We have developed specific protocols to help organizations clarify the outcomes most important for their programs. This multi-stakeholder process includes service recipients and their families, as well as program staff, regulators, payers and other community stakeholders in the specification and prioritization of outcome domains. We can design new measurement tools or modify existing ones to be the best fit for each program. We then put in place the protocols and procedures, including data analysis and reporting, that help customers document, understand, and take action to improve their efforts to help others.