Key Driver Diagram
Key Driver Diagram
Interventions
•
Need to go from conceptual to specific, actionable ideas
•
The difference between “standardization” and making a specific order
set the default
•
Change concepts can include eliminating waste, manage variation,
manage time, design systems to avoid mistakes, improving work flow,
enhance the hospital/customer relationship
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Interventions
: What changes
can you test to target primary
and secondary drivers? What
changes can you make that
will result in improvement?
Possible interventions may be
identified by considering
evidence based practices, the
voice of the customer, process
observation, conducting a
simplified FMEA.
Identify changes that will
redesign the system
causing
impact far in the future. Work
on fire prevention rather than
fire fighting.
Should be
specific
. E.g. how
can you operationalize
standardization?
Key Drivers:
What are the key items that will help
you achieve your SMART Aim? To help map out
drivers, conducting a FMEA may be helpful.
Global Aim:
The project’s
“North Star.” What is your
ultimate goal you’re trying to
achieve?
SMART Aim:
Should have an
aim that is Specific,
Measurable, Achievable,
Realistic, and Timely.
Population:
Be specific
regarding which patients will
be included in the project.
Constructing a Key Driver Diagram
This project aims to standardize interventions for mothers with opiate use disorder and their newborns, focusing on reducing length of stay, minimizing pharmacologic care exposure, and increasing support care planning. Key drivers include stigma education, family/care team relationships, and consistent withdrawal scoring. The ultimate goal is to improve the inpatient management of infants with Neonatal Opioid Withdrawal Syndrome (NOWS) by implementing effective strategies and guidelines.
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Presentation Transcript
Interventions Need to go from conceptual to specific, actionable ideas The difference between standardization and making a specific order set the default Change concepts can include eliminating waste, manage variation, manage time, design systems to avoid mistakes, improving work flow, enhance the hospital/customer relationship
Global Aim Interventions Secondary Drivers Primary Drivers To optimize inpatient care strategies for mothers with opiate use disorder* and opiate exposed newborns. Stigma education as part of ongoing education procedures Strengthen Family/Care Team Relationships Identification and Assessment of Opiate Exposed Newborns Standardize education for all staff on withdrawal scoring Withdrawal scoring consistency SMART Aims By March 1, 2022, in infants born at 35w GA with NOWS: Non-pharmacologic care standardization Non-pharmacologic care guidelines for opioid exposed newborns 1) Reduce length of stay by 20% 2) Reduce exposure to pharm care by 20% 3) Increase the % of mothers and infants discharged with Plan of Supportive Care to 95% Inpatient Management of Infants with NOWS Pharmacologic care consistency: initiation, weaning, and cessation Pharmacologic treatment guidelines Establish hospital policy for infant transfer and rooming in Keeping mother-baby dyad together Hospital specific Plan of Supportive Infant Discharge Establish hospital specific supportive discharge package Population Plan of Supportive Care for Mother and Baby Mothers with opiate use disorder and opiate exposed newborns in the state of Alabama Establish hospital specific supportive discharge package Hospital specific Plan of Supportive Maternal Discharge *Positive self report screen or toxicology, use of non-prescribed opioids, use of prescribed opioids >1 month, newborn screen positive for opioids, newborn affected by maternal use of opioids
Global Aim Interventions Secondary Drivers Primary Drivers . SMART Aims Population
Constructing a Key Driver Diagram Interventions: What changes can you test to target primary and secondary drivers? What changes can you make that will result in improvement? Global Aim: The project s North Star. What is your ultimate goal you re trying to achieve? Possible interventions may be identified by considering evidence based practices, the voice of the customer, process observation, conducting a simplified FMEA. SMART Aim: Should have an aim that is Specific, Measurable, Achievable, Realistic, and Timely. Identify changes that will redesign the system causing impact far in the future. Work on fire prevention rather than fire fighting. Population: Be specific regarding which patients will be included in the project. Key Drivers: What are the key items that will help you achieve your SMART Aim? To help map out drivers, conducting a FMEA may be helpful. Should be specific. E.g. how can you operationalize standardization?
