Lean Blog Interviews - Healthcare, Manufacturing, Business, and Leadership Podcast By Mark Graban cover art

Lean Blog Interviews - Healthcare, Manufacturing, Business, and Leadership

Lean Blog Interviews - Healthcare, Manufacturing, Business, and Leadership

By: Mark Graban
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Since 2006, the Lean Blog Interviews podcast has featured in-depth, candid conversations with leaders, thinkers, and doers in the world of Lean and continuous improvement. Hosted by Mark Graban—author, consultant, and longtime Lean practitioner—the show explores how Lean principles are being applied across industries, including healthcare, manufacturing, startups, and more.

What sets this podcast apart? We go beyond tools and buzzwords. Our guests share real-world stories of success, struggle, learning, and leadership. Whether you’re a seasoned Lean veteran or just getting started, you’ll gain practical insights and fresh perspectives that you can take back to your own organization.

Topics include:

  • Lean as a management system and cultural transformation—not just a toolbox

  • Continuous improvement and problem-solving, at every level

  • Leadership behaviors that support real change

  • Psychological safety as a foundation for improvement

  • Lessons from the Toyota Production System, Lean Startup, and beyond

  • Candid stories about mistakes—and what we learn from them

We don’t talk much about “Lean Six Sigma” here. But if you believe improvement is about people first—this podcast is for you.

Many episodes feature a special focus on Lean in healthcare, reflecting Mark’s deep work in that field. Hear from leaders working to improve patient safety, reduce waste, and build cultures of respect and learning.

Find all episodes and show notes at www.LeanCast.org.
Learn more about Mark and his work at www.LeanBlog.org.
Questions or feedback? Email mark@leanblog.org

All content copyright Mark Graban & Constancy, Inc, 2006 - present
Economics Management Management & Leadership
Episodes
  • How to Cut Through Workplace Chaos: Nelson Repenning on Lean, Flow & Dynamic Work Design
    Oct 29 2025

    My guest for Episode #538 of the Lean Blog Interviews Podcast is Nelson Repenning, Faculty Director of the MIT Leadership Center and co-creator of Dynamic Work Design.

    Episode page with video, transcript, and more

    Nelson describes himself as an "organizational engineer," helping leaders redesign the routines and decisions that determine how work really gets done. He joins host Mark Graban to discuss his new book, There's Got to Be a Better Way: How to Deliver Results and Eliminate the Chaos of Modern Work, co-authored with Donald Kieffer.

    In this conversation, Nelson shares insights drawn from his decades of experience studying system dynamics, Lean thinking, and organizational learning. He explains how leaders often fall into the "capability trap" -- spending their days firefighting immediate issues instead of improving the underlying system. From the arms race of hospital alarms to the collapse of fast-growing companies, he connects examples from healthcare, manufacturing, and technology to show why even good intentions can create destructive feedback loops if we don't understand the system.

    Mark and Nelson also explore how Dynamic Work Design translates Lean principles like flow, visualization, and problem-solving into knowledge work. They discuss the five core principles -- including "Structure for Discovery" and "Connect the Human Chain" -- that help organizations make work visible, surface problems early, and evolve systems continuously. Listeners will learn how to move from firefighting to focus, and from chaos to sustainable improvement.

    Questions, Notes, and Highlights:

    • How did you first get involved in the field of system dynamics at MIT?
    • For those unfamiliar, what exactly is system dynamics -- and how does it apply to management and organizations?
    • Why hasn't system dynamics had the impact on practice that it deserves?
    • What lessons can we learn from the classic examples you've taught, like the Mississippi River levee arms race or the "People Express" airline simulation?
    • How do those feedback loops and unintended consequences show up in today's industries, like healthcare or tech?
    • What led you and Donald Kieffer to write There's Got to Be a Better Way? What core problems were you trying to address?
    • Can you explain the "capability trap" and how firefighting keeps organizations from improving?
    • Why is it so hard for people to commit to prevention and long-term improvement when firefighting feels more rewarding?
    • How does Dynamic Work Design help leaders "structure for discovery" and surface problems earlier?
    • What role does psychological safety play in making it safe to raise problems?
    • How do you define "Dynamic Work Design," and what makes it different from traditional management systems?
    • Why is it important for leaders to "go see the work" firsthand?
    • Can you walk us through the five principles of Dynamic Work Design -- and how they connect to Lean?
    • What does "Connect the Human Chain" mean, and why do so many organizations get communication wrong?
    • Can you share an example where these principles led to measurable improvement -- such as the hospital case you mentioned?
    • What can leaders learn from Toyota and other high-reliability organizations about making improvement continuous rather than episodic?
    • How do leaders shift from reactive, one-off change programs to daily, ongoing learning?
    • What message do you hope managers take away from There's Got to Be a Better Way?

    This podcast is part of the #LeanCommunicators network.

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    56 mins
  • Building Excellence Through Quality and Psychological Safety -- ASQ Cincinnati 2025 Preview
    Oct 22 2025

    In this special bonus episode of Lean Blog Interviews, Mark Graban is joined by C.J. Kaufman, Education Chair for the ASQ Cincinnati Section, to preview the ASQ Southwest Ohio 2025 Conference, themed “Excellence Through Quality.”

    Episode page with transcript, video, and more

    Taking place Saturday, November 8, 2025, in Mason, Ohio, the event brings together quality professionals from the Cincinnati and Dayton regions for a half-day of engaging speakers, practical insights, and networking — plus an optional afternoon workshop with Mark.

    C.J. shares how the conference was designed collaboratively by the Cincinnati and Dayton ASQ Sections, what attendees can expect, and why psychological safety is a cornerstone topic for today’s quality and Lean leaders.

    Highlights

    • Event Overview: ASQ Southwest Ohio 2025 — a collaboration between Cincinnati and Dayton sections.
    • Theme: Excellence Through Quality — exploring leadership, teamwork, and continuous improvement.
    • Keynote: Mark Graban on Psychological Safety, Quality, and Continuous Improvement.
    • Featured Speakers Include:
      • Deb Coviello — Leading Quality
      • Susan Marshall — FDA Perspectives on ROI in Quality Management
      • Colleen Soppelsa — Group Intelligence in Problem-Solving
    • Optional Workshop: Hands-on Lean learning with Mark Graban in the afternoon session.
    • Why It Matters: Quality and continuous improvement thrive when organizations foster safety, trust, and engagement.

    Quotable Moments

    “Psychological safety is essential for positive change — without it, continuous improvement can’t sustain.” — Mark Graban

    “We want people to leave with practical things they can use Monday morning.” — C.J. Kaufman

    “Excellence through quality isn’t just a theme — it’s how we build better systems and better workplaces.” — Mark Graban

    Event Details

    • Location: Mason, Ohio
    • Date: Saturday, November 8, 2025
    • Time: 8:00 a.m. – 1:00 p.m. (Workshop to follow)
    • Includes: Breakfast + Lunch
    • More Info & Registration -- ASQ Cincinnati Section Website

    Related Links

    • Mark Graban – Psychological Safety Resources
    • Lean Blog Interviews Archive

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    15 mins
  • Why Care: Building Respectful Lean Cultures with Caroline Greenley & Chris Butterworth
    Oct 15 2025

    My guests for Episode #537 of the Lean Blog Interviews Podcast are Caroline Greenlee and Chris Butterworth, two of the three co-authors (with Chris Warner) of the book Why Care: How Thriving Individuals Create Thriving Cultures of Continuous Improvement Within Organizations.

    Episode page with transcript and more

    In this conversation, we discuss their experiences and lessons on building cultures of continuous improvement that are rooted in respect, caring, and psychological safety.

    Caroline brings rich experience as a Lean and continuous improvement coach, having partnered with organizations across different sectors to develop people and improve performance. Her background spans leadership development, organizational behavior, and a Master's degree in human resources management.

    Chris is an award-winning author, international speaker, and a certified Shingo Institute Master-level facilitator and faculty fellow. He has more than 20 years of experience coaching executive teams and helping organizations embed sustainable improvement practices, always with a deep respect for people at the center.

    In this episode, we explore topics such as:

    • Practical approaches for leaders who want to build sustainable continuous improvement cultures.
    • The origin story of Why Care and its message for leaders.
    • Why caring cultures matter for both performance and people.
    • Lessons from their Shingo Publication Award recognition.
    • How psychological safety and respect for people underpin true Lean leadership.

    Key Quotes

    Caroline Greenlee

    • "Lean isn't just about tools or methods -- it's about people. If we don't care, we can't expect continuous improvement to last."
    • "Respect for people means creating an environment where they feel safe, supported, and able to contribute. That's when real improvement happens."

    Chris Butterworth

    • "Sustainable improvement starts with caring -- for people, for culture, and for the impact of our actions. Without that, Lean can't take root."
    • "Psychological safety isn't soft; it's essential. It's what allows people to speak up, share problems, and drive meaningful change."

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    51 mins
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