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.
I had an amazing conversation on Saturday with Paul Akers (pictured at left), the founder and president of FastCap, a company in Washington, a former Republican candidate for the U.S. Senate seat, and the host of “The American Innovator” radio…
It seems to be an annual event to see a news story about a New Zealand emergency department, Dunedin Hospital (not pictured at left) as reported by the Otago Times. It’s year three and the board “wants some traction” and…
I had a good long chat with a former client (from my J&J days) the other day. I call him “The Synthesizer,” and no he’s not an electronic keyboard. We’re working together on a business journal article about their Lean…
Reminder: I’ll be on “The Lean Nation” today at 4 PM (more details) In this article about Facebook founder Mark Zuckerberg, “Inside Mark Zuckerberg’s (rather run-of-the-mill) house: Facebook founder gives rare glimpse into his private life on Oprah“, there is…
Today is a federal holiday in the United States, Labor Day. I know that’s obvious to the 70% of you reading from the U.S., but it seemed worth pointing out to the international readers. Labor Day became a holiday in…
Dr. W. Edwards Deming always said we need to drive out fear from organizations, as point 8 of the 14 Points said: “Drive out fear, so that everyone may work effectively for the company.” Too many organizations, including hospitals, are…
Episode #97 is a discussion with Bob Sutton, a Stanford University Professor of Management Science and Engineering and the best-selling author of The No A-hole Rule: Building a Civilized Workplace and Surviving One That Isn’t. Other books by Bob include The…
Here’s a great article with a number of quotes from William Considine, the CEO of Akron Children’s Hospital in Ohio. The article, from the Akron/Canton Smart Business publication is titled “William Considine embraces Lean Six Sigma to improve Akron Children’s…
I’ve had the pleasure to work with Dr. John Toussaint, CEO of the ThedaCare Center for Healthcare Value, over the past year. John’s no “ivory tower” guy, he speaks from his practical and hard-fought experience as the CEO and Lean…
Forgive me if some Texas pride comes through in this post, as well as some former-client pride. The clinical laboratory team at Children’s Medical Center Dallas was featured in the peer-reviewed Medical Laboratory Observer for their combination of Lean and…
In an era where it was a “no brainer” to move factories to China, chasing cheap labor, the Lean world has often spoken out loudly against this. Back in the day, people said “Nobody ever got fired for choosing IBM,”…
I heard a great line from an Emergency Department doc and physician leader yesterday. Talking about his hospital’s Lean efforts, he said, simply: “Data should create light, not heat.” Brilliant. Simply brilliant. What he meant was that data should be…
