Improvement Science Thinking
System as a black box Theory of Knowledge
Subject Matter Knowledge System as a black box Subject Matter Knowledge Theory of Knowledge
System as a black box Theory of Knowledge Subject Matter Knowledge Appreciation of the System Theory of Knowledge
System as a black box Theory of Knowledge Subject Matter Knowledge Understanding Variation Appreciation of the System Theory of Knowledge
System as a black box Theory of Knowledge Psychology of Change Subject Matter Knowledge Understanding Variation Appreciation of the System Theory of Knowledge
System as a black box Theory of Knowledge Psychology of Change Subject Matter Knowledge Understanding Variation Appreciation of the System Theory of Knowledge
Improvement Science + Understanding Variation Psychology of Change Systems Thinking Theory of Knowledge Subject Matter Expertise First articulated as Profound Knowledge by W. Edwards Deming + Key tool for articulating our Theory of Knowledge
Making sense of theories Driver Diagrams Making sense of theories
Conceptual Driver Diagram Outcome 1⁰ driver 2⁰ driver Change Concepts Specific Change Ideas 2⁰ driver 1 Ideas: 1 2 3 4 5 6 7 8 9 . N Concept 1 1⁰ driver 1 Concept 2 2⁰ driver 2 Concept 3 Aim or Outcome 2⁰ driver 3 Concept 4 2⁰ driver 4 1⁰ driver 2 Concept 5 Cause Effect Drivers 2⁰ driver 5 Concept 6
Theory of what drives bed days Theory of what actions will change bed days
How will we use our driver diagrams? Outcome 1⁰ driver 2⁰ driver Change Concepts Specific Change Ideas Where ideas come from: Medical Literature Websites like www.ihi.org Team members who have innovative thoughts about what to do differently Structured Creativity Sessions (use of change concepts, provocations, random entry, etc.) Other Teams Improvement Advisors 2⁰ driver 1 Ideas: 1 2 3 4 5 6 7 8 9 . N Concept 1 1⁰ driver 1 Concept 2 2⁰ driver 2 Concept 3 Aim or Outcome 2⁰ driver 3 Concept 4 2⁰ driver 4 1⁰ driver 2 Concept 5 2⁰ driver 5 Concept 6
Team Break Out Spend time creating a driver diagram that represents your teams theory about what drivers will be important to focus on to achieve the outcome you are aiming for Choose 1 or 2 outcomes that represent the areas of work you will be focusing on your individual project from there, identify 1-3 primary drivers and their secondary drivers Begin building your theory