Cover of Lean Blog Interviews: Real-World Lean Leadership Conversations in Healthcare and Beyond

Lean Blog Interviews: Real-World Lean Leadership Conversations in Healthcare and Beyond

Lean Blog Interviews: Real-World Lean Leadership Conversations in Healthcare and Beyond

By: Mark Graban
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Summary

Lean Blog Interviews: Real-World Lean Leadership Conversations features thoughtful, in-depth discussions with leaders, authors, executives, and practitioners who are applying Lean thinking in the real world.

Hosted by Mark Graban—author of Lean Hospitals, Measures of Success, and The Mistakes That Make Us—the podcast explores Lean as a management system, a leadership philosophy, and a people-centered approach to continuous improvement.

Episodes span healthcare, manufacturing, startups, technology, and professional services. Guests share candid stories about what actually works—and what doesn’t—when organizations try to improve.

This is not a podcast about chasing tools, jargon, or “Lean theater.” Instead, you’ll hear honest conversations about leadership behaviors, culture, psychological safety, learning from mistakes, and building systems that help people do their best work.

If you believe improvement starts with respect for people—and that better systems beat blaming individuals—this podcast is for you.

Find show notes and all episodes at LeanCast.org.
Learn more about Mark Graban at MarkGraban.com.

All content copyright Mark Graban & Constancy, Inc, 2006 - present
Economics Management Management & Leadership
Episodes
  • Courage, Humility, Kaizen: Toyota Leadership Lessons from the Georgetown Turnaround - Darril Wilburn
    4 Nov 2026

    Episode page with video, transcript, and more: https://leanblog.org/551

    My guest for Episode #551 of Lean Blog Interviews is Darril Wilburn, a senior partner at Honsha.ORG, a founding partner at niwaki, and a former Toyota team member. Darril joined Toyota’s Kentucky plant in Georgetown in 1999. He led the teaching of The Toyota Way 2001 to the plant’s senior leaders, and he later led the global pilot of Toyota Business Practices.

    Darril is co-author, with former Toyota leader Hiro Yoshiki, of the new book Courage, Humility, Kaizen: The Three Disciplines of Toyota Leadership. We talk about how the Georgetown plant went from needing to build almost 90% of its capacity just to break even to a much healthier 60%, and what Hiro did to lead that turnaround.

    Topics include:

    • What really happens when someone pulls the andon cord
    • Building psychological safety with new hires before line-off
    • Respect for humanity, and why it includes challenge
    • “Healthy paranoia” and why Toyota didn’t talk about being number one
    • Toyota’s careful entry into the U.S., from NUMMI to Georgetown
    • No blame: equipping people to succeed instead of blaming them
    • Pulling wisdom out of the masters into curriculum like TBP and FMDS
    • Sending managers back through jishuken to relearn TPS
    • Straight talk instead of spin
    • Hiro, not heroes
    • Balancing formal and informal communication
    • Why every VP’s first A3 was sent back by design
    • Why “doing TPS was never the point”
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    56 min
  • Change Theater, Open Loops, and Story Points as Opinions: Elisabeth Hendrickson and Joel Tosi
    21 Oct 2026

    Counting how many teams run the Agile ceremonies tells you people are doing things. It doesn’t tell you anything got better. Elisabeth Hendrickson and Joel Tosi call that “change theater,” and it’s one of the illusions their new book is built to take apart.

    My guests for Episode 550 are the co-authors of Signals & Levers: Systems Thinking Tools to Unblock Software Delivery (IT Revolution, September 2026). Elisabeth is the founder of Curious Duck Digital Laboratory, former VP of R&D at Pivotal, and author of Explore It! Joel is co-founder and CTO of Dojo & Co. and co-author of Creating Your Dojo and Coaching for Learning.

    The book is written for software organizations, but the ideas come from Deming, Shewhart, Argyris, and Donella Meadows, and most of this conversation applies to any leader trying to improve a system. We talk about the three illusions of predictability, progress, and control, and why they tend to show up together. We get into what it means to run “open loop,” changing things without ever checking whether the change worked, and how organizations accidentally create latency by separating strategy from execution. Joel explains why he brought process behavior charts to software teams, and Elisabeth makes the case that story points are an opinion, cycle time is a fact, and doing math on an opinion still leaves you with an opinion.

    We close on psychological safety: why a defensive organization can score itself high on safety surveys while behaving otherwise, and why you can’t fix fear by telling people to be brave.

    Full show notes, links, and transcript: https://www.leanblog.org/550

    Follow Lean Blog Interviews for more conversations on Lean, leadership, and continuous improvement.

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    1 hr
  • Nick Katko: Continuous Improvement in Accounting
    14 Oct 2026

    Accounting teams see problems every day. As my returning guest Nick Katko puts it, they fix them, but they don’t necessarily solve them.

    Nick is president and owner of BMA, a CPA, and the author of The Lean CFO and co-author of Practicing Lean Accounting. His new book, independently published, is Creating a Continuous Improvement System in Accounting. It grew out of coaching two accounting teams in Ohio, and it comes with a companion webpage of checklists, assessments, and short training presentations.

    We talk about why so many accounting leaders misunderstand continuous improvement, often because it was done to them by someone else in the company. Nick lays out the three parts of the system he teaches: simple PDCA problem solving, daily lean management, and improvement events, in that order. He shares an accounts payable example where a team cut invoice defects from about 43% to 15% after a month of gathering data instead of guessing.

    We also get into culture and psychological safety. Nick tells the story of a month-end close engagement where the one person who clearly explained the systemic problems was fired between his visits, and why he walked away rather than run it the top-down way leadership wanted. We discuss why psychological safety shifts when a leader walks in or out of the room, why leaders can’t accurately self-assess it, and how a daily problem-solving huddle ended finger-pointing between accounting and purchasing.

    Full show notes and links: http://leanblog.org/549

    Nick’s book: https://link.amazon/B0dcAyu1m

    If you find the show useful, please follow and leave a rating or review.

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    52 min
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