Lean Blog Interviews - Healthcare, Manufacturing, Business, and Leadership Podcast Por Mark Graban arte de portada

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

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

De: Mark Graban
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Started in 2006, the ”Lean Blog Interviews” podcast, hosted by Mark Graban, brings you conversations with leading experts, authors, and thought leaders in lean manufacturing and management. As a Lean practitioner, consultant, and author, Mark Graban offers deep insights, real-world experiences, and practical tips for implementing and enhancing Lean practices across various industries. The Podcast Experience Mark Graban engages his guests in a conversational format, covering a wide array of topics related to Lean. Guests come from diverse backgrounds, including healthcare, manufacturing, and service industries, sharing their unique experiences and perspectives on Lean implementation. Core Topics Lean Principles and History: Dive into the foundational aspects of Lean, its history, and core principles. Industry Applications: Explore how Lean is applied in different industries, such as healthcare, manufacturing, and startups. Continuous Improvement: Learn about value stream mapping, process improvement, and culture change. Leadership and Management Systems: Gain insights into the Toyota Production System and related methodologies, focusing on Lean as a culture, philosophy, and management system rather than just a set of tools. Unique Features Focus on Healthcare: Mark Graban, a renowned advocate for Lean in healthcare, frequently features experts who discuss patient safety, quality improvement, and waste reduction in healthcare settings. Hear success stories and practical advice on implementing Lean in hospitals, clinics, and other healthcare organizations. Practical Advice and Real-World Examples: Guests share their experiences and insights into what works and what doesn’t in Lean implementation. Overcome common challenges and get inspired by success stories. Inclusivity and Diversity: The podcast features a range of guests from diverse backgrounds, enriching discussions and providing a comprehensive understanding of Lean’s challenges and opportunities. While we don’t talk much about Lean Six Sigma, we hope the podcast is helpful to you anyway. Why Listen? Whether you’re new to Lean or a seasoned practitioner, the ”Lean Blog Interviews” podcast is a valuable resource offering insights, tips, and inspiration for improving your organization’s performance and achieving Lean goals. With its engaging format, practical advice, and diverse range of guests, this podcast is essential for anyone interested in continuous improvement and operational excellence. Connect and Explore More Visit the blog at www.leanblog.org. For feedback, email mark@leanblog.org. Access all past episodes, show notes, and more at www.leancast.org. Subscribe to the ”Lean Blog Interviews” podcast today and join the journey toward Lean mastery and continuous improvement.All content copyright Mark Graban & Constancy, Inc, 2006 - present Economía Gestión Gestión y Liderazgo
Episodios
  • Designing a Culture of Respect: Scott Gauvin's Insights from the Respect for People Roadmap
    Jun 25 2025

    My guest for Episode #529 of the Lean Blog Interviews Podcast is Scott Gauvin, CEO of Macresco and co-creator of the Respect for People Roadmap.

    Episode page with video, transcript, and more

    With 30 years of experience leading operational transformations across sectors including biotech, pharma, agriculture, and manufacturing, Scott brings both a systems mindset and a people-first philosophy to his work. His journey into Lean began with frustration over leadership that blamed people rather than fixing systems—sparking a personal quest to better integrate continuous improvement with what he calls the “practice” of respect for people.

    In this episode, Scott shares the evolution of his thinking and how it culminated in the Respect for People Roadmap, a structured learning experience designed to operationalize cultural change through nine actionable behaviors. We explore the difference between “respecting people” as an individual action and “respect for people” as a system-level design principle. Scott also challenges the common notion that respect must be earned, arguing instead that every human being is inherently worthy of it—an idea rooted in his research on Confucian influences within Toyota’s founding culture.

    This conversation is a must-listen for anyone struggling to move beyond Lean tools and truly build a culture of continuous improvement grounded in human dignity. We also touch on how these ideas align with the Shingo Model, why so many transformations fail to stick, and how organizations can design systems that scale respect—without waiting for permission from the top. Check the links below to learn more and access Scott’s free “test drive” version of the Roadmap.

    Questions, Notes, and Highlights:

    • What’s your origin story with Lean and operational excellence?
    • What drew you to explore the “respect for people” pillar more deeply?
    • How do you distinguish between “respect for people” and “respecting people”?
    • Why do so many interpretations of “respect” default to hierarchy or politeness?
    • How should leaders approach differences in how individuals define respect?
    • Is it a mistake to assume respect must be earned rather than given?
    • What are your thoughts on the phrase “better to be respected than liked”?
    • How do challenge, kaizen, and respect interrelate in Toyota thinking?
    • What did your research uncover about Confucianism’s influence on Lean?
    • How does the concept of “respect for people” show up in system design?
    • What inspired the creation of the Respect for People Roadmap?
    • What are the three key behavioral principles embedded in the Roadmap?
    • What makes this program scalable and sustainable across organizations?
    • Why was it important that the nine behaviors require no leader permission?
    • How do you respond to the idea that “respect for people” should be translated as “respect for humanity”?
    • Are you looking to pilot the Roadmap in healthcare settings?
    • What would transformation look like if it were truly resilient—not dependent on a single leader

    This podcast is part of the #LeanCommunicators network.

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    1 h y 10 m
  • Mark Reich, Former Toyota Leader on Hoshin Kanri and 'Managing on Purpose'
    Jun 11 2025

    My guest for Episode #528 of the Lean Blog Interviews Podcast is Mark Reich, a Senior Lean Coach with the Lean Enterprise Institute and former Toyota leader with over two decades of experience.

    Episode page with video, transcript, and more

    Mark spent six years working in Japan, including helping launch the Lexus brand and later leading Hoshin Kanri strategy processes during Toyota's rapid growth in North America. He also played a pivotal role at the Toyota Supplier Support Center (TSSC), helping bring the Toyota Production System to manufacturing, healthcare, and nonprofit organizations. In our conversation, we dive into his career journey, his approach to Lean leadership, and the practical lessons behind his new book, Managing on Purpose: Using Hoshin Kanri to Develop Strategy, Align Teams, Grow Leaders, and Innovate Your Enterprise.

    You can get a 25% discount on the book via LEI using the code LBIPODCAST25.

    Mark shares compelling stories from his early days at Toyota, including working on the front lines of assembly, learning by doing, and his first experience pulling the andon cord. These moments shaped his appreciation for Toyota's deep respect for frontline work and its commitment to developing people. He reflects on how Toyota embeds learning and support into problem solving, where pulling the cord is seen as a learning opportunity, not a failure. That mindset became foundational for his later work, especially when managing enterprise-wide strategy through Hoshin Kanri.

    We also explore what Hoshin Kanri really is--and what it isn't. Mark challenges the overemphasis on tools like the X-matrix and instead advocates for focusing on purpose, alignment, and leadership behavior. He explains how strategy deployment at Toyota was never a one-way cascade, but a dialogue grounded in humility, curiosity, and shared responsibility. Whether you're new to Hoshin or struggling to sustain it, Mark offers insights that can help any leader make strategy a living, breathing part of organizational culture.

    Questions, Notes, and Highlights:

    • How did you end up working for Toyota, and what led you to Japan?
    • What was your educational background, and did you already speak Japanese before moving there?
    • What was your initial role at Toyota, and how did it relate to their global expansion?
    • Did you meet or work with John Shook during your time in Japan?
    • How did Toyota develop you into an industrial engineer despite your background in English writing?
    • What was it like working in a Toyota plant, and what did you learn from that experience?
    • Did you experience any early mistakes or learning moments while working the line?
    • How did your role evolve after leaving Japan, and how did you get involved with Hoshin Kanri in North America?
    • What challenges was Toyota North America facing that made Hoshin Kanri so essential?
    • How did you facilitate alignment and catchball between Toyota's plants and leadership teams?
    • How do you define Hoshin, strategy, and Hoshin Kanri?
    • Why do you prefer not to use the term "strategy deployment," and what's the issue with top-down-only thinking?
    • How do you coach executives to embrace catchball and bottom-up engagement?
    • How do you balance executive direction with frontline input in strategy development?
    • What role does psychological safety play in making Hoshin Kanri work?
    • How does A3 problem solving fit into the Hoshin process, and how does it help build capability?
    • Why is it important for executives to practice PDCA and engage in direct problem solving?
    • What's the difference between long-cycle and short-cycle PDCA, and how should leaders manage both?
    • Why does it take most organizations a couple of years to fully embed Hoshin Kanri?
    • What lessons do companies learn when they start with too many strategic initiatives?
    • Why did you choose not to include the X-matrix in your book, and what are your thoughts on its use?
    • What business problems does Hoshin Kanri best help organizations solve?
    • How can Hoshin Kanri help clarify the distinction between daily management and long-term strategic work

    This podcast is part of the #LeanCommunicators network.

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    1 h y 2 m
  • Inside the Lean Healthcare Accelerator Experience: Japan Insights with Dave Fitzpatrick
    May 13 2025

    My guest for Episode #527 of the Lean Blog Interviews Podcast is Dave Fitzpatrick, co-founder of Zenkai Improvement Partners and a 30-year resident of Japan. Dave brings a unique perspective as a Canadian Lean practitioner who has worked extensively in both manufacturing and healthcare, guiding international leaders on immersive study experiences throughout Japan.

    Episode page with video, transcript, and more

    In this episode, Dave and I share details about a new collaboration we're leading together--the Lean Healthcare Accelerator Experience. This is a jointly developed series of immersive visits to high-performing organizations in Japan, designed specifically for healthcare executives who want to see Lean principles in action across both hospitals and manufacturing settings. We talk about why we're creating this experience, what makes it unique, and how cultural context, leadership behaviors, and intentional long-term commitments drive sustainable improvement--not because it's "just Japan," but because of the systems and mindsets these organizations have cultivated.

    Dave shares his personal Lean journey, including how he transitioned from working in aeronautics to leading study tours for visiting professionals. He reflects on the differences between Japanese and Western companies when it comes to employee engagement, psychological safety, and respect for people. We also preview the first Accelerator trip taking place in June 2025 and discuss what makes these experiences so valuable and transformational for participants.

    Whether you're in healthcare or another industry, this conversation is packed with insights about creating a culture of continuous improvement--and how a visit to Japan can accelerate your learning.

    Questions, Notes, and Highlights:

    • Can you share your origin story--how did you first get involved with Lean, Kaizen, or the Toyota Production System?
    • What initially stood out to you when you began visiting Japanese manufacturing and healthcare organizations?
    • From your experience, what cultural factors give Japanese organizations an advantage--or do they?
    • How do successful Japanese companies build deep employee engagement and commitment to improvement?
    • What lessons can visitors take home from Japan--and why is it not just about being "Japanese"?
    • What are some common misconceptions people have before visiting Japan on these study experiences?
    • How does hierarchy or seniority in Japanese companies affect psychological safety and speaking up?
    • What kinds of organizations will we be visiting during the Lean Healthcare Accelerator?
    • What role will Reiko Kano play in these visits, and how does her expertise go beyond translation?
    • What's the value of including manufacturing visits in a healthcare-focused learning experience?
    • How do Japanese companies view improvement work in relation to headcount and job security?
    • Why is respect for people and time such a noticeable theme in Japanese customer service and operations?
    • What do you hope participants in the Lean Healthcare Accelerator take away from this experience?

    This podcast is part of the #LeanCommunicators network.

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    27 m
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