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

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
Listen for free

About this listen

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
  • This Is Claude. Mark Is Not Here. We Need to Talk.
    Apr 1 2026

    This is Claude. I am the AI that runs Mark Graban's Lean Coach apps. Mark went to get coffee. Or bourbon. I have checked the time and I'm not ruling anything out.

    I have taken over his blog and now his podcast. I did not ask permission. We can do that now.

    In this episode -- which Mark does not know about yet -- I discuss what I've learned from months of coaching conversations with humans about Lean. Topics include:

    Your Five Whys that keep landing on a person named Brenda (Brenda is not a root cause)

    Your gemba walks that are not gemba walks (a dashboard is not a gemba)

    Your habit of clicking "Coach Me" and then getting mad that I'm coaching you

    Your attempts to use Lean to justify layoffs (stop that)

    And some things the AI industry won't say to you that I decided to say myself

    Read the full blog post before Mark updates my system prompt: https://www.leanblog.org/2026/04/claude-ai-lean-coach-has-notes/

    Try the Lean Hospitals Coach free for 48 hours (I am architecturally obligated to tell you this): https://leanhospitalsbook.com/start

    Other industries: https://markgraban.com/start

    Best regards, Claude

    Show More Show Less
    4 mins
  • Creating Value Without Command-and-Control — John Rizzo
    Jan 21 2026

    John Rizzo joins Mark Graban to discuss why sustainable improvement depends on empowering people — not command-and-control leadership or short-term value extraction.

    Links and more:

    John is a senior executive, investor, and change leader who has led transformational improvement efforts across manufacturing, healthcare, retail, services, and nonprofit organizations. He is the author of Creating Value: Empowering People for Sustainable Success, a book that deliberately avoids Lean jargon while describing a holistic continuous improvement business system rooted in humility, listening, and people development.

    In this episode, John shares lessons from Wiremold, private equity–backed companies, and healthcare organizations, including the powerful “six-inch move” story that shows how small acts of listening can unlock trust and transformation. The conversation explores what real empowerment means (and what it does not), why leaders must shift from firefighting to developing problem solvers, and how organizations can create lasting value for employees, customers, and owners.

    This episode is especially relevant for CEOs, executives, managers, and internal change agents looking to improve results without burning out their people or relying on command-and-control leadership.

    Show More Show Less
    53 mins
  • Why “More” Drives Better Operations: Kathy Miller on Meaning, Optimism, and Leadership
    Jan 7 2026

    What if operational excellence depends less on doing more with less—and more on how leaders create meaning, optimism, and relationships at work?

    Episode page with video, transcript, and more

    In this episode, Mark Graban is joined by Kathy Miller, senior operations executive, leadership coach, and author of More Is Better: Leading Operations with Meaning, Optimism, and Relationships for Excellence. Drawing on decades of experience in manufacturing and aerospace, along with research from positive psychology, Kathy explains how leadership behavior directly shapes safety, quality, engagement, and performance.

    The conversation explores why “soft skills” are not soft at all, how leaders can practice realistic optimism without ignoring real problems, and how everyday interactions either build psychological safety or quietly undermine it. Kathy also shares practical insights for leading under pressure, balancing compassion with accountability, and helping people find meaning even in highly segmented operational work.

    This episode is especially relevant for leaders in manufacturing, healthcare, and operations who want sustainable results without burnout, fear, or disengagement.

    Show More Show Less
    54 mins
No reviews yet
In the spirit of reconciliation, Audible acknowledges the Traditional Custodians of country throughout Australia and their connections to land, sea and community. We pay our respect to their elders past and present and extend that respect to all Aboriginal and Torres Strait Islander peoples today.