1. 2/16/ :01 PM
Driver Diagrams

2. What is a Driver Diagram?
A type of logic model that describes the relationships between an aim for improvement and change ideas identified to make improvements.
Most driver diagrams include:
an Aim
Primary Drivers:
Factors believed to have a direct impact on the Aim
Secondary Drivers:
Actions hypothesized to impact the primary drivers
Change Ideas:
Actions that are more granular than secondary drivers, required if the secondary drivers are still too conceptual

3. Why use a driver diagram?
Helps an improvement team generate Change Ideas that reflect a “cause and effect” relationship with the Aim;
A simple visual display that helps to communicate the purpose for a project, the potential factors that could impact the aim, the set of possible change ideas to impact the aim, with an indication of which change ideas will be in scope for a particular project. While it isn’t always possible, it is ideal to include change ideas demonstrated through evidence to have an impact on the aim.
Will form the foundation for process and outcome measures.
Will assist staff in understanding how their improvement work contributes to/impacts the aim.

4. Let’s take a closer look…

5. Let’s look at a couple of concrete examples…
PRIMARY DRIVERS
SECONDARY
DRIVERS
AIM & BIG DOT MEASURE
CHANGE IDEAS & PROCESS MEASURES
% of Managers Who Complete Quarterly Visits
Quarterly Contact/Visit by Manager/Supervisor
Access to Manage-ment
Standardization of Practice
Increase number of clients who are satisfied with the timeliness of a response to their concerns by 17%
Open Door Session (1-4 pm) 1st Monday of Each Month
# of clients that attend
Scheduled Access
% of Clients With Magnet on Their Fridge
Fridge Magnet with Contact Information
% Clients Who Respond They Are Satisfied or Very Satisfied with the Timeliness of Response to a Concern
Health Literacy
Review & Modify all formal information (brochures, magnets etc.) Given to Clients
Re-design Client Information
% of Material That Has Been Reviewed
Include Visual Map of Contact Process
Focus on the blue squares and note that as one moves from Left to Right - from primary drivers, to secondary drivers, and then to change ideas - the content in the squares is moving from a conceptual to a more granular & tactical level.
Adapted from St Joseph’s Home Care, Hamilton

6. Focus on the green, purple & peach squares and note that as one moves from Left to Right - from primary drivers, to secondary drivers, and then to change ideas - the content in the squares is moving from a conceptual to a more granular & tactical level.
One more example….
Adapted from Acclaim Health

7. The squares under columns 1, 2 & 3 represent primary drivers, secondary drivers & change ideas. Looking at the content in the 3 columns, which column would you identify as Primary Drivers (ie the most conceptual)? 1 2 3
AIM
Streamline Pre-Screen Form
By Dec 31, 2015, we will:
Improve client experience with admission to Adult Day Services by 15%
Reduce client wait times from Assessment to Service Initiation
Identify Critical Information Needs
Eliminate Duplicate Information
Refresh Guidelines for Pre-Screen Process
Eliminate Steps & Move Downstream Activities Up
Book Assessments at Intake Regardless of RAI-HC Completion Status
Decrease Number of Process Steps
Streamline Client Forms
Book Client Start Date for Service at Time of Assessment
Would it be:
Column 1?
Column 2?
Column 3?
Adapted from ESS Support Services

8. The squares under columns 1, 2 & 3 represent primary drivers, secondary drivers & change ideas. Looking at the content in the 3 columns, which column would you identify as Secondary Drivers (ie the next most conceptual): 1 2 3
AIM
Streamline Pre-Screen Form
By Dec 31, 2015, we will:
Improve client experience with admission to Adult Day Services by 15%
Reduce client wait times from Assessment to Service Initiation
Identify Critical Information Needs
Eliminate Duplicate Information
Refresh Guidelines for Pre-Screen Process
Eliminate Steps & Move Downstream Activities Up
Book Assessments at Intake Regardless of RAI-HC Completion Status
Decrease Number of Process Steps
Book Client Start Date for Service at Time of Assessment
Streamline Client Forms
Next, which column would you identify as Secondary Drivers?
Column 1?
Column 2?
Column 3?
Adapted from ESS Support Services

9. A Driver Diagram also serves as a foundation for identifying outcome and process measures and communicating the level at which each is relevant
PRIMARY DRIVERS
AIM
SECONDARY
DRIVERS
CHANGE IDEAS
Identify Critical Information Needs
Streamline Pre-Screen Form
By Dec 31, 2015, we will:
Improve client experience with admission to Adult Day Services by 15%
Reduce client wait times from Assessment to Service Initiation
Eliminate Duplicate Information
Streamline Client Forms
Refresh Guidelines for Pre-Screen Process
Book Assessments at Intake Regardless of RAI-HC Completion Status
Eliminate Steps & Move Downstream Activities Up
Decrease Number of Process Steps
Book Client Start Date for Service at Time of Assessment
Outcome Measure(s)
Process Measures

10. Where would you attach each of the measures in the pink circles below?
AIM
PRIMARY DRIVERS
CHANGE IDEAS
SECONDARY
DRIVERS
By Dec 31, 2015, we will:
Improve client experience with admission to Adult Day Services by 15%
Reduce client wait times from Assessment to Service Initiation
Decrease Number of Process Steps
Identify Critical Information Needs
Streamline Client Forms
Eliminate Duplicate Information
Eliminate Steps & Move Downstream Activities Up
Streamline Pre-Screen Form
Refresh Guidelines for Pre-Screen Process
Book Assessments at Intake Regardless of RAI-HC Completion Status
Book Client Start Date for Service at Time of Assessment 1 2a 2b 3a 3b 3c 4a 4b 4c 4d
Write the applicable number and letter beside each of these measures to indicate where you would position each on the diagram:
% Clients Who Rate Their Admission Experience as Excellent
# Minutes Required to Complete An Assessment
% Clients Booked for Assessment at Intake
% Clients With Start Date for Service Confirmed at Assessment
Average # Days from Assessment to Service Initiation

11. To summarize:
Driver Diagrams are a tool which assist teams in doing improvement work and help to communicate to others the Aim and the hypotheses/rationale for selecting specified change ideas to achieve improvement.
More specifically, a Driver Diagram:
Assists teams in generating change ideas that link to root cause and that will impact an Aim
Serves as a foundation/tool for developing measures and understanding where each is relevant
Communicates to others the “logic” or the design of the project
Helps staff to understand how their work at the front line contributes to goals/aims