Date of Graduation

Summer 8-20-2017

Document Access

Project/Capstone - Global access

Degree Name

Master of Science in Nursing (MSN)


School of Nursing and Health Professions

First Advisor

Elena Capella



This project was designed to achieve an unmet criteria in the accreditation process for the outpatient pediatric rehabilitation program at a local, community hospital in the greater Bay Area. The clients range from 6 months old to 20 years old with functional disabilities. The Commission of Accreditation of Rehabilitation Facilities (CARF) requires that applicants demonstrate outcome measure data over a 6 month time period. During the self-evaluation process this was noted to be a deficiency in the department’s efforts. The WeeFIM system was chosen as the first tool to implement in the department. This is a functional improvement measurement tool based on 18 categories of ability. For this project, the staff was prepared and the tool was implemented over a 2-month period. The goal was to get baseline data for 98% of all outpatients seen in the month of July 2017. The team of 6 rehabilitation specialists, including physical therapists, occupational therapists and registered nurses, exceeded the primary goal by achieving 100% compliance in the 1st month of use.

The WeeFIM system was chosen as the most appropriate outcome measure tool for the departments needs based on a literature review, input from the multidisciplinary team and peer review. The participating staff was trained through online modules provided by the WeeFIM system as well as through a number of open discussion forums. Each participating team member passed a calibration exam that ensured the outcomes were measured without much variability between individuals.

This project was successful and is projected to create a large influx of revenue and client referrals to the department. It has been supported by leadership and stakeholders. The continuation of this project will require a great deal of energy and attention but the outcomes for the clients, their families and the hospital itself are exponential.