This Driver Diagram is a useful tool which teams working on optimising flow, demand and capacity can utilise to come up with change ideas that involve the wider system instead of just the immediate service.
It summarises some of the change concepts applicable to optimising flow, demand and capacity from the Improvement Guide (Langley GJ, Nolan KM, Nolan TW, Norman CL, Provost LP. San Francisco, California: Jossey-Bass Publishers, Inc.; 2009) and change ideas that have been shown to be effective in the IHI White Paper for Achieving Hospital-wide Patient Flow (Rutherford PA, Anderson A, Kotagal UR, Luther K, Provost LP, Ryckman FC, Taylor J. Achieving Hospital-wide Patient Flow (Second Edition). IHI White Paper. Boston, Massachusetts: Institute for Healthcare Improvement; 2020. (Available at www.ihi.org)
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