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My guest for episode #197 is a hospital leader I really respect, Kim Barnas, author of the new book Beyond Heroes.
Until very recently, Kim was a Senior VP at ThedaCare, leading Appleton Medical Center and Theda Clark Hospital. I've seen Kim speak to groups at ThedaCare and a few conferences and she has a lot to teach us about Lean leadership, using her stories and experiences in a way that's very powerful. I hope you'll check out the book. Read a press release about it here.
In the podcast today, we talk about topics including her initial reactions to Lean when first introduced to it as a hospital leader, why “heroes” are overrated and sometimes create “chaos” in healthcare, and the importance of moving beyond tools and projects to a Lean culture and management system.
2018 Update: What's Going on at ThedaCare?
Kim talks about the need to “create more value” (not just reduce waste), saying “just trying to do more with less makes no sense – you need a plan.” We also talk about programs like GM's “Speak up for Safety,” where she says that speaking up “needs to be a conversation, not a reporting” transaction.
For a link to this episode, refer people to www.leanblog.org/197.
For earlier episodes of my podcast, visit the main Podcast page, which includes information on how to subscribe via RSS or via Apple Podcasts.
My guest for episode 196 is Jim Huntzinger, founder of Lean Frontiers. Today, we're talking about the Training Within Industry methodology and his new website WhatIsTWI.com.
We are discussing topics including what a typical TWI “journey” looks like for an organization, how TWI is such a fundamental Lean concept/method, and some examples of how TWI is helping organizations in various industries, including healthcare. What's the latest in the seven years since our first podcast on this topic?
For a link to this episode, refer people to www.leanblog.org/196.
Previous podcasts and related links:
For earlier episodes of my podcast, visit the main Podcast page, which includes information on how to subscribe via RSS or via Apple Podcasts.
Podcasts Sponsored by KaiNexus
Joining me for episode #195 is my friend Steve Montague from LifeWings. Steve and I met initially through our shared interest in Lean and, like Ron Pereira, we discovered we both lived in Keller, Texas (I've since moved to San Antonio). Steve is a retired Navy pilot and currently flies for a major commercial airline. He's also been involved, through LifeWings, in the movement to bring aviation safety practices (and culture) to healthcare via "Crew Resource Management" or "TeamSTEPPS." He's also been on the forefront of combining Lean and TeamSTEPPS, something we both agree is a great idea. In honor of National Patient Safety Awareness Week, we talk about topics including: - Steve's background with CRM in aviation and healthcare - Why CRM isn't just about checklists, but also learning how to "communicate more assertively" in the cockpit or operating room... - How Lean and CRM / TeamSTEPPS fit together conceptually - How standardization and iterative improvement fit together There's so much we could talk about, so we barely scratched the surface on this topic. If you have questions, we can do another podcast. Please post them as comments on this post. For a link to this episode, refer people to www.leanblog.org/195 -- go there for some links and material that Mark wrote to share with the listeners (and he'll have a guest post soon that expands on the thoughts in the podcast). Please leave a comment and join the discussion about the podcast by visiting the blog page for this episode. 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. You can also listen to streaming episodes of the podcast via Stitcher: http://landing.stitcher.com/?vurl=leanblog If you have feedback on the podcast, or any questions for me or my guests, you can email me at [email protected] or you can call and leave a voicemail by calling the "Lean Line" at (817) 776-LEAN (817-776-5326) or contact me via Skype id "mgraban". Please give your location and your first name. Any comments (email or voicemail) might be used in follow ups to the podcast.
My guest for episode #194 is Paul Piechota, Director for the Center for Competitive Change at the University of Dayton School of Engineering. Piechota has authored over 30 publications with such titles as Transforming the Enterprise, Getting to the Future First!, and Establishing a Method for Process and Culture Change in the Military. His most recent publication is the book titled, Keeping Your Business in the U.S.A.: Profit Globally While Operating Locally. In this episode, we'll talk about topics including how the university is using Lean and Six Sigma to improve their own operations, how they are getting students involved, and their attempts to engage professors to improve their work in the classroom. This all follows up a blog post I wrote about their press release on this topic. For a link to this episode, refer people to www.leanblog.org/194 -- go there for some links and material that Mark wrote to share with the listeners (and he'll have a guest post soon that expands on the thoughts in the podcast). Please leave a comment and join the discussion about the podcast by visiting the blog page for this episode. 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. You can also listen to streaming episodes of the podcast via Stitcher: http://landing.stitcher.com/?vurl=leanblog If you have feedback on the podcast, or any questions for me or my guests, you can email me at [email protected] or you can call and leave a voicemail by calling the "Lean Line" at (817) 776-LEAN (817-776-5326) or contact me via Skype id "mgraban". Please give your location and your first name. Any comments (email or voicemail) might be used in follow ups to the podcast.
My guest for episode #193 is Mark Jaben, MD, talking about our brains, Lean, and change. Mark has been a guest blogger for me before and it's great to talk to him today about his research and experiences. In our conversation, Mark talks about "the troublesome features of our brain's operating system" (such as our "hidden brain"), how the A3 problem solving process fits with the way our brains work, and how to deal with "resistance" to change. Mark has also helped talk to some healthcare organizations about KaiNexus and we both presented at a conference last year. For a link to this episode, refer people to www.leanblog.org/193 -- go there for some links and material that Mark wrote to share with the listeners (and he'll have a guest post soon that expands on the thoughts in the podcast). Please leave a comment and join the discussion about the podcast by visiting the blog page for this episode. 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. You can also listen to streaming episodes of the podcast via Stitcher: http://landing.stitcher.com/?vurl=leanblog If you have feedback on the podcast, or any questions for me or my guests, you can email me at [email protected] or you can call and leave a voicemail by calling the "Lean Line" at (817) 776-LEAN (817-776-5326) or contact me via Skype id "mgraban". Please give your location and your first name. Any comments (email or voicemail) might be used in follow ups to the podcast.
From the publisher's feed
Lean Blog Interviews: Real-World Lean Leadership Conversations features thoughtful, in-depth discussions with leaders, authors, executives, and practitioners who are applying Lean thinking in the real world.
Hosted by Mark Graban—author of Lean Hospitals, Measures of Success, and The Mistakes That Make Us—the podcast explores Lean as a management system, a leadership philosophy, and a people-centered approach to continuous improvement.
Episodes span healthcare, manufacturing, startups, technology, and professional services. Guests share candid stories about what actually works—and what doesn’t—when organizations try to improve.
This is not a podcast about chasing tools, jargon, or “Lean theater.” Instead, you’ll hear honest conversations about leadership behaviors, culture, psychological safety, learning from mistakes, and building systems that help people do their best work.
If you believe improvement starts with respect for people—and that better systems beat blaming individuals—this podcast is for you.
Find show notes and all episodes at LeanCast.org.
Learn more about Mark Graban at MarkGraban.com.

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