EPISODE · Apr 29, 2014 · 35 MIN
Beyond Heroes in Healthcare: Kim Barnas on Lean Leadership and Management Systems
from Lean Blog Interviews: Real-World Lean Leadership Conversations in Healthcare and Beyond · host Mark Graban
My guest for episode #197 is a hospital leader I really respect, Kim Barnas, author of the new book Beyond Heroes. Until very recently, Kim was a Senior VP at ThedaCare, leading Appleton Medical Center and Theda Clark Hospital. I've seen Kim speak to groups at ThedaCare and a few conferences and she has a lot to teach us about Lean leadership, using her stories and experiences in a way that's very powerful. I hope you'll check out the book. Read a press release about it here. In the podcast today, we talk about topics including her initial reactions to Lean when first introduced to it as a hospital leader, why “heroes” are overrated and sometimes create “chaos” in healthcare, and the importance of moving beyond tools and projects to a Lean culture and management system. 2018 Update: What's Going on at ThedaCare? Kim talks about the need to “create more value” (not just reduce waste), saying “just trying to do more with less makes no sense – you need a plan.” We also talk about programs like GM's “Speak up for Safety,” where she says that speaking up “needs to be a conversation, not a reporting” transaction. For a link to this episode, refer people to www.leanblog.org/197. For earlier episodes of my podcast, visit the main Podcast page, which includes information on how to subscribe via RSS or via Apple Podcasts.
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What this episode covers
Heroic individuals can save the day—but relying on heroes every day creates chaos. In this episode, Mark Graban talks with Kim Barnas, former senior executive at ThedaCare and author of Beyond Heroes, about why sustainable improvement in healthcare depends on systems, not heroics. Kim shares lessons from ThedaCare’s Lean journey, including how leadership behavior, management systems, and daily improvement practices shape culture over time. The conversation explores Lean leadership, psychological safety, speaking up for safety, creating capacity for improvement, and how healthcare organizations can move beyond projects and tools toward a true management system that supports learning, collaboration, and better outcomes for patients and staff.
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Beyond Heroes in Healthcare: Kim Barnas on Lean Leadership and Management Systems
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