Dr. John Toussaint Video Lecture on Healthcare Quality & Lean


Here is an hour-long lecture given by John Toussaint, MD – shared by the ThedaCare Center for Healthcare Value. There isn't a lot of context given on the YouTube page for the video, but it seems like a video from maybe 2008 or so and it seems that he's talking to a class of medical school students. Those who know John's history might place where he is. The talk is still incredibly relevant today, of course.

In the video, John discusses the poor state of healthcare quality, the Collaborative Care model, the important of measurement (do you know how you're doing) and Lean leadership.

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Mark Graban
Mark Graban is an internationally-recognized consultant, author, and professional speaker, and podcaster with experience in healthcare, manufacturing, and startups. Mark's new book is The Mistakes That Make Us: Cultivating a Culture of Learning and Innovation. He is also the author of Measures of Success: React Less, Lead Better, Improve More, the Shingo Award-winning books Lean Hospitals and Healthcare Kaizen, and the anthology Practicing Lean. Mark is also a Senior Advisor to the technology company KaiNexus.


  1. Mark, this lecture was taped at the University of Iowa College of Medicine during an address to the medical school and public health school faculty and students in 2008. I am a graduate of the School of Medicine at Iowa.

    • Watched you video and I would love to have the formula you use to change percentage to defects. Our healthcare facility is looking to improve and I think translating performance to defects will help drive the message home. We have a long way to go we are where you were in 2002. The staff think being average is good enough and we can’t get to zero. Thank you.


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