Organizational culture isn’t what leaders say—it’s what people experience every day based on management behaviors, systems, and priorities. This archive brings together blog posts, podcasts, and reflections on culture through a Lean lens, exploring how leadership decisions shape trust, psychological safety, learning, and performance. Many of these posts draw on lessons from Deming, Toyota, healthcare, and real organizations to show that culture is not a program to roll out, but an outcome leaders create—intentionally or not.
tl;dr: “Accountability” in most organizations means blame — but real accountability starts with leaders fixing systems, not punishing individuals who can’t do the right thing because the system won’t let them. One of our topics, prompted by some feedback from…
The Thanksgiving weekend was a great opportunity to catch up on some reading and viewing that had accumulated in my browser and inbox. One thing I really enjoyed was a conversation (in advance of next week’s Lean Startup conference) between…
Mark’s Note: I’m just getting back from vacation, so we’re wrapping up the guest posts. Today’s post is by Christina Kach and you can read her previous guest posts here. Check out her updated bio at the bottom of the…
Mark’s Note: Today’s post is a guest post by Nial Toner, who works for PathXL in the UK. I thought this was an interesting post because it touches on leader behaviors and team dynamics in a setting that we don’t…
Near home in San Antonio, I had a chance to volunteer last Friday, speaking for an hour to a group of high school juniors and seniors who are part of the health professions program within in the Alamo Academies program…
They just started a year ago (better late than never?), but San Francisco General Hospital had its Lean efforts highlighted in the San Francisco Chronicle last week: “S.F. General following ‘Toyota Way’ to efficiency.” On the very same day, another…
Mark’s Note: Today’s post is by a regular guest contributor, Christina Kach. I was disappointed that I couldn’t attend this year’s event in Massachusetts, but I was happy that Christina put together this summary. Last week I had the…
In some “Kaizen Kickoff” coaching that I’ve been doing recently, I’ve been spending time with managers and other leaders as they interact with nurses and other staff members with the goal of finding problems, opportunities for improvement, and ideas. One…
Joining me for episode #187 is Joe Swartz, my friend and esteemed co-author of our books Healthcare Kaizen: Engaging Front-Line Staff in Sustainable Continuous Improvements and The Executive Guide to Healthcare Kaizen: Leadership for a Continuously Learning and Improving Organization.…
TL;DR: This post revisits the origins of lean production through John Krafcik’s 1988 article, reflecting on how lean manufacturing began as an integrated management system rooted in culture, leadership, and respect for people–and why those foundations still matter more than…
My guest for episode #186 is my friend Jon Miller, CEO of Kaizen Institute and a long-time blogger at Gemba Panta Rei. Today, we’re talking about his upcoming book, Creating a Kaizen Culture: Align the Organization, Achieve Breakthrough Results, and…
There’s a great piece, currently available for free on the HBR website, about continuous improvement: The Culture to Cultivate The author, George Halvorson, is the recently retired CEO of Kaiser Permanente and it’s really helpful that he is writing about…
