Assessing the child and family's needs and building a plan to address these needs is only the first step in the process of helping to achieve positive outcomes. It is important to also monitor and maintain these activities to make certain that the child and family 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. 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. Outcome management provides the caseworker the flexibility to makes changes to a service based on child and family needs (participation and effectiveness), monitor payments made to a provider and to evaluate the quality of the services delivered.