What is TCOM?
Transformational Collaborative Outcomes Management (TCOM) is a conceptual framework for managing systems, organizations, and programs whose mission is to help people change their lives is some important way. Originally, rising out of the field of outcomes management and called Total Clinical Outcomes Management (Lyons, 2004), TCOM use a consensus-based assessment process to ensure the ability of systems to focus the work of the system. The approach was renamed in 2014 (Israel & Lyons) to highlight how TCOM is different from other approaches to outcomes management—with a focus on personal change and collaboration at all level of the system.
- Human serving systems and enterprises have a primary mandate of facilitating and supporting personal change (transformation)
- Human serving systems and enterprises are inherently complex because of the multiplicity of human involvement. Multiplicity can only be managed through integration. Integration among people is best managed through collaborative processes.
- All partners in human serving systems and enterprises have a primary responsibility of collecting, managing, and using accurate, relevant, and respectful information about the people served
- All assessments and interventions should be culturally responsive and respectful
- People should have voice and choice with regard to all assessments and interventions
- All interventions should be personalized, respectful and have demonstrable value to the people they serve.
- Collaborative processes should be used for all major decisions at all levels of the system
- Consensus is the primary outcome of collaborative processes
- Information about the people served and their personal change should always inform decision making at all levels of the system
TCOM’s primary objective is to ensure that all decisions are informed by both an understanding of the needs and strengths of people to be helped and knowledge of what forms of help are most effective for different people and circumstances. To accomplish this objective, TCOM uses a set of strategies.
- Communimetric measures of the clinical, functional and wellbeing status of people seeking help. These include the CANS, ANSA, FAST, CAT, GATE, and RISE.
- Person-centered planning processes that support the development of customized theories of change to match the circumstances of individuals or families who come to us for help.
- Aspirational management approaches to help organizations in any helping system shift from a compliance-based approach towards a management strategy that emphasizes the impact of the work on others.
- Aspirational governance approaches to help systems value effectiveness of individual helpers, programs and organizations.
- Safety culture approaches to support effective learning from bad outcomes and difficult circumstances.