Person-Centered Outcomes
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Person-Centered Outcomes, published by HL7 International / Patient Care. This guide is not an authorized publication; it is the continuous build for version 0.2.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/mtnlotus/pco-ig/ and changes regularly. See the Directory of published versions

Goal Attainment Scaling (GAS)

Goal Attainment Scaling (GAS) in healthcare, measures the extent to which individuals achieve specific goals or objectives. It allows for the quantification and evaluation of progress toward individualized goals, particularly in areas where traditional outcome measures may be insufficient. GAS involves collaboratively setting goals with the individual and assigning numerical scales to each goal to represent different levels of achievement. This approach provides a more nuanced and tailored way to assess progress and outcomes, taking into account the unique circumstances and aspirations of the individual.

Goals with GAS from real-world NCQA pilot testing

🎯 Goal: To get out more and engage in more social activity since spouse's death
Goal Domain: Social & Role Functioning

Much Less Than Expected (-2) Less Than Expected (-1) Expected Outcome (0) Better Than Expected (+1) Much Better Than Expected (+2)
Get out of house only a few times a month Get out of the house less than once a week Get out of the house 1-2 times per week in the next month Get out of the house more than 2 times per week in the next month Get out of house more than 4 times per week in the next month

🎯 Goal: Walk 15 minutes 2x/week for 3 months to improve mobility
Goal Domain: Physical Function

Much Less Than Expected (-2) Less Than Expected (-1) Expected Outcome (0) Better Than Expected (+1) Much Better Than Expected (+2)
Unable to walk once per week Walk 10 minutes 1x/week Walk 15 minutes 2x/week for the next 3 months Walk 15 minutes 3x/week for the next 3 months Walk 15 minutes 4x/week for the next 3 months