Patient Outcomes, NOMS, and Goal Writing for Pediatrics and Adults Changes in the healthcare reimbursement models have made it clear that healthcare providers, including speech-language pathologists (SLPs), should focus on the outcome of therapy. Payment methodologies are changing so that payment will likely be made based on the outcome achieved, not on the number of services provided nor the percent ... Article
Article  |   April 01, 2014
Patient Outcomes, NOMS, and Goal Writing for Pediatrics and Adults
Author Affiliations & Notes
  • Nancy Swigert
    Baptist Health Lexington, Lexington, KY
  • Financial Disclosure: Nancy Swigert is the Director of Speech-Language Pathology and Respiratory Care at Baptist Health Lexington.
    Financial Disclosure: Nancy Swigert is the Director of Speech-Language Pathology and Respiratory Care at Baptist Health Lexington.×
  • Nonfinancial Disclosure: Nancy Swigert has previously published in the subject area.
    Nonfinancial Disclosure: Nancy Swigert has previously published in the subject area.×
Article Information
Swallowing, Dysphagia & Feeding Disorders / Research Issues, Methods & Evidence-Based Practice / Articles
Article   |   April 01, 2014
Patient Outcomes, NOMS, and Goal Writing for Pediatrics and Adults
SIG 13 Perspectives on Swallowing and Swallowing Disorders (Dysphagia), April 2014, Vol. 23, 65-71. doi:10.1044/sasd23.2.65
SIG 13 Perspectives on Swallowing and Swallowing Disorders (Dysphagia), April 2014, Vol. 23, 65-71. doi:10.1044/sasd23.2.65

Changes in the healthcare reimbursement models have made it clear that healthcare providers, including speech-language pathologists (SLPs), should focus on the outcome of therapy. Payment methodologies are changing so that payment will likely be made based on the outcome achieved, not on the number of services provided nor the percent of improvement on an impairment-focused goal. Patients and their caregivers must be involved in determining the desired outcome and in selecting goals to help the patient reach that outcome. The goals must be written in measurable terms. Outcomes selected must be meaningful to the patient and must be functional; focusing on things that will have an impact on their daily lives. Patient-reported outcomes are viewed favorably by payers. Utilizing tools such as the ASHA National Outcomes Measurement System (NOMS) can help the clinician maintain a focus on function. Patient outcomes can also be reported in the aggregate at the facility level and can contribute to answers at the healthcare system level. Outcomes at all three levels—patient, facility, and healthcare system—are an important responsibility of each SLP.

Become a SIG Affiliate
Pay Per View
Entire SIG 13 Perspectives on Swallowing and Swallowing Disorders (Dysphagia) content & archive
24-hour access
This Issue
24-hour access
This Article
24-hour access
We've Changed Our Publication Model...
The 19 individual SIG Perspectives publications have been relaunched as the new, all-in-one Perspectives of the ASHA Special Interest Groups.