Children's Rehab by the Numbers


Key Performance Indicators
Sector-Wide Reporting Results 2015 - 2016

Children’s Treatment Centres in Ontario were originally established to serve children and youth with physical disabilities.  Over the last 65 years,  this service has fully evolved into a system that now serves children and youth with physical, neurodevelopmental, communication and complex medical needs. Services and supports are provided at home, at school and in the community, based on capacity and local community need.

Ontario’s CTCs provide a broad range of ‘core’ services, which include physiotherapy, occupational therapy, speech and language therapies, social work and recreation therapy. Many centres provide additional services including audiology, augmentative communication, nursing, psychology, seating/mobility, orthotics and prosthetics, cleft lip/palate and dental treatment. In addition, many centres offer specialized medical services. Developmental pediatricians, who work in partnership with community-based pediatricians, family physicians, physiatrists and numerous other visiting medical consultants, provide expert medical care and leadership. Some CTCs are also the Lead Agencies for the province’s Autism Programs including Early Intervention Programs, Intensive Behavioural Intervention (IBI) and Applied Behavioral Intervention (ABA). CTCs may also be the Lead Agency for Preschool Speech and Language Programs.

Children’s Treatment Centres in Ontario have taken an important step to enhance their sector- wide accountability and their commitment to better outcomes for children and youth with special needs and their families, through the identification and reporting on an initial set of sector-wide performance indicators.

Collecting data and reporting on sector-wide performance supports effective organizational planning, oversight and continuous quality improvement, and supports communications with funders and policy makers.  An initial set of sector-wide objectives and indicators has been developed based on key frameworks that are fundamental to the work of Ontario’s CTCs:

  • the International Classification of Functioning and Disability- Child Youth version (ICF-CY)
  • family- centred care
  • quality dimensions of access, efficiency and effectiveness  

Beginning with this report, CTCs will report publicly on four sector- wide objectives and their indicators:

  1. Access to Service
    • total number of children and youth served
    • total number of children and youth waiting
      • achievement of performance targets for initial assessment
      • achievement of performance targets for initiation of service
  2. Engaged Families
    • measurement of family-centredness
  3. Every Child and Youth
    • client profile of who accesses services and what services they seek
  4. Integrated Pediatric Rehabilitation Excellence
    • the use of evidence informed care

What is next for performance measurement across CTCs?

Ontario’s Children’s Treatment Centres have embarked on the development and reporting of an initial set of sector wide indicators to enhance accountability and demonstrate their commitment to better outcomes for children and youth with special needs and their families.
This initial report lays the foundation for the creation of a performance reporting system that will take years of development and requires an investment of time and resources from service providers and government partners to ensure that the momentum for this work continues and that it is seen as a priority for the sector.
Children’s Treatment Centres will strive to report publicly on performance each year, and intend to add the following to the list of performance indicators:

  • Participation and Quality of Life: children and their families are able to participate in home,
    school and community activities and experience quality of life
  • Integrated Pediatric Rehabilitation Excellence: children and families achieve their goals
  • Demonstrated Accountability: stewardship of public funds

The sector has interest in participating in the national Pediatric Rehabilitation Reporting System, which will enable systematic collection of data about the children and youth that are served by CTCs. Inclusion in this database will allow comparison of outcomes with other providers across Canada.