Capturing Functional Independence Measure (FIM®) Ratings. Issue 1 (January 2018)

• Record Type: Journal Article
• Authors: Torres, Audrey
• Is Part Of: Rehabilitation nursing. Volume 43:Issue 1(2018)
• Publication Date: 2018-01
• Subjects: FIM® ratings -- FIM® team -- evidence-based practice -- FIM® innovation -- inpatient rehabilitation facility -- reimbursement; Rehabilitation nursing -- Periodicals; Nursing -- Periodicals; Rehabilitation -- Periodicals; Soins infirmiers en réadaptation -- Périodiques; 610.73
• DOI: 10.1002/rnj.284
• Languages: English
• ISSNs: 0278-4807

Abstract

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.