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.
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.
My guests for Episode #300 of the podcast are Tracey and Ernie Richardson, authors of the excellent book titled:
The Toyota Engagement Equation: How to Understand and Implement Continuous Improvement Thinking in Any Organization
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?
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).
The official report is out in Hawaii after the traumatic accidental missile warning that was sent last month. An employee was fired. The leader accepted responsibility and resigned. Why are others being punished?
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.
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."
My guest for Episode #297 is John (JJ) Villareal, Ed.D., the superintendent of the Rockwall I.S.D. here in the Dallas area.
In this podcast, we talk about the applications of Lean in education, how to move beyond what JJ calls "the behavior waste of judgment and blame," and how visiting a factory was inspiring and helpful, among other topics.
Even if you don't work in education, I hope you'll be inspired by this podcast.
