Children's Hospital Colorado

Pediatric Inpatient Rehabilitation Quality and Patient Safety

Pediatric Inpatient Rehabilitation Quality and Patient Safety

At Children’s Hospital Colorado, we treat the big things, the small things and everything in between.

If your child is dealing with a loss of function in day-to-day activities due to injury or illness, you want them to regain as much of that ability as possible. Our Inpatient Rehabilitation Program provides the best care to help your child along that path. We report our outcomes (success rates) so you can be certain of the high-quality care your child will receive.

Quality and patient safety in the Pediatric Inpatient Rehabilitation Program

Our pediatric rehabilitation experts are dedicated to improving your child’s independence, comfort and mental well-being so they can safely return to their home and community.

We track our patient care quality and safety outcomes so we know that we are meeting our high standards and constantly improving our care. We publicly report our outcomes so you can see the level of care we provide and make informed decisions.

We also compare our outcomes to national benchmarks and other top children’s inpatient rehabilitation programs. This gives you a complete view of our abilities and helps us create new goals to strive for.

Why do outcomes and transparency matter?

If your child has lost function due to an illness or injury, it affects their ability to be a kid. Helping them regain independence requires the best care, which is what they deserve.

We want to make it easier to find the best pediatric rehabilitation care. We report our outcomes with pride so you can know how we perform before making a care decision. And we share these outcomes because it’s simply the right thing to do.

Our patient volume

Total patient volume — how many children we care for — is an important measure for pediatric inpatient rehabilitation. The more children we care for, the more experience we have and the better we will be.

What we measure: Total patient volume per year

85 Patients cared for between July 1, 2020 and June 30, 2021

What it means: The more patients our pediatric rehabilitation program cares for, the more experience we have to share with your child. Because we’re a high-volume program, we have a high level of pediatric expertise. We’re equipped with special pediatric equipment and a classroom and staffed by doctors and therapists who have extra pediatric training. More experience fuels our drive for constant improvement.

Our average hours of therapy

Every child we see receives individualized care based on their unique needs.

What we measure: The average number of hours of rehabilitation therapy a child receives per day. Therapy time includes physical, occupational and speech therapy as well as time in our school classroom.

3 ½ Average hours of therapy each day

What it means: We dedicate a lot of therapy time to kids in our care to help them gain function and independence. Seeing multiple specialists helps kids make progress and return home.

Age of our patients

From birth to young adulthood, we have experience caring for every age.

What we measure: The age of every patient, each year

Age of patients between July 1, 2020 and June 30, 2021

Age Number of Patients
0 to 3 8
3 to 5 11
5 to 7 8
7 to 10 6
Older than 10 52

What it means: No matter your child’s age, we have recent experience caring for kids like them. This also allows you to see how many kids of your child’s age we have cared for in the past year and ask our care team specific questions about our experience with children in a similar situation.

Our average length of stay

Our goal is to safely return your child to their home and community with as much functional ability as possible. And the faster we can do that, the better for everyone.

What we measure: Average length of hospital stay in the hospital compared to the national average

Average length of stay between July 1, 2020 and June 30, 2021

  Children's Hospital Colorado National Average
Number of days 21.4 24.8

What it means: When compared to the national average for pediatric inpatient rehabilitation programs, Children’s Colorado allowed children to go home more than three days earlier in the past year. We will never let your child go home until they can do it safely and comfortably, but we know kids can’t fully be kids in the hospital. We work hard to get them home quickly and equip them and their families with the skills to continue to improve.

Our WeeFIM® improvement score

WeeFIM® is the leading tool in pediatric rehabilitation to measure independent function in children. It measures how much help a child needs to do basic life activities like toothbrushing, getting dressed, walking or expressing themselves. The more kids can do day-to-day activities on their own, the higher their score.

What we measure: Each child’s improvement on the WeeFIM® scale during their hospital stay compared to the national average

Average WeeFIM® improvement during a patient’s hospital stay between July 1, 2020 and June 30, 2021

  Children's Hospital Colorado National Average
Points gained during a hospital stay 26.5 22.8

What it means: Compared to the national average for pediatric inpatient rehabilitation programs, our patients showed a greater improvement in their self-care, movement and cognition skills. On average, children in our care go home with a higher level of independence than other inpatient rehabilitation programs, increasing their comfort and reducing readmissions.

The diagnoses we treat

We care for children with a wide range of conditions and injuries that affect their daily function.

What we measure: The diagnosis of each condition we treat each year

Diagnoses between July 1, 2020 and June 30, 2021

Diagnosis Number of Patients
Neurological Conditions 3
Stroke 6
Spinal Cord Injury 7
Traumatic Brain Injury 30
Non-Traumatic Brain Injury 32
Other 7

What it means: The greater variety of conditions we care for, the greater our experience and the better our outcomes. We help children recover from many different types of illness and injury, with a specific expertise in all types of brain injuries in the past year.

Our length of stay by illness or injury

Different conditions or injuries require different levels of care and have different recovery times. We track length of stay for different diagnoses so we can understand the unique challenges of each and understand where our greatest areas for improvement are.

What we measure: Average length of stay for traumatic brain injury, non-traumatic brain injury, traumatic spinal cord injury and stroke compared to the national average for pediatric inpatient rehabilitation programs

Average length of stay by condition or injury between July 1, 2020 and June 30, 2021

Diagnosis Length of Stay – Children’s Colorado Length of Stay – National Average
Traumatic Brain Injury 23.1 24.1
Non-Traumatic Brain Injury 17.8 22.7
Traumatic Spinal Cord Injury 49.7 33.6
Stroke 21.3 22.7

What it means: When compared to the national average, Children’s Colorado’s length of stay is shorter for traumatic and non-traumatic brain injuries and stroke. Our length of stay for traumatic spinal cord injury is longer than the national average. We work hard to safely return children home quickly and identify opportunities to decrease our patients’ length of stay.

Our WeeFIM® efficiency in the most common injuries or illnesses

WeeFIM® efficiency measures the amount of progress a child makes in their independent functioning in relation to how long they are in our Program. The higher the efficiency score, the more functional skills they have gained while in our care and the more prepared they are for day-to-day tasks at home.

What we measure: WeeFIM® efficiency compared to the national average for pediatric inpatient rehabilitation programs for our four most common diagnoses in the past year: traumatic brain injury, non-traumatic brain injury, traumatic spinal cord injury and stroke

WeeFIM® efficiency by condition or injury between July 1, 2020 and June 30, 2021

Diagnosis Children’s Colorado WeeFIM Efficiency National Average WeeFIM Efficiency
Traumatic Brain Injury 2.62 2
Non-Traumatic Brain Injury 2.21 1.37
Traumatic Spinal Cord Injury 1.14 1.12
Stroke 1.91 1.42

What it means: Children’s Colorado has a higher WeeFIM® efficiency than the national average for our four most common injuries and conditions in the past year. Our patients are making more progress in their functional skills in the same amount of time than the national average for inpatient rehabilitation programs.

Our patients who are discharged to their community

Returning children home safely is our ultimate goal. While some children need extra therapy at short-term care facilities after they leave our Program, we try as hard as we can to send kids directly home.

What we measure: The percent of children who go directly home after our care compared to the national average

Percent of patients discharged home between July 1, 2020 and June 30, 2021

Children’s Colorado Patients Discharged to the Community National Average of Patients Discharged to the Community
97.60% 87.10%

What it means: When children leave our care, they are ready to go home and live their lives. We send more kids directly home from inpatient rehabilitation than the national average.

Patient and family experience in our Pediatric Inpatient Rehabilitation Program

We’re not satisfied until our patients and their families are satisfied with our care. We track patient satisfaction so we can improve our care and patient and family experience. We ask patient families to rate their experience on a scale of 0 to 10, with 10 being the best possible experience.

What we measure: Percent of patients who rate us as a 9 or 10 between Jan. 2021 and August 2021

84% Of patient families rated their experience a 9 or 10

What it means: Patient families overwhelmingly rate their experience in our inpatient rehabilitation program as positive.

Our readmission rate

When we send kids home, we want them to stay there. It’s where they are most comfortable, where they can live their best lives. It’s also a good measure of how effective our care is.

What we measure: The percent of patients who need to return to our hospital for care

12.6% Of patients were readmitted between Jan. 1, 2020 and June 30, 2021

What it means: Most children we care for don’t need to return to our hospital for care. The children who return to our hospital do so for non-rehabilitation related issues, like cancer treatment. However, we’re not satisfied. Our goal is that 10% or less of our patient are readmitted.

Our return to school rate

Kids participating in daily activities like school after they go home is a key marker of success for our Program. We want children to participate in as many activities as they can.

What we measure: The percent of patients who have returned to school 1 month after they went home between June 2021 and Nov. 2021

Patients who returned to traditional school Patients who returned to a non-traditional school setting Information not available
80% 13% 7%

What it means: In the previous 6 months, 93% of our school-aged patients returned to a school setting within 30 days of leaving our Program. A smooth transition from rehabilitation to school is an important part of the transition process and requires close communication. We work with families and schools to ensure kids can get back in the classroom as soon as possible.

We track and report our outcomes to make sure we — and you — know where we are excelling and where we haven’t met the high standards we set for ourselves. Our goal, and our everyday mission, is continual improvement.