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Welcome to Episode #36 of Habitual Excellence, presented by Value Capture.

Our guest is Rachelle Schultz, Ed.D. Located in Southeast Minnesota, Winona Health is an independent community healthcare system. Winona Health has been named a Top 100 Rural and Community Hospital the past three years.

Schultz graduated from Georgetown University with a BA in Economics, completed her MHA at the University of Minnesota, and received her Interdisciplinary Doctorate in Education in Leadership from Creighton University. 

In today's episode, host Mark Graban asks Rachelle about topics including:

  • How did she first get exposed to Lean?
  • When their "lean journey" started at Winona Health (2008)
  • Shifting from tools to culture -- Continuous Systems Improvement (CSI)
  • Mental models, including shifting top-down only to top-down and bottom-up
  • How did the role of leaders change, including Rachelle?
  • What was it like learning directly from Toyota and TSSC?
  • The critical role of the CEO in a Lean transformation
  • Did leadership styles have to evolve with Covid?
  • How was Lean/CSI a helpful foundation for the demands of Covid times?
  • Covid vaccination process lessons learned



"We call it continuous systems improvement, or CSI, and that's pervasive now in the organization."

"My own philosophy is that, in this organization, I need a hundred percent of everybody rowing in the same direction to help us get wherever we need to go."

"We worked with Toyota for a couple of years. It's the power of  getting outside of our industry."

With COVID: "How quickly can you do rapid cycle improvements? How quickly can you respond and change?"

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