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Functional Change: Change in Motor Score

CBE ID
2287
Endorsement Status
1.0 New or Maintenance
1.1 Measure Structure
Previous Endorsement Cycle
Is Under Review
No
1.6 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.

    Measure Specs
      General Information
      1.7 Measure Type
      1.3 Electronic Clinical Quality Measure (eCQM)
      1.8 Level of Analysis
      1.20 Types of Data Sources
      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
      Steward Organization
      Uniform Data System for Medical Rehabilitation
      Steward POC email
      pniewczyk@udsmr.org
      Steward Organization Copyright

      © 2013 Uniform Data System for Medical Rehabilitation, a division of UB Foundation Activities, Inc. All rights reserved.

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