti, the manager of training, education, and workflow integration for the Enhanced Community Care Management (ECCM) at Highmark Health. In this episode, Mark and I talk about the use of "Motivational Interviewing" methods and mindsets in the ECCM program and how "everyday closer to better" is part of their mantra. We discuss the MI approach and how it's different than traditional healthcare or change management models that focus on telling people to change (or why they should change). There are many lessons that I think are helpful in any workplace or personal change context. ECCM is a "physician-led, patient-centered approach [that] focuses on prevention, high-quality and compassionate care, patient engagement and satisfaction, and health outcomes." According to Highmark, "In the first year, the ECCM program has provided a large Pennsylvania health plan with total medical care cost

Respect for People and Continuous Improvement for Healthcare I was recently asked to do a recorded video presentation for a medical conference in Turkey. I spoke about the dual pillars of "The Toyota Way": Respect for People Continuous Improvement The video is about 20 minutes, split about half and half on each of those interrelated topics. I'm coming to you from a hotel room, somewhat tired after a day of consulting. (Slides PDF and transcript also included)

Back on the podcast for the fifth time is my friend David Meier, a Lean / TPS consultant who is a former Toyota leader at their plant in Georgetown, Kentucky. He's gotten into what's, perhaps, the most Kentucky of industries... distilling bourbon (and more). I'll have two more podcast episodes where David and I talk about bourbon, whiskey, and continuous improvement for almost 90 minutes total there. Those episodes are coming soon. Today is a shorter episode, where we catch up and hear more about what David has been doing since his last podcast appearance in 2010 when we talked about the challenges Toyota was facing then. In this episode, David drops a lot of knowledge and wisdom in a very short time -- thoughts on problem solving and how Lean thinking isn't easy for anybody, even if you're Japanese.

Joining me for Episode #303 is Craig Deao, a senior leader with Studer Group. From his bio: "Since 2006, Craig Deao, MHA, has been an integral part of Studer Group as a senior leader for the organization's speaking and conferences teams, and he now directs thought leadership across Huron [Consulting Group]'s broader healthcare practice. Craig is a highly regarded national speaker on leadership, engagement, quality and patient safety. He works with medical staffs and healthcare executives to create highly reliable organizations where employees want to work, physicians want to practice and patients want to receive care." Today, we're talking about his book The E-Factor: How Engaged Patients, Clinicians, Leaders, and Employees Will Transform Healthcare. We'll talk about the differences between satisfaction and engagement, how to tell if people are engaged in their work, and how to engage various stakeholders, including employees, clinicians, and executives. We'll also talk about how Studer Group became a recipie

My guest for Episode #302 is Katie Anderson, following up on her last appearances in Episode #233 (when she was living in Japan) and Episode #275 (after she returned to the U.S.).Today, we're chatting because I've just returned from a short trip to Japan and Katie's going back in May (and you can join her).We're sharing observations and reflections on topics ranging from standardized work to Kaizen. Would it be easier to "implement Lean" (or whatever term you'd use) if you're a Japanese organization? And what are some of the approaches you see with quality improvement and Lean in Japan's hospitals?Our conversation also meanders into topics like eating sushi and more.

This podcast is sponsored by Cardinal Health. All opinions expressed here are those of Joe Swartz and not of his employer or any other organization. Joining me again for episode #301 of the podcast is Joe Swartz, my friend and co-author for our books Healthcare Kaizen and The Executive Guide to Healthcare Kaizen:. You can learn more about our books here. He also contributed a chapter to the book Practicing Lean. (read an excerpt). Today, we're talking about "Champions of Change," as I've been writing about for Cardinal Health.

Tracey & Ernie Richardson, The Toyota Engagement Equation My guests for Episode #300 of the podcast are Tracey and Ernie Richardson, authors of the excellent book titled: The Toyota Engagement Equation: How to Understand and Implement Continuous Improvement Thinking in Any Organization

Joining me again for episode #299 of the podcast is Joe Swartz, my friend and esteemed co-author for our books Healthcare Kaizen: Engaging Front-Line Staff in Sustainable Continuous Improvements and The Executive Guide to Healthcare Kaizen: Leadership for a Continuously Learning and Improving Organization. You can learn more about our books here. He was previously the guest in episode #187. Joe is Administrative Director of Business Transformation for Franciscan St. Francis Health System in Indiana (his full bio is here). Today is the first part of a two-part discussion, where Joe reflects on the history and evolution of more than ten years of "Kaizen" or continuous improvement in his system. In our next episode together, Joe will be talking about "Champions of Change." I hope you enjoy the discussion!

Joining me again for Episode #298 is Billy R. Taylor, for Part 2 of a discussion we started in Episode #293. Last week, a friend texted me last week and said he couldn't wait for Part 2. He said he pulled off the road to take some notes when he listened to Part 1. So without further ado, here is Part 2. Here, we discuss "extreme ownership," why creating ownership is more important than forcing accountability, and important lessons he's learned along the way.

My guest for Episode #297 is John (JJ) Villarreal, Ed.D., the superintendent of the Rockwall I.S.D. here in the Dallas area. In this podcast, we talk about the applications of Lean in education, how to move beyond what JJ calls "the behavior waste of judgment and blame," and how visiting a factory was inspiring and helpful, among other topics. Even if you don't work in education, I hope you'll be inspired by this podcast.

Joining me for Episode #296 of the podcast is Zeev N. Kain, MD. MBA, FAAP. He is a physician and a Chancellor's Professor at the University of California, Irvine. See his full bio. He has many additional roles and titles, including: Director, System Redesign & Value Based Care for the UC-Irvine Health Policy Research Institute Executive Director of the UCI-Yale Center on Stress & Health President of the American College of Perioperative Medicine Dr. Kain is "recognized as an international expert in the clinical management of perioperative fear and anxiety, and management of children undergoing invasive medical procedures. His research addresses major dilemmas encountered in the management of affected children." He's also an advocate for Lean and Six Sigma and the connections to reducing "clinical variation" in healthcare. So, that's what we're talking about today.

My guests for Episode #295 are Sarah Steinberg of Atrius Health and Ted Toussaint, a healthcare innovation strategist, formerly of Atrius Health. Ted is also a faculty member for Catalysis.  Today, we're talking about some innovative work that they led at Atrius, using a variety of modern product development and innovation methods, including Lean, Lean Startup, Design Thinking, and more to create a new "Care in Place" model for home-based patient care that helps reduce trips to a clinic or hospital. Their work was featured in this HBR article: "How Atrius Health Is Making the Shift from Volume to Value."

Joining me for episode #294 is Clay Linkous, an account leader and speaker with Studer Group. He is an accomplished cultural transformation and leadership expert who has synthesized Lean and other improvement methods with Studer Group principles and practices. Today, we'll talk about Clay's career and his purpose and motivations - both for working in healthcare and improving healthcare. We're both firm believers in the combination of Studer and Lean practices, so we're also discussing that as our main topic. I hope you enjoy the discussion!

My guest for Episode #293 of the podcast is a dynamic speaker and manufacturing leader, Billy R. Taylor. I saw him speak a few years ago at a Shingo Prize Conference and I've wanted to get him on the podcast ever since. He's currently the Director of Commercial, Off Highway, and Support Manufacturing North America for The Goodyear Tire & Rubber Company. Over the past 20 years, he has risen from "the lowest level of the organization," up through the manufacturing leadership ranks at Goodyear, including time as a Plant Director at facilities in Oklahoma and North Carolina. He's been "engaged in Lean" for over 15 years and he is a Six Sigma Master Black Belt. Billy has a BS in in Electrical Engineering from Prairie View A&M University and an MBA from Baker University. Billy was very giving of his time and we talked for over 75 minutes, so I'm breaking this up into two parts, with Part 2 coming soon. Today, we talk about how he got started with Lean, the shift from tools- and event-based Lean to a culture

Today, our topic is something that I've really taken an interest in the past two years: "Motivational Interviewing." See my past blog posts on this subject. I think it's a powerful methodology that will help anybody in their Lean transformation efforts... as well as our work engaging anybody in a small improvement. "Motivational Interviewing" or M.I. is defined by Miller and Rollnick (in their seminal book) as a "collaborative conversation for strengthening a person's own motivation and commitment to change." My guests for Episode 292 are the three co-authors of an excellent book, Motivational Interviewing for Leadership: MI-LEAD. They are (pictured from left to right in this order): Jason Wilcox, Director of Education and Connected Care at VA Roseburg Dr. Brian Kersh, Clinical Psychologist at New Mexico VA Health System Dr. Elizabeth Jenkins, Clinical Psychologist/Courtesy Assistant Professor at University of South Florida

My guest for Episode 291 is my friend and colleague, Jeff Roussel (@jeff_roussel on Twitter). Jeff is the VP of Sales at KaiNexus, a technology company that I have been involved with for over six years. As Jeff will humbly explain in the podcast, he joined our team almost four years ago as an experienced sales leader, not as an expert in Lean or process improvement. But, he's a voracious learner and he probably talks to more organizations about their process improvement efforts - what their aims are and what they're struggling with - than anybody I know. Our main theme for the podcast today is not technology. Our topics include what Jeff is hearing from organizations and trends he hears about. I hope you'll enjoy our conversation, as I did. I hope you'll also join us on Thursday as Jeff presents a free webinar hosted by me and KaiNexus: The Why, How and What of Continuous Improvement