1. Improvement Science Thinking

2. System as a black box
Theory of Knowledge

3. Subject Matter Knowledge
System as a black box
Subject Matter Knowledge
Theory of Knowledge

4. System as a black box Theory of Knowledge Subject Matter Knowledge
Appreciation of the System
Theory of Knowledge

5. System as a black box Theory of Knowledge Subject Matter Knowledge
Understanding Variation
Appreciation of the System
Theory of Knowledge

6. System as a black box Theory of Knowledge Psychology of Change
Subject Matter Knowledge
Understanding Variation
Appreciation of the System
Theory of Knowledge

7. System as a black box Theory of Knowledge Psychology of Change
Subject Matter Knowledge
Understanding Variation
Appreciation of the System
Theory of Knowledge

8. 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

9. Making sense of theories
Driver Diagrams
Making sense of theories

10. 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

11. Theory of what drives bed days
Theory of what actions will change bed days

12. 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
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

13. 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