“Lean Hacks” and Practical Lean Leadership to Improve Covid Care and Vaccination


Of the different podcasts I host, the “Habitual Excellence” podcast provides the most opportunity these days to interview healthcare leaders who are doing great work.

I don't post every episode here, but I do want to share this discussion with two leaders from Mount Sinai Morningside hospital in New York City. I'm joined by Lucy Xenophon, MD, MPH, the Chief Transformation Officer for the hospital, and Arthur Gianelli, MBA, MPH, the Chief Transformation Officer for the Mount Sinai system and he is also hospital president of Mount Sinai Morningside.

Dr. Lucy Xeonophon & Arthur Gianelli, Covid and Vaccination Lessons From New York


You can watch or listen to the episode using the links above. You can also read a transcript, if you like.

You'll appreciate their discussion of Lean management practices as they coped with Covid treatment and setting up the new Covid vaccination process.

If you click through to the podcast, you'll also find the links to four “Lean Hacks” that Lucy wrote about on LinkedIn, earlier in the pandemic.

Please check it out…

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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. Since much of the vaccine is being thrown away due to nonuse, will the government start to look at the distribution through a lean lens? Will they use AI in order to see the most populated areas for eligible people? There should be areas especially near old age homes that are convenient for people over the age of 65 to get their vaccines if wanted.

    • Brianna – Thanks for reading and commenting. I don’t think it’s accurate to say “much of the vaccine” is being thrown away. *Some* vaccine is being wasted, unfortunately. We all wish that would be zero. Some health systems I’ve talked to have managed zero waste or a very low percentage under half of a percent.

      I don’t think they need “AI” when they have simple data about the population in different areas…

      There’s plenty of room for improvement, for sure, and I wish more would use Lean… but it’s very important to make sure we understand the problem before thinking about solutions…


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