For example, certain requirements associated with vocational rehabilitation may apply while the person receives psychiatric services. Medicaid waiver regulations define quality in the living environment. Each of these sets of regulation applies only to a part of the person's life. The individual's existence is literally divided among the various agencies and programs that provide support and service. When organizations realize that services and supports are methods, and not ends in themselves, they become more thoughtful in connecting services with priority outcomes.
Staff organize around outcomes.
They emphasize the supports and contribute to outcomes. Employees begin to question the purchase and continuation of services that may have a strong constituency, but lead to no personal outcomes. Outcomes then promote accountability. A set of data collection instruments are used during a personal interview format for an individual with disabilities and scored by trained interviewers. Items are scored in a dichotomous format using standardized administration procedures as 'Yes' the specific outcome is present for the individual or 'No' the specific outcome is not present.