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The idea, he said, "is to make you, the therapist, accountable for outcomes".
The whole thrust of public service reform has been about giving more power to people at the frontline and then holding them accountable for outcomes.
While aid organizations must be accountable for outcomes, that pressure for positive results should not be an encouragement to skimp on the truth.
"We are going to change how we deliver care, and we should be held accountable for outcomes — not just measured on the number of procedures performed," Mr. Dowling said.
The unchecked growth of online learning stemmed, in part, from the failure to hold for-profit colleges accountable for outcomes — and an over-reliance on input-based measures of quality.
We found that the creation of evaluation tools helped hold projects accountable for outcomes and highlighted to project managers and scientists the characteristics of projects that lead to improved outcomes.
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We refer to this model of punishment as the "control" model: when people have at least partial control over the outcomes of their behavior, they are held accountable for those outcomes, whether specifically intended or not.
And third, they need to have a way to measure their progress and hold themselves accountable for their outcomes.
These changes are sure to be welcomed by a higher education community that has an insatiable appetite for no-strings attached wealth transfers, and will work counter towards holding these institutions accountable for student outcomes and fiscal prudence.
The alternative to this scenario is another radical notion: that all postdocs funded on research grants are entitled to training, and therefore PIs should be required to plan for this in their applications and be held accountable for the outcomes of this training in their evaluations.
In 2011, unlike a century earlier, media coverage of major charitable gifts tend to include commentary on what philanthropists hope to accomplish with their gifts; social media forums then allow us to debate and discuss the virtues and limitations of particular gifts and to hold donors and charities alike accountable for the outcomes or "social return on investment" their gifts yield.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com