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Driver Diagrams: Linking Ideas to Action
Colleen Kennedy January 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
SecondaryDriver
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
SecondaryDriver
Change Idea
SecondaryDriver
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 StatementAim 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 RideTraining
Increase endurance
Increase Speed
NutritionNutritionIncrease
HydrationFill a 2l bottle of water and finish everyday
Drink 750 ml/hour on bike
Consumer high water foods
HealthRest and Recovery
Injury Free
GearBike
Clothing and AccessoriesChange Idea
Change Idea
Aim Statement: Create your own
• Take 5 minutes to create an aim statement for your project!
Primary DriversAim 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 RideTraining
Increase endurance
Increase Speed
NutritionNutritionIncrease
HydrationFill a 2l bottle of water and finish everyday
Drink 750 ml/hour on bike
Consumer high water foods
HealthRest and Recovery
Injury Free
GearBike
Clothing and AccessoriesCarbon Fibre Bike Shoes
Spandex
Change IdeasAim 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 RideTraining
Increase endurance
Increase Speed
NutritionNutritionIncrease
HydrationFill a 2l bottle of water and finish everyday
Drink 750 ml/hour on bike
Consumer high water foods
HealthRest and Recovery
Injury Free
GearBike
Clothing and AccessoriesChange 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 IdeasAim 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 RideTraining
Increase endurance
Increase Speed
NutritionNutritionIncrease
HydrationFill a 2l bottle of water and finish everyday
Drink 750 ml/hour on bike
Consumer high water foods
HealthRest and Recovery
Injury Free
GearBike
Clothing and AccessoriesChange 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
