Habitual Excellence, Presented by Value Capture

Hosted by Value Capture

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118

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May 2026

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About the show

Do you want to create a healthcare organization that strives for zero harm through principles-based leadership, Lean practices, and real-time, root-cause problem solving? We share conversations with Value Capture advisors, clients, and thought leaders, exploring how to create “habitual excellence” (a phrase coined by Value Capture’s founder Paul O’Neill) by engaging everybody in creating a culture of safety - and learning. Lead your teams to the theoretical limits of perfect for staff safety, patient safety and performance, using methods from Toyota, Alcoa, Catalysis, and the Shingo Institute.

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May 20, 202644 min

When Leaders Decide to Change “The Way We Run the Place”

In this episode of Habitual Excellence, Ken Segel speaks with Dr. James Shamiyeh, Chief Operating Officer at University Tennessee Medical, about the organization’s Everyday Excellence journey and what it takes to build sustainable improvement in healthcare.Dr. Shamiyeh shares how UT Medical is moving beyond traditional improvement efforts by creating a frontline-driven operating system centered on daily problem-solving, coaching, and leadership development. He reflects on the lessons learned through implementing tiered huddles, empowering teams to solve problems to root, and building a culture grounded in psychological safety and collaboration.Together, they discuss the realities of leading transformation work in healthcare today, including the importance of reflection, vulnerability, and long-term commitment. The conversation highlights how investing in people closest to the work is helping UT Medical strengthen engagement, improve safety, and create lasting operational and cultural change across the organization.

April 28, 202634 min

Leading Academic Health Centers for Excellence in 2026

In this episode of the Habitual Excellence Podcast, Ken Segel speaks with Ben Schwartz, MD, a physician leader at Banner Health, about what it takes to lead large academic health systems in a time of rapid change and rising expectations. Drawing on his journey from practicing surgeon to health system executive, Dr. Schwartz shares how leadership today is less about having all the answers and more about creating the conditions for teams to succeed.Together, they explore how culture drives patient experience, why trust and collaboration are essential to performance, and how healthcare organizations can stay focused on fundamentals while navigating complex demands around strategy, metrics, and value-based care. Dr. Schwartz also discusses the importance of strong partnerships between health systems and universities, and how shared governance and relationships built on trust can accelerate innovation and growth.At its core, the conversation reinforces a simple but powerful idea: when organizations invest in their people, align around purpose, and work together as one team, better outcomes for patients naturally follow.

March 17, 202645 min

Excellence in Value-Based Care

How a systemic approach to continuously strengthening relationships builds high performing systems of care In this episode of the Habitual Excellence Podcast, Ken Segel, CRO for Value Capture, speaks with Jeremy Blanchard, MD, System Chief Medical Officer for North Mississippi Health Services, about what it takes to make value-based care real. Drawing on his background as an internal medicine physician, intensivist, military-trained critical care specialist, and healthcare leader, Jeremy shares how his career has been shaped by a commitment to dignity, respect, and giving voice to patients, caregivers, and communities.Jeremy explains that value-based care is not a destination, but a journey rooted in relationships. At North Mississippi Health Services, that means listening deeply to patients, staff, and communities, then building systems that reflect what matters most. He describes expanding residency and fellowship programs, strengthening workforce pipelines, reducing reliance on traveling nurses, empowering frontline teams to own quality and safety, and building stronger connections across the region they serve.Throughout the conversation, Jeremy emphasizes that transformation happens when people feel heard and valued. Through mindful listening, servant leadership, and practical innovation, North Mississippi continues to improve care delivery and strengthen its culture.The episode closes with a reflection on conflict, trust, and growth. Jeremy describes “mining for conflict” as a way to uncover insight, strengthen relationships, and create conversations that lead to better outcomes - showing how values, when operationalized through leadership and systems, can improve care and community health.

February 9, 202638 min

Episode 100 A Milestone in Habitual Excellence

Celebrating 100 Episodes of the Value Capture PodcastTop 10 Conversations That Shaped How We Think About Healthcare ExcellenceOne hundred episodes. Hundreds of leaders. Thousands of moments that challenged how we think about leadership, systems, and what’s truly possible in healthcare.To celebrate the 100th episode of the Value Capture Podcast, we’re highlighting our Top 10 most impactful podcast episodes—conversations that resonated deeply with listeners and sparked meaningful change in organizations across the country.These episodes explore what it really takes to move from chaos to clarity, from heroics to systems, and from good intentions to sustainable results. You’ll hear from courageous leaders, frontline thinkers, and operational excellence practitioners who are reimagining healthcare by asking better questions and building better systems.Whether you’ve been with us since episode one or you’re just discovering the podcast, this collection captures the heart of what we believe: better is possible and it starts with how we lead and how we work together.Thank you for listening, reflecting, and leading alongside us. Here’s to the next 100.Top 10 Value Capture Podcast Episodes:(Counting down from #10)Ken Segel on Zero Harm and Theoretical LimitsPublished: June 1, 2020 · 382 Streams/Views👉 Read / ListenTony Milian on Preoccupation with FailurePublished: May 18, 2020 · 385 Streams/Views👉 Read / ListenBill O’Rourke on Using Paul O’Neill’s PlaybookPublished: June 15, 2020 · 387 Streams/Views👉 Read / ListenLeading With Safety: Leah Binder and Dr. Rick ShannonPublished: July 25, 2022 · 392 Streams/Views👉 Read / ListenGeoff Webster on the Meaning of Habitual ExcellencePublished: June 8, 2020 · 395 Streams/Views👉 Read / ListenSandra Geiger on Strategy Development and DeploymentPublished: January 17, 2022 · 421 Streams/Views👉 Read / ListenUnderstanding Moral Injury in Healthcare with Wendy Dean, MDPublished: February 8, 2023 · 444 Streams/Views👉 Read / ListenDr. Lisa Yerian on Patients First at Cleveland ClinicPublished: June 22, 2020 · 450 Streams/Views👉 Read / ListenJohn Collodora on Sensitivity to Operations👉 Read / ListenHSS CEO Lou Shapiro on Culture as StrategyPublished: November 2, 2022 · 899 Streams/Views👉 Read / Listen🎧 Top 10 Value Capture Podcast Episodes🔟 Ken Segel on Zero Harm and Theoretical Limits9️⃣ Tony Milian on “Preoccupation with Failure”8️⃣ Bill O’Rourke on Using Paul O’Neill’s Playbook7️⃣ Leading With Safety: Leah Binder and Dr. Rick Shannon6️⃣ Geoff Webster on the Meaning of Habitual Excellence5️⃣ Sandra Geiger on Strategy Development and Deployment4️⃣ Understanding Moral Injury in Healthcare with Wendy Dean, MD3️⃣ Dr. Lisa Yerian on Patients First at Cleveland Clinic2️⃣ John Collodora on Sensitivity to Operations (High Reliability)1️⃣ HSS CEO Lou Shapiro on Culture as Strategy

January 27, 202640 min

How Not to Live With Chaos

In this episode, Ken speaks with Meghan Scanlon, Director of Operational Excellence at Penn State Health, for a candid and hopeful conversation about a question many healthcare leaders quietly wrestle with: Why does chaos persist—even when we know better systems exist?Rather than placing blame on individuals, Meghan reframes the issue as one of implicit learning and inherited systems. Most leaders aren’t choosing chaos intentionally; they’re often operating within patterns they were taught, rewarded for, or never given the time or support to redesign. The result is a culture of firefighting and heroics that feels necessary—but ultimately limits performance, safety, and sustainability.The conversation explores how leaders can move beyond individual excellence to team-based performance, drawing lessons from sports, coaching, and high-reliability organizations. Meghan emphasizes that real progress comes when leaders act as coaches, build capability across the system, and create environments where small problems are surfaced early—before they become crises.Ultimately, this episode is a message of optimism. Healthcare doesn’t need more heroics. It needs better systems, stronger coaching, and the courage to make the invisible visible. When leaders commit to developing operating systems that support learning, safety, and alignment, better outcomes—for patients, teams, and leaders themselves—are not just possible, they’re repeatable.

December 5, 2025Episode 9847 min

Moving Upstream to Preserve Health

Welcome to Episode #98 of Habitual Excellence, presented by Value Capture. In this inspiring episode, Geoff Webster, Chair of the Pittsburgh Futures Collaborative, and Ken Segel explore what it takes to create healthier, safer, and more thriving communities. Geoff shares how his public-health roots and community work taught him that real change begins when leaders challenge themselves, step into uncomfortable spaces, and keep learning. He highlights the transformational gun-violence reduction effort in Pittsburgh—where a neighborhood once experiencing around 35 non-fatal shootings a year saw that number drop to just 4. Geoff calls it some of the most powerful work he’s been part of, proving that what once seemed impossible becomes achievable when communities come together with courage and conviction. Throughout the conversation, Geoff and Ken emphasize visionary leadership, systems thinking, and the belief that people thrive when they’re supported to grow. The conversation underscores how data, collaboration, and consistent leadership practices can drive meaningful progress in communities.

November 18, 2025Episode 9729 min

Dramatic Perioperative Gains … Sustained

In this episode, host Ken Segel talks with Donise Musheno, Vice President of Perioperative Services at Lancaster General Hospital (Penn Medicine), about leading large scale operational transformation through trust, culture, and systems thinking. When she began, her team faced a 30% instrument defect rate and 9% case delays, issues that undermined efficiency and morale. By focusing first on relationships and trust, then simplifying priorities around quality and efficiency, Donise helped her team achieve dramatic improvements: defects dropped to 4% and delays to less than 0.2%. She emphasizes real time problem solving, transparent data, and empowering frontline leaders to test and learn quickly. The conversation highlights how building culture first enables sustainable excellence, turning crisis into collaboration and measurable, lasting results.

October 3, 2025Episode 9642 min

Employees First, Customers Second, Shareholders Third.

In this episode, Justin McElhattan leads with humility in such a deeply authentic way that it took us years to convince him to be a guest on this podcast. We persevered because as the CEO and then Group President of Industrial Scientific, Justin brought to life the inspiring results and models to follow that Habitual Excellence leadership - rooted in safety - makes possible. And now he and his wife, a physician, are bringing the same inspiring leadership framework to a whole other sector – agriculture – determined to magnify our food system’s ability to nourish, connect and heal. At the same time, the family remains perhaps the most significant investor in the workplace safety movement in the country. We grow and take on energy every time we talk with Justin, and are excited to bring this episode to you.

September 11, 202541 min

Daily Management System 2.0 Brings Results at Lakeridge Health

In this episode, the Lakeridge Health team reflects on their shift from DMS 1.0 to 2.0. Their first system was filled with activity, but huddles and routines often felt disconnected from real daily problems, and strategy came across as too top-down. With support from Value Capture’s Didier Rabino, leaders stepped back to observe together, ask sharper questions, and uncover gaps. This created new habits that helped teams solve problems at the root cause, link daily work to strategy, and strengthen leadership development in the flow of work.What once were occasional offline conversations about improvement and growth became part of the daily rhythm. Managers quickly adapted, raising the level of dialogue and capability across the organization. While challenges remain, the team has embraced persistence and problem-solving as the path forward. Their journey shows how DMS 2.0 is creating stronger results, greater alignment, and a culture of continuous learning and improvement—momentum they’re excited to share with peers at their October 15 learning event.

July 15, 2025Episode 9436 min

The Voice of the Shingo Principles in Healthcare – Lessons from 7 Years Inside

This episode of Habitual Excellence featuring Jake Raymer will have health care leaders thinking deeply and acting differently. Raymer is both the past education director for the Shingo Model and just did 7 years as the Chief Transformation Officer at Munson Healthcare in Michigan, an operational excellence (or “lean”) leader. Jake is a renowned, powerful and entertaining thought leader across the world of operational excellence, who believes the only research worth its salt is research that holds up in the field, so it’s a special opportunity to tap into his key learnings for today’s healthcare leaders. Hear Jake point the way to more powerful and practical ways to shape a great “culture,” to manage change much more systematically and specifically, and talk about why more and more healthcare leaders are starting to learn about the Shingo model to take their own operating systems to a more grounded and powerful place, so they can drive more enduring mission-based performance.