Lean Blog Interviews - Healthcare, Manufacturing, Business, and Leadership
Mark Graban
576 episodes
1 week ago
Since 2006, the Lean Blog Interviews podcast has featured in-depth, candid conversations with leaders, thinkers, and doers in the world of Lean and continuous improvement. Hosted by Mark Graban—author, consultant, and longtime Lean practitioner—the show explores how Lean principles are being applied across industries, including healthcare, manufacturing, startups, and more.
What sets this podcast apart? We go beyond tools and buzzwords. Our guests share real-world stories of success, struggle, learning, and leadership. Whether you’re a seasoned Lean veteran or just getting started, you’ll gain practical insights and fresh perspectives that you can take back to your own organization.
Topics include:
Lean as a management system and cultural transformation—not just a toolbox
Continuous improvement and problem-solving, at every level
Leadership behaviors that support real change
Psychological safety as a foundation for improvement
Lessons from the Toyota Production System, Lean Startup, and beyond
Candid stories about mistakes—and what we learn from them
We don’t talk much about “Lean Six Sigma” here. But if you believe improvement is about people first—this podcast is for you.
Many episodes feature a special focus on Lean in healthcare, reflecting Mark’s deep work in that field. Hear from leaders working to improve patient safety, reduce waste, and build cultures of respect and learning.
Find all episodes and show notes at www.LeanCast.org.
Learn more about Mark and his work at www.LeanBlog.org.
Questions or feedback? Email mark@leanblog.org
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Since 2006, the Lean Blog Interviews podcast has featured in-depth, candid conversations with leaders, thinkers, and doers in the world of Lean and continuous improvement. Hosted by Mark Graban—author, consultant, and longtime Lean practitioner—the show explores how Lean principles are being applied across industries, including healthcare, manufacturing, startups, and more.
What sets this podcast apart? We go beyond tools and buzzwords. Our guests share real-world stories of success, struggle, learning, and leadership. Whether you’re a seasoned Lean veteran or just getting started, you’ll gain practical insights and fresh perspectives that you can take back to your own organization.
Topics include:
Lean as a management system and cultural transformation—not just a toolbox
Continuous improvement and problem-solving, at every level
Leadership behaviors that support real change
Psychological safety as a foundation for improvement
Lessons from the Toyota Production System, Lean Startup, and beyond
Candid stories about mistakes—and what we learn from them
We don’t talk much about “Lean Six Sigma” here. But if you believe improvement is about people first—this podcast is for you.
Many episodes feature a special focus on Lean in healthcare, reflecting Mark’s deep work in that field. Hear from leaders working to improve patient safety, reduce waste, and build cultures of respect and learning.
Find all episodes and show notes at www.LeanCast.org.
Learn more about Mark and his work at www.LeanBlog.org.
Questions or feedback? Email mark@leanblog.org
From Firefighting to Flow: Darren Walsh on Lean Leadership Routines that Sustain Results
Lean Blog Interviews - Healthcare, Manufacturing, Business, and Leadership
52 minutes
1 week ago
From Firefighting to Flow: Darren Walsh on Lean Leadership Routines that Sustain Results
My guest for Episode #539 of the Lean Blog Interviews Podcast is Darren Walsh, author of Making Lean and Continuous Improvement Work: A Leader’s Guide to Increasing Consistency and Getting Significantly More Done in Less Time.
Episode page with video, transcript, and more
Darren is the Director and Leadership Coach at Making Lean Work Ltd and holds a master’s degree from the Lean Enterprise Research Centre at Cardiff University. He brings more than 25 years of experience helping leaders transform organizations in automotive, aerospace, medical devices, energy, and healthcare.
In this episode, Darren and Mark explore why so many Lean and continuous improvement programs fail to sustain—and how leaders can build the right systems and habits to make improvement last. Darren explains the three common pitfalls he’s seen across industries: choosing the wrong improvement approach, relying on traditional “solution thinking,” and lacking consistent leadership routines.
Darren also introduces his DAMI model—Define, Achieve, Maintain, Improve—as a way for organizations to avoid “kaizening chaos” and instead create a stable foundation for improvement. He shares stories from across sectors, including healthcare examples where better standards and daily management led to faster care, higher throughput, and dramatically lower mortality rates.
Mark and Darren discuss the difference between problem-solving and firefighting, the danger of “shiny Lean” initiatives that don’t address core issues, and the leadership routines that keep everyone aligned and focused on the right problems. The conversation offers a grounded reminder that Lean isn’t about tools or jargon—it’s about building consistency, clarity, and capability throughout the organization.
“You can’t kaizen chaos. First, you have to define and stabilize the standard.”
“Most organizations say they want improvement—but they haven’t built the routines to sustain it.”
“If every team in your business is working on the right problem, that’s an incredibly powerful organization.”
“Firefighting feels heroic, but it hides the real causes and keeps us from solving them.”
Questions, Notes, and Highlights:
What’s your Lean origin story? How did you first get introduced to Lean and continuous improvement?
You’ve worked across industries—from electronics to oil and gas. How do you overcome the “we’re different” resistance when applying Lean in new settings?
Why do some organizations still associate Lean with cost-cutting instead of learning and improvement?
What led you to write Making Lean and Continuous Improvement Work? What problems were you seeing again and again?
Can you explain the three common pitfalls you describe in the book?
What is the DAMI model—Define, Achieve, Maintain, Improve—and how can leaders use it effectively?
How can organizations build a strong foundation for improvement before jumping into tools like 5S or Kaizen?
What are the essential leadership routines for sustaining Lean and consistency?
Why do so many teams fall into firefighting mode, and how can leaders break that habit?
How can visual management and daily management systems help teams focus on the right problems?
How do you balance working on small employee-driven Kaizen improvements versus larger, strategic problems?
You’ve said, “You can’t Kaizen chaos.” What does that mean in practice?
What lessons from the healthcare case study—cutting waiting times by 88%—stand out most to you?
How can leaders ensure alignment and help every team work on the right things?
What’s next for your work and research? What will your next book focus on?
This podcast is part of the #LeanCommunicators network.
Lean Blog Interviews - Healthcare, Manufacturing, Business, and Leadership
Since 2006, the Lean Blog Interviews podcast has featured in-depth, candid conversations with leaders, thinkers, and doers in the world of Lean and continuous improvement. Hosted by Mark Graban—author, consultant, and longtime Lean practitioner—the show explores how Lean principles are being applied across industries, including healthcare, manufacturing, startups, and more.
What sets this podcast apart? We go beyond tools and buzzwords. Our guests share real-world stories of success, struggle, learning, and leadership. Whether you’re a seasoned Lean veteran or just getting started, you’ll gain practical insights and fresh perspectives that you can take back to your own organization.
Topics include:
Lean as a management system and cultural transformation—not just a toolbox
Continuous improvement and problem-solving, at every level
Leadership behaviors that support real change
Psychological safety as a foundation for improvement
Lessons from the Toyota Production System, Lean Startup, and beyond
Candid stories about mistakes—and what we learn from them
We don’t talk much about “Lean Six Sigma” here. But if you believe improvement is about people first—this podcast is for you.
Many episodes feature a special focus on Lean in healthcare, reflecting Mark’s deep work in that field. Hear from leaders working to improve patient safety, reduce waste, and build cultures of respect and learning.
Find all episodes and show notes at www.LeanCast.org.
Learn more about Mark and his work at www.LeanBlog.org.
Questions or feedback? Email mark@leanblog.org