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Functional Change: Change in Motor Score

CBE ID
2287
Endorsed
Endorsement Status
1.1 New or Maintenance
E&M Cycle
Is Under Review
No
1.3 Measure Description

Change in rasch derived values of motor function from admission to discharge among adult inpatient rehabilitation facility patients aged 18 years and older who were discharged alive. The timeframe for the measure is 12 months. The measure includes the following 12 FIM® items:Feeding, Grooming, Dressing Upper Body, Dressing Lower Body, Toileting, Bowel, Expression, Memory, Transfer Bed/Chair/Wheelchair, Transfer Toilet, Locomotion and Stairs.

        • 1.14 Numerator

          Average change in rasch derived motor functional score from admission to discharge at the facility level. Average is calculated as (sum of change at the patient level/total number of patients). Cases aged less than 18 years at admission to the IRF or patients who died within the IRF are excluded.

        • 1.15 Denominator

          Facility adjusted adjusted expected change in rasch derived values, adjusted at the Case Mix Group level.

        • Exclusions

          National values used in the CMG-adjustment procedure will not include cases who died in the IRF (or other venue) or cases less than 18 years old. Cases who died during rehabilitation are not typical patients and are typically omitted in the literature when looking at rehabilitation outcomes. In addition, the FIM instrument is meant for an adult population (Ottenbacher et al. 1996).

        • Most Recent Endorsement Activity
          Measure Retired and Endorsement Removed Patient Experience and Function Fall 2022
          Initial Endorsement
          Last Updated
          Removal Date