The four Achieving Outcomes leadership capabilities point to specific observable actions to deliver
excellent patient outcomes in a sustainable health system.

Achieving Outcomes Diagram

This domain is central to your leadership effectiveness. People assume that health staff will dedicate themselves to ensuring that the public’s health and wellness is at the centre of their work.


Health staff who focus on identifying health and wellness outcomes, and who measure and use them to gauge success and productivity, fulfil their commitment to be accountable to the public. Regardless of your role, you are expected to define those outcomes in light of your specific responsibilities. You are expected to measure progress, make decisions to improve, and take actions to achieve that improvement. You are accountable for doing so. Health staff need to ensure that the “right” outcomes are the focus of their efforts. These are outcomes that:

  • are centred on results as experienced by patients and citizens regarding their health and wellness
  • measure the effectiveness of the programs aimed at generating those outcomes – ie, are they accomplishing what they were designed to?
  • demonstrate efficient stewardship of the taxpayer dollar
  • reflect appropriate engagement of providers employed by health organisations.


To be effective in achieving outcomes, health staff can:

  • fulfil their commitment to the service agreements relative to their organisation’s mandate, and go beyond those agreements to ensure that the outcomes reflect patient-centred responsibilities.
  • determine which outcomes are most reflective of their vision
  • initiate the creation of appropriate outcomes, and the actions needed to improve them
  • ensure current and regular information is on hand regarding results
  • use those outcomes to make decisions for improvement
  • resist temptation to deviate from a focus on the outcomes, and adjust processes to get there