John Toussaint on Shifting from White Coat Leadership

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Here is a short video clip from 2009… Dr. John Toussaint talking about the need to shift away from “White Coat Leadership” to Lean Leadership.

He's still preaching this message as we try getting more healthcare leaders, physicians or non-physicians, to realize that culture change starts by looking in the mirror.

Click on the image below the video for a large view of John's comparison between the leadership styles.

Are your leaders aware of this change or the need to change?

Screen Shot 2013-02-12 at 8.14.08 PM

You can hear John speak at the upcoming Lean Healthcare Transformation Summit, June 5-6 in Orlando  — registration is now open.

Disclosure: I am receiving a free admission in exchange for moderating the CEO panel.


Please scroll down (or click) to post a comment. Connect with me on LinkedIn.


Let’s work together to build a culture of continuous improvement and psychological safety. If you're a leader looking to create lasting change—not just projects—I help organizations:

  • Engage people at all levels in sustainable improvement
  • Shift from fear of mistakes to learning from them
  • Apply Lean thinking in practical, people-centered ways

Interested in coaching or a keynote talk? Let’s start a conversation.

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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 latest book is The Mistakes That Make Us: Cultivating a Culture of Learning and Innovation, a recipient of the Shingo Publication Award. He is also the author of Measures of Success: React Less, Lead Better, Improve More, Lean Hospitals and Healthcare Kaizen, and the anthology Practicing Lean, previous Shingo recipients. Mark is also a Senior Advisor to the technology company KaiNexus.

3 COMMENTS

  1. Thanks for the post Mark. That was a great session on lean leadership. We are bringing a group, including senior leaders, from East Tennessee Children’s Hospital this year. I can’t wait to see what they bring back from the summit.

  2. A leader without followers is just somebody going for a walk. So if a “leader” wants “followers” to implement these principles, then the leader must implement them first. This is why we begin our work with a Partner organization by teaching the leadership the principles, and coaching them as they practice the techniques. We refer to it as “Top down, bottom up.” Leaders do, then empower/expect others to do, and hold them accountable for same.

    Good stuff Mark! Now go get you a heart-shaped steak for Valentine’s Day :-D

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