Measuring function for medicare inpatient rehabilitation. Her global perspective, clarity of thought, and emphasis on the importance of the research findings has ensured that the system will be of the highest quality. The functional independence measure fim instrument, which includes an assessment of bladder function, is the industry standard and used by the u. A fully computable fis total score was obtained in 94. Its area of use can include skilled nursing facilities and hospitals aimed at acute, subacute and rehabilitation care. Functional independence measure definition of functional. The functional independence measure fim was developed to address the issues of sensitivity and comprehensiveness that were criticized as being problematic with the barthel index another measure of functional independence. The fim is an 18item 7level functional assessment designed to evaluate the. Nov 29, 2009 the functional independence measure is widely used in rehabilitation settings in canada this is used as the central component of the national rehabilitation reporting system of the canadian institute of health information. Although a selfreport of disability type was obtained, disability severity and functional impairment were assessed through the use of the functional independence measure fim which has been.
Functional independence measure weefim for chinese. Functional independence measure fim in 2011 pdf free. The current owners of the fimtm instrument have decided that the acronym fimtm no longer stands for anything and should be referred to only as fimtm. The functional independence measure fim was developed in 1983 in a collaboration between the american congress of rehabilitation medicine and the american academy of physical medicine and rehabilitation headed by carl granger and byron hamilton 7.
Called the functional independence measure fim, it assesses selfcare, sphincter management, mobility, locomotion, communication, and social cognition on a sevenpoint scale. Source for information on functional independence measure. The functional independence measure fim is an outcome measure of the severity of disability for an inpatient rehabilitation setting. To assess the psychometric quality of an instrument designed to measure functional independence functional independence. Results for functional independence measure 1 10 of 78 sorted by relevance date click export csv or ris to download the entire page or use. It has five grades, ranging from 0 fully independent to 4 completely dependent. Using the spinal cord independence measure iii to measure functional recovery in a postacute spinal cord injury program. It is most often used in acute hospitals and subacute rehabilitation settings, although it can be used anywhere for patients who have functional mobility impairments. Functional independence measure legal definition of. Functional status information is used for care planning, to measure quality of care, and to adjust payments for case mix under various medicare ppss. Functional independence measure fim the fim was developed in 1983 by a task force created by the american congress of rehabilitation medicine and the american academy of physical medicine and rehabilitation headed by carl granger and byron hamilton. Spinal cord independence measure rehabmeasures database. John prine and iris dement in spite of ourselves live from sessions at west 54th duration.
The functional independence measure fimr is an outcome measure of the severity of disability for an inpatient rehabilitation setting. Mar 2017 functional independence measurement fim user manual, version 1. Functional independence measurefim flashcards quizlet. Feb 29, 2016 the functional independence measure fim was developed in 1983 in a collaboration between the american congress of rehabilitation medicine and the american academy of physical medicine and rehabilitation headed by carl granger and byron hamilton 7. Toolkit for spinal cord independence measure iii scim. Functional independence measure for children springerlink. The weefim was originally designed to be used in children from 6 months to 7 years of age without disabilities and older children and adolescents with developmental disabilities. Choose from 500 different sets of functional independence measure flashcards on quizlet.
The functional independence measure fim is an assessment tool that aims to evaluate the functional status of patients throughout the rehabilitation process following a stroke, traumatic brain injury, spinal cord injury or cancer. The spinal cord independence measure scim, now in its third iteration, is a disability scale developed specifically for the sci population to assess various activities of daily living adls 1. The functional assessment measure does not stand alone but adds 12 fam items to the fim. Measurement scales used in elderly care 60 functional independence measure and functional assessment measure functional independence measure the functional independence measure fim scale assesses physical and cognitive disability. Validity of the stroke rehabilitation assessment of movement scale in acute rehabilitation. The tool is used to assess a patients level of disability as well as change in patient status in response to rehabilitation or medical intervention. The functional independent measurement fim is an aggregate scale consisting of 18 separate items which are added to produce a total score which may be used for discharge planning. In yokohama city, we have a visiting rehabilitation service system project for home patients.
The functional independence measure for children weefim. Our pilot use of this instrument in children with limb deficiency, downs syndrome, spina bifida, cerebral palsy, and extreme prematurity demonstrates that the weefim is a valid measure for tracking disability in preschool age and. Functional independence measurement fim user manual. Learn functional independence measure with free interactive flashcards. Evaluation of functional independence after discharge from.
Advantages and disadvantages of the functional independence. The functional independence measure fim is an instrument. This measure was developed to track disability in children who are between the ages of 6 months and 7 years. Aug 01, 2018 functional change is a key outcome measure of rehabilitation episodes. Functional assessment tools have been created to meet this need. The majority of measurement scales used to evaluate outcome in rehabilitation are ordinal in nature and consequently statistically valid assessments of change are difficult to make. Assessing bladder function on admission to shortterm rehabilitation and discharge provides some insight into patient outcomes. Data from the fim are used to examine patient outcomes for several purposes. The fim instrument comprises 18 items, each of which is assessed against a seven point ordinal scale, where the higher the score for an item, the more independently the patient is able to perform the tasks assessed by that item. It includes demographic descriptions of the patient birth date, sex, zip code, ethnicity, marital status, living setting, clinical descriptions of the patient impairment that is the primary reason for rehabilitation, international classification of diseases, ninth revision, clinical modifications centers for disease control and prevention, 2003 diagnoses, functional independence measure. The functional independence measure fim is an 18item measurement tool that explores an individuals physical, psychological and social function. When this measure was compared to the measure at 30 days after discharge, there was improvement across the functional independence variables except for that concerned with sphincter control. Use of the functional independence measure for outcomes.
Weefim is useful in assessing functional independence in. The weefim can be administered to children over the age of 7 if their functional abilities are below those expected of children aged 7 who do not have disabilities. Any functional task that assistance from 2 or more is a score of 1 admission data is collected within 48 hours of admission discharge data is collected 72 hours before dc followup data is collected 90 days after dc fim score reflects what individual does in daily routine assess actual performance vs. Functional independence measure description general description.
The fimtm is an 18item ordinal scale, used with all diagnoses within a rehabilitation population. The functional independence measure fim can be weighted to possess interval properties, potentially allowing more accurate analysis of change. Information on this web site is provided for informational purposes only and is not a substitute for professional medical advice. Fim is used to track the changes in the functional ability of a patient during an episode of hospital rehabilitation care. The functional independence measure fim instrument is a basic indicator of patient disability. During a mean period of hospitalization of 38 days, fim score changed from a. Psychology definition of functional independence measure fim.
The functional independence measure fim is an 18item global measure of disability. The fim was also developed to offer a uniform system of measurement for disability based on the international classification of impairment, disabilities and handicaps for. Ability of functional independence measure to accurately. The functional independence measure fim scale assesses physical and cognitive disability. It rates 18 activities of daily living on a 7 point scale ranging from. The functional independence measure fim has historically been used for care planning and quality measurement in many u. Irfpai training manual revised 011602 the process of taking a wellknown clinical tool and making it the basis of a national prospective payment system. Quality assessment of the fim functional independence. It is has become one of most frequently used research tools for assessing response to treatments in individuals with sci. Jan 17, 20 using the spinal cord independence measure iii to measure functional recovery in a postacute spinal cord injury program. The scoring considers the use of adaptive equipment andor the extent of personal assistance or supervision required to complete the task. The abilities of a patient change during rehabilitation and the functional independence measure fim instrument is used to track those changes. The best sleeping position for back pain, neck pain, and sciatica tips from a physical therapist duration.
It rates 18 activities of daily living on a 7 point scale ranging from fully dependent 1 to independent with no aids 7. The functional independence measurement fim is an outcome measurement tool used by physical therapists and other healthcare professionals to measure overall independence during specific functional tasks. Functional independence measure synonyms, functional independence measure pronunciation, functional independence measure translation, english dictionary definition of functional independence measure. The functional independence measure fim is widely used and accepted as a functional level assessment tool that evaluates the functional status of patients. Functional independence measure wikipedia republished. The fimtm guide for the uniform data set for medical rehabilitation, 1996 is the most widely accepted functional assessment measure in use in the rehabilitation community. Assessment of functional status is a major responsibility for professionals practicing in rehabilitation facilities. Functional independence measure fim in 2011 pdf free download. Center for medicare and medicaid services see figure 6. The list of acronyms and abbreviations related to fim functional independence measure. The functional independence measure weefim for children is a simpletoadminister scale for assessing independence across 3 domains in american children. Brain injury australia is the central clearinghouse of information and gateway to nationwide referral for optimising the social and economic participation of all australians living with brain injury. The data set also includes items which document patients demographic characteristics, diagnosis, impairment groups, length of hospital inpatient stay, and hospital.
Quadriplegia index of function qif spinal cord injury. Expected spinal cord independence measure, third version, scores for various neurological levels after complete spinal cord lesions. Functional independence measure tm and functional assessment measure brain injury scale. Functional independence measure synonyms, functional. Learn vocabulary, terms, and more with flashcards, games, and other study tools.
Functional independence measure fimz instrument admission discharge followup selfcare a. If you have or suspect you have a medical problem, promptly contact your professional healthcare provider. Chronic respiratory diseases are associated with symptoms such as dyspnea, fatigue, and reduced exercise capacity, which can lead to a reduced ability to perform the activities of daily living and poor healthrelated. Each item is scored on a 7 point ordinal scale ranging from 1 total dependence to a score of 7 total independence. Tenet irfs shall utilize the functional independence measure fim instrument to assist in classifying a patient into a case mix group cmg. Functional independence measure fim spinal cord injury. Toolkit for spinal cord independence measure iii scim iii. Functional independence measure weefim for chinese children. The functional independence measure fim is one of the most widely used disability and dependence assessment instruments in rehabilitation medicine. Comparing the functional independence measure and the. Functional independence measure fim in 2011 request pdf. The fim can be used as a functional status outcome measure in people for whom weaning from mechanical ventilation is difficult.
The fim can be used for measuring disability in a wide range of conditions. These measures were crosssectionally applied to communitydwelling elders. In this study the fim was compared to the barthel index bi to. Functional independence measure rehabmeasures database. The patients exhibited an functional independence measure of 84. The weefim is an adaptation of the functional independence measure fim used in adults. Functional independence measure anne rankin in 1983 a task force sponsored by the american congress of rehabilitation medicine and the american academy of physical medicine and rehabilitation was established to develop a functional assessment instrument. Evento cerebro vascular, escala fim, funcionalidad. It is an 18item performance measurement system that documents selfcare, functional mobility, and cognitive abilities. Patient function is assessed using the fim instrument at the start of a. How to administer the fim functional independence measure. Functional independence measurement fim technical manual. Use of the functional independence measure in people for. The functional performance categories are scored on a 5 point scale from 0 dependent to 4 independent.
One of the most widely used tools is the functional independence measure fim. As the fim raw score, an ordinal number, is difficult to quantify, efforts were made to convert the raw score to an interval measure. Functional independence measure scores of patients with. Functional independence measure fim brain injury australia. The functional independence measures fim version 1. The ability to quantify the functional ability of poststroke patients engaged in a rehabilitation program may assist in prediction of their functional outco me. An alternative system has been developed by the interrai consortium. Synonyms for functional independence measure in free thesaurus. For over 15 years, fim was an acronym for functional independence measure. May 12, 2018 the functional independence measure fim mai abo hlal. We have studied the validity of the functional independence measure fim data of 141 home patients. Weefim was based on a conceptual framework by the world health organization 1980 of pathology, impairment, disability and handicap, and the burden of care. Translation find a translation for functional independence measure in other languages. We describe the conceptual basis and pilot use of the functional independence measure for children weefim.
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