This domain requires individual and collective commitment to the strategic priorities and plans of organisations. It is also about the ability to go beyond to ensure that the outcomes are centred on results as experienced by patients, families and the community regarding health and wellness.

This requires measurement of the effectiveness of programs aimed at generating those outcomes - ie are they accomplishing what they were designed to and demonstrate efficient stewardship of resources. Achieving outcomes requires the measurement of progress, making decisions to improve, and taking actions to achieve that improvement.

Capabilities and Behavioural Descriptors

1.1 Building a common vision for future health outcomes

• 1.1.1 Engages with others to clarify a clear and compelling vision that is ambitious but achievable
• 1.1.2 Demonstrates a grounded appreciation of the current state, opportunities and challenges in fulfilling the vision
• 1.1.3 Draws on the vision, assessments of present realities, evidence and values to inform decision making

1.2 Using outcomes for patients and clients as well as service agreements to drive performance

• 1.2.1 Creates shared clarity as to what it means to focus on patient and client outcomes as well as the service agreement
• 1.2.2 Draws forth the fullest contribution of people in achieving desired outcomes
• 1.2.3 Uses outcome measures and other data to inform and build momentum for improvement efforts

1.3 Focusing on what makes a difference to results

• 1.3.1 Builds shared meaning as to the most critical success factors
• 1.3.2 Aligns effort and resources to support advancement on critical success factors and key performance indicators
• 1.3.3 Notices and acts on factors that might lead to unexpected or unintended results

1.4 Being accountable for performance and resources

• 1.4.1 Demonstrates self-responsibility and encourages professional responsibility in others to achieve
• 1.4.2 Discerns and makes explicit the contributions of all when celebrating results achieved
• 1.4.3 Seeks improvements that add value for patients and clients and improve efficiency

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