A patient speaks to a Seattle Children's provider

Advancing Healthcare Experience and Outcomes

2024 Progress Highlights


Seattle Children’s is committed to improving healthcare experiences and outcomes for all patients and families. Tracking progress over time offers insight into where we are seeing success and where opportunities for improvement remain.

View the Most Recent Progress Update

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A headshot of Lanese Horton, Senior Learning Consultant, with a quote that reads "Restorative practices allow people to approach each situation with a fresh mindset to strengthen connection to others."

Healing From Within: Restorative Practices for Relationship Building

“Restorative practices are a way of life,” says Lanese Horton, senior learning consultant at Seattle Children’s and restorative practices lead facilitator.

Restorative practices — when applied to people management and building a welcoming organizational culture at Seattle Children’s — prioritize relationships and provide tools to equip leaders and workforce members to identify challenges, take accountability and resolve conflicts.

Read the full story to learn more.

A headshot of Rebecca Del Re, Social Service Specialist, with a quote that reads "No request is too small if it has the potential to ensure better health for the patients and families we serve.

Helping Families Get the Essentials They Need to Thrive

“When you don’t have an adequate place to live or food to feed your family, it’s really hard to get basic care or benefit from the care you do receive,” says Rebecca Del Re, a social service specialist and member of Seattle Children’s Social Work Department.

A multidisciplinary team at Seattle Children’s is connecting patient families with resources to meet their essential needs.

Read about a patient who was supported by this effort in the full story.

Headshots of Maya Scott, CDHE Director, and Shaquita Bell, MD, Senior Medical Director at OBCC, with a quote that reads "The improvements were made possible by the incredible community that has come together to support Odessa Brown Children's Clinic."

Advancing Care for Patients With Sickle Cell Disease

People with sickle cell disease may not always receive the quality care they deserve. The Odessa Brown Children's Clinic (OBCC) at Seattle Children's alongside the Center for Health Outcomes (CHO) has launched several initiatives to improve sickle cell disease care.

According to CHO Director Maya Scott, Seattle Children’s community is integral to identifying and driving important improvements. "Thousands of people have allowed Seattle Children's to learn from them, and it is our responsibility to make sure the community's dedication is something we recognize, celebrate and honor." 

Read how Seattle Children’s is improving care for people with sickle cell disease in the full story.

A headshot of Sanjay Parikh, MD, Division Chief, Otolaryngology, with a quote that reads "Isn't it my job to help make the system better for all patients?"

“It’s Me and the System:” Using Technology to Close Gaps in Care

“When I reviewed the data of the patients I was treating, I saw the health disparities clearly,” said Sanjay Parikh, MD, division chief, Otolaryngology – Head and Neck Surgery at Seattle Children’s.

“I realized: It’s me, and it’s also the system. And isn’t it my job to help make the system work better for all patients?” Parikh and his team at Seattle Children’s closed a critical care gap for patient families who do not use English for care.

Read the full story to find out how.

Outcome Measures


The progress of Seattle Children’s Health Equity and Anti-Racism Action Plan is tracked through annual outcome measures.

A key showing definitions for a green checkmark and a yellow checkmark

Executive Accountability

Link executives' pay to achievement of HEAR Action Plan outcomes.

Green Checkmark

Goal: Project completed by end of FY24


100% completedThe Seattle Children's Hospital Board of Trustees adopted a revised equity-related executive compensation model, which includes three equity-related goals. Executive pay is based on the results of final fiscal year goal achievement, with 15% of executive compensation being linked to equity-related goal achievement.

Adaptive Social Response

Reduce the use of the most restrictive interventions from 27.1% to less than or equal to 26.2% by increasing the use of Adaptive Social Response.

green check

Goal: 26.2%


9.6% of most restrictive interventions used

The continued emphasis on and expansion of multidisciplinary Adaptive Social Response rounding and collaboration with charge nurses during daily huddles continue to sustain improvements.

Workforce Metric

Reduce first-year turnover rate by 10%, from 25.9% to 23%, to ensure quality health outcomes.

yellow arrow

Goal: 23%


26.8% first-year turnover rateNew onboarding resources for leaders and teams were introduced and internal mobility continues to grow.

Family Experience Survey

The Family Experience Survey (FES) from Press Ganey achieves an overall average score of 83%.

Yellow arrow pointing up and to the right

Goal: 83%


82.4% of patient families likely to recommend Seattle Children'sSeattle Children's FES score trended upward in the first half of the year. Scores vary widely by care area.

Social Determinants of Health (SDOH)

Achieve 80% SDOH questionnaire completion by seen patients.

Green checkmark

Goal: 80%


85.4% of patients screenedSDOH screening continues to be added to registration processes for clinics across the system. There is an additional focus to increase the number of community-based organizations in the community services referral network by 5%.

Strategic Plan

Complete all strategic plan projects that directly support a goal that advances patient healthcare experiences and outcomes.

Green checkmark

Goal: Projects completed by FY25 end


100% completedThe projects identified have impacts on patient care, workforce and engagement, providing visibility into and accountability for healthcare experience and outcome goals.

Seattle Children's fiscal year is Oct. 1 through Sept. 30. Data as of March 31 2025.

Data Snapshot


Seattle Children’s aims to have a workforce, leadership team and Board of Trustees that reflect the patients and families we serve. Research shows this improves health outcomes, patient and family experience and innovation. See progress in the data below.

Top five languages spoken by patients/families

A chart with Spanish at 7.3%, Ukrainian at 0.4%, Vietnamese at 0.4%, Somali at 0.4% and Mandarin at 0.4%. Text below the chart reads "Total of 132 languages used by patients/families".

Languages used represents ‘Language for Care’ and the families’ need.


Payer type

A chart with Commerical at 51.9%, Medicaid/Health Options at 42.1%, Self-pay/Financial Aid at 3.7% and Other Government at 2.3%.

Payer type reflects individual encounters, not distinct patients.


Social Determinants of Health (SDOH) screening In FY24

A chart with the text "% patients screened = 84.0%. Of the patients screened, % reported at risk for:". The chart below has "Financial resource strain" at 18%, "Food insecurity" at 13%, "Housing stability" at 10% and "Transportation needs" at 5%.

Eighty-four percent of eligible patients had an SDOH questionnaire screening. An SDOH screening is defined as a risk score being assigned, an opt-out response being recorded, or any partial data/response for a specific area called a domain. The denominator is defined as patients with a visit in FY24 in a department that offers the SDOH questionnaire, who were eligible for an SDOH questionnaire screening. The numerator is patients with a visit in FY24 who had an SDOH screening.

The risk percentage represents medium or high risk in a domain. Patients with a low-risk score are not considered at risk and are not included in the numerator for that domain.

Looking Forward


Seattle Children’s advancement of positive healthcare experiences and outcomes for all patients is woven throughout Seattle Children’s strategic plan, quality and safety efforts and workforce culture and policies. Care providers strive for innovation and improved care for every child. Restorative practices are used to strengthen relationships between individuals, promote belonging in the workplace and build social connections within communities.

With demonstrated dedication and work to fulfill its commitments to promote better health outcomes, Seattle Children’s holds each member of its team accountable for deepening and strengthening action that drives toward a future where every child has access to unsurpassed quality clinical care.

Everyone is invited — workforce members, patients, families and community partners — to join the ongoing journey toward achieving safe and excellent healthcare for all children.