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Meeting performance and outcome-based obligations requires a different implementation methodology Compliance functions, behaviors, and interactions exist at levels sufficient to produce a measure of compliance outcomes These stages are based on the Lean Startup Method by Eric Ries along with steps of team formation (forming building an operational system requires similar stages for all parts to work together to achieve the outcomes

The focus on value-based outcomes has become a dominant approach in the health care sector over the last This outcome-based perspective influences many things including what compliance systems look like and Outcome-based Specifications In the health care sector outcome-based specifications are used to describe Although outcome-based goals tend to be more qualitative than performance goals quantitative measures and outcome-based designs the use outcome-based specifications will become more standard resulting in

Meeting performance and outcome-based obligations requires a different set of measures.

It is an outcome that is created when stakeholders have confidence that an organization is meeting all important objective which often involves conducting audits to verify process outputs and validate program outcomes To improve the outcome of assurance the following questions need to be answered: What is the level of

These outcomes are often not well articulated and even when they are the means by which outcomes are Alex Yakyma in his book, "Pursuing Enterprise Outcomes" unpacks the nature of outcomes, how they are for the outcomes, not outputs. A disconnect anywhere in the outcome chain easily jeopardizes the ultimate outcome of the task. the nature of outcome uncertainty provide a solid structure to explore how to better advance outcomes

One company has adopted a “Best Effort” approach, whereas, the other an approach based on “Best Outcome optimize away from other outcomes. Best Outcome Approach A “Best Outcome” approach differs from “Best Effort” in that it optimizes for progress with respect to outcomes rather than effort or efficiency. Two Companies, Two Outcomes?

They adjust system targets to higher levels of performance to advance overall outcomes. Programs bridge the gap between operational objectives and organizational outcomes by elevating the quality essential component of operational compliance, necessary (but not sufficient) to meet performance and outcome-based

In fact, ESG commitments tend to be performance and outcome-based which requires organizations be proactive The need for compliance to adapt to performance and outcome-based obligations has been happening for Instead, compliance will need to be re-imagined and engineered to advance outcomes and meet targets in

This requires several things working together to produce the outcome of compliance: better safety, security ISO 37301 can help you achieve those outcomes. But only if you intend to keep your promises. ISO 37301 is not a rule-based standard like many of the others. ISO 37301 is performance-based which makes it ideal for performance and outcome-based obligations, and

This approach is based on Lean Startup model by Eric Ries which we have adapted to the compliance domain as shown in the following diagram: The traditional approach is based on implementing components or the The operational approach is based on first achieving operability which is the minimum level of capability for creating outcomes - a measure of effectiveness. This is the case for all organizations under performance and outcome-based regulation.

Landscape Over the last decade regulators have started to modernize their programs to become more risk-based ; moving towards performance and outcome based designs. This would result in regulatory designs moving away from rules-based requirements towards performance , and outcome based specifications. following activities: Identify and evaluate mandatory and voluntary: prescriptive, performance, and outcome-based

pursuit of improvements can result in activities, that while good, may not be improving the overall outcomes To achieve better outcomes we need to pursue outcomes that are better. What examples can you come up with when program outcomes did advance and yet the overall situation did What would help align improvement initiatives so that program outcomes were met and they also made things What step can you take to towards making improvements that produce better outcomes?