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.
I forget what hospital these charts are even from, but it doesn’t really matter. It’s become more common, in my gemba visits, to see hospital departments charting metrics. They are often part of “huddle boards” that teams gather around on…
Joining me for episode #227 are Ruthie Davis and Stephen Cook, talking about the book that they edited, Do the Right Thing: Real Life Stories of Leaders Facing Tough Choices. While this episode isn’t focused on Lean, per se, I think…
It’s been a little while, but here’s a new video about Kaizen and continuous improvement from our friends at Franciscan St. Francis Health in Indianapolis. See all of the videos in the link here or via my YouTube playlist. In this…
tl;dr: A sushi company’s safety and quality policy illustrates what hospital operational excellence really requires: visible leadership commitment, daily practice, and systems that make safety the default–not a slogan. I love the Texas-based grocery store chain “Central Market.” It’s basically…
tl;dr: In this post, Mark discusses the concept of “Model Lines” and “Model Cells” as strategies for Lean transformation. He outlines how these designated areas serve as experimental zones within an organization, allowing for the focused implementation and testing of…
John Toussaint explains why Lean healthcare transformation succeeds only when leaders change how they lead–not just what tools they use. Joining me once again on the podcast today is John Toussaint, MD, the founder and CEO of the ThedaCare Center…
My guest for episode #224 of my podcast is a returning guest, Mike Grogan. About two years ago, we talked about his Lean work in Tanzanian healthcare, in episode #182. Mike is an international trainer, coach, and speaker, who works with…
Wednesday was the first day of the 6th annual Lean Healthcare Transformation Summit, being held this year in Addison (Dallas), Texas. I’m here and this year my colleagues Dr. Greg Jacobson and Jeff Roussel from KaiNexus are attending, so please say hi…
It’s been just about 18 years since I was leaving GM to start the master’s program at MIT’s Leaders for Manufacturing program (now called Leaders for Global Operations). Here’s a 1992 interview that describes the origins of the program. It…
TL;DR: Lean works across factories, hospitals, startups, and services because it’s built on shared mindsets, not tools. These include customer focus, respect for people, going to the gemba, avoiding blame, solving problems at the root, and resisting “command and control.”…
In my first post about the on-site Kaizen learning experience at Franciscan St. Francis Health, an event I came to call “Kaizen Live,” I wrote about some of the initial presentations and discussions from Franciscan leaders. You can also see…
Following up on yesterday’s post on seemingly successful experiments with ACOs, here’s another article, from HBR, on “safety huddles” in healthcare: “How Every Hospital Should Start the Day“ I’ve seen some hospitals using daily safety huddles. It sends a powerful message…
