Podcast Episode #044

Why Most Transformations Fail: Mark Graban on Psychological Safety, Lean Thinking & Real Change

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🎙️ Business Transformation Podcast – Episode #44

🎧 Why Most Transformations Fail: Mark Graban on Psychological Safety, Lean Thinking & Real Change | Business Transformation Podcast [044]

In this episode, host Heath Gascoigne speaks with Mark Graban—Lean expert and Shingo Award-winning author—to break down why so many business transformations fail to deliver. Mark shares his perspective on the critical role of psychological safety, why "change theater" is a dangerous distraction, and how to move from "doing" to "facilitating" real improvement.

💡 What you'll learn in this episode:

  • Psychological Safety – The secret sauce for lasting transformation and why silence is a red flag.
  • Avoiding "Change Theater" – How to create real buy-in rather than fake engagement.
  • The Problem well-defined – Why going slow to define the problem allows you to go fast in execution.
  • The Challenger Safety Stage – How to foster an environment where status quo is safely questioned.
  • Silo vs. Business Transformation – Why end-to-end value stream alignment beats isolated improvements.
  • “Structured problem solving is not just a methodology — it’s a mindset shift from ‘doing’ to ‘facilitating.’” – Mark Graban

  • “Software alone never drives transformation. Culture, leadership, and psychological safety do.” – Mark Graban

  • “People don’t feel safe to speak up — and that’s the real reason most transformations fail.” – Mark Graban

🎧 Listen Now: Transformation Is Not an IT Project – It’s Strategic Business Design ➡️ Listen on Spotify / Apple Podcasts


👤 About the Guest: Mark Graban is an internationally recognized author, speaker, and consultant in Lean management and healthcare transformation. A three-time Shingo Award winner, Mark is the author of Lean Hospitals, Healthcare Kaizen, and The Mistakes That Make Us. He is also the host of the Lean Blog Interviews and My Favorite Mistake podcasts.

👨‍💼 About the Host: Heath Gascoigne is the founder of HOBA TECH and author of the 6x international bestseller The Business Transformation Playbook. Creator of the HOBA® framework, Heath helps leaders align strategy, design, and implementation to drive transformation that works.

🎙️ About the Podcast: The Business Transformation Podcast features real stories and practical insights from global transformation leaders. Subscribe to stay updated on future episodes covering topics impacting businesses today.


Heath Gascoigne 00:06


Hello. My name is Heath Gascoigne, and I'm the host of the business transformation podcast. And this, in this show, we talk to business transmitters, who are part business strategists, part business designers and part collaborators, collaborators and part negotiators. Business transformations have moved past just business design and includes oversight of implementation of those business designs and business transformations. And includes stakeholder management, coordination and negotiation. If you work in strategy, development and implementation and work to ensure that the strategy is aligned to the business design and technology, then you're probably a business transformation. This is the show where we speak to industry experts and professionals to share their stories, strategies and insights to help you start turn around and grow your business transformation. Welcome to the business transformation podcast, and in this episode, we are talking to one of those industry experts we are speaking to today. Today's guest is Mark grabin, an international recognized author, speaker and consultant in the world of Lean continuous improvement and health care transformation. He is the author of several influential books, including lean hospitals and the mistakes that make us and over two decades of experience working with leaders across industries from startups to healthcare systems, Mark brings a unique blend of operational excellence and people centric leadership. He is also the host of the popular podcast, lean blog interviews and my favorite mistake. Welcome to the show. Mark.

Mark Graban 01:53


Heath, thanks for having me here. Thanks.

*(Remainder of transcript truncated for brevity)*

Heath Gascoigne 01:04:36


...Thank you very much. Enjoy your issue afternoon now. Okay, thank you. Thanks so much. Heath. Thanks buddy. Okay, see you. Bye. Bye. You.

Heath Gascoigne 00:06Hello. My name is Heath Gascoigne, and I'm the host of the business transformation podcast. And this, in this show, we talk to business transmitters, who are part business strat...
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