Aug 01, 2018 the fim instrument is a basic indicator of severity of disability. Reliability and validity of the adult alpha functional independence measure instrument in england. The functional ability of a patient changes during rehabilitation and the fim instrument is used to track those changes. It is an 18item performance measurement system that documents selfcare, functional mobility, and cognitive abilities. Functional independence measure fimz instrument admission discharge followup selfcare a. Functional evaluation instrument,1 the movement ability measure,2,3 the health assessment questionnaire,4,5 and the functional status questionnaire. 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. Functional independence measure weefim for chinese children. Tenet irfs shall utilize the functional independence measure fim instrument to assist in classifying a patient into a case mix group cmg.
Weefim was based on a conceptual framework by the world health organization 1980 of pathology, impairment, disability and handicap, and the burden of care. In addition, a table providing a list of the selfcare and mobility data elements included in section gg of the postacute care item sets is posted and available in the downloads section. Scimspinal cord independence measure selfcare date \ \ \ \ \ \ \ 1. The katz index of independence in activities of daily living, commonly referred to as the katz adl, is the most appropriate instrument to assess functional status as a measurement of the clients ability to perform activities of daily living independently. The current owners of the fimtm instrument have decided that the acronym fimtm no longer stands for anything and should be referred to only as fimtm. Katz index of independence in activities of daily living. A validation of the functional independence measurement and its performance among rehabilitation inpatients. The functional independence measure for children weefim. Health care industry hospital admission and discharge management hospitals admission and discharge medical equipment usage nurses practice physiological apparatus. The functional independence measure fim has historically been used for care planning and quality measurement in many u. Needs parenteral, gastrostomy, or fully assisted oral feeding 1. Ability of functional independence measure to accurately. Functional independence measurement fim technical manual and security guide version 1. Development of a functional assessment measure for manual.
Our study demonstrated that weefim could be used as a functional independence measure for chinese children. Therefore, both basic activities and community activities were included in the new tool. Comparing the functional independence measure and the. Patient function is assessed using the fim instrument at the start of a. The experience of using the scale of functional independence measure in individuals undergoing spinal cord injury rehabilitation in brazil. Feeding cutting, opening containers, pouring, bringing food to mouth, holding cup with fluid 0. Functional independence measure and functional assessment measure functional independence measure the functional independence measure fim scale assesses physical and cognitive disability. Interrater reliability of the functional assessment measure in a brain injury rehabilitation.
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 for children weefim instrument has recently been adapted and validated for nondisabled children in turkey. Measurement scales used in elderly care 60 functional independence measure and functional assessment measure functional independence measure the functional independence measure fim scale assesses physical and cognitive disability. Functional independence measure functional test for the hemiparetic. The functional independence measure for children weefim instrument. Inpatient rehabilitation facility patient assessment. The reliability of the functional independence measure. The functional independence measure fim\u2122 instrument is a basic indicator of patient disability. Functional independence measure weefim for chinese.
The instruments of independence is a legal document that established fijis independence from the united kingdom in 1970, when it was handed over by prince charles on behalf of the british monarch on 10 october. The weefim instrument is potentially an internationally useful instrument. Free download weefim manual pdf or read online and watch manual video on weefim ii software. Weefim is useful in assessing functional independence. Independent another person is not required for the activity no helper. Thus, a locally validated weefim instrument should be adopted for chinese children. For over 15 years, the fim was an acronym for functional independence measure. Fim is used to track the changes in the functional ability of a patient during an episode of hospital rehabilitation care. Fim\u2122 is used to track the changes in the functional ability of a patient during an episode of hospital rehabilitation care. The reliability of the functional independence measure fimsm for adults was examined using procedures of metaanalysis. Functional independence measure for children springerlink. Concurrent validity of administering the functional.
Functional skills complete independence fim 7 modified independence fim 6 supervision or setup fim 5 standby assistance contact guarding minimal contact assistance. The fim instrument comprises 18 items, each of which is assessed against a. The fimtm is an 18item ordinal scale, used with all diagnoses within a rehabilitation population. Functional outcome after stroke in patients with aphasia. Specific components of these instruments collect parallel information and items on. Since january 1, 2002, items from the fim are recorded in the irf. Eating grooming bathing dressing, upper body dressing, lower body toileting bladder management bowel management. 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. This article explores the rationale for use of the fim as an outcomes measure and research regarding the. Patient assessment instrument irfpai data to conform with centers for medicare and medicaid services cms regulations. The functional independence measure fim is widely used and accepted as a functional level assessment tool that evaluates the functional.
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. Use of the functional independence measure for outcomes. Start studying comparing adl assessments functional independence measure fim, barthel index and oasis. The functional independence measure for children weefim is an 18item, sevenlevel ordinal scale instrument used to assess a childs typical and consistent performance. Each item is scored on a 7 point ordinal scale ranging from 1 total dependence to a score of 7 total independence. 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 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. As such, whilst listed alphabetically, the pdf search feature may be useful when checking if a specific assessment has been included. The functional independence measure fimsm instrument and. A functional measures progress timeline can be accessed in the downloads section below. Reliability and validity of the adult alpha functional independence measure instrument in england article in journal of neuroscience nursing 421. The functional independence measure fim instrument, which includes an assessment of bladder function, is the industry standard and used by the u. In order to objectively assess musculoskeletal function of patients with haemophilia, we developed functional independence score in hemophilia fish, a performance. Fim is comprised of 18 items, grouped into 2 subscales motor and cognition.
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. Center for medicare and medicaid services see figure 6. Journal of rehabilitation outcomes measurement, 2 4. Pool activity level instrument rheumatoid arthritis work instability scale. Functional independence measure definition of functional. Its reliability and validity have been studied, and normative data are available for american children. One of the most widely used tools is the functional independence measure fim. In recent years the functional independence measure has emerged as a standard assessment instrument for use in rehabilitation and therapy programmes for disabled persons, including those with. The functional independence measures scale is one of the most frequently used tools for the assessment of functional capacity of individuals with spinal cord injuries. The functional independence measure fim scale is a basic indicator of patient disability. An alternative system has been developed by the interrai consortium. Functional independence measure fim assessment overview assessment area icf domain.
The spinal cord independence measure scim evaluates the ability of spinal cord injury patients to perform basic activities of daily living independently. This measure was developed to track disability in children who are between the ages of 6 months and 7 years. Reliability and validity of the adult alpha functional. Fim scale fill out and sign printable pdf template signnow. Functional change is a key outcome measure of rehabilitation episodes.
Data from the fim are used to examine patient outcomes for several purposes. The scoring considers the use of adaptive equipment andor the extent of personal assistance or supervision required to complete the task. 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. It has five grades, ranging from 0 fully independent to 4 completely dependent. 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. Measuring function for medicare inpatient rehabilitation payment.
Functional independence measurement fim technical manual. Items are scored on the level of assistance required for an individual to perform activities of daily living. The functional independence measures fim reliability. The functional independence measure fim instrument is a basic indicator of patient disability. Lifeware including medicare benefit policy manual audits as the. 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. Lundgrennilsson a, tennant a, grimby g, sunnerhagen ks. For over 15 years, fim was an acronym for functional independence measure. The 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. Functional independence measure rehabmeasures database. Learn vocabulary, terms, and more with flashcards, games, and other study tools. 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. The functional independence measure weefim for children is a simpletoadminister scale for assessing independence across 3 domains in american children. Functional outcome after stroke in patients with aphasia and neglect.
We have by no means abandoned our goal of ultimately establishing a common system to assess patient characteristics and care needs for all postacute care services and pursing sic more integrated. Functional assessment measure rehabmeasures database. In the rule, along with the announcement that the assessment instrument would be based on the functional independence measure, hcfa wrote. The functional independence measure fim is an instrument which indicates a patients disability level. 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. Functional independence measurement fim user manual. The functional independence measure fimtm instrument is a basic. The functional independence measure fim is an 18item measurement tool that explores an individuals physical, psychological and social function. Personlevel of functional independence, functional.
The functional independence measure fim sm instrument and the functional independence measure for children weefim instrument. The functional independence measure for children weefim was developed based on the fimsm instrument to assess disability in children aged six months to seven years. Assessing bladder function on admission to shortterm rehabilitation and discharge provides some insight into patient outcomes. Assessment by the motor and cognitive functional independence measure instrument. Measures that describe a patients functioning, activities, andor participation in adls e. Functional independence measure tm and functional assessment measure brain injury scale. Each item is scored from 1 to 7 based on level of independence 1 represents total dependence and 7 represents complete independence. Measurements of the functional outcome in these individuals are essential in the rehabilitation process.
Comparing adl assessments functional independence measure. Functional independence measure fim spinal cord injury. Mar 2017 functional independence measurement fim user manual, version 1. Concurrent validity of administering the functional independence measure fim instrument by interview yuchi young, drph, assistant professor state university of new york suny at albany, school of public health, 1 university place, room 171, rensselaer, ny 12144. The ability to quantify the functional ability of poststroke patients engaged in a rehabilitation program may assist in prediction of their functional outco me. The weefim can be administered to children over the age of 7 if their functional abilities are below those expected of children aged 7 who do not have disabilities. Psychology definition of functional independence measure fim. Measure specifications for the functional process and outcome measures adopted for the irf, ltch, snf, and hh qrps can be found in the downloads section below.1110 239 1062 775 1234 1093 930 749 1300 95 298 1184 1178 320 1060 1482 571 518 653 399 1366 560 1088 1418 131 712 1208 605 540 273 266 925 1176 920 558 1374 649 86 441 494 216 800 370 1320 1313 616 303 1273