2. Social and health policy is made in boardrooms
but shaped in practice settings
Institutional and professional practice is the
‘black-box’ of Results-Based Management
systems
The focus on results and impact has allowed us
to take our eye off the ball of quality
Quality in practice is an accomplishment, not
an objective
3. To reveal quality in professional practice
To reveal the mechanics of social policy
To create an evidence-based site for public debate
about services
To create a base for public accountability and
debate about citizen agency and good governance
To make transparent where results come from
(and don’t), what they mean and how to replicate
them – i.e. to understand context
To assess impact
4. Direct observation of practitioner/citizen
interactions
Analysis of professional and clinical judgement
(incl. Indigenous judgement)
Policy-into-practice audit
Triangulation (practitioner/user/observer)
Information exchange