Start with what matters to the people involved. Define the actual support being tried, the baseline and comparison, the review period, the measures, and the person authorized to make a change.
Include the work of preparation, checking, corrections, travel, family coordination, and unanswered requests. Record who could not use the offer and whose perspective is missing.
Keep reach, understanding, a first chosen action, useful participation, outcomes, and attributable impact distinct. A sent message is not a completed conversation; attendance alone does not establish belonging or improved health.
Scoring evaluates the support. It does not rank a family’s love, a person’s worth, or staff commitment. Agree when the findings should lead to continuing, adapting, pausing, or expanding the approach.