Driver Diagrams
“Every system is perfectly designed to
achieve the results it gets”
-Improvement Axiom
Setting Aims
• Be impossible within the current
framework of how our system functions
•
•
•
•
•
Specific
Measurable
Ambitious (notice not attainable)
Relevant
Time bound
Conceptual Driver Diagram
Outcome
1⁰ driver
2⁰ driver
2⁰ driver
1
1⁰ driver
1
Aim or
Outcome
2⁰ driver
2
2⁰ driver
3
1⁰ driver
2
2⁰ driver
4
2⁰ driver
5
Specific Change Ideas
Ideas:
1
2
3
4
5
6
7
8
9
.
.
.
.
.
.
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.
N
Change Concepts
Concept 1
Concept 2
Concept 3
Concept 4
Concept 5
Concept 6
Where do specific change
ideas come from?
• Front line team – if you could improve your day to
day work in any way what would you do differently (no
new resources)?
• The literature (Medical or Improvement)
• Go to the web – what have others done
– www.koawatea.co.nz
– www.google.com
• Logical positive thinking methods
• Use of formal creativity techniques
20,000 Days Campaign Driver Diagram
AIM
Measures
Primary Drivers
Secondary
Drivers
Planned
Collaboratives
Phase 1
Collaboratives
Phase 2
Enhanced Recovery After Surgery
(ERAS)
Mental Health Short Stay
Helping at Risk People
Admissions
Community Geriatric Service
Healthy Skin
Unplanned
Cellulitis & Skin Infections
Enhanced Primary Mental Health
St John Ambulance Service
Medical Assessment Unit
Readmissions
Healthy Hearts
Transfers of care
Better Breathing – Community
Rehabilitation
Healthy Hearts - Community
Rehabilitation
Well Managed Pain
Counties
Manukau
Healthy & Well
Days
Discharges
Length of stay
Transitions of Care-Goal Discharge
Date (GDD)/Weekend Discharge
Very High Intensity Users (VHIU)
Complications
ACE ( Acute Care for the Elderly)
Inpatient Care for People with
Diabetes
Delirium Care
Rapid Response & Supportive
Discharge
Patient Safety
Harm/ Infections
Hip Fracture Management
SMOOTH (Safer Medication
Outcomes On Transfer To Home)
Access to Care
Key
Return to Business
Implementing Changes
New Collaborative
SMART (Safer Medical Admission
Review Team)
Supporting Life After Stroke
Environmental Cleaning
Gout Busters
Memory Team
Experience of Care
Franklin Co-ordination Service
GP Engagement
Version 2 – 19 June 2013
Saving Limbs, Saving Lives
20,000 Days Campaign Driver Diagram
AIM
Measures
Primary Drivers
Secondary
Drivers
Collaboratives
Phase 1
Collaboratives
Phase 2
Mental Health Short Stay
Planned
Helping at Risk People
Admissions
Healthy Skin
Unplanned
Enhanced Primary Mental Health
Medical Assessment Unit
Readmissions
Transfers of care
Healthy Hearts - Community
Rehabilitation
Well Managed Pain
Counties
Manukau
Healthy & Well
Days
Discharges
ACE ( Acute Care for the Elderly)
Length of stay
Complications
Inpatient Care for People with
Diabetes
SMART (Safer Medical Admission
Review Team)
Supporting Life After Stroke
Patient Safety
Harm/ Infections
Environmental Cleaning
Access to Care
Key
Return to Business
Implementing Changes
New Collaborative
Gout Busters
Memory Team
Experience of Care
Franklin Co-ordination Service
GP Engagement
Version 2 – 19 June 2013
Saving Limbs, Saving Lives
Break out
• Spend time creating a driver diagram (or refining your
driver diagram) that represents your teams theory about
what drivers will be important to focus on to achieve the
outcome you are aiming for
• Use 1 or 2 of the 2⁰ drivers from the global driver
diagram to serve as the outcome for your individual
project (align these with your stated aim)
• From there, identify 1-3 primary drivers and their
secondary drivers
• Begin building your theory