1. EBD driver diagram Featuring West Coast DHB

2. 1 Driver diagrams explained Decrease fuel costs Reduce price per litre Reduce miles driven Increase mpg Increase mpg Improve car efficiency Improve driving patterns Limit speed Use appropriate gear Use appropriate gear Drive smoothly Drive smoothly Aim Primary drivers Secondary drivers Tertiary drivers Actions/ Interventions Buy a diesel car next time Buy a diesel car next time Stick to 70 mph on motorway Get into highest gear more quickly Accelerate more slowly Book onto AA course Fill up at supermarket Combine journeys Use alternatives Plan ahead Work from home Cycle or walk short distances

3. 2 West Coast DHB 2

4. 3 3 Primary drivers? We want to do it We are competent to do it We do it

5. 4 West Coast DHB 4 Buy in? Evidence that it works from elsewhere. Experience for yourself the process. Listen to patient stories

6. 5 West Coast DHB 5 What influences what? Reduction in complaints etc the result of using EBD rather than the other way around EBD aim is a driver in a ‘bigger’ diagram focusing on reducing complaints

7. 6 How to create a driver diagram  Start with a clearly defined goal  Brainstorm potential drivers - the areas where change will impact on your aim. Concentrate on generating ideas for drivers at this stage, don’t try to allocate into primary or secondary straight away.  Once you’ve completed the brainstorm then cluster the ideas to create an agreed set of ‘drivers’ - make sure you use language like “improve” or “decrease” and that each driver is clearly defined (and potentially measurable)  Now you can identify the links between the drivers – creating primary, secondary and tertiary drivers – and set these out in the diagram format.  Add actions or interventions for each driver.  Finally, decide which drivers and interventions that you want to measure and add those to the diagram. 6

8. 7 Tips and tricks  Driver diagrams are a ‘live’ tool. They will change over time as you make changes to your system.  If you can make your drivers measurable you have created a measurement framework for determining progress towards your overall goal  Creating a driver diagram with a team ensures that everyone understands your goal and how they can contribute towards achieving it  Driver diagrams will vary from place to place - there is no definitive ‘right’ answer as your local situation may be very different from other parts of the country 7

9. 8 Drivers Activity  What are the drivers for your project aim?  Write each driver on a separate Post-It note  Discuss how they fit together  Are some of your drivers really interventions?  Complete the diagram with both drivers and interventions  Use the prompts in the box for possible sources of drivers Prompts People/skills Process Equipment Materials/consumables Communication/ Education Prompts People/skills Process Equipment Materials/consumables Communication/ Education