Expected spinal cord independence measure, third version, scores for various neurological levels after complete spinal cord lesions. As it allows direct observation of patients and the performancebased assessments are done by multidisciplinary teams including doctors, therapists and nurses fim is considered the gold. The timing of the admission scoring is important because clinically, a persons functional capacity changes upon commencement of a program of rehabilitation. Assessing bladder function on admission to shortterm rehabilitation and discharge provides some insight into patient outcomes. The scoring considers the use of adaptive equipment andor the extent of personal assistance or supervision required to complete the task. Functional independence measure score code n health, standard 18122019 tasmanian health, endorsed 06052020. Functional independence measure fim is the most widely used functional assessment scale for assessing functional capacity in patients with disability 4. Free flashcards to help memorize facts about fim scoring. Inpatient rehabilitation unit community hospital of the. 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. Comparing the functional independence measure and the interrai. The functional independence measure fim is a tool used to assess the functional progress of a patient who has had a stroke, traumatic brain injury, or amputation.
Comparing the functional independence measure and the. The fim was also developed to offer a uniform system of measurement for disability based on the international. Functional independence measure definition of functional. Table 3 essential and desirable criteria for facility trainers essential desirable be trained in fim scoring by a master trainer training experience in small groups pass the credentialling exam to at least 85% training qualification eg. The fim instrument refers to a scale that is used to. 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 fim was also developed to offer a uniform system of measurement for disability based on the international classification of impairment. Measures of motor and functional skills for children with ce. Provides a uniform system of measurement for disability based on the. Here are some frequently asked questions and answers about scoring fim.
The functional independence measure fim instrument is a basic indicator of. The functional independence measure fim instrument is a basic indicator. A functional measures progress timeline can be accessed in the downloads section below. Functional independence measure fim spinal cord injury. Adrian cristian md, mhcm, in central nervous system cancer rehabilitation, 2019. Functional recovery measures for spinal cord injury. The functional independence measure fim is widely used and accepted as a functionallevel assessment tool that.
Copyright 1997 uniform data system for medical rehabilitation, a division of ub foundation activities. Higher scores on the fim denote patients that have a higher level of. The functional independence measure fim instrument, which includes an assessment of bladder function, is the industry standard and used by the u. Functional independence measure rehabmeasures database. Personlevel of functional independence, functional. Other activities to help include hangman, crossword, word scramble, games, matching, quizes, and tests. Predicting rehabilitation outcomes using activity measure. 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. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Method rating the scale rating assigned by clinician who observed the subject or who interviews the caregiver.
Function in sitting test fist samuel merritt university. The functional independence measure fim was developed to be a more comprehensive and sensitive measure of disability than the barthel index bi. From february to march 2009, we searched medline, ovid, cinahl, and ebsco for fulltext articles written in english. Functional independence measure weefim for chinese. Functional independence measure and functional assessment measure functional independence measure the functional independence measure fim scale assesses physical and cognitive disability. Nov 29, 2009 interrater reliability of the 7level functional independence measure fim scandinavian journal of rehabilitation medicine.
The iru rehab team consists of the following roles. 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. Scores in all domains are added to obtain a total fim instrument score. The functional independence measure fim is an 18item measurement tool that explores an individuals physical, psychological and social function. Physiatrist a boardcertified doctor in physical medicine and rehabilitation.
In 2001 to 2002, the authors created a normative chinese weefim profile and compared this with the. Eating grooming bathing dressing, upper body dressing, lower body. How is the functional independence measure fim used to. Gross motor function measure, gross motor performance measure, pediatric evaluation of disability inventory, and functional independence measure for children. The functional independence measure fim instrument is a basic indicator of patient disability. Fim motor, cognitive andor total scores can be derived by summing items. The development of standardized functional assessment measures across postacute care settings has been ongoing since 2014. Four outcome measures were identified from 12 articles. Validity of the functional loewenstein occupational. Spinal cord independence measure rehabmeasures database.
Aug 01, 2018 functional change is a key outcome measure of rehabilitation episodes. The functional independence measure fim is widely used and accepted as a functional level assessment tool that evaluates the functional status of patients. Episode of admitted patient careclinical assessment score, code nn independent hospital pricing authority, standard 30102012. We looked at the available research to determine whether the fim could be used to predict the outcomes of people who had suffered a stroke. Clinical utility of the functional independence measure. The cosmin risk of bias checklist and the updated criteria for good measurement properties were applied to assess the quality.
The functional independence measure fim is an 18item measurement tool. Measuring change in disability after inpatient rehabilitation. The functional independence measure fim is an assessment tool that aims to evaluate the. The functional independence measure fim and barthel index bi are well. The initials originally were used to stand for functional. The fim instrument was developed as part of the uniform data system for medical rehabilitation at the state university of. Home outcome measures functional independence measure fim. Mar 2017 functional independence measurement fim user manual, version 1.
Functional independence measure an overview sciencedirect. Fim is a trademark of the uniform data system for medical rehabilitation. Fim scores are measurements of 18 different items to evaluate things like. Although the fim is widely used and has been shown to be reliable and valid, there is limited information about its responsiveness, particularly in comparison with the bi. Apr 16, 20 the weefim instrument consists of a minimal data set of 18 items that measure functional performance in three domains. 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.
Functional independence measure tm and functional assessment measure brain injury scale. 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. Scim iii spinal cord independence measure version iii. We found some evidence that the fim could be used to accurately predict the functional. 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 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 fim, the ampac was found to have a higher sensitivity to both positive and negative changes in functional activity in patients admitted to an irf 2. An alternative system has been developed by the interrai consortium. Each item is scored on a 7 point ordinal scale ranging from 1 total dependence to a score of 7 total independence. Start studying functional independence measures fim stairs. Evaluating functional independence in older adults using. The fim was also developed to offer a uniform system of measurement for disability. Administration of the fist was intended for persons who are cleared for sitting and do not have any contraindications for moving in the prescribed manner for the individual test items. Functional independence measures fim stairs flashcards.
Functional independence measure scores of patients with. The total score for the fim instrument the sum of the motor and cognition subscale. 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 is widely used and accepted as a functional level assessment tool that evaluates the functional status of patients throughout the rehabilitation process. The ability to quantify the functional ability of poststroke patients engaged in a rehabilitation program may assist in prediction of their functional outco me.
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. 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. Function in 2014, the improving medicare postacute care transformation act of 2014 impact act pub. Mar 15, 2015 the weefim instrument consists of a minimal data set of 18 items that measure functional performance in three domains. Center for medicare and medicaid services see figure 6. The functional independence measure fim is an instrument which indicates a patients disability level. Ability of functional independence measure to accurately. The functional independence measure fim is a validated, objective assessment of functional status that is commonly used in rehabilitation centres. Fim is comprised of 18 items, grouped into 2 subscales motor and cognition. System for medical rehabilitation organization, a total fim score of.
Fim 1 evaluation criteria all of the task described as making up the activity are typically performed safely, without modification, assistive devices, or. It is most often used in acute hospitals and subacute rehabilitation settings, although it can be used anywhere for patients who have. The function in sitting test fist was created to allow healthcare providers to better describe patient abilities to move and perform functional tasks in sitting. Welcome to the updated function page, current as of august 2018. Use of the functional independence measure for outcomes. Jan 17, 20 using the spinal cord independence measure iii to measure functional recovery in a postacute spinal cord injury program. The ampac appears to be a concise, comprehensive, and sensitive tool to measure postacute care functional outcomes across diverse patient groups. To achieve an accurate base measure it is important that the initial measurement is done in a timely manner. The fims assessment of degree of disability depends on the patients score in 18 categories, focusing on motor and cognitive function. The score should reflect the actual performance observed. Fim is used to track the changes in the functional ability of a patient during an episode of hospital rehabilitation care. Relevant articles were summarized and charted using the criteria. 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. Comparison of the psychometric characteristics of the functional independence measure, 5 item barthel index, and 10 item barthel index in patients with stroke.
Each item on the fim is scored on a 7point likert scale, and the score. Functional independence measurement fim user manual. The functional independence measure for children weefim is a simpletoadminister scale for assessing functional independence across 3 domains selfcare, mobility, cognition in children. Frequently asked questions about fim abstract the functional independence measure fim is the outcome measure used in australia and new zealand for all public and private inpatient rehabilitation, geriatric evaluation and management gem and restorative patients. Functional independence measure weefim for chinese children.1085 1284 473 522 606 1544 357 666 858 165 751 238 1297 445 1398 1476 913 525 1543 1518 1029 281 1426 270 541 96 228 802 155 283 203 1033 406 1486 1457 1194 52 1114 173 225 1275 295 1237 896