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.
This headline jumped out at me: “Local hospital receives $500,000 to train workers.” What also jumped out at me, in the article, is that the money comes from the federal American Recovery and Reinvestment Act (commonly referred to as the…
I may have shared this video before, but it’s worth taking a quick video peek into one of my favorite companies – VIBCO. When I was living in Boston, I had the pleasure of visiting the gemba a few times…
Yesterday, I tweeted a quote about patient safety that I’ve seen posted on the wall or bulletin board in many hospitals: “To err is human, to cover up is unforgivable, and to fail to learn is inexcusable.” – Sir Liam…
Last week, I gave the keynote talk at a hospital’s twice-yearly lean conference for leaders and staff. As part of the seasonal decorations around the room, they had large ghost cutouts, each labeled with one of the “8 types of…
Mark’s Note: Today’s post is by David Veech, the Executive Director of the Institute for Lean Systems. A fear or anxiety that people often have when they hear the term “lean” is that it will be a stressful environment, sort…
I really like Seth Godin’s writing – his blog on marketing is one that I have followed regularly for years and his book Purple Cow is a fun read about creating a service or product that delights and wows your…
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…
