title: Using goal analysis to drive improvements in performance and outcomes.
abstract: Economic pressures for public health and human services systems to control budgets are increasing the need for demonstrating value of support services provided to persons with intellectual disabilities. In this article, we build from earlier work that presented a method for assessing goal attainment to expand the study of goal characteristics as a means to gain an improved understanding of individual outcomes and service performance. The study results suggest a positive relationship between targeting intentional skill teaching in person-centered planning and service delivery and increasing the ability of individuals to live more independently in communities with decreased levels of paid staff support. Additional areas meriting further exploration are presented and implications for current system trends are discussed.
authors.affiliation: Mobius Inc., USA.
authors.forename: David
authors.initials: D
authors.lastname: Lawlor
authors.forename: Romy
authors.initials: R
authors.lastname: Spitz
authors.forename: Michaela
authors.initials: M
authors.lastname: York
authors.forename: Brenda
authors.initials: B
authors.lastname: Harvey
mesh_terms: D006040:Goals; D018166:Health Care Reform / Q000592:standards; D006302:Health Services Research; D006801:Humans; D008607:Intellectual Disability / Q000534:rehabilitation*; D010347:Patient Care Planning; D063868:Patient Outcome Assessment; D018802:Patient-Centered Care; D011787:Quality of Health Care
keywords: goal analysis; health care reform; intellectual disabilities; person centered; program performance