Tag Podcast – Healthcare

Podcasts: Lean Healthcare Leadership, Safety, and Continuous Improvement

These podcast episodes focus on Lean thinking as it applies to healthcare leadership, patient safety, quality, and culture. Conversations with physicians, executives, researchers, and improvement leaders explore how systems design, psychological safety, and daily leadership behaviors shape outcomes for patients and staff.

Rather than promoting tools or slogans, this archive highlights real-world experiences from hospitals, health systems, and healthcare innovators working to build safer, more reliable, and more humane systems of care.

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You Can’t Cut Your Way to Success in Healthcare, with Andre DeMerchant

Joining me for Episode #307 of the podcast is my friend Andre DeMerchant, the President of DeMerchant Healthcare Solutions Inc., based in Kitchener, Ontario. We first crossed paths when we had the chance to work together with an American healthcare client via our then-affiliation with Pascal Dennis and Lean Pathways. 

In today's episode, we talk about Andre's history working for Toyota in Canada and what he learned there -- and why it's important that he learned about "how flow works" at Toyota. We chat about the terms "Lean" and "The Toyota Production System" and what those words mean to him. How does TPS "transcend culture and language," as well as industries?

We then shift to talking about healthcare and some of the common challenges, including "financial hardships," that are faced in many countries. Why are hospitals "poorly prepared for change" in many cases? Another main theme is "cost cutting" and why you can't cut your way to success. 

Respect for People and Continuous Improvement in Healthcare: Lessons from Lean

I was recently asked to do a recorded video presentation for a medical conference in Turkey. I spoke about the dual pillars of "The Toyota Way":

Respect for People
Continuous Improvement
The video is about 20 minutes, split about half and half on each of those interrelated topics. I'm coming to you from a hotel room, somewhat tired after a day of consulting.

(Slides PDF and transcript also included)

Podcast #303 – Craig Deao, Effectively Engaging Employees… and Everyone Else

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.

Joe Swartz on Champions of Change, Kaizen, and Healthcare Supply Chains

This podcast is sponsored by Cardinal Health.

Joining me again for episode #301 of the podcast is Joe Swartz, my friend and co-author for our books Healthcare Kaizen and The Executive Guide to Healthcare Kaizen:. You can learn more about our books here. He also contributed a chapter to the book Practicing Lean. (read an excerpt).

Today, we're talking about "Champions of Change," as I've been writing about for Cardinal Health.

Podcast #296 – Dr. Zeev N. Kain on Lean and Clinical Variation

Joining me for Episode #296 of the podcast is Zeev N. Kain, MD. MBA, FAAP. He is a physician and a Chancellor's Professor at the University of California, Irvine.

He has many additional roles and titles, including:

Director, System Redesign & Value Based Care for the UC-Irvine Health Policy Research Institute
Executive Director of the UCI-Yale Center on Stress & Health
President of the American College of Perioperative Medicine

Dr. Kain is "recognized as an international expert in the clinical management of perioperative fear and anxiety, and management of children undergoing invasive medical procedures. His research addresses major dilemmas encountered in the management of affected children."

He's also an advocate for Lean and Six Sigma and the connections to reducing "clinical variation" in healthcare. So, that's what we're talking about today.

Lean Healthcare Innovation at Atrius Health: Building a “Care in Place” Model

My guests for Episode #295 are Sarah Steinberg of Atrius Health and Ted Toussaint, a healthcare innovation strategist, formerly of Atrius Health. Ted is also a faculty member for Catalysis. 

Today, we're talking about some innovative work that they led at Atrius, using a variety of modern product development and innovation methods, including Lean, Lean Startup, Design Thinking, and more to create a new "Care in Place" model for home-based patient care that helps reduce trips to a clinic or hospital. Their work was featured in this HBR article: "How Atrius Health Is Making the Shift from Volume to Value."

Podcast #289 – Lean & A Mobile Paramedic Pilot at Geisinger Health

My guests for Episode #289 are Kathleen Sharp, MBOE, LSS MBB, now the Director of Optimization at McLeod Health, and David Schoenwetter, D.O., FACEP, a Medical Director at Geisinger Health System.

They are joining me to talk about the innovative Geisinger Mobile Health Paramedic program that they developed and piloted with Lean thinking throughout. Kathleen and David will discuss why it was important to engage stakeholders in innovation, how they viewed and addressed resistance to change, why it was important to test the idea in practice, and why it was important to measure results. They also discuss their lessons learned and their challenges along the way.

This WSJ article has a nice summary of the program: "Paramedics Aren't Just for Emergencies."

"In the Geisinger pilot program, mobile health visits can be requested by a patient's primary-care doctor, a cardiology clinic, or after an emergency room or hospital discharge. Patients who frequently visit the ER are offered the option of being seen at home by a paramedic as an alternative to an ER visit and potential hospital admission, especially for conditions that can be treated at home if caught early."

I hope you enjoy the episode. It's long, but it's an interesting case study, I believe.

Dean Gruner on ACOs, Healthcare Reform, and the Future of Cost and Quality

Joining me again for Episode #288 is Dean Gruner, MD, the recently retired CEO of ThedaCare, a health system in Wisconsin that has long been considered a worldwide leader in the practice of Lean in healthcare.

Recently, in Episode #286, Dean shared his reflections on his work and ThedaCare's "Lean journey." Today, the topic is Accountable Care Organizations and other bigger-picture healthcare reform topics.

Dean was also previously my guest in Episodes 119 and 144.

I'm including a full transcript along with a three-page PDF summary, as I've been doing recently.

Dean Gruner on ThedaCare’s Lean Journey: Lessons, Missteps, and Leadership Reflections

My guest for Episode #286 is Dean Gruner, MD, the recently retired CEO of ThedaCare, a health system in Wisconsin that has long been considered a worldwide leader in the practice of Lean in healthcare. See this article about his retirement, where he says "I've gotten more than I've given."

Dean was previously my guest in Episodes 119 and 144 and I'm thrilled that he took time out of his retirement to talk with me about his lessons learned as he looks back on how ThedaCare's Lean journey has evolved, including some things he would consider to be missteps and challenges that they used as a springboard to get even better.

I will also be releasing a separate episode where Dean talks about their experiences with Accountable Care Organizations (our topic from #144) and other "big picture" healthcare issues of the day.

I'm including a full transcript along with a three-page PDF summary, as I've been doing recently.

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