Learning Lean Healthcare from Japan: Inside the Lean Healthcare Accelerator

My guest for Episode #527 of the Lean Blog Interviews Podcast is Dave Fitzpatrick, co-founder of Zenkai Improvement Partners and a 30-year resident of Japan. Dave brings a unique perspective as a Canadian Lean practitioner who has worked extensively in both manufacturing and healthcare, guiding international leaders on immersive study experiences throughout Japan. Episode page with video, transcript, and more In this episode, Dave and I share details about a new collaboration we're leading together--the Lean Healthcare Accelerator Experience. This is a jointly developed series of immersive visits to high-performing organizations in Japan, designed specifically for healthcare executives who want to see Lean principles in action across both hospitals and manufacturing settings. We talk about why we're creating this experience, what makes it unique, and how cultural context, leadership behaviors, and intentional long-term commitments drive sustainable improvement--not because it's "just Japan," but because of the systems and mindsets these organizations have cultivated. Dave shares his personal Lean journey, including how he transitioned from working in aeronautics to leading study tours for visiting professionals. He reflects on the differences between Japanese and Western companies when it comes to employee engagement, psychological safety, and respect for people. We also preview the first Accelerator trip taking place in June 2025 and discuss what makes these experiences so valuable and transformational for participants. Whether you're in healthcare or another industry, this conversation is packed with insights about creating a culture of continuous improvement--and how a visit to Japan can accelerate your learning. Questions, Notes, and Highlights: Can you share your origin story--how did you first get involved with Lean, Kaizen, or the Toyota Production System? What initially stood out to you when you began visiting Japanese manufacturing and healthcare organizations? From your experience, what cultural factors give Japanese organizations an advantage--or do they? How do successful Japanese companies build deep employee engagement and commitment to improvement? What lessons can visitors take home from Japan--and why is it not just about being "Japanese"? What are some common misconceptions people have before visiting Japan on these study experiences? How does hierarchy or seniority in Japanese companies affect psychological safety and speaking up? What kinds of organizations will we be visiting during the Lean Healthcare Accelerator? What role will Reiko Kano play in these visits, and how does her expertise go beyond translation? What's the value of including manufacturing visits in a healthcare-focused learning experience? How do Japanese companies view improvement work in relation to headcount and job security? Why is respect for people and time such a noticeable theme in Japanese customer service and operations? What do you hope participants in the Lean Healthcare Accelerator take away from this experience? This podcast is part of the #LeanCommunicators network.