My guests for Episode #328 are Bette Gardner and Jeff Heil, of the company Breakthrough Learning. Bette is the creator of a fantastic simulation called "Friday Night at the ER" -- which I've blogged about. When we recorded the webinar, Bette was CEO and Jeff was COO, but recently Jeff took over the CEO role. They are also, as they mention, mother and son... which will be followed by an upcoming podcast with a father and son team (two of the authors of this book). In this episode, we talk about Bette's inspiration for the simulation, systems thinking, and healthcare improvement. We'll also talk about how the simulation is used by organizations in many industries as a way of teaching systems thinking principles.

My guests for Episode #328 are Bette Gardner and Jeff Heil, of the company Breakthrough Learning. Bette is the creator of a fantastic simulation called "Friday Night at the ER" -- which I've blogged about. When we recorded the webinar, Bette was CEO and Jeff was COO, but recently Jeff took over the CEO role. They are also, as they mention, mother and son... which will be followed by an upcoming podcast with a father and son team (two of the authors of this book). In this episode, we talk about Bette's inspiration for the simulation, systems thinking, and healthcare improvement. We'll also talk about how the simulation is used by organizations in many industries as a way of teaching systems thinking principles.

Bette Gardner and Jeff Heil, Friday Night at the ER

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:
<ul>
<li>
Lean as a management system and cultural transformation—not just a toolbox
</li>
<li>
Continuous improvement and problem-solving, at every level
</li>
<li>
Leadership behaviors that support real change
</li>
<li>
Psychological safety as a foundation for improvement
</li>
<li>
Lessons from the Toyota Production System, Lean Startup, and beyond
</li>
<li>
Candid stories about mistakes—and what we learn from them
</li>
</ul>
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 <a class="decorated-link" href="https://www.leancast.org">www.LeanCast.org</a>. Learn more about Mark and his work at <a class="decorated-link" href="https://www.leanblog.org">www.LeanBlog.org</a>. Questions or feedback? Email <a class="decorated-link cursor-pointer">mark@leanblog.org </a>

Business

Management

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

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:
<ul>
<li>
Lean as a management system and cultural transformation—not just a toolbox
</li>
<li>
Continuous improvement and problem-solving, at every level
</li>
<li>
Leadership behaviors that support real change
</li>
<li>
Psychological safety as a foundation for improvement
</li>
<li>
Lessons from the Toyota Production System, Lean Startup, and beyond
</li>
<li>
Candid stories about mistakes—and what we learn from them
</li>
</ul>
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 <a href="https://www.leancast.org" rel="noopener noreferrer">www.LeanCast.org</a>. Learn more about Mark and his work at <a href="https://www.leanblog.org" rel="noopener noreferrer">www.LeanBlog.org</a>. Questions or feedback? Email <a rel="noopener noreferrer">mark@leanblog.org&nbsp;</a>

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Bette Gardner and Jeff Heil, Friday Night at the ER

Bette Gardner and Jeff Heil, Friday Night at the ER

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