introduction to driver diagrams leanne couves may 13, 2013 improvement associates ltd
TRANSCRIPT
Introduction to Driver Diagrams
Leanne CouvesMay 13, 2013
Improvement Associates Ltd.
Objectives
• In this session we will;– Learn the purpose of Driver Diagrams– Review several examples– Build a draft driver diagram for your project ---
apply the method to connect the Aim in your Improvement Charter to the Changes you plan to test
• add new changes, using change concepts• Identify possible measures
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Driver Diagrams
• Shows theory for improvement – the logic• Organize theories and ideas • Focuses your team - the why’s, what’s and
how’s and back again
• Connects multiple initiatives
04/21/23 BC Quality Academy 3
Reduce weight
Improve Health
Move More
Eat Less
Take yoga class
Ride bike to work
Drink less grape juice
HOW
Outco
me(
s)
Key D
river
s
Chang
e Con
cept
s
Specif
ic Id
eas t
o Tes
t
Join gym
HOWHOW
WHYWHY WHY
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Improve access to appointments
Reduce waiting time during clinic
visits
Shape the demand
Match supply to demand
Outco
mes
Key d
river
s
Chang
e
conc
epts
Shape demand for appointments
Redesign care processes
Decrease demand for appointments
Reduce scheduling complexity
Balance supply and demand
Source: The Improvement Guide 2nd Edition - page 430
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Example – Karl
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Categories Vary• Objectives Change concepts Specific ideas to
test
• Outcomes Key drivers Change concepts
• Primary outcome Primary sources of poor performance Primary Changes
• General description Improvement objectives Potential PDSA cycles
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Build Driver Diagram for Your Project
1. Draft a Driver Diagram– Bottom up…Affinity Diagram “on it’s side” using
Post-it’s– Top Down….Strategic Priorities/Objectives
04/21/23 BC Quality Academy 8
Your Project
HOW
Outcom
es –
Your AIM
from
Charte
r
Key D
river
sCha
nge
Conce
pts
Specif
ic Id
eas t
o Tes
t /
PDSA’s
HOWHOW
WHYWHY WHY
04/21/23 BC Quality Academy 9
Build Driver Diagram for Your Project
1. Draft a Driver Diagram– Bottom up…Affinity Diagram “on it’s side” using
Post-it’s– Top Down….Strategic Priorities/Objectives
2. Add Change Concepts to generate additional changes to test
– P. 357 Improvement Guide
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Appendix A – 72 Change Concepts
Examples:1.Eliminate things not used12. Synchronize steps19. Do Tasks in Parallel49. Extend time of specialists62. Use affordances72. Manage uncertainty
Apr 21, 2023 11BC Quality Academy
Build Driver Diagram for Your Project
1. Draft a Driver Diagram– Bottom up…Affinity Diagram “on it’s side” using
Post-it’s– Top Down….Strategic Priorities/Objectives
2. Add Change Concepts to generate additional changes to test
– P. 357 Improvement Guide
3. Add measures
04/21/23 BC Quality Academy 12
Your Project
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HOW
Outcom
es –
Your AIM
from
Charte
r
Key D
river
sCha
nge
Conce
pts
Specif
ic Id
eas t
o Tes
t /
PDSA’s
HOWHOW
WHYWHY WHY
Specif
ic Id
eas t
o Tes
t
Measure?
Measure?
Measure?Measure
?
Reduce weight
Improve Health
Move More
Eat Less
Take yoga class
Ride bike to work
HOW
Outco
mes
Driver
s
Chang
e Con
cept
s
Specif
ic Id
eas t
o Tes
t
Join gym
HOWHOW
WHYWHY WHY
Measure?
Measure?
Measure?
Measure?
04/21/23 BC Quality Academy 14
Report Out
• What did you learn?• When / how would you use a driver diagram
in your project? • Any surprises?
04/21/23 BC Quality Academy 15