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Functional Change: Change in Self Care Score

CBE ID
2286
Endorsement Status
1.1 New or Maintenance
Previous Endorsement Cycle
Is Under Review
No
Next Maintenance Cycle
Spring 2025
1.3 Measure Description

Change in rasch derived values of self-care function from admission to discharge among adults receiving inpatient medical rehabilitation and discharged alive. The timeframe for the measure is 12 months. The measure includes the following 8 items: Feeding, Grooming, Dressing Upper Body, Dressing Lower Body, Toileting, Bowel, Expression, and Memory.

        • 1.14 Numerator

          Average change in rasch derived self-care score from admission to discharge at the facility level. Items at admission and discharge include: Feeding, Grooming, Dressing Upper Body, Dressing Lower Body, Toileting, Bowel, Expression, and Memory. Average is calculated as: ((sum of change at the patient level for all items (Feeding, Grooming, Dressing Upper Body, Dressing Lower Body, Toileting, Bowel, Expression, and Memory) / total number of patients)).

        • 1.15 Denominator

          Facility adjusted expected change in rasch derived self-care values, adjusted at the Case Mix Group (CMG) level.

        • Exclusions

          National values used in the CMG-adjustment procedure will not include cases who died in the IRF or cases less than 18 years old. It is standard to exclude cases who died during rehabilitation as this is a highly atypical outcome, in addition, minors are excluded as well. The measure testing file includes further explanation regarding the exclusion criteria as well as references.

        • Most Recent Endorsement Activity
          Endorsed Patient Experience and Function Spring Cycle 2019
          Initial Endorsement
          Last Updated
        • Steward
          Uniform Data System for Medical Rehabilitation
          Steward Organization POC Email
          Steward Organization Copyright

          © 2014 Uniform Data System for Medical Rehabilitation, a division of UB Foundation Activities, Inc. All rights reserved.