Start studying functional independence measures fim stairs. The functional independence measure fim is an 18item global measure of disability. Functional independence measure fim the fim is an 18item, seven level ordinal scale. The functional independence measures fim version 1. The purpose of this manual is to guide the user to complete the inpatient rehabilitation. The fim can be used for measuring disability in a wide range of conditions. Although the functional independence measure fim can be used to. The fim is an 18item ordinal scale, used with all diagnoses within a rehabilitation population.
Tenet irfs shall utilize the functional independence measure fim instrument to assist in classifying a patient into a case mix group cmg. Manual muscle testing of the knee extensors and plantar flexors, the gross motor function classification system gmfcs, the gross motor function measure gmfm, and the icfcy. The functional independence measure fim is an assessment tool that is widely used in rehabilitation worldwide 36. Patient function is assessed using the fim instrument at the start of a. The severity of carerecipient functioning and impairments may be determined with the functional independence measure fimsm. Functional independence measure an overview sciencedirect.
Therefore, both basic activities and community activities were included in the new tool. The functional independence measure fim and weefim what is the fimweefim instrument. It is most often used in acute hospitals and subacute rehabilitation settings, although it can be used anywhere for patients who have. Guide for the use of the functional independence measure weefim of the uniform data set for medical 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 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, cancer etc. The functional independence measure fim is an 18item measurement tool. Buffalo, ny center for functional assessment research, uniform data system for medical rehabilitation, state university of. 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. Center for medicare and medicaid services see figure 6.
Specific components of these instruments collect parallel information and items on. The functional independence measure fim, on which it is largely based, was developed prior to that, as a standardized way of measuring the progress of patients undergoing medical rehabilitation. 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. It is most often used in acute hospitals and subacute rehabilitation settings, although it can be used anywhere for patients who have functional mobility. A checkbox toggles between a yes or no, on or off setting. Functional independence measurement fim user manual. The functional assessment measure does not stand alone but adds 12 fam items to the fim. The weefim is a measure of functional ability that can be used for typically developing children, aged 6 months through 7 years, as well as children over 7 years with disabilities and delays in functional development. This investigation developed the wheelchair users functional assessment wufa.
Each item is scored on a 7 point ordinal scale ranging from 1 total dependence to a score of 7 total independence. Aug 01, 2018 functional change is a key outcome measure of rehabilitation episodes. An assessment of the severity of patient disability. The conistat, montreal cognitive assessment moca and functional independence measure cognitive showed adequate predictive validity bates, 2015part 1 a retrospective analysis of 4020 veterans receiving consultative or comprehensive rehabilitation care poststroke.
The functional independence measure fim 31 is a widely accepted functional assessment measure used during inpatient rehabilitation. Functional independence measure fimz instrument admission discharge followup selfcare a. Comparing the functional independence measure and the. Granger founder of both udsmr and the center for functional assessment research is the father of. The functional independence measure 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. The functional independence measure fim instrument is a basic indicator of patient disability. 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.
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. Development of a functional assessment measure for manual. 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. Get an ataglance look at the meisr, including what it assesses, who conducts the meisr, the routines assessed, and more. Related manual functional independence measurement fim installation guide, v. Manual muscle testing of the knee extensors and plantar flexors, the gross motor function classification system gmfcs, the gross motor function measure gmfm, and the. For over 15 years, the fim was an acronym for functional independence measure. 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.
The fimtm is an 18item ordinal scale, used with all. The functional independence measure fim is an 18item measurement tool that explores an individuals physical, psychological and social function. The fim is applied at the patient level to measure change throughout rehabilitation, at the institutional level to measure outcome quality, and at the national level for performance reporting or quality monitoring. This policy applies to 1 tenet healthcare corporation and its whollyowned subsidiaries and affiliates each, an affiliate 2 any other entity or organization in which tenet healthcare. The functional independence measure fim instrument is a basic indicator of. Interrater reliability of the functional assessment measure in a brain injury rehabilitation. Functional independence measure definition of functional.
The fim was also developed to offer a uniform system of measurement for disability based on the international. Functional independence measure for children weefim. Functional independence measurement fim user manual the functional independence measure fim is an 18item global measure of disability. It is the product of an effort to resolve the long standing problem of lack of uniform measurement and data on disability and rehabilitation outcomes. Although the functional independence measure fim can be used to assess disability in those using a wheelchair, it only measures some aspects of. 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. The functional independence measure 18item version can be. Functional independence measure weefim for chinese.
The wee functional independence measure weefim was used to measure development condition, health, education standards and local community standards of the subjects. Assessing bladder function on admission to shortterm rehabilitation and discharge provides some insight into patient outcomes. Facility patient assessment instrument irfpai, which is. The scoring considers the use of adaptive equipment andor the extent of personal assistance or supervision required to complete the task. Functional independence measure scores of patients with.
If you have or suspect you have a medical problem, promptly contact your professional healthcare provider. You may access the help file by clicking on helpcontents from the menu. Learn vocabulary, terms, and more with flashcards, games, and other study tools. It is an 18item performance measurement system that documents selfcare, functional mobility, and cognitive abilities. 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. Mar 2017 functional independence measurement fim user manual, version 1. Information on this web site is provided for informational purposes only and is not a substitute for professional medical advice. Irfpai training manual revised 011602 the process of taking a wellknown clinical tool and making it the basis of a national prospective payment system. The weefim is an adaptation of the functional independence measure fim used in adults. Functional independence measure for children springerlink. Fim is used to track the changes in the functional ability of a patient during an episode of hospital rehabilitation care. The fim emerged from a thorough developmental process overseen by a national task force of rehabilitation. Mar 06, 2016 the wee functional independence measure weefim was used to measure development condition, health, education standards and local community standards of the subjects. Because no functional outcome tools exist that include many of the daily activities that are needed to be independent by individuals using manual wheelchairs, development of an appropriate tool was deemed important.
Functional assessment measure rehabmeasures database. Checkboxes are usually a square box containing a check mark or an x. Fim scores range from 1 to 7 1 total assist and 7 complete independence. The irfpai was created for use by facilities subject to cmss payment system for medicare inpatient rehabilitation services. Buffalo, ny center for functional assessment research, uniform data system for medical rehabilitation, state university of new york at buffalo, 1991. The purpose of this manual is to guide the user to complete the inpatient rehabilitation facility patient assessment instrument irfpai, which is required by the centers for medicare and medicaid services cms as part of the inpatient rehabilitation facility prospective payment system irf pps. Inpatient rehabilitation facility patient assessment. Nov 29, 2009 both the functional independence measure fim 11 and the interraiminimum data set mds 12, are instruments designed to measure functional ability, and both have been used widely with older persons and are mandated in multiple health care settings. Functional independence measure fim handicare united.
Udsmr is a notforprofit organization affiliated with the university at buffalo the state university of new york. The functional independence measure fim scale assesses physical and cognitive disability. The original items were developed by santa clara valley medical center scvmc but extrapolation. Functional independence measure rehabmeasures database. 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. Although the functional independence measure fim can be used to assess disability in those using a wheelchair, it only measures some aspects of basic activities of daily living adls and does not measure community independence. Functional independence measure fim spinal cord injury. Functional independence measures fim stairs flashcards. Clicking the box or pressing the spacebar toggles the check box setting. Carl granger is a pioneer in the scientific application of functional assessment and functional outcomes, and provided leadership in the development of the fim systemsm and the related guide for the uniform data set for medical rehabilitation.
The functional independence measure fim instrument, which includes an assessment of bladder function, is the industry standard and used by the u. Also, computer adaptive testing has developed over the past decade, which represents an innovative and exciting change to how self. Although the functional independence measure fim can be used to assess disability in those using a wheelchair, it only measures some aspects of basic activities of daily living adls and does. 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. The remit was to develop a minimum data set that would be an appropriate, quickly and. A validation of the functional independence measurement and its performance among rehabilitation inpatients. Archives of physical medicine and rehabilitation, 74, 38. Fim scale fill out and sign printable pdf template signnow. Below is a summary of an article in which the weefim was used as the primary objective assessment of progress following an acquired brain injury abi. An alternative system has been developed by the interrai consortium.
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. Since its inception in 1987 udsmr has provided the most comprehensive rehabilitation data to the industry. The functional independence measure fim is a global measure of disability and can be scored alone or with the additional 12 items that formulate the functional assessment measure fam. The fimsm contains items that assess motor functioning eating, grooming, bathing, dressing, toileting, bowel and bladder control, transfers, and locomotion. Functional independence measurement fim technical manual. For over 15 years, fim was an acronym for functional independence measure.
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