Outcome Measures at the WBRC - VA Palo Alto Health Care System
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VA Palo Alto Health Care System


Outcome Measures at the WBRC

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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 2019 annual analysis of the WBRC outcome measures.

WBRC Admissions:

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.

2019 WBRC Demographics

Effectiveness Measures:

The WBRC developed clinically based ‘pre’ and ‘post’ training assessments and surveys to improve the effectiveness of treatment. The following is a sample of WBRC discipline specific outcome measures from FY 2019:


iProgram: 90% of participants reported improved levels of satisfaction following training on iPad or iPhone.

Accessibility training: Most participants reported an increase in ease of use and improved satisfaction in using accessibility software on their technology device.

Orientation & Mobility: 92% of participants detected drop-down curbs after training, improving greater safety for independent travel.

Matter of Balance (MOB): At the time of program completion, 100% of MOB participants rated themselves “Sure/ Very Sure” to the question, “I can become more steady on my feet.”

Visual Skills: Participants’ most common complaint is difficulty reading. After Visual Skills training, 94% of participants read a street sign at a greater distance and most demonstrated improved reading comprehension scores.

Manual Skills: Most Veterans reported improved ease at making accurate measurements independently. 92% of Veterans surveyed rated improvements of confidence in their ability to complete manual tasks and use of tools independently.

Living Skills: 100% of participants reported increased ease and satisfaction with their ability to manage currency. The majority of participants reported increased satisfaction in their ability to manage activities of daily living, including phone dialing, identifying currency, recording information, and meal preparation.

Rehabilitative Nursing: All (100%) Veterans trained by WBRC Nursing Services to use a Pik Stik 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. One-on-one 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:

  • 100% of participants stated they would recommend the program to others;
  • 100% of participants indicated that their goals were met;
  • 100% of participants stated the services enabled them to do things better.