Tag Leadership

Leadership That Builds Better Systems, Better Results, and Better Work

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.

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Managers Must Help The People They Supervise

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.

What’s Going On with Lean at ThedaCare?

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.

Resistance to Change, or Resistance to Being Told?

In some of the major Lean transformation stories (in manufacturing in healthcare) usually include stories about some percentage of managers, doctors, or employees who chose to leave the organization. This is often a badge of honor of sorts. Sometimes, those people get labeled as "concrete heads" (I term I think we shouldn't use, as I've blogged about).

Is this really the right way to view things?

Employee Complaints About Lean in Healthcare, Even at Some of the Best Organizations

Last week, I blogged about some employee complaints related to rotating day and night shifts at the Toyota San Antonio plant. In that post, I mentioned that employees who post on Glassdoor.com and other sites might not be a representative sample of the full employee population.

With that in mind, what happens when we search the Glassdoor surveys of some well-known "Lean hospitals?"

I posted a few of these employee comments on LinkedIn the other day (a short post that has received over 50,000 views and prompted a lot of discussion).

Podcast #298 – Billy Taylor, Lean Manufacturing Leadership, Part 2

Joining me again for Episode #298 is Billy R. Taylor, for Part 2 of a discussion we started in Episode #293.

Last week, a friend texted me last week and said he couldn't wait for Part 2. He said he pulled off the road to take some notes when he listened to Part 1. So without further ado, here is Part 2.

Here, we discuss "extreme ownership," why creating ownership is more important than forcing accountability, and important lessons he's learned along the way.

All Organizations Need a “Make Me”

Today's post is written by Steve Hoeft, the SVP, Chief of Operations Excellence at Baylor Scott & White Health (BSWH) here in Texas. This is his first written contribution to Lean Blog, but you might remember him as a guest in episode #226 of my podcast, where he and co-author Dr. Bob Pryor talked about their book The Power of Ideas to Transform Healthcare: Engaging Staff by Building Daily Lean Management Systems.

His article begins: "In my years serving as continuous improvement leader and consultant for some great organizations, I've discovered something consistent: Improvement will not happen on its own."