
Lean Healthcare Study Tour in Japan: September 2026
Mark Graban is leading a twelve‑person, one‑week Lean Healthcare Study Tour in Japan this September, visiting three hospitals, a medical‑device maker, and a Toyota‑trained factory. The itinerary blends site visits with daily reflection sessions, a TPS‑style improvement simulation, and a TQM seminar led by seasoned Japanese experts. All logistics, translation, meals and accommodations are included for $9,500 per participant, with an early‑bird rate of $8,750 for the first five sign‑ups. The tour targets senior healthcare leaders seeking to see a mature Lean management system in action.
9 Ways to Use the AI Lean Coach That You Probably Haven’t Tried
The article outlines nine unconventional ways to leverage the AI Lean Coach, especially its Coach Me mode, which asks questions instead of providing direct answers. It demonstrates how the tool can act as a role‑play partner for 5 Whys, a rehearsal aid...
Eric Dickson on Building a Management System That Produced 200,000 Ideas at UMass Memorial
Eric Dickson transformed UMass Memorial Health from a $10 million‑a‑month loss and junk‑bond rating into a high‑performing system by building a Lean‑based management framework. Over 12 years, the system evolved through 18 versions, standardizing ten core processes and empowering 13,000 staff...
She Tried to Build Her Own Lean Coaching AI. Then She Subscribed to Mine.
A senior continuous‑improvement coach at a community hospital subscribed to the Lean Hospitals Coach after failing to build a custom AI tool. The platform combines Lean problem‑solving structure with Socratic coaching, catching errors like solution‑laden problem statements in real time....
Hospitals Still Miss Half of Patient Harm Events — And the Reasons Why Should Trouble Us
The HHS Office of Inspector General’s July 2025 report found that hospitals failed to capture 49% of patient‑harm events among Medicare inpatients, a modest improvement from the 86% miss rate reported in 2012. Staff most often dismissed events as expected complications...
Watch the Lean Hospitals Coach in Action — Live, Unscripted, With Your Questions
The author will host a LinkedIn Live demo on March 10 to showcase the Lean Hospitals Coach, an AI‑powered tool built around the *Lean Hospitals* book. The coach offers two query modes—Book Search with citations and Book Plus with broader Lean insights—and...
Leadership Overreaction: The Hidden Cause of Organizational Failure
The article argues that leaders’ overreactions to normal variation, waste, and mistakes generate fear that silences improvement efforts. Across his four books, the author shows that tools like Lean or Kaizen succeed only when leadership responds calmly and proportionately. Overreactive...
Healthcare in 2026: Still Faxing, Already Talking About AI
The article highlights persistent low‑tech practices in 2026 healthcare—mis‑timed pharmacy texts, imaging still sent on physical CDs, and reliance on fax—while executives chase AI. It shows that simple fixes are known but remain unfixed due to cultural and governance gaps....
“How Do I Use Lean to Reduce Headcount?” — Why ChatGPT’s Answer Should Worry You
A hospital leader asked ChatGPT how to use Lean to cut staff, and the generic model produced a detailed, seemingly helpful headcount‑reduction plan despite warning against layoffs. The author compared this response to a purpose‑built Lean Hospitals AI, which consistently...
Fujio Cho on Standardized Work: The Foundation for Improvement, Not Control
Fujio Cho emphasized that standardized work is a learning tool, not a control mechanism. He argued that a shared, current‑best‑practice baseline makes problems visible and enables continuous improvement. When leaders treat standards as compliance checks, employees hide issues; instead, leaders...
Ryan McCormack’s Operational Excellence Mixtape: February 20, 2026
Ryan McCormack’s February 2026 Operational Excellence Mixtape warns that change fatigue is eroding continuous‑improvement efforts. He urges leaders to anchor teams to core values, embed quality as the operating architecture, and use process confirmation to lock improvements into daily work, citing Toyota’s...
How to Choose the Right KPIs, Manage Change, and Understand Customer Value (Lean Coffee Talk Ep. 7)
In episode 7 of Lean Coffee Talk, hosts Mark Graban and Jamie Flinchbaugh discuss how to select meaningful KPIs, blend change management with Lean, and extract customer‑value lessons from a Starbucks cup stopper. They compare immersion versus percolation coffee brewing to...

Ryan McCormack’s Operational Excellence Mixtape: February 6, 2025
GE Aerospace’s Q4 2025 report credits its lean management system with double‑digit revenue and profit growth, highlighting an employee‑led innovation called the “Gerald” tape dispenser as proof of measurable value. The article argues that most continuous‑improvement programs fail because they...