Source: Margolis PA, DeWalt DA, Simon JE, et al. Designing a large-scale multilevel improvement initiative: the improving performance in practice program. J Contin Educ Health Prof 2010 Summer;30(3):187-96.
Diagram showing components of key driver model for diabetes and asthma care. Intervention/Change Concepts lead to key drivers lead to outcomes. Intervention/change concepts include implement registry, leading to using registry to manage population, leading to outcomes. Measures of success for diabetes include 70% or more with controlled blood pressure and cholesterol and less than 5% with A1c not controlled. Measures of success for asthma include 90% or more on anti-inflammatory medication and receiving flu vaccine. Other change concepts include use templates for planned care, leading to planned care, employ protocols, leading to standardized care processes, and provide self-management support, leading to self-management support.