driver diagrams - bc patient safety & quality council · wedding bands awesome guests show up...
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Driver Diagrams: Linking Ideas to Action
All the Cool Kids are Doing Them!
What We Will Cover
• What are driver diagrams?
• When to use them
• Break down the parts and create a driver diagram together
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
What Are They?
Best Wedding
Ever
Legal & Traditional
Park permit Book mining
park
Marriage commissioner Book marriage commissioner
Tradition Wedding
bands
Awesome guests show up & stay
Communications
Paper wedding
invitations
Wedding website?
Accommodations
Riding Fool Hostel
The Old House group rate
Transportation Carpooling
from Courtney
Everyone has fun During Reception Lawn games
Group activities
Group bike ride
List of fun options in area for guests
Folks don’t get hangry
Stuff to eat off of Rent china,
tables
Catering/Food Prep
Coffee Bar
Wedding brunch
Brewery dinner
We remember the day
Photographer Book
photographer
Keepsakes
Coffee mugs?
Something to sign
We look rad
Bride
Dress
Makeup & hair
The girls
Bike ride outfit
Groom
Suit
The boys
Bike ride outfit
People are comfy Shine
Outdoor seating
Rain Indoor seating
WHEN YOU COULD USE THEM
When you could use?
Source: Health Quality Ontario
BREAKING DOWN THE PARTS
Aim Statement
Aim Statement
Primary Drivers
Secondary Drivers
Change Ideas
Aim Statement
• A clear, action orientated statement
– Specific
– Measureable
– Achievable
– Realistic
– Timebound
Best Summer Ever: Finalize Our Aim
How to have the
best summer by August 31,
2016
Primary Driver
Secondary Driver
Secondary Driver
Primary Driver
Secondary Driver
Secondary Driver
Change Idea
Change Idea
Change Idea
Primary Driver
Secondary Driver
Secondary Driver
Primary Driver Secondary
Driver
Secondary Driver
Change Idea
Change Idea
Primary Drivers
Aim Statement
Primary Drivers
Secondary Drivers
Change Ideas
Drivers
• Identify the elements in the system that are necessary to achieve the intended outcomes
• Key leverage points in the system
Bennett & Provost, 2015
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
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 Summer Ever: Primary Drivers
How to have the
best summer by August 31,
2016
Relax
Secondary Driver
Secondary Driver
Ensure Great
Weather
Secondary Driver
Secondary Driver
Change Idea
Change Idea
Change Idea
Primary Driver
Secondary Driver
Secondary Driver
Primary Driver Secondary
Driver
Secondary Driver
Change Idea
Change Idea
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
How to have the
best summer
by August 31, 2016
Relax
Book vacation
time
Plan a holiday
Ensure Your Inlaws Don’t Visit
Ensure Great
Weather
Secondary Driver
Secondary Driver
Change Idea
Change Idea
Change Idea
Primary Driver
Secondary Driver
Secondary Driver
Primary Driver Secondary
Driver
Secondary Driver
Change Idea
Change Idea
Best Summer Ever: Secondary Drivers
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
How to have the
best summer
by August 31, 2016
Relax
Book vacation
time
Change Idea
Plan a holiday
Change Idea
Ensure your inlaws don’t visit
Send them on a holiday
Tell them you have bed bugs in
your house
Ensure Great
Weather
Secondary Driver
Secondary Driver
Primary Driver
Secondary Driver
Secondary Driver
Primary Driver Secondary
Driver
Secondary Driver
Change Idea
Change Idea
Best Summer Ever: Change Ideas
In Closing: Top 5 Tips
• Can be employed at multiple points
• Ensure you have a clear aim statement
• Use informed brainstorming
• Be flexible when creating
• Keep it dynamic
QUESTIONS
top related