What is FIM in occupational therapy?
FIM stands for Functional Independence Measure, an assessment tool doctors, therapists, and nurses use during rehabilitation and physical therapy. FIM gauges and track the amount of assistance that a person may require to carry out everyday activities.
What does the FIM assessment measure?
The Functional Independence Measure (FIM) is an instrument that was developed as a measure of disability for a variety of populations. The instrument includes measures of independence for self-care, including sphincter control, transfers, locomotion, communication, and social cognition.
Is the FIM still used?
Although the CMS or center for medicare and medicare replaced the FIM, it’s not to say that the FIM is no longer used. Some insurances may use or reimburse based on the FIM, but it is probably being phased out. In OT school, you will likely learn about the FIM.
When should the FIM be used?
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.
How long does the FIM assessment take?
The recommendation is the FIM score (the entire 18 items) is completed 24 hours after admission to an inpatient rehabilitation facility to reflect the patients functional abilities at that point in time.
How long does the FIM take to complete?
Time: The FIM is reported to take between 30-45 minutes to administer and score, with 7 minutes to gather demographic information.
Is the FIM an outcome measure?
Data from the FIM are used to examine patient outcomes for several purposes. This article explores the rationale for use of the FIM as an outcomes measure and research regarding the validity, reliability, responsiveness, and utility of this tool.
Is FIM a standardized assessment?
FIM as a standardized way of keeping track, or “score,” of how a patient is or is not improving. The FIM measures progress in activities of daily living, mobility, and communication.
Does FIM require training?
New users of the FIM or WeeFIM instrument are required to attend a training workshop prior to attempting a credentialing exam. Workshops provide education on how to score the instrument. The tool has been designed to be administered quickly and uniformly and has proved to be a valid and reliable measure.
Is the FIM a standardized test?
What training is needed for FIM?
One needs to be a licensed clinician trained in the FIM System® before assigning scores to people. This involves watching training videos, observing others in practice, and taking a credentialing exam. WHO TYPICALLY ASSIGNS FIM™ SCORES? therapists, nurses, psychologists, and social workers.
Is FIM performance based?
As it allows direct observation of patients and the performance-based assessments are done by multidisciplinary teams – including doctors, therapists and nurses – FIM is considered the gold standard for functional assessments.
How long does the FIM take to administer?
The FIM is reported to take between 30-45 minutes to administer and score, with 7 minutes to gather demographic information.
Do you have to be certified to use the FIM?
CAN ANYONE GIVE A PATIENT A FIM™ SCORE? No. One needs to be a licensed clinician trained in the FIM System® before assigning scores to people. This involves watching training videos, observing others in practice, and taking a credentialing exam.
How do you score FIM?
Scoring. Each of the 18 items on the FIM is scored by your physical therapist on a scale of one to seven. 2 A score of seven indicates that you are completely independent in that particular activity. A score of one means that you require total assistance for the activity.