Recently Okada defined algebraically ninth variation skew Q-functions, in parallel to Macdonald's ninth variation skew Schur functions. Here we introduce a skew shifted tableaux definition of these ninth variation skew Q-functions, and prove by means of a non-intersecting lattice path model a Pfaffian outside decomposition result in the form of a ninth variation version of Hamel's Pfaffian outside decomposition identity. As corollaries to this we derive Pfaffian identities generalizing those of Josefiak-Pragacz, Nimmo, and most recently Okada. As a preamble to this we present a parallel development based on (unshifted) semistandard tableaux that leads to a ninth variation version of the outside decomposition determinantal identity of Hamel and Goulden. In this case the corollaries we offer include determinantal identities generalizing the Schur and skew Schur function identities of Jacobi-Trudi, Giambelli, Lascoux-Pragacz, Stembridge, and Okada.