Montreal cognitive assessment moca and functional independence measure cognitive showed adequate predictive validity. Cms wants to drop functional measure, 2 quality reporting. Functional independence measure for children weefim. Functional independence measurement fim technical 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. Functional independence measure an overview sciencedirect. 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 scoring considers the use of adaptive equipment andor the extent of personal assistance or supervision required to complete the task.
Readers are encouraged to contact the udsmr for detailed information about administering, scoring, and interpreting the tool. 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. For ease of scoring, the scoring scale is the same for each test item. Fim stands for functional independence measure, an assessment tool doctors, therapists, and nurses use during rehabilitation and physical therapy. 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. A checkbox toggles between a yes or no, on or off setting. Again, the mbi and fim only assess basic adl and mobility, and a lower score is given if the individual uses a wheelchair. Each item is scored on a 7 point ordinal scale ranging from 1 total dependence to a score of 7 total independence.
For over 15 years, the fim was an acronym for functional independence measure. Functional independence measure fim the fim is an 18item, seven level ordinal scale. Aos video training fim clinician a short video walk through. Functional independence measure rehabmeasures database. Patient function is assessed using the fim instrument at the start of a. Fim is used to track the changes in the functional ability of a patient during an episode of hospital rehabilitation care. Aug 01, 2018 the fim instrument is a basic indicator of severity of disability. The fim can be used for measuring disability in a wide range of conditions. Her global perspective, clarity of thought, and emphasis on the importance of the research findings has ensured that the system will be. Checkboxes are usually a square box containing a check mark or an x. The fim was also developed to offer a uniform system of measurement for disability based on the international. These tools were developed to assess the degree of independence in diverse patient populations. 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 1 total assistance in all areas, 7.
Functional independence measurement fim user manual. Functional independence measure weefim for chinese. Feb 29, 2016 in addition, baseline functional independence measure fim scores at baseline and during three months of followup were also compared. 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. A validation of the functional independence measurement and its performance among. 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. 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. Results the average fim motor scores at three months did not differ significantly between the home and hospital treatment groups.
Psychometric evaluation in patients undergoing specialist rehabilitation following a stroke from the national uk clinical dataset. The weefim is an adaptation of the functional independence measure fim used in adults. 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. Independent l e v e l s 7 complete independence timely, safely. Functional independence measure fim scoring flashcards. Specific components of these instruments collect parallel information and items on. Functional independence measure fim total score transformation table. Tenet irfs shall utilize the functional independence measure fim. 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. Functional independence measure fimz instrument admission discharge followup selfcare a. Weefim is useful in assessing functional independence in.
Clicking the box or pressing the spacebar toggles the check box setting. Functional assessment measure rehabmeasures database. Since its inception in 1987 udsmr has provided the most comprehensive rehabilitation data to the industry. Our study demonstrated that weefim could be used as a functional independence measure for chinese children. The functional independence measure fim 31 is a widely accepted functional assessment measure used during inpatient rehabilitation.
Functional independence measure weefim for chinese children. The assessment slated for possible elimination is the functional independence measure fim, part of the irf patient assessment instrument. Functional outcome measure score scores from the back and neck index, dash, lefs, or other functional outcome measurement tool can be entered into the appropriate boxes on this patient summary form. A validation of the functional independence measurement and its performance among rehabilitation inpatients. Functional change is a key outcome measure of rehabilitation episodes. Further information regarding scoring is available in the functional outcome measurement section of this document. Udsmr is a notforprofit organization affiliated with the university at buffalo the state university of new york.
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. It is an 18item performance measurement system that documents selfcare, functional mobility, and cognitive abilities. 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. Possible scores range from 18 to 126, with higher scores indicating more independence. The functional ability of a patient changes during rehabilitation and the fim instrument is used to track those changes.
The functional independence measure 18item version can be. Effective 40104 is the version of the manual that must be used when performing the patient assessment and recording that assessment data on the irfpai. The functional independence measure fim is widely used and accepted as a functional. It is most often used in acute hospitals and subacute rehabilitation settings, although it can be used anywhere for patients who have. Weefim is useful in assessing functional independence. It takes 1 hour to train a rater to use the fim scale, and 30 minutes to score the scale for each patient. Functional independence measure fim spinal cord injury. The functional independence measure fim instrument is a basic indicator of patient disability. Functional skills complete independence fim 7 modified independence fim 6 supervision or setup fim 5 standby assistance contact guarding minimal contact assistance. Ability of functional independence measure to accurately. Functional independence measure tm and functional assessment measure brain injury scale. Lifeware including medicare benefit policy manual audits as the developers of the fim instrument and the impairment group codes manual for the functional independence measure for children weefim version 1.
Functional independence measure and functional assessment measure functional independence measure the functional independence measure fim scale assesses physical and cognitive disability. Functional independence measure for children springerlink. Abstractstroke is a leading cause of functional impairments. Functional independence measure scores of patients with. Learn vocabulary, terms, and more with flashcards, games, and other study tools.
The fim is an 18item ordinal scale, used with all diagnoses within a rehabilitation population. Development of a functional assessment measure for manual. The functional independence measure fim is an 18item global measure of disability. The severity of carerecipient functioning and impairments may be determined with the functional independence measure fimsm. Apr 15, 2020 aos user manual fim and weefim facility trainer for assistance specific to the fim and weefim system, focussed on providing assistance for facility trainers. 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. 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. A template function in sitting test scores patient documentation sheet, where fist scores can be recorded over time, is included in this manual for use in your clinicfacility. 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 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. Interrater reliability of the functional assessment measure in a brain injury rehabilitation. Analysis of variables to determine predictability to stroke patients discharge site abstract the purpose was to define subsets of variables that are found within the functional independence measurement fim scale that demonstrate a high predictability. Therefore, both basic activities and community activities were included in the new tool.
Optum physical health clinical forms instruction manual. Weefim assessment form download on free books and manuals search uniform data system weefim manual weefim scoring sheet complete pdf download weefim scoring sheet a. The specific fim scores are as follows, from lowest to highest. The pedi assesses functional skills, level of independence, and the extent of modifications required to perform functional activities in young children. The functional independence measure fim is an 18item measurement tool that explores an individuals physical, psychological and social function. The functional assessment measure does not stand alone but adds 12 fam items to the fim. Alternatively, physical items could be scored separately from 5 cognitive items. Tasks are rated on a 7point ordinal scale that ranges from total assistance or complete dependence to complete independence. Here are some frequently asked questions and answers about scoring fim. 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. Mar 2017 functional independence measurement fim user manual, version 1.
The functional independence measure weefim for children is a simpletoadminister scale for assessing independence across 3 domains in american children. Weefim was based on a conceptual framework by the world health organization 1980 of pathology, impairment, disability and handicap, and the burden of care. Thus, a locally validated weefim instrument should be adopted for chinese children. Functional independence measure adl measures for people poststroke the functional independence measure fim scale assesses physical and cognitive this scale focuses on the burden of care that is, the level of disability indicating the b. 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. Set, measurement scale, impairment codes, and refinements thereto for the irfpai, and for the guide for the uniform data set for medical rehabilitation, as incorporated or referenced herein. The functional independence measure weefim for children is a simpletoadminister scale for assessing independence across 3. Previously validated in a mixed neurorehabilitation cohort, this study is the first to explore its psychometric properties in a stroke population, and compare. The functional independence measure fim scale is a basic indicator of patient disability. Fim scores range from 1 to 7 1 total assist and 7 complete independence. Fim scale fill out and sign printable pdf template signnow. According to a cms fact sheet on the proposed rule, data collected through the fim are being captured in other parts of the assessment instrument. Scores are generally rated at admission and discharge. Aos flow chart lifespan of fimweefim exam key for assistance understanding the process of using exam keys.
Effective 40104 for patient assessments performed when a patient is admitted on or after april 1, 2004, the irfpai training manual. The pedi measures functional status in the domains of selfcare, mobility, and social function across the following 3 measurement scales. Below is a summary of an article in which the functional independence measure for children weefim was used as the primary objective assessment for progress throughout rehabilitation. 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. Abstract the spinal cord independence measure scim is, at present, the only comprehensive rating scale that measures the ability of patients with spinal cord lesions scl to perform everyday tasks according to their value for the patient. Granger founder of both udsmr and the center for functional assessment research is the father of. Patient requires no more help than standby, cueing or coaxing, without physical contact, or, someone is needed to set up needed items or apply orthoses. Functional independence measure fim in acute rehabilitation and skilled nursing facilities, multidisciplinary teams periodically evaluate and document patient status using a numeric scale, known as the functional independence measure fim. Carerecipient functioning in an array of domains description of measure.