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. 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. 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. Please leave a comment and join the discussion about the podcast by visiting the blog page for this episode at http://www.leanblog.org/197 For earlier episodes of the Lean Blog Podcast, visit the main Podcast page at www.leanpodcast.org, which includes information on how to subscribe via RSS or via Apple iTunes. You can also listen to streaming episodes of the podcast via Stitcher: http://landing.stitcher.com/?vurl=leanblog If you have feedback on the podcast, or any questions for me or my guests, you can email me at leanpodcast@gmail.com or you can call and leave a voicemail by calling the "Lean Line" at (817) 776-LEAN (817-776-5326) or contact me via Skype id "mgraban". Please give your location and your first name. Any comments (email or voicemail) might be used in follow ups to the podcast. Please leave a comment and join the discussion about the podcast by visiting the blog page for this episode at http://www.leanblog.org/196 For earlier episodes of the Lean Blog Podcast, visit the main Podcast page at www.leanpodcast.org, which includes information on how to subscribe via RSS or via Apple iTunes. You can also listen to streaming episodes of the podcast via Stitcher: http://landing.stitcher.com/?vurl=leanblog If you have feedback on the podcast, or any questions for me or my guests, you can email me at leanpodcast@gmail.com or you can call and leave a voicemail by calling the "Lean Line" at (817) 776-LEAN (817-776-5326) or contact me via Skype id "mgraban". Please give your location and your first name. Any comments (email or voicemail) might be used in follow ups to the podcast.