Development of Professionalism and Performance Accountability for Sustained FIM Accuracy Improvement.
OBJECTIVE
Rehabilitation nurses have essential responsibility for detailed Functional Independence Measure (FIM) documentation and accurate scoring. The goal of this performance improvement project was to improve individual FIM accuracy and establish and maintain a FIM accuracy standard.


METHODS
Case Study.


METHODS
This performance improvement project was implemented in a 20-bed CARF-accredited Midwestern acute care hospital inpatient rehabilitation unit.


RESULTS
Improved individual and overall RN FIM scoring accuracy, with increased length of stay and case mix index.


CONCLUSIONS
Concurrent FIM scoring and documentation review holds staff accountable and allows for timely revisions following discrepancy identification. Leadership supports for concurrent FIM audits, utilization of available technology, transparent reporting of results, and individual accountability lead to sustained improvement in FIM scoring accuracy.


CONCLUSIONS
Accurate FIM documentation and scoring drive appropriate length of stay and case mix group assignment. Assessment competence enhances nursing engagement, confidence, and process accountability.
St. Cloud Hospital, St. Cloud, MN, USA.
Debra
D
Eisenstadt
Ann
A
Summar
Jean
J
Beckel
D014487:Centers for Medicare and Medicaid Services, U.S. / Q000331:legislation & jurisprudence / Q000458:organization & administration; D004185:Disability Evaluation; D006801:Humans; D007902:Length of Stay / Q000639:trends; D017064:Process Assessment, Health Care / Q000379:methods*; D000068616:Professionalism / Q000592:standards* / Q000639:trends; D058996:Quality Improvement / Q000639:trends; D020127:Recovery of Function; D019145:Rehabilitation Nursing / Q000331:legislation & jurisprudence / Q000379:methods; D014481:United States; D000066477:Work Performance / Q000331:legislation & jurisprudence / Q000592:standards* / Q000639:trends