It can be used both to screen initially for problems and to monitor the patient. Psychology definition of functional independence measure fim. The ccar has been used in colorado for over fifteen years as a point of service assessment. The functional assessment measure does not stand alone but adds 12 fam items to the fim, specifically addressing cognitive and psychosocial. The daily living activities dla functional assessment is a functional assessment, proven to be reliable and valid, designed to assess what daily living areas are impacted by mental illness or disability. The majority of studies predicting walking after stroke have focused on recovery of walking or the achievement of independent walking, measured through global measures such as the barthel index loewen and anderson 1990, wandel et al 2000, the functional independence measure bohannon and eriksrud 2001, jorgensen et al 1995, or the ability to walk 10 metres petrilli et al 2002. The patients exhibited an functional independence measure of 84. The fim was also developed to offer a uniform system of measurement for disability based on the international. Fim scale fill out and sign printable pdf template signnow. It should also be noted that timeliness of functional assessment on admission and discharge is an achs rehabilitation medicine clinical indicator.
Functional assessment measure functional capacity evaluation functional independence measure functional test for the hemiparetic upper extremity. The development of standardized functional assessment measures across postacute care settings has been ongoing since 2014. Fim is used to track the changes in the functional ability of a patient during an episode of hospital rehabilitation care. Feeding cutting, opening containers, pouring, bringing food to mouth, holding cup with fluid 0.
The two methods were direct observation of child performance and parental interview. 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. 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. Scimspinal cord independence measure selfcare date \ \ \ \ \ \ \ 1. If you change a patient in cprs, fim will alert you that the template will terminate. Toolkit for spinal cord independence measure iii scim. Evaluation of functional independence after discharge from. Enter the score for each function in the adjacent square, below the date. The patient assessment instrument in appendix e irfpai is the new instrument to be. The functional assessment measure fam was developed as an adjunct to fim aka the functional independence measure to address functional areas of importance in brain injury rehabilitation that are less emphasized in fim, including communication, psychosocial adjustment, and cognition. Fill out, securely sign, print or email your fim scale pdf form instantly with signnow. Recommended that the medicare claim form discharge contain. Functional independence measure fim assessment overview assessment area icf domain. The functional independence measure fim is an 18item global measure of disability.
A functional measures progress timeline can be accessed in the downloads section below. Aug 01, 2018 to measure the timeliness of scoring on admission and discharge the aroc data set requires the collection of the date on which each of these scores was achieved. Functional independence measure fim scores, fim efficiency, and results from an anonymous survey with a 22item likerttype scale at the end of patients rehabilitation. Functional outcomes of sleep questionnaire fosq results. Functional independence measure and functional assessment measure functional independence measure the functional independence measure fim scale assesses physical and cognitive disability. An assessment of the severity of patient disability. Foundational measurement tool for all practice areas provides uniform system of measurement for disability. From february to march 2009, we searched medline, ovid, cinahl, and ebsco for fulltext articles written in english. They have been developed by asha to describe the different aspects of a patients functional. The fim is an 18item, 7level functional assessment designed to evaluate the. Functional independence measure weefim for chinese children. Specific components of these instruments collect parallel information and items on. Pdf functional independence measure minimum data set.
Faq use of the functional activities questionnaire in. The new version of oasis, labeled oasisb1122002 was scheduled for implementation. The fam functional assessment measure was developed as an adjunct to the fim to specifically address the major functional areas that are relatively less emphasized in the fim, including cognitive, behavioral, communication and community functioning measures. Functional independence measurement fim user manual. 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. 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. In addition, total fim ratings increased for all three group form discharge. The katz index of independence in activities of daily living, commonly referred to as the katz adl, is the most appropriate. Functional independence measure an overview sciencedirect. Results for functional independence measure 1 10 of 88 sorted by relevance date click export csv or ris to download the entire page or use the checkboxes to select a subset of records to download. The spinal cord independence measure scim, now in its third iteration, is a disability scale. The functional independence measure fim instrument, which includes an assessment of bladder function, is the industry standard and used by the u. Using the spinal cord independence measure iii to measure functional recovery in a postacute spinal cord injury program.
Developing tests and questionnaires for a national assessment of educational achievement, the second of. Functional communication measures introduction the functional communication measures fcms are a series of sevenpoint rating scales, ranging from least functional level 1 to most functional level 7. Functional assessment measure pdf, 374kb, clin rehabil. Start a free trial now to save yourself time and money. Pdf are available on the following office of information field offices.
For over 15 years, the fim was an acronym for functional independence measure. Center for medicare and medicaid services see figure 6. Irfpai training manual revised 011602 the process of taking a wellknown clinical tool and making it the basis of a national prospective payment system. Occupational therapists might use these assessment tools, many of which focus on body. 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. It is an 18item performance measurement system that documents selfcare, functional mobility, and cognitive abilities.
The fim is an 18item 7level functional assessment designed to evaluate the. The functional status questionnaire can be used as a selfadministered functional assessment for a patient seen in primary care. In addition to exercise intervention, children in the therapeutic group received teas, whereas the control group received a sham teas. Mar 2017 functional independence measurement fim user manual. The fim can be used for measuring disability in a wide range of conditions. Spinal cord 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. Functional independence measure fim walking or wheelchair. Patient function is assessed using the fim instrument at the. Functional independence measure minimum data set motor item bank.
Her global perspective, clarity of thought, and emphasis on the importance of the research findings has ensured that the system will be. Functional assessment measure functional independence measure the functional independence measure fim scale assesses physical and cognitive disability. As with other instruments that measure functional activities using indirect approaches, there may be over or under estimation of abilities because of the lack of direct observations. Ability of functional independence measure to accurately. The functional independence measure fim is an 18item measurement tool that explores an individuals. The references are sorted by year of publication most recent on top, then by authors. Research foundation of the state university of new york 1990. The functional independence measure fim is widely used and accepted as a functional level assessment tool that evaluates the functional status of patients throughout the rehabilitation process.
Fam rating form the center for outcome measurement in. The functional independence measure fim instrument is a basic indicator of patient disability. The functional independence measures fim version 1. 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. Functional independence measure weefim for chinese. Collection and reporting method hybrid claimencounter data and medical record. Pdf functional independence measure minimum data set motor. Functional independence measure form free pdf file sharing. The functional independence measure fim is a global measure of disability and can be scored.
A screening form and a problem behavior scale are also part of the sibr package. Set, measurement scale, impairment codes, and refinements thereto for the. A 54item scale used to assess qol in patient with brain tumor using likert scales. Mar 2017 functional independence measurement fim user manual, version 1. The scoring considers the use of adaptive equipment andor the extent of personal assistance or supervision required to complete the task. To ensure the client makes a smooth transition from hospital to the community, the assessment considers the most suitable accommodation, as well as the allied health and therapy services they will need. To improve the practical use of the short forms sfs. The assessment tool quickly identifies where outcomes are needed so clinicians can address those functional. Archives of physical medicine and rehabilitation, 74, 38. Functional independence measurement fim technical manual. This study examined the equivalence reliability of two administration methods for the functional independence measure for children weeflm. Guide for the use of the uniform data set for medical rehabilitationincluding the functional independence measure hm version 3.
Sleepiness had a moderate to large negative effect effect size range 0. Katz index of independence in activities of daily living adl. 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 current form structure represents the version of fim developed between 1984 and 1987 by a national task force sponsored by the american academy of physical medicine and. The functional independence measure fim scale is a basic indicator of patient disability. Short forms development and precision comparison in veterans chihying li, sergio romero, annie n. The functional independence measure fim is an 18item measurement tool that explores an individuals physical, psychological and social function. 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 uk functional independence measure and functional assessment measure. Measuring function for medicare inpatient rehabilitation payment. Advances in functional assessment for medical rehabilitation, topics in geriatric rehabilitation, 1, 3, 59 74.
Each item is scored on a 7 point ordinal scale ranging from 1 total dependence to a score of 7 total independence. Cover sheet to functional independence measure fimtm paediatric functional independence measure weefim a fimtmweefim is required for people with traumatic brain injuries or burns in order to assess eligibility for the catastrophic injuries support scheme. Each item on the fim is scored on a 7point likert scale, and the score indicates the amount of assistance required to perform each item. Functional independence measure fimz instrument admission discharge followup selfcare a. Functional skills complete independence fim 7 modified independence fim 6 supervision or setup fim 5 standby assistance contact guarding minimal contact assistance fim 4 moderate assistance fim 3 maximal assistance fim 2 total assistance fim 1 evaluation criteria. The following references relate to research done about the fim instrument. It provides information on the patients physical, psychological, social and role functions.
Care for older adults coa functional status assessment definition percentage of adults age 66 and older who had a functional status assessment in the measurement year. Functional independence measure rehabmeasures database. Functional independence measure fim spinal cord injury. Gross motor function measure gmfm88 and functional independence measure for children weefim were used to evaluate the children both prior to and after the intervention 8wks. Tenet irfs shall utilize the functional independence measure fim instrument to assist in classifying a patient into a case mix group cmg. An example of the clinical assessment form for the.
Fim functional independence measure scale for measuring. 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. Directing and prioritizing therapeutic interventions. A list of public hospitals and health services in victoria. Assessing bladder function on admission to shortterm rehabilitation and discharge provides some insight into patient outcomes. Functional independence measure fim flashcards quizlet. Expected spinal cord independence measure, third version, scores for various neurological levels after complete spinal cord lesions. Performance of the child on each of the items is assigned to one of seven levels of an ordinal scale that represents the range of function from complete and modified independence levels 7 and 6 without a helping person to modified and complete dependence levels 5 to 1 with a helping person. Functional independence measure for children springerlink.
For help completing this form, see the separate notes document. Comparing the functional independence measure and the. An alternative system has been developed by the interrai consortium. The functional independence measure fim instrument is a basic indicator of. Functional independence measure tm and functional assessment measure brain injury scale. 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. Cover sheet to functional independence measure fimtm. Katz index of independence in activities of daily living.