Outcome are a topic of great interest. Their potential is considerable as a mechanism to evaluate quality, improve effectiveness, and link practice to professional accountability. Greater clarity and precision in the use of issues terminology will allow this potential to be realized. This article identifies the passing from hand to hand confusion in outcomes terminology, begins an consequences lexicon, and issues a call to action for further clarification in the language of consequences Key words: outcomes, issues management, outcomes research, performance, performance measures, report cards