How do you interpret FIM scores?
FIM categories The higher the score is for a task, the more independent a person is at performing the task. For example, a score of 1 indicates that a person needs total assistance with a task, while a score of 7 means a person can perform a task with complete independence.
What replaced the FIM score?
Continuity Assessment Record and Evaluation
CARE stands for Continuity Assessment Record and Evaluation (CARE) Item Set. You can think of it as the replacement to FIM.
What is Alpha FIM score?
It is one component for consideration in discharge planning. An AlphaFIM score provides objective data regarding disability and stroke severity as well as facilitate the transfer of information to the rehabilitation setting.
Are FIM scores still used?
The Functional Independence Measure (FIM™), for example, is currently included in the Inpatient Rehabilitation Facility – Patient Assessment Instrument (IRF-PAI) as a basic indicator of patient disability during an episode of hospital rehabilitation care.
When is GG required?
Section GG is assessed at admission and discharge at a minimum in each post-acute setting. Occasionally it is used during reassessments or recertification. Section GG is intended to be an interdisciplinary assessment that is collected over the first 3-5 days of admission.
What percentage is minimal assistance?
Minimal assist is when the assisting person(s) or device(s) are required to perform approximately 25 percent of the work of a mobility task while you perform 75 percent of the work.
How is FIM gain calculated?
FIM gain was calculated by subtracting the FIM discharge score from the FIM admission score for each individual. Length of stay was also recorded. Results: There was no difference in average total FIM scores when patients were divided by side of damage (right or left hemisphere).
Is the FIM standardized?
Many rehabilitation facilities use a version of the Functional Independence Measure (FIM). FIM as a standardized way of keeping track, or “score,” of how a patient is or is not improving. The FIM measures progress in activities of daily living, mobility, and communication.
When do you use Alpha FIM?
The AlphaFIM® is to be completed on Day 3 after the physician orders admission to the acute care hospital setting, regardless of where the patient is physically located (e.g. Emergency Department, Intensive Care Unit (including medical ICUs after EVT and/or tPA), Stroke Unit).
Is FIM performance based?
As it allows direct observation of patients and the performance-based assessments are done by multidisciplinary teams – including doctors, therapists and nurses – FIM is considered the gold standard for functional assessments.
What is the difference between Section G and Section GG?
Section G: The guidance is to code the most amount of assistance provided within a 7 day look-back. In Section GG: Guidelines are to code the baseline performance ability within the first three days following admission and before treatment begins.
What are the assist levels?
Levels of Assistance Table
| Term | Abbreviation | Effort Patient Provides |
|---|---|---|
| Contact Guard Assist | “CGA” | 100% |
| Minimal Assistance | “Min A” | 75-99% |
| Moderate Assistance | “Mod A” | 50-74% |
| Maximal Assistance | “Max A” | 25-49% |
What is an SPT in physical therapy?
SPT stands for Student of Physical Therapy.
What is a good FIM score for rehabilitation?
For example, according to the Uniform Data System for Medical Rehabilitation organization, a total FIM score of 60 can equate to approximately four hours daily of assistance needed while a score of 80 equates to about two hours daily. People with a total FIM score between 100 and 110 require minimal assistance with their day-to-day activities.
Does the FIM score predict the Pittsburgh rehabilitation participation scale?
The FIM score on admission and discharge significantly predicted the Pittsburgh Rehabilitation Participation Scale [PRPS] (0.53; P<0.0001 and 0.40; P<0.001 respectively)
How do Fim ratings change after discharge from hospital?
FIM scores were tracked at admission, discharge, three and 12 months after discharge. At three months, black and Hispanic patients had lower FIM totals when compared to whites. In addition, total FIM ratings increased for all three group form discharge to three months post, but then showed little change after.
What is the total score for the FIM instrument?
The total score for the FIM instrument (the sum of the motor and cognition subscale scores) will be a value between 18 and 126. Inter-Rater Reliability of FIM has been established at an acceptable psychometric performance (Intraclass co-relation coefficients ranging from 0.86 to 0.88)