(2010). Bates, B.E., Xie, D., et al. (2007). Provides a uniform system of measurement for disability based on the International Classification of Impairment, Disabilities and Handicaps; measures the level of a patient's disability and indicates how much assistance is required for the individual to carry out activities of daily living. Arch Phys Med Rehabil 75(2): 133-143. “Development and validation of prognostic indices for recovery of physical functioning following stroke: part 1.” American Academy of Physical Medicine and Rehabilitation 7: 685-698. The roll-up summary and patient-level details in this report help you monitor your 95% threshold for data completeness, avoid a 2% payment penalty, and pinpoint correction and re-submission opportunities. B., Carnel, C. T., et al. (Naghdi et al, 2016) Two raters administered the Persian FIM and the Barthel Index to 40 patient, mean age of 60 (±14.9) years old and an average of 21 (± 23) months post first stroke . The level of participation on discharge (PRPS score) was predicted by functional status on admission (FIM; 0.309), cognitive impairment (Elderly Cognitive Assessment Questionnaire-ECAQ; 0.249) and fatigue (Fatigue Severity Scale-FSS; -0.304) . Find it on PubMed, Salter, K., et al. 1-7. (Van Heugten et al, 2015) Systematic review of studies (51) investigating convergent, criterion and predictive validity of cognitive dysfunction in patients in the acute phase (4 weeks) post stroke using multi-domain instruments . Patients with lower levels of participation were more likely to be functionally dependent, cognitively impaired and have more fatigue. Today, UDS maintains the world’s largest government-independent repository of rehabilitation outcomes and IRF-PAI data. Find it on PubMed. The on-demand version of this report provides a snapshot of your facility’s percentage of cases for which a drug regimen review was conducted at the time of admission and/or a timely follow-up with a physician occurred, along with national comparative values. (Shindo et al, 2015) To explore the concurrent validity of the FIM scale with the Simple Test of Evaluation Hand Function [STEF], 34 inpatients (33-86 years of age) sub acute post stroke (less than 60 days post episode) were evaluated at admission. The SRM (admission to discharge change score) was 2.34 for the motor FIM (P<0.0001). IT also provides national observed comparative values. (O’Brien et al, 2013). Eur J Phys Rehabil Med 44(1): 3-11. (Salter et al, 2010) 134 patients, a mean age of 68.64 (± 14.2) years old, and an average of 31.84 (± 59.2) days post-stroke, receiving care in an inpatient rehabilitation setting, were tested with the FIM at admission and discharge. Carl V. Granger, Samuel J. Markello, James E. Graham, Anne Deutsch, Timothy A. Reistetter, Kenneth J. Ottenbacher. At a minimum, the on-demand report should be run routinely on calendar year or quarter as part of your data quality checks. Arch Phys Med Rehabil 77(10): 1056-1061. Participants received constraint-induced movement therapy, bilateral arm training, or conventional rehabilitation for two hour sessions, five times per week for three weeks. If such monitoring reveals possible evidence of criminal activity, UDSMR/Facility may provide the evidence of such activity to law enforcement officials. The software version provides patient-level details. Cooke, D.M., Gustafsson, L., et al. Grey, N. and Kennedy, P. (1993). Find it on PubMed, Kay, E., Deutsch, A., et al. Data Source. The software version of this report allows you to include patients in care, while the on-demand version includes only discharged cases. A sample of 371,211 Medicare beneficiaries who were receiving services in an inpatient rehabilitation facility (IRF) within 60 days post stroke (> 65 years of age, 43.7% male, 41.7% right sided impairment, 796% white) were evaluated with the FIM at admission and discharge. "The functional independence measure: a new tool for rehabilitation." (Ward et al 2011) On admission to the acute rehabilitation ward, the FIM and the STREAM were found to be highly correlated in thirty patients acute post ischemic stroke. (2001). A task force representing the US rehabilitation community set about developing the Uniform Data System for Medical Rehabilitation (UDSMR) - a minimum data set that includes a rating scale to measure function, the Functional Independence Measure (FIM instrument). The WeeFIM® Instrument: 0-3 Module is a questionnaire that measures precursors to function in children 0-3 years old who have a variety of disabilities. Widely considered the “gold standard” for measuring function, the FIM ® instrument quickly and reliably tracks patient progression, goal attainment, and the burden of care. (1997). that contributed information to the Uniform Data System for Medical Rehabilitation from January 2000 through December 2007 was performed. Paraplegia 31(8259324): 622-631. "A validation of the functional independence measurement and its performance among rehabilitation inpatients." Cavanagh, S. J., Hogan, K., et al. 1-844-355-ABLE, Visiting & COVID-19 Precautions | TeleHealth Visits. Find it on PubMed, Brock, K. A., Goldie, P. A., et al. Berges, I.M., Kuo, Y.F., et al. No instrument (including the FIM) assessed all of the commonly affected cognitive domains after a stroke, Strong significant intercorrelations were found between the Occupational Therapy Cognitive Assessment (LOTCA), the MMSE and the FIM-Cognitive subscale. Various Diagnoses (meta analytic findings): (Ottenbacher et al, 1996; n = 11 studies published between 1993 and 1995; total sample size = 1,568 participants, Various Diagnoses), (Sharrack et al, 1999; n = 64; mean age = 40 years, MS), (Dodds et al, 1993; n = 11,102 (52% Stroke, 10% Orthopedic; 10% Brain Injury); mean age = 65 years, General Rehab), (Hobart et al, 2001; Neurological Disorders), (Ng, et al., 2007; n= 1502; mean age of total = 61.3 ± 15.0 years; mean acute LOS = 14.5 ± 17.5 days; mean inpatient rehab LOS = 21.5 ±19.0 days, Neurological Disorders), (Hobart et al, 2001; n = 169; neurological rehab patient: MS, stroke, TBI, other), (Coster et al, 2006; n = 516 subjects with neurologic, orthopedic, or complex medical conditions; mean age = 68.3 (14.97) years; discharged from tertiary care or rehab hospital, Rehabilitation Patients), (Coster et al, 2006; Rehabilitation Patients), Bates, B.E., Xie, D., et al. )”( Nichol et al., 2011), The FIM instrument is appropriate for patients at all levels of EDSS; rating reflects limited responsiveness data, training required, and copyright issues (MS EDGE task force), The FIM instrument must be administered by a trained and certified evaluator and ideally scored by consensus with a multi-disciplinary team. The Functional Independence Measure (FIM) is an 18-item of physical, psychological and social function. "The Functional Independence Measure: a comparative study of clinician and self ratings." It is now widely used around the world, including in Australia. Find it on PubMed. Find it on PubMed. Find it on PubMed, Donnelly, C., Eng, J. J., et al. This one-page snapshot of your program’s performance on CMS’s IRF Quality Reporting Program (QRP) measures is a valuable precursor to your data on CMS’s IRF Compare website and UDS PEM 2 Report. Data were obtained from the UDSMR. (2015). (Montecchi et al, 2013) In 59 patients with mean age of 48.90 (± 14.01) years old, admitted to the intensive care unit acutely post acquired brain injury (from trauma, hypoxia, haemorrhage or ischemia), a new Trunk Recovery Scale (TRS) was developed. The UDSMR Guide, Version 5.1 (1997) formed the basis for much of the clinical content in the current document, and Dr. Granger’s clinical insight and wisdom contributed Please e-mail us! The STEF had statistically significant, adequate correlations with the FIMTM: FIM Total score (0.444;P<0.009), FIM motor (0.411;P<0.016) and FIM self care (0.402; P<0.019) . Ng, Y. S., Jung, H., et al. There was adequate fit with a nonsignificant Hosmer-Lemeshow statistic of P = 0.38 and Adequate area under the curve of 0.83 in the derivation cohort and 0.82 in the validation cohort. rated into the Inpatient Rehabilitation Facility-Patient Assessment Instrument (IRF-PAI), and to compare FIM data collected before and after the IRF prospective payment system (IRF-PPS) was implemented in 2002 for patients with stroke. 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