Identifying and definitional attributes | |
Metadata item type: | Glossary Item |
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Synonymous names: | FIM |
METEOR identifier: | 495857 |
Registration status: | Independent Hospital Pricing Authority, Standard 31/10/2012 Health!, Standard 11/04/2014 Tasmanian Health, Standard 20/12/2016 |
Definition: | An assessment of the severity of patient disability. |
Context: | The Functional Independence Measure (FIM™) instrument is a basic indicator of patient disability. FIM™ is used to track the changes in the functional ability of a patient during an episode of hospital rehabilitation care. |
Collection and usage attributes | |
Guide for use: | Patient function is assessed using the FIM™ instrument at the start of a rehabilitation episode of care and at the end of a rehabilitation episode of care. Admission assessment is collected within 72 hours of the start of a rehabilitation episode. Discharge assessment is collected within 72 hours prior to the end of a rehabilitation episode. |
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Comments: | FIM™ is comprised of 18 items, grouped into 2 subscales - motor and cognition. The motor subscale includes:
The cognition subscale includes:
Each item is scored on a 7 point ordinal scale, ranging from a score of 1 to a score of 7. The higher the score, the more independent the patient is in performing the task associated with that item. 1 - Total assistance with helper 2 - Maximal assistance with helper 3 - Moderate assistance with helper 4 - Minimal assistance with helper 5 - Supervision or setup with helper 6 - Modified independence with no helper 7 - Complete independence with no helper The total score for the FIM motor subscale (the sum of the individual motor subscale items) will be a value between 13 and 91. The total score for the FIM cognition subscale (the sum of the individual cognition subscale items) will be a value between 5 and 35. The total score for the FIM instrument (the sum of the motor and cognition subscale scores) will be a value between 18 and 126. |
Source and reference attributes | |
Submitting organisation: | Independent Hospital Pricing Authority |
Origin: | FIM™ is a trademark of the Uniform Data System for Medical Rehabilitation, a division of UB Foundation Activities Incorporated. Australasian Rehabilitation Outcomes Centre holds the territory license for the use of the FIM™ instrument in Australia. |
Reference documents: | Uniform Data System for Medical Rehabilitation 2009. The FIM System® Clinical Guide, Version 5.2. Buffalo: UDSMR. Australasian Rehabilitation Outcomes Centre, University of Wollongong 2012. What is the FIM™ Instrument? Viewed 19 September 2012, http://ahsri.uow.edu.au/aroc/whatisfim/index.html |
Relational attributes | |
Metadata items which use this glossary item: | Activity based funding: Admitted sub-acute and non-acute hospital care DSS 2013-2014 Independent Hospital Pricing Authority, Standard 11/10/2012 Admitted subacute and non-acute hospital care DSS 2014-15 Health!, Superseded 13/11/2014 Admitted subacute and non-acute hospital care DSS 2015-16 Health!, Superseded 19/11/2015 Admitted subacute and non-acute hospital care NBEDS 2016-17 Health!, Superseded 03/11/2016 Admitted subacute and non-acute hospital care NBEDS 2017-18 Health!, Superseded 25/01/2018 Independent Hospital Pricing Authority, Recorded 04/08/2016 Admitted subacute and non-acute hospital care NBEDS 2018-19 Health!, Superseded 17/10/2018 Admitted subacute and non-acute hospital care NBEDS 2019-20 Health!, Superseded 18/12/2019 Admitted subacute and non-acute hospital care NBEDS 2020–21 Health!, Superseded 05/02/2021 Admitted subacute and non-acute hospital care NBEDS 2021–22 Health!, Superseded 20/10/2021 Admitted subacute and non-acute hospital care NBEDS 2022–23 Health!, Standard 20/10/2021 Episode of admitted patient care—clinical assessment score, code NN Independent Hospital Pricing Authority, Standard 30/10/2012 Functional Independence Measure score code N Health!, Standard 18/12/2019 Tasmanian Health, Standard 06/05/2020 Person—level of functional independence, Functional Independence Measure score code N Health!, Standard 18/12/2019 Tasmanian Health, Standard 06/05/2020 |