VA Palo Alto Health Care System
Outcome Measures at the WBRC
The Western Blind Rehabilitation Center (WBRC) measures outcomes in several areas each fiscal year (FY) to ensure quality improvement and service delivery excellence. Outcome measures are collected from a variety of sources representing the WBRC's key stakeholders. This summary reflects the FY 2018 annual analysis of the WBRC outcome measures.
The WBRC is committed to ensuring that all eligible patients who require blind rehabilitation training receive access to care in a timely manner. The following demographics are listed for information about the patients who attended WBRC this year.
2018 WBRC Demographics
The WBRC developed clinically based functional assessments and innovative therapies for all disciplines in order to improve the effectiveness of treatment. The performance improvement initiatives established WBRC as the first blind center to produce outcome measures in all programs. Outcome measures are obtained using a variety of tools, including ‘pre’ and ‘post’ training assessments and surveys. The following is a sample of WBRC discipline specific outcome measures from FY 2018:
• iProgram - 97% of participants reported improved levels of satisfaction following training and most reported a decrease in perceived level of difficulty in using the iPhone or iPad.
• Computer Access Training: 93% of participants reported increased confidence and skills needed to function in their own homes and other environments.
Orientation & Mobility - 100% of participants detected drop-down curbs after training, improving greater safety for independent travel.
Matter of Balance (MOB) - Follow-up calls to the MOB graduates showed that 100% rated themselves “Sure/ Very Sure” to the question, “I can find a way to reduce falls.”
Visual Skills - Participants’ most common complaint is difficulty reading. After Visual Skills training, nearly all participants read a street sign at a greater distance and many improved reading comprehension scores.
Manual Skills - Most Veterans who participated in Manual Skills reported improved ease at making accurate measurements independently. Nearly all of Veterans surveyed rated improvements of confidence in their ability to complete manual tasks and use of tools independently.
Living Skills - The majority of participants reported increased satisfaction with their ability to manage activities of daily living, including phone dialing, recording information, and meal preparation.
Rehabilitative Nursing - All Veterans trained by WBRC Nursing Services to use a Pik Stik or the Talking Infrared Thermometer reported that it was “easy to use” at the end of training. All Veterans who attended the Nursing Education forum also reported increased knowledge in health topics discussed.
As an integral part of the team at WBRC, Recreation Therapy, Psychology and Social Work co-facilitate a relaxation class once a week to address stress reduction in Veterans at the WBRC. 1:1 sessions also assist in community re-entry and quality of life. Recreation Therapy and Family training participants reported they were able to use what they had learned at home.
Satisfaction Survey Information:
The goal of the WBRC is to meet the individualized expectations of each participant and stakeholder. The WBRC uses a variety of measures to ensure this, including the u-SPEQ Satisfaction Survey.
Veteran Satisfaction-u-SPEQ: The goal of the WBRC is to meet the individualized expectations of each participant.
Survey results include:
- 99% of participants stated they would recommend the program to others;
- 96% of participants indicated that their goals were met.