Improvement Science Thinking
Improvement Science Consulting
System as a
black box
Theory of
Knowledge
Subject Matter
Knowledge
System as a
black box
Theory of
Knowledge
Subject Matter
Knowledge
System as a
black box
Appreciation of the
System
Theory of
Knowledge
Subject Matter
Knowledge
System as a
black box
Understanding
Variation
Appreciation of the
System
Theory of
Knowledge
Subject Matter
Knowledge
System as a
black box
Psychology of
Change
Understanding
Variation
Appreciation of the
System
Theory of
Knowledge
Subject Matter
Knowledge
System as a
black box
Psychology of
Change
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
Improvement Science Consulting
Driver Diagrams
Making sense of theories
Improvement Science Consulting
Conceptual Driver Diagram
Outcome
1⁰ driver
2⁰ driver
2⁰ driver
1
1⁰ driver
1
Change Concepts
Concept 1
Concept 2
2⁰ driver
2
Concept 3
Aim or
Outcome
2⁰ driver
3
1⁰ driver
2
Effect
2⁰ driver
4
Drivers
Improvement Science Consulting
2⁰ driver
5
Concept 4
Concept 5
Concept 6
Specific Change Ideas
Ideas:
1
2
3
4
5
6
7
8
9
.
.
.
.
.
.
N
Cause
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
2⁰ driver
1
1⁰ driver
1
Aim or
Outcome
2⁰ driver
2
2⁰ driver
3
1⁰ driver
2
2⁰ driver
4
2⁰ driver
5
Improvement Science Consulting
Change Concepts
Specific Change Ideas
Where ideas come
Ideas: from:
1
1. Medical Literature
2
2.
Websites
like
Concept 2
3
www.ihi.org 4
3. Team members
5 who
6
Concept 3 have innovative
7
thoughts about
what to
8
do differently 9
.
Concept 4.
4 Structured Creativity
Sessions (use. of
.
change concepts,
.
provocations, .random
Concept 5
entry, etc.) .
5. Other Teams N
Concept 6.
6 Improvement Advisors
Concept 1
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
Improvement Science Consulting