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National Outcomes Measurement System (NOMS)

What Is NOMS?

ASHA’s National Outcomes Measurement System (NOMS) is a voluntary data collection system that illustrates the value of speech-language pathology services. NOMS provides our members with the needed tools to address questions posed by policy makers, third party payers, administrators, and consumers. Speech Language Pathologists (SLPs) working in health care or school settings can register their organization as a NOMS data collection site. Soon, NOMS will allow us to demonstrate the value of audiology services, as well. ASHA is developing an Audiology Registry that will be available in a future version of NOMS. The Audiology Registry will allow audiologists to also collect and report outcomes.

The key to the NOMS SLP Registry is the use of ASHA's Functional Communication Measures (FCMs). FCMs are a series of disorder-specific rating scales designed to describe the change in an individual's functional communication and/or swallowing ability over time. Based on an individual's treatment plan/Individualized Education Program (IEP), the clinician chooses FCMs and answers related questions at admission to—and again at—discharge from speech-language pathology services. The difference in the calculated FCM scores depicts the amount of change in communication and/or swallowing abilities after speech and language intervention. All data are submitted to ASHA’s national registry. In addition to scoring the FCMs, the clinician also provides basic information on patient demographics and intervention characteristics (e.g., speech-language pathology diagnosis, frequency/intensity of treatment).

In exchange for submitting data to us, you and your organization have access to your data benchmarked against our national data. You can run customized analyses of your data, as well as national data, using our web-based reporting tool.

NOMS Data Reports

The national reports offer an in-depth look and analysis of the data collected by population.

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