Which process allows the organization to understand the improvements they seek from the programme?

Comprehensive and Detailed Explanation From Exact Extract:

The “Design the Outcomes” process focuses on translating strategic objectives into a clear set of intended improvements. It defines the target operating model and measurable outcomes that describe what success looks like for the programme.

MSP Foundation, 5th Edition describes:

“This process enables the organization to understand and agree the improvements it is seeking from the programme, including the target operating model and associated performance measures.”

Thus, option C is correct.