Since the burgeoning of the ?health outcomes? movement there has been an ever-increasingbody of literature on health outcomes policy debates, directions, frameworksand tools for implementing health outcome-directed initiatives. There is a significantgap in the literature, however, in regard to translating a comprehensive healthoutcomes policy into practice at a local level. This paper addresses that gap. It describesthe local implementation of a comprehensive health outcomes approach which worksacross the continuum of care. It identifies those organisation-wide structures andprocesses that support successful progress, thereby providing a useful guide to otherorganisations wishing to institutionalise the health outcomes approach.