Lean Blog Interviews

@EricRies: From #LeanStartup to "The Startup Way" Joining me again for episode 290 is a three-time guest, Eric Ries. When we first talked, in episode 115 six years ago, his New York Times bestselling book The Lean Startup was being published. In 2012, we discussed the impact of Toyota's Taiichi Ohno on his work, in episode 142. This time, we're talking about his new book, The Startup Way. In this episode, Eric talks about how "Lean Startup" concepts came from "Lean" and the Toyota Production System and how Toyota then approached him about applying Lean Startup concepts in the development of a new in-dash electronics system. In recent years, GE and other large companies, in their efforts to be more innovative and entrepreneurial, have adapted these approaches into what Eric calls "The Startup Way." Will modern companies embrace a formal "entrepreneurship" function as they earlier embraced finance and marketing? We'll discuss that and more. Below, you'll find the full audio podcast, a 7-page PDF summary, and a

My guests for Episode #289 are Kathleen Sharp, MBOE, LSS MBB, now the Director of Optimization at McLeod Health, and David Schoenwetter, D.O., FACEP, a Medical Director at Geisinger Medical Center. They are joining me to talk about the innovative Geisinger Mobile Health Paramedic program that they developed and piloted with Lean thinking throughout. Kathleen and David will discuss why it was important to engage stakeholders in innovation, how they viewed and addressed resistance to change, why it was important to test the idea in practice, and why it was important to measure results. They also discuss their lessons learned and their challenges along the way. This WSJ article has a nice summary of the program: "Paramedics Aren't Just for Emergencies." "In the Geisinger pilot program, mobile health visits can be requested by a patient's primary-care doctor, a cardiology clinic, or after an emergency room or hospital discharge. Patients who frequently visit the ER are offered the option of being seen at home by

Joining me again for Episode #288 is Dean Gruner, MD, the recently retired CEO of ThedaCare, a health system in Wisconsin that has long been considered a worldwide leader in the practice of Lean in healthcare. Recently, in Episode #286, Dean shared his reflections on his work and ThedaCare's "Lean journey." Today, the topic is Accountable Care Organizations and other bigger-picture healthcare reform topics. Dean was also previously my guest in Episodes 119 and 144. I'm including a full transcript along with a three-page PDF summary, as I've been doing recently.

Joining me today for Episode #287 is another returning guest (see Episode #198), Harry Kenworthy. We're talking about his book, which will be released on Friday, Lean Government NOW! : Increase Service, Capacity and Employee Engagement While Reducing Costs and Wastes. The book is now available for pre-sale on Amazon at $19.95 (until September 7, 2017, at a $5.00 discount from list price). Harry was also a contributor to the book Practicing Lean, which is now available in audiobook format. I've been involved with some "government healthcare" organizations in different countries, but have never delved into other parts of government. I'm glad Harry is doing so! This seems like a big challenge, but an important and necessary one. We're seeing some examples of success with Lean at the local and state levels around the U.S., it seems. I hope we see more. I hope you enjoy our discussion whether you work in government or vote, pay taxes, or use government services (or all of the above!!). I'm including a four-page PD

My guest for Episode #286 is Dean Gruner, MD, the recently retired CEO of ThedaCare, a health system in Wisconsin that has long been considered a worldwide leader in the practice of Lean in healthcare. See this article about his retirement, where he says "I've gotten more than I've given." Dean was previously my guest in Episodes 119 and 144 and I'm thrilled that he took time out of his retirement to talk with me about his lessons learned as he looks back on how ThedaCare's Lean journey has evolved, including some things he would consider to be missteps and challenges that they used as a springboard to get even better. I will also be releasing a separate episode where Dean talks about their experiences with Accountable Care Organizations (our topic from #144) and other "big picture" healthcare issues of the day. I'm including a full transcript along with a three-page PDF summary, as I've been doing recently.

In this episode, Mark and Karen discuss a provocative question she raised: "Is Lean Dead?" (or "dying?"). Karen is the author of books including "Value Stream Mapping" and "The Outstanding Organization." Her next book is titled "Clarity First" and we'll be discussing that in a future episode. http://www.leanblog.org/285

My guest today for episode #284 of the podcast is Dr. Margaret (Margie) Balfour, the lead author of an article, published in The Joint Commission Journal on Quality and Patient Safety, titled "Using Lean to Rapidly and Sustainably Transform a Behavioral Health Crisis Program: Impact on Throughput and Safety." Today, we're talking about that article, the important improvement work that led to it, and her belief, as stated in the article that "Lean methods can positively affect safety and throughput and are complementary to patient-centered clinical goals in a behavioral health setting." Dr. Balfour is the VP for Clinical Innovation and Quality at Connections Health Solutions, one of the largest providers of psychiatric emergency care in Arizona, and an Assistant Professor of Psychiatry at the University of Arizona. Dr. Balfour received her MD and PhD in Neuroscience from the University of Cincinnati and completed residency and a fellowship in Public and Community Psychiatry at the University of Texas Southwest

Joining me today is Jim Lancaster, CEO of the company Lantech, a manufacturer that is the leader in stretch wrap technology and innovation, as well as case handling equipment. Jim is also author of the new book, published by the Lean Enterprise Institute, titled The Work of Management: A Daily Path to Sustainable Improvement. This episode is sponsored by the eVSM Group. It's almost 20 years now since the book "Learning To See" was published and value stream maps were established as central to a lean deployment. What has changed rapidly, however, is the supporting eVSM toolset that captures and analyzes the initial wall maps, making it easy to do "what-if" studies and prioritize improvements. Receive a free eBook and see the state of the art at evsm.com/2020.

My guests for Episode #282 of the podcast are two continuous improvement leaders from Cleveland Clinic: Dr. Lisa Yerian and Nate Hurle. Lisa is the Medical Director, Continuous Improvement and Nate is the Senior Director, Continuous Improvement.She's a doctor, he's an engineer, and they work together very closely in their efforts to help drive improvement at the Clinic. You can find them on Twitter as @LisaYerianMD and @NateHurle. In today's episode, we talk about topics including the Cleveland Clinic Improvement Model (see my previous posts on this), how their program is structured, what a "culture of continuous improvement" means to them and their staff, how to get others to accept Lean and C.I. methods, and some of the challenges they are facing in their work.

Joining me for Episode #281 of the podcast is Julie Firman, DNP, RN, FACHE, the Vice President/ System Chief Nursing Officer (CNO) at Southern Illinois Healthcare. We have the opportunity to chat about the Lean transformation efforts at SIH thanks to my partners at Catalysis, as they are presenting the annual Lean Healthcare Transformation Summit this year in Palm Springs, June 7 and 8. Julie and I will both be there and I'll be doing a full-day workshop called "Better Metrics." Come join us! In today's episode, we talk about how Lean has been helpful to nurses (and other healthcare professionals), Julie's role as a nurse leader, and different ways patients and the health system have benefitted.

A returning guest today for episode #280 is John Dyer, president of his consulting firm, JD&A, Inc., and a contributor for IndustryWeek.com. As we discussed in episode #229, 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. He also 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. Today, our focus is that famed "Red Bead Experiment." We'll talk about it, he'll share memories of Dr. Deming facilitating this, and we'll both share and discuss our reflections and our experiences with this, and the lessons learned. Tomorrow, I am facilitating the experiment as part of my "Better Metrics" workshop that I'm leading in Seattle through Catalysis. I'll als

Back in 2012, I did a podcast interview (Episode 153) with a psychologist and family therapist, Robert Maurer, PhD. It's been almost five years since the discussion, but I'm often reminded of what I learned from his books and his advice about small change. It's human nature for us to be afraid of change. Instead of lecturing people to be brave, we need to work within our limitations. How do we avoid the "fight or flight" instinct and reaction from kicking in? We start by making change SMALL. That's a key Kaizen insight that Dr. Maurer is able to tie to the way our brain works. Here's our original discussion: https://www.leanblog.org/2012/07/podcast-153-robert-maurer-phd-the-kaizen-way/

In the Lean community (and in businesses and hospitals, as well), people often talk about "fire fighting" in a colloquial way. Today, my guest for episode #278 of the podcast is an actual professional fire fighter, Tom Bouthillet (@tbouthillet on Twitter). He serves as Fire Captain / Paramedic for the Hilton Head Island Fire Rescue where he is the Cardiac Care Program Manager (STEMI and CARES Site Coordinator). In this episode, we discuss the role of Lean and process improvement in fire departments and EMS, why blame is "completely ineffective" as a strategy, why "unsafe supervision" is a problem (and what that means), and why it's necessary to build in quality instead of just inspecting for quality.

Joining me for episode #277 of the podcast is Kay Kendall (@KayAKendall), co-author (with Glenn Bodinson) of the excellent book "Leading the Malcolm Baldrige Way: How World-Class Leaders Align Their Organizations to Deliver Exceptional Results." Kay is CEO & Principal at BaldrigeCoach (see her bio there). Since 1989, BaldrigeCoach has worked with organizations across every sector, large and small, to use the Baldrige framework to create focus, align empowered employees, provide high quality products and services, deliver exceptional customer experience, and achieve enviable results. In this episode, we discuss topics including her background in manufacturing and quality, her experience with the Baldrige approach, and the ways that Lean and Baldrige are complementary.

My guest for Episode #276 is a Lean consultant (although he might not prefer that term) and an author, A J (Andy) Sheppard. Andy is the author of The Incredible Transformation of Gregory Todd: A Novel about Leadership and Managing Change. He also contributed a chapter to my Practicing Lean book project. You can download the PDF of his chapter here and I hope you'll consider buying the book (it's for a good cause). He is a coach for leaders of change. His core expertise is helping workforces to quickly achieve systematic change in practice. A former McKinsey & Company consultant, he has now spent eighteen years working out this art of transformation in diverse industrial environments across the USA, Europe and Asia. He also continues to draw from prior experience of navigating change in corporate environments and experiencing it on shop floors. Further information about Andy can be found on www.ajsheppard.com. Andy is also happy to take any follow-up questions about leading change on his Goodreads Author P

My guest for Episode #275 is Katie Anderson, following up on her last appearance here in Episode #233. Now, she has been back home in California and shares some more recent reflections on her time there, what she learned, and what she continues to learn. In this episode, we talk about how Lean isn't inherently Japanese in all ways, Ashikaga (the "5S City"), a key mentor of hers (Isao Yoshino), and more.

My guest for Episode #274 of the podcast is Jay Arthur, author of Lean Six Sigma for Hospitals: Improving Patient Safety, Patient Flow and the Bottom Line, Second Edition. To me, "Lean Sigma" is often a controversial topic... not because anything is wrong with Six Sigma. Six Sigma methods can be very compatible with a Lean culture. But, "Lean Sigma" books and trainers (including Jay), paint a picture that says Lean is only about speed or efficiency and that Six Sigma is the method to improve quality. He says pretty directly in his book that Lean helps fix all of the types of waste... except for the waste of defects. He says Six Sigma is used to address defects. That's silly. I challenge Jay a bit about this in the podcast, and I'd like to remind the listeners that Lean and the Toyota Production System are about flow AND quality. Lean and quality go hand in hand. Lean methods and mindsets can very directly improve quality. So, I disagree with him on that point, but there are many good points in his book about

Joining me for Episode #273 of the podcast is David Veech, author of the new book Leadersights: Creating Great Leaders Who Create Great Workplaces. David is a senior lecturer in the Department of Management Sciences at Ohio State University and their Fisher College of Business, teaching in the MBOE program (see his full bio). Veech was previously a lecturer in the College of Engineering at the University of Kentucky. He joined the University of Kentucky after retiring from the US Army in 2001. He taught in the Defense Acquisition University from 1998 to 2001 and was assistant professor of military science at Stetson University from 1988 to 1991. In today's episode, we talk about his book, how his background and career in the Army influenced his views on Lean and leadership, "self-efficacy," and more.

My guest for Episode #272 is Steve Thompson, Director of Patient Driven Supply Network initiatives for Cardinal Health, a global, integrated healthcare services and products company. He is also a Lean Six Sigma Master Black Belt, dating back to his time spent working in the automotive industry. In today's episode, we talk about his lessons learned from General Motors and Lear Corporation and how he's helping healthcare leaders apply these lessons to improve their supply chain operations. In the past year, I've had a marketing partnership with Cardinal Health, which has led to content like this webinar and article, but after meeting Scott last year and having a great chat, I'm doing this podcast outside of that formal partnership. I'm pleased to have him on the podcast.

Joining me for Episode #271 is Isaac Mitchell (@IssacMitchell), talking about Lean Design for healthcare, the Society for Health Systems, and more. Isaac is a full-time lean practitioner at East Tennessee Children's Hospital, a lecturer at the University of Tennessee's Department of Industrial and Systems Engineering, and an instructor for the Institute of Industrial and Systems Engineers. You can read his bio (PDF) and learn more about Isaac via his personal website. Scroll down to the show notes for links to a special Lean Hospitals book excerpt and more free downloads about Lean Design and Isaac's work at ETCH.