Leadership isn’t about titles, charisma, or quick decisions—it’s about creating systems where people can do their best work and continuously improve. This archive brings together blog posts, podcasts, and reflections on leadership through a Lean lens, drawing on ideas from Deming, Toyota, healthcare, and real-world management practice. The common theme: leaders shape culture, influence behavior, and own the systems that produce results—for better or worse.
As you might know, I have always enjoyed baseball and like blogging about ideas and statistics that come from the sport.
I loved this recent article from The Wall Street Journal and there are parallels to Lean and being an effective change agent:
"The Data Wonk Who Became a Coach"
My first job out of college was as an Industrial Engineer at the General Motors Livonia Engine Plant. Blogging didn't exist then (I didn't even have email or internet access at work) or I might have started my writing career then. Oh, the stories. I've shared some of them on this blog over time.
I've blogged about papers from the Don Ephlin files, a former UAW national leader. I have my own small collection of documents and artifacts from my days at GM that I thought to keep in a folder. I still have that folder today.
A few of these memos tell the story of a quality and productivity death spiral that eventually led to our plant manager being replaced. And, by "replaced," I don't mean fired or given an early retirement. He was, at least in title, PROMOTED to a role at GM Powertrain headquarters. Thankfully, the new plant manager, Larry Spiegel, was one of the original "NUMMI commandos" and he made a huge difference to the plant and to me, personally.
TL;DR: Captain “Sully” Sullenberger’s leadership lessons from Flight 1549 highlight that safety depends on humility, trust, teamwork, and learning from mistakes–not heroics or checklists alone. High-risk industries like aviation improve safety by focusing on systems, psychological safety, and fact-based decisions.…
Mark's Note: Today's post is by Kay Kendall, CEO & Principal of BaldrigeCoach. You might remember her from episode #277 of my podcast. She's the co-author of Leading the Malcolm Baldrige Way: How World-Class Leaders Align Their Organizations to Deliver Exceptional Results. Kay sent this out recently via her email newsletter and I asked her if I could share it here.
Joining me for Episode #303 is Craig Deao, a senior leader with Studer Group.
Today, we're talking about his book The E-Factor: How Engaged Patients, Clinicians, Leaders, and Employees Will Transform Healthcare. We'll talk about the differences between satisfaction and engagement, how to tell if people are engaged in their work, and how to engage various stakeholders, including employees, clinicians, and executives. We'll also talk about how Studer Group became a recipient of the Malcolm Baldridge National Quality Award in 2010.
Measures matter. The proper analysis of data and performance metrics allow us to separate good changes from bad, progress from stagnation. The methods in my book, Measures of Success, help us determine if our performance is getting better, getting worse, or essentially remains unchanged. Having the right set of balanced scorecard metrics is important. But the role of leaders is important, too. How do leaders interpret measures? How do they respond to changes in metrics? How do they know if a change is worth reacting to?
Last week, a nurse manager downloaded the free first chapter of my book Lean Hospitals and wrote this message in the contact form:
"Interested to see how the disconnect between management and the staff supervised can be helped. Too many managers refuse to help those they supervise. A growing number have never done the work that they are in charge of getting done. Patients and residents feel it, not healthy. Poor PR. It does get back to the consumer. Difficult to fix at that point."
In my experience working with many hospitals, her comments resonate with me. Identifying problems like these doesn't mean Lean provides easy solutions for organizational transformation.
Over the years, many people have asked me some variation of the question:
"Why are my employees not embracing Lean?"
More often than not, the tone of the question is of blame... blaming the employees for not embracing Lean.
In this post, I share something I originally wrote on LinkedIn and I'll elaborate a bit and share some of the LinkedIn comments...
Today, I'd like to share the latest in my series of articles about "Champions of Change," which is based on a discussion I had with Suzi Collins, an experienced Lean healthcare supply chain leader.
I’ve heard a lot of rumblings recently about what might be happening at ThedaCare, a health system in Wisconsin that’s been considered one of the best examples of "Lean healthcare" anywhere in the world for more than a decade. It seems that there is an evolution occurring in their approach to Lean.
I’ve received a formal statement from ThedaCare public relations, which you can find in this post, so I will stick to the facts that they have given me and other information that's publicly available online.
I did manage to buy a book that was published by NUMMI to celebrate their 10th anniversary. "10 Years of Quality & Teamwork" is the title.
Here is the cover and I'll share a few things that caught my attention inside. It's interesting to think through this book in the context of :
Tesla (the current owners of the building - see my past blog post)
Healthcare organizations
There's a lot to admire about Elon Musk. I admire his risk taking and his entrepreneurial spirit. I use PayPal a lot (one of his early companies) and I admire the innovation of Tesla and SpaceX. But, I question how much Musk and Tesla have been willing to learn from Toyota or people like Paul O'Neill.
