Driver Diagrams - BC Patient Safety & Quality Council · Wedding bands Awesome guests show up...

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