Fundamental to the success of achieving positive outcomes for a client is the ability to monitor a client’s progress toward his or her own goals. It is important to also monitor and maintain activities to make certain that the client is not only participating, but also getting what they need from these activities (effectiveness) and to ensure that providers are delivering the appropriate quality level of service provision. Return to Work Outcome Management supports the maintenance of activities on an outcome plan. An important aspect of delivering services to clients is to ensure that the service being delivered is of high quality and to also ensure that providers are paid for the services delivered. The system provides the outcome worker the flexibility to make changes to a service or action based on client needs (participation and effectiveness). Monitoring is done through tracking attendance, managing discrepancies from expected attendance, and monitoring toward personal and federal participation goals.