title: Capturing Functional Independence Measure (FIM®) Ratings.
abstract: OBJECTIVE
  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.
  
  
  METHODS
  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.
  
  
  RESULTS
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Patient Care Services, The Rehabilitation Hospital of the Pacific, Honolulu, HI, USA.
authors.forename: Audrey
authors.initials: A
authors.lastname: Torres
mesh_terms: D000368:Aged; D014487:Centers for Medicare and Medicaid Services, U.S. / Q000458:organization & administration / Q000639:trends; D005260:Female; D006254:Hawaii; D006801:Humans; D008297:Male; D008875:Middle Aged; D009730:Nursing Assessment / Q000379:methods / Q000639:trends; D062072:Patient Acuity; D010343:Patient Admission / Q000706:statistics & numerical data / Q000639:trends*; D058996:Quality Improvement / Q000706:statistics & numerical data / Q000639:trends; D020127:Recovery of Function; D012047:Rehabilitation Centers / Q000331:legislation & jurisprudence / Q000592:standards* / Q000706:statistics & numerical data; D019145:Rehabilitation Nursing / Q000331:legislation & jurisprudence / Q000379:methods* / Q000706:statistics & numerical data; D012189:Retrospective Studies; D014481:United States