Assist week 7

QIToolkit_DriverDiagram.pdf

QI Essentials Toolkit:

Driver Diagram A driver diagram is a visual display of a team’s theory of what “drives,” or contributes to, the achievement of a project aim. This clear picture of a team’s shared view is a useful tool for communicating to a range of stakeholders where a team is testing and working.

A driver diagram shows the relationship between the overall aim of the project, the primary drivers (sometimes called “key drivers”) that contribute directly to achieving the aim, the secondary drivers that are components of the primary drivers, and specific change ideas to test for each secondary driver.

Primary drivers are the most important influencers on the aim, and you will have only a few (we recommend 2 to 5); secondary drivers are influencers on (or natural subsections of) the primary drivers, and you may have many. As you identify each driver, establish a way to measure it.

Remember: It’s unlikely that a single individual has a clear view of an entire complex system. When developing a driver diagram, enlist the help of team members who are familiar with different aspects of the system under review.

Copyright © 2017 Institute for Healthcare Improvement. All rights reserved. Individuals may photocopy these materials for educational, not-for-profit uses, provided that the contents are not altered in any way and that proper attribution is given to IHI as the source of the content. These materials may not be reproduced for commercial, for-profit use in any form or by any means, or republished under any circumstances, without the written permission of the Institute for Healthcare Improvement.

IHI’s QI Essentials Toolkit includes the tools and templates you need to launch and manage a successful improvement project. Each of the nine tools in the toolkit includes a short description, instructions, an example, and a blank template. NOTE: Before filling out the template, first save the file on your computer. Then open and use that version of the tool. Otherwise, your changes will not be saved.

• Cause and Effect Diagram • Driver Diagram • Failure Modes and Effects

Analysis (FMEA)

• Flowchart • Histogram • Pareto Chart • PDSA Worksheet

• Project Planning Form • Run Chart & Control Chart • Scatter Diagram

QI ESSENTIALS TOOLKIT: Driver Diagram

Institute for Healthcare Improvement ∙ ihi.org

Instructions 1) On the left, list the project aim (what will be improved, by how much, for whom, and by when)

and draw a box around it.

2) To the right of the aim, list a few “primary drivers” — the most significant high-level influencers on the aim you’ve identified. Draw a box around each of the primary drivers, and draw lines to connect the primary drivers to the aim.

3) To the right of each primary driver, list as many “secondary drivers” that influence the primary driver as you can think of. Draw a box around each secondary driver, and draw lines to connect the secondary drivers to the primary drivers. Note: Secondary drivers can connect to more than one primary driver.

o Tip: To show strong relationships, use solid lines; to show weaker relationships, use dotted lines.

4) To the right of each secondary driver, list specific change ideas you will test to influence the secondary driver. Note: Change ideas can connect to more than one secondary driver.

QI ESSENTIALS TOOLKIT: Driver Diagram

Institute for Healthcare Improvement ∙ ihi.org

Example: Driver Diagram

QI ESSENTIALS TOOLKIT: Driver Diagram

Institute for Healthcare Improvement ∙ ihi.org

Before filling out the template, first save the file on your computer. Then open and use that version of the tool. Otherwise, your changes will not be saved.

Template: Driver Diagram

Primary Drivers 1:
Secondary Drivers 1:
Secondary Drivers 2:
Secondary Drivers 3:
Aim:
Primary Drivers 2:
Secondary Drivers 4:
Secondary Drivers 5:
Secondary Drivers 6:
Primary Drivers 3:
Secondary Drivers 7:
Secondary Drivers 8:
Secondary Drivers 9:
Primary Drivers 4:
Secondary Drivers 10:
Secondary Drivers 11:
Secondary Drivers 12:
Primary Drivers 5:
Secondary Drivers 13:
Secondary Drivers 14:
Secondary Drivers 15:
Ideas 1:
Ideas 2:
Ideas 3:
Ideas 4:
Ideas 5:
Ideas 6:
Ideas 7:
Ideas 8:
Ideas 9:
Ideas 10:
Ideas 11:
Ideas 12:
Ideas 13:
Ideas 14:
Ideas 15:
Ideas 16:
Ideas 17:
Ideas 18:
Ideas 19:
Ideas 20:

mh55w7.docx

Signature Assignment: Create an Organizational Culture of Person-Centered Quality Health Care

There are two parts to complete your assignment for this week. Please review the instructions carefully.

Part 1:

 Access the Institute for Healthcare Improvement's Quality Improvement Essentials Toolkit at the link in your Weekly Resources. Once at the link, you may be prompted to create an account to access the IHI Toolkit and the Driver Diagram. By creating an account, you will have access to many resources provided by the Institute for Healthcare Improvement.

 you will select the Driver Diagram from the list of tools.

 Download the template and save the template to your computer with your standard file-naming protocol. Be sure this file name includes the words Driver Diagram. Note: When downloading the template using the Chrome browser and the download arrow, a message appears asking if the form is to be saved "with my changes" or "without my changes." Be sure to save with your changes even if you haven't made any changes. This action will save the template with your work, otherwise, it will not be saved.

 Close your browser after saving the form.

 Find the file you just saved on your computer and open it up.

 Read the information about Drivers in the form and review the example in the template.

 Scroll down and start filling out the template using the title Create an Organizational Culture of Person-Centered Quality Health Care as your Aim.

 Continue to fill out the entire diagram by reviewing your weekly reading assignments and conducting your own additional research.

An example of how the Driver Diagram should look as you begin filling in the template is shown in Figure 8. In this example, there are Primary Drivers listed which you may use in your diagram or you can select different Primary Drivers.

Driver Diagram Example

Part 2:

Once you have completed and saved your Driver Diagram, you will prepare a Perspective Paper discussing your rationale for selecting the Primary Drivers, the Secondary Drivers, and the specific ideas to move toward creating an organizational culture of person-centered quality health care. Keep in mind, your perspective will provide a reasoned argument why you selected the drivers and ideas. Hint: A good method to use when preparing a perspective paper is the A-B-C-D-E method; answer the question why the selections were made, back up your decisions, critique your decisions, defend your decisions, and evaluate your decision against other alternatives.

Be sure your Perspective Paper contains an Introductory section, a section with the Body of your report, and a Summary Section. In addition, you will submit your Driver Diagram in one of two ways. You may either take a screenshot of your completed Driver Diagram, paste it into a new Word document, crop it as seen in Figure 8, then right-click on the cropped area and select Save as Picture. Save the cropped area as a picture on your computer, giving it the same file name and the original Driver Diagram. Insert your saved picture of your Driver Diagram in your report as an Appendix. Enlarge the picture so it fills the Appendix page to the page margins. Be sure to consult APA formatting guidelines when using an Appendix.

Alternately, in lieu of the Appendix page, you can upload your Driver Diagram as a separate document when you submit your Perspective Paper. Be sure to refer to the separate Driver Diagram document in your Summary Section.

Part 1: The Driver Diagram is one page if used as the Appendix in the Perspective Paper. If uploaded as a separate document, your completed Driver Diagram template is 1 page of the 4-page IHI document.

Part 2: The Perspective Paper is a minimum of 3 pages, not including the title page, reference page, and Appendix page if used.

References: Include a minimum of 3 peer-reviewed resources. Other scholarly and credible sources may also be used as supplemental support.

image1.png

QIToolkit_DriverDiagram.pdf

QI Essentials Toolkit:

Driver Diagram A driver diagram is a visual display of a team’s theory of what “drives,” or contributes to, the achievement of a project aim. This clear picture of a team’s shared view is a useful tool for communicating to a range of stakeholders where a team is testing and working.

A driver diagram shows the relationship between the overall aim of the project, the primary drivers (sometimes called “key drivers”) that contribute directly to achieving the aim, the secondary drivers that are components of the primary drivers, and specific change ideas to test for each secondary driver.

Primary drivers are the most important influencers on the aim, and you will have only a few (we recommend 2 to 5); secondary drivers are influencers on (or natural subsections of) the primary drivers, and you may have many. As you identify each driver, establish a way to measure it.

Remember: It’s unlikely that a single individual has a clear view of an entire complex system. When developing a driver diagram, enlist the help of team members who are familiar with different aspects of the system under review.

Copyright © 2017 Institute for Healthcare Improvement. All rights reserved. Individuals may photocopy these materials for educational, not-for-profit uses, provided that the contents are not altered in any way and that proper attribution is given to IHI as the source of the content. These materials may not be reproduced for commercial, for-profit use in any form or by any means, or republished under any circumstances, without the written permission of the Institute for Healthcare Improvement.

IHI’s QI Essentials Toolkit includes the tools and templates you need to launch and manage a successful improvement project. Each of the nine tools in the toolkit includes a short description, instructions, an example, and a blank template. NOTE: Before filling out the template, first save the file on your computer. Then open and use that version of the tool. Otherwise, your changes will not be saved.

• Cause and Effect Diagram • Driver Diagram • Failure Modes and Effects

Analysis (FMEA)

• Flowchart • Histogram • Pareto Chart • PDSA Worksheet

• Project Planning Form • Run Chart & Control Chart • Scatter Diagram

QI ESSENTIALS TOOLKIT: Driver Diagram

Institute for Healthcare Improvement ∙ ihi.org

Instructions 1) On the left, list the project aim (what will be improved, by how much, for whom, and by when)

and draw a box around it.

2) To the right of the aim, list a few “primary drivers” — the most significant high-level influencers on the aim you’ve identified. Draw a box around each of the primary drivers, and draw lines to connect the primary drivers to the aim.

3) To the right of each primary driver, list as many “secondary drivers” that influence the primary driver as you can think of. Draw a box around each secondary driver, and draw lines to connect the secondary drivers to the primary drivers. Note: Secondary drivers can connect to more than one primary driver.

o Tip: To show strong relationships, use solid lines; to show weaker relationships, use dotted lines.

4) To the right of each secondary driver, list specific change ideas you will test to influence the secondary driver. Note: Change ideas can connect to more than one secondary driver.

QI ESSENTIALS TOOLKIT: Driver Diagram

Institute for Healthcare Improvement ∙ ihi.org

Example: Driver Diagram

QI ESSENTIALS TOOLKIT: Driver Diagram

Institute for Healthcare Improvement ∙ ihi.org

Before filling out the template, first save the file on your computer. Then open and use that version of the tool. Otherwise, your changes will not be saved.

Template: Driver Diagram

Primary Drivers 1:
Secondary Drivers 1:
Secondary Drivers 2:
Secondary Drivers 3:
Aim:
Primary Drivers 2:
Secondary Drivers 4:
Secondary Drivers 5:
Secondary Drivers 6:
Primary Drivers 3:
Secondary Drivers 7:
Secondary Drivers 8:
Secondary Drivers 9:
Primary Drivers 4:
Secondary Drivers 10:
Secondary Drivers 11:
Secondary Drivers 12:
Primary Drivers 5:
Secondary Drivers 13:
Secondary Drivers 14:
Secondary Drivers 15:
Ideas 1:
Ideas 2:
Ideas 3:
Ideas 4:
Ideas 5:
Ideas 6:
Ideas 7:
Ideas 8:
Ideas 9:
Ideas 10:
Ideas 11:
Ideas 12:
Ideas 13:
Ideas 14:
Ideas 15:
Ideas 16:
Ideas 17:
Ideas 18:
Ideas 19:
Ideas 20:

mh55w7.docx

Signature Assignment: Create an Organizational Culture of Person-Centered Quality Health Care

There are two parts to complete your assignment for this week. Please review the instructions carefully.

Part 1:

 Access the Institute for Healthcare Improvement's Quality Improvement Essentials Toolkit at the link in your Weekly Resources. Once at the link, you may be prompted to create an account to access the IHI Toolkit and the Driver Diagram. By creating an account, you will have access to many resources provided by the Institute for Healthcare Improvement.

 you will select the Driver Diagram from the list of tools.

 Download the template and save the template to your computer with your standard file-naming protocol. Be sure this file name includes the words Driver Diagram. Note: When downloading the template using the Chrome browser and the download arrow, a message appears asking if the form is to be saved "with my changes" or "without my changes." Be sure to save with your changes even if you haven't made any changes. This action will save the template with your work, otherwise, it will not be saved.

 Close your browser after saving the form.

 Find the file you just saved on your computer and open it up.

 Read the information about Drivers in the form and review the example in the template.

 Scroll down and start filling out the template using the title Create an Organizational Culture of Person-Centered Quality Health Care as your Aim.

 Continue to fill out the entire diagram by reviewing your weekly reading assignments and conducting your own additional research.

An example of how the Driver Diagram should look as you begin filling in the template is shown in Figure 8. In this example, there are Primary Drivers listed which you may use in your diagram or you can select different Primary Drivers.

Driver Diagram Example

Part 2:

Once you have completed and saved your Driver Diagram, you will prepare a Perspective Paper discussing your rationale for selecting the Primary Drivers, the Secondary Drivers, and the specific ideas to move toward creating an organizational culture of person-centered quality health care. Keep in mind, your perspective will provide a reasoned argument why you selected the drivers and ideas. Hint: A good method to use when preparing a perspective paper is the A-B-C-D-E method; answer the question why the selections were made, back up your decisions, critique your decisions, defend your decisions, and evaluate your decision against other alternatives.

Be sure your Perspective Paper contains an Introductory section, a section with the Body of your report, and a Summary Section. In addition, you will submit your Driver Diagram in one of two ways. You may either take a screenshot of your completed Driver Diagram, paste it into a new Word document, crop it as seen in Figure 8, then right-click on the cropped area and select Save as Picture. Save the cropped area as a picture on your computer, giving it the same file name and the original Driver Diagram. Insert your saved picture of your Driver Diagram in your report as an Appendix. Enlarge the picture so it fills the Appendix page to the page margins. Be sure to consult APA formatting guidelines when using an Appendix.

Alternately, in lieu of the Appendix page, you can upload your Driver Diagram as a separate document when you submit your Perspective Paper. Be sure to refer to the separate Driver Diagram document in your Summary Section.

Part 1: The Driver Diagram is one page if used as the Appendix in the Perspective Paper. If uploaded as a separate document, your completed Driver Diagram template is 1 page of the 4-page IHI document.

Part 2: The Perspective Paper is a minimum of 3 pages, not including the title page, reference page, and Appendix page if used.

References: Include a minimum of 3 peer-reviewed resources. Other scholarly and credible sources may also be used as supplemental support.

image1.png

QIToolkit_DriverDiagram.pdf

QI Essentials Toolkit:

Driver Diagram A driver diagram is a visual display of a team’s theory of what “drives,” or contributes to, the achievement of a project aim. This clear picture of a team’s shared view is a useful tool for communicating to a range of stakeholders where a team is testing and working.

A driver diagram shows the relationship between the overall aim of the project, the primary drivers (sometimes called “key drivers”) that contribute directly to achieving the aim, the secondary drivers that are components of the primary drivers, and specific change ideas to test for each secondary driver.

Primary drivers are the most important influencers on the aim, and you will have only a few (we recommend 2 to 5); secondary drivers are influencers on (or natural subsections of) the primary drivers, and you may have many. As you identify each driver, establish a way to measure it.

Remember: It’s unlikely that a single individual has a clear view of an entire complex system. When developing a driver diagram, enlist the help of team members who are familiar with different aspects of the system under review.

Copyright © 2017 Institute for Healthcare Improvement. All rights reserved. Individuals may photocopy these materials for educational, not-for-profit uses, provided that the contents are not altered in any way and that proper attribution is given to IHI as the source of the content. These materials may not be reproduced for commercial, for-profit use in any form or by any means, or republished under any circumstances, without the written permission of the Institute for Healthcare Improvement.

IHI’s QI Essentials Toolkit includes the tools and templates you need to launch and manage a successful improvement project. Each of the nine tools in the toolkit includes a short description, instructions, an example, and a blank template. NOTE: Before filling out the template, first save the file on your computer. Then open and use that version of the tool. Otherwise, your changes will not be saved.

• Cause and Effect Diagram • Driver Diagram • Failure Modes and Effects

Analysis (FMEA)

• Flowchart • Histogram • Pareto Chart • PDSA Worksheet

• Project Planning Form • Run Chart & Control Chart • Scatter Diagram

QI ESSENTIALS TOOLKIT: Driver Diagram

Institute for Healthcare Improvement ∙ ihi.org

Instructions 1) On the left, list the project aim (what will be improved, by how much, for whom, and by when)

and draw a box around it.

2) To the right of the aim, list a few “primary drivers” — the most significant high-level influencers on the aim you’ve identified. Draw a box around each of the primary drivers, and draw lines to connect the primary drivers to the aim.

3) To the right of each primary driver, list as many “secondary drivers” that influence the primary driver as you can think of. Draw a box around each secondary driver, and draw lines to connect the secondary drivers to the primary drivers. Note: Secondary drivers can connect to more than one primary driver.

o Tip: To show strong relationships, use solid lines; to show weaker relationships, use dotted lines.

4) To the right of each secondary driver, list specific change ideas you will test to influence the secondary driver. Note: Change ideas can connect to more than one secondary driver.

QI ESSENTIALS TOOLKIT: Driver Diagram

Institute for Healthcare Improvement ∙ ihi.org

Example: Driver Diagram

QI ESSENTIALS TOOLKIT: Driver Diagram

Institute for Healthcare Improvement ∙ ihi.org

Before filling out the template, first save the file on your computer. Then open and use that version of the tool. Otherwise, your changes will not be saved.

Template: Driver Diagram

Primary Drivers 1:
Secondary Drivers 1:
Secondary Drivers 2:
Secondary Drivers 3:
Aim:
Primary Drivers 2:
Secondary Drivers 4:
Secondary Drivers 5:
Secondary Drivers 6:
Primary Drivers 3:
Secondary Drivers 7:
Secondary Drivers 8:
Secondary Drivers 9:
Primary Drivers 4:
Secondary Drivers 10:
Secondary Drivers 11:
Secondary Drivers 12:
Primary Drivers 5:
Secondary Drivers 13:
Secondary Drivers 14:
Secondary Drivers 15:
Ideas 1:
Ideas 2:
Ideas 3:
Ideas 4:
Ideas 5:
Ideas 6:
Ideas 7:
Ideas 8:
Ideas 9:
Ideas 10:
Ideas 11:
Ideas 12:
Ideas 13:
Ideas 14:
Ideas 15:
Ideas 16:
Ideas 17:
Ideas 18:
Ideas 19:
Ideas 20:

mh55w7.docx

QIToolkit_DriverDiagram.pdf

mh55w7.docx

image1.png

QIToolkit_DriverDiagram.pdf

mh55w7.docx

image1.png