Driver Diagrams: Linking Ideas to Action

Colleen KennedyJanuary 30 & 31, 2013

What We Will Cover

• What are driver diagrams?

• When to use them

• Break down the parts and create your own diagram

Background

Beginner

Intermediate

Expert

Skills Assessment

WHAT ARE DRIVER DIAGRAMS?

The Model

AIM

Primary Driver

Secondary Driver

Change Idea

Change Idea

Change Idea

Secondary Driver

Change Idea

Change Idea

Primary Driver

Secondary Driver

Change Idea

Secondary

Driver

Change Idea

Change Idea

The Model - Example

Reduce readmissions for COPD by 50% by Sept

1, 2015

Increase referrals to the Breathe

Well program

Secondary Driver

Change Idea

Change Idea

Change Idea

Improve awareness of community resources

and services

Trial the standardized

discharge form (which includes the Breathe Well

referral)

Primary Driver

Secondary

DriverChange Idea

Secondary

Driver

Change Idea

Change Idea

What Are They?

WHEN YOU COULD USE THEM

When you could use?

Source: Health Quality Ontario

BREAKING DOWN THE PARTS

The Model

Aim Statement

Aim Statement

Primary Drivers

Secondary Drivers

Change Ideas

Aim Statement

• A clear, action orientated statement

– Specific

– Measureable

– Achievable

– Realistic

– Timebound

Best Ever Bike Race

Best Time at the

Okanagan Shuswap 100 km

Spring Ride

Training

Increase endurance

Increase Speed

Nutrition Nutrition

Increase

Hydration

Fill a 2l bottle of water and finish

everyday

Drink 750 ml/hour on bike

Consumer high water foods

Health

Rest and Recovery

Injury Free

GearBike

Clothing and Accessories

Change Idea

Change Idea

Aim Statement: Create your own

• Take 5 minutes to create an aim statement for your project!

Primary Drivers

Aim Statement

Primary Drivers

Secondary Drivers

Change Ideas

Primary Drivers

• System components which will contribute to achieving the aim

• Referred to as primary drivers because they ‘drive’ the achievement of your main goal.

Best Ever Bike Race

Best Time at the

Okanagan Shuswap 100 km

Spring Ride

Training

Increase endurance

Increase Speed

Nutrition Nutrition

Increase

Hydration

Fill a 2l bottle of water and finish

everyday

Drink 750 ml/hour on bike

Consumer high water foods

Health

Rest and Recovery

Injury Free

GearBike

Clothing and Accessories

Carbon Fibre Bike Shoes

Spandex

Change Ideas

Aim Statement

Primary Drivers

Secondary Drivers

Change Ideas

Secondary Drivers

• Elements within the related primary driver

• Break down the primary driver into manageable components

Best Ever Bike Race

Best Time at the

Okanagan Shuswap 100 km

Spring Ride

Training

Increase endurance

Increase Speed

Nutrition Nutrition

Increase

Hydration

Fill a 2l bottle of water and finish

everyday

Drink 750 ml/hour on bike

Consumer high water foods

Health

Rest and Recovery

Injury Free

GearBike

Clothing and Accessories

Change Idea

Change Idea

Drivers

• Identify potential drivers

– Areas in which change will impact aim

– Informed brainstorming

• Value stream maps

• Patient journey maps

• Client experience surveys

• Other stakeholder feedback (providers/patients)

• System data

• Research literature

Drivers

• Cluster the ideas to create an agreed upon set of ‘drivers’

– Clearly defined

– Typical language: “improve” or “decrease”

• Identify the links between the drivers –creating primary, secondary and even tertiary

Drivers: Create your own

• Take 10 minutes to brainstorm and map out some primary and secondary drivers for your work!

Change Ideas

Aim Statement

Primary Drivers

Secondary Drivers

Change Ideas

Change Ideas

• Outlines what changes will lead to improvement

• Focuses team’s attention

• To accomplish the aim

• Credible changes• Research literature

• Expert/stakeholder recommendations

Change Ideas

• Ideas for change

• Actionable, specific idea to trial

• Teams test these change ideas• Test on a small scale

• Spread adapted changes

• Plan multiple series of PDSA’s

Change Concepts

• Change concepts are high level/conceptual

• Use them to help generate change ideas• A general notion or approach • Accelerate quantity and quality of change

idea development

Change Concepts

• Examples:• Remove bottlenecks• Listen to customers• Give people access to information• Change the order of process steps• Standardization

Change Ideas

• After generated

• Align the flow of ideas with primary and secondary drivers

Best Ever Bike Race

Best Time at the

Okanagan Shuswap 100 km

Spring Ride

Training

Increase endurance

Increase Speed

Nutrition Nutrition

Increase

Hydration

Fill a 2l bottle of water and finish

everyday

Drink 750 ml/hour on bike

Consumer high water foods

Health

Rest and Recovery

Injury Free

GearBike

Clothing and Accessories

Change Idea

Change Idea

Change Ideas: Create your own

• Take 10 minutes to brainstorm and map out some change ideas for your work!

Reflection

• Thoughts

• Advantages?

• Disadvantages?

QUESTIONS