Lean Blog Interviews

Joining me for Episode #303 is Craig Deao, a senior leader with Studer Group. From his bio: "Since 2006, Craig Deao, MHA, has been an integral part of Studer Group as a senior leader for the organization's speaking and conferences teams, and he now directs thought leadership across Huron [Consulting Group]'s broader healthcare practice. Craig is a highly regarded national speaker on leadership, engagement, quality and patient safety. He works with medical staffs and healthcare executives to create highly reliable organizations where employees want to work, physicians want to practice and patients want to receive care." 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 recipie

My guest for Episode #302 is Katie Anderson, following up on her last appearances in Episode #233 (when she was living in Japan) and Episode #275 (after she returned to the U.S.).Today, we're chatting because I've just returned from a short trip to Japan and Katie's going back in May (and you can join her).We're sharing observations and reflections on topics ranging from standardized work to Kaizen. Would it be easier to "implement Lean" (or whatever term you'd use) if you're a Japanese organization? And what are some of the approaches you see with quality improvement and Lean in Japan's hospitals?Our conversation also meanders into topics like eating sushi and more.

This podcast is sponsored by Cardinal Health. All opinions expressed here are those of Joe Swartz and not of his employer or any other organization. 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.

Tracey & Ernie Richardson, The Toyota Engagement Equation 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

Joining me again for episode #299 of the podcast is Joe Swartz, my friend and esteemed co-author for our books Healthcare Kaizen: Engaging Front-Line Staff in Sustainable Continuous Improvements and The Executive Guide to Healthcare Kaizen: Leadership for a Continuously Learning and Improving Organization. You can learn more about our books here. He was previously the guest in episode #187. Joe is Administrative Director of Business Transformation for Franciscan St. Francis Health System in Indiana (his full bio is here). Today is the first part of a two-part discussion, where Joe reflects on the history and evolution of more than ten years of "Kaizen" or continuous improvement in his system. In our next episode together, Joe will be talking about "Champions of Change." I hope you enjoy the discussion!

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.

My guest for Episode #297 is John (JJ) Villarreal, 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.

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. See his full bio. 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.

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."

Joining me for episode #294 is Clay Linkous, an account leader and speaker with Studer Group. He is an accomplished cultural transformation and leadership expert who has synthesized Lean and other improvement methods with Studer Group principles and practices. Today, we'll talk about Clay's career and his purpose and motivations - both for working in healthcare and improving healthcare. We're both firm believers in the combination of Studer and Lean practices, so we're also discussing that as our main topic. I hope you enjoy the discussion!

My guest for Episode #293 of the podcast is a dynamic speaker and manufacturing leader, Billy R. Taylor. I saw him speak a few years ago at a Shingo Prize Conference and I've wanted to get him on the podcast ever since. He's currently the Director of Commercial, Off Highway, and Support Manufacturing North America for The Goodyear Tire & Rubber Company. Over the past 20 years, he has risen from "the lowest level of the organization," up through the manufacturing leadership ranks at Goodyear, including time as a Plant Director at facilities in Oklahoma and North Carolina. He's been "engaged in Lean" for over 15 years and he is a Six Sigma Master Black Belt. Billy has a BS in in Electrical Engineering from Prairie View A&M University and an MBA from Baker University. Billy was very giving of his time and we talked for over 75 minutes, so I'm breaking this up into two parts, with Part 2 coming soon. Today, we talk about how he got started with Lean, the shift from tools- and event-based Lean to a culture

Today, our topic is something that I've really taken an interest in the past two years: "Motivational Interviewing." See my past blog posts on this subject. I think it's a powerful methodology that will help anybody in their Lean transformation efforts... as well as our work engaging anybody in a small improvement. "Motivational Interviewing" or M.I. is defined by Miller and Rollnick (in their seminal book) as a "collaborative conversation for strengthening a person's own motivation and commitment to change." My guests for Episode 292 are the three co-authors of an excellent book, Motivational Interviewing for Leadership: MI-LEAD. They are (pictured from left to right in this order): Jason Wilcox, Director of Education and Connected Care at VA Roseburg Dr. Brian Kersh, Clinical Psychologist at New Mexico VA Health System Dr. Elizabeth Jenkins, Clinical Psychologist/Courtesy Assistant Professor at University of South Florida

My guest for Episode 291 is my friend and colleague, Jeff Roussel (@jeff_roussel on Twitter). Jeff is the VP of Sales at KaiNexus, a technology company that I have been involved with for over six years. As Jeff will humbly explain in the podcast, he joined our team almost four years ago as an experienced sales leader, not as an expert in Lean or process improvement. But, he's a voracious learner and he probably talks to more organizations about their process improvement efforts - what their aims are and what they're struggling with - than anybody I know. Our main theme for the podcast today is not technology. Our topics include what Jeff is hearing from organizations and trends he hears about. I hope you'll enjoy our conversation, as I did. I hope you'll also join us on Thursday as Jeff presents a free webinar hosted by me and KaiNexus: The Why, How and What of Continuous Improvement

@EricRies: From #LeanStartup to "The Startup Way" Joining me again for episode 290 is a three-time guest, Eric Ries. When we first talked, in episode 115 six years ago, his New York Times bestselling book The Lean Startup was being published. In 2012, we discussed the impact of Toyota's Taiichi Ohno on his work, in episode 142. This time, we're talking about his new book, The Startup Way. In this episode, Eric talks about how "Lean Startup" concepts came from "Lean" and the Toyota Production System and how Toyota then approached him about applying Lean Startup concepts in the development of a new in-dash electronics system. In recent years, GE and other large companies, in their efforts to be more innovative and entrepreneurial, have adapted these approaches into what Eric calls "The Startup Way." Will modern companies embrace a formal "entrepreneurship" function as they earlier embraced finance and marketing? We'll discuss that and more. Below, you'll find the full audio podcast, a 7-page PDF summary, and a

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 Medical Center. 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

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.

Joining me today for Episode #287 is another returning guest (see Episode #198), Harry Kenworthy. We're talking about his book, which will be released on Friday, Lean Government NOW! : Increase Service, Capacity and Employee Engagement While Reducing Costs and Wastes. The book is now available for pre-sale on Amazon at $19.95 (until September 7, 2017, at a $5.00 discount from list price). Harry was also a contributor to the book Practicing Lean, which is now available in audiobook format. I've been involved with some "government healthcare" organizations in different countries, but have never delved into other parts of government. I'm glad Harry is doing so! This seems like a big challenge, but an important and necessary one. We're seeing some examples of success with Lean at the local and state levels around the U.S., it seems. I hope we see more. I hope you enjoy our discussion whether you work in government or vote, pay taxes, or use government services (or all of the above!!). I'm including a four-page PD

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.

In this episode, Mark and Karen discuss a provocative question she raised: "Is Lean Dead?" (or "dying?"). Karen is the author of books including "Value Stream Mapping" and "The Outstanding Organization." Her next book is titled "Clarity First" and we'll be discussing that in a future episode. http://www.leanblog.org/285

My guest today for episode #284 of the podcast is Dr. Margaret (Margie) Balfour, the lead author of an article, published in The Joint Commission Journal on Quality and Patient Safety, titled "Using Lean to Rapidly and Sustainably Transform a Behavioral Health Crisis Program: Impact on Throughput and Safety." Today, we're talking about that article, the important improvement work that led to it, and her belief, as stated in the article that "Lean methods can positively affect safety and throughput and are complementary to patient-centered clinical goals in a behavioral health setting." Dr. Balfour is the VP for Clinical Innovation and Quality at Connections Health Solutions, one of the largest providers of psychiatric emergency care in Arizona, and an Assistant Professor of Psychiatry at the University of Arizona. Dr. Balfour received her MD and PhD in Neuroscience from the University of Cincinnati and completed residency and a fellowship in Public and Community Psychiatry at the University of Texas Southwest