Capturing Functional Independence Measure (FIM®) Ratings

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Abstract

Purpose:

The aim of the study was to identify interventions to capture admission functional independence measure (FIM®) ratings on the day of admission to an inpatient rehabilitation facility.

Design:

A quantitative evidence-based practice quality improvement study utilizing descriptive statistics.

Methods:

Admission FIM® ratings from patients discharged in June 2012 (retrospective review) were compared to admission FIM® ratings from patients discharged in June 2014 (prospective review). The logic model was utilized to determine the project inputs, outputs, and outcomes.

Findings:

Interventions to capture admission FIM® ratings on the day of admission are essential to accurately predict the patient’s burden of care, length of stay, and reimbursement. Waiting until Day 2 or Day 3 after admission to capture the admission FIM® assessment resulted in inflated admission FIM® ratings and suboptimal quality outcomes.

Conclusion/Clinical Relevance:

Interventions to capture admission FIM® ratings on the day of admission were successful at improving the quality of care, length of stay efficiency, and accurately recording admission FIM® ratings to determine the patient’s burden of care.

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